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TR-8609
John M. Bredemeyer [ll, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen o��gUFFD(,�-coG C= - � x BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, N'1" 11971 Telephone (631) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. - INSPECTION SCHEDULE Pre -construction, silt fence 1St day of construction % constructed _)_( Project complete, compliance inspection isiSOUTIOO TOWN TRUSTEES SESR"AD OI. SOUTHOLD, NEW YORK o 7111-1, ; i;: PERMIT NO. 8609 DATE: JUNE 17.2015 } ISSUED TO: MICHAEL GILL Y- ; PROPERTY ADDRESS: 1325 LUPTON POINT ROAD, MATTITUCK VV �tqq r i terY.i++:. . _. SCTM# 115-11-9 ` AUTHORIZATION u 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 June 17, 2015, and in consideration of application fee in the sum of $250.00 paid by Michael Gill and subject to the Terms and Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and permits the �__ �, ifollowing: r, ��f.. Wetland Permit to construct a 22.5'00' swimming pool; 37.51x60' decking surrounding the pool, install 5' high pool fencinE around perimeter of pool decking; P° and to install a 12' wide sliding glass door into the dwelling for pool access; and as depicted on the project plan prepared by Michael Gill, received on May 15, 2015, and stamped approved on .Tune 22, 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 Board as of this date. 1 X14 �� MIN sm In E TERMS AND CONDITIONS The Permittee Michael Gill residing at 1325 Lupton Point Road, 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. 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. 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 pernlits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee June 17, 2015 Mr. Michael Gill 1325 Lupton Point Road Mattituck, NY 11952 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: MICHAEL GILL 1325 LUPTON POINT ROAD, MATTITUCK SCTM# 115-11-9 Dear Mr. Gill: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 20, 2015 and Amended the project description on June 17, 2015 regarding the above matter: WHEREAS, MICHAEL GILL 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 April 24, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 20, 2015, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of MICHAEL GILL to construct a 22.5'x30' swimming pool; 37.5'x60' decking surrounding the pool; install 5' high pool fencing around perimeter of pool decking; and to install a 12' wide sliding glass door into the dwelling for pool access; and as depicted on the project plan prepared by Michael Gill, received on May 15, 2015, and stamped approved on June 22, 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: $50.00 Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB/eac N eh Issued T ftls%Jcw=-1 Am & Date Address ..-.. � Lam. � fir' � J►.i �. � ■ 1 THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N:Y. 11971, TEL.: 765-1892 John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: %f)+Cela.a1 C i I I Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Please be advised that your application dated a Or` '®1 S has been reviewed by this, Board at the regular meeting of I P I Z ao) S— and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Silt Fence Inspection Fee ($50.00) 1St Day 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: $ 50 BY: John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President SOFFut Michael J. Domino, Vice -President ���oy� James F. King ti x Charles J. Sanders • Dave Bergen F Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMlork Session Report Date/Time: %P/) V 13 MICHAEL GILL requests a Wetland Permit to construct a 22.5'x30' swimming pool; a 7.5' wide wood deck surrounding the pool; install 5' high pool fencing around perimeter of pool; and install a 3.75'x18.75' walkway from pool to dwelling. Located: 1325 Luptons Point Road, Mattituck. SCTM# 115-11-9 Type of area to be impacted: �EG� ce '°Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: hapt.275 Chapt.111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property Storm Water Management Review: Yes Yes No Not Applicable No Not Applicable Info needed: Modifications: a Conditions: P®491--- c A O,U p zrY12P 7—,0 P r /' 417 Present Were: "/J. Bredemeyer /M. Domino V11j'. King C. Sanders D. Bergen Bay Constable Other Form Form filled out in the field by ice! 4) 6' Mailed/Faxed to: Date: L�WC ...+` �#'� yn 'ik �,,} €a-. 4c ix�� y. �� t� � ; ^�yk ,�.(�{'�' '+ � : r ,} !w .. i y r �•a•• -.wr.*.a � 1" t'-a°�'�'►�'"' .�,,x.+. t L� -..J, t" 1 ;a �. 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J T Q ti Y y tr'�r.� -.o /�i� J• _ •\..per - ;M .`c. �y f V „���•• ,}� �Ya Ta.^ `f A _ ��\ 'fits �'r , _ '�� i IR r.. � .,. r,. �'�`� �� �� � � � e� - _,. >-r' ♦ .S� - :t ` 4s �' •� 7%" � � .t ,,-�i=' ;t � t A wFy n ��� �'q� '� ',�, �► •� � - �`> :,e may, •� L �,,.. = ,� � j'�i,"k�� .�'♦, _�'Ij fy� i�� � � A e1;.�_ t �. '� e� _ � y � ►1�f�',,��,:�( r% i= -.'�1 y'rt^,i' 1 AV-0-07LI., Vie '12 7w- �v. ___ o—", u w.omn,•. `^r --�— CeunlY C+�N'fl rMM NYNpM M V -�— \ac..,.. w— oww —..- n I�a?L A 1000 u snc� � p � ae t tw n.u�.. m' own. O,NNarxu r rew —. PROPERTY MAP ff v[rarc ro', a nal` ..:. K AUTCv SEE eec rvO ree eer ac w tN D "A, t� ax �� o�4�"r.•'owE,.noNrn =R "ul xy W 1e� GREENPO 1" ,t ��� 2t1•Nq v�I Ly px Twin .,.wel II I Taml n�NRI t xw la la I g tT1tUGK d\• .� 9 9 • 3i ' 6 rcw a ru MOsp 34 " O s) RD w ^ n1: Mcl 7 • I II xAMclI SN.) - f N F !� s At e nv,lq 21 ' ,.WU,pY eaK'a° • m ® m tJ. S r 8 m .10 tjldcl e T S ° \ '"'P'°cpN�leNarw 1] ]t1 P �• 1cNm m d a1 11 �V e Is m B AN,RRATOOKAP- te (AKE i a.] ] Wcl U F LK 112e \ \ I w ,e• e i i 'r,Ncl v.t y, 11Mq m g IV ov�awTNOLO 'SNO °�w y'M�� z• x" m Y\x �iraci t, < ,. o n.ze iii 5 �' i 9 r � ]• �3 x ��y=�.�m v M soMcl tT� , °. yW ~ p ) xe N TOWNOi °^ )!1 SUFFOLK • n M ) wye'�Y r 1Tn'' t2N.q �� tiieq 1 � s � ,M� xt '� •s�' ,. x• ''NI . \,e ' o PV' ,T�oT ,e wq • .N � + •pZ tMl x el "d .r wIS 4 i eo 1e xt \ x I d tx d° rdc^ -e° tp i1O • 1 xk 1 SMq � e � 5. r M.)Mq IOPMRCEL NOME `� p2 y+• T "r' ya i 1 —0-2 ♦ ) Ix ,e 5 d ,e b I S r \ 1 1te tx eN '� x F011 MRCEL NO. 3 FORPCLNO d weNO SEE SECNO. . 1112 ww ..N a... Com '' x ° m\T �a ,6 °r.n x . c m FOR PCL. x0. • — ♦M1 in y c 15Pt WE i lnmam � .e ♦ ' s e T ° b J �' i E yQ$a iiiict _ I -- --------------__--- _ tlATt11------------ ONE LINE MATCv SEE SEC NO 123 _�_ Ixt) r _..y --— N --^-- NOTICE .91 COUNTY OF SUFFOLK E a sourNOLO SECTION NO Real Property Tax Service Agency r .:�------ _--_--_— - --'-- c. Proper.flN.KNr.Nr„» NNS 115 tir a r`rixN, Nq�r2u `� ���� �w --r— vw--ww-- we+wr. '�Y,aYu9 F ' rai<r xo 1We PROPERTY IMP Nunemaker, Amanda From: michael Gill <michael@cleartrackllc.com> Sent: Wednesday, May 13, 2015 8:28 AM To: Nunemaker, Amanda Subject: Re: Survey For Trustee Inspection of 1325 Leptons Point Road The dimensions of the pool are the same 22.5 — 30. The perimeter is 60 — 37.5. The deck around the pool is still 7.5, and the sliding doors will be 12' wide. The other markings for the building dept requirements are the same — 50' from the mean high water mark, 40' from the street, and 15' from my neighbor's property. I hope this helps. Thank You, Mike Michael Gill Sales Director C - 917-608-9610 F - 732-362-7482 Michael(@cleartracl<Ilc.com www.cleartrackllc.com r ha, infri, rnacion contomcd in this r mail is confidential and may be Ir -tally p, ivilo ed it if, intended solely for the use of the individual or entity to whom it is drtre ,«,i1 unci others explidtiv <ruthw izod to w(dvc.! ri. If YOU hi1VO received this e marl in error, ple&,e desti oy it and deiete it from your Computer Any discln.«rr, r,nilying of drstrfhution of the inforrmition is str ictly pi ohibitod and may be unl,,wfi 1. No responsibility can be, ac:cepterl to any end users for any o(tioi, .aixri on the b Isis ui the rnfurniatron From: "Nunemaker, Amanda" <Amanda.Nunemal<er@town.southold.ny.us> Date: Wednesday, May 13, 2015 at 8:08 AM To: Michael Gill <michael@cleartrackllc.com> Subject: RE: Survey For Trustee Inspection of 1325 Leptons Point Road Yes, I received them. It is a little hard to read but I think I can make it out. By getting the original on Friday will be a big help, thanks. From: michael Gill[mailto:michael(a)cleartrackllc.com] Sent: Wednesday, May 13, 2015 12:38 AM To: Nunemaker, Amanda Cc: Michael Gill Subject: Survey For Trustee Inspection of 1325 Leptons Point Road Hi Amanda, Attached please find the revised proposal. I can give you the measurements over the phone if you have trouble reading any of them. The old stakes have been removed, and the new ones are in that correspond to the attached plans. OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: May 18, 2015 Re: Local Waterfront Coastal Consistency Review for MICHAEL GILL 77 MAY 1 8 2015 ,.�. "..., .. M"Ls ... _ MICHAEL GILL requests a Wetland Permit to construct a 22.5'x30' swimming pool; a 7.5' wide wood deck surrounding the pool; install 5' high pool fencing around perimeter of pool; and install a 3.75'x18.75' walkway from pool to dwelling. Located: 1325 Luptons Point Road, Mattituck. SCTM# 115-11-9 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 actions are CONSISTENT with the below denoted Policy Standards and therefore are CONSISTENT with the LWRP; provided. The Board requires a pool de -watering well on the property. Note that a Covenant and Restriction applies to the property imposed by the Board for "a naturally vegetated "non -turf buffer" area adjacent to and seaward of the 10'contour line" 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 opFFk,r�a� Peter Young, Chairman ti Lauren Standish, Secretary Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1889 Fax (631) 765-1823 At the meeting of the Southold Town Conservation Advisory Council held Wed., May 13, 2015 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of MICHAEL GILL to install a 30'X 22.5' swimming pool, 7.5' wood deck surrounding it, 5' fence around the perimeter, and an 18.75' by 3.75' walkway to the house. Located: 1325 Lupton Point Rd., Mattituck. SCTM#115-11-9 Inspected by: Peter Young, Peter Meeker, John Stein The CAC Supports the application with the Condition of a 10'non-turf buffer and a drywell to contain the pool backwash. Vote of Council: Ayes: All Motion Carried MAY 1 5 2015 James F. King, President Bob Ghosio, Jr., Vice -President SO Dave Bergen John Bredemeyer cn Michael J. Domino �loo�� uffm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: V ) S- lI - C/ Property Owner Name: M i'�l 6r,-// Date Sent to Bldg. Dept.: o2q I) Telephone (631) 765-1892 Fax (631) 765-6641 D E C E o W E APR 2 9 2015 BLDG. DEPT. TOWN OF SOUTHOLD The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES COMMENTS: Signature of NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? Date ' John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application �C Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: _ qj,94115- Received Fee:$ Completed Application _Incomplete _SEQRA Classification: Type I Type 11 Unlisted _Coordination:(date sent) Nj LWRP Consistency Asses ment Form — I 5 CAC Referral Sent: 1 5 Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: c _Public Hearing Held: mon (obi 7/15 Resolution: Name of Applicant /diellae e; // Mailing Address 132 C C ,102 /o h e /l4 ' �, I PO 6%- &Z Number:(07) G 0 T - 61 ` 10 Suffolk County Tax Map Number: 1000 - I 1,Y- - 11 - 0 9 Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 APR 2q 2016 e� rd of Trustees Applicatic GENERAL DATA Land Area (in square feet): 3 7 0 -7k Area Zoning: Previous use of property: fes) de" c Intended use of property: Q 1- S s Jr ti 6 Covenants and Restrictions on property? Yes x No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? _ C 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 i No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _ No Does the structure (s) on property have a valid Certificate of Occupancy? _Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? A No Yes If yes, provide explanation: Project Description (use attachments if necessary): 36' by dd. S_ i .1 K C u r,'O L4 w rd i A �� l !8� 7S C) se Bc L of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 30' A, d ) . 5 s w e [t Area of wetlands on lot: Percent coverage of lot: Ll % l b 1 )•/ J w r_. l 1r !yLal h 1'G Jt o'l 5 e square feet Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: S77. 7 S feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? ,,� 7 50 cubic yards How much material will be filled? b Pubic yards Depth of which material will be removed or deposited: `'1. Proposed slope throughout the area of operations: feet Manner in which material will be removed or deposited:_ .•i e, _Z; y P r v 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): 0A 61Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I - 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: 5L." i e t% w - K CP v 1 Project Location (descr' e, and attach a location map): /3)5 1 oe /'0" 5 Ari i %4 Brief Description o Proposed Action: r J a. s S W i Waw iNy �%UU �� 7. S i..�ocal-ecK 30� by ad s&4//v4-td tcKct (is 4- -e J`1e ✓L�'r �e/ t CyOJ IT./S-1 Name of Applicant or Sponsor: Telephone,:/ t� 17— 10 - g , ` ,/"` J L LC„ �j , I � E -Mail: Ac1t /. J, 6,11PAlae .Nam Address: 13,25- i c„ �� o -1 17 . City/PO: A/JIrf State: /U%" Zip Code: l)g5_�') "C/ 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 FV 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, mist agency(s) name and permit or approval: nn ❑ b.;I A i 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A ❑ ❑ 1:1❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES ® ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES 0 ❑ ® ❑ 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES El 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES FEl 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES �1 ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES ® ❑ ® ❑ 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES ❑ FXI F-1- 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 by the State or Federal government as threatened or endangered? NO YES ❑ 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? If Yes, a. Will storm water discharges flow to adjacent properties? FV NO ❑YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: [] NO ❑YES NO YES ❑ Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g_ retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES ❑ ❑ to large impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES ® ❑ ® E]regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? l l©�I ❑ 3. Will the proposed action impair the character or quality of the existing community? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES j y/ j ❑ El of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE L� 5 Applicant/sponsor name: /l C�iat� �,��Date: % 3 Signature: Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the. following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ® E]regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? l l©�I ❑ 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 El of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or F -V-1 ❑ affect existing infrastructure for mass transit, biking or walkway? LA 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: © ❑ a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, IXI ❑ waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ElCheck 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 e ronmental 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 impac s. Town of Southold - Board of Trustees ��� Name of Lead Agency Date d� yl C�Q,7Y1Q e� President Print or pc N m of R ible O ticer in Lead Agency Title of Responsible Officer gnature of e ible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT I Page 4 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? 21 A i El 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. ElCheck 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 e ronmental 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 impac s. Town of Southold - Board of Trustees ��� Name of Lead Agency Date d� yl C�Q,7Y1Q e� President Print or pc N m of R ible O ticer in Lead Agency Title of Responsible Officer gnature of e ible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT I Page 4 of 4 Name: STATE OF NEW YORK COUNTY OF SUFFOLK PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Xv', l ". , f 6, r // , residing at / 3,2 3' Zu,,, /, H ,,, // /e� being duly sworn, deposes and says that on the o S' day of meq,- �, , 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Aq Roc y ve# -!Fla M)1, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. I Sr Sworn to before me this Day oft Notary Public VICKI TOTH Notary N No 006190696 uu York Qualified in Suffolk County t;0ffiffilssion Expires July 28, 20 rll / • • / e Ln •119.52 •1I952 W-TIMIMMM MATTITq K t�Y .f 1 .:.� MATTITUGK Y` :t 3. Ln Postage $ $0.70 ` . L.n Postage $ $0.70 10.70 0007 rU Certified Fee $3.30 16 ru O 0 Return Receipt Fee (Endorsement Required) Certified Fee 16 $3.30 C3 16 � C3 Q Return Receipt Fee (Endorsement Required) M $2.70 Postmark Here 0 Restricted Delivery Fee (Endorsement Required) °'$6.70 -I-Total $0.00 $ $6.70 O M M Ir :I- Total Postage & Fees $ $6.70 Q ---------------------- -------- 05/05/2015 M I I Q rV I City, State, ZIP+4 :el 1 -�'g-------- Sent To // P 0 Street & Apt. No., orPOBox // `' bra 4C -- ------q- City, State, Z/P+4 �7 J %/ - rr / e •119.52 MATTITq K t�Y .f 1 .:.� P=�`:% :t 3. r :� Ln Postage $ $0.70 0007 ru Postage $ 10.70 0007 Iv Certified Fee $3.30 16 ru O 0 Return Receipt Fee (Endorsement Required) $2.70 16 Postmark Here C3 Restricted Delivery Fee (Endorsement Required) $0.00 $2 .70 M O $0.00 O °'$6.70 -I-Total Postage &Fees $ $6.70 05/05/2015 M M Sent To e---------- �r.f2 r—1 N ------ Street BApt. No., or PO Box No. Qk� Q ---------------------- -------- Street or PO Box No City, tat`rj City, State, Z/P+4 �� C �y 1 1 q f` /s'' Mnz I I Q rV I Ln s . •+ . MATTI i1�952� r :� :: Y L Postage $ 10.70 0007 Iv Certified Fee $3.30 16 � M C3 Return Re Fee ipt (Endorsement Required) Postmark Here $2 .70 M Restricted Delivery Fee (Endorsement Required) $0.00 O $ $6.70 � Total Postage & Fees 05/05/2015 M Sent To Street or PO Box No ------------------------------------- / > /� l=__ City, State, ZIP+4 :el 1 -�'g-------- John Bredemeyer, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders gUf F91/( 0co 5 C a w • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MICHAEL GILL COUNTY OF SUFFOLK) STATE OF NEW YORK) Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, /� �' CI �p , residing at/dba 1/4S / I C a c �C 41 / 1/15- being /1Sbeing duly sworn, depose and say: That on the 7 day of %(a,r , 2015—, I personally posted the property known as / 32 r C u,, /,. s P� We Al,rl&rZ_ iV>, 1I e1 Sl.� 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, May 20, 2015. Dated: Sworn to before me this / day of \3 20 5� Notary Public Notary PubUc Statt of New York Quali ed nrSuffolk County 09MMIsslon Expires July 98.2n tts (signature) NUTILt Uim HLAKING I - - 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: MICHAEL GILL SUBJECT OF PUBLIC HEARING: Construct a 22.5'x30' swimming pool; a 7.5' wide wood deck surrounding the pool; install 5' high pool fencing around perimeter of pool; and install a 3.75'x18.75' walkway from pool to dwelling. TIME & DATE OF PUBLIC HEARING: Wednesday, May 20, 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 rd of Trustees Applicati County of Suffolk State of New York I c`'La'e 1 v ° 11 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. I � 0/- : �- �' - - � " �-- Signature of Property Owner SWORN TO BEFORE ME THIS h --P Notary Public CONNIE D. BUNCH Notary Public, State of Now York No. 01 BU6185050 Qualified in Suffolk County Commission Expires April 14.2-2:1-1- 1)3 DAY OF t/ i 520_L�r- BC L of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, _A, t j, e,/ (y ; B I residing at 3 S� &u bti ! h 4 gel (print owner of property) (mailing a dress) do hereby authorize (Agent) to apply for permits) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The puroose of this form is to provide information which can alert the town of p2ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name, first name, diddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate. the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other', name the activity.) SW i �� 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 a day of 200 L Signature Print Name Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form. should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be 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# 11,5-- - I / - 01 PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action (check appropriate*response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: rG).e c� 4 es Cv 'p�6Y1 /ILL.'lJ 3v' 6v 47-2_ Y sL� (n / 0. ] A' 7�-' b 3 . -7 S— , wa (L.,,; ;, /6 �L..e k 6 ,A 5-e p Location of action: )-32 S/ L 1? o , Site acreage: Present land use: Present zoning classification: 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: t4'- C -It" (b) Mailing address: / g �, e to ,_µ /Pa zVA AJV Ili 5-d (c) Telephone number: Area Code ( ) q / `7 - & (J _( - 9 (o 10 d) Application number, if any; 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? 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 LWR.P 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 0 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria F] Yes 1:1 No ® Not 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 ❑ 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 through 32 for evaluation criteria. Yes No Not Applicanle 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 5� 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 W Not 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 LW" Section III — Policies; Pages 38 through 46 for evaluation criteria. ❑ YeO No © Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No X 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 ` 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 14 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No [,4 Not Applicable PREPARED BY�� e [� , �� TITLE ®,s,vc P r DATE t -ai_- l c;m fornilior with the STANDARDS FOR APPROVAL SCDHS Ref. # RIO -08-0089 S AND CONSTRUCTION OF SUBSURFACE SEWAGE SURVEY OF PROPERTY DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES or�,Nc �'�� pS. and will obide by the conditions set forth therein and on the \1r556'� j `,�o3sp, A T MA TTIT UCK' permit, to construct. 5� �`�� TOWN OF SOUTHOLD The loco tion of wells and cesspools shown hereon are 8° J,P SUFFOLK COUNTY, N. Y. from field observations and or from, data obtained from others. of �� 5 E 1000-115-11-09 {, SCALE.' 1 =c30� ANY ALTERATION OR AJD/TION TO THIS SURVEY ISA VIOLATION / OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ��++ 01- EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICA77ONS V� �10 1 MI O K3 JANUARY 3, 2007r HEREON ARE VALID FOR THIS IJAP AND COPIES THEREOF ONLY IF L� / W -0 FEBRUARY 8, 2008 (10' CONTOUR LINE) SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR �0 ,3o goo " �i . MARCH 4, 2008 (PROPOSED ADDITION e LATH 'W LOSE SG:NA TL'?E APPEARS HEREON. 4 �^ s 150 O � �},• May 22, 2008 (SEPTIC CROSS SECTION) IR El e va tions referenced to N. G. V.D. 1 rj •� 15 j Nov. !, 2010 (REVISIONS) Y FER. 28, 2012 ftinaD = I/, ON T �g9 � � �91 i d P�'���ED_��P��C�YSJ.F.M � �. � • � a � (FOUR BEDROOM MAX.) i 1 N 'Z1 [2] 6 DEEP x 8 DIAMETER LEACHING POOLS Y , �o� / . � CC4v1,.` 0 PC 04" CSI [1] 1,000 GALLON SEPTIC TANK •�� `� ,10'x/ Ib }'aI.{Uut ; ` pEcgQa w Q ( o x c a D_ O �h0 / ANK �7 r r S1YRP0� 6, S 1 m r eft t=i " :- DW e DRYWFLL / Q• 8 *' �„G s. 112 GP t0• p^ I 1 _ L-. 32 el JAP 4e FE �75.3 r 4 y 04 WFTLA,NDS FLAGMAY; EDGE OF WF -TI -ANDS AS 0Ct_I,"JFATED BY � R. FOX FFB. 08 a ? L 0 T CO VERA GE 37,035 sq. fl. UPLAN'bS z o I / � ,� • 2391. /37035 = .6.5 % EXISTING F 3994/37035 = 10.7% AFTER. CONTRUCTION 'Z w Ln 'z 1 0 RAIN RUNOFF COMPUTATIONS N HOUSE & CONC. = 7.994 x 0.17 X. h. = 679 cull. �t GRAVEL "✓EhAY =3120 - 0.17 X 0.4 =212 cu.11: c w 891 'cu. fl. m- 1 u L P M / R, \ 1 891-142.2 = 21 VFn LP / PHOVIOE 4 L.P.s 8'0 X. 6' DEEP OR EOUAL jE5'E z AREA TO TOP OF BANK. WITH SLOPE OF 10% = 0•D _ - TEST ELI a .�IAPPROVED BY y. ;.y y BOARD OF TRUSTEES. ;.� :TOWN OF SOUTHOLD .DATE °'METER 215'2 µpTERFE ; EDGE OF PAVEMENT EL. g,5' 0. 3'W 579.4 ,00"w ? TE ROAD). P-� E� E- 14.5 � ROAD �pRIV HSE_ - N POINJ j • R IN STREET) EL 1T 4 -- FYxsr,ED c.�zADE I EL 15 EL.14.6' TO � ' tyA� r � i ° Y6RE5/LUP 1 °� 13 rz s 77c )E rl.e LEACtONij T os o�RN�A� YWA R� - I TAMC 11.6 Pool 6.5• p�gLIC � c�3Du0 MAI ER EL 1. a' SEPTIC SYSTEM (:ROSS SECTION F TEST HOLE DA TA \ cDONALD GEOSC/ENCE DECEMBER 29, 2006 DARK BROWN SANDY LOAM OL BROWN SILTY SAND SM ---- 2.5, PALE BROWN F7NE SAND SP WATER 14.0' Nei �. LE BROWN FINE SAND SP An� ' C. NO. 49618 (631) ��-r631) 765-1 /y/ P.O. BOX AREA=39,078 SO. FT. TO TIE LINES SOUTHOLD, N. Y. S 971 06-263 l ern familiar wan the STANDARDS FOR APPROVAL SCDHS Ref. # Rl0-08-0089 AND CONSTRUCTION OF SUBSURFACE SEWAGE � DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES oP�`� '� 0 � 01-1d will abide by the conditions set forth therein and on the N0350 h / permit to construct.—_ The locotion of wells and cesspools shown hereon are eos,p from field observations and or from, data obtained from others. �r 5 oaf ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLATION �t T� o 1 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. .�++Q��! pF EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR �O MYOSE S/aC ,'AT -'?E APPEARS HEREON. �� ,�o Elevations referenced to N. G. V. D. 3 =MONUMENT �5g•�j (FOUR BEOROOV MAX.) [2] 6' DLEP x 8' D,'AMETER LEACHING POOLS �� e 0 e [1] 1,000 GALLON SEPTIC TANK � / 1-i NK DW DRYWELL /�Q. OF BA *. ike FE 75.3' 4 > WETLANDS FLAG 0& 0.3'M LOGE OF WE_'T(_ANuS AS DELUIEATED BY FOX FEB. 08 ��ra 7- R. EL 11 1 �OEOK w 11 PC „�� .. � 'a 1 112$ 0pR EL. 10.6' 100 32' PO4� =te LOT COVE,gA0E 37,035 sq.fl. UPLANDS v Z o � O N v 2391-137035 = .6.5 % EXISTING,1-- o C-40 3994/37035 = 10.7% AFTER. CONTRUCTION Z l v 11 C ST RAIN RUNOFF COMPUTATIONS ra�� D� / / HOUSE_ & CONC. = ?.994 x 0./7 x. I•. = 679 cu. ft. 0 � 8 1 GRAVFL f."'VEWAY =3120 x 0.17 x 0.4 =212 ull: m cu-11-- m �f 891 891 'CLIJI. � - - 891. /42.2 = 21 VF n M 5E� y I x PROVIDE 4 L.P.s 8'0 6 DEEP OR EOUAL — 1 r m (J AREA TO TOP OF BANK WITH SLOPE OF JO% t = O' a � r>1 1 iA M � E►- x J O o IL / 2 R METER 215' WATER EDGE OF PAVEMENT EL 3. FE 'W .4 �,E ROAD) p.3 S79 f ;w�, jvA . 0p EL 14.5 D (`ply NSE E / t OI�STREE') FA FLR �! O SURVEY OF PROPERTY AT MATTITUCK T 0 WN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-115-11-09 SCALE: 1'=30' JANUARY 3, 2007- FEBRUARY 007FEBRUARY 8, 2008 (10' CONTOUR LINE) MARCH 4, 2008 (PROPOSED ADDITION 8 LA May 22, 2008 (SEPTIC CROSS SECTION) Nov. 1, 2010 (REVISIONS) FEB. 28, 2012 01n01) go x\ � 1 m x F&SHED GUDE EL 15 O Et 14.6' TpN P UN �PUffi1� WATER E< 17.4 _ --� I 'rT 0.3' r J 1E 13.E ,ARES/JJ v p iE 1"J. I"SEPTI� 1E N.9 PUguC WATER) - I TAMC n s L LEA01046 TH (L)WELLING � C.?".D WATER EL Id. SE:P I IC SYSTEM t -ROSS SECTION AREA=39,078 SO. FT. TO TIE LINES APR 2 4 2015 1' TEST HOLE DATA \ WDONALD GEOSC/ENCE DECEMBER 29, 2006 DARK BROWN SANDY LOAM OIL BROWN SILTY SAND SM — — 2.5' ' PALE BROWN FINE SAND SP WATER 14.0' P OWN FINE SAND SP -1 91't LI 0. 49618 PECON/C 4 �v1 (631) 765 P.O. BOX 90s 1230 TRAVELER RE� SOUTHOLD, N. Y. 11971 5-1797 06-,263 O N v C-40 I m l v 11 N 0 Q 0 8 1 m �f D � y I � m � Q r m A 1 I� A x J O w � 'o go x\ � 1 m x F&SHED GUDE EL 15 O Et 14.6' TpN P UN �PUffi1� WATER E< 17.4 _ --� I 'rT 0.3' r J 1E 13.E ,ARES/JJ v p iE 1"J. I"SEPTI� 1E N.9 PUguC WATER) - I TAMC n s L LEA01046 TH (L)WELLING � C.?".D WATER EL Id. SE:P I IC SYSTEM t -ROSS SECTION AREA=39,078 SO. FT. TO TIE LINES APR 2 4 2015 1' TEST HOLE DATA \ WDONALD GEOSC/ENCE DECEMBER 29, 2006 DARK BROWN SANDY LOAM OIL BROWN SILTY SAND SM — — 2.5' ' PALE BROWN FINE SAND SP WATER 14.0' P OWN FINE SAND SP -1 91't LI 0. 49618 PECON/C 4 �v1 (631) 765 P.O. BOX 90s 1230 TRAVELER RE� SOUTHOLD, N. Y. 11971 5-1797 06-,263