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TR-8586
_0. John M. Bredemeyer Ill, President ,�'' gUFFD( Town Hall,53095 Main Rd. �o k� Michael J.Domino, Vice-President ``,` oGy P.O. Box 1179 James F. King ' Southold,NY 11971 Charles J. Sanders "it �� Telephone(631)765-1892 Dave Bergenl Fax(631)765-6641 BOARD'OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction '/2 constructed IProject complete, compliance inspection ..,,:,,41601,41,1;-,:-Y 4,' 6S-4+t" s. •f tt �... aypd•a - -4`4' °a°0y ., '0'..4(44,;...;<,-, ,.fier9'°S m4k s< ..,-...— tiyc9 4) i 4.0.6,°r tt , ' e '� - • to I I � .r '� . :I, �.i_;;�._..,.,a -s �a .tea-�.S, �i`�� ..��� ham. (4 \ .� � .� :,�-•"�': S � ,� ��; �: '... • i x .v ,-.:a = ..,_....,,,,,,,,,s,,,,,, ",,, ...ztt,Xi<:, '.,__,.�..>`-'`3• :2k,4-. ..,,,p..-1v,2.,w li`i_t'S..�.i'.C`<.c• °f l ►.hl 5 r J ft s /P .i 1• 1 '` t, 'pal•': 8.-. 4:af ,i;': P 534,1. -t a. „ BOARD OF SOUTHOLD TOWN TRUSTEES =,, K, SOUTHOLD, NEW YORK toils ', cue ,..--Y. I y*• V/ ,,,,,fn' PERMIT NO. 8586 DATE: APRIL 22, 2015 ,-'„"i.; '+{li ISSUED TO: 375 EAST END ROAD REALTY TRUST C/O PETER ALSOP ;_re: , ` ., c ,/,- PROPERTY ADDRESS: 33 TREASURE POND ROAD, FISHERS ISLAND �rt �.iK �'I SCTM#3-7-5 " ;:. qt., ,zi _ ‘,...„.,;; AUTHORIZATION :; �� �. .:. g. , , g r .... .._.. „.,. ,.. .,_ .7,1 7:7 ! Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 22,2015,and in ,!Y;a' f '_`a consideration of application fee in the sum of$250.00 paid by Glenn E.Just and subject to the Terms and "% � k Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the d 44t '3 F 1.0.6 following: ' ' - - i'1044, ,, )rte, ,9 �-' %41, Wetland Permit to upgrade the sanitary system by pumping out the existing VI.V ' 4. ,, J septic tank, if needed fill with sand; install new sanitary system; remove concrete slab 1�n,; :1,4,1' A and install new sewer line from house and install a man-hole cover;`install � . approximately 50' of a+/-4' high boulder retaining wall with a fence on the landward N;,,,°� ",` side; and to clear area of vegetation for access of garage; and as depicted on the site i=. f' ,i, - sf., . � ' plan prepared by CME Associates Engineering,Land Surveying& Architecture, PLLC, last dated December 17,2014 and stamped approved on April 22,2015. • " Se11 a d ,, ,, � a o,i. rR l 4..-.„ IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ` ,r and these presents to be subscribed by a majority of the said Board as of this date., ',. ';w .sr ii K ,( I 14_,,j,____y_ 4 sg-t7,--„,_„., ,,= 3 O ,( qt,0 §$ GO ; , /y�� Jam/ ).-,,,,,,,..pg, 0 4rt «- '7%. JOS Charles J. Sande military leave of absence N .,*r.1, 41 Jit S. t,„•' �� cp;tr�x : I e,, ...v-. '• s °i taaaa a:a,ms e = a11t ,c rt y ..'u .a'tw's; ..tz.:q 1� SlE3: off'p,o xt?';;;a,,:,: 'r..i ca,>`w-,, ,,:i._.v., &*`,i..,” ,.6ta:_§.�,-'x37;ui.,...`3x i.,,i.. .,e, rcw;arw x > mar . ': � '_ `�'/ 4 L ,f z.+. r w ',.^.;- 6'.. �( t-,-. r 4.r d.P"' ft t t ,„,---- ,---,10 ‘.,* ' ns S� . ' �" ' -I"t\ t" t. _ *- --*,,A.„,:4,:;,, - ' �, .— " „„ vi 73jiiA tj'h0.r.. ,,,fp-, qti. ..,,,,„h tt-, - ,,, ,,,., l� °•,p.: 01', . A,ir i .. : esite 4,4t §+r°' 't --*,,A= z :..,fr.. .. TP rl ,. ,, ,.ar• TERMS AND CONDTI'IONS The Permittee,375 East End Road Realty Trust do Peter Alsop, residing at 33 Treasure Pond Road, Fishers Island,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 willbe no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. t. ie John M. Bredemeyer III,President ��o yQ , l Town Hall Annex Michael J. Domino,Vice-President �� 54375 Main Road James F. King,Trustee ° i P.O. Box 1179 y ,, Southold,New York 11971-0959 Dave Bergen,Trustee __ x c2Q• •Charles J. Sanders,Trustee OI.0 , Y.'N �'�� Telephone(631) 765-1892 OUNT( s �i Fax(631) 765-6641 •�� , BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 22, 2015 Mr. Glenn E. Just J.M.O. Environmental Consulting PO Box 447 Quogue, NY 11959-0447 • RE: 375 EAST END ROAD REALTY TRUST CIO PETER ALSOP 33 TREASURE POND ROAD, FISHERS ISLAND SCTM# 3-7-5 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 22, 2015 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of 375 EAST END ROAD REALTY TRUST CIO PETER ALSOP applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 18, 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 April 22, 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 approves the application of 375 EAST END ROAD REALTY TRUST C/O PETER ALSOP to upgrade the sanitary system by pumping out the existing septic tank, if needed fill with sand; install new sanitary system; remove concrete slab and install new sewer line from house and install a man- hole cover; install approximately 50' of a +/-4' high boulder retaining wall with a fence on the landward side; and to clear area of vegetation for access of garage; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC, last dated December 17, 2014 and stamped approved on April 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/amn .,``,,,,F,�, Town Hall Annex John M. Bredemeyer III, President ,`pSUEF ©(,,C� Michael J.Domino,Vice-President ++��Y4� Gy 54375 Route 25,P.O.Box 1179 James F. King Southold,NY 11971 rrt Q P Telephone(631)765-1892 Charles J. Sanders y �. �� P Dave Bergen �Ol Fax��O''�r Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: _ , i $ ^ rb/w1 e_n4 I l)W Y"1 Q -4 37 Ea t-51 cl Jr ET, Reo� -ht Please be advised that your application dated i�_l15 hast been reviewed by this Board at the regular meeting of11"12�- j5 and your application has been approved pending the completion of th 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) V 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: $ . Db �� C�gcfl ro � I 5 John M. Bredemeyer III President / BY: y , Board of Trustees N/F PETER R. CHAPMAN 7 � 19-10 • • • \N� 19-8 _ E MAP 1000, BLOCK 2, LOT 8 W/ A V 19-9A M o SINGLE FAMILY RESIDENCE A MUNICIPAL WATER W O/,f� – y,�n c ON SITE SEPTIC V ` ' w.I 'c 189 — W APPROX. LOCATION PORTON PORTION N ° S �1. •�1 w W� EXISTING WATER MAIN � � / GOV 1s2 19-z CO •C �- / 19-3 13-2-131 5--1 C7 CO i5) W / 19-4 ^ ° ) \ f 93.52'_'�_ �!_ta2,tt""----- W'---w w w__ ---- UIDE RAIL ��� CU UV/ s E S 81•15'4p` E N 8517'00" E l I -' JiIt _— -- ---- .,- 19_5 �1 c-,? U iliI (16 -____ __ EAST MAIN ROAD _____________ a �-p W --�/ ~ \ \ — __ —— , 20-1 r^� •r-1 1 •4, \ T—____- ------------------------ ___----- MONUMENT �n' 4. � `� g'- _ co HENRY L '� �, 93.52,——————————_ _ —_ �r���"' 21-1 20-2 (/p � �-1 O MUSEUM, INC. l b� •'` • Na \\\\ CI) ..4 a i 1 0 i O. co CD . . 'R. ( O/ �' \ LAHo UST 2 . allimmme MONUMENT X-----_-- (FOUND) / -.4_ S , ;.. I 'I i `� * * S.I .TjE \ O v V „ \ PROVIDED GRADED PATH y� ^ _a �r� ^ I I 64 �\ -��-� �\ y U• �a�i o = AS DIRECTED BY OWNER ,, j------\_iiiiii- --- \ ii ; p LOAM. SEED AND , ---- 1 - _._ - - , .�y�. \ 20-a 20-a F�'-1 o CO yr- ti ,. \ ` RE-ESTABLISH AS LAWN - _ / 1 PROPOSED '`'" PROVIDE • • ° �°' ` rn 2. i S�\� /I' STONE N PARKING DR\VE �CONSTRUCTIO \ Hamilton F. Potter m m '� ® ® _ ®_ e�l` I AREA .�'�r ENTRANCE \ �"� c o =1 --- ���' (SEE DETAIL) r� s 20--11 / / /3 �`\4LS/\ ReC U EDGE OF LAWN - � 1 i O 2. / N N 'I ?()' / • �1 I / \ /r 0 U M 1 0 ° o t 40VIDE 5,--- „I � _1 eA c� ch ry�ti�A/ N/F PROVIDE NEW WATER 3 /• DeI��-�/POOLS LEACHING_/ \1 \ \\ Q P` zo-toe I'. j` ch ch SERVICE AND - TH REMOVE EXISTING ti y HENRY L. BURIED UTILITIES �1� — OVERHEAD UTILITIES C V� ,' FERGUSON �j • �`E's\`'s. MUSEUM, INC. , / O ELECTRIC & TELEPHONE O VACANT LAND" , a EXPANSION .V- 4 —� ::::: AREA 17aso'• W BRICK WALK J c_I)S 840 \ / • ; • 7 \ 0 LOCATION MAP SCALE 1 "=400' MIDDLE / FARMS \�S. 128 ^ O I \L / / \ • \cb g 80 49'20" `N �, M 1 e / / ® \ MAP REFERENCES BENCHMARK:ROD 300 oCIA it 2-i,:trif).T. ¢ u• ' rPOND mom mom imoommimon 5 / / / �~ \ 1.) PLA,J OF PROPERTY TO BE CONVEYED BY ALFRED L. FERGUSON TO WALTER G. ��10o so o goo o •'� ELEVATION =31.88 ®k� O O RAFFERTY FISHERS ISLAND, N.Y. SCALE: 1 =100 CHANDLER & PALMER, ENGRS. 1 ;.- GRAPHIC SCALE IN FEET c, S \ \ -eAUGUST 1957. �;j'° vix, PROVIDE 3000 GAL. \/ / -p \ „— SEPTIC TANK I %i l / ....... -� �� \ f, $ ., a i) i /\ N 7 terJ1/ , . ' ' /' / / / / / i . \ 7 • XISTING RADE J / , / - EXISTING \ 1''�p NOTES :•`f`� o� R b' p \\\ � / / / / 1" / (� I / ` \ C.P. \ 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED l *.-:•,.,,1 ! / f"/` / I '0 I ' 'N HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 1 I ` '«-- / / • / / N, BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE II II , / -- // ' l r/ .I / ` / ENGAGEMENT. ' I-- FABRIC C ' / HOUSE/ ' ' / /� % /" �" ST p' / I l 4 I / // /. // 1'"'ll�l I I �N / 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS I-- / _`� I, / I ' GARAGE .41. if) ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN (f) i /" /" /" `io�� / / I n I - No ITEM IN ANY WAY. i / / Ct BASEMENT t� I \ / /' / / fL.-E 30 ' / / 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S 11 _il I i` ��/ 3111111 /' ,/ / �/ = / ' ' ` o, SIGNATUREANDAN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE\ / ;/ -ri he ! I it I I LANDSURVEYOR.I• PATIO / /. „ / i01 12” ROCK S '" i li" / I !\ ' / /0/6 I / / / / \ 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC CHIPS / %` to / / / / / ✓ / \ " " J SURVEY TRIANGULATION STATION CHOCOMOUNT 2 �/,.� / '0 /4. PROVIDE BOULDER Q 2 TO 4 TON BOULDERS - - / !`` RETAINING WALL LIMITS OF 5.) SITE IS IN NE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, LJWJ � FILL VOIDS WITH SMALLER ROCKS _ / / ry T.W,=28� CLEARING FOR SECTION 0 3 � 0 0 , BLOCK 7, LOT 5. o "� / / I / (SEE DETAIL) GARAGE ACCESS- 0 O oQ / • , PROVIDE PLANTINGS >- STONE RETAINING WALL / / / �' ® / .: ',� . - IN DISTURBED AREAS 6,) TOTAL AREA = 6.35± ACRES, Q QJ� NOT TO SCALE _= REMOVE CONCRETE // / / / / / / / w�F S -• ." AS DIRECTED BY OWNER Z p w ,�i.'°a�i''4. *•., SLAB-PROVIDE S .'ER LINEFROM �� / �® l `� l _ l l / w�F a. 7.) SITE IS LOCATED IN R-120 ZONE. L1. O OZ Z �, �'; �� ` -� so /moi HOUSE-MANHOLE PROVIDE / / / / / % wLF 6"":'Y ,, 8,) BASE FOR ELEVATIONS- APPROX. NAVD 1988. 0` 0 CLQ 0_ p �,.�iy� BF '.yi ',i 5 �'yi'.iiii, � / / / WLF- 3 U CY W Z �.t''+'yam. �'F y� ''�'�• PROVIDE FENCE / / o 9.) AREA TO BE DISTURBED- 14,400± SQUARE FEET. < Q 4'404,'���2,44� ' ALONG RETAINING WALL RpE I / / / % w w 1/j 10' MIN. RADIUS y%+'� :,��%;.,, �� p . 10.) HOUSE IS CURRENTLY CONNECTED TO EXISTING 8" WATER MAIN IN EAST MAIN � Z ' ''=Nwom'3=may''%'%�%'• p J I / / / ty 2" DIAMETER tit`.61.0" ROAD. W CRUSHED STONE FI ':'.. ',,.',''Nr- 1,6 �� I / / / WLF 7 '1 ii i,.i,.,�Jr� lT • =.-' 6" MIN. STONE DEPTH ER Fq .' 2 MI(' A@1, i / / / to ro � RIC 1 MANHOLES ,1 S'/ Q / / TEST HOLE DATA - W CONSTRUCTION ENTRANCE ,r / ( I WLF s OBSERVED BY: R. STROUSE P.E.L.S. DEC. 19, 2014 NOT TO SCALE OLD SEPTIC TO BE LIMITS OF NOTES: PUMPED IF NEEDED • / 1 TH 1 DEPTH= 17' in AND FILLED W/SAND / / / FRESHWATER 0-10" TOPSOIL 1. REMOVE TOPSOIL AN ORGANICS PRIOR TO PLACEMENT OF CRUSHED STONE. PROVIDE FORM WWM-080 / ) / FLAGGED WETLANDS 2. ENTRANCE SHALL BE 12' WIDE MINIMUM. // / ,) CME STAFFY 25"-17' MAID-FINE SANID, POORLY GRADED 3. SUB-BASE OF FREE DRAINING BACKFILL MAY BE USED IN LIEU OF NO WATER W PROVIDE CONTINUOUS '• "`wLF 9 4. MAINTAIN BY TOP DRESSING WITH ADDITIONAL STONE AND REPAIRING RUTS SILT FENCE GEOTEXTILE FILTER FABRIC. LINE OF SILT FENCE / / / SOIL CLASSIFICATIONS = AS REQUIRED. ADDITIONAL LENGTH MAY BE REQUIRED IF SEDIMENT IS WOVEN WIRE FENCE (MIN, 14 ESTABLISH AS LIMITS / / TRACKED ONTO PAVED AREAS. ANY SEDIMENT SPILLED, DROPPED OR GAUGE W/ MAX. 6" MESH Jr GRADING, EC GROUND 8eT - RIVSLOPAD VERY STONY S • ANDY LOAM I— TRACKED ONTO PAVED SURFACES SHALL BE REMOVED IMMEIDATELY. SPACING) DISTURBANCE / 8 E 15%VERHEAS ip / �• RSETO 51�ESLOPESAND PLYMOUTH VERY BOULDERY SOILS MAX CEN 36" MIN. LENGTH FENCE r �R TO CENTER POSTS DRIVEN MIN. 16" / m _II INTO GROUND / ,SEPTIC SYSTEM DESIGN FOR 11 BEDROOM RESIDENCE • PROVIDE - 3000 GALLON SEPTIC TANK PROVIDE - 5 - 6'6" X 6'5" LEACHING POOLS (SEE DETAIL) _II z T WEF 0 INVERT ELEVATIONS— - O . • MANHOLE INLET- 26,0 Z a . MANHOLE OUTLET- 25.9 TANK INLET - BOARD OF TRUSTEES `/����i�i�>/\/\\/\i�/�//�//�// / \-FILITER GHT OF16" MIN. 13'-0" TANK OUTLET - 23.0 ; - c, Li u POOL 1 INLET - 22.5 �'�f OF SO� O �. \ \\//,/ POOL \//\' ' LEACHING POOLS 2-5 INLET - 22.0 '/`. \ EMBED FILTER CLEAN OUT - €�0r CLOTH A MIN. OF 6" IN GROUND / COVERS �� A J-// A2 W PERSPECTIVE VIEW 4 -t b - .. . i.4t/ IINI f / -MP- / - - --- ' - ---- WOVEN WIRE FENCE (MIN. 14 U U — -- 1/2 GAUGE W/ MAX. 6" MESH SPACING) WITH FILTER CLOTH ? OII Z 36" MIN. FENCE POST o II `N FLOW GROUNDUNDISTURBED f"1 f1 1 CP �// NALTERNATE INLET ALTERNATE OUTLET -" '_. --" �`` Q COMPACTED SOIL j \ KNOCKOUTS KNOCKOUTS 11 ~ EMBED FILTER CLOTH \ ,\\\,/,<,,,\ ,\„/ . 0 3 PLACES 3 PLACES f ! • 1 „2, Q U) A MIN. OF 6" IN GROUND 4"" PLAN VAR 1 8 2015 0 i, �, CO PLAN co Q SECTION VIEW m I CO OUTLET O CONSTRUCTION SPECIFlCATIONa r S'-0" I —� INLET 1 LEGEND �, z /1/7/V / / / / / Ar7/1"// / / / x17/L Y I 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH WIRE -Z CC 0 w CC = 0 Li TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE OR ❑❑ INN° ❑q L HARDWOOD. ❑❑ ❑] i / N/F NOW OR FORMERLY m ❑❑ ❑ T 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH TIES ❑❑ ❑❑ N / 1 / SF . SQUARE FEET DATE: 12/17/2014 SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE WOVEN WIRE, ❑❑ 0 0 0 0❑ 6" MAXIMUM MESH OPENING. 1 ❑O 0 O O DO rn co \ — — 30 — — EXISTING CONTOURS „ , 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY SHALL BE 0 00 0 0 I \ SCALE: 1 = 20 OVER-LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH SHALL BE EITHER 0 0 0 0 0 i0 \ STONE WALL FILTER X, MIRAFI 100X, STABILNKA T140N, OR APPROVED EQUIVALENT. ❑❑ 0 0 0 ❑❑ I 6" WALL ❑❑ 0 0 0 ❑❑ OPTIONAL�-� TYPICAL \�- QUALITY CONTROL CERTIFICATION 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED 0 O 0 01 D \ N •� – " " RETAINING WALL EQUIVALENT. ID 0 l 0 O O D❑ 1 L\\ \ \ \ \ \ \ \ \ \ \ \\ \ \ \ \ \ \ \ \ \ \\ GROUP REVIEWED DATE o o FENCE • 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL REMOVED WHEN PROJECT MANAGER "BULGES" DEVELOP IN THE SILT FENCE. SURVEY 6 -6 SECTION A-A TREELINE 20 10 0 20 SHEET millom mom ENVIRONMENTAL a o WLF# LIMITS OF FREWSHWATER WETLANDS GRAPHIC SCALE IN FEET I OF 1 CIVIL LEACHING POOL DETAIL 3000 GAL. SEPTIC TANK DETAILS STRUCTURAL NOT TO SCALE RpE NOT TO SCALE SOIL SYMBOL ARCHITECTURAL •I • John Bredemeyer, President „•'''.....,:” _, Town Hall Annex Michael J. Domino, Vice-President r��°�, cO°y 54375 Route 25 James F. King ;y 41 P.O. Box 1179 Charles J. Sanders � ,� Southold, NY 11971 Dave Bergen = 'Or * ya°,•�' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report ` -IS" l � Date/Time: J.M.O. Environmental Consulting on behalf of 375 EAST END ROAD REALTY TRUST, c/o PETER ALSOP requests a Wetland Permit to upgrade the sanitary system by pumping out the existing septic tank, if needed fill with sand; install new sanitary system; remove concrete slab and install new sewer line from house and install a man- hole cover; install approximately 50' of a +/-4' high boulder retaining wall with a fence on the landward side; and to clear area of vegetation for access of garage. Located: 33 Treasure Pond Road, Fishers Island. SCTM# 3-7-5 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 Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: (//id 4Atr �� C 0 _ / V Present Were: J. Bredemeyer /VI. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Print-Maps s http://www.bing.com/mom^s/print.aspx?mkt=en-us&z=18&s=h&cp=41... • oquorux • bing Maps BridgeStonington 06390, NY 1 .rt My Notes fn1• +ondSound Fish*Sff I gOn the go?Use m.bing.coom to find maps, airections,businesses,and more @7lifii3i' cd id i 1?luny igig J Poe • `t • 4 oil • - ,- �:. f . • r • ph M'..r '{ ` i .I k_. • f+, P) bing ',, CJ 1613 ili cora:r.:-aggERIEWEI 1 of 1 2/13/2015 1:20 PM R—,� 31 3 0offiN 04.2200 . ". a. I V D2417.02 12-0,02 2. ' Ua2w On 2200 N7.3 col- oe m+O \74.-NT. lWq ISLAND °Tµt 9 4 O O s 0 FISNEPS ( 6.0 .`g O 1I ea e, 4&I asN LL asA 1 GO I , , .i . � y , Ob FFR . . O�Dt ^• �OC - -^ 22. • 33 20.2421RQ' . 8 . IM o2. M ; •••• S e ys_iw 3W e 'I 14111 a Ij 1 is R'/ 222210 M +]A. a ,.2.q t a ' aNcl r ' Oti 1u .Wq .i 2 POP PaNO 'II ,. 3.2. O .02000210 u g II l 00 24A Wq 3Wq / / c2• SM • "r'E tzi a Iiau .. • •TINN 10 2e0 a.]Nq ,�. t W4 .\ ]7A4C1 " ti 20Nc1 ° n A ® ` 23040 • © a)s1.I 1 2,Nc) • a ISOM .,..w,M 2..n Q.Wc) 23NO a.^ -a- J 4 .'' 9. 2..+e 2m(q }Ncl Odd*FtlmM Pend \ O. . • tr. °u FON FICL••NS s siRE c No. , r .N..]_. '� .. acc.xO Oosm.om.+ 1� o°sm-2..m - E • ••.«• Q3/i" r. —z-- KOCN - UNC. wTCN 2Z -UN 'yl p �NGwm Q..e cplr to NOTICE "\ COUNTY OF SUFFOLK© E .: *....cr SONTNOLC SECTION NO G ... —zi— ...._ 2.1l p2 .. "-- .e Real Property Tex Service Agency r u� }�� «,oca g E .r• ..... .IS 1a ..,.. —_— w.Ir "� _ ••__ 22.220 Kat FM, Center RNN,w.Nv ttFm N.3., m l / R NN no U w.� b 2.121N wgIANI "-'_ —__ r..ewu. ��.__ rrw.r.. w .a..A mmV s Pt.raOrem T2.,Kama 4, ,a. P 1 COMMON 0.01 w«2.m� PROPERTY 4M J.M.O. %4;1j' Environmental Consulting Services • L E V n . November 9, 2015 - i NOV 1 0 2015 Board of Town Trustees ld Town of Southold Beard ern ard of Trustees Town Hall Annex 54375 main Road P.O. Box 0959 Southold, NY 11971 Re: Application for The 375 East End Road Realty Trust 33 Treasure Pond Road, Fishers Island S.C.T.M.No. 1000-003-7-5 Enclosed please find is a check for the final inspection fee of this project site. Sincerely, Glenn . Just Phone (631) 653-0607 • Fax (631) 653-3348 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 ,1 t 1 OFFICE LOCATION: � ���I��®F$®uTy® - MAILING ADDRESS: Town Hall Annex ��� `~® ecoP.O. Box 1179 54375 State Route 25 414Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) A Telephone: 631 765-1938 Southold, NY 11971 ®lac®UNTY,01 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM 7; <<� }i APR 1 3 2015 To: John Bredemeyer, President Town of Southold Board of Trustees ; -From: Mark Terry, Principal Planner —•--- '={' —"Y`� - -- LWRP Coordinator Date: April 13, 2015 Re: Local Waterfront Coastal Consistency Review for 375 EAST END ROAD REALTY TRUST, do PETER ALSOP SCTM# 1000-3-7-5 • J.M.O. Environmental Consulting on behalf of 375 EAST END ROAD REALTY TRUST, do PETER ALSOP requests a Wetland Permit to upgrade the sanitary system by pumping out the existing septic tank, if needed fill with sand; install new sanitary system; remove concrete slab and install new sewer line from house and install a man-hole cover; install approximately 50' of a +/-4' high boulder retaining wall with a fence on the landward side; and to clear area of vegetation for access of garage. Located: 33 Treasure Pond Road, Fishers Island. SCTM# 3-7-5 The proposed actions have 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 actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. The following is recommended: 1. Minimize the clearing of vegetation in the 75' setback. Define species that will be used to re-vegetate cleared areas. 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 L , +�oil OFFOLt C \ ,1 Peter Young,Chairman ! Town Hall,53095 Main Rd. Lauren Standish,Secretary , ,moi. t P.O.Box 1179 VL 4 `V/� Southold,NY 11971 ` �/6« r� ir� Telephone(631)765-1889 # * �', Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 15, 2015 the following recommendation was made: 375 EAST END ROAD REALTY TRUST to upgrade the sanitary system by pumping out the existing septic tank if needed and fill with sand, install new sanitary system, remove concrete slab and install a new sewer line from house and install a man hole cover, install approx. 50' of boulder retaining wall with a fence on the landward side, install new water service and buried utilities, install stone parking area and graded path, install construction entrance, remove overhead utilities (electric and telephone) and to clear area of vegetation for access to garage. Located: 33 Treasure Pond Rd., Fishers Island. SCTM#3-7-5 The CAC did not make an inspection, therefore no recommendation was made. APR 1 7 2015 - if ��4� 4 4 Town Hall Annex John M.Bredemeyer III,President r ,�a Michael J.Domino,Vice-President 1t 'a4 i �ttr 54375 Main Road P.O.Box 1179 James F.King,Trustee t lit Sit 1Southold,New York 11971-0959 Dave Bergen,Trustee ‘ co .. ','� y© Telephone(631)765-1892 Charles J.Sanders,Trustee \gdf, \10 Fax(631)765-6641 BOARD OF TOWN TRUSTEES _ TOWN OF SOUTHOLD ['li '; .:: {' a F"' ;r �1 ':% L<; 1, Office Use Only 1�' ,I _Coastal Erosion Permit Application �,j VAR2015 ` J X,Wetland Permit Application Administrative Permit 1 I Amendment/Transf r!Etension < Ste__ ., --ctReceived Application: 3//_flys Received Fee:$ d .. ..__._..—'r`3.,i c,?r,r,+^ Completed Application 008--- _Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) N LWRP Consistency Asses:11ot Form yi3p) - // CAC Referral Sent: 'f/ p Date of Inspection:i _Receipt of CAC Repott: _Lead Agency Determination: _Technical Review: Public Hearing Held:_(/ 4,5 Resolution: ' 375 Fast End Road Realty Trust Name of ApplicantPeter�lsop Mailing Address 22 Tyndale street Roston, MA Phone Number:( ) 91 7-554-6847 Suffolk County Tax Map Number: 1000- 003-7-5 - Property Location: 33 Treasure Pond Road, Fishers Island • (provide LILCO Pole#, distance to cross streets, and location) AGENT: (Tlenn F. Just-JMO Environmental Con sniting (If applicable) , Address: P.O. Pox 447 Quogue, NY 11959-0447 Phone: 653-0607 . . Go-c- LA\K . . _ _3� • -_1rd of Trustees Applicatio_ GENERAL DATA Land Area(in square feet): 276,606 Area Zoning: R-120 Previous use ofproperty: Single family ,dwelling Intended use of property: •Same 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? x Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes x No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Unknoan No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x - No Yes If yes,provide explanation: Project Description(use attachments if necessary): _Applicant proposes to upgrade the sanitary system by pumping out the existing septic tank if needed and fill with sand, install new sanitary system, remove concrete slab and install a nea• seaer line from house and install a man hole cover, install approximately 50 ' Of boulder retaining call with a fence on the landward side, install hew nater service and buried utilities, install stone parking area and graded path, install construction entrance, remove overhead utilities, ' (electric and telephone) and to clear area of vegetation for access to garage • B _ d of Trustees Application` • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Upgrade sanitary system Area of wetlands on lot: ) 2 0 0 0 square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: 4 5 feet Closest distance between nearest proposed structure and upland edge of wetlands: 78 feet Does the project involveexcavation or filling? No x Yes If yes,how much material will be excavated? 1 0 cubic yards How much material will be filled? 5 cubic yards Depth of which material will be removed or deposited: 10 feet Proposed slope throughout the arca of operations; 1 :1 Manner in which material will be removed or deposited: Backhoe 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): By upgrading the sanitary system the quality of the adjacent area of wetlands the quality of the wetlands should improve • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Sanitary system replacement Project Location(describe,and attach a location map): 33 Treasure Pond Road,Fishers Island Brief Description of Proposed Action: Applicant proposes to pump out existing septic tank if needed and fill with sand,install new sanitary system,remove concrete slab-provide new sewer line from house-provide man hole cover,install approximately 50'of boulder retaining wall with fence on the landward side,install new water service and buried utilities,install stone parking area and graded path,install construction entrance,remove existing overhead utilities (electric and telephone),and to clear area of vegetation for garage access. As per enclosed plans prepared by CME last dated 12/17/14. Name of Applicant or Sponsor: Telephone: 917-554-6847 375 East End Road Realty Trust,do Peter Alsop E-Mail: Address: 23 Tyndale Street City/PO: State: Zip Code: Boston MA 02131 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that [✓ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 111 ❑ N.Y.S.D.E.C.&Southold Town Trustees , 3.a.Total acreage of the site of the proposed action? 06.35 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.6.35 acres 4. Check all land uses that occur on,adjoining and near the proposed action. - ❑Urban ®Rural(non-agriculture) 0 Industrial ❑Commercial ®Residential(suburban) • ❑Forest DAgriculture El Aquatic ['Other(specify): :Parkland Page 1 of 4 • 5: Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑✓ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ✓❑ ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑✓ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑✓ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ El 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑✓ El b.Is the proposed action located in an archeological sensitive area? ❑ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ' El ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 0 Shoreline ❑Forest 0 Agricultural/grasslands ❑Early mid-successional m'Wetland 0 Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? E ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO DYES 0 ❑ b.Will storm water discharges be directed to established conveyance systems runoff and storm drains)? If Yes,briefly describe: 11 NO EYES Page 2 of 4 . s 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑] ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: El I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor n. e: -nn E.Just asagentDate: 3/// I Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning � regulations? �.1 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 171 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? I 1 5. Will the proposed action result in an adverse change in the existing level of traffic or �f j ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? LSI 7. Will the proposed action impact existing: [ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? LI 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, LI ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 I • 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 .......,(._if f ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? r 1 0 Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an denvironmental impact statement is required. V Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. LE0-14/U2t/ 771/C/e.,e,.—c 1— 7-- 1 ( Name of Lead Agency Da e ads ,�� \\ firer Print o'I. ype N. - , .1�esp- onsible Officer fn Lead Agency Title of Responsible Officer Ar X41. -a 6,1111‘.. ./ ///A.�f :igna a of espo R le Office ii Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 • 7 R PROOF OF MAILING OF NOTICE ATTACH CERTIFIED,MAIL RECEIPTS Name: • Address: Ferguson HL Museum, Inc, Attn: Robert J. Miller,VP, nay Pitney LIT One Canterbury Green, Stamford, CT 06901 Melie T. Spofford, P.O. Pox 124, Fishers Island, NY 06390-0124 Ferguson HL Museum, Inc, Attn: Robert J. Miller, VP, nay Pitney LLP One Canterbury Green, Stamford, CT 06901 Fishers Island Water Works, Drager P., Fishers Island, NY 06390 Peter R . Chapman, Susan S. Chapman, 513 Lake Avenue, Greeaich, CT 0013O STATE OF NEW YORK COUNTY OF SUFFOLK Glenn P. Just ,residing at _ _ , _ . _ Ouogue, NY 11959 ,being duly sworn, deposes and says that on the ( ___.day of j . ,20l[, 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 Notice were mailed at the U 'ted States Post Office at PweSki 06-t, , that said Notices L r:mailed to e S of d persons by CERTIFIED MAIL/RETURN RECEIPT. iA } Sworn to before me this c7i,,, 'r Day ofApri,L, , 2015 I JC AQaA1lQ.fl r� � i CMS tary Public . _ t ALYSSA LAUREN SEYMOUR NOTARY PUBLIC,STATE OF NEW YORK Registration No.01S x:6316354 Qualified in Suffolk County ey Commission Expires Dec.15,20_10 Town Hap Annex John Bredemeyer, President t�� ' , 54375 Eluate 25 Mich J Domino.Vice-President ; z. \ pip Box 1179 James F King - ��° ,e Southold, NY 11971 Oave Bergen o •,b0,,,,,, Telephone(631)765-1B92 Charles J.Sanders `'�' �-° Fax(631)765-6' 1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLlD BOARD OF TRUSTEES:TOWN OF SOUTHOLD ------------------------ In the Matter of the Application of 375 EAST END ROAD REALTY TRUST c/o lPF.TEIt ALSOP COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, -1--r6 aTh ---100 i ecest4ng at/dba 1 a d Pikl_ being duly sworn,depose and say: That on the Xi-day of lK/ ,206 1 personally posted the property known as • 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,April 22,2015. Dated: d / / 0 la sle signature) 1 Sworn to before me this 2�day of 2015- Notary Public State of Connecticut Notary Public my pommission Furse 3f31/2018 L - r _ Scanne •� by Ca Scanner i NuTiLit olio. HLARING 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: 375 EAST END ROAD REALTY TRUST, c/o PETER ALSOP SUBJECT OF PUBLIC HEARING : Upgrade the sanitary system by pumping out the existing septic tank, if needed fill with sand; install new sanitary system; remove concrete slab and install new sewer line from house and install a man-hole cover; install approximately 50' of a +/-4' high boulder retaining wall with a fence on the landward side; and to clear area of vegetation for access of garage. TIME & DATE OF PUBLIC HEARING : Wednesday, April 22, 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 .4ie = -`- Mirii,./ .. � _ � ` w> '.cd �� a � ai� 1,:,A,..„. -01;11,-\ _ t-3.7,--:- y • - - To who ii ii-magi. toncer : ` - - Please be advised that vve nave authorized the firm of..T.M.O_ . - - 'dam 1 t Services_ behalf?',' - - r��i�civiroith.�fC-L24����++i..�y.}�..r�Consulting .Y3 �`,�!tintom t to f'�.�`t s i.�! f�aav arid i}��.}yy�� }v'upr, L7 y2Y,al �. iyy - - ` - G;.S�.1 l��3 S t4 for certain Q'. Srd��1 i•:i �. L i4 'L i your .:i +.,i LL° ari Li�4.L ei 3-.} v 1'ed _ U J - with-this project. -J.,-.M.O. Consulting. 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' _ ' laoT4v -c-rda.'-ig swaqsnizt-, a-o r __.,,E 84-' o4 Trustees . pp3.icatio , - L HO LT1O (where the applicant is not the owner) i� 3051GPi4r A Ls- p residing at 33 \ C(AS,3e2•?rd P O \ - (pint o-wner of property) (mailing address) i $)4. rg 4,\'ot })‘.f b 6,3,1 O do hereby authorize - (Agent) Gl enri -E Just JMC Environmental Consulting to apply for permit(s)friii the Southold Board.4f rovay.Trustoes on ray boha f. • acres si at7ire) 1 " . - . , . . . - . . . . _ . . . . . . . . ..A.PPLYCANT/A.GENT/REPR_ESENT4Th?-:-E 1, T.RANSACTiONLL' DISCLOSEME FORM • i 1, , I i 1 I . . . , . .. , The Th 1,i of Soutl!ol.'s Code of Ethics nrobibit conflicts of in'terest on the--,...st o town bfflwrs.and aro;lo ;.;;-7.The urpose.I this'forrnisto pvisle inforination which can als-..rt the town off-mssible conflict of interest and allow•iro take Vao.tever action is necmnry to avoid same,. ,.. . . - . .1 . ...--.. • i YOR NM II- UAE: ,R\ok...:--?&V e 14..._ • „ - , :1. , (Last name,fl- name, 1-iidtlie initial,un_less:yOu fd applying in*e nanre of t 1 ' ' soineono olso or otitor entity,such as a coMpany.Ifso,Intlicato,thc.o.ther' - ' - 4 . , - ., person's or company's name.) _ . .• . ' . .. NAME OP APPLICATION': (C11.t...o- k-all that apply.) ' . _ • , . 1 Tar grievance ,..., _ .- . . . Building , . . , _ . ; • Nratianco Trustee - Change of Zone Coastal Erosion I .., • . . 'Approval of plat . -Mooring - . $1• t[ txeinpffon from plat er official mc.,2 Pit-inning . - 1 i Other - (If'Other".nante the activity.) . _ il. ' Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship With any officer or employee :i of the Town of Southold?"Rels.tionship"includes bY hlo&t:1,marriage;or-business interest."Bu.sineas inter "means a business, i t_ including a partnership,in which the town officer-or employee has even a partial ownership of for employment by)a:0:potation. in which the'awn officer or employee owns more than 5%-of the shores. - 1 t - - . S YeNO % - - - -11;1 — . ..._._ I _., If you answered."`IES",complete the balance:of l's form anti?tate and sign-\--;,here indicted, . . . 1 t ..• . il . , ;1 . . - , Name of person-employed by the•Town of Southold , - . . Title at position of that person . : - • . . it-, , ., • ;t , . . . if - , Describe the relationship between yourself(the applicantiagentircprentarivo)and tiii--•town officer or employee.Either check.- - " .1 i t the appropriate line A)through D)-and/Cr describe in the spa .•nroVicled. . . ... . - 1- , . . . . The t1) nofficzli"or un-MloYee or his or her spouse,sibling,par‘c..pt,or child is((..iteck.ail that apply); 1, ,. . . . A)the()wile r of-greater then 5%of the shale:I:of the corporate stock ate.sp.plic.. - 4nt . 1 (when the applicant is a wrporadon);\ . It. B)the legalor beneficial owner of any interost in a non-as/wee entity(when.rho'. . .. • - ', applicant is nota corporation); '• . . . - 1 i - , C)an officer,director,parnie.or ernc:loyett of the applicant;er , - s. .; • .., ' , , "D)theac.-.tual appiitant.- — . ' . 11" . . - DESCRIPTION OF REL.,A-TiOVS}11.? . . " - . . . . . , . .__;_—. , . .• . ., ___ , ' -;1 . !f, - . . •,. , . . . . _ , . .- . t ..-- •il - Submitted this _ day rejvA A r c... .. 2(30a . . _ . . ,.............. —,._.. , , .1 Form TS I . . _ • t . . . . . -,. . . . t . . r--- - . . , . ..; . , . . . . , . . . . . . . , . . . . , . . . . , i i I t Jf . 9�9 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM t The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this farm is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Just, Glenn, F' ; (Last name,first name,_middle initial,unless you are applying in the name of • someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) - • ' Tax grievance Building - , Variance Trustee Change of Zone , Coastal Erosion Approval of plat Mooring _ Exemption from plat or official map Planning Other (If"Other—,name the activity.) - , Do you personally(or through your company,-spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interes0 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 orcmployce owns more than 5%of the shares. I YES NO X ` 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 betweenyourselfa applicant/agent/representative)and the town officer or employee.Either check !° Describe the relationship (thepp the appropriate line A)through D)and/or describe in the space provided. E 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); Iij 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 ti , 1 lir "ii art 20 S Signature Print Name G1 s t Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LIATRP policy standards and conditions contained inthe 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# n n 3 - 7 PROJECT NAME Sanitary system upgrade, etc The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board Li Building Dept. ❑ Board of Trustees x 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: Natur and_extetrt.ofacdon;_kpplicant proposes to-upgrade the existing- -- --- - - sanitta - -u . u • ' • • . - • . - • . • • -ed ed and fill it with sand, install nea sanitary system, remove concrete slab and install a nea sewer line from the house and install a man hole cover, install approximately 50 ' of boulder retaining gall with a fence on it' s landward side, install nea cater service and buried utilities, install stone parking area and -graded path, install a construction entrance, remove existing overhead utilities (electric and telephone) and to clear vegetation for garage access. As per the enclosed plans prepared by CMF last dated 12/17/14 . 33 Locationofaction: #P Treasure Pond Road, Fishers Island Site acreage: 6-35 Present land use: Single family dwelling R-120 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 The 375 Fast End Road Realty Trust c/o Peter Als�.11, 23 Tyndale Street (b) Mailing address: • Roston,MA 02131 917-554-6847 (c) Telephone number: Area Code( ) • (d) Application number,if any: Unkno an Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes NoIf yes,which state or federal agency? N-v-S.n-E-C- } 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 The project shall have no negative impacts upon the character of the community and the new sanitary system should improve the quality of the adjacent aet]lands- It is felt that this project is' consistent with this policy Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 0 Yes ❑ No LI Not Applicable • The project shall have no impact upon any historic or archaeological resources. it is felt that this proiect- is consistent with this policy Attach additional sheets if necessary .j Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section ill—Policies Pages 6 through 7 for evaluation criteria x Yes — Na L Not Applicable Thep roject will have no impacts upon any scenic resources, nor impact the visual quality of the Town.. Tt is felt- that • s Attach additional sheets if necessary NATURAL COAST POLICIES • Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ri No .-- Not Applicable • The .ro' -c no - - - -• - . . . . - I shall hp nn lnss nf marin--: • _ _ no loss of_publiv recreational - o - '*' project is consistent with this policy Attach additional sheets if necessary Policy 5. Protect and improve water quality a I d supply in the Towi of Southold.See LWRP Section It —Policies Pages 16 through 21 for evaluation criteria x � Yes 11 No El Not Applicable The project will have no negative impacts upon the quality of or . . . ' • _ .. . . - - - • - ■ ' •ro' ect is consistent with ' s ••11 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. EJ ❑ c� • Yes - No Not Applicable • The project shall have no negative impacts upon the quality or function of any wetlands, ecosystems or areas. of _Si gnificant Coastal Fish and Wildlife Habitats. It is felt that this prosect is consistent with this policy Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRIP Section X11 --Policies Pages 3.2 through 34 for evaluation criteria. • Fl Yes fl No fl Not Applicable • f The project shall havenoimpact upon air quality. It is felt that- this project is consistent with this policy Attach additional sheets if necessary Poky 8., Minimize environmental degradation in Town of Southold front solid waste and hazardous s,Prastances and wastes. See LWPP Section —Policies; Pages 34 through 38 for evalmatio criteria, x Les fl No ❑ Not Applicable The project does not involve the use of or the disposal of - solid waste or hazardous substances and wastes. It is felt that this project is consistent with this policy - E . i PUBLIC COAST POLIS Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of-Bout aoid. See LWRP Section f -Policies; Pages 38 through 46 for evaluation criteria. Yej=1 No Q Not Applicable • The project will have no impact upon public access to, and,' the recreational use of coastal waters, public lands or the public resources of the Town. It is felt. that this project is consistent with this policy Attach additional sheets if necessary W®RKONG COAST POLICES - Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locatio;';so See LWRP Section Erl'Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable • The project will have no impact upon Southold' s • water-dependent uses of or the siting of o w - water-de•endent uses in suitable lo is is felt that this project is consistent with this policy Attach additional sheets if necessary • Policy 11. Promote sustainable use of living name resources in Long Es iri sl Sound, the Peconie Estuary and Town waters. See LWRP Section 1E1-Policies;pages:57 through 62 for evaluatio rG criteria. LB Yes 17 No I Not Applicable • • -The prolect will have no impac •. . - - • living marine resources. It is felt that this project is • consistent with this policy Attach additional sheets if necessary - Policy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section HI-Policies; Pages 62 through 65 for evaluation criteria. CI Yes U Ido X Not Applicable The .ro-ect doe n. ' nv._'v- _ _ , . - that this policy. is not applicable to this prolect - i Attach additional sheets if necessary ; Paas ► 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section EH-Folleies; Pages 65 through 68 for evaluation criteria. - Yes I No Not Applicable The orolect does not involve the use of or development of energy or mineral resources. It is felt that this policy is not applicable to this project PREPARED BY G LP n n F_ Th i G t T1TLE A g[En t DATE