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HomeMy WebLinkAboutTR-8545• John M. Bredemeyer [Il, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD M Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY l 1971 Telephone (63 [) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES. 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN - APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE VPre -construction, hay bale lime 1st day of construction %constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8545 DATE: DECEMBER 17, 2014 ISSUED TO: FBO ASSOCIATES LLC C/O ARNOLD FISHER PROPERTY ADDRESS: 3300 CLAY POINT ROAD, FISHERS ISLAND SCTM# 7-1-2.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 17, 2014, and in consideration of application fee in the sum of $250.00 paid by Samuel William Fitz egrald and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 10'x19' one-story addition with an entry hallway onto the existing two-story dwelling; and as depicted on the site plan prepared by Samuel W. Fitzgerald, Architect, last dated November 14, 2014 and stamped approved on December 17, 2014; and as also depicted on the survey prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC, last dated November 14, 2014 and stamp approved on December 17, 2014. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Sealto be affixed, and these presents to be subscribed by a maiority of the said. Board as of this date. TERMS AND CONDITIONS The Permittee, FBO Associates LLC c/o Arnold Fisher, residing at 3300 Clay Point Road, Fishers Island, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. .That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee December 17, 2014 Mr. Samuel W. Fitzgerald PO Box 447 Fishers Island, NY 06390 1�1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: FBO ASSOCIATES LLC C/O ARNOLD FISHER 3300 CLAY POINT ROAD, FISHERS ISLAND SCTM# 7-1-2.1 Dear Mr. Fitzgerald: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 17, 2014 regarding the above matter: WHEREAS, Samuel W. Fitzgerald on behalf of FBO ASSOCIATES LLC C/O ARNOLD FISHER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 17, 2014, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 17, 2014, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approves the application of FBO ASSOCIATES LLC C/O ARNOLD FISHER to construct a 19'x19' one-story addition with an entry hallway onto the existing two-story dwelling; and as depicted on the site plan prepared by Samuel W. Fitzgerald, Architect, last dated November 14, 2014 and stamped approved on December 17, 2014; and as also depicted on the survey prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC, last dated November 14, 2014 and stamp approved on December 17, 2014. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/amn John M. Bredemeyer H1, President Michael J. Domino, Vice -President TO: James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LJ Town Hall Annex 54375 Route 25, P.O. Box 1 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Please be advised that your, application dated — has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of th6 fo to ing items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction'($50.00) ::I /:Final Constructed -($50.00) Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $_St. h � BY: John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President OF F94 Michael J. Domino, Vice-President°°� cOGy3 James F. King Charles J. Sanders o • Dave Bergen Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: y/Go l Samuel W. Fitzgerald on behalf of FBO ASSOCIATES LLC, c/o ARNOLD FISHER requests a Wetland Permit to construct a 19'x19' one-story addition with an entry hallway onto the existing two-story dwelling. Located: 3300 Clay Point Road, Fishers Island. SCTM# 7-1-2.1 Typeof area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were Bay Constable J. Bredemeyer ,-M. Domino /J. King C. Sanders �D. Bergen Form filled out in the field by Mailed/Faxed to: Date: Other j LI -4- L oeoe.m xwd }iE two 0112 SM .2 :wd `" il �..J I vA xnyd •, � 6 SIA y CD a v I 8 zu u O a3A3to xu ax I `a 1 ,j1. II r tsr. z.M • x.wn - A,NcI $ 114 1.M 6EE SFG R0. fb t. 'pi '`6Gp • � � i S.fA .2NO dlp B.1Nc1 x U nc. (� I e '.!fir E,� YIArM Pwiu aJna „oRlo IsaRRe * I _ PORPca ra. I aANA ;•?� i uAlcl "�� t alA r an e ,.iAld W I.iNd s � r .aiA p � 3 .. � aup) 1+^ /:P rr►3 yy na aaAk) i rias) IOEP4 rp. b I � —8EE SEG RO. Otaaada6la r7(), ziA wrw rz-_� • wrclT-_�-_1.��- • �`� • A7U� uxe i SEE BEC.NO. a,a i BEE BEG Roan ,M aM S.aNc) '.. ,..,�. ._,.. .• .� - -- a..". --a-- P�..y --"-- N0T10E ^� COUNTY OF SUFFOLK© K a SOunw�o secnoR Ro G. -.a.-•-. ----- - ly'I^-� w.,w.r...ue..aRRrwPa >a„ RealPropeAy Tax Service Agency rµ E �wh ...-__ R "T "�' �_ •^ —_—w. --•-- --"-- n$P.li CwaO'CRMrwa�xY11p1 yl F Taa:, rp tEEO PROPERTY MAP OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM_ DEC - 4 a" To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner-- LWRP Coordinator Date: December 4, 2014 Re: Proposed Administrative Permit for FBO ASSOCIATES LLC, c/o ARNOLD FISHER SCTM# 1000-7-1-2.1 Samuel W. Fitzgerald on behalf of FBO ASSOCIATES LLC, c/o ARNOLD FISHER requests a Wetland Permit to construct a 19'x19' one-story addition with an entry hallway onto the existing two- story dwelling. Located: 3300 Clay Point Road, Fishers Island. SCTM# 7-1-2.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Peter Young, Chairman Lauren Standish, Secretary 0 • Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., December 10, 2014 the following recommendation was made: FBO ASSOCIATES LLC to construct a one-story addition to an existing two-story frame residence. The addition contains principally a 19'X 19' three -season porch, and there is a new entry hallway that connects the three -season porch to the existing house, all totaling 511 sf. Located: 3300 Clay Point Road, Fishers Island. SCTM#7-1-2.1 The CAC did not make an inspection, therefore no recommendation was made. 0 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: I ]_ 6 Property Owner Name: Date Sent to Bldg. Dept.: Telephone (631) 765-1892 Fax (631) 765-6641 E C E 0 W E NOV 2 1 2014 BLDG. DEPT. TOWN OF SOUTHOLD The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from th ning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: / Z__7 PSignatu�r_eof eviewer Date John M. Bredemeyer III, P 0 Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only 06astal Erosion Permit Application VWetland Permit Application Administrative Permit —Amendme n � mns e- 1 5fixqte nsion eceived Application: I I I - '-I 'Sb. l[ t/ Received Fee:$ -2, ob _Completed Application Incomplete __�SEQRA Classification: Type I_Typc 1[Unlisted .,Coordination:(date sent)_ -CAC Consistency Asse Wsmeat Form is ImL -CAC Referral Son: V Dee of inspection!: Receipt of CAC Report: Lead Agency Determination: Technical Review: t I �ZPublic Hewing Held: 12-11-711Lf Resolution: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, Now York 11971-0959 Telephone (631) 765-1892 Fax (681) 765-6641 NOV 1 7 2014 ry, G/ iS I .Name of Applicant FBO Associates LLC (company officer & resident of property: Arnold Fisher) Mailing Address 299 Park Avenue, New York, NY, 101171ooc Phone Number:( ) (212)752-5000 Suffolk County Tax Map Number: 1000 - 07 - 1 - 2 J Property Location: 3300 Clay Point Road, Fishers Island, NY 063,90 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Samuel W. Fitzgerald, architect (If applicable) Address: 1420 The Gloaming, Box 447, Fishers Island, NY 06390 Phone: (860) 287-3808 W �Se�- , �oNO Land Area (in square feet): lard of Trustees Applicatiob GENERAL DATA 142,006 sq. ft. +/- Ana Zomig: R-120 Previous use of property: Single family residential Intended use of property: Same Covenants and Restrictions on property? X Yes No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency ate 6U"a4. 00T. 301 SS- II o No prior permitstapprovals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency? X No If yes, provide explanation: Project Description (use attachments if necessary): The proposed work is a new one-story addition to an existing two-story frame residence. The addition contains principally a 19'x 19' three -season porch, and there is a new entry hallway that connects the three -season porch to the existing house, all totaling 511 square feet. -2- Bod of Trustees APPIioatioa is • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Site improvements are being done to meet the functional needs of the owner's family Area of wetlands on lot: 19,300 fed Percent coverage of lot: 13.6 % Closest distance between nearest existing structure and upland edge of wetlands: 90' feet Closest distance between nearest proposed structure and upland edge of wetlands: 71' feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 60 cubic yards How much.material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 4.5 feet Proposed slope throughout the area of operations: No change to slope. The site is very close to flat (4% slope) where the addition is proposed. Manner in which material will be removed or deposited: There will be no demolition debris as part of this application. Excavation for the addition will be done with a small backhoe. Excavated material will be deposited into a dump truck and carried away. All machines used for excavation will stay on the landward side of the addition. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed addition will have no impact on tidal waters -- all proposed construction is well outside both the 100' top -of -bank setback and the Coastal Erosion Hazard Line. There are wetlands on the southern boundary of the property. The existing house is 90' from these wetlands, falling within the Trustee's 100' administration zone. The proposed addition is to be built on this side, with a setback from the wetlands of 71'. However, there will be no deleterious effect on the wetlands. There is a well manicured, stable lawn that rises gently from the wetlands area to the existing house. All construction activity will be contained within a continuous silt fence line that will be maintained for the duration of the construction. All roof run-off will be directed to drywells as shown on the site plan. Nature grades will be maintained and restored after construction. -3- 617.20 Appendix B 41hort Environmental Assessment Form• Instructions for ComRleting Part 1- Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding. are subject to public review, and may be subject to further verification. Complete Part I based on information currently rently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on currant infix ration. Complete all items in Part 1. You may also provide any additional infWmstion which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I - Project and Sponsor Information Name of Act= or Project: Addition to Fisher Residence Project Location (describe, and attach a location map): SCTM 1000 Section 7, Block 1, Lot 2.1 3300 Clay Point Road, Fishers Island, NY 06390 Brief Deseripdon'of Proposed Action: New one-story addition to existing single family residence, totaling 511 sq. ft. The addition contains a 19'x 19' three -season porch and new entry hall. 1+lme of Applicant or Sponsor.: Telephone: 860-287-3808 Samuel W. Fitzgerald,. agent E-Iulsil: sam@sfapc.net Address: 1420 The Gloaming, Box 447 Cky/PO:State: Fishers Island NY Zip Code: 06390 1. Does the proposed action only involve the legislative adoption ofa plan, local low, ordinance. NO YES 0 El administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and.the environmental resources that may be affected In the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or fimdmg fimn any other g6vernmental Agency? NO YES ❑ 0 If Yes, list agency(s) name and permit or approval: Building department permit 3.a. Total acreage of the site cif the proposed action? .�26 +/- )5. / b. Total acreage to be physically disturbed? + - acres c. Total acreW (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 3.26 +/- acres 4. Check all land uses that occur on. adjoining and new the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commorcial MResidential(suburban) ❑Forest ❑Agriculture ❑ Aquatic []Other (specify}: [:]Parkland .rage I of 4 -4- 5: Is the proposed action, a. A permitted use under the zo regulations? b. Consistent with the adopted comprehensive plan? NO YES NIA X X 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: Fishers Island NO YES X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES X X X 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES X 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES X 11. Will the proposed action connect to existing wastewater utilities? Enting septic system If No, describe method for providing wastewater treatment: NO YES X 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES X X 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES X X 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ® Shoreline O Forest O Agricultural/grasslands O Early mid -successional M Wedand O Urban O Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? ® NO O YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: O NO ® YES All roof water will be directed through downspouts, which are tied to drywells all NO YES X X contained on the property Page 2 of 4 -5- I 8. Does the proposed action incluonstruction or other activities that result in th4Wundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES X amau to large Impact impact 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES X occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES X 2. Will the proposed action result in a change in the use or intensity of use of land? / 3. Will the proposed action impair the character or quality of the existing community? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicantlspo r n W. Date: Date: �Q Signature: I\.P- ',iv r Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 -6- No, or Moderate amau to large Impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning r regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? / 3. Will the proposed action impair the character or quality of the existing community? / 4. Will the proposed action have an impact on the environmental characteristics that caused the / establishment of a Critical Environmental Area (CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infiastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opporttoties? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, / architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, / waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 -6- Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the infornuttion and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 'y Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the prolpos/ed action will not result in any significant adverse environment'pa. ✓7k -t� �f / e //77/ NameA Lead Date oarNY t eV- V� � Print or 7M Name ofyAponsible Officer in Lead Agency Tite of Responsible Officer flinature of Bible Officer i ad Agency Signature of Preparer (if different from Responsible Officer) Page 4 of 4 -7- No, or Moderate small to large Impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage �/ „ problems? v 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the infornuttion and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 'y Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the prolpos/ed action will not result in any significant adverse environment'pa. ✓7k -t� �f / e //77/ NameA Lead Date oarNY t eV- V� � Print or 7M Name ofyAponsible Officer in Lead Agency Tite of Responsible Officer flinature of Bible Officer i ad Agency Signature of Preparer (if different from Responsible Officer) Page 4 of 4 -7- SAMUEL W. FITZGERALD, ARCHITECT 1420 The Gloaming Box 447 FISHERS ISLAND, NY 06390 December 15, 2014 TO: Board of Trustees, Town of Southold RE: FBO Associates LLC, c/o Arnold Fisher SCTM #1000-7-1-2 Attached are the Proof of Mailing of Notice with attached certified mail receipts and green signature cards as well as the Affidavit of Posting Name: Goose Properties LLC Wilmington Trust Co William J Dotson Jr Ilona T Dotson Grace Burr Frank W Burr Grace Burr STATE OF NEW YORK COUNTY OF SUFFOLK • • PROOF OF MAILING OF NOTICE _ ATTACH CERTIFIED MAIL RECEIPTS �� ; a jff DEC. Address: PO Box 175 j Montchanin DE 19 710 --- -- 258 Broadway, Apt 7A New York NY 10007 15 Hollis Dr Ho Ho Kus NJ 07423 15 Hollis Dr Ho Ho Kus NJ 07423 BARBARA DIACHUN , residing at 875 School House Road Cutchogue, New York --1 - 1935 , being duly sworn, deposes and says that on the 8th day of Decemer , 2014 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cutchogue, New York , that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. Barbara Diac un Sworn to before me this 15 th Day of December , 20 14 *, A#0 0.J Notary Public MARY D. HOLLAND Mary No Mof II York Cort Expkes & ZL FBO ASSOCIATES Lie c/o ARNOLD FISHER • 1000-007.00-01.00-002.002 vv Sc riv erL1eS LLI.; 11 's ra Wi mington-Trust Co C3 Street, Apt No.; r- orPOBoxNo. PO BOX 175 ------------------- aty, state z�P+a Montchanin DE 19 710 1000-007.00-01.00-003.000 1000-007.00-02.00-0051!002 (DomesticOnly; CERTIFIED MAIL RECEIPT For delivery information visit our website at www.usps.comj, (DomesticC3 m0*,C*19Q1AL USE For delivery information visit our website at www.usps.com�,, -� e -R Postage $ $0.49 0935 rq Certifi $ $3.30 0935 J $ C3 (Endorsement ceeuired ( Required) $2.70 Certified Fee VHe re C3 p Restricted Delivery Fee (Endorsement Required) O C3 $0.00 Certified Fee 42'C 91 03 p Restricted Delivery Fee -q 1. P *,1 o0 Total Postage & Fees $ $6.49 $2.70 2/ 72014 r M Total Postage &Fees $ $(1.49 /2014 C7 Restricted Delivery Fee (Endorsement Required) vv Sc riv erL1eS LLI.; 11 's ra Wi mington-Trust Co C3 Street, Apt No.; r- orPOBoxNo. PO BOX 175 ------------------- aty, state z�P+a Montchanin DE 19 710 1000-007.00-01.00-003.000 1000-007.00-02.00-0051!002 r-1 r9 O r- 1000-007.00-02.00-003.009 •. CERTIFIED MAIL RECEIPT MAIL RECEIPT CIO (DomesticC3 (Domesr Only; For delivery information visit our website at www.usps.com�,, ..n 4 CU -0 Postage $ $0.49 0935 r1 $ $0.49 0035 a Certified Fee $3.30,.: Y O C3 Return Receipt Fee (Endorsement Required) Certified Fee $2.70 Here T9 tp p Restricted Delivery Fee -q 1. P *,1 C3 (Endorsement Required) Return Receipt Fee (Endorsement Required) $0.00 $2.70 ttom�1�//++ oo DEC A . f _: !� . p E:3 Ln Total Postage &Fees $ $(1.49 /2014 C7 Restricted Delivery Fee (Endorsement Required) $0.00 DEC Cl. `:� (ju r-1 r9 O r- 1000-007.00-02.00-003.009 Postal CERTIFIED MAIL RECEIPT (Domesr Only; ..n 4 cc .0 Postage $ $0.49 0035 rq Certified Fee $3.30 06r -q 1. P *,1 ,� C3 C3 Return Receipt Fee (Endorsement Required) $2.70 T% . p C7 Restricted Delivery Fee (Endorsement Required) $0.00 DEC Cl. `:� (ju C3 1,7 Total Postage & Fees $ $6.49 70$72014 .j.jCD �Cp M Sent To Grace Burr p r ---------------- --------------------------------------------- Street Apt No.; orPOBoxNo.15 Hollis Dr - --- ------------------------- --------------- _______- _-------- ------------------------ Ho Ho Kus NJ 07423 FBO ASSOCIATES Lie c/o ARNOLD FISHER . 1000-007.00-02.00-003.008 Postal M CERTIFIED MAIL RECEIPT o (Domestic Mailonly; ..D For delivery inform �.4 01AL U' SE .n r-3 Postage $ $0.49 0935 r-1 Certified Fee p $3.34 Retum Receipt ��G -�" ,"•• I ° 1711 Fee (End orsementRequired) C3 $2.74 Her Restricted Delivery Fee M (Endorsement Required) C t0 i ? r Gi $4, `g W `� t ' ` � Total Postage &Fees M $ $6.49 ;y✓/ "�!: r ! DEC I 48/2414 �o�O Sent To rank W Burr a O Street Apt No.1 -------------------------------------------------- r%- orPoeoxNo. 15 Hollis Dr City State, Z%P+4 ------------------------ - - ------------------------------------------ Ho Ho Kus NJ 07423 ` FBQ ASSOCIATES Lie C/o ARNOLD FISHER 00-01.40-002.002 ■ Complete Items 1, 2, and 3. Also complete Rom 4 if Restricted Delivery is desired. ■ PrintDe +We your name and address on the reverse ` so that we can return the card to you. ■ Attach this card to the back of the mallpiece, or on the front If space permits. 1. Article Addressed to: D. Is delivery address dffWenry If YES, enter delivery address below: ❑ No `goose Properties LLC Wilmington Trust Co PO Box 175 Moutchanin DE 19710 3. Service Type 10 Certified Mall ❑ Express Mail ❑ Regietered ❑ Return Reoaipt for Merchandise E3 insured Man ❑ C.O.D. 4. Restricted DeiNery? (Extra Fee) ❑Yes 2. Artlds Number (Ranelbr Aom 8WVkq ftW 7 011 3500 0001 1681 6473 PS Form% r iii i : i 102505424A -IRO: 1000--007.00-01.00-003.000 1000-007.00-02.00-005.002 j, I h �N returN edi DEC 1 6 2014L.' j 1000-007.00-02.00-003.009 SENDER:COMPLETE ■ Complete items 1, 2, and 3. Also complete Item 4 If Restricted Delivery is desired. ■ Print A. ature )E3Agent your name and address on the reverse so that we can return the card to you. 13 Addressee ■ Attach this card to the back of the mailpiece, B. Received " erne C. Date of Delivery or on the front if space permits. IR� 1. Article Addressed to: D. Is deldifferent ss m kern 1 ❑ Yes if nt delivery ad*el ; S No Grace Burr ` Q 15, Hollis Dr Q i< Hd Ho Kus NJ 07423 ti 3. Servi ype, $7 (;am all ❑ D Reg ❑ Insured Man errelpt for Merchandise. O C.O.D. 4. Restricted Delivery? (Exha Fee) 13 Yes k 2. ArtkdsRlt#rlber :: .e (Ifarmlbr 11dm airyfos 7011 3500 0001 1681 6497 4 { PS Form tai i '• :: �lk*ir�'1 :. i! i 1041'150 z %■ Complete items 1, 2, and 3. Also complete PTIature item 41f Restricted Delivery is desired. `< 13 Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. ■Attach this card to the back of the mailpiece, Received b (Prfn e) C. Date of Delivery or on the front If space permits.Dt) E (Z 1. Article Addressed to: s delivery a d m item 1? ❑ Yes If YES, entef a ivery a dnep slow: ❑ No Frank W Burr Grace Burr �O p J5 Hollis Dr %C i Ho Ho Kus NJ 07423 V Service Type ALO fined Expose Mall ❑ Registered ❑ Return Receipt for Merchandise E3 Insured Mail ❑ C.O.D. 4. Restricted Delivery? , ) ❑ Yes 2. "clo MLu*llr manaftjfhimiMerPosjabso= 70] 1 ;:3 011 65;03 PS Form 3811; Orrr Ilei o"ftollW 1025s5-o2-M-luo ; z John Bredemeyer, President g fF04 Michael J. Domino, Vice-President,Of James F. King } Dave Bergen oy • !� Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ------------------------------------------ In the Matter of the Application of FBO ASSOCIATES LLC, c/o ARNOLD FISHER COUNTY OF SUFFOLK) STATE OF NEW YORK) • Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, ,� (tN(lcS ►IOfl�R �� , residing at /dbaI EPAOh6Z I ` ,S b4 ESS lSC-rq>N� tN3`{' being duly sworn, depose and say: That on thegltay of MN , 201't I personally posted the property known as 3300 Claypoint Road, Fishers Island, New York by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, December 17, 2014. Dated: ja - 51- 1 `i (si nature) Sworn to before me this 7A day ofVe,Q,1f'__r"1V No ary Public ',,_,ch 31,209 !q..., ni. GFiLNIA / NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: FBO ASSOCIATES LLC, c/o ARNOLD FISHER SUBJECT OF PUBLIC HEARING: To construct a 19'x19' one-story addition with an entry hallway onto the existing two-story dwelling. • TIME &DATE OF PUBLIC HEARING: 0 Wednesday, December 17, 2014 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892 Bon of Trustees Application qp County of Suffolk State of New York N_'wll vis BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH INXHIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONIUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 3 DA Notary Public j t4*WbM ,20_Ll MAIAW Notary PuW of New Yank No.01AL6204983 Qualified in Kings Commission Expires April V 2017 BA of Trustees Application • AUTHORIZATION (where the applicant is not the owner) I i•► t)L -> l S l� l G R- residing at -� � q g R � (print owner of property) (mailing address) do hereby authorize Samuel W. Fitzgerald, architect, (Agent) & Richard F. Lark, attorney to apply for permit(s) from the Southold Board of Town Trustees on my behalf -- 11A— APPLICANT/AGENTAUWRESENTA.TTVE TRANSACTIONAL DISCLOSURE FORM The Ism of Smiltld's Code of MOM conflicts of Werest on thus mat of mer offi= Old amdMM The anrnasd of kis n W W&dngion which an alert the town of po le of kMW end allow kip taha pdgk yen ate+ Is YOURNAME: Fitzgerald, Samuel W. (Lad name, first now, s}AMb htitid, ;—Wats you we aPPlyint)ri the name of someone else or otter entity, such as a company. if so, hndie * thc.other person's or company's same.) NAME OF APPUCATION. (Check all that apply.) Tax grievance t;mtoeog Variance Trustee X Chante atone Coastal Eros n Approval of plat Mooring F=mpmpOw from plat or official map Pl h Other Of"Other"'. name lbws activity.) Do you petty (or your company, spouse. slblin& pig+ or child) have a relationship .with any officer or employee of the Town of Soutwand? "Relationship" includes by blood, stprdgM or business interest. "Business IaWOW means a business, including a partneraltip. in which the town officer or employee has even a partial ownership of (oremployment by) a corporation in which the town of er or employes owns more than 3% of the shames. YES NO X If you answered "YES", complete the bats= of this form and dssa and sip when indicated. Nang of person employed by the Town of Soud*W Title he position of that person Describe the teiatio� between yourself (tae ) and tie town offfio ar or Employee. Eicher check the approprhte line A) through D) andlor describe In tie space paw kbd. The town officer or a mplayee or his or her spouse, siblin& pwaik our child is (check all that apply): A) the owner of greater than S% of the shares of the corporate stock of the applico t (wben the OPPHOW is a corporadoa); 8) the legal orTbaee ficial owner of any #Menest in a non-corporaentity (when the applicant Is not a corporation); C) an officer, director, Partner, or ergbloyoe of the a or D) the actual gnat. DESCRIPTION OF RELATIONSHIP Submfft!! this!# -OW ally - _ Sigma Print Nsun- IW%O, VVPa Form TS I r �I -11- 0 .APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOUR NAME: P i S 14 E p, ARwo t, tit L. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other", name the activity.) Do you personally (or through your company. -spouse. sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest `Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employeeowns more than 55% of the shares. YES NO y If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agendrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (whets the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual appiieanL DESCRIPTION OF RELATIONSHIP Submitted this1 d y 00,)046i_) 204 Signature Print Name N Form TS I 1 � FORM - 06110 ivolaty F555U, 5LE« v, , _ - No 01 D14635190 -Suffolk County -8- Commission Expires Oct, 31, 20 19 Town of Southold q?(D. Erosio Sedimentation A Storm -Wates' Run-off ASSEii~MENT FOM M"No" iocAtiM =Txe: 'fii6r AG!MMMAY TMEMEMMA SMPE OF WORK - PROPOSED CONS MUMON MW # / WORK ASSESSMENT Yeas No a. M of b ite Total Area of iw Probed drools? (fie Tout Asea of d Patak bceW wMdn 142,006 S. f. +/- 1 MMM this R*d Retain Al Sbtm-ftler C ommoled by a Two Cn ktdt Rob tAtl on SW t w Soope dit* for Proposed CoreskudoN IMIA—) Crhie 1browE ktakde d run -o cxeell by Nb X a MMhd b. kt iw Tool Arse of L.and Clooft dal on�bas WXft oucn ars WN a woo d wWw Ground DMUftnoe for fhe proposed 2, 200 s. f. SIN lmprowMtMMan a d Mie permaro t a"" d on oekucbn scNvliyl ar „M) kap.rvtow sudbsea Z - Slia Phn i3te Proposed MOVM ADISC RUIMN 044 �dd6nd Pn•a •ra.r.l I PMCZ�CTt' D a e Ird a atom& L ce uraktape Shruotte+es k�dleainp t31ne a looaiort? This X a Nem shad ktdtde d Proposed Grads Changes and New one-story addition to existing single family Mopes Conbd"SurbOe Walor Flow. residence, totaling511 s ft. The addition q 3 Dols l" � Plan w d&Surdesefte" I""�°" X and ee imerd oonbd prvc%= the wN bv, us@d b ❑ contains a 19'x 19' three -season porch and new ow6dolt ion -In &WsIormvWsrdfedtarpes. This entry hall. Mm must be ntktbkted itroMtmA ise lain Condmellon Period. 4 vAI alis ft" Rectulre any Lard FIN* Gtradkr{t or E awMan where here Is a dtenis b the iWkaal X Grub kwaktV arore ttnn 200 Cubic Yards d U o*W *Mn n any Parcel? 5 MME if Appifoeion Require Land Disko bkq AdMko Fix= ipaakti as Area in Exom of Five Thouand X {6. M 8.F4 it me Fed or f#arrid Stxtaoe? 6 Is two a Mound WON Cloves Rtetrdni tttratrih the SW bob Pi+eow wliftkr ire Trumm obdiafon or wMhln One Hundred (W) ted of a Wer.rd or Subeieloa d a VAVPP b rasrrbee Nr as 0wAvdm ed An rriewlea ed Meads7 dNbeberwas elwt tt}er raeeo waarr bdudra dNbebwtoos et bvo awe+ err oar trot 7 VO Were be Rite prepareion on EA" Slopes ere 1wt et a Irper.,aenoa fin tivot M teieeioy cprbeb ort ar swa►save of ivreb wNoh ENDS" Filbert (16) %d of Wriod Mw bElX bta ad srharwt I of .tea art Move who Midi y orarbedba solki .e bwabNee 0" titW0*W (ttf� a limbo asior oe? at ttlCtw dMosarbM tbtt • aPDEa floe M Np»e br Mens wrest dNottpaa. (OWN I I Ma resat the r0nbnss tt **votwds stat VMS ttinett 8 VMIR Driveways, ftftV Aran or other ktpw%ft e ter► *Wm WMw Dbd*w@n *am cenweoaen ocM Its -Pom* fw. ORM64014 ftft ee be Sloped b Dir" Sbnta-Wa w ft*4= X t.lAv aNyPlP.hes M Iva j pdw b lira vt* M d Nat MX Iha Not Ad be inb wxft in lite dkeol on ata Town t eNny? ourWftdI*11tDWWft tPdorbatooarttoaooatriormnrinralNaaoe41 z. We OWTM shd one fbe ft We" ane aewnont.eawr poa®a ane a" 8 .wMni alt M be g YMIItIhM IhePbaerrtentd RwwvW o �ipeM 6 OWN i» offlovdat a wtpid" P*wnMeeeamaabaw WsW P&diow twee WWW robna wewdodwim" &Win own erawetrM 1 b wdttoe at iab b Mo anon X Nsrs VMliirt i» Tawe Rf hl oFtMay or Road Shoulder oanaMert.viMtattensWAo MP KafirpMaibvdAM^ats11FWehd ldenfy wldcit a>aP revoorulifl IN aaPaMoA b atioot tM p run.wreaart..ea.w•.t.err.�.ronr.wh i is N /tIM!'MPtt are ne�rle the paMaorwbvorat McAaawtbr awtoaetnMtI Pvdk* WM If Aq Mover M Qroaaeea ane ewteo lett b Aaeww W vle • arw*M * b a ow and Mt ewwhraawt aaa dNbebavea Y bobwnit RMe aJ . e,! Aw buwo, oatt�ator+E oAel M snh.ssi 6y * *aid Dv*n PnoNmMata Uowv*d la M wvbA Mot b bwMedpvtde b at i slatsa y!oe e /nwaoos ai SWv%%Mw' Ionv a dowebw lmOorhtp a CGI" MM k rA*endtyrriwn atat sevenl.M Ywt�M MaeNd M MtAw hIwfjD bw sf Amlr @WMMa Pwwft !10're ApraktMrtj� vaawlbwerw«d►arrwrwAtN*+lwilwadralMhM��i 31'A1E OF CNEW OUNTY v � e...........». being duly swom ftoses and mys that hWw is the sppbcW for Pe nniti Andhrjaka- the ..».»........lilt.»........ ».e" "":::i�j......»..».»....»....»..»»..»»..».»...»»...... mw ' of dw Ownrr or O nw, and is duly audwrized to perfcem or haws perfomxd dw said wotic and to nye and file dais appkafim that all statmna* contained in dis.&Wla tkni are clue to dve best of � knowle* sad beW and that die wwt wiU be performed in the manner set fix* in the qvilicadw filed her w i& Sworn to before me this; ...».....».»1.:1.d'.'».................. day of ......[v.8`.x'.Y.! :............ .solo rimyPubrW:....».. . ......................»»..»....... .».....»ki"Ok"...... ».............». BARBARA DIACHUN FORM - 06110 ivolaty F555U, 5LE« v, , _ - No 01 D14635190 -Suffolk County -8- Commission Expires Oct, 31, 20 19 Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Soutiold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 07 1 - 2A l Owner: FBO Associates LLC The Application has been submitted to (check appropriate response): Town Board © Planning Dept. © Building Dept. Board of Trustees L 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Seeking Trustees approval for anew one-story addition to existing two-story single family residence, totaling 511 s.f. -12- Location of action: 3*Claypoint Road, Fishers Island, NY &0 Site acreage; 3.26 +/- acres Present land use: Single family residential Present zoning classification: R-120 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Samuel W. Fitzgerald, agent -project manager (b) Mailing address: 1420 The Gloaming, Box 447, Fishers Island, NY 06390 (c) Telephone number: Area Code ( ) 860-287-3808 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No 0 If yes, which state or federal agency?. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III — Policies; Page 2 for evaluation criteria. ❑ Yes ❑ No a Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt The proposed action will increase the lot coverage on the property from 4.42% to 4.48% -- very minimal development -- and well under the allowable coverage. The addition will be located well behind e 100' bluff setback and the Coastal Erosion Hazard Line. The addition wi not be visible from any neighbors property or the public right-of-way. Attach additional sheets if necessary Policy Z. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III — Policies Pages 3 through 6 for evaluation criteria ❑ Yes R No 0 Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt The existing house was built fairly recently and is not historic, but it is of style consistent with the neighborhood. The addition wi a in keeping with the pre-existing architecture. -13- Attach additional sheets if necessary 0 • Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria QYes Q No © Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt The view of the house from West Harbor will be enhanced by the proposed action. The addition, a very attractive three -season porch, will block an otherwise non-descript garage. Otherwise the new addition will not be visible from any public right-of-way. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria RYes © No N Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt The addition will be located well behind the 100' bluff setback and the Coastal Erosion Hazard Line and no construction activity is proposed seaward of the existing house. The first floor elevation of the existing house is at 17' above hiqh tide and well above the base flood elevation. Anv lawn or landscaped areas that are disturbed as a result of the construction will be restored to their existing condition. A continuous line of silt fencing will be installed around the construction area and maintained throughout the duration of construction. Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria EaYes © No [�] Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt All roof water from the proposed addition will be directed into downspouts and into drywells. The natural grade will not be modified in any way, so natural drainage courses will remain undisturbed. The owners are committed to chemical -free lawn care. Attach additkxW sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III Policies; Pages 22 through 32 for evaluation criteria. Yes R No Q Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt -14- Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes © No Q Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. © Yes ❑ No © Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. © YeD No ® Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt A bike path has recently been built along the entire eastern half of Fishers Island, which encourages a polution-free alternate form of transporation. The owners will not be burninq leaves or trash. and a fairly S00histicated program of recvclinq or removal of contaminants is alreadv in on ris Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III — Policies; Pages 47 through 56 for evaluation criteria. 0 Yes ❑ No © Not Applicable -15- Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. © Yes ❑ No © Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. © Yes ❑ NoE3 Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. GYes ❑ No © Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt Created on 512510511.20 AM -16- I r Proposed three -season porch 4........_4:-- AFRIAI VIFWS FROM WEST - LOOKING EAST W >- Uz 0 0 N Z� LU W-, m N Q L _ = W V) LL LU Q z 0 Z_ LU O a 2g (n U LL S CY) .. AERIAL VIEWS FROM SOUTH - LOOKING NORTH U Proposed three -se porch with connec to existing house W >- z 0 N Z5 W W Cn m L = w N" O LU o z z W° =g (n U LL g ey : A 47, , �rM a a �' r _ .. ¢ 'a, ?, .- •� "p. .' v. : ..- $.. 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'<..�.. /. �..-... . ep. ..'n #•6`. -� .f �.yT,' 4' v.,..�. �-'YiYk. �P4��i n �� �'�-� r�,. q� � ''LTi , � w,y'. i` '}..`. pf��„ P. .4 «. .OM1 �f=! .__" �/ E,`.5 ;• ^ „�,�s .. a.'Y x', ..x. iya dt �4 * 'ft,� "'YS "" �`� yam+' �` ...> ,�� : -.,� �a, A �"" .�bt ��i �y`'i s•.w ^S, *:-" �.;r'�. 4i"z�. i1 q, u S N 3 a, _ ... / ,,r."`/r 1- � .�,� .."l " � : ,int <y • - f . �f ss� � t" 4s .T �c P f `� �. : ..ir � ,per � � 4 �r �•, �,, s.. , a . ; f — x r �n l i a , 101LOI2 D1!\ ol9111IC 0 Y O W m F- W � I m W �I I • I I I I Z' ml O o' I I I 86' Y U W p O p a O W 0 L 0 U 117.5' PROPOSED ONE-STORY FRAME ADDITION EXISTING Two -STORY FRAME RESIDENCE EXISTING GARAGE APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD r1,11 / / AREA OF WETLANDS PARTIAL SITE PLAN SCALE: 1 " = 30' _0 00 C T �E ui N W O n [NV`7 W M LL W� a--- M Z00 a � f� W w Y. � a W >- Uz 0 0 N Z g W m 0 L _ = w O LUo �~ z W° r LI) u LL 8 M 000ow e. 4gk 24 ,RE "gill; 1� Fl- jMtAn r QW m 0 .4 Aa << 0 Z g A'' W N m m W _ S W cri LL p rJ W} Uz 0 0 Z g N W N m m W _ S W cri LL p W a z 0 z Z W° d r N U M WIM LU z '- Vo 0 N z 3 W m� cr L _ = w Ln `� W O a z o z z W° = g (n U M 'fIfN PHOTO RIP Lu AW, A. sk PHOTO PHOTO 10 ,— 71, •;.— — - —, a I ❑ 1 I I OFFICE GARAGE FOYER KITCHEN NEW ENTRY II II II II II II II II 13 O 13 0 -:- DEN DEN I I LIVING / DINING ROOMI I FAMILY ROOM I I II II II; I �I 1 II II II II II II II II 19'-0" FLOOR PLAN SCALE: 3/32" = 1'-0" M W } -1 Uz N z W g m N cc Q uj u G _ 2 W O W a z o ck� z z W° a 2g U g M 0 c t5 N UJ r,4 0,7 v� ;e lLJ M W W a ob M Z� d N W C, r d -n--n----- DMN-- -JL ---JL -�� II �II I I 11 II �� II II I I I I IIS `SII II II I I DN o I �-- J1 N WTHkIEE IL-� 11 1 S)AgON Pd) " I j I II,� ILL 1 1'-0"x18,1 �\II i ----- I FLOOR PLAN SCALE: 3/32" = 1'-0" M W } -1 Uz N z W g m N cc Q uj u G _ 2 W O W a z o ck� z z W° a 2g U g M 0 c t5 N UJ r,4 0,7 v� ;e lLJ M W W a ob M Z� d N W C, r d VV GJ I LLLV111%1 IVIV SCALE: 3/32" = l'-0" SOUTH ELEVATION SCALE: 3/32" = l'-0" 0 W z3 Vo 0 N z g W m 0 _ = w O 0 Z W° 2 N v LL 8 V E) W .._. Wim° 12 :5 M Z LL W LL Q M F- W N w� a 1 I \PORTION \ ' BLOCK 28 - LOT 15 PORTION I (SINGLE FAMILY RESIDENCE BLOCK 28 - LOT 10 ON SITE SEPTIC/MUNICIPAL WATER) I (VACANT LAND) j MONUMENT (FOUND) '00" EN 86.47 �I�261.35' I^i WETLANDS ' / �1' UTILITY / IRO i " BOJ ' IhLp( N 83'44'40 E 219.27' / �1� (F UNE). 309.27• EDGE OF LAWN _/ I` I\� . rJ� w W -------- W--� _------- 90.00'-- ----------- .-- ---- • • • /_� �� ' � -I • _ � � � / 1=1iii �i --- � � ¢• I ` -, CONCRETE UMIT'S OF TIDAL I D�Y WELLS �� �- - - WETLANDS (APPROX.) I ° FO ROOF I J� f - / WASHOUT r _ DRNA3E PIT % �`°� I 1 ° o /l (SEE DEAL) /, ,•_ _ , o a I of ROOF AND p DECK 3taN' �1 I I N DRAINAGE COLLECTION - / ��'/ \ / SYSTEM (SEE DETAIL) / 1 1 / W ,�/ d * / / \ \/ EXISTING- w� • . ""�� o� O I // _ RESIDENCE "• - c �� / ALL \ ` W 2a-7 1 N 0 N U �co 27-6 WOVEN WIRE FENCE (MIN. 14 SII 28-8 � ON 27-7 j o c SPACING) WITH FILTER CLOTH r - I z WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH WIRE DEED LINE - HIGH WATER r TEST HOLE 1 C-) o_ F.F.. EL. i `� o- / /� /� �I, ` d 0)• I I° o a =17.0 / / i FLAGPOLE �t � I�/ ReC / / �/ , I / 1 N �• Ie it 1 0 y* 16.21 X 16.93 00 m N SISTIC SYSTj��1/ Y I '•• ••. �I' �ao I �I -_ • E_XIS_TING, 4 1 / + 40• 0 I I 12GARAGEo PROPOSED a ADDITIM PROVDE TEMPORARYlm ACCESS FOR CONSTRUCTION (SEE DETAIL)7_/; \ 11 LOAM AND SEED AT i o /\ �� ,g� =w_ ` / ��.' �,' \ END OF CONSTRUCTION \7 RELOCATE ' � \ DRY WELL i __--------- ''� / LAWN \/ / \ STOCKPILE •. � ,, `..'' ` AREA WETLANDS EDGE 0 LAWN PO :w• moi, \ 01\,\ WETLANDS' Y' 1 I h';- < :�;• „'- - PHRAGAPROVIDE A CONTINUOUS ;- I •l 5 LINE OF SILT FENCE '_•'' F �}, MAINTAIN THROUGHOUT 50.21', CONSTRUCTION • • G / (SEE DETAIL) IRON - .., ' y 257.51 Ny86'48'40",. yy 207.30 MONUMENT PIN. •. (FOUND) .Y.,,- �{a r. •.. / BLOCK 28 - LOT 12 N s�• 2s 4&• : t APPROXIMATE LIMITS OS2 t'y t (VACANT LAND) OF FLOOD ZONE VE I 0 W WOVEN WIRE FENCE (MIN. 14 3" MULCH OR ADDITIONAL STONE will• •Y Y- •moi �i CPP ROOF O• ,_12 •Y •Y Y ! •. �YY- GEOTEXTILE 1" STONE 4" PERF. PVC OR HDPE FILTER FABRIC SOCK ROOF WATER COLLECION DETAIL NOT • SCALE QUALITY CONTROL CERTIFICATION GROUP REVIEWED DATE PROJECT MANAGER SU RVEY ENVIRONMENTAL CIVIL STRUCTURAL ARCHITECTURAL ^/ ROOF DRIP LINE RESIDENCE ROOF WATER COLLECTION `SYSTEM (SEE DETAIL) w roil �O F PERSPECTIVE VIEW URIC CONS�UC�ON ENTRANCE NOT TO SCALE --- - ---- - - 01000 5�1k 36" MIN. LENGTH FENCE 'OSTS DRIVEN MIN. 16" NTO GROUND HEIGHT OF FILTER = 16" MIN. 6" MIN. DRAINAGE CALCULATIONS ADDITION ROOF AREA = 394 SF REQUIRED = 394 SF . X 1.0 X 2/12 = 66 CF I 66 CF / 50.27 CF/VF = 1.3 VF NO ADDITIONAL DRY WELLS REQUIRED CONNECT TO RELOCATED DRY WELLS SOIL CLASSIFICATIONS ReC - RIVERHEAD VERY STONY SANDY LOAM, 8 TO 15 PERCENT SLOPES TEST HOLE DATA BY: R. STROUSE P.E./L.S. TEST HOLE #1 10/30/01 0"- 6" TOPSOIL 6"- *32" SANDY SUBSOIL 32"- 60" SAND 60"-110" SANDY TILL (MED COMP) NO WATER, NO LEDGE S 1733.96 W 7700.52 I I 28-6 27-4 27 -IA 26-12A L z 27-18 27-5 2a-7 SILT FENCE.•', N 0 N U 26-12 27-6 WOVEN WIRE FENCE (MIN. 14 SII 28-8 � 1/2 GAUGE W/ MAX. 6" MESH 27-7 j o c SPACING) WITH FILTER CLOTH c0 O 0 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH WIRE LINE PIT WITH 10 MIL I� 4' m 29-10 TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE OR 36" MIN. FENCE POST PORTION c HARDWOOD. ct UNDISTURBED 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH TIES FLOW- I) GROUND SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE WOVEN WIRE, ,`Jn � i� 6" MAXIMUM MESH OPENING. COMPACTED SOIL//� ctU 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY SHALL BE EMBED FILTER CLOTH 0 SITE : `' PORTION OVER -LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH SHALL BE EITHER " A MIN. OF 6 IN GROUND •:" 29-8 N FILTER X, MIRAFI 100X, STABILNKA T140N, OR APPROVED EQUIVALENT. J THE LAND SURVEYOR. N 28-12 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED N 03 0 UW N co co cl) EQUIVALENT. SECTION VIEW 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL REMOVED WHEN 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC z a "BULGES" DEVELOP IN THE SILT FENCE. CONSTRUCTION SPECIFICATIONS i 3" MULCH OR ADDITIONAL STONE will• •Y Y- •moi �i CPP ROOF O• ,_12 •Y •Y Y ! •. �YY- GEOTEXTILE 1" STONE 4" PERF. PVC OR HDPE FILTER FABRIC SOCK ROOF WATER COLLECION DETAIL NOT • SCALE QUALITY CONTROL CERTIFICATION GROUP REVIEWED DATE PROJECT MANAGER SU RVEY ENVIRONMENTAL CIVIL STRUCTURAL ARCHITECTURAL ^/ ROOF DRIP LINE RESIDENCE ROOF WATER COLLECTION `SYSTEM (SEE DETAIL) w roil �O F PERSPECTIVE VIEW URIC CONS�UC�ON ENTRANCE NOT TO SCALE --- - ---- - - 01000 5�1k 36" MIN. LENGTH FENCE 'OSTS DRIVEN MIN. 16" NTO GROUND HEIGHT OF FILTER = 16" MIN. 6" MIN. DRAINAGE CALCULATIONS ADDITION ROOF AREA = 394 SF REQUIRED = 394 SF . X 1.0 X 2/12 = 66 CF I 66 CF / 50.27 CF/VF = 1.3 VF NO ADDITIONAL DRY WELLS REQUIRED CONNECT TO RELOCATED DRY WELLS SOIL CLASSIFICATIONS ReC - RIVERHEAD VERY STONY SANDY LOAM, 8 TO 15 PERCENT SLOPES TEST HOLE DATA BY: R. STROUSE P.E./L.S. TEST HOLE #1 10/30/01 0"- 6" TOPSOIL 6"- *32" SANDY SUBSOIL 32"- 60" SAND 60"-110" SANDY TILL (MED COMP) NO WATER, NO LEDGE S 1733.96 W 7700.52 I I 28-6 27-4 27 -IA 26-12A L z 27-18 27-5 I QI 5 32-2 LOCATION MAP 27-8 29-1 29-11 29-2 F29-6 32-3 PORTION 29-7 9-8 7-2-4 31-13 31-1 SCALE 1 "=400' 2a-7 N 0 N U 26-12 27-6 " o 28-8 � MAX 27-7 j o c 2a-9 c0 O 0 28-16 LINE PIT WITH 10 MIL I� 4' m 29-10 PORTION c 28-10 ct PORTION 29-9 O 28-15 00 F- N U co o� H ,`Jn � i� 28-11 cn ctU 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S •• W SECTION WITH SILT FENCE (TYP) 0 SITE : `' PORTION SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF •:" 29-8 N o J THE LAND SURVEYOR. N 28-12 d I QI 5 32-2 LOCATION MAP 27-8 29-1 29-11 29-2 F29-6 32-3 PORTION 29-7 9-8 7-2-4 31-13 31-1 SCALE 1 "=400' I it MAP REFERENCES �= 1.) PLAN MADE FOR BURTON G. TREMAINE, JR; BLOCK 28 LOT NO. 11 AND `g PORTION LOTS NO'S 10 AND 15; AT FISHERS ISLAND, NEW YORK; SCALE: 1 , INCH=50 FT.; CHANDLER & PALMER, ENG'RS Ia:; NORWICH, CONN.; OCTOBER 1962. b„5• NOTES 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO n bb.0 N 0 N U 26-12 �--I 3-+ " o N � MAX CO mCO c CO " a o " . " o c ENGAGEMENT. c0 O 0 3 LINE PIT WITH 10 MIL I� 4' m 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, \LJ c PLASTIC SHEETING, KEY ct CD W O 00 F- N U co o� H O � U 03 = cn ctU 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S W SECTION WITH SILT FENCE (TYP) 0 ow W SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF N o J THE LAND SURVEYOR. N 0) U N 03 0 UW N co co cl) 2 I it MAP REFERENCES �= 1.) PLAN MADE FOR BURTON G. TREMAINE, JR; BLOCK 28 LOT NO. 11 AND `g PORTION LOTS NO'S 10 AND 15; AT FISHERS ISLAND, NEW YORK; SCALE: 1 , INCH=50 FT.; CHANDLER & PALMER, ENG'RS Ia:; NORWICH, CONN.; OCTOBER 1962. b„5• NOTES 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO r-- E N 0 N U M " o N � MAX CO mCO c CO " a o " . " o c ENGAGEMENT. c0 O 0 3 LINE PIT WITH 10 MIL I� 4' m 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, c PLASTIC SHEETING, KEY UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO CD W O 00 F- N U co o� H U U o U 03 = O 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S w SECTION WITH SILT FENCE (TYP) 0 ow W SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF N o J THE LAND SURVEYOR. N 0) U N 03 0 UW N co co cl) I it MAP REFERENCES �= 1.) PLAN MADE FOR BURTON G. TREMAINE, JR; BLOCK 28 LOT NO. 11 AND `g PORTION LOTS NO'S 10 AND 15; AT FISHERS ISLAND, NEW YORK; SCALE: 1 , INCH=50 FT.; CHANDLER & PALMER, ENG'RS Ia:; NORWICH, CONN.; OCTOBER 1962. b„5• NOTES 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO " o " " o BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE 4' 1 I MAX 4 4' MAX " a o " . " ENGAGEMENT. 3 LINE PIT WITH 10 MIL I� 4' m 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, c PLASTIC SHEETING, KEY UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. ENDS INTO GRADE PROVIDE STRAW BALES BACKED - YLL Q 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S m SECTION WITH SILT FENCE (TYP) 0 N SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF N o THE LAND SURVEYOR. U 0 f_ z 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC z a m --I SURVEY TRIANGULATION STATION "CHOCOMOUNT 2" O ---I Y Q Q 5. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, o 0 0 Q O � 0 SECTION 007, BLOCK 1, PORTION OF LOT 2 NOTES: I • i 6.) TOTAL AREA = 3.26± ACRES.Z a�`-,APPRoVED* BY - 0O Z Z Q 7.) SITE IS LOCATED IN R-120 ZONE. 3 � w U `L 8.) SITE IS SERVICED BY MUNICIPAL WATER AND ON SITE SEWAGE DISPOSAL o � a_ O Z } 15 0 SYSTEM. Iotf (1) Lu V ! m v 9.) BASE FOR LEVELS: NGVD 1929. 1 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). O- Q O � Li Q 10.) PERCENT LOT COVERAGE ,f, =T Y�-': � TOWN SOUTHOLD • ; SCALE: 1 " = 30' W o = a' O EXISTING = 4.42% � OF WASH WATER. Q � PROPOSED = 4.48% Of r 11.) LIMITS OF FRESHWATER WETLANDS AS FLAGGED BY IAN COLE 05/2001 CME (L Q.- j ASSOCIATES STAFF, VERIFIED BY CHARLES T. HAMILTON, NYSDEC 06/24/02 12.) AREA OF DISTURBANCE = 2485± SF I ' Q. I o. .e. " o " " o a o o " o o o " " " 4' 1 I MAX 4 4' MAX " a o " . " PLAN Z-4 1 07 o � 4' z , I NOV 1 7 2014 Q 3 LINE PIT WITH 10 MIL I� 4' m c PLASTIC SHEETING, KEY z ENDS INTO GRADE PROVIDE STRAW BALES BACKED - YLL Q m SECTION WITH SILT FENCE (TYP) 0 N N o 00 0 f_ N _ z a m 0 � O o Ld o 0 0 Lj N/F NOW OR FORMERLY NOTES: I a�`-,APPRoVED* BY - 1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL SF SQUARE FEET 3 Y 0 3 � j r "''' > CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING 0 o to a w BOARD OF TRUSTEES w PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, - - 14 - - EXISTING CONTOURS a m 0 m u 1 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). LAWN DATE: 11/14/2014 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM fReC SOIL SYMBOL F ,f, =T Y�-': � TOWN SOUTHOLD • ; SCALE: 1 " = 30' W 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT OF WASH WATER. DATE Z-4 1 07 o � 4' z , r I 30 15 0 30 SHEET 1 OF 1 \ t GRAPHIC SCALE IN FEET i 1' M N. 3' 31 Q 3 LINE PIT WITH 10 MIL I� 4' c PLASTIC SHEETING, KEY z ENDS INTO GRADE PROVIDE STRAW BALES BACKED - YLL Q m SECTION WITH SILT FENCE (TYP) 0 N F 00 0 f_ N CONCRETE WASHOUT PIT I E� . m 0 � 0 � NOT TO SCALE o 0 0 Lj N/F NOW OR FORMERLY NOTES: I 1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL SF SQUARE FEET 3 Y 0 3 � o CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING 0 o to a w 0 o0 w PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, - - 14 - - EXISTING CONTOURS a m 0 m u 1 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). LAWN DATE: 11/14/2014 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM fReC SOIL SYMBOL F PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES SCALE: 1 " = 30' 75% OF ITS CAPACITY. 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT OF WASH WATER. r I 30 15 0 30 SHEET 1 OF 1 \ t GRAPHIC SCALE IN FEET i