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HomeMy WebLinkAboutLomangino, Anthony (2)Jill M. Doherty, President r4P c0- P.O. Box 1179 Bob Ghosio, Jr., Vice -President �� y Southold, NY 11971 James F. King ti ? Telephone (631765-1892 Dave Bergen 0 Fax (631) 765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report 'Date/Time: Inspect the property of ANTHONY LOMANGINO and review the revised plans submitted by Briarcliff dated November 22, 2011 for consistency with the approvals granted on October 19, 2011 — Administrative Permit and Wetland Permit pending approved plan. Located: 8925 & 9105 Bay Ave., Cutchogue. SCTM#104-3-15&18.1 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: _Chapt.275 Chapt.111 other Type of Application: Wetland _Coastal Erosion _Amendment Ad min istrative_Emergency Pre -Submission Violation Info needed: Modifications: Conditions: Present Were: J. Doherty J. King B. Ghosio J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, f'. �' � � • � r ' F+a'i �'�,. �� h� x J �' Anthony Lomang{no c �- '�' ` �.t� �•; 8925 Bay Avenue, Cutchogue -A. . , ' .e�iSCTM# 104-3-15 a! 11/9/2011 -s .� , `� `� • �i i �f� 4 "•,".'. � '�' int•: r ?t' :r -40 go- t A' .h } t w- .' r s•a' 4 _ � n - y Fz • _ " �T�=' .'Kr-y��•r � _ r°t'J,� P mow' �T �, �'`��*F p, �'•vi' f•�'"Y� � , � �� r � :{�_. Yrr111 +{ TXT ,. . -r! a 1 5 A ':.t3f•,*:,4 .,,Y r x" j' w.�. .; ty �. �•-�`,. a� J ,'� 'a+ _a ! _ t'`'r •=+w.;•. fa` ..,Fylidy S'.r '�r.•`�.- ' ♦ .iA.• I ,^moi '� - ,��! � t°c��► , 1. -, � Sy.. +._ f�. - � _ ,. Y• 'i. •, .�7�' ., ley,. - a r,' Fri w� J ►� / '�� �+Q „S,r . f � _..� ) ,a f )ny Lomangino & 8925 Bay Avenue, Cutchogue Ws: 104-3-18.1 & 104-3-15 W* 4 ,q�, . eta• ,�, y� -� � > . �¢ r y 4 'ills. f nthony Lomangino 9105 & 8925 Bay Avenue, Cutchogue SCTM#'s: 104-3-18.1 & 104-3-15 11/9/2011 �•n Southold Town Board of Trustees Field InspectionMlorksession Report ,./ Z Z � bate/Time: Z)6 %Z 2- � 0 P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax(631)765-6641 Briarcliff Landscape on behalf of ANTHONY LOMANGINO requests a •rbttaltx!-Reit to landscape, install Belgian block curb; paved driveway 9with drywells; gazebo; tennis court; bocce ball court; horseshoe pits, and gardens. Located: 9105 Bay Ave., Cutchogue. SCTM#104-3-18.1 Type of area to be impacted: altwater Wetland Freshwater Wetland Soundy r Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: �Chapt.275 Chapt.111 other Type of Application: Wetland _Coastal Erosion Amendment ""Ad min istrative_Emergency Pre -Submission Violation 0&0/,/ `Gly0/>,- /:�0 /,./ I> &/ Datl — (ate 15. Z'r7 d % f"C`. d % c1 v✓d. J i c_7 7(-d Modifications: Conditions: Present Were: 4__J. Doherty B. Ghosio� King J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, osu�Fot,r Jill M. Doherty, President Q�• c4G Bob Ghosio, Jr., Vice -President James F. King y Dave Bergen John Bredemeyer y0 ,y Southold Town Board of Trustees Field InspectionMlorksession Report ,./ Z Z � bate/Time: Z)6 %Z 2- � 0 P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax(631)765-6641 Briarcliff Landscape on behalf of ANTHONY LOMANGINO requests a •rbttaltx!-Reit to landscape, install Belgian block curb; paved driveway 9with drywells; gazebo; tennis court; bocce ball court; horseshoe pits, and gardens. Located: 9105 Bay Ave., Cutchogue. SCTM#104-3-18.1 Type of area to be impacted: altwater Wetland Freshwater Wetland Soundy r Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: �Chapt.275 Chapt.111 other Type of Application: Wetland _Coastal Erosion Amendment ""Ad min istrative_Emergency Pre -Submission Violation 0&0/,/ `Gly0/>,- /:�0 /,./ I> &/ Datl — (ate 15. Z'r7 d % f"C`. d % c1 v✓d. J i c_7 7(-d Modifications: Conditions: Present Were: 4__J. Doherty B. Ghosio� King J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, :u- ► ' �4c . 'ea 1 11 0 11 0 oss�973 Os1ygJ �3: wLfTRf "O o •'.• ( . ¢'m 'a y `• 5;�4 A 0 s ¢ GREEK a&tam 0 ;�\ }.PO. S 9,& '-'1. 6 °'. m 's ."p m•• N� '�_. x 0]0001 O6 O' S€ ,' 0d`,. "','!• �rh9'� ,* :a`, ��� 039606 ��' °� ,9 ¢d ® ,ti' ' � -. r. 1E "- • \ 1­7 0' r`•n O �..� ,6,rt ox36s q1 `, s z• , 'b ¢'' � a �',°' ° w "° • ',. a e' ° � �iN° ; 3.o) .„ 06 O • f ,sp\^�-' q. '' , W *^ \0 y 9' 6 r w \5 \ oo ,x \9 •� M1 13 4 ,< m 9 Til fi.OA(cl:1n . t "¢ ¢„Te TA einwo�WF 11 0 0 9�w, r. `' a tq \ �R. \v ¢,s• ¢ Vis§ ,e BROADWATERS COVE \ \ ° s TOWN OF SOUTHOLD M1 7 e• 3 HAYWATER COVE,(� a ^•�"O ¢ aFe ,° x t6s E L �..„�� e:. A x. _ —_ °,,,w __,,,—_ �,e __„_ COUNTY OF SUFFOLK © K o wmow =1E.CVONNOTICE imv E E —�_ :. (21)Real PameuyTax snr.otA9en� Y< ....r..... E r:m.-...`"_ �-. ...wW e. amu. ..:r. --c xrwouuu.--•-- AumrtQzzmm N^ OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: October 14, 2011 Re: Proposed Wetland Permit for ANTHONY LOMANGINO SCTM#1000-104-3-18.1 4 OCT 17 2011 w } -------------- 11 oars Briarcliff Landscape on behalf of ANTHONY LOMANGINO requests an Administrative Permit to landscape, install Belgian block curb; paved driveway with drywells; gazebo; tennis court; ..bocce ball court; horseshoe pits, and gardens. Located: 9105 Bay Ave., Cutchogue. SCTM#104-3-18.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the denoted following 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 Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application )d Administrative Permit _Amendment/TraVaill xtension Received Application Received Fee:$ Completed Application Incomplete t _SEQRA Classification: Type Type II Unlisted _.9C°ordination:(date sent) ✓LWRP Consistency Ass ssment Form �I �� CAC Referral- Sent: 01, ZH"ate of Inspection: 1 Receipt of CAC Report: _Lead Agency Determination: _Technical Review: public Hearing Held: Resolution: SEP -82011 g hold Town Board of Trus Name of ApplicantAo-4--' rlU L Inn YlQ � na Address. rO Vl (L+, L-- g Phone Number:( ) 5U ('D1 ' a(oa Suffolk CountyTia x Map Number: 1000 - Property Location: -9 J aS7 /-�Nje4,1 (provide AGENT:ai�G (If applicable) Address-,�j �`�- is rd of Trustees Applicatic GENERAL DATA Land Area (in square feet): � 9 „ �] 0 1 ,& ams Area Zoning:. Previous use of property: VQ C—D-k-d— l ` t S CoUr bocce Intended use of property: 4,enr1. � fto � Covenants and Restrictions: Yes �No If "Yes", please provide copy. Does this -project require a variance from the Zoning Board of Appeals Yes No If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date DEC D acco) No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide -explanation: Project Description (use attachments if necessary): _ . 0 _4 ai fir,. , CU Uock rb io�Slalf'a_-_ku CJI war cCk-►a�i�s nobe, (,CSd .r6,_J i'. V t -c-,; =n inS1�,16kion of CO Ver) ] rd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �,�-i�-P.ea� i ns ta-���ld,n � beigi a,,,, bfcxiC C.�/I� � r1s lalla�i�►�� inStatlafiori o F'r. i S tai (° 4 -e -mi S coo fit, �c,�et�S, a,` bacC& bath Co�r� 1�or5esho� P` Ve iL �,�i Area of wetlands on lot: cl pn)( Z 0010square feet 11 Percent coverage of lot: '3& % Closest distance between nearest existing structure and upland edge of wetlands: feet n0 S+V-L CJ-L)os Closest distance between nearest proposed structure and upland edge of wetlands: 103 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubicyards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): n0 mtP, , mesh wa-i1--r ag,d Lk)kC k Ls YJOW l l t� anc� Cri e d Up c."s. WA Mort- 617.20 SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT / SPONSOR ern SCJ - rL (��v�c S e 2. PROJECT NAME_ / % © S i_ O M A -N � i N O � 1 �Ay hJ�N L7 &PROJECT LOCATION: �� LC+r—iq ©3 sut_4 Municipality ` County 4. PRECISE LOCATION: Street Addess andr Road Intersections, Prominent landmarks etc -or provide map (f 1 0 5. IS PROPOSED ACTION: n New ❑ Expansion j Modification / alteration L 6. DESCRIBE PROJECT BRIEFLY: Li /A e l ar�dSc� P� �la n I i s\s� I dvl: V, 'Chi/ - .S!� -ha-r\.s blue. Spy-Qc r- S, ho (Se_shc P�fi� v� -e is bl.� g el en , �( �elLs -F�r g �I ayl 7. AMOUNT. C1F LAND AFFECTED: Initially' acres Ultimately acres & WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? RrYes ❑ No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) rl;;71 Residential ❑ Industrial ❑ Commercial ❑Agriculture ❑ Park / Forest / Open Space ❑ Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ElYes P<No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? j No If yes, list agency name and permit / approval: ❑Yes 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ANo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Dater 7 Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART 11 - IMPACT ASSESSMENT (Tn he r_mmiateted by Lead Anencv) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAR Yes 0✓ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Yes 0✓ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: . C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: -7-7 C6. Longterm, short term, cumulative, or other effects not identified in C1-05? Explain briefly: C7. Other ... impacts including changes in use of either quantity ort pe of energ Iain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA ? If yes, explain briefly: Yes 0✓ No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes exp lain: Yes No PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain . sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the F EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed a WILL NOT result In any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting determination. Board of Trustees Name of Lead Agency Jill M. Doherty Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date President Title of Responsible Officer Signature of Preparer (If different from responsible officer Town of Southold Erosion. Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Dtstilct Section Bloc __ Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. I SCOPE OF WORK - PROPOSED CONSTRUCTION I ITEM # / WORK ASSESSMENT I Yes No I a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within I the Scope of Work for Proposed Construction) b. What is the Total Area of Land Clearing (S.F. i and/or Ground Disturbance for the proposed item must be maintained throughout the Entire construction activity? Construction Period. (S.F. /Acres) PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) (le 21ZV'lV;naS t 811VC�Iau'lnjak- OO `t (\5W1 4cftv6& co -.A) bocce lc�e k ccky+ , 'ins fail N6�e'-,A) P�yecc�e fab1� cta en ins fat( Aym )e S --Gbc t Submission of a SWPPP is required for all Construction activities involving soil 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; including Construction activities involving soil disturbances of less than one (1) acre where the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit for Storm Water Discharges from Construction activity - Permit No. GP -0-10-001.) 1. The SWPPP shall be prepared prior to the submittal of the Not. The Not shall be submitted to the Department prior to the commencement of construction activity. 2. The SWPPP shall describe the erosion and sediment control practices and where required, post -construction storm water management practices that will be used and/or 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 shall identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. 3. All SW PPPs that require the post -construction storm water management practice component shall be prepared by a qualified Design Professional Licensed in New York that is knowledgeable in the principles and practices of Storm Water Management. SPATE OF NEW YORK, s J X10► k COUNTY OF ........................................... SS Will this Project Retain All Storm -Water Run -Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This f 1 Item shall include all Proposed Grade Changes and IL_ 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 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? 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 Wetland or Beach? 7 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 8 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm -Water Run -Off into and/or in the direction of a Town right-of-way? Q Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any El Item Within the Town Right -of -Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In a Box and the construction site disturbance is between 5,000 S.F. & 1 Acre in area, a Storm Water, Grading, Drainage & Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark (4 ) and/or Answer for each Question is Required for a Complete Application That I,.....1!!....................................c:!� ..................... being duly swum, deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) Andthat he/she is the ...................A50 . . ................................................................................................................................... (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 befgre me this; Q ` ............ ..�.7.-i-.... .................. day of..- C �C4�iR9J. t�...,201.1 Notary Public: FORM - 06/10 Notary Public, state of New Y0rK No. 01 C04863757 Qualified in Suffolk County Commission Expires 10/20/201 ........................................................ (Signature of Applicant) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: /-nj+gg, LarY1a n! j t n o SCTM# 10 0 p _ 104 -03 -1`s YOU ARE HEREBY GIVEN NOTICE: That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: @.c.re, fob' �.. ✓lon-aeveAora 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: DATE: 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. PROPERTY OWNERS NAME: AnAOVt -pm (/7'C) MAILING ADDRESS: ilaeo�cla Cou�fi� �i� 13r�ey1 �r�►S� �I_ PHONE#: AGENT: MAILING ADDRESS: �© X ZzZ PHONE #: 71n5_— I ZzD Enc: Copy of sketch or plan showing proposal for your convenience. 11 'rd of Trustees Application County of Suffolk State of New York Y4 ( 5 C,�z Wv 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 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. SWORN TO BEFORE ME THIS MOM=Notary Public SHARON L. COUGHLIN .Notary Public, State of New York No. 01C04863757 Qualified in Suffolk County Commission Expires 101201201_ Signature DAY OF ,20 11 rd of Trustees Appli.catir,, AUTHORIZATION (where the applicant is not the owner) I, residing at I1 -7q3 be1t&J011VQ, C, 1%1m '�;e- (print own&r of properv) (mailing address) do hereby authorize (Agent) �G��f (ncto apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's sig e) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of SouthoWs Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of p2ssible conflicts of interest and allow rt to take whatever action is necessary to avoid same. YOUR NAME: ✓kl � � � ����~� (Last name, name, g»ddle initial', unless you are applying in the name of someone else or other entity, such as a company. If so, indicate, the.oiher 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 X Coastal Erosion X . 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% 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 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 RELATIONSHIP Submitted this day,917 G CV+- 200 Signature' L Print Name Form TS i Tovvn of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town 3. If any question in Section C on this form is answered "yes" 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# 1000 _ jp _ 03 PROJECT NAME Lo rn—a a "(r o The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 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: �Pro1)ecJ-L4 1' i ne- 1 �4 r.ir (nSiat b 4,enya-r, Cow, boCC2 b --ml , {30fsesh�-�ifS" -/ - - UANgce R;a,- � ��sb�l Gt(�jwe�(s -F�r dhwec.Ja� c�pe"ryg-�e Location of action: Site acreage: I o Present land use:y L� 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:— Yl 1 O VL(.j 1�rYi ✓tCQ t p (b) Mailing address: 11-7 3 ?C�ItVYI. (c) Telephone number: Area Code ( s(v) — a 14 a — 141 g ,(d) .Application number, if any: Will the action directly undertaken, require funding; 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 LWRP 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 LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable . 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 KNot 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 Pa es 8 through 16 for evaluation criteria F1Yes 11NoNot Applicable 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 1:1 No Not Applicable 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 I through 32 for evaluation criteria. . Yes No Not App ale 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. FlYes [:] No 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 KNot 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. 0 Ye�] No Not Applicable Attach additional sheets if necessary i I ,WOR,KING COAST POLICIES, ,� r 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 KNot 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 K 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 ev uation criteria. ❑ Yes ❑ No' Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ❑ NoM Not Applicable PREPARED BY 71�GC- & (`1 g0V115 TITLE LWYtj DATE \ SURVEY OF PROPERTY SITUATED AT PECONIC TOWN OF SOUTHOLD a z 6S. TOWN G�'D SUFFOLK COUNTY, NEW YORK F CTA S.C. TAX No. 1000-104-03-18.1 �Ijl,r 1' SCALE 1"=40' J v o T JUNE 5, 2003 P R 3v Y,yla,� NOVEMBER 2, 2004 REVISED `< - •raa-'9o.A ?p DECEM3=R 6, 2005 RELOCATED PROPOSED HOUSE 'hFP. wy a°y 35�. JANUARY 11, 2005 RELOCATED PROPOSED' DOCK FEBRUARY 9, 2005 REVISED AS PER S.C.D H.S NOTICE OF INCOMPLETE APPLICATION FEBRUARY 17, 2005 REVISED SEPTIC SYSTEM & ADDED TOWN TRUSTEES CONDITIONS MARCH 30, 2005 REVISED "EPTIC SYSTEM NOTES & ADDED PROP GARAGE DECEMBER 7, 2009 STAKE FOR SITE INSPECTION SEPTEMBER 17, 2010 REVISE PROPOSED HOUSE SEPTEMBER 22, 2010 STAKE FOR -SITE INSPECTION O AREA 7$,7$9,60 sq, fl. fljL� (TO TIE LINES) 1.$09 tlt. su ma +mxee / TEST HOLE DATA d t n 3 � TE ° DUG 9Y 1Ie00NALD. CE05__^tENCE ON AtaY 20, 7009) `"• SEP - 8 2011 q h' APPROVED GAFe,WpYITFANp IN II o ,� Ba Uthlfi@i�• 15PSOUTHOLu I aN��xF ID M R ' 8 '1'5 d t hu yFs a " 6S. 06 ,��'•M4�°jnc�°�N` y°�s' ! m r_u*i'�' 3aso dal � 2 F I_ , O OLD CHANNEL 'GLA .A N o , DRAIMAGE SYSTEM CALCULATIONS' ROOF AREA: 1.980 s (1. l !,920 sq. /f. % 01] = 337 cu. 11. 337 eu, It. 42.2 = 8 ver!leal /1. AT 9' dla. leoehFg p -I required "- '� 6 �r3 - x -NRF ARFA -� PROVIDE (3) 8' di., N 3' high STORM DRAIN POOLS y_ �.. 1 LATHi o - K k y ?6' 33• J y r 4 Ln rn •/ L / 1 I ltl 33 J L`J O O C 2D W ' 1 0. 0 11M. IN IC KC WITH o wlrtug. •. uw • SIANOAROS TNLf SUN ? 6Y "HC LIALSLS. AND IFP Yl F.111' -TCR �N SIR- FOR SUCH USC !f' TIIC `J L��.r, "Is ASSDCIARON C�QR SKUNK L (DAY AVENUE) I vncAN1 � ,N 2,� T CANO N.Y.S. UC No. 50467 Nnree 1. CICVA'IlnNS ARE REFERENCE 10 N.G.VMO, !P3i OANY /e NWUY O%CPUC FANN CAPICRI[5 FO I i0 a REJROOY HOUSE -S I.Z00 WLLCt6 yvU; HORI2T-.V.iF1UT10Y OR AwI"ILN [NBFN: COOWOYR YHES ARE SHOWN Aims,____ _ R' 1 TANi; DIA., NCUIO DEP,H rp e , H ,b TO THIS =D I A YDL<1�Y IF Nathan Taft Corwin III 9. MIHMOY L4CIONC ZSY'+i[N FOR A I a O[ORCON IbUS[ Is SO E\vAL AAEA sEUGi,Ln7Uw0F HE N[x YUNK sTAIE PROPOSED CONTOUR LINES ORE SHCWV iHUS: 1-- 8 Pw15, A. GIA.. OCOP ZONZ wwRYAnCN TANEN FROJ: LLJJ PROPOSED EXPANSION POOL Z ROOM INsURPNCE MTE YAP Ne. e101C016A IS •SFltp' OF ,His wxvEY 4Ur AFT xF INC Land Surveyor ]ONE AE : OASE — O.EYAUONS CIFI-INED . tIT•f.YOR 5 wKFO 4�1 tpN• MuvE ACGOxI; ®P—REO IF EHINC POOL • ROSSOC SEAL _ NOT DE CONIOERw K 9ASE'iLD00 FLLLWOONs CE1EPYiNFD TO RE A VAJO TRUE COPY ANEAN OF 11.0-- .5 •LVµI Fi 00•i OV S OF 100-YCAR iEwD WIM AkLFAtE ®PROPCSFG SEPTIC TANK FERRXcA NS MOICATEO HCREON SX4:A RUH O PI , uG Ave . , w.'FelFo Lxav�C[�mINLa Ax OILY TO THC PERSON FOR x'KPA 1HE SUIND 10LATH SET F6, ARE -E INSPEOrON SEDAN THUS; • BfWtF LIE urveys - urr,sa:s - S!e Pluru - LDr,s1OK(i0F S' CBS LVCt10H5 NOxo s ANDCB[SSPOOLS 5„OWN HERCON ARE FROM :CID . 0 S: PREPARED. AND ON HS TO FUR SS�Lw,t TivC CO 14Y. [MAL ADCNC.• ANO / A. tAIKEO FROM CINERS 0 CIH ,SSC -S Of N*HE !£NuuOC•1Y3,�- a, UPLAxO AREA (TOTAL LO, AREA OICLUO NO WCLLANO ARU) = aC.601 eR• fl. F11I. CEEEFMURDxS ARE NOT —SFAs 1) PHONE (671)727-2090 Fox (631)727 1717 5 LOT COVCRACE (WCLUOEIR NOISE 6 PORCHCS) a 1,090 ,R. 11. OR 4RX OF UPLAND AREA OFFICES LOCATED AT MAILJNG ADDRESS 9 9' OU,KY 0' OwUNYWCLLS TO,ROOF RUN-OFF ARE SYOWN THUS: O THE EXISTENCE OF FIGHTS OF WAY 1586 IV- ROGdP.O. Eo' 16 ANO/DR EASEMENTS OF RECCRO, IF JOmesppd, Nsv YCFk 1194] JamespOrL Neal Y0,4 11947 7. ANY FILL NEED FOR THE sePNC -Tc. SHALL 8E OFNERATE3 FOR TNC HOUSE ENCAVATION. NY, N01 SHOWN ARE NOT GUARANTEED. • _ 1 SURVEY OF PROPERTY \�- SITUATED AT \\\ PECONIC s �D TOWN OF SOUTHOLD A 40.1 rLI'D SUFFOLK COUNTY, NEW YORK o F S.C. TAX No. 1000-104-03-18.1 SCALE 1"=40' JUNE 5, 2003 NOVEMBER 2, 2004 REVISED A''•w 4ea•"'°0'M 2 DECEM 3-R 6, 2(704 RCLOL'A(F_0 PROPOSED HOUSE JANUARY 11, 2005 RELOCATED PROPOSED DOCK �, ae FEBRUARY 9. 2005 R-VISED AS PER S.C.D H.S NOTICE OF INCOMPLETE APPLICATION FEBRJAFY 17, 2005 REVISED SEPTIC SYSTEM & ADDED TOWN TRUSTEES CONDITIONS MARCH 30, 2005 REVISED SEPTIC SYSTEM NOTES & ADDED PROP GARAGE DECEMBER 7, 2009 STAKE FOR SITE INSPECTION 4I` ,y or'7 \• SEPTEMBER 17, 2010 REVISE PROPOSED HOUSE SEPTEMBER 22. 2010 STAKE ,FOR SITE INSPECTION / AREA = 78,789.60 sq. IT. 1.809 OL. d. Itt�lLrLIFLJ_��' U AWN \ TEST HOLE DATA I' I II}I ` SEP 5Y NIC 1111 111111 ON NAY 1^v, 2'101) — 8 2011 a N —T, M- DL cl i r Cti ) D W S uthhd I j; Bo rd OT(mlvt SOUTHOLD dpa'++ap `Mae H, R 5 0a DA /0 ea a� io i j 40" OLDAL CHANNEL "Aa .I RAc pe a D DRAfNAGF SYSTEM CALCULATIONS bH"�/_ R0019x0 AREA: 1.9.0 sq.17 11. 1, s0. 0. 337 cu. 11. >� \ ]37 cv. 11. 42.2 - 8 veAlcvl fl. DI E. div. levchln9 Pool required -MGN-NRF AREAS -.� '--9 PROVIDE (3) r' div. X SI high STORM DRAIN POOLS �♦ V ; IM � )- Ic 1: wmp r� 17 7-1 \ \ o tL O I m• 6evD0' 87'01 20 W ' 1' 0. 0BE' . .) a P+.w(e ` e,I• PREM AREO IN aCFA.pGHUE miH Ila • BY "HE H UCC ANO IFP ,U3UC WATER 111 STREET FOR SUCH USE v THE Q TfIE nssDwraN' Q3] r S'QOR :SKUNK LANE * ?� (BAY AVENUE) = k y � �[M1D 5 N.Y.S. Lac NO. 50467 .E I. ELCrA'IONS APE 1CFCPENCLO SD N.O.v.O. Ie3R DATUM NI U4Ae[piI T X [S FOR = 1 10 = BEDROOM HOG]C 5 I.EOD GALIDNS 10X5 ARE NOSH IMDSa so RT N4; 6 GIA., i� :UI�A fCPLH UIVORREp lEMaOV OR AGGI'ICx [xIS11H: COMT LINES ARE IN MLS:- --5----- NWOOULS LQ�COIiN005YSTEN OR A I TO A OEDROOV HOUSE IS 3DO eR 1 .—UL APEA TO IS RVEVCpS LAWN ,=NEWT`avDs' Nathan Taft Corwin m COpVAp LUE] APE SNCwv THUS: p S C] I ! . 'H .n1t p t. IL... INS M:HF DN TIN CN FPOH: L.1 a ppOPOSED E%PANSION p00L .11. El MISSIIMi.Y Lan SUr Vlry Or ILUOU INSUXPHIG HATE VAP No. ]BI D]C0160 G WN�o SOi OFMINr [Ux_ CWSIAt nw n`y S CCIIY wiwp I— ACTCHI; ®PROPoSCD LFACXING i001. 4R05'FL SEAL 51NLL NO- BE CONSOER:D [Ow i ArtOF -TCM •tAN. NTEASOOF I. -MEM FL00D WM nvCFr'LE ®c PROPMED SEPTIC iANH TOFBf MUD TRUE COPY u[PI= -i I ODi OI= rNH ORHNA:E MCL tE in xN 'EflUIIGimHS SCHCAEED HEREON SN.IL RLN e✓ Itv[f] mOV D. 10. IAM SEL r0.. DITE INSPECT.ON ARE SHOWN THUS: T MLPp 10 THC PERSON FOR WMDW THE SUMM ]. OBS NOAilOON Oi WELLS AND SHOWN HEREON ARE FFOV FILO SPIRED, AND ON HS GENAU" TO ME Dlfe Surreys - S43dIv�s,DOs - Sle II.- - —,,Ir 6N, LOy.-,t [ AN0/Op ATA OBTAINED iROY CLNCS �VCII GOMIOV.TOo-rtLRiCC IlEfi[ON.CINO D 1. ARG (TOTAL tot AREA [XauO,Nc wETLANC AREA) = i,'FGHt EERIFCnToxa �nAE LxiilrwwsF[RnPLE PHONE (631)727-2090 F.. (.31)]2/ 1121 S LET ACOVERACE (INCLUDED HOUSE Y PORCHES) . I,OBD ,R• It. OR 4`0% OF UPLAND AREA. OFFICES LCCATED Ar AWUNG ADDRESS B B' MA by ]' U—.—TILS CUP xpal' RUN-OFF ARE SH01Wr TN'JS: O THE EXISTENCE OF RIGHTS OF WAY 1. ANY M NEE) FOR THE SEPTIC SYSTEM SNAL BE GENEMTCJ FOR THE HOUSE EXCAVANDH. AND/OR EASEMENTS OF UA, IF 'port. Mom O P.O. bas It. . NOT SHOWN ME NOOTT GUARANTEED. JDmespOrl, H.- Y,rk 11947 JamespOA. NeW Yors 1141 SURVEs TOT PROPERTY AT PECONIC TOWN OF SOUTHOLD Z s 6S°06• � SUFFOLK COUNTY, NEW YORK p, ao f C S.C. TAX No. 1000-104-03-18.1 0 AD, T 4 SCALE 1 "=40' 0 `"�'° JUNE 5, 2003 NOVEMBER 2, 2004 REVISED 20DECEMB=R 6, 2004 RELOCATED PROPOSED HOUSE JANUARY 11, 2005 RELOCATED PROPOSED DOCK FEBRUARY 9, 2005 REVISED AS PER S,C,D H.S NOTICE OF INCOMPLETE APPLICATION FMARCH 30, 2005 REVISED 'SEPTIC SYSTEM NOTES & ADDED PROP GARAGE EBRUARY 17, 2005 REVISED SEPTIC SYSTEM & ADDED TOWN TRUSTEES CONDITIONS DECEMBER 7, 2009 STAKE FOR SITE INSPECTION SEPTEMBER 17, 2010 REVISE PROPOSED HOUSE s:. SEPTEMBER. 22. 2010 STAKE FOR SITE INSPECTION EA = 78,789.60 sq. (I. LINES) 1,809 Dc. W~7 a TEST HOLE DATA SEP �T 5 LE DUG 6Y M OONAIO GEOSVENCE ON MAY 20, 2004) AIL - 8 2011 r, ., 1, • .I,a ,,. U4' N Z.DNN �wD. LAAH DE AFPfiO'JFD C 7 om An N" S uthhaW B0 rd 0# n E H, BP /01ao�/0 I RODe.TATID- 11 A'ol�m°e t ae0 c• X D• Inc I 3 .06'4 0 `'4 ECry^Ci og ITR.it1EE��Z REF. Ii• SI \ �, f WIx�Inly r Eu rer4ri • •1'�32a'oc�ooll OLD CHANNEL o' D 'W a-- M 0¢� I°M � u�S M \A a:��a \ \\\nK JONIM ai111" 3a.t / DRAINAC-E SYSTEA! CALCYM-MMS ROOF AREA: 1,980 Dq. . 1,980 eq. 1, % 0.17FI337 cu. 11. 337 cU. 11.1 / 42.2 - 8 Ne rflc0l Il. of e' di,. leaching pool r,q,l,,d PROVIDE (3) 8' die. X 3' high STORM DRAIN POOLS "EL I. ELEVATIONS IRE REFERENCED TO H.G V.D. 1929 DAr11u a. IMUMPS,EPTTC T{N 5 FOR a CO . BED.900u HOUSE '.S I, "'I LIQUID OCPiH IH..OR11. ALTEIUTIOV OR WGTICN .:STING ELCVAT H ARE SHOWX T. --AR Ex SO , CONTOUR UNES ARE S TML$:____,_____ W:ES IR IIIUO: I 1M 0 DIA., NIN.Uu UA. IR D25YSEE. FOR I 1 10 e1 DCDRODu HOUSE IS JOo °q SmEWILI AREA D LS, e' 11.. D �F9 I� PROPOSED CONTOUR SNOW' — • N I.— 'ROV: 3. FI.oca HSURAREDRN nD FLI INSUNANCE NAfE M1R Nv. ]tl1U]COI6A G • pROPOs[O EMPANSION POOL h Land Surveyor ZOH: K: eIi_ 5 L[iWI1HEO rt]00 ¢EYARW Rp (wAVE PCTONI: ED N ®PROPoS[n LEACHING FOOL AA c HT DE CONSDERJ) D 1 rn NO I ®c PROPOSED SEPTIC TINS TO OE ValCo.,- CI RTIF 1710N5 INDICATED HEREON SHA'A RUN 0 C PERSw FOR WrO.0 1NE SUmEY --- — 0 0 87'01 20 . �' !? _� , v —'^— ,, �,,; •• ♦TEP IN STRECi 'y .• I—Lv --E miH STNNOAM'S FOR FRLE sum A$ BY TMSIEI[NI USC O•.• TIP WW(( W O RE ASSOCu �J- I OOR SKUNK LA Pa r (BA Y AVENUE) VACANI c ✓ y ,1 LOT COVERAGE (INCLUDED HOUSC & PORCHES) = 1,980 .q. H. OR 4.0% OF UPLAND AREA. LAND N.Y.S. LIC NO. 50467 "EL I. ELEVATIONS IRE REFERENCED TO H.G V.D. 1929 DAr11u a. IMUMPS,EPTTC T{N 5 FOR a CO . BED.900u HOUSE '.S I, "'I LIQUID OCPiH IH..OR11. ALTEIUTIOV OR WGTICN .:STING ELCVAT H ARE SHOWX T. --AR Ex SO , CONTOUR UNES ARE S TML$:____,_____ W:ES IR IIIUO: I 1M 0 DIA., NIN.Uu UA. IR D25YSEE. FOR I 1 10 e1 DCDRODu HOUSE IS JOo °q SmEWILI AREA D LS, e' 11.. D D9 OisIHE nkw roiK sIAIE :OICIGON2uW v'Duiwn DF Nathan Taft Corwin III PROPOSED CONTOUR SNOW' — • N I.— 'ROV: 3. FI.oca HSURAREDRN nD FLI INSUNANCE NAfE M1R Nv. ]tl1U]COI6A G • pROPOs[O EMPANSION POOL IFS OE Tips SIIR.SY xMAn -LeFialex; t49O550 SLRvfYOR'S WHfO SFII OR Land Surveyor ZOH: K: eIi_ 5 L[iWI1HEO rt]00 ¢EYARW Rp (wAVE PCTONI: ED N ®PROPoS[n LEACHING FOOL AA c HT DE CONSDERJ) D O.�SEINOO EEMATOxS CEIEAu_NEO 9014 x ANEAs Y c-TAV ITO&Axus DF 1m-YC� — — AvmNCE M E55 TIRN R MV plu,✓.:E AREIS LE TNAx ®c PROPOSED SEPTIC TINS TO OE ValCo.,- CI RTIF 1710N5 INDICATED HEREON SHA'A RUN 0 C PERSw FOR WrO.0 1NE SUmEY --- — o uMF L9LC, wND AREAS PP.TTECTEO RY LEVEES mON -TEAR FL00D. ERON FtLD IO. EATH S[i O.. aHC INSPECTION ARE SHOWN THUS: ♦ PREPARCO. AND CN HS BEWLF TO THE ITL[ D.—HY, ar,TR..1— A-, AND TRI, Suneye - SuSdin"%, - S!e FIT,,- - GDSIrMcliOa L'YDDI OTD DHSN WELLS ANO CE55PODLS SHOWN HEREON IRC O93ERv O ANS/OR ATA DOTAO.ED PROM LINERSLo AREA (rorlL Lor ARE. anuD.Nc wEIUND AREA) = AD,—.q Li NC I—TTUEIDND LISTED HENDON, AYD rmguTHE eERrnuAll imNS SHE i 11 THE OTLTTHARSrtaNOCE PHONE (631)727-2090 Fax (631)727-17275 LOT COVERAGE (INCLUDED HOUSC & PORCHES) = 1,980 .q. H. OR 4.0% OF UPLAND AREA. OFFICES LOCATED AT AWLING ADDRESS 9 B' OIA by ]' CC[P ORYWflls .1FUUF RUN -DFP AHE SHOWN THUS: r, THEXISTENCE OF RIGHTS OF WAY E AND/OR EASEMENTS OF RECCRD, F 1586 ""' "" P.O. 6a 16 7. ANY FILL NEED FOR THE SEPTIC SYSTEM SHALL OC GENERATED FOR THE HOUSE EX TON. ANY. NOT SHOWN ARE NOT GUARANTEED. JOmesperl, H. Ycrk 11947 JOmeSpoA, Na. YOTk 11947 w - *-.www X:.. ........ ......... ........................ 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