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TR-8402
John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 Pre -construction, hay bale line 1St day of construction % constructed Project complete, compliance inspection Town Hall, 53095 Main Rd. P.O. Box 1179 w ; Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 Pre -construction, hay bale line 1St day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8402 DATE: APRIL 23, 2014 ISSUED TO: CHERI ANTONIELLO PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 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 April 23, 2014, and in consideration of application fee in the sum of $250.00 paid by Pawlowski, Inc. 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 15'x24' detached garage on a slab with gutters to leaders to a drywell; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor, last dated November 15, 2010 and stamped approved on April 23, 2014. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. �O�©gUFFO(�.coG S� GO TERMS AND CONDITIONS The Permittee, Cheri Antoniello residing at 2404 Camp Mineola Road, Mattituck 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 April 23, 2014 Mr. Paul Pawlowski PO Box 783 Mattituck, NY 11952 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: CHERI ANTONIELLO 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 Dear Mr. Pawlowski: • 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, April 23, 2014 regarding the above matter: WHEREAS, Paul Pawlowski on behalf of CHERI ANTONIELLO 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 March 11, 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 April 23, 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 approve the application of CHERI ANTONIELLO to construct a 15'x24' detached garage on a slab with gutters to leaders to a drywell; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor, last dated November 15, 2010 and stamped approved on April 23, 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, ;*?-4N .M: John M. Bredemeyer rl President, Board of Trustees JMB/amn • John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 rJ Please be advised that your application dated 3 has been reviewed by this Board at the regular meeting of t and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/Z Constructed ($50.00) Final 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: $fid D� BY: John M. Bredemeyer III, President Board of Trustees u John Bredemeyer, President $uFFot.r Michael J. Domino, Vice -President James F. King Charles J. Sanders `� • Dave Bergen 1-1 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 Inspection/Work Session Report Date/Time: //X le /G( g ° Paul Pawlowski on behalf of CHERI ANTONIELLO requests a Wetland Permit to construct a 15'x24' detached garage on a slab with gutters to leaders to a drywell. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 Type of 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: ZChapt.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 Info needed: ¢)O .IAI •r/")e GG er9tica.. ftS //Z'fyiauSc'/ J1/1/°/C'4a019n Modifications: No"K Conditions: Present Were Bay Constable J. Bredemeyer M. Domino t ---J. King C. Sanders D. Bergen Form filled out in the field by J, t/ /3 (_e Mailed/Faxed to: Date: Other r_� Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 4W Town Hall Annex 54875 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 0585C Date: Swtember 24s 2010 THIS CERTIFIES that the construction of a single-family dwelling with deck on pilings_, pervious driveway and sanitary sygtem with gutters to leaders to drvwelIS on the dwelline At 2404 Camp Mineola Road Ext.. Mattituck. New York Suffolk County Tax Map # 122-9-7.20 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 10/28/05 pursuant to which Trustees Wetland Permit # 6620 Dated 5/16/07 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a s -family dwelling with eck onilii ngs pervious driveway and sanitary system with gutters to leaders to drywells on the dwelling The certificate is issued to STERLING HARBOR INC /PAUL PAWLOWSKI owner of the aforesaid property. 4$$A t!horized Signaturdf 0 Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer June 11, 2010 Mr. Paul Pawlowski Sterling Harbor, Inc. P.O. Box 783 Mattituck, NY 11952 r1of soul 6 f�f BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: 2404 CAMP MINEOI.A RD., MATTITUCK SCTM#122-9-7.20 Dear Mr. Pawlowski: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Southold Town Board of Trustees reviewed your application dated May 24, 2010 and APPROVES the request for a Transfer of Wetland Permit #6620 from David Shamoon to Sterling Harbor, Inc., as issued on May 16, 2007. If you have any questions, please contact our office at (631) 765-1892. Sincerely, y� $ U JillDoherty Pre, ent, Board of Trustees JMD:Ims BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6620 DATE: MAY 16.2007 ISSUED TO: DAVID SHAMOON PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, EXT., MATTITUCK SCTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 May l6.2007. and in consideration of application fee in the sum of $2&.00 0.00 paid by David Shamoon 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 single-family dwelling, deck, driveway, and sanitary system with the condition that the dwelling and deck be on pilings, installation of gutters and drywells to contain roof runoff, no till except for the sanitary system, no additional and/or nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin III, last revised July 12, 2007, and received on August 20, 2007. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. • TERMS AND CONDITIONS • The Permittee David Shamoon, residing at 2404 Catton Mineola Road. E t. Mattituck. New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1-=30' JULY 24, 2004 AA`S s Sad ADK6 nwd•wNc,l su•la'r avrolfia a.. aad A9Dm slm nAN 1101tK0F11 IJ�1004 �NY.DEC NOIIR OL MCOMREIMN WLiDI MYiN YI. 'm09 SET U rP�01.pugm`— xE ad1 av °0°sa1"YlO¢l _dtNrfdC M OAIED D/SS/d WRDI PY2�/OO •,KY8D1 SbKM��M01RE /i 4:f�1 FDA �'If ))EdFCT011 ARY la. 3007 REWSED AS ?[Il NIfTOD( 1NAgg11•xfN C0160.rIYG, ML 1E11ER d/11/0/ AREA = 40,616.90 9q. ft. 0.937 00. CERTIFIED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK KRAUS ROAD CROSS-SECTION OF PROPOSED CONIC. RETAINING WALL FOR SEPTIC SYSTEM WALL aNNrw PROPOSED SEPTIC SYSTEM DETAIL aNl ro eDcn e.n M 1.1 .• _ -_ °°/ s} Nn�l//�,• W NIO1 1T/1' w fl 11' °� •• tdl.N _ s AN S,S1[Y m a ♦., �Etl MM SEPTIC TANK (11 , �y • A^NINE _POLu c !61 uls lE�ielel� �i»I�.•iEWtu�p sW'�sa.pe.p IYv�� mmm.w .0 'i���ir. 'fe. ,Kses. Idea �+m�, mm S•In^ e� ® � _ ma ,x nKs[m �Uv�mtlr� mecrt (a sow.1 �°�ewwa+m s rp iw�n��x�� n�wus m .,/.•1 s •r K nram !o. mwl �K .. ,1r m6 m1Ns .EF.m1..:• rp ,• IpN PNE N N.No. IA>e� �l"h�.� No':1: °X€ t'l�`JIL NOTES, 1. ELEVATIONS ARE REFERENCED TO N.O.V.D. 1929 DATUM EXISTINO ELEVATIONS ARE SHOWN THUS: - EXISTINO C UNES ARE SHOWN THUS: - - -.5------ p 0os nFs.� NVL 2. AREA 0WETLANDS ' 762 y. Tf. UPLAND45 ADJACENT AREA = .055 p. H. 3 THIS PROPERTY IS IN FLOOD ZONE AE (EL e) n:ol1 o-1 mrmrF ry LOT COVERAGE DATA / !V L7l sq. ft.) ryDESCRIPTION AREA O �• PROPOSED 110116E 1.110 10" 11. V� }}}� PROPOSED DECK 490 - N. 1. - NLY •wA: LLm d TOTAL 1.700 p. N. 1 4.2% ^�• PROPOSED SEPFIC TANK W � — � 1 � x ••NI rKs N ,sEN w• s 0 PROPOSED W M. 2' DEEP DRY'MELL O y 9 / • A3 1 \ . n:ol1 o-1 mrmrF ry LOT COVERAGE DATA / !V (OVER UPLAND ADJMCNI AREA 10.015 sq. ft.) ryDESCRIPTION AREA x Lor COVERAGE �• PROPOSED 110116E 1.110 10" 11. 1." }}}� PROPOSED DECK 490 - N. 1. - NLY •wA: LLm d TOTAL 1.700 p. N. 1 4.2% FLOODINSURANCE RATE Ne. 36 62 G / TEST HOLE DATA TERMIN ZONE AE BASE FLOW UEVEVAINNIS DFTERHNED (TEST or DUO 8✓ �'•"•,•CE ON MY 11. 2M5 AT 12.00M) AIL \ 4. SEPTIC SYSTEM STRUCTURES SHOWN THUS: y' _! V / xlNs(Y S A v:N♦1NM OE SE]d�6yRMy�,.aw YONc STATE 0) PROPOSED EXPANSION POOL N dr.9 KSITeYvl1' Y NIP Mi 6.xND NLY •wA: LLm d OPROPOSED MAIMING POOL c��5 F'PN•N •A•.apN ^�• PROPOSED SEPFIC TANK W � — � 1 � x ••NI rKs N ,sEN w• s 0 PROPOSED W M. 2' DEEP DRY'MELL M aA y 9 / • A3 1 \ . S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD � ` A° OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. APPROXIMATELY 400 cu. yOs. OF CLEAN FILL TRUCKED IN FROM �� loc•a.// AN UPLAND SOURCE SHALL RE NEEDED. \ ' ..• 11m•MtD N ,1'.m1041EE NM M •I9NY SFNnp4Ed llllE w lHm . � • .' ', fdMSDDI IIIA[ AM ATMgSD NCSUICiC lIOD ms Assd OF Nely t .9 . � �, 2 h~sEIPFrc ry•J- •22�r /y LARD• N.Y.S. Lc. W. 5167 AL Pic° f a / \ I / AIL IBE 99- / (- 5 -- ALM -Lx 0, JQ� / ��A] G'C 1 v tel/ ;e° �•P �, �`f� � � 1 f/' • 2 N 1IKXA UTM iR1S5 EEEES 1dy \ AY, 4� 0, 4- 4•A M / APPROVED BY AL BOARD OF TRUSTEES a / TOWN OF SOUTHOLD 4� DATE F, S 84750'50• W 110 p i / 130.00 In .5 / TEST HOLE DATA y :I �•1. H (TEST or DUO 8✓ �'•"•,•CE ON MY 11. 2M5 AT 12.00M) .• t 6 i. / y' _! V 1. xlNs(Y S A v:N♦1NM OE SE]d�6yRMy�,.aw YONc STATE f' � N dr.9 KSITeYvl1' Y NIP Mi 6.xND NLY •wA: LLm d � :'� c��5 F'PN•N •A•.apN ^�• I 1 •: 11 W � — � 1 � x ••NI rKs N ,sEN w• s 1 I M aA ,l.dN mIDIR.1wN, ARE NN 11LwWewe,E 1 \ . \ 3 Z' Its FDSTENCE OF RDNiS OT WAY �.roNROT�S�IpWN�AKdNO EO�UAiWl®. / / g •®� -9 u xwnwx>ID NmNdx Ds AmiRex y' _! V xlNs(Y S A v:N♦1NM OE SE]d�6yRMy�,.aw YONc STATE �./� QI dr.9 KSITeYvl1' Y NIP Mi 6.xND O M A E•AD NAL M OWa>rgo sDE RWE Iwr eE o3N�El® ro o4 A lrlo raE cOPr NGWH sN•1 NM / / •.. i cFAnll0,m8.IDICNm KASNI E011 MIOY M SUNK B s11CPMM AM d N6 KOMIf ro M 1111E carwn. sweepxrAt Acewv Ax0 m M •sN uliEs 1oDM Ile - 1 I M aA ,l.dN mIDIR.1wN, ARE NN 11LwWewe,E 1 \ . \ 3 Z' Its FDSTENCE OF RDNiS OT WAY �.roNROT�S�IpWN�AKdNO EO�UAiWl®. \ ' ..• 11m•MtD N ,1'.m1041EE NM M •I9NY SFNnp4Ed llllE w lHm . � • .' ', fdMSDDI IIIA[ AM ATMgSD NCSUICiC lIOD ms Assd OF Nely t .9 . � �, 2 h~sEIPFrc ry•J- •22�r /y LARD• N.Y.S. Lc. W. 5167 Nathan Taft Corwin III Land Surveyor I TRV &n - 50blhbns - SM dans - Cons, I- IgeW PHONE (631)727-2090 Fns (631)727-1727 OFFICES LOCARD AT ME55 MINO ADOR 322 ROVOM AVENUEP.O. R9v 1931 RNEPHF/D, N. York 11901 Rl mh.A NEr YON 11901-0963 SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1"=30' JULY 24, 2004 „UNE s 2005 ADDED TOPOGRIPWAL SURVEY SEPTEMBER 21. 2005 ADDED TTE PLAN MEMBER 29. 2005 REVISED AS PER N.Y.D.E.0 NOTICE OF INCOMPLETION JAMUARY •3 2006 ADDED PROPOSED WATER LINE MARCH 2, 2006 ADDED FOR SITE INSPECTION .MCH 30. 2006 11EIEOVED RET. WALL ALONG DRIVEWAY 4: GARAGE APRIL LO 2006 REVISED PROPOSED DECK @ POOL LUNE /. 2006 REW$ED DRYWELLS PER NYSDEC NOTICE DATED 5/25/06 AREA = 40,816.90 sq. ft. 0.937 OG. CERTIFIED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK DWRW`ION POOL OFT 90'ORWW WAR, 5 POOL SYSTEM EuE .. 5.,' SEPTIC TANK (11 Y so+ TAIN UPACM FOA 4 sEDIIC0E1 WIRE K I m OL.CNS KRATUr ROAD CROSS-SECTION OF PROPOSED CONC. RETAINING WALL FOR SEPTIC SYSTEM WALL (MDT m w.0 S CLFA11C DOLLAR W 1j K IF De. S' UeW OWN I IYIWIIW LTACNN9 !TM[Y FOA . s2nmM MUSE $.100 ,V N smw. ARA SIF SIWLL MAUL A MWeM1 COPT i S111CW01 W 7.00D W. V 7D CAS a PDOIA 2• ow. r W. =01855 V% ` A WNWA a 3 A TW WeOgESS OF r A0 A eorroAI tH0NESS OF 4' 2 LEACH. P WE ro E DONSrRWW OF "mC WT REFI mmo WIC"m NIR ETMK) N15. eDT10M NO /W 51MLL CONTAIN IOWORIC m NERST AH MPIIm AME OF ]00 PW IFANWW SrmLpcq S. SCID Dom YO/0R MIi WM 9— K O.WCWOS 1— AMID m TIMI T11E TAMI 6 rm1•rAR 3- A Ca.GS SNAIL R OF PIQl4* , IIOIs6RDID CONDRFIE (OR EOOK). EPIC TORI t EWRALEQ AT M N AIL • IMY. TOLE,MXC[ OF f1/47 10' mw. DRT.M J. IfILINC P001e AID YRR TAI[ 51LYL R IL1RTu►Im. YRNNW T E 9 sm W C0IPALYID M H OR PS a BE 5 AN V �w:n. OWT*ILE WETWEN AIL LFAtOWC POOLS AIIO !EPIC TAAW SILNL R I IAM . mti OEIANCC lE1SI[D� 7WC TAM[ A110110115C SWLL Ic N,WOAINEo u_ ELEVATIONS ARE REFERENCED TO N.C.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: . EXISTING CONTOUR LINES ARE SHOWN THUS: .. - RBST FLOOR GARAGE FLOOR TOP OF WALL RDrTON OF WAL AREA OF WETLANDS = 762 sq. ft. UPLAND ADJACENT AREA = 40.055 sq. ft. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. 36103CO482 G ZONE AE. BASE FLOOD ELEVATIONS DETERMIN_C CFPTIr CYCTFY GTRIIf.TIIRFq CNEIWN TNRII. Mt9csa A1!!aMW N *= i9Mlr "m oc of 333100001 4R1�a' pAt't "L LOT COVERAGE DATA (OVER UPLAND ADJACENT AREA 40.045 sq. ft DESCRIPTION AREA PROPOSED SEPTIC SYSTEM DETAIL HOUSE 1.800 sq. ft. (NOT TO SCALE) ELEV J= 1.200 w. ft. 3.G% OSED POOL 800 sq. 1t. GRADE U�Ev� ELLV 106' OSED GARAGE L 720 sq ft. t 4G.RAOE I TOTAL ows• TOP EL low--a- YW. 4' ON RN,se APPROIED PPC r.un. PRCH 1/.•/,' �O LfiKJ� a lflCHlNo mn. PITCN 1/e•/+ of Wv.e.r' L PIr EL 9 � NN � ewe• . - -. . _. � _.- DWRW`ION POOL OFT 90'ORWW WAR, 5 POOL SYSTEM EuE .. 5.,' SEPTIC TANK (11 Y so+ TAIN UPACM FOA 4 sEDIIC0E1 WIRE K I m OL.CNS KRATUr ROAD CROSS-SECTION OF PROPOSED CONC. RETAINING WALL FOR SEPTIC SYSTEM WALL (MDT m w.0 S CLFA11C DOLLAR W 1j K IF De. S' UeW OWN I IYIWIIW LTACNN9 !TM[Y FOA . s2nmM MUSE $.100 ,V N smw. ARA SIF SIWLL MAUL A MWeM1 COPT i S111CW01 W 7.00D W. V 7D CAS a PDOIA 2• ow. r W. =01855 V% ` A WNWA a 3 A TW WeOgESS OF r A0 A eorroAI tH0NESS OF 4' 2 LEACH. P WE ro E DONSrRWW OF "mC WT REFI mmo WIC"m NIR ETMK) N15. eDT10M NO /W 51MLL CONTAIN IOWORIC m NERST AH MPIIm AME OF ]00 PW IFANWW SrmLpcq S. SCID Dom YO/0R MIi WM 9— K O.WCWOS 1— AMID m TIMI T11E TAMI 6 rm1•rAR 3- A Ca.GS SNAIL R OF PIQl4* , IIOIs6RDID CONDRFIE (OR EOOK). EPIC TORI t EWRALEQ AT M N AIL • IMY. TOLE,MXC[ OF f1/47 10' mw. DRT.M J. IfILINC P001e AID YRR TAI[ 51LYL R IL1RTu►Im. YRNNW T E 9 sm W C0IPALYID M H OR PS a BE 5 AN V �w:n. OWT*ILE WETWEN AIL LFAtOWC POOLS AIIO !EPIC TAAW SILNL R I IAM . mti OEIANCC lE1SI[D� 7WC TAM[ A110110115C SWLL Ic N,WOAINEo u_ ELEVATIONS ARE REFERENCED TO N.C.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: . EXISTING CONTOUR LINES ARE SHOWN THUS: .. - RBST FLOOR GARAGE FLOOR TOP OF WALL RDrTON OF WAL AREA OF WETLANDS = 762 sq. ft. UPLAND ADJACENT AREA = 40.055 sq. ft. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. 36103CO482 G ZONE AE. BASE FLOOD ELEVATIONS DETERMIN_C CFPTIr CYCTFY GTRIIf.TIIRFq CNEIWN TNRII. Mt9csa A1!!aMW N *= i9Mlr "m oc of 333100001 4R1�a' pAt't "L LOT COVERAGE DATA (OVER UPLAND ADJACENT AREA 40.045 sq. ft DESCRIPTION AREA % LOT COVERAGE PROPOSED HOUSE 1.800 sq. ft. 4.499 PROPOSED DECK 1.200 w. ft. 3.G% OSED POOL 800 sq. 1t. —� 2.00% OSED GARAGE L 720 sq ft. t 1.Bo% I TOTAL 4,520 sq. It. 11.29% • • TEST HOLE DATA (TES' HOLE DuG BY MCDONALD GEOSCIENCE ON MAY n, 2005 AT 12:00Pm) _FL_ 7T F 0• BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8206 DATE: JUNE 19, 2013 ISSUED TO: RICHARD ANTONIELLO PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 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 June 19, 2013, and in consideration of application fee in the sum of $500.00 paid by Richard & Cheri Antoniello or authorized waiver of Town Board 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 re -vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24" Bay Berry, and 5,000 dune grass plugs; with the conditions that the proposed plantings are to completed within four (4) months; sprinkler system is to be capped off after one growing season; and a compliance inspection is to be performed in November of 2013, and as depicted on the site plan prepared Richard Petrowski, received on June 19, 2013, and stamped approved on June 19, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Richard Antoniello residing at 2404 Camp Mineola Road. Mattituc—k New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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. 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. Law" kkel (',Ax 3-4, -'4 Roca fuc;h (r7' Y Omp hw4 Appro* ltx0 EASTE104 RED CEDARS C60 TO BE PLANTED 24' SAY EWRRY 0 TO BE PLAN TED WNG TO REMAON UNNE GRASS PLUOS 000 To ar PLANTro LANDSCAPE PLAN FOR trT 2404 CAMP MINEOLA ROAD, MATT, Au PREPARED BY RULECTM NATtJRE LANDSC } �yN� fffj ,fir '_ 41 �:. 4 1 * ` s a3 SEE w NO. 111 Cu 23 M; 36W ].1 0)AY 2M { 5A tp` AW )m.Nyzvnwu ly !] ya9 xrRa1lfNr 36tR 9 �]!O1 O lam" N 16 tSyt n3 2t W �w SA! „ 2S -0S S M 1] � M .ply 1B 4 ps d ,I FORT LNO 'll SEE SEC. NO. 12— g / 8 —F—COUNTY 91 WTNgNT h • /( rVI M I s gr 1 SGI+O NN coR rcE. NO ,p• SEE SEC. COUNTY OF SUFFOLK U Reel Property Tex Service Ageeq 1 122 1 NO, 121-0!Wl.1 d O �A.1p� !.y 4 IaMq 1 stir N !iU �d 'ji° 4 .. 0 — — — — — — — — — — — — — — — — — — — — —� — — — — — — — — — — — — -- -- — — —u A NNTCN �S A� \ NOTE.ANAvrAREN)ovENuvcoNomon uM�T� ssNi�eEoc" d aern,:eN sEE xc. Ro.13s Nonce COUNTY OF SUFFOLK U Reel Property Tex Service Ageeq 1 122 1 • OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM E C .E.E Hl -Y- To: John Bredemeyer, President [APR 1 6 2014 Town of Southold Board of Trustees From: Mark Terry, Principal Planner''+ LWRP Coordinator Date: April 16, 2014 Re: Proposed Wetland Permit for CHERI ANTONIELLO SCTM# 1000-122-9-7.20 Paul Pawlowski on behalf of CHERI ANTONIELLO requests a Wetland Permit to construct a 15'x24' detached garage on a slab with gutters to leaders to a drywell. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 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 • • 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., April 16, 2014 the following recommendation was made: Moved by John Stein, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of CHERI ANTONIELLO to construct a detached garage 15'X 24' on a slab with gutters connected to drywells on the southeast corner of the house. Located: 2404 Camp Mineola Rd., Mattituck. SCTM#122-9-7.20 Inspected by: Doug Hardy, John Stein Vote of Council: Ayes: All Motion Carried BOARD MEMBERS 0 Leslie Kanes Weisman, Chairperson James Dinizio, Jr. Gerard P. Goehringer George Horning Ken Schneider pF SOUry� http://southoldtown.northfork.net Southold Town Hall 53095 Main Road - P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /Fust Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 ZONING BOARD OF APPEALS Z-T— enaithold D TOWN OF SOUTHOLD ) I 46 Tel. (631) 765-1809 - Fax (631) 765-9064 AR011 FINDINGS, DELIBERATIONS AND DETERMINATIO MEETING OF MARCH 16, 2011ZBA FILE: 6448 Town Clerk NAME OF APPLICANT: Sterling Harbor, Inc. PROPERTY LOCATION: 2404 Camp Mineola Rd. Ext., Mattituck, NY SCTM# 1000-122-09-7.20 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE_: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated January 31, 2011 stating that this application is considered a matter for local determination as there appears to be no significant county -wide or inter -community impact. LWRP: This application was referred for reviewed under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued his reply dated February 18, 2011, based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: Subject property is 40, 817 sq. ft., it is improved with a two story single- family dwelling and attached deck on piles. It has 305.40' of frontage on Kreh Rd., 326.57' on the western property line and 260.16' on the southern property line as shown on the survey dated last revised November 15, 2010 prepared by Nathan Taft Corwin, III, LS. BASIS OF APPLICATION: Request for Variance from Code Article III Section 280-15 and the Building Inspector's December 9, 2010 Notice of Disapproval based on an application for building permit to construction an accessory garage 1) proposed garage location is other than the code required rear yard. RELIEF REOUESTED: The applicant proposes to construct a one story, 360 (15x24) square foot, accessory garage in a front yard location where the Code requires a rear yard location. ADDITIONAL INFORMATION: The existing dwelling is constructed upon pilings and the expansion of which for an attached garage at grade is not feasible nor is it practical. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on March 3, 2011, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood and other evidence, the Zoning Board finds the following facts to be true and relevant and makes the following findings: Page 2 -March 16, 2011 ZBA Filet16448 - Sterling Harbor, Inc. CTM: 1000-122-9-7.20 1. Town Law §267-bOXW 1), Granting of the requested variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. An accessory structure in a front yard is a common feature among the waterfront parcels in this neighborhood. The proposed accessory garage is one story and only 360 square feet and will be screened from the road by existing mature vegetation. 2. Town Law 4267-bQ(hJ(2). The benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance. The applicant could locate the accessory garage in a conforming rear yard, however at an added expense of expanding the driveway and the removal of existing mature vegetation. 3. Town Law 6267-b(3)(b)(3). The variance granted herein for an accessory garage in a front yard is substantial when the Code requires a rear yard location. However the lot is an irregular shape with wetlands and natural vegetation in the rear yard that make a conforming location impractical . 4. Town Law 6267-b(3)(b)(4) No evidence has been submitted to suggest that a rear yard variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The proposed location of the proposed accessory garage is well outside the wetlands buffers established by the Southold Town Trustees and the proposed location will not require the removal of existing mature vegetation. A conforming rear yard location would locate the proposed accessory garage closer to the wetland boundaries and require the removal of existing mature vegetation. 5. Town Law §267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase 6. Town Law 6267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an accessory garage in a front yard location, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Schneider, seconded by Member Weisman (Chairperson), and duly carried, to GRANT, the variance as applied for, and shown on the Survey prepared by Nathan Taft Corwin, L.S. dated July 24,2004 and last revised November 15, 2010 for "added proposed additions", and the construction drawings prepared by John Fokine, P.E., entitled Construction Plans, 150 Sterling Harbor Lane, Southold, NY 11971, dated 11/3/2009, sheet G- 1. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote o he Board: Ayes: Members Weisman (Chairperson), Dinizio, Goehringer, Schneider. This Resolution was duly adopted (4-0). Vote Pm er orning was absent. Leslie Kana Weisman, Chairperson Approved for filing g /� /2011 SURVEY OF PROPERTY SnVAM NA7MTUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 WALE 1.2d A LYY _24. 2094 wnn= � l 1MA . 10.017 w K a2s7 N. eEI V . YLVMIOOi A2[ 0p[MIREO A aaYA 190 OLON MM 2YM2V 1E IiNIM01EMD cO MVM MM CM MUM sm NI M 0. 7V 2r 240 M' dMft F IM IOFH OMI. 0 FMIO. 2.211 R a a7A 7r N'd M' N' MINMOL COF01 7 M' DO' 0 RECEMED JAN Of 2011 BOARD OF / KRAUS ROAD n Lor COFSAACE DArA 1,1 It IO..I Iw00 /PIIOO2 11101 ..FII w a> j Otl2O♦IgM I — 101 Otl.10 MM[ I.2M w. 0. Ms MUM sm NI M 0. IAO Ma 00"M I,ra w 0. 240 FOOFMM Gum M.4. 0. OA MMMM IOM 212 1 a IM IOFH OMI. 0 FMIO. 2.211 R a a7A MIG AMA M MTAMI . ra a VM2M AOLCOR IIIM . � .► 0. O LLACMM TEST BOLE DATA iw 11, A/ M II'MW lie AL Nathan Taft Corwin ■ 1 Land Surveyor 64SWW W 1:fl.0o' �rM`p 119M (M m-aw F. (UMMM anm uoo M Ilrt. Imes + t dam ~ .Al q 1 s.$ALL �T' y= lie AL Nathan Taft Corwin ■ 1 Land Surveyor 64SWW W 1:fl.0o' �rM`p 119M (M m-aw F. (UMMM anm uoo M Ilrt. Imes L IY M I'm "TL � YM Itlr • James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application _Wetland Permit Application Administrative Permit Amendment/1'ransf r tension eceived Application: �teceived Fee:$ , Completed Application _Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) LWRP ConsistencyAss s nt Form C/�C Referral Sent: ate of Inspection: _Receipt of CAC Report: Lead Agency Determination: �chnical Review: blic Hearing Held: Resolution: Name of Property Owner(s) /7-1 4,00 • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Addressyay 411'' -to 7'- .rrr�r� .✓y /l� Z Phone Number:( ) ��?�.— y�� Suffolk County Tax Map Number: 1000 - A,2,2-6 — 7 Z 0 Property Location: �yO !� C',iws,,o ti e.a !w �� �x 7— (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applic Address: 2 //1 kac_ 'A, K. Phone: Y ys'- 4Y3 f8 �X sx ard of Trustees ApplicatV � GENERAL DATA Land Area (in square feet): Gln g/ 7 i Area Zoning: c`y Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes ��o If "Yes", please provide a copy. Will this project require a Building as per er Town Code? ✓ 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? ZYes No If "Yes", please provide copy of decision. �f�¢ Will this project require y demolition as per Town Code or as determined by the Building Dept.? Yes _7No Does the structure (s) on property have a valid Certificate of Occupancy? X—Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?—)</No If yes, provide explanation: Project Description (use attachments if necessary): J/ -,;r M Yes Wd of Trustees Applicatio0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: �'square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 70 feet Closest distance between nearest proposed structure and upland edge of wetlands: g e) • feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated?cubic yards How much material will be filled? 62 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: S' Manner in which material will be removed or deposited: 4'n/ Q/ � 17 -TSS 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): A G✓LT,c,,4W S aZI U, ,Q �--' 79V"-�XIQ • ! 617.20 Appendix B Short Environmental Assessment Form Instructions for ComnletinE Part l - 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Name of Action or Project: Z�e7_4 F ifrJ Project Location (describe, and attach a location map): ,are y C• T� -- f' 0<-� Brief Description of Proposed Action: Name of Applicant or Sponnsor:"� Telephone: -Ow /G11 E -Mail: Address: City/PO: State: At" Zip Code: 1 . Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that F 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 funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ❑ 3.a. Total acreage of the site of the proposed action? acres b. Total acreage to be physically disturbed? acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? _acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban [-]Rural (non -agriculture) [—]Industrial ❑Commercial Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other (specify): ❑Parkland Page 1 of 4 l � 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES I N/A ❑ F1 ❑ ❑ © ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES Z ❑ 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 Z El ❑ ❑ ❑ ❑ 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 ❑ 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES { l ❑ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES ❑ 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 h YES ❑ ❑ 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: NOY S ❑ 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid -successional ❑ Wetland ❑ Urban `Z 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 ❑ 16. is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, [:]YES Will storm water discharges flow to adjacent properties? F-1NOYES b. Will stone water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑ NO E]YES NO YES DL Ela. Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES ❑ to large impact impact may 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 occur ❑ [Z 1:1 regulations? 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 ❑ 3. Will the proposed action impair the character or quality of the existing community? n/ E I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE � Q Applicant/sponsor name: �'�� /�.�✓ Date: $ Signature: 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 No, or Moderate small 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 [Z 1:1 regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 0 3. Will the proposed action impair the character or quality of the existing community? n/ E 4. Will the proposed action have an impact on the environmental characteristics that caused the F-1establishment of a Critical Environmental Area (CEA)? �I 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure 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 opportunities? IBJ 7. Will the proposed action impact existing: Ela. public / private water supplies? FO 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, Z ❑ waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 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 -tern, long-term and cumulative impacts. Check this box if you have determined, based on the information 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. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 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 � E]problems? 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 -tern, long-term and cumulative impacts. Check this box if you have determined, based on the information 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. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 r1 Ah rvKm - Ub/7U .................e.... NdRM1Ir�tl_�IQ�MMr M Nllir llMAt Town of Southold Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.0: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A y4!j STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN MWffcci- 3 c ion -N&F - -Gt CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within ? I Will this Project Retain All Storm -Water Run -Off the Scope of Work for Proposed Construction) D - Generated by a Two (2") Inch Rainfall on Site? (S.F. / Ams) b. What Is the Total Area of Land Clearing S (This item Will include all run-off created by site El clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed'n Site Improvements and the permanent creation of construction activity? Iiv" impervious surfaces.) (S.F. /Aces) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional PapesasNeedeM Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Fi Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? fx—\ 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Weiland or General DEC SWPPP Requirements: Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; Including disturbances of less than one acre that are part of a larger common plan that will ultimately disturb one or more acres of land; % Will there be Site preparation On Existing Grade Slopes including Construction activities involving sop disturbances of less than one (1) acre where which Exceed Fifteen (15) feet of Vertical Rise to ❑ One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. ( SWPPP's Shalt meet the Minimum Raquirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction activity • Permit No. OP -0-10-001.) Surfaces be Sloped to Direct Storm -Water Run -Off a 1. The SWPPP shell be prepared prior to the submittal of the NOI. The NOI shag be submitted to the Department prior to the commencement of construction activity. into and/or in the direction of a Town right-of-way? 2. The SWPPP shag describe the erosion and sediment control practices and where required, post -construction storm water management practices that will be used and/or 9 Will this Project Require the Placement of Material, Removal of Vegetation the Construction and/or of any '—X\ constructed to reduce the pollutants In storm water discharges and to assure compliance with the terms and conditions of this permit. In addition, the SWPPP shag Item Within the Town Right -of -Way or Road Shoulder ❑ Identify potential sources of pollution which may reasonably be expected to affect the Area? (This Item will NOT include the Installation of Driveway Aprons.) quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark 3. SWPPPs that require the post -construction storm water management practice In a Box and the construction site disturbance is between 5,000 S.F. b 1 Acre in was, component shag be prepared by a qualified Design Professional Licensed in New York Drainage &ErosionPlanissuI R �e�Building Townof g Storm-outhold that is knowledgeable In tim8 principles and practices of Storm Water Management and MbeGrading, Submitted for Prior to baa (NOTE: A Check Mark (.)') and/or Answer for each Question Is Required for CorrpletApplication) S1 AIT OF NEW YORK, � COUNTY OF ... ........... SS That I, /2-.4;L P �.lr lt..1((l..•..........• ....... ... being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of incrMdual signing Document) And that he/she is the .....?.1 "-}� .......................... . -.. .. ............................... .. ............................................................... (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ........................... J............... day of .... .t -!'.i......... .. , 20.�.`t Notary Public .................... (Signature or Applicant) rvKm - Ub/7U .................e.... NdRM1Ir�tl_�IQ�MMr M Nllir llMAt 04/07/2014 08:58 6317111 SOUTHOLD TRUS* PAGE 01/01 John Bredemeyer, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen0� +!� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD -----------------........__---------------------------------------- In the Matter of the Application of CHERI ANTONIELLO COUNTY OF SUFFOLK) STATE OF NEW YORK) Town Hall Annex 54375 Route 25 P.Q. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING rO ,8,E COMPLETED AFTER POSTING RFmAINS IN PLAce FpR EIGHT SDA XS i, CAWg-1 AwkomLeL. 0 , residing at /dba xkl 0"s C__-�nP VIA►'''f_AC,'_ " -e.,z<-� , ct S Z . being duly sworn, depose and say: That on the 7 day of 2011, I personally posted the property known as 1-4 0 L-1 L.4,v M 1v Gift i9—o e-,,_4- by placing the Boardof 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. April 23, 2014 Dated: Sworn to before me this �( day of Nj&y Public (signature) ALOHA PAYE FRA8IER Nogry Pub1c - 810 of New York NO.01FR6205196 Qualified in Kinpe County My Commission Expires May 4, 2017 • 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: t&1;1A,A-"A 5- iVF4.� lA1t*1 nfe 1AfG STATE OF NEW YORK COUNTY OF SUFFOLK Address: 'D C� APR - 4 F"I i va 5 5+p. L 1 S GP;e-fZ 1 A^6A/ce W , residing at .941)4 %MIMX414- Rro -E,4 k- zV t �- Z _, being duly sworn, deposes and says that on the day D 0, L , 20lel, deponent mailed a true copy of the Notice set forth in rue Boazd of Trustees Application, directed to each of the above named persor.irs 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 /14 4-h , that said Notices were mailed to each of said persons by CERTi1FiED MAIL/RETURN RECEIPT. Sworn to e this is 2 Day of �1, 20 / Notary Pu lic KAMYAR A. HASSID NOTARY PUBLIC, STATE OF NEW YORK QUALIFIED IN NASSAU COUNTY REG. # 01HA6244311 MY COMM. EXP. JULY 5, 2015 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. 0 OWNER(S) OF RECORD: Cher; An+on&I e1\0 SUBJECT OF PUBLIC HEARING: TIME & DATE OF PUBLIC HEARING: Weanesda�/, F}pr� I a3, � 14 - o.-�-o�o�bou#' S.'3r�� If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection priot 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 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 44L, 4 /% residing at (taint owner of property) (mailing address) do hereby authorize (Agent) to apply for pennit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) /04-t7 day j( AOV c A Z o e LUIS A MOLINA A Notary Public • State of New York NO. 01MOS240075 Qualified in Queens County My Commission Expires Apr 25, 2015 E is # ZStsos8 ! zS : c l! t L-0 �-e0 0 0 Board of Truatees Application County of Suffolk State of New York 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 IN.THTS 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 REPRESENTATTVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION, A— Signature of Property Owner SWORN TO BEFORE ME THIS (O v^ DAY OF M k, -C V ,20 ( Public LUIS A MOLINA JR Notary Public - State 01 New York NO.0IM062d0015 Oualdled in Owens County My Comrniasion Expires Apr 25, 2015 C iz # Tst5o5a ' zS : c �: t L -o t -so APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and emplovees The ouroose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: / /. elle (Last name, fust name, giiddle 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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee �C Coastal Erosion Mooring Planning 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 employee owns more than 5% o e shares. YES NO 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/agcnt/representative) 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 (when 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 applicant. DESCRIPTION OF RELA Submitted this 3 day of /5 20/j� Signature Print Name Aiu& Form TS 1 Fown of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 evailuated. as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Io wnZ 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail, listing both sunnorting and non - supporting facts. 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 Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. D pip B. DESCRIPTION OF SITE AND PROPOSED ACTION [[MSCTM#-�— -�2 Z -� � 7 Z �.� A A R 1 1 2014 PROJECT NAME ``stili :....y The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) _Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of Location of action: ; 7 O 7 e** / / "► ,p a lG �� RA -1r ruy/t- tzy f(7 S Z Site acreage: Present land use: G t Present zoning classification: !�II"NV, �(�{,� I Own W 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: (/1�1J I • � to A t f." i7 (b) Mailing address:— I., :1 (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken, require fimding, or approval by a state or federal agency? Yes ❑ No If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 LVVRP Section III - Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No of Applicable 0 Attach additional sheets if necessary 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 ❑ Yes ❑ No 1xWot Applicable 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 ❑ Yes ❑ No RNotApplicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section IH — Policies Pages 16 through 21 for evaluation criteria EJ Yes EJ No P�NotApplicahle Attach additional 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. F] ❑ X Yes No Not Applifike • 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 D� Not Applicable 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 ❑ NoJ,6Not Applicable 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. ❑ YesEl No Not Applicable 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. Yes ❑ No &Not Applicable 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 LMW Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No FO Not Applicable ` 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 ❑ No [RI Not Applicable 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. ❑ Yes ❑ No Not Applicable PREPARED BY .�c � ' TITLE G.�-� �— DATE '/� i 3 T • � PROPERTY: 2404 CAMP MINEOLA RD EXT MATTITUCK 3/10/14 To Whom It May Concern: The attached application is to build a detached garage at 2404 Camp Mineola road ext Mattituck. Please know that zoning approved this and the trustees also approved it in 2011. The only reason why we are reapplying is because the permit expired. With the construction of the 15'x24' garage please know that there will be no change in the grade, and there is no clearing needed in order to build this garage. Also know that all adjacent property owners were notified in 2011 for this and the proposed garage is exactly the same way as it was submitted in 2011 Thanks in advance for your time MAR 1 1 2014 � � SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1"=30' JULY 24, 2004 JUNE 3, 2005 ADDED TOPOGRAPHICAL SURVEY SEPTEMBER 21, 2005 ADDED SITE PLAN NOVEMBER 21. 2005 REVISED AS PER N.Y.D.E.C. NOTICE OF INCOMPLETION JANUARY 13, 2004 ADDED PROPOSED WATER UNE MARCH 2t 200.7 LATH FOR SITE INSPECTION MARCH 30 2004 REMOVED RET WALL ALONG DRIVEWAY A GARAGE APRIL 10 2004 REVISED PROPOSED DECK & POOL JUNE 7 2001 REVI�ED ORYWELLB PER NYSOEC NOTICE DATED 5/25/04 OCLTOBER 24, 2004 LOCATE WETLAND FLAGS to -4A Nit 10- B JANUARY 15, 2007 SET LATH FOR SITE INSPECTION MARCH 5, 2007 REVISED PROPOSED HOUSE r SET LATH FOR SITE INSPECTI JULY 12, 2007 REVISED AS PER SUFFOLK ENVIRONMENTAL CONSULTING INC. LETTER OCTOBER 20. 2007 REVISED PROPOSED DRYWELL LOeATKNrS APRIL 19, 2008 REVISE PROPOSED SEPTIC SYSTEM MAY 17 2010 STAKE HOUSE JULY 18, 2010 UNDER CONSTRUCTION SURVEY AUGUST 21. 2010 FINAL SURVEY NOVEMBER 15, 2010 ADDED PROPOSED ADDITIONS AREA = 40,817 sq. ft. 0.937 ac. 04/14/07 NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.O. 1929 DATUM SEPTIC SYSTEM TIE MEASUREMENTS MAR 1 1 2014 "Dull i,u KRAUS ROAD LOT COVERAGE DATA (OVER UPLAND ADJACENT AREA 40,045 sq. ft.) DESCRIPTION HOUSE HOUSE EXISTING HOUSE CORNER ❑A CORNER QB SEPTIC TANK 70' 37' COVER 1 1,799 sq. ft. 4.5X LEACHING POOL 83' 48' COVER 2 512 sq. ft. 1.3% LEACHING POOL 79, 42• COVER 3 LEACHING POOL 77, 38' COVER 4 LEACHING POOL SS' 46' COVER 5 LEACHING POOL 92' 56' COVER 6 LEACHING POOL 83' 50' COVER 7 MAR 1 1 2014 "Dull i,u KRAUS ROAD LOT COVERAGE DATA (OVER UPLAND ADJACENT AREA 40,045 sq. ft.) DESCRIPTION AREA X LOT COVERAGE EXISTING HOUSE 1,235 sq. ft, 3.1X EXISTING DECK 561 sq. ft. 1.4X TOTAL EXISTING 1,799 sq. ft. 4.5X PROPOSED GARAGE 360 sq. ft. 0.9X PROPOSED POOL 512 sq. ft. 1.3% TOTAL EXIST. Ac PROPO. 2,671 sq. ft. 6.7X NOTE: AREA OF WETLl1FDS = 762 sq. ft. UPLAND ADJACENT AREA = 40,055 sq. ft. APPROVED BY BOARD OF TRUSTEES To." OF SOUTHOLD ' DA 23 IL AL ti 1�G• IL 1ti G. AL �J g, AL JL AL 1di moo. ALfLQ 2A �ao JL AL Ile 4 bi V,N0 BOUNDARY AS PER I SOUTHOLD TOWN TRUSTEES 20 FLAG I1 100 344 SIL •Z, O 0 r AL � � sd � G 14.7' C4AL O !9 • �tI1L %o�'F 20.4' a 0., / LATH JL MILL `fj.<� / / / LATH '0 1b/ / p yf► �3` / >�IL s � ZSR / / pal %J0 FauNo / �a1, FLAG JA TY%lZ ,e C4 T ''LS 84'50'5019 w 4*0 �C JL 1 AL 4. \ ~ ,'TEST IC HOLE .,;;• = F -Li li�1 Eoil 1 7 • r r �1 Lel. � L81 .4Nf;: ;•• H- I 130.00' TEST HOLE DATA (TEST HOLE DUC BY UCDONALD CEOSCIENCE ON MAY 11, 2005 AT 12:00pm) C ' MIXW SANDS WATIM IN MDIM Sod 4' ►me N 11114wN we 1r LTOI N GW 0RI%q*C CLAY OL 13' ITER N 1ROLMN CLAM SATO x Ir LT[R N 1ROMN INE TO Mmum a" Sr !3' UNAUTHORCED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7201 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURYEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPT. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. 00YERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE !.ENDING INSTI- TUITI ON. CERTIFICATIONS ARE NOT TRANSFERABLE, THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOW14 ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE w.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. N.Y.S. Uc. No. 50467 Nathan Taft Corwin Land Surveyor Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Constructlon Layout PHONE (631)727-2090 Fax (631)727-1727 OMCES LOCATED AT AWUNG ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 Prov.de M15T&30 or elal metal straps over rielie to roof raters - tyt,. @ I C O.G. (not app' -cable d collar t-&5 are., present) Pro di! (N 104 COPIMC;1- t:lk each end of Collar t,e5 c r 0\"3e Aernatirk3 5-nir:�,on rV it H 10 or ec+ULl 1%rriCgrW t,t.,Jrs to tie roof rafter to db;. plan 4 Aud - ty17. "'ro,odle Simpson LFT4 or "val metal 4tral;5 to tie ,,rr board t;CILII. pt;ite . ryp. (C,) I G.O.C. Frovide 5irnp5on IrIG or e.,lial metal straps to tie .511 tnij6-. of both floors to races * bind jo,"t - typ. Frovelp N-rip!,o, M5 or e.!Uj, Metal 5tlaP5 to tie will -:t.jd to 1plite 49 barul jo-5t . tyr. @ I C., O.C. Froocie appropriate metal elate washer, rut 4 anchor belt to Ce 5,11 plate: to coc. !,>' S.-Javorl wall - tyr. @ G -O C) C. twhcre I 5tory, 3 •Cr' 0 C.!where 2 12' T -n, cri-riert, oF tvklwg 4 c ,`Cnnq , ! 2' m, dcp Provide 5,mr,-,m t PTA or metif tnrapzi to t,e-- rn beard to 5,11 plate - tyF. io-lcoc. - Strapping Plan NTS Fo 0== �uq �Io n �F Plan _0 Floor Flan u G 5Cale-: V4" Front 1-,Icvoton Right 5,cle Elevation Rear Elevation CP '?, rIA 6LI Ef-16volon 5 . 1.0 lop of `Cl.njiwri W rlLv. I of CCnCretc 51; Cirv. +-�-4' Tc* C, ecot,r 3'.(y. Building 5cc-tion 1K, [7' MAR 1 1 2014 LU z 51ab on Gradc P— Z 0 4" th;Ck coricret!- 5t2b On well compacted Z 10 7 b X zr) Fo 0== �uq �Io n �F Plan _0 Floor Flan u G 5Cale-: V4" Front 1-,Icvoton Right 5,cle Elevation Rear Elevation CP '?, rIA 6LI Ef-16volon 5 . 1.0 lop of `Cl.njiwri W rlLv. I of CCnCretc 51; Cirv. +-�-4' Tc* C, ecot,r 3'.(y. Building 5cc-tion 1K, [7' MAR 1 1 2014 LU z P— Z 0 Z LU Z 10 X 0 p— Le"ll (A C\ v -N 00 00 It 0 M <pe r -L p— I-j Ole V) 0) �0" Oz J >i: I . z CL u �UF- CL 0 DATE: i i/312oog I Provdc M.5TA30 or ecivil metal �trapm over ridge to roo! raters - typ. @ I C O.G. (not appd-cablt' 4 collar t;, -g are present) !rowrie (Ai 10d cor*1mra rails each cod of collar t,e5 - t)r. rfovde alternating Sampson ri? i ", 10 ov eo.wl b;rncane t,r.; ip5 to tie rc-1 raker to Jhl. Flare 4 stud - t)q'. "rov'de Simpson LFTA or "val metal �trjp,3 to tie, ,-rr board to dbl. pl;;tc . tyr. a I GI.O.C. Fro,Ade fimpwr. r1r, or e-.aijal metal 5val,5 to tie.- WAI tntic*' of both lloor5 to v�atC5 4 band jo,O: - ty)p. @ : G. O.C. -'Jua� rrclal Wafn to tie wall 5t7jj to (F1;tC C imrul 1C.5t . tyr. 4T— 10 O.C. r(o,mic irrrormate, metal F,12te washer, nit 4 anchor 17cit to ve s 11 PLite to conc. !rx,rijation -wall - VW. @ 0-0 O.C. iwhcre I 5tory). 3 -Lr' 0 C. (where 2 12' T,nr corners of l7oldung f OPearq4,1 2' m,-! dctp I'voode 5,mr,5m tr14 or r.o,,,al metal 5.rjp!i to be nn board to wil plate - tyf7. (& I co C. Strapping (7: O7Foundat,on,Plan c 4 Vl,),,r FIon yin' i Z P—P-W z0 � M 5b9b on Grade - 4' rKc k cemo et^ 5a, • on VCjj COMFACI O `flV r • CL Vt P— N UIA vN 00 >< 0 Ln < u L te, z __j LU U) U) 0) O7Foundat,on,Plan c 4 Vl,),,r FIon Front 1-,1,cvo1,on - '�,. ! —j— E C E MAR I 1 2014 vu'! Right Side Elevation D=,�6.3r Elevation 4 —lop 2i `orndaPnn Lyall Cirv. 4-0e-4' Vcv. .3 -(Y Left 56c 1�16vo�ton. BuiWincj Section 5 7 :`Cald! Y4' I '-U' , —, - .11 ?, 0 : Z' a. P" U, .2 f- - 1--, 13OW "0 N- yin' i Z P—P-W z0 � M z Front 1-,1,cvo1,on - '�,. ! —j— E C E MAR I 1 2014 vu'! Right Side Elevation D=,�6.3r Elevation 4 —lop 2i `orndaPnn Lyall Cirv. 4-0e-4' Vcv. .3 -(Y Left 56c 1�16vo�ton. BuiWincj Section 5 7 :`Cald! Y4' I '-U' , —, - .11 ?, 0 : Z' a. P" U, .2 f- - 1--, 13OW "0 N- Z P—P-W z0 � M z Q O `flV • CL Vt P— N UIA vN 00 >< 0 Ln < u LL te, z LU U) U) 0) 0 O Z Z CL CL Z u jUD 0 1 DATE: i i/3/2oog t P-1 U.