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Home My WebLink AboutTR-8568 Michael J. Domino,President ��®F S®UTg' Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l® 54375 Route 25 P.O.Box 11 Charles J.Sanders �, Southold, New York 11971 Glenn Goldsmith G ® p� Telephone(631) 765-1892 Nicholas rr_. , • �� Fax(631) 765-6641 A. i�.a v aS iu apSni BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1369C Date:July 25, 2017 THIS CERTIFIES that the installation of a 20'x40' swimming pool; pool drywell; pool equipment area; pool enclosure fencing; area surrounding the proposed swimming pool is to be re-graded utilizing resultant+/-185 cubic yards of fill from pool excavation; and for the existing 4' high metal fencing;with a dewatering plan for the in-ground swimming pool with the out-flowing occurring beyond 100' from the wetland boundary; construct a 43.8'x22' on-grade bluestone patio against the westerly side of the proposed pool with a French drain installed along the westerly side of the patio; and to re-sod the entire property behind the house to the fence line; At 2670 Deep Hole Drive,Mattituck Suffolk County Tax Map 1/1000-123-4-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 12, 2015, pursuant to which Trustees Wetland Permit#8568 Dated February 18, 2015,was issued and Amended on March 23, 2016 and Amended again on April 22,2009 and Amended again on November 18,2009 and Amended again on March 22,2017 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 installation of a 20'x40' swimming pool; pool drywell; pool equipment area; pool enclosure fencing; area surrounding the proposed swimming pool is to be re-graded utilizing resultant+/-185 cubic yards of fill from pool excavation;and for the existing 4' high metal fencing; with a dewatering plan for the in-ground swimming pool with the out-flowing occurring beyond 100' from the wetland boundary; construct a 43.8'x22' on-grade bluestone patio against the westerly side of the proposed pool with a French drain installed along the westerly side of the patio; and to re-sod the entire property behind the house to the fence line. The certificate is issued to KARMEN DADOURIAN owner of the aforesaid property. e Authorized Signature V0 S0 y Michael J.Domino,President Town Hall Annex�®� ��® John M. Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith a� Telephone (631) 765-1892 A.Nicholas Krupski yCowN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 71211) -7 Ch. 275- Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: C. Cac,wem►Y` COMMENTS: ;n accord ance w 1 Vlo nS ��n�� o�r-cti n CERTIFICATE OF COMPLIANCE: �QF S�UTy Michael J.Domino,President Town Hall Annex O`� Ol0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith �l ® �Q Telephone(631) 765-1892 A. Nicholas Krupski yCOUI ,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 15, 2017 Mrs. Karmen Dadourian 5 Ridge Circle Manhasset, NY 11050 RE: KARMEN DADOURIAN 2670 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-10 Dear Mrs. Dadourian: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 15, 2017: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension _ to Wetland Permit#8568, as issued on February 18, 2015, and Amended on March 23, 2016. This is not an approval from any other-agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 0 Michael J. Domino President, Board of Trustees MJD:dd Z-9 CL i � ` I b lk ...........�7i::: FEB 13 2011 S.C.T.M. NO DISTRICT- 1000 SECTION. 123 BLOCK- 4 LOT(S). 10 APPROVED BY, DEEPl4s,5' 2. M.4%L A,DRIVE rEs - BOARD OF i r�USTEES w, , R KVWtvMED S s-z b., E 75.00' TOWN 'OF SOUTHOLD DATE !kAAW 2212011 771 . H 1 AAL IP \ ' 2,1' L U � goaP 9'6ssw -, Bfnc!P,0 9ry0 D' n 17 9' c 321 c z a m mss. le fn 20 �=y x EA 0 _ a t O 0 � K c F O O M oo O w O ` ID ' EXISTING UPLAND LOT COVERAGE 103' Is3' 09 te] UPLAND AREA. 34,033 5 F. or 0 76 ACRES IO WOOD DE K p `: o<• ti4)J�� DWELLING W/FRONT PORCH' 2,529 2 S F z G� COVERED PATIO 2985 SF GARAGE: 492.8 S.F. '1 9 FRAME SHED. 100.0 SF 0 F a N PERGOLA W/PATIO: 140,5 S F a� z REAR WOOD DECK W/STEPS. 636 5 S F. 0 TOTAL EXISTING UPLAND LOT COVERAGE. 4.1975 SF or 1237 QQii 0 8 n 0 PROPOSED SWIMMING POOL. 820 S.F. �r��s�l �j�gSi�►�e A N •� TOTAL PROPOSED UPLAND LOT COVERAGE 5,017,5 S F. or 14 77. VIt Yq lic •r0 ,B. B 205 28.4' � z )CEJ ft1 z W ` -C FR pay, EXISTING SHE A BRICK PATIO PROPOSEDr, W/PERCOtA POOL EDP n w 1 7' .pII�� {� �t PROPOSED / 7 �� "� � �e��1\ POOL ORY �-fF WELL p WOOD STEPS N 0 0 PROPOSED CRAOJN SOURCE OF FILL WILL BE FROM POOL EXCAVATION. (185 C.Y.3) X X 4'METAL FE 6 8 Al PROJECT LIMITING [p=' +!p'i g\1],:l��j/ TIOAI.WETUIND BOUNDARY LINE OF HAYBALES D L=am C E '0 "' AS FLAGGED BY SUFFOLK ENNRONMENTAL CONSULTING JUNE 2.1014 _-' 6 I ELEV.8.2 '9p2 7 FEB 1 3 2017 OR. BROWN P \ LOAM 0,,. \ LO Y CL YEY 3 5 e�1� ` �g � o Southold Town BROWN O N 19 s5 a Tr MED TO FF,p qtE. SS, J CHOSE 51 "yo, 00. iyl�yj, 2' 1 WATER IN 0,E.�fi WATER EL 3.1 BROWo p0� `�50, REVISED 11-16-15 COARSE \? REVISED 02-23-15 SAND �y0?OG4- o ADD PROPOSED POOL 12-10=14 UPDATED 06-02-14 11' FINAL SURVEY 2-1-02 FOUNDATIN LOCATION 6-27-01 8-2-00 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVAT)ONS UPLAND AREA. 34,033 S.F. or 0.78 ACRES AND OR DATA OBTAINED FROM OTHERS FIRM ZONE AE (EL 8) ELEVATION DATUM. -- raze ____________ AREA: 37,078.1 S.F. OR 0.85 ACRES ---- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY suRVEY OF: DESCRIBED PROPERTY CERTIFIED TO: KARMEN DADOURIAN; MAP OF• f ILED: TUATED AT,MATTITUCK wN OF.SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design `FFOLK COUNTY, NEW YORK P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-158 `#20-86 SCALE. 1„=50' DATE: JUNE 9, 2000 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. ttoychuk �o��pF SOUr�OIo Michael J.Domino,President Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders y Southold,New York 11971 Glenn Goldsmith �Q Telephone(631) 765-1892 A. Nicholas Krupski l�COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES March 22, 2017 TOWN OF SOUTHOLD Mr. Gregory Dadourian 2670 Deep Hole Drive Mattituck, NY 11952 RE: 2670 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-10 Dear Mr. Dadourian: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 22, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8568 to construct a 43.8'x22' on-grade bluestone patio against the westerly side of the proposed pool with a French drain installed along the westerly side of the patio; and to re-sod the entire property behind the house to the fence line; and as depicted on the project plan prepared by Gregory Dadourian, received February 13, 2017, and stamped approved on March 22, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino, President, Board of Trustees MJD/dd i John M.Bredemeyer III, President �*0f Sjy® Town Hall Annex Michael J.Domino,Vice-President �� l0 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J. Sanders,Trustee �Ol�10bi l Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department Re: Verification of Building Department Permit Requirements SCTM#: / a- f —/0 Property Owner Name: JO_rrv�2n ::I: rJO 0 Date Sent to Bldg. Dept.: 310-117 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 t e Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: LU- anelv C0 e_ Signature of Reviewer Date I February 13,2017 To Southold Board of Trustees: I would like to submit an Administrative Amendment to the Trustees permit at 2670 Deep Hole Drive. We have an open permit to build a swimming pool,which has been built and approved by the Town of Southold Building Department via final inspection. The amendment concerns the construction of an adjacent bluestone patio. I have attached a survey of the property with the patio drawn in. We respectfully request the approval of the Southold Trustees to build the aforementioned patio so that we can re-sod the back yard in time for the spring season. Thank you for your consideration in this matter. Rega f Gregory adourian 5/4.A-- 13 2670 Deep Hole Drive Mattituck,New York 11952 �pTd �j l FL�� I V E F,� I; r F, ! r; FEB 1 3 2011 LJ Southold Town B ar guEFQ1�- Michael J.Domino,Prc, t p COG - Town Hall Annex John M.Bredemeyer III,Vice-President � 54375 Route 25 Charles J. Sanders yP.O.Box 1179 Me Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD z;c6 Date/Time: A 2WOS Completed in field by: Co IJ s mJ GREGORY DADOURIAN requests an Administrative Amendment to Wetland Permit #8568 to construct a 43.8'x22' on-grade bluestone patio against the westerly side of the proposed pool with a French drain installed along the westerly side of the patio; and to re-sod the entire property behind the house to the fence line. Located: 2670 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet '3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission /Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 77 1 02 !�S�& po. O �o v✓851 1 o� PcQaec}v a��acs ca;��I . Present were: J J. Bredemeyer ✓ M. Domino -� G. Goldsmith ✓ N. Krupski, C. Sanders Other Page 1 of 2 Michael J. Domino,Pr6 it O�QS�fFO( Town Hall Annex �COG John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski �,�0 �p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: GREGORY DADOURIAN requests an Administrative Amendment to Wetland Permit#8568 to construct a 43.8'x22' on-grade bluestone patio against the westerly side of the proposed pool with a French drain installed along the westerly side of the patio; and to re-sod the entire property behind the house to the fence line. Located: 2670 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-10 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. <25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 Aaft R AL� r Mme'. �� ,: .. •. , i - e T _ _ _. ;. - fir. w. aRa s. ^ �§4.+4-.,Y.-., ��• .yL� � _ � r T, . v �� •.�. �� 'tire § � �. +firms 4 Y �;, � ��' i , • s •< �F - y 'tet. J _v.j. �� Ury® John M.Bredemeyer III,President QF S® Town Hall Annex Michael J.Domino,Vice-President �® l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �®� Telephone (631) 765-1892 Charles J.Sanders lj��,®U01 � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2016 'Bruce A. Anderson Suffolk Environmental Consulting, Inc. 2322 Main Street P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: KARMEN DADOURIAN 2670 DEEP HOLE DRIVE, MATTITUCK SCTM#:' 1000-123-4-10 ft, Dear Mr, Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday,_March 23, 2016: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8568 for a proposed dewatering plan for the proposed in-ground swimming pool with the out-flowing occurring beyond 100 from the wetland boundary; and to decrease the size of the pool to be 20'x40; and as depicted on the site plan prepared by Jeffrey T. Butler, P.E., P.C., dated February 19, 2016, and stamped approved on March 23, 2016. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If'you have any questions, please do not hesitate to contact this office. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:dd 4" HEADER PIPE, TYP. WELL POINT, TYP. SIL 36'H16H POLE MAX) PARALLEL r0 5'0'- O.G., Ty-P. °, p ;v v o v• v a v• D o v• D STEEL OR WOOD P05T SLOPE CONTOURS TO v v v MAXIMIZE PONDING D D D � FLOW FLOW EFFICIENCY.INSPECT AD /� — REPAIR SILT FECE AFTER v ' Al v V EACH STORM EVENT AND D ► D ° D ° D D ► REMOVE 5EDIMENT WHEN 010 NECESSARY. REMOVED 4 v P 4 V. p ° .,;. SEDIMENT SHALL BE /�\ //� \/� DEP051TED TO AN AREA MOUNTED • ° D ° D ° D ° _ %\�/\��i 3/4'MIN. Z /\\�\ D b CV \/\\�� j r \\ THAT WILL NOT ALLOW 4 v 4 v 4 v ° //\// DRAIN ROCK i\\ \\% \\\/�� 'P�T PUMP C' o C o D o D e ° D o'D n°D o°D ► ��\ \%\/ 04 4-X 6'TRENCH T- W COMPACTED BACKFILL • gy p D ► D o V � ° ► INSTALLATION WITHOUT TRENGHIN6 TRENCH DETAIL I � REQ'D�WITHOUT WIRE TH FILTER FAMIr, STEM OR MESH SUPPORT P05T nYP�D PROP05ED INGROUNO POOL: 8DIAMETER X 3HIGH LEAGHIN6 RING IO'MAX.O.G.5PACIN6 REFER TO PILE AND GRADE BEAM PLANS ' ' FOR POOL STRUCTURE (TO BE REMOVED AFTER DEWATERING W/WIRE SUPPORT FENCE t5 REFER TO SITE PLAN BY OTHERS FOR COMPLETED) in ACTUAL POOL LOCATION AND ELEVATION. YLOW 10' X 10' X 3" DEEP GRAVEL SPLASH PAD - (TO BE REMOVED AFTER DEWATERING •'� \ �� ATTACH FILTER FABRIC SEGURaY COMPLETED, RESTORE VEGETATION) i��/��/�my \ ��//\r.//�/� TO tJPSTRFI+M SIDE OF Posy I .71LT EENGE DETAIL NOT TO 50ALE DEWATERING PLAN: DRAW DOWN = TO" 55 WELLPOINTS INITIAL DRAW DOWN RATE = 1000 GPM OVER 12 HOURS MAINTAINING DRAW DOWN = '750 GPM ESTIMATED DURATION OF DEWATERING = 14 DAYS WATER TO BE PUMPED INTO TEMPORARY 8' DIAMETER X 3' DEEP LEAGHIN6 POOL SET ON TOP OF GRAVEL SPLASH PAD. - - - ® - ID - �— - - © - o- - PROVIDE AND MAINTAIN ER05ION CONTROL USING SILT FENCE m � m DOWN GRADE FROM TEMPORARY LEAGHIN6 POOL. o W N DEHATERINO DETAIL o NOT TO SCALE �- XzW � moo A4 (3Wd) H IL m 5' DIAMETER X 3' HIGH LEAGHIN6 RING (TO BE REMOVED AFTER EN(9INEER: DEWATERING COMPLETED) 10' X 10' X 3" DEEP GRAVEL NEW SPLASH PAD (TO BE REMOVED AFTER d) DEWATERING COMPLETED, LAND N/F OF BARR EXISTING RESTORE VEGETATION) Q' PIPE � _fit w BRICK T- 467.00' #5 FD ` PATIO w/ PER60LA S 00°5000" E ( S 739 Q.i 2 RAIL FENCE O.6'E 4' WIRE FENCE 1 p OFESS\O JEFFRE LER, P.E. XISTI 6 STONE LL EXISTING N O E PATIO #4 BELE, SLK _ EXISTIN6 / N �p UNDER WOOD Q v ,y� / a'� C) 0 EXISTING CRUSHED N �® _ O STE LINE OF SILTCD 4� STONE Di�I VERY - 110IN TO BE PUT O O zy IN PLACE DURING W J Q O :• p :::;:;::0 1n DEWATERING ,� / v O F }- �. z 4.3 0 SKID Ll O V 7 ': :16.0' �:�:�:�:�:::�:�:::::.;. ►`may O:•::;:d' :.:. .•.•...:.:.:.:.:.:.:.:.:.:.00 €PROPOSED:::;:::::::::::;::: MOUNTED 3 D Q $q Q- :'10.2,:::;.•.•.•.•.,.,.;.•.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.o v in ? POOL Q O LL O Qj IU F- PUMP O .� Q w / # — t 3 O t }- 2 F O 2 8 O s. I W A O O :.:.22.3 :•:•:�: I- � •� CQ 3 >Y O N 1 � v •d- Z } O _ p L P 4.0:0 0 v O z _ O O 0 ^ ( z �S fJ ' <C �.lJ �I r.FRAME:,? P L I 'FRAME• d N: ori W O O rT, �J ✓ W O ARA E " O M: � IL-1 1� m :6 6 3 CJ N• �r P 1 0 O I—I o N N; :&F=11.3.: Lu w _ �, L o N �� :�.F�.:� :I'�:2� Z CELLAR: :8'. i<� P z l!1 4 O�- �, / w �O v c -� 1 Q < EXISTIN 'Y ( Lp w 0 AP RQVEb L i (Y O O G WATER SERVICE 22.3 �fn o: o ; �O / r- s Q ' \ - Z W.M. BE 5 _ .a w 10.0 "o: o r i'; / ( O N. 32.9 �: S.T. o/o, < # 2� �� '� BOARD OF 1 RUSTEES z p � v z ( IJ ( EXISTING m 2 Q ��OrY. �� '� : TO.� OF SOUtt �} W ~ - �[ r � EXISTIN6 CRUSHED STONE DRIVEWAY \ ►� \y/ _ 1" 12.2 PROPOSED , t4 �1 W Q O J W - DRY WELLS ' ( ��POOL DRY �� y ,� 2�S 0 Z O - A - E 4 \-- WELL ,. Qo o v rylt -j2c-�f 1� Q Q O u- O If. 2 RAIL FENCE 0.5'w N 01 45 '00" E 412.00' ' EXISTIN6 PROPOSED PROPOSED 1', G N V LL N N z SHED POOL GRADING SOURCE #I `/�C"�'� O O EQUIPMENT OF FILL WILL BE a r O X FROM POOL \ ' O Z Z W W EXCAVATION. z LAND I- N/F OF 6EOFROY L. PENNY (185 G.Y. f) �,� Q a O Q`` 71 A(5E : SITE PLAN IJI, FEB 2 9 2016 20 10 O 20 40 60 50 100 6RAPHIG 5GALE 1" = 20'-0" O I THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS,AS IN5TRUHENT5 OF SERVICE,ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL 51TE FOR HHIGH THEY WERE PREPARED.REUSE,REPRODUCTION OR PUBLICATION BY ANY METHOD, IN WHOLE OR IN PART,15 PROHIBITED EXCEPT BY WITTEN PERM155ION FROM THE ARCHITECT. TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT. V19UAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS. Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President F21 HAND DELIVERED ' _ - �� 1) U", FEB 2 9 2016 February 29, 2016 El,-'TTWi Mr.John Bredemeyer,President Southold Town Trustees P. O.Box 1179 Southold, NY 11971 Re: DADORLIN Property Situate: 2670 Deep Hole Drive,Mattituck,NY SCTM#: 1000-123-4-10 Dear Mr.Bredemeyer, This Firm represents Karmen Dadorian who applied for and received a wetland permit from your board (Permit number 8568 dated February 18, 2015). During the hearing on this which took place on February 18, 2015, Dave Bergen, now former Trustee, asked whether or not dewatering would be needed. I responded that there would no dewatering based upon the test hole information presented. Subsequently, it was discovered by the contractor that dewatering was in fact required. Attached herewith please find proposed Dewatering Plan for the Daddorian Residence prepared by Jeffrey T.Butler, P. E. dated February 19, 2016. Please be advised that the size of the pool was reduced from the previously authorized 20' x 50' to 20' x 40' with the dewatering out-flow occurring beyond 100-feet from the wetland boundary. By way of this correspondence, I hereby request an administrative wetland permit amendment authorizing the smaller pool and dewatering as depicted on the enclosed plans prepared by Jeffrey T. Butler, PE, dated February 19, 2016 Please feel free to contact this office should you have any questions or concerns regarding this project. Yours truly, Bruce A. Anderson Town Hall Annex John M. Bredemeyer III, President r DgUfFO�,��, Michael J. Domino, Vice-President --- �� F__ 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o ^ Southold, NY 11971 Charles J. Sanders y,, �o�� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES 1 TOWN OF SOUTHOLD Date/Time: J J� Completed in field b : � N Y e ti Suffolk Environmental on behalf of KARMEN DADOURIAN requests an Administrative Amendment to Wetland Permit#8568 for a proposed dewatering plan for the proposed in-ground swimming pool with the out-flowing occurring beyond 100 from the wetland boundary; and to decrease the size of the pool to be 20'x40'. Located: 2670 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J redemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, President �S�FFD1 Town Hall Annex Michael J. Domino, Vice-President �� Gy54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 4, _ dao Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Suffolk Environmental on behalf of KARMEN DADOURIAN requests an Administrative Amendment to Wetland Permit#8568 for a proposed dewatering plan for the proposed in-ground swimming pool with the out-flowing occurring beyond 100 from the wetland boundary; and to decrease the size of the pool to be 20'x40'. Located: 2670 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-10 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: 0;x,1. Date: 3- b , Completed By: � Present: J. Bredemeyer / M. Domino 1 G. Goldsmith N. Krupski / C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 John M. Bredemeyer [1t, President gVFfQ( -co Town Hall,53095 Main Rd.' Michael J. Domino, Vice-President �� Gym P.O. Box 1 179 James F. King N Southold,NY 11971 Charles J. Sanders y '� �� Telephone(63 l)765-1892 Dave Bergen Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD i 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 lire 1St day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8568. DATE: FEBRUARY 18,2015 ISSUED TO: KARMEN DADOURIAN PROPERTY ADDRESS: 2670 DEEP HOLE DRIVE,MATTITUCK SCTM# 1234-10 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 February 18,2015 and in consideration of application fee in the sum of$250.00 paid by Karmen Vartanian&Gregory D.Dadourian 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 install a 20'x50' swimming pool; pool drywell; pool equipment area; pool enclosure fencing; area surrounding the proposed swimming pool is to be re-graded utilizing resultant+/-185 cubic yards of fill from pool excavation; and for the existing 4' high metal fencing; and as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated December 10,2014,and stamped approved on February 18,2015. 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 B as of this date. �o�gtlFFO�,�.coell, + 0 Q �•�►� a4�� Charles J. Sande/-Absent w ire ! i TERMS AND CONDITIONS The Permittee, Karmen Dadourian residing at 2670 Deep Hole Drive 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. 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. • 0 SO(/ • John M. Bredemeyer III, President O�� lyQl Town Hall Annex Michael J. Domino,Vice-President ~ 54375 Main Road l l P.O. Box 1179 James F. King,TrusteeCA- bar Southold, New York 11971-0959 Dave Bergen,Trustee pQ Charles J. Sanders,TrusteeTelephone(631) 765-1892 �ycoul T`I,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 18, 2015 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932 RE: KARMEN DADOURIAN 2670 DEEP HOLE DRIVE, MATTITUCK SCTM# 123-4-10 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 18, 2015 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of KARMEN DADOURIAN 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 January 12, 2015, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 5 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the dewatering is handled in an appropriate manner through the location of the public water servicing and the proposed drywell to handle pool runoff; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 18, 2015, at which time all interested persons were given an opportunity to be heard, and, 2 ! • 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of KARMEN DADOURIAN to install a 20'x50' swimming pool; pool drywell; pool equipment area; pool enclosure fencing; area surrounding the proposed swimming pool is to be re- graded utilizing resultant +/-185 cubic yards of fill from pool excavation; and for the existing 4' high metal fencing; and as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated December 10, 2014, and stamped approved on February 18, 2015. 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: $100.00 Very truly yours, +� 6 John M. Bredemeyer III President, Board of Trustees JMB/amn John M. Bredemeyer 111, President �OgUfFQ(�C Town Hall Annex Michael J. Domino, Vice-President 4 �Gy 54375 Route 25, P.O.Box 1 179 James F. King y Southold,NY 11971 Charles J. Sanders Gy • �� Telephone(631)765-1892 O Dave Bergen Ol �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: cnameo4a( &iulhu Wy- KamenSULU Dada-r[aci Please be advised that your application dated 11 dis has been reviewed by this Board at the regular meeting of -s 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) 1s1Day of Construction'($50.00) 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: $ BY: John M. Bredemeyer III, President Board of Trustees rmen Dadourian 670 Deep Hole Drive,Mattituck M#123-4-10 11/15 1 i,lid 111:1-:10:41 i HiQ u lo U, John Bredemeyer, President �SUFFot,rTown Hall Annex Michael J. Domino, Vice-President °° °ay 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen �'�� ,p �a°� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: &19 91 /,I- Suffolk :Suffolk Environmental Consulting on behalf of KARMEN DADOURIAN requests a Wetland Permit to install a 20'x50' swimming pool; pool drywell; pool equipment area; and pool enclosure fencing; area surrounding the proposed swimming pool is to be re- graded utilizing resultant +/-185 cubic yards of fill from pool excavation. Located: 2670 Deep Hole Drive, Mattituck. SCTM# 123-4-10 Type of area to be impacted: GR�'� Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland q&?+ 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: _L/J. Bredemeyer �M. Domino /. King C. Sanders /'O'D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Mow DADOURIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck ■ New York SCTM #: 1000—123—04—010 v (Photograph taken on December 20, 2014) - Ir 15 w Photograph indicating the current conditions within the southern section of the property, including the staked wetlands boundary (circle). Photograph taken from the existing dock, facing north towards the existing dwelling (left side). DADOURIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck■ New York SCTM #: 1000—123—04—010 (Photograph taken on December 20, 2014) Photograph indicating the current conditions within the southern section of the property, including the flagged wetlands boundary (circle). Photograph taken from the southwestern corner of the property, facing northeast towards the existing dwelling. DADOURIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck■ New York SCTM #: 1000—123—04—010 (Photograph taken on December 20, 2014) Photograph indicating the flagged wetlands boundary (circle), and the current conditions within the wetlands and the shoreline of subject property. Photograph taken from the southern half of the property, facing south towards the creek and existing dock. DADOURIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck■ New York SCTM #: 1000—123—04—010 (Photograph taken on December 20, 2014) j I ►, � a \M �. AMi ri TX�o mss n-a "s Photograph indicating the flagged wetlands boundary (circle) within the southern section of the property. Photograph taken from the southern section of the property facing west. IRV- DAD O URIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck■ New York SCTM #: 1000—123—04—010 (Photograph taken on December 20, 2014) J r 44* y �x ' f IM " •p +. °Y' -� .tom' °i ,y " m, •< Aprt Ax ALF OF � a Photograph indicating the staked out corners of the proposed Swimming Pool. Photograph taken from the southern section of the property, facing north towards the existing dwelling. DADOURIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck■ New York SCTM #: 1000—123 —04—010 (Photograph taken on December 20, 2014) Agm _. Photograph indicating the staked out corners of the proposed Swimming Pool. Photograph taken from the central section of the property, facing southwest. DADOURIAN Property Situate: 2670 Deep Hole Drive ■ Mattituck ■ New York SCTM #: 1000—123 —04—010 (Photograph taken on December 20, 2014) PO 4 Photograph indicating the staked out corners of the proposed Swimming Pool. Photograph taken from the central section of the property, facing southwest. DADOURIAN Propext, _- Situate: 2670 Deep Hole Road ■ Mattituck ■ New �brk SCTM #: 1000—123—04 - 010 r, r T� ar P�1attiAack i ff SITE Em SITE � � E 1 \ E a... '� I w.�rwF. (21) Ir. V n I •o.a.� •--I r. mixmaefxrr riu F[m+c[..a[xer . r a Prcoem' .. ce� r�'.. u r.a[n 122 w� Re Tax Servl envy, O - __ ono..•. .. .... "cu' 0°untY OFntF t'" M u•ox sKe a• � . rwtworrt _ _ urF lvecry dr[o Nr E x° d A }Y]„.."r fm ° P ,tt ou 1000 PROPERTY MAP tf-6:i:- • a err. SFF SF o F i eea..cw W"0O - See se<n0 tts c x . .gg t a,1-0a • i xw•aJNE a WTOtt - _ _ iivc xIDF4 0111 0] FOR KL NO 0•?60] SEE SEC.NO U)TIM Iowa. I at •n a nt d. ! 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) va Southold, NY 11971 Q Telephone: 631 765-1938 i oly"roU ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees FEB 1 0 2015 From: Mark Terry, Principal Planner LWRP Coordinator Date: February 9, 2015 Re: Proposed Wetland Permit for KARMEN DADOURIAN SCTM# 1000-123-4-10. Suffolk Environmental Consulting on behalf of KARMEN DADOURIAN requests a Wetland Permit to install a 20'x50' swimming pool; pool drywell; pool equipment area; and pool enclosure fencing; area surrounding the proposed swimming pool is to be re-graded utilizing resultant +/-185 cubic yards of fill from pool excavation. Located: 2670 Deep Hole Drive, Mattituck. SCTM# 123-4-10. 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 INCONSISTENT with the below listed LWRP policies and therefore INCONSISTENT with the LWRP. Policy 5 Protect and improve water quality and supply in the Town of Southold. 1. Depth to groundwater is shown as 5.1 feet below grade (8.2). The test well (dated 8-2-00) is shown more landward of the proposed pool location and therefore the actual depth to groundwater where the pool is proposed in unknown. Specifications of the pool dry well have not been provided. Is there sufficient separation distance from the bottom of the drywell to groundwater? Specifications of the pool (depth) of the pool have also not been provided. Would the bottom of the pool sit in groundwater even with the change in elevation to 9'? 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 gUFFQC • Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Ol �� Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 11, 2015 the following recommendation was made: Moved by Keith McCamy, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of KARMEN DADOURIAN to install a swimming pool 20'X 50', pool equipment, pool drywell and pool fencing. Area surrounding the pool to be regraded utilizing resultant fill from pool excavation. Located: 2670 Deep Hole Rd., Mattituck. SCTM#123-4-10 Inspected by: Keith McCamy Vote of Council: Ayes: All Motion Carried FFD 1 3 'J i r James F. King, President �QF soar Town Hall Annex Bob Ghosio,Jr.,Vice-President OVA y�l 54375 Main Road O P.O. Box 1179 Dave Bergen . Southold,New York 11971-0959 John Bredemeyer cis Michael J.Domino i �O Telephone(631) 765-1892 O Fax(631) 765-6641 ��COUNT`1,� BOARD OF TOWN TRUSTEES D E TOWN OF SOUTHOLD W1 , 1) To: Southold Town Building Department Re: Verification of Building Department Permit Requirement BLDG. DEPT.. OLD - TO,I SCTM#: Property Owner Name: e, �dur�fc�n Date Sent to Bldg. Dept.: 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 e Zoning Board of Appear_ 4� ��e Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of sewer Date John M.BredemWer III,President Town Hall Annex Michael J.Domino,Vice-President 54876 Main Road P.O.Bar 1179 Jam"F.King Trustee �= � Southold,New York 11971-0959 Dasa Bergeny Trustee Telephone(831}765-1892Charles J.Senders,Trustee Fax(+631)786-8841 BOARD OF TOWN TRUSTEES I TOWN OF SOUTHOLD JAN 12 2015 Office Use Only Coastal Erosion Permit Application ---XWetland Permit Application Administrative Permit � Amendment/Transfr/Ex rasion Received Application: — +�/ Received Fee:$ Completed Application: Incomplete: SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) �LWRP Consistency Asse sment orm: (� s —it�fCAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination Technical Review: Public Hearing Held: Resolution: Name of Applicant KARMEN DADOURIAN Address 5 Ridge Circle • Manhasset •New York • 11030 Phone Number: (917) 873 - 3195 Suffolk County Tax Map Number: 1000- 123-04-010 Property Location:2670 Deep Hole Road •Mattituck•Town of Southold-New York (provide LILCO Pole#, distance to cross streets, and location) AGENT: MATT D. IVANS 0 Suffolk Environmental Consulting Inc (If applicable) Address:_ P.O. Box 2003• Bridgehampton NY 11932 Phone: (631) 537—5160 l 5� 1l • Board of Trustees Application GENERAL DATA Land Area(in square feet): 37. 078.1 square feet± Area Zoning: R-40 Previous use of property: Residential Use Intended use of property: Same Covenants and Restrictions: Yes X 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 a 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 Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Applicant proposes to install a Swimming Pool (20.0' x 50.0'), Pool Equipment, Pool Drywell and Pool Fencing. Area surrounding the proposed Swimming Pool is to be re-graded utilizing resultant fill from pool excavation (185 cubicay rds f1 • Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: Applicant proposes to install a Swimming Pool (20.0' x 50.0'), Pool Equipment, Pool Drywell and Pool Fencing. Area surrounding the proposed Swimming Pool is to be re-graded utilizing resultant fill from pool excavation (185 cubic yards f). Area of wetlands on lot: 3, 000 square feet Percent coverage of lot: 8 f % Closest distance between nearest existing structures and upland edge of wetlands: 0.0' feet(existing dock) Closest distance between nearest proposed structures and upland edge of wetlands: 92.0' feet(prop. Swimming P000 Does the project involve excavation or filling? No X Yes If Yes,how much material will be excavated? 185 f (cubic yards) How much material will be filled? 0 (cubic yards) Depth of which material will be removed or deposited: 10± feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Pool excavation by typical front-end loader. Resultant fill to be graded/groomed around the perimeter of the Swimming Pool area by tractor and by hand 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): Minimal to no effect will result to the wetlands &tidal waters in that the project is located a minimum of 92.0' from the tidal wetlands boundary and because all on-site wetlands and surface waters will be protected via project limiting line of haybales 61720 Appendix B Short Environmental Assessment Form Instructions for Completins 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 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: DADOURIAN Project Project Location(describe,and attach a location map): 2670 Deep Hole Road;Mattituck,New York Brief Description of Proposed Action: Applicant proposes to install a Swimming Pool(20.0'x 50.0'),Pool Equipment,Pool Drywall and Pool Fencing. Area surrounding the proposed Swimming Pool is to be re-graded utilizing resultant fill from pool excavation(185 cubic yards±). Name of Applicant or Sponsor: Telephone: (631)537-5160 Matt D.Ivans-Suffolk Environmental Consulting,Inc. E-Mail: mdivans@optonline.net Address: P.O.Box 2003 City/PO: State: Zip Code: Bridgehampton NY 11932 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 ❑✓ ❑ 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: El W1New York State Department of Environmental Conservation Tidal Wetlands Permit 3.a.Total acreage of the site of the proposed action? 0.85 acres b.Total acreage to be physically disturbed? <0.2 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.85 acres 4. Check all land uses that occur on,adjoining and near the proposed action. [—]Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial m Residential(suburban) ❑Forest ❑Agriculture ®Aquatic El Other(specify): ❑Parkland Page 1 of 4 r , 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: W1 F-1 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ✓❑ ❑ 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? ❑ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 1:1N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Z F-1N/A 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? Z ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES 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? Z If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 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 ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? P71 ❑ 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? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? m NO YES ✓❑ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: NO [ YES A pool do well is imposed to be included within this pr ject. Page 2 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ✓❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ✓❑ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑ ❑ 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? ❑ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A ❑ Z 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: a ❑ N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 7 ❑ N/A 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? a ❑ b.Is the proposed action located in an archeological sensitive area? ✓ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? El a b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Z ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: yew, 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 0Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑✓ ❑ 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? NO YES If Yes, � ❑ a.Will storm water discharges flow to adjacent properties? m NO YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? z ' If Yes,briefly describe: (❑NO [ YES pool dvAuell is proposed to within this pr fact. Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: Fv—(] ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: F 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: Fv/1 F] I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: M tt an -S ffolk Environmental Consulting,Inc. Date: December 18,2014 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?" 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 �j Elregulations? u 2. Will the proposed action result in a change in the use or intensity of use of land? D El 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 ET 1:1 1:1establishment of a Critical Environmental Area(CEA)? E 5. Will the proposed action result in an adverse change in the existing level of traffic or 1:1affect existing infrastructure for mass transit,biking or walkway? EI 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate 1:1reasonably available energy conservation or renewable energy opportunities? L1J 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? El 8. Will the proposed action impair the character or quality of important historic,archaeological, El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 MF 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 1:1 1:1problems? 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 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. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 No,or Moderate ,, � _ -- small to large z impact impact v4v �. may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage Elproblems? ffz 11. Will the proposed action create a hazard to environmental resources or human health? EI F-I 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 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 result in any significant adverse environmental impacts. i Lid rl �s4-e--91 1 - 30-1 � Name of Le,04gencl Date Print or Typ a of kesple Offic r in Lead Agency Tit e of Responsible Officer Signatu ResponsdikWicer in LeadAgency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Suffolk Environmental Consulting, Inc. * Newman Village,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President Hand Delivered f t f February 4, 2015 FEB - 52015 Mr.John M. Bredemeyer, III, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: DADORIAN Property PROPOSED POOL Situate: 2670 Deep Hollow Road■ Mattituck• New York SCTM #: 1000 - 123 -4-010 Dear Mr. Bredemeyer, Enclosed herewith please find the Affidavit of Mailing with certified mailing receipts attached along with the NOTICE OF ADJACENT PROPERTY OWNER in satisfaction of the written notice requirements in connection with the upcoming public hearing for the project referenced above. Yours truly, '00e� ). Bruce A Anderson Cc. K. Dadorian PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Geoffroy L. Penny P. O. Box 1440 Mattituck, NY 11952 James and Denise Martin 1695 Meadow Beach Lane Mattituck, NY 11952 Michael and Angela Reese 2605 Deep Hole Drive Mattituck, NY 11952 Mathew and Laurie Daly P. O. Box 762 Mattituck, NY 11952 STATE OF NEW YORK COUNTY OF NEW YORK BRUCE A ANDERSON - Suffolk Environmental Consulting, Inc., residing at 2322 Main St.; Newman Village Suite E; P.O. Box 2003; Bridgehamgton, NY 11932 ,being duly sworn deposes and says that on the 4t day of February, 2015, 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 their 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 Bridgehamgton , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of Qom' 2015 ��atthew D. pians ,,-v York p i 9 ory Public C�,unty Commis.��. Eau„mss uiudry 2L, 20�7 Postal Postal RECEIPT.cG CERTIFIED MAILT,,, RECEIPT CERTIFIED MAIL,, uI (Domestic Only;Noinsurance Coverage Provided)-. m (Domestic Mail Only; 111 —rance Coverage Provided) Er IQ. A p-. Ln1tC Ln i. � Postage $ 9 .�) L Postage $ /L Certified Fee !e Certified Fee ld� O Return Receipt Fee 4# Postmark e- C3 Return Receipt F /"' R C3 (Endorsement Required) Here O (Endorsement Required) r .7Q r ��;,PoH e Restricted Delivery Fee Restricted Delivery Fee r�- O (Endorsement Required) e' '�' rY ru `q �^ �(� (Endorsement Required) .QQ �f ru O Total Postage&Fees $ �. / M i m Total Postage&Fees ftIEYtreetA mSent Torar��3 AAvcFc�p F� --- - O 3`freet,Apt IVo.j - - -- ------- W _ _M1 1-d t 6d)C (4 Ltt tt or PO Box No. �OJ - - ------ p DEEP/fGYp�a��T('1T�X.LC) ---' \ --------------- --- ----•-------------------------- City,State,No. -'"""-" �c i Z _- PS Form :,,,August ,,. �i+ttrnxcy ivy Postal See Reverse for Instructions U.S. Postal Service,. CERTIFIED RECEIPT �, ,• RECEIPT rn Provided) �_ru .. fv - 1Y;N0 Insurance Coverage Provided) Q' Er .- Ln .a IMIAL r,�,,� 1. Ln Postage $ lA.49 '( V/C� Postage $ C Certified Fee $3. 10 Certified Fee 3. C3 Return Receipt Fee P�� C3 Retum Receipt Fee 4^ A O (Endorsement Required) ` C3 (Endorsement Required) +`2. v Here O 1 Restricted Delivery Fee e (Endorsement Required) Z (Endorsement Required)Fee O Restricted Delivery ru 0 Total Postage&Fees s $6. 9� 00/2015 = O MM Total Postage&Fees $ M sent •--------------------------- ---- r-a wtes s o - -- Street, t No. r- or PO Box No. ��• $zX '7(oZ f� Street,Apt."No.:` ----- --------------- ----------------- M1 or PO Box No. 6 �t 1�w 3FAt K CAN -------------r r - City,State,Z/P+4 ---'"-"-"ii'a' ----------- .PS Form 1 ` S Z City State,ZlP+4 -- Wll�rflTu(-K-N Ll t Z rr. See Reverse for Instructions e NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the,matter of applicant: Karmen Dadorian SCTM# 1000-123-04-010 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: to install as swimming pool(20.0'x 50.0), pool equipment, pool drywell and pool fencing. Area surrounding the proposed swimming pool is to be re-graded utilizing resultant fill from pool excavation (185 cubic yards 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 2670 Deep Hole Road, Mattituck, New York 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: Wednesday, February 18, 2015 at 5.30 PM at Town Hall, 53095 Main Road, PO Box 1179, Southold, New York, 11971. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: Karmen .Dedourian MAILING ADDRESS: 5 Ridge Circle Manhasset, NY 11030 PHONE#: 917-873-3195 AGENT: Bruce A Anderson —Suffolk Environmental Consulting, Inc. MAILING ADDRESS: P O. Box 2003 Bridaehamgton, NY 11932 PHONE M 631-537-5160 Encl: Copy of sketch or plan showing proposal for your convenience. John Bredemeyer, President W." Town Hall Annex Michael J. Domino, Vice-President � ?° 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o Southold, NY 11971 Charles J. Sanders " i Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of KkTIMMEN.X40--c-l" COUNMO4F"SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFM POSTING REMAINS INPLA CE FOR EIGHT DAYS I, Q• a-w�-v Svc— .residing at/dba suFFntKFWRnNMFNTAt RnNciuT!Nr_ Inin P0. BOX 2003 BRIDGEHAMPTON NY 11932-2003 being duly sworn, depose and say: That on the 71—Lday ofd a"% , 2015, I personally posted the property known as ?)IN0L-w-I" 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,February 18,2015. Dated: 9/05' ' (signature) Sworn to before me this day of* 20/ 1/t46Public p,qW D. (vans York Comms« 6' 22, 20/f NOTICE OF HEARINGI 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: KARMEN DADOURIAN • SUBJECT OF PUBLIC HEARING : A Wetland Permit to install a 20'x50' swimming pool; pool drywell; pool equipment area; and pool enclosure fencing; area surrounding the proposed swimming pool is to be re-graded utilizing resultant +/-185 cubic yards of fill from pool excavation. TIME & DATE OF PUBLIC HEARING : Wednesday, February 18, 2015 — 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 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, KARMENDADOURIAN residing at 5 Ridge Circle• Manhasset• (print owner of property) (mailing address) New York • 11030 do hereby authorize Suffolk Environmental (Agent) Consulting, Inc. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. suture) Board of Trustees Application ��}ssAU County oftdrow State of New York KARMENDADOURMN BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SAE 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 THIS 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 CONJUNCTION WITH REVIEW OF THIS APPLICATION. '46tore SWORN TO BEFORE ME THIS DAY OF . ,2p 1 Notts Public F ISTINE CARUSO bk•Stde of New Wk .OtCAS9t0955 m in Nuteu Countyeion Expires Sep 8.20t 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the town officers and employees The purpose 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: DADOURIAN KARMEN (Last name, first name,middle initial,unless you are applying in the name of someone else of other entity, such as a company. If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X 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 employee owns more than 5%of the 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/agent/representative)and the town officer or employee.Either check 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 then 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 RELATIONSHIP Submitted this ZA day of 2 201 7 Print name R N } Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS JAN 12 2015 1. All applicants for permits*including Town of Southold agencies, shall cdmplete-this CCAF'.for .. ___ proposed actions that are subject to the Town of Southold Waterfront Consistenc4Review Law'','., aw This assessment is intended to supplement other information used by a Town of Southold agency m 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"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 supporting 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. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 123 - 04 - 010 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ 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 action: Applicant proposes to install a Swimming Pool (20.0' x 50.0'), Pool Equipment, Pool Drywell and Pool Fencing. Area surrounding the proposed Swimming Pool is to be re-graded utilizing resultant fill from pool excavation (185 cubic yards f). Location of action: 2670 Deep Hole Road■Mattituck■Town of Southold■New York Site acreage: 0.85 f acres Present land use: Sinzle Family Residential Present zoning classification: R-40 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: KARMEN DADOURIAN (b) Mailing address: 5 Ridge Circle • Manhasset •New York • 11030 (c) Telephone number: Area Code(917) 873—3195 (d) Application number, if any: N/A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No ® 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 ❑ Not Applicable As indicated within Policy 1, "Development that does not reinforce the traditional land use pattern of the Town of Southold would result in a loss of the community and landscape character of Southold.", this proposal is to construct a swimming pool, which are common appurtenances in the Town. The proposal, as designed, will not result in adverse effects to the surrounding environment in that the project has been designed in such a way as to maximize the extent of all required regulatory conditions associated with these activities on a lot situated in proximity to the surface waters surrounding the Town of Southold. Accordingly, we believe that this project is consistent with this policy. Attach additional sheets if necessary Policy 2. 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 ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources througtout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the proposed activity will be lower in height than the existing improvements thereon. No current visual resources will impacted by these activities Therefore we feel that this proposal is consistent with this policy. 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 ❑ Not Applicable Subject proposal will fully comply with Policy 4 in that the location of the improvement within subject property is to be situated 92.0' landward from the shoreline at an elevation of 9.0'. The chances of any loss of life or structures from implementation of this project are negligible Therefore we feel that the proposal is consistent with this policy. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will comply with Policy 5 in that the proposed pool will be served by a drywell that will handle any and all runoff. Construction of the proposed activities will utilize hay bales and siltation fencing, thereby protecting situate surface waters. Therefore, we feel that the proposal is consistent with this policy. 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 ® Yes ❑ No ❑ Not Applicable Subject proposal will comply with Policy 6 in that proposed activity is designed to meet the environmental guidelines and requirements of both the Town of Southold Board of Trustees and the New York State Department of Environmental Conservation, and consequently, will maintain the integrity of the surrounding ecosystem. Therefore, we feel that the proposal is consistent with this policy. 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 ® Not Applicable 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 ❑ No ® Not-Ipplicable Not Applicable. Attach additional sheets if necessary 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 ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable 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 LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria ❑ Yes ❑ No ® Not Applicable 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 ® Not Applicable 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 throug h 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Suf olk Environmental Consulting, Inc. Newman Village, Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President January 8, 2015 I /� .JAN 1 2 2015 � J Mr.John M. Bredemeyer, III, President Board of Trustees - Town Hall .. P.O. Box 1179 Southold, NY 11971 Re: DADOURIAN Property Situate: 2670 Deep Hole Road ■Mattituck ■ New York SCTM #: 1000—123—04-010 Dear Mr. Bredemeyer, This Firm represents the owner of the property referenced above, who is seeking all required regulatory approval install a Swimming Pool & related appurtenances thereon Consequently, approval from your Board is required. Please find enclosed: (1) Town of Southold Trustees Wetlands Permit Application(original and three [3] copies); (2) Town of Southold Local Waterfront Revitalization Program Application (four [4] sets); (3) Short Environmental Assessment Form(original and three [3] copies); (4) Photographs of the site indicating current conditions thereon(four [4] sets); (5) Location Map for reference (four [4] copies); (6) Survey of subject property, prepared by KENNETH M. WOYCHUK, LAND SURVEYOR, PLLC, last dated December 10, 2014, indicating the project specifications (four [41 sets); and (7) Check in the amount of$250.00 to cover the requisite application fee. Kindly review these items and schedule for the next available Board of Trustees' meeting at the earliest opportunity. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Matt D. Ivans Encl. Cc: K. Dadourian S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10 DEEPI�s � S 75000 ;, APPROVED BY . t BOARD OF TRUSTEES t�CM OF SOUTHOLD S Wow 0M PAT* o $ D' �O a: 0. g Ob 1.01 s o. to WOOD of �i a N C; r 3.6; L~ SEC 14D �WA� +.T WELL 8". 8.2 �. DR. BROWN � yaw BROWN MAW a.s' $ 4MA BROWN SOMW of AM TO qWWCMA1TpN. C w C.Y. t x s�nv 5.1' X rErK FENCE GATE 6 � sit I e FR&=LACING A�TO AS aaoam er s�iFroi��O&MLTING uNe of w� cs JAN 1 2 2015 W 12 a-2-W .1. 13 °FFA ' da. �•'.19. ,s ti0 zF ADD PROPOSED POOL 12-10-14 UPDATED 06-02-14 FINAL SURVEY 2-1-02 FOUNDATIN LOCATION 6-27-01 THE WATER SUPPLY, WELLS; DRYWELLS AND CESSPOOL LOCA770NS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED A40M OTHERS FIRM ZONE AE (EL 8) ELEVATION DATUM. NGVD 1929 AREA: 37,078.1 S.F. OR 0.85 ACRES ------------------ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC7101V OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: KARMEN DADOURIAN; MAP OF: FILED: SITUATED AT: MATTITUCK TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE SCALE: 1"=50' DATE: JUNE 9, 2000 PHONE (891)298-1588 FAX (831) 298-1588 #20-86 N.Y.S. LISC. NO. 05`0882 maintaining the records of Robert J. Hennessy do Kenneth M. Woychuk