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TR-8752
Michael J.Domino,President rjf SU(/jiyo Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President �� l0 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith �Q Telephone(631) 765-1892 A.Nicholas Krupski l COUFax(631) 765-6641 NT`I,�� BOARD OF TOWN TRUSTEES December 13, 2017 TOWN OF SOUTHOLD Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: DAVID SCHULTZ 2745 WICKHAM AVENUE, MATTITUCK SCTM#: 1000-139-2-3 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, December 13, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8752 to raise the existing one-story, single-family dwelling 24 inches to a proposed first floor elevation of 11.1; to construct a new roof addition over the existing first story in lieu of the previously approved second-story addition, which has been eliminated; to construct a one-story rather than a two-story addition in place of the existing deck to be removed; to construct 5'x10' steps attached to the previously approved 6'x10' porch on south side of house; and to construct a 5.3'x4.5' porch with 3.5'x5' steps on east side of house; and as depicted on the survey prepared by Nathan Taft Corwin, III, Land Surveyor, last dated November 6, 2017, and stamped approved on December 13, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely,a Michael J. Domino President, Board of Trustees MJD/dd °°' N o' gSURVEY OF PROPERTY ° m ,U °= SITUATE 4f °y? MATTITUCK 3V TOWN OF SOUTHOLD ' 0 2�J Av' SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 139 -02-03 SCALE 1 "= 10' c4. MAY 16, 2007 C�v JANUARY 20, 2010 UPDATE SURVEY MARCH 9, 2011 ADDED PROPOSED ADDITIONS APRIL 12, 2011 REVISED MAP OCTOBER 24, 2011 ADDED DISTANCE TO PROPERTY TO THE SOUTH DECEMBER 6, 2011 REVISE PROPOSED SEPTIC SYSTEM A APRIL 30, 2012 ADD NOTE FOR HOUSE TO BE RAISED 16"k Q o,�,h FpoF MAY 10, 2012 REVISE NOTES F 'Qp ox- SEPTEMBER 18, 2012 CORRECTED SEPTIC SYSTEM DETAIL NOTES MARCH 14, 2016 REVISE NOTE FOR HOUSE TO BE RAISED 16" MIN. TO 32" MAX. NOVEMBER 6, 2017 REVISE PROP. ADDITIONS TOTAL AREA = 7,280 sq. ft. cp (TO TIE LINE) 0.167 QC. QeP� / p�FFRoyLo ��4� �tio 591 UPLAND AREA = 7,141 sq. ft. 41 WETLANDS AREA = 139 sq. ft. OHOT7T 0 l0 V Q� ry 01) \ (� r v EXISTING LOT COVERAGE OVER 4 x "4 c U ti ° � UPLAND W AREA 7 141 s t. CA/d i � � q f ) 111. �C dy Si Q w "0 � Q 'If 0 ��ra s,`00 ry°': r:;;..;:;;' :::: ::: :;: :: ::::::::::. "`3 I W0 ���ti�� (� DESCRIPTION AREA % LOT COVERAGE .:.s�c N � ;ofiT1' .�o..:::::::::::.::::::::::::::::::... ��i \ EXIST. HOUSE 1 ,079 sq. ft. 15.1 4 i'': off` 2 5.7 . F.::::::::::::•::::.::::::::::.:•:::::::.:;:;.,1' 'Y .'LEXIST. WOOD DECK 228 sq. ft. 3.2°° SII. .................................. Q' ......................................................:•;:::��` /s /!1- : ::: :::::. o EXIST. GARAGE 373 s . ft. 5.2% q 5.8 S .�................................ o O T s •9• 0 y . . .... r .y �i v v TOTAL EXIST. 1 ,680 s ft. 23.5°° OS O � S �c d •:.. , � o PROPOSED LOT COVERAGE OVER /. .� :::::..J...S o c UPLAND AREA r:.� 7, 141 s t. st s .. ..... . y, q .f e :...:..... s ti / oo '� .a :1.:;:::::::::.r ...T, o :.;:�:::::::. ::::.::::::::::::::::::::::. :•: <� DESCRIPTION AREA % LOT COVERAGE ....... ................................... .::.::::;:::::: :;:;:;:;:;•:; ::.;:;:;:;:;:;:;:: :;:;:;:;:;:;:;:;:::;:::::;... .� ,,, PROP. HOUSE 1 ,267 sq. ft. 17.8/ PROP. PORCH 60 sq. ft. 0.8% :i i:i:i it „ii(?:r o NOTES. .;::::::::::::::::::::: ;:•::: X EXIST. GARAGE 373 sq. ft. 5.2/ F y4 \ \ 15.0 G S FF :::::::::::::::::•:::::: ..:.. ............ :::::::... .:::::::::::..... 1 . ELEVATIONS ARE REFERENCED TO 1988 N.A.V.D. DATUM /R)S....... r4.s :::::.;::::::::.. � �N r4� o o y c a TOTAL PROPOSED 1 ,700 s . ft. 23.8/ - Fo EXISTING ELEVATIONS ARE SHOWN THUS: 10.0 ty o- OSE 2. FLOOD ZONE INFORMATION TAKEN FROM: SCC FLOOD INSURANCE RATE MAP No. 3610300481 H IP .. .. DETERMINED s ,s :::': : :. `:`., ZONE AE: BASE FLOOD ELEVATIONSrp ...:.•::::. • ,: .�....:..::.::::..:..:�:::::: '� \0�.• �q 6, a � CIO- ZONE .oa X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. sF c R o 3. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND ` .:'.Ne. F 4' s. X 10.2 F SrFA� �.Fs Mo Q EXISTING LOT COVERAGE OVER REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. s 'e.9 +-�O �rti /- 10.8 s ,�' I �� ADJACENT AREA SLOP 4. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1,000 GALLONS. / -- ' \ �o" ���a 1a. s� �� o ° (AREA BETWEEN LANDWARD WETLANDS LANE ' �r� X �' I AND 10 CONTOUR LINE - 5, 115 sq. ft.) 1 TANK; 8 LONG, 4 -3 WIDE, 6 -7 DEEP / I ��. 16.s o o 00 5. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 250 s ft SIDEWALL AREA. o '`>i \ I $' '� DESCRIPTION AREA % LOT COVERAGE 5 POOLS; 2' DEEP, 8' dia. q ` \ �,y I �`� '� EXIST. HOUSE 1 ,079 sq. ft. 21 .1 \`Vl 0 ���a�FyosSA 'QJ' c �otio ° :. �� ��`� EXIST. WOOD DECK 228 sq. ft. 4.5% PROPOSED FUTURE 50% EXPANSION POOL �s�.s -Q, ' c F a�Fo°o 1 ��. '�� \ -C, TOTAL EXIST. 1,307 sq ft. 25.6% c `rc�gTF� �0� �1 ST�'QY 73 a� . � �F� I 3°3 qc� a ��� p PROPOSED LOT COVERAGE OVER - ADJACENT AREA a"� °� ° �., N fav F c / lJ o (AREA BETWEEN LANDWARD WETLANDS LANE PROPOSED 8 DIA. X 2 DEEP LEACHING POOL \UO y� S - 0 e�a� 2 ��oG� cV� o J \ b D G� AND 10 CONTOUR LINE - 5, 11l5 sq. ft.) `/10 a"� DESCRIPTION AREA % LOT COVERAGE yA PROPOSED 1 ,000 GALLON SEPTIC TANK °S PROP. HOUSE 1,267 sq. ft. 24.8% \(/� Q F F v qy v \ ° �i ��••' .��. rye. . . o . . �v . .p o . . �,� PROP. PORCHES 149 sq, ft. 2.9% 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD Q� / �/ /12.7 OD O .� a o ° �� & STEPS OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. `4 0 0 0 ' `� TOTAL PROPOSED 1 416 s . ft. 27.7% / \-/ Q / / CONC. BLOC I /\ o N qPATH IN DIRT 16.0 DRAINAGE SYSTEM CALCULATIONS: / / / PLANTER ROCK O ° HOUSE ROOF AREA: 1 ,348 sq. ft. 14.1 1y$' .7 ° o. �o�P 1 ,348 sq. ft. X 0.17 = 230 Cu. ft. 230 cu. ft. / 42.2 = 5.5 vertical ft. of 8 dia. leaching pool required / e / v PFs PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS � cry X \ GARAGE ROOF AREA: 373 sq. ft. 373 sq. ft. X 0.17 = 64 cu. ft. QQ r / �� . I A7p�0 / ° e v 64 cu. ft. / 42.2 = 2 vertical ft. of 8 dia. leaching pool required F / X 16.5 / �� / o% APP R VED BY PROVIDE (1) 8 dia. X 2 high STORM DRAIN POOL :::*� �' / �' / °��` r, BOARD O 1 RUSTEES PROPOSED 8 DIA. X 2 DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: :•::::.;;: TEST HOLE DATA / / TOWN OF OUTHOLD 0 17, ` '. '.'. ` '' '' (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 30, 2007) DATE Rfc : ° � l3� '�� NOV 1 5 2017 EL. 5.9' 0' 17.6 0 PROPOSED SEPTIC SYSTEM DETAIL °�' tY ° X' 011 $1 y ( UNAUTHORIZED ALTERATION R ADDITION HOUSE NOT TO SCALE a n a ° A P � ) d '9Y � �� A� � � i �OJ,Ii01d IO�dn g of Trustou SECTION 7209 OF THE NEW YORK CJ G '(� TO THIS SURVEY IS A VIOLATION OF ELEV. 11.1' FINISH GRADE ° MIXED FINES, LOAM AND SAND ' AL Q� \�' EDUCATION LAW. FINISHED GRADE ELEV. 10.0' - 14.0' a ESP COPIES OF THIS SURVEY MAP NOT BEARING ELEV. 10.0' °. vS THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED ° FO Q pE TO BE A VALID TRUE COPY. TOP EL. 8.3'--.., 1' MIN. TOP EL. 7.7' MIN. 4' CERTIFICATIONS INDICATED HEREON SHALL RUN MIN. 4" DIA. 6„ PALE BROWN FINE SAND SP ONLY TO THE PERSON FOR WHOM THE SURVEY SEPTIC LEACHING T 3' CLEAN EL' 1.2' `' :''" ' ! IS PREPARED, AND ON HIS BEHALF TO THE APPROVED PIPE APPROVED PIPE LEACHING N 4.7' TITLE COMPANY, GOVERNMENTAL AGENCY AND INV. EL. TANK POOL oo _ SAND �. LENDING INSTITUTION LISTED HEREON, AND min. PITCH 1/4"/1' min. PITCH 1/8"/1' POOL I COLLAR To THE ASSIGNEES OF THE LENDING INSTI- 7.8' INV. EL. 6.9' 0 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. INV. EL. 7.3' INV. EL. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF /01 LIA, ANY, NOT SHOWN ARE NOT GUARANTEED. DISTRIBUTION POOL OF BOT. EL. 5.2 GROUND WATERIP BOT. EL. 3.7' 5 POOL SYSTEM ELEV. 2.2' WATER IN PALE BROWN FINE SAND SP �A 81! CO PREPARED IN ACCORDANCE WITH THE MINIMUM SEPTIC TANK (1 ) oL1P$ILi 1 BY THE L.IAFOR A�NLAAEASURVEYSVEDAS AND Nathan Taft Corwin III LEACHING POOLS (5) FOR SUCH USE �YTNE NEW.YORK STATE LAND 1. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 3 BEDROOM HOUSE IS 1,000 GALLONS. TITLE ASSOCIAFI N. _ _ .. Land Surveyor 5 POOLS; 2' DEEP, 8' dia. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 11' rjr' 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 1. MINIMUM LEACHING SYSTEM FORA 1 TO 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. P � � 3. WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4". 2, LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) t ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. Successor To: Stanley J. Isaksen, Jr. L.S. 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). i Joseph A. Ingegno L.S. 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF t1/4") 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. �aJ s ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. `> r Title Surveys - Subdivisions - Site Plans - Construction Layout 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. PHONE (631)727-2090 Fax (631)727-1727 ` J w OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Lic. No. 50467 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 27-142F, i r` 4 f � EN-CONSULTANTS ) November 15,2017 E G,E I V Town of Southold NOV 1 5 2017 Board of Trustees 54375 Main Road Post Office Box 1179 Sou'u old Town Southold,New York 11971 Board of Trustees Attn.: Elizabeth Cantrell Re: David Schultz 2745 Wickham Avenue,Mattituck SCTM#1000-139-2-3 Dear Ms. Cantrell: Please swap out these surveys/site plans for the ones submitted with our recent application for an administrative amendment. We had to make adjustments to the location of the septic tank,which is actually located more than 100' from wetlands,but we wanted the Board to have the same plan as the NYS DEC and SCDHS. s Sin rel , f� St e for Robert E.Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283 6360 f 631.283.6136 www enconsultants.com environmental consulting Town Hall John M.Bredemeyeri[i,rresid',, 53095 Route 25 Michael J Domino,Vice-President ��� Cd P.O. Box 1 179 James F.King,Trustee Southold,New,York 11971-0959 Dave Bergen,Trustee C! Go =k Telephone (631) 765-1892 Charles J.Sanders,Trustee d # Fax (631) 765-1366 LL� BOARD OF TOWN TRUSTEES ------ TOWN OF SOUTHOLD NOV 9 2017 L LETTER OF REQUEST FOR AN AMENDMENT S^L:,1e '1:an �Oaif1 r)I IfL'v�ia�J� DATE November 8,2017 OWNER David Schultz PHONE 631-298-9340 ADDRESS P.O.Box 624,Mattituck,NY 11952 AGENT En-Consultants PHONE 631-283=6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 2745 Wickham Avenue,Mattituck TAX MAP NO. 1000-139-2-3 UWe En-Consultants for David Schultz request an Amendment to Permit# 8752 to raise the existing one-story,single family dwelling 24 inches to a proposed first floor elevation of 11.1;to construct a new roof addition over the existing first story in lieu of the previously approved second-story addition,which has been eliminated;to construct a one-story rather than two-story addition in place of the existing deck to be removed;to construct 5'x 10'steps attached to the previously approved 6'x 10'porch on south side of house;and to construct a 5.3'x 4.5'porch with 3.5'x 5'steps on east side of house,all as depicted on the site plan prepared by Nathan Taft Corwin III Land Surveyor,last dated November 6,2017. Signed By: 4L Robe )Herrmann,Coastal Management Specialist Board of Trustees Application AUTHORIZAT'ION (Where the applicant is not the owner) I/We, W David P.Schultz___ .____ ..__--•---__ __._� __•_ __ owners of the property identified as SCTM# 1000- 139-2-3 � in the town of Southold _ _ �2 New York,hereby authorizes En,-consultants Y -^ to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property, N/A Property Owner's Signature Property Owner's Signature David P.Schultz SWORN TO BEFORE ME THIS DAY OF _ © Cj w_ ,20 J _... .. ... .___. Notary Publ ._...�..._,... .w.,..,..._.. ..._.. MELANIE V BROWN Notary Public,State of New York No.01BR4908712 Qualified in Suffolk County Commission Expires October Board of Trustees Application a County of Suffolk State of New York t David P.Schultz BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature,David P Sch r SWORN TO BEFORE ME THIS DAY OF &, ---,20 Notary Public MEMIE V BROWN Notary Public,State of New Yodg No.01 BR4908712 Qualified in Suffolk CounlY Commission Expires October 19 APPLICANT/AOENT/REPRESENTATIVE, TRANSACTIONAL DISCLOSURE FORM The Tomm of Southold*s Code of Ethio. ib`s conflicts of intelyst on the part oftown of ce s and op-iployces. r_v-sc9 this foxm is to provide,ipformmiongbich can alertolert the town.town.Q17 p9ssible conflicts of ioterost and allow it o take wha fW00 is necnsm to avoid same, YOUR NAME: Schultz,David P. (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 X Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO �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 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 —qday,o ® �bQ� 2QO Signature Print Name David P.Schultz Form TS 1 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 pumose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Herrm nn ]Robert 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 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 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_ 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 y of November 209 17 Signature Print Name - E. Hernrenrt Form TS 1 EN-CONSULTANTS November 8,2017 REQUEST FOR ADMIMSTRATIVE AMENDMENT Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold,New York 11971 Re: David Schultz NOV 92017 2745 Wickham Avenue,Mattituck SCTM#1000-139-2-3 Dear Board of Trustees: In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1 Three(3)Applications for Letter of Request for an Administrative Amendment including: a) authorization&disclosure forms 2. survey prepared by Nathan Taft Corwin III Land Surveyor, last dated November 6,2017. 3. Copy of Wetlands Permit No. 8752. 4. Application fee of$50. 1 hope this information shall allow you to process our permit amendment request. Should any additional information be required,please do not hesitate to contact our office. Sinc rely, Robert .Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283 6360 f 631283.6136 www.enconsultants com environmental consulting Michael J.Domii ;esi� o�Q$11FF0(,�� Town Hall Annex John M. Bredemeyer IIi;vice-President y� 54375 Route 25 Charles J. Sanders o =� P.O.Box 1179 C* Z Glenn Goldsmith • Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 12/5/0 31,00 Completed in field by: En-Consultants on behalf of DAVID SCHULTZ request an Administrative Amendment to Wetland Permit#8752 to raise the existing one-story, single-family dwelling 24 inches to a'proposed first floor elevation of 11.1; to construct a new roof addition over the existing first story in lieu of the previously approved second-story addition, which has been eliminated; to construct a one-story rather than a two-story addition in place of the existing deck to be removed; to construct 5'x10' steps attached to the previously approved 6'x10' porch on south side of house; and to construct a 5.3'x4.5' porch with 3.5'x5' steps on east side of house. Located: 2745 Wickham Avenue, Mattituck. SCTM# 1000-139- 2-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Noticeof Hearing Card Posted: Y / N Ch. 275 ✓/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission ✓ Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ��t'0.� h� �o��✓gc� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino V G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domfi ire ��S11FFU(,�C Town Hall Annex John M.Bredemeyer IIi; vice-President h�0 G�� 54375 Route 25 Charles J. Sanders ti x P.O.Box 1179 Glenn Goldsmith _rft Southold,NY 11971 A.Nicholas Krupski y ® p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-Consultants on behalf of DAVID SCHULTZ request an Administrative Amendment to Wetland Permit#8752 to raise the existing one-story, single-family dwelling 24 inches to a proposed first floor elevation of 11.1; to construct a new roof addition over the existing first story in lieu of the previously approved second-story addition, which has been eliminated; to construct a one-story rather than a two-story addition in place of the existing deck to be removed; to construct 5'x10' steps attached to the previously approved 6'x10' porch on south side of house; and to construct a 5.3'x4.5' porch with 3.5'x5' steps on east side of house. Located: 2745 Wickham Avenue, Mattituck. SCTM# 1000-139- 2-3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT ' MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 •nrcr�L zt.<. John M. Bredemeyer III, President {�a'o 00o t Town Hall Annex Michael J. Domino, Vice-President �� ri y�: 54375 Route 25 Glenn Goldsmith ` y P.O. Box 1179 A. Nicholas Krupski y ® ��, Southold, NY 11971 Charles J. SandersQl , �a° ✓ Telephone (631) 765-1892 r Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction % constructed V complete,Project � p te, compliance inspection 7RMS AND CONDTTIONS The Permittee David Schultz residing at 2745 Wickham Avenue Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board-or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result.of the work herein authorized. 6. That:there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks._ 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. 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 �®F S0y® Town Hall Annex Michael J. Domino,Vice-President lO 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® �O� Telephone.(631) 765-1892 Charles J. Sanders �ly`,oUNIN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2016 Michael A. Kimack 321 Riverside Drive . Riverhead, NY 11901 RE: DAVID SCHULTZ 2745 WICKHAM AVENUE, MATTITUCK SCTM# 1000-139-2-3 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 23, 2016 regarding the above matter: WHEREAS, Michael Kimack on behalf of DAVID SCHULTZ applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 29, 2016, 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 March 23, 2016, 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 DAVID SCHULTZ to raise existing one-story, single-family dwelling not less than 16" and not more than 32" to comply with FEMA required base flood elevation; construct a second story addition onto existing one-story dwelling; construct a two story addition in-place of existing attached deck and remove remainder of existing deck; construct a 6'x10' attached porch in-place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands and install new landward of dwelling; install drainage system of gutters, leaders and drywells; relocate existing public water service; and establish and subsequently maintain a 10' wide, approximately 450sq.ft. non-turf buffer to be planted with native vegetation in-place of existing lawn adjacent to tidal wetlands boundary; and to remove the tree located along the northwest corner of dwelling; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor last dated on March 14, 2016, and stamped approved on March 23, 2016. 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, dffsl-� w-, �€e John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer III, President 'N��UV-4�o�? T^wn Hall Annex Michael J_ Domino, Vice-Presi, t "� yam` , 375 Route 25. Glenn Goldsmith N - E P O Box 1179 A. Nicholas Krupski ® :yY Southold, NY 11971' Charles J. Sanders y'yo1 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 'DA1 iD &,gVaZ C 0 M.ri KtRSC TO: 7 JAANIJ 2q 201& has been Please-be advised that your application dated "� reviewed by this Board at the regular meeting of Mbecif23 2o!& and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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: s TOTAL FEES DUE: $ 646V BY: John M. Bredemeyer III, President Board of Trustees --- - - - ----- -- - - .__ --- John M Bredemeyer III, President Town Hall Annex Michael J. Domino, Vice-President ao� �Gy 54375 Route 25 Glenn Goldsmith a P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y�® o� Telephone (631) 765-1892 l xfiP }r Fax (631) 765-6641 BOARD OF TOWN TRUSTEES 11 TOWN OF SOUTHOLD "Q n Date/Time: J I Completed infield b : Michael Kimack on behalf of DAVID SCHULTZ requests a Wetland Permit to raise existing one-story, single-family dwelling 16" to comply with FEMA required base flood elevation; construct a second story addition onto existing one-story dwelling; construct a two story addition in-place of existing attached deck and remove remainder of existing deck; construct a 6'x10' attached porch in-place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands and install new landward of dwelling; install drainage system of gutters, leaders and drywells; relocate existing public water service; and establish and subsequently maintain a 10' wide, approximately 450sq.ft. non-turf buffer to be planted with native vegetation in-place of existing lawn adjacent to tidal wetlands boundary; and to remove the tree located along the northwest corner of dwelling. Located: 2745 Wickham Avenue, Mattituck. SCTM# 1000-139-2-3 CH. 275-3 - SETBACKS' WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: -Z� ver Ile OR ��/�o� i�, Sts" "�1G'�� TC ����1CJU—S Cip_f2 �)o./;�•� fan;�a.�y -�vr$�,g� uwcv •��crv� .an/��'1a��S e - Present were: 61- J. Bredemeyer �M. Domino ✓ G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presidento�pS�FFU(��4G Town Hall Annex Michael J. Domino, Vice-President yq 54375 Route 25 Glenn Goldsmith y a P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 'y, ® o� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD �C l Date/Time: 3 21 f Completed in Work Session by: Y)i .�► �Ve�wu-�--� Michael Kimack on behalf of DAVID SCHULTZ requests a Wetland Permit to raise existing one-story, single-family dwelling 16" to comply with FEMA required base flood elevation; construct a second story addition onto existing one-story dwelling; construct'a two story addition in-place of existing attached deck and remove remainder of existing deck; construct a 6'x10' attached porch in-place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands and install new landward of dwelling; install drainage system of gutters, leaders and drywells; relocate existing public water service; and establish and subsequently maintain a 10' wide, approximately 450sq.ft. non-turf buffer to be planted with native vegetation in-place of existing lawn adjacent to tidal wetlands boundary; and to remove the tree located along the northwest corner of dwelling. Located: 2745 Wickham Avenue, Mattituck. SCTM# 1000-139-2-3 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: ! D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a-shoreline location: -A-1� B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classificationfl_�__Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP:_ Additional information on comments/to be discussed/Public Hearing: Date: . Completed By: Present /J. Bredeme er M. Domino' o y/ G. Goldsmith / N. Krupski C_Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 �YCIO �7 \ TO �1�Fcf q�THf v W x C6/I C 3y Si Q W o �U \rTO Z N �t'F F�'� �SjFO QpT ° �3` s F' R p � ,2 ao �Q Q�06.1 F��L���� S O C') p o��o�T�p \x— il T� rn X8.5 \ < Q \ �sF�o ° 55X x TESTIOLE I ,S o��0 10 FkiST�c�L FLOODPLAIN. e+4241 J D 7 . x 10.2 0 GALLONS. SIDEWALL AREA_ co x 7 4 9� - ° Sl 1 10.8 T t - ASF eFti° - - (� 1 �°lF42N. F oFO°° p A.. e r-- F. y, a•;.,�a (1)Schultz residence Taken Jan.26,2016 ' Looking NW �t. fak F Y l s r r (2)Schultz residence - Taken Jan.26,2016 �; "` Looking NE 1_ t4 M a — LL S' (3)Schultz residence Taken Jan.26,2016 - Looking NNE IK l/7 1 _ .M c (4)Schultz residence Taken Jan.26,2016 Looking NE 0 a { _ 1 (5)Schultz residence Taken Jan.26,2016 ., Looking ESE 1 411, r�r y (6)Schultz residence Taken Jan.26,2016 '°�' Looking SSE N l EM- coNKUV 46, a x Q•O 6 � 5 1 9 s a �• _+ x ,, 1 3 6 zz ot, 3 F �\ +�° °1 ,s 90� ti � '� // � / .O ,n' 'owe `3< mob, �', <° -o� \pP�' +„ '� a,• b', A r16AIq B F �rY s � G 1 � v � e / \ SECTION NO x W NOTICE , ir>� COUNTY OF SUFFOLK © E w+xor SOUIHOIA ' RealCauProperty TaxServlceAgeecy r �uwEOF xi i � 139 _ �Tx,punon0 Pur vorziwpeixE q°T��F nry Center PlxorMaQ NY11901 M .`...Po.,. —'�-_ `e,xm Ri) .. O w,,... --w-- �.�..--a•-- _ surao�aCauxn+u rua�S w+aenBnEo 9H�.4! R `�wv A r� n ia�C+ua t0o0 �... _M-___ w.^� � — -- ..n.....• --.-- ewar..--xv.-- ir`�'1° Tex xr ��prtL,� P caxrtcvoxai[rmrnxi PROPERTY MAP -- F OFFICE LOCATION: ®� S®UTy®�® MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) aw G Q Telephone: 631765-1938 Southold, NY 11971 ® y® P 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: March 16, 2016 Re: Local Waterfront Coastal Consistency Review for DAVID SCHULTZ SCTM# 1000-139-2-3 Michael Kimack on behalf of DAVID SCHULTZ requests a Wetland Permit to raise existing one- story, single-family dwelling 16" to comply with FEMA required base flood elevation; construct a second story addition onto existing one-story dwelling; construct a two story addition in-place of existing attached deck and remove remainder of existing deck; construct a 6'x10' attached porch in- place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands and install new landward of dwelling; install drainage system of gutters, leaders and drywells; relocate existing public water service; and establish and subsequently maintain a 10' wide, approximately 450sq.ft. non-turf buffer to be planted with native vegetation in-place of existing lawn adjacent to tidal wetlands boundary; and to remove the tree located along the northwest corner of dwelling. Located: 2745 Wickham Avenue, Mattituck. SCTM# 1000-139-2-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. r' Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary w4 P.O.Box 1179 • 'F Southold,NY 11971 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., March 16, 2016 the following recommendation was made: Moved by Jack McGreevy, seconded by Peter Young, it was RESOLVED to SUPPORT the application of DAVID SCHULTZ to expand and renovate the existing one-family dwelling with new porch addition, remove existing nonconforming sanitary system located less than 100' from wetlands, install drainage system of leaders, gutters and drywells and relocate existing public water service, establish a 10' wide non- turf buffer to be planted with native vegetation in place of existing lawn and remove tree located along the northwest corner of dwelling. Located: 2745 Wickham Ave., Mattituck. SCTM#139-2-3 Inspected by: Peter Meeker, Peter Young, Jack McGreevy Vote of Council: Ayes: McGreevy, Young, McCamy NAY: Meeker Motion Carried Cantrell, Elizabeth From: Mike Kimack <mkimack2@verizon.net> Sent: Monday, March 14, 2016 4:54 PM To: Cantrell, Elizabeth Subject: David Schultz Hi Elizabeth: I respectfully request an amendment to The application of David Schultz, 2745 Wickham Avenue as follows: House to be raised 16" minimum to 32" maximum Thank you for your consideration in this matter Michael A. Kimack,Agent 1 John M. Bredemeyer III, President ��0v SO(/ryo Town Hall Annex Michael J. Domino,Vice-President �� l0 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G� ® �O Telephone(631)765-1892 Charles J.Sanders,Trustee '04UMW Fax(631) 765-6641 BOARD OF TOWN TRUSTEES = TOWN OF SOUTHOLD To: Southold Town Building Department ; I FEB - 9 2016 Re: Verification of Building Department Permit Requirements _ c '[T SCTM#: Property Owner Name: ' PIWLD ;SULf Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO the proposed project require a Building Permit? Wil the proposed project require a variance determination from Ze Zoning Board of Appeals? Will any part of this application be Considered as Demolition as described under Town Code? COMMENTS: ?k441�4z/Ao�& A, Signature of R ewer f Date John M.Bredemeyer III, President Town Hall Annex Michael J. Domino,Vice-President 1'� r � 54375 Main Road ` o b ;' Nr P.O. Box 1179 James F.King, Trustee Southold,New York 11971-0959 Dave Bergen, Trustee ' Telephone (631) 765-1892 Charles J.Sanders, Trustee Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit / Amendment/Transfer/Extension V eceived Application: —J,2q, Received Fee: $ .26® --- -r Completed Application: r _Incomplete: _ __.. __•_�_ _SEQRA Classification: Type I Type II Unlisted JAN 2 9 2016 4 0 Coordination:(date sent): i V**' LWRP Consistency Assessment Form: ` r--CAC Referral Sent: 2'24,, Date of Inspection: __Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: ,2 a i/ Resolution: Name of Applicant: Mailing Address: p. D. ,6&V 6Z4, 12,4W7VCe Phone Numb 1r: Suffolk County Tax Map Number: 1000 - 3 Property Location: -721 (provide LILCO Pole#, distance to cross streets, and location) AGENT: .. _._ fCf/. �._. , 1L �. (If applicable) Address: .._. z ... 1 4 �...... /� ` �t_lY,l�_ JQ�� Phone: 0_�.��-�3 .. __ AP � Mrd of Trustees Applicati( GENERAL DATA Land Area (in square feet): ...... Area Zoning; Previous use of property: Intended use of property: Covenants and Restrictions on property? —.Yes No If"Yes") please provide a copy, Will.this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept, prior to a Board of Trustee review and Elevation Plans will be required, Does this project require a variance from the Zoning Board of Appeals? If"Yes", please provide copy of decision, -Yes No Will this project require any demolition as per Town Code or as determined by the, Building Dept.? 4 Yes No Does the structure (s) on property have a valid Certificate of Occupancy? yes No Prior permits/approvals for site improvements: Agency Date -,d l& 2 "N/,v&,00 6�5-e(9 ,ok 1,V6 446�ZXIVAZ.12 )956VI7 XU4r& All ZAA/ 6, 0 d1Z AAz'41A47 —'04 RENAWW-) gee )fL F No Prior Permits/approvals for site improvements, Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): Co"p _(y 6Y '021ol to construct a second-story addition onto an existing one-str- zone-family -story addition place Of existing attached deck and remove dwelling; construct a two 0 remainder of existing deck; construct a 6'X 10' attached porch in place of existing lending/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leade-s, gutters and drywells; relocate existing Public water service; and establish 10' wide"afflrox, 450 sf, non-turf buffer,to be Planted with native vegetation in place of existing lawn adjacent to tidal Wetlands boundary, and to remove the tree located along the northwest corner of dwelling B(,. ,---d of Trustees application WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: �, ___ % Closest distance between nearest existing structure and upland edge of wetlands: 94,, ,� feet Closest distance between nearest proposed structure and upland edge of wetlands: 1 ,- feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? w cubic yards JOP,l/�,�D.�`t� How much material will be filled? ov X cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: ,V/X Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate trier rN. r � o�r�.�e�v1' 6r el ' vc71Urz�L J'Y�M J3%l /'z �v&v 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: m - s�r✓/� A_rV /.�PJay l��i_ r�.G Project Location(describe, and attach a locationo map): 7. !� �C,/ �i`91�1/��U, �9P1�'✓AUC/G _ VBriel'Description-to construct a second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 6'X 10' attached porch in place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leaders, gutters and drywells; relocate existing public water service; aTi-d-establish 10' wide approx. 450 sf, non-turf _ buffer to be planted with native vegetation in place,of existing lawn adjacent to tidal N wetlands boundary, and to remove the tree locate along the northwest corner of the dwelling H1C4W'45z_ pe Address: City/PO: State: Zip Code: I. Docs 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: , - J`U��t,�1G c1"Y , eW4,17l: w,e�,p, eU.4 I2 f?/dGT P,�ieel'pp 00,eiU,�W/aG 3.a.Total acreage of the site of the proposed action? 7 CCTa acres b,Total acreage to be physically disturbed? „�,�0, acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? C./J 7 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) [:]Industrial ❑Commercial N(esidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other (specify): ❑Parkland _. Page I of 4 5. is the proposed action, NO _YES N/A a. A permitted use under the zoning regulations? Et K 11 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? N71 7. Is the site of the proposed action located in,or does it adjoin,a stat* listed Critical L nvironinental Area? NO YES If Yes,identify; � a 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 ornear the site of the proposed action? a 0 c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? I❑J 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: J'fQ��...., � _ ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? F\-4 [:]-' 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,containM NOµ YES wetlands or other waterbodres regulated by a federal,state or local agency? El b Would the proposed action physically alter,or encroach into, any existing wetland or waterbody? t�11 ❑ If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres; _ 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional 60MWetland ❑Urban Suburban 15.Docs the site ofthe proposed action contain any species of animal,or associated habitats,listed NO _YES by the State or Federal government as threatened or endangered? 9 1:116. 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? T _NO YES If Yes, a. Will storm water discharges flow to adjacent properties? <�NO ❑YES ❑ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes, briefly describe: F-1 NO BYES 0AI AMV JlB1W W4 P -r/z /'?,NGT _PY.J? 1.4 Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 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; I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THF,BEST OF MY KNOWLEDGE Applicant/sponsor name: _ �C /_ �.L' Date: 1-0 �___Z 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 I 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2, Will the proposed action result in a change in the use or intensity of use of land? _i. 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 establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit, biking or walkway? - -- - — ❑ t 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: ❑rrYWY 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, waterbodies,groundwater,air quality, flora and fauna)'? {(�l Page 3 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 �) problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of'significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-tern, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead gency Date �— President Print or Type �me of esponsible Officer in Lency Title of Responsible Officer Si at of Respor Officer�LeAgency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of'4 B< ,_- ,d of Trustees Application, AFFIDAVIT _ 7,49 V149 ,PC IWW z7--0 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, INCLUDING 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. &0-j� Signature of Property OV&r SWORN TO BEFORE ME THIS _ DAY OF r ,20 / i Notary Public PATRICIA RICHERT Notary Public State of New York No.36-4741154 Qualifiedin.Nassau/ uff Co tie Commission Expires O Be--I of Trustees Application AUTHORIZATION (where the applicant is not the owner) L W_&Z_ 7-2 residing at _ (print name of owner of property) (mailing address) Z74 iI/ I qWWH,4Wa/1,#1711 XXdo hereby authorize (Agent) 4, e110 C p _ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIV]E TRANSACTIONAL DISCLOSURE FORM The Town•of Southp 's Code of -.thisohib"s contl'cts of interest nn t ac ar of town rcers and cmplaveeti.'I1ir perrnosc of this form is,to provide information which can alert the tnwn of possible conllicis of interest and allow it to take whatever action is ary nece to avoid same. ,' YOUR NAME: zk1 Ule) (Last name,first name,.gliddle 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 blond,ntarriage,or business interest."Business interest"means a business, including a partnership,in which the'town pftied or employee has even a partial ownership of(or employment by)a corporation in which the town otticer,'Pr employee owns mare than 5%of the shares, 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 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'greawr than 5%of the shares of the corporate stock of the applicant (when die applicant is a corpofatiori): B}the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is t3ot'a corporation); C)an officer,director,partner,or.ernployce of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this JA.day of tr Al 2(jgg Signature Print Name / J L Form TS 1 r-- I Postal S. ■ . ® ® . Q ■ ECEIPT ■ , © ■ ■ . [� (♦° il only a° 1 . SOUTH 14Y-21F Eci ' �' .4 CUTCNVF. 115 C fl Al Certified Mad Fee Certified e $3.45 r a 33.45 M $ n $ Extra Services&Fees(checkbox add fee as sp ropdate) 09® ® ivy y I f Extra Services&Fees(checkbox add fee as appropdate) Q97 ❑Return Receipt(hardcopy) $ V (� ❑Return Receipt(hardcopy) $ ! ostma P� Q ❑Return Receipt(electronic) $ 1 � ❑Return Receipt(electronic) $ .e I /` ==}{ere,_,_ t� , Certifed Mall Restricted Delivery $ •o -�'='�Qrg�._ ,�+� I ❑Certified Mail Restricted Delivery $ - .' ❑ �=`' _'- 11 []Adult Signature Required $ ry l E ❑Adult Signature Required $ - —' []Adult Signature Restricted Delivery$- �p pQ Adult Signature Restricted Delivery$ ® _ I `tt O Postage ru $G.49 3/09/2n16 - ❑ p•y ry(�t �3/� lGy 16 'a � � � Postage, ru $0.49 _ _(' Ln $ Ln $ Total Posta a and'Fees rx' To,, Postage and Fees S6.34 '� g 56.74 - "° - Ln $ Sent To Sent Ton - C3 J_ --- SVeet and Apt. q,,,orYQ Bax Ny/ C3 SliBefsndA t Y, ox!$[o � /<K '4 1`l�G - ?"Q. � '� c7ry, tis a� v5 City,8[3fe,ZIP+drD - J / 14 :11 1 11 111'1• 1 postal Servicle� ■ , MAV RECEIPT rrl Damesti&Mail e WY ruIr ° �-sa MATTII ( Y$12` z is J E3 Ln Certified Mad Fee 1C3 $ Extra Services&Fees(check box,a$tee as appropriate) ��„® A ❑ReturnReceipt(hardcopy) 0 ❑Return Receipt(electronic) - CJ ❑Certified Mad Restricted Delivery $ "HefBc�-- r ❑Adult Signature Required $ CO LIAR 9 2016 ❑Adult Signature Restricted Delivery$ N Postage f0.49 - 3/09/2016 ,. u 1 $ _USPS Total Postage and Fees $674 Ln $ Sent To ��✓c-------- - ------ --------- � Street an Aptt.. 0 o, r PO Box 1 o. , ® ------------------------- ` Ir 1 PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: . STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20___, 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 .that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. i Sworn to before me this Day of , 20 i --------------------- otary 1'ub-tic-------- -- --------- -------------- ---------------- -------------------------------------------- i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 0 J'WlI/V C. P p.-max 1 9..3. 8 cN•�isri�,� rrii�� 9 p o. -eoX ,52 CYJ71VI OGU,r- /1d Y Taur�v a� /�/'9 /p7 � STATE OF NEW YORK COUNTY OF SUFFOLK AV CA,tt,154 A /L�we_, , residing at 9Z/ ,oP/1g/2,r% ,e ae A96"X llJ'. Nil 1190/ , being duly sworn,deposes and says that on the day of 2Q&, 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 ,106IMO4D - , that said Notices were mailed to each of said persons by CERTIFIED ALkIIJRETURN RECEIPT. , i Sworn to before me this Day of &4A , 20 i i -- �totary�'ub�ic--------- DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O l D1475593 Qualified in Suffolk Counfy 'My Commission Expires April 30. 201 John M. Bredemeyer III, PresidentS�fFotk4,9 Town Hall Annex Michael J. Domino, Vice-President �� yew 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Kru ski ®VY Southold, NY 11971 Charles J. Sanders ,�1 fr Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DAVID SCHULTZ COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR NOT LESS THAN SEVEN DAYS A e//y'�residing at/dba IV 14!I '/A P"y being duly sworn, depose and say: That on the g day of 1011 CI , 2014, I personally posted the property known as 2744- LU/e/46i1_V ,4 M, , ,AZ 7?>A� NY, 1199-Z 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, March 23,2016. Dated: NF-C& 94, 201[,� (signature) Sworn to before me this pl,C day ofMAftIP01 ., Notary Public DIANE DISALVO NOTARY PUBLIC-STATE Of NEW YORK No. O1 D1475593 Qualified In Suffolk County My Commission Expires April 30, 204 NOTlt'WE HEARlilo 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: DAVID SCHULTZ SUBJECT OF PUBLIC HEARING : For a Wetland Permit to raise existing one-story, single-family dwelling 16" to comply with FEMA required base flood elevation; construct a second story addition onto existing one-story dwelling; construct a two story addition in-place of existing attached deck and remove remainder of existing deck; construct a 6'x10' attached porch in-place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands and install new landward of dwelling; install drainage system of gutters, leaders and drywells; relocate existing public water service; and establish and subsequently maintain a 10' wide, approximately 450sq.ft. non-turf buffer to be planted with native vegetation in-place of existing lawn adjacent to tidal wetlands boundary; and to remove the tree located along the northwest corner of dwelling. Located: 2745 Wickham Avenue, Mattituck. SCTM# 1000-139-2-3 TIME & DATE OF PUBLIC HEARING : Wednesday, March 23, 2016 — 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 Town of Southold LSP 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 be=flcial and adverse C',flectS upo11 the co,1stGtl areal(w17ic11 11G1UC��S mill of S(:)Iithpld 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,, cinch answer must N, ex plairied las detail listfn r Doth s��y ortin 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# PROJECT NAME QgY1n J'L'/�1� �, NP�oN 1�1���yoyar7d,�> OF 6elirZ 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 dixectly 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: XSJ co construct a second-story.addition onto an existing one-story, one-family Nature and extrdwelfing, construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 61X 10' attached porch in place of.existing landing/steps to be removed; remove existing nonconforming sanitary system locatf;d less than 100' from wetlands; install drainage system of leaders, gutters and drywells; relocate existing public water service; and establish 10' wide approx, 450 sf. non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary, and to remove the tree located along the nprthwest corner of dwelling Location of action: . -0. W/CkANH .41"Ute. T /yam V 4 Site acreage: 7 280 X 10 Present land use: 7—/,P 77,4 L= J-YA164di CW, /12 y /9W ArzL IAI& 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: h V) f'W VZr Z (b) Mailing address: P.Q, © Z H,4 M2C1c, N Y. 0 9.-fZ (c) Telephone number: Area Code (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 LWRP Section III-Policies; Page 2 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary M � 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 .1-1 No X 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 ❑ 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 g through 16 for evaluation criteria ❑ Yes ❑ No N 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 D CW ���� VW,.yV /f-d ,Ca►ZDvm/- LVA ZZ t. a PA?=1' a---,4 �iL,�D.S& /7N61— P 6ti/C L 4 2 1J .4 r ME —M&E B&0951�—> Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages,22 through 32 for evaluation criteria. ❑ ❑ ❑ Yes No Not Applicable IcIIIIII 1 .'' 11111 AA _-� •/,���!/f/Z.aGF Pili/lc.�f��../�.�laL/�.�L _,._._._ _ _. ___ 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 M Not Applicable Attach additional sheets if necessary Policy g. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVW Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 9 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 LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeO NoN 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 X Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ NoX Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable . .o PREPARED 13Y_ ���GG �%?� , TITLE ,e[16T, DATE N SURVEY OF PROPERTY SITUATE MATTITUCK 4" �Frq( oy s ai C, TOWN OF SOUTHOLD �V� SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 139 -02-03 SCALE 1 "= 10' MAY 16, 2007 Cry JANUARY 20, 2010 UPDATE SURVEY �h' 3.4 MARCH 9, 2011 ADDED PROPOSED ADDITIONS OCTOBER 24, 201 1APRIL ADDED2, VISED DISTTANCE MAP PROPERTY TO THE SOUTH DECEMBER 6, 2011 REVISE PROPOSED SEPTIC SYSTEM o,1, Fa APRIL 30, 2012 ADD NOTE FOR HOUSE TO BE RAISED 16„ �I k jy F MAY 10, 2012 REVISE NOTES c SEPTEMBER 18, 2012 CORRECTED SEPTIC SYSTEM DETAIL NOTES MARCH 14, 2016 REVISE NOTE FOR HOUSE TO BE RAISED 16" MIN. TO 32 ' MAX. TOTAL AREA = 7,280 sq. ft. (TO TIE LINE) 0.167 ac. 5.9 / G UPLAND AREA = 7,141 sq. ft. S N o��P Hg16 .70 F° ��`�'4 �� �a WETLANDS AREA = 139 sq. ft. ^0 � X � „4'r � EXISTING LOT COVERAGE OVER w ti cy /Q 'O UPLAND AREA 7 141 s t .32 ilr, p¢ (J ars, cyi�'Y I a Z d /,+y q <f 0� \rr°� srAs ti":. ryo� I o ���G�}s UO DESCRIPTION AREA / LOT COVERAGE +o EXIST. HOUSE 1 ,079 sq. ft. 15.1 228 sq. ft. 3.2% 6.1 +`� oo�S�o�s To �yqC ����j ��� EXIST WOOD DECK r rrj EXIST. GARAGE 373 sq. ft. 5.2% S�� �G7 L p s• / s il�Coo 9�^ri,� TOTAL EXIST. 1 ,680 sq. ft. 23.5% otiAll �o 0 AoPROPOSED LOT COVERAGE OVER y, \ UPLAND AREA (7, q. f ) ° . o ,y � 141 s t. <0 ILQST' 4 +���; pro DESCRIPTION AREA % LOT COVERAGE ,l, } \ PROP. HOUSE 1 ,267 sq. ft. 17.8/ h�8.5 PROP. PORCH 60 sq. ft. 0.8% NOTES: >'e � • ��'� � � }� \ �x / EXIST. GARAGE 373 sq. ft. 5.2% 1. ELEVATIONS ARE REFERENCED TO 1988 N.A.V.D. DATUM 1� Gc ��RES EXISTING ELEVATIONS ARE SHOWN THUS: 10.0 � -,a0- it- TOTAL PROPOSED 1 ,700 sq. ft. 23.8% c 2. FLOOD ZONE INFORMATION TAKEN FROM: \: \ 1 :Fo�'FSFo °o by °°� / �<< \ le TF.os FLOOD INSURANCE RATE MAP No. 36103CO481 H s•5x ° sct 0 0` o I TE9T�IOLE 1 �s Gp�'c ���/ �iS�yc�Y ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. j o\F�r�t9R o l 4�RSFp`�cQOCRyFgo^�R 3. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND / / "� � F 76 e�� 'ti x 10.2 F 108 sTFOs 1 es boy ^ �� o v EXISTING LOT COVERAGE OVER REMOVED IN ACCORDANCE WITH S.C.D.H.S.- STANDARDS. /- ADJACENT AREA 4. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1 ,000 GALLONS. / / ` A°oti /��a 142 S� I f J�v o o (AREA BETWEEN LANDWARD WETLANDS LANE „ I l� 4rC / V -, ,� v , 1 TANK; 8 LONG, 4'-3" WIDE, 6'-7" DEEP -y'o, x 1� x AND 10 CONTOUR LINE - 5, 115 s t. / 1 .6 I f 15-91 o P\ DESCRIPTION . q .f 5. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. iN A0* e > AREA / LOT COVERAGE 5 POOLS; 2' DEEP, 8' dia. ry�°� x7-.4 � � � I `v 41- �,� �� �° �so�erNc \ \ 10.8 13' , Boa, x 15.2 0, c�� I `cam o EXIST. HOUSE 1 ,079 sq. ft. 21.1 FF oRF;ossA c 0otio 1 o� EXIST. WOOD DECK 228 sq. ft. 4.5% PROPOSED FUTURE 50% EXPANSION POOL �'s�cs p9,�, I o F o�Fo°o 1 \��. '�•Q9 c 4 I v o r2 Ae��(iy r�� �4 , ^ yMy� s� , x8 I 'LIF , oF v ��' TOTAL EXIST. 1 ,307 sq. ft. 25.6% a o v� 171 0,4" �.0 ��1 1301, 7.3 a� � �?��� sO� C��qC 7 �� PROPOSED LOT COVERAGE OVER �� �vj�0� F�9 otitis I F v ADJACENT AREA PROPOSED 8' DIA. X 2' DEEP LEACHING POOL Q7� U�� �F y �� / c°"� °� ��n/ ` o (AREA BETWEEN LANDWARD WETLANDS LANE 0 K� 0 O (� _ �o,� < / N \ G AND 10 CONTOUR LINE - 5, 115 sq. ft.) U O �!� s� / I ��1 8 ° qs° p o DESCRIPTION AREA % LOT COVERAGE PROP. HOUSE 1 ,267 s ft. 24.8% PROPOSED 1 ,000 GALLON SEPTIC TANK °,FSF o �`kqr a o q' �' /12.7 PROP. PORCH 60 sq. ft. 1 .2% 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD 79- OBSERVATIONS / a �/ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 1 40 � / CONC. BLOC TOTAL PROPOSED T1 ,327 sq. ft. 26.0% PATH IN DIRT I v� v ��� El v o DRAINAGE SYSTEM CALCULATIONS: / / // / PLAN TER Q HOUSE ROOF AREA: 1 ,327 sq. ft. / 141 1 ,327 sq, ft. X 0.17 = 226 cu. ft. 11V / �� / / / / v s'o� 4. .APPRQVED BY 226 cu. ft. / 42.2 = 6 vertical ft. of 8' dia. leaching pool required ^� v 4FS O / / a x a \ WARD OF T RUSTEES � ry PROVIDE 3 8 dia. X 2 high STORM DRAIN POOLS / cV / : .._:._...,._._.._.. GARAGE ROOF AREA: 373 sq. ft. / �_ " . `+ Q� SOUTHOLD I[ 373 sq. ft. X 0.17-= 64 cu. ft. / 300, lA°�,yo /x 16.s / °� / Q�� a 2� EIAR 1 4 2016 64 cu. ft. / 42.2 - 2 vertical ft. of 8 dio. leaching pool required 7AF / / / p4/ �% /� !�o PROVIDE (1) 8' dia. X 2' high STORM DRAIN POOL PROPOSED 8' DIA. X 2' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: TEST HOLE DATA / �� �� f (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 30, 2007) // EL. 5.9' 0 P0' '• 17.61 v �l jC.- CO Q PROPOSED SEPTIC SYSTEM DETAIL -d °� (E UNAUTHORIZED THIS SURVEY IS A VIOLATION DI c e Ar / ' A R SECTION 7209 OF THEIONEW YORK STATE HOUSE (NOT TO SCALE) (� ��� �P ELEV. 10.5' FINISH GRADE d MIXED FINES, LOAM AND SAND v �LZ �G EDUCATION LAW. FINISHED GRADE a 5 COPIES OF THIS SURVEY MAP NOT BEARING ELEV. 10.0' ELEV. 10.0' - 14.0' v v �S� THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED EO P PE TO BE A VALID TRUE COPY. TOP EL. 8.3' 1' MIN. TOP EL. 7.7 -. 1' MIN. 4' CERTIFICATIONS INDICATED HEREON SHALL RUN MIN. 4" DIA. 6„ PALE BROWN FINE SAND SP ONLY TO THE PERSON FOR WHOM THE SURVEY SEPTIC EL. 1.2' ! IS PREPARED, AND ON HIS BEHALF TO THE LEACHING T 3' CLEAN 4,7' CP TITLE COMPANY, GOVERNMENTAL AGENCY AND APPROVED PIPE TANK APPROVED PIPE LEACHING N SAND W LENDING INSTITUTION LISTED HEREON, AND INV. EL. POOL I ou min. PITCH 1/4'/1' min. PITCH 1/8'/1' POOL I COLLAR TO THE ASSIGNEES OF THE LENDING INSTI- 7.8' INV. EL. 6.9' TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE. INV. EL. 7.3' INV. EL. " 7.1' D 0 8'-�►}� -8' tr--e-►} w CC 8 Z I`tyD AND/OR THE SEASEMENTS TENCE OF R OF RECORD,IGHT OF F DISTRIBUTION POOL OF F LIl� BOT. EL. 3.7 BOT. EL. 5.2' GROUND WATER /14J'a Pfrl ANY, NOT SHOWN ARE NOT GUARANTEED. 5 POOL SYSTEM ELEV. 2.2' WATER IN PALE BROWN FINE SAND SP CA g��Y C0 14 PREPARED NCE WITH THE SEPTIC TANK 1 ) >lio IP i By THERDSIFOR TNDAPSURVEYS OVE AS ESTABLISHED Nathan Taft Corwin iii (� y1 $IL BY THE L.I.A.L.S. AND APPROVED AND ADOPTED LEACHING POOLS (S) FOR SUCH USE BY THE NEW YORK STATE LAND 1. MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 3 BEDROOM HOUSE IS 1,000 GALLONS. TITLE ASSOCIAk10N"--"--_, Land Surveyor 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP t1' "�(s OF i�'�k, •. 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. ,,.- 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 5 POOLS; 2' DEEP, 8' dia. C�! �K ,I„T C `. 3. WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4". 2. LEACHING POOLS ARE TO 13E CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) k� l CO �J" ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. LEACHING STRUCTURES, SCLID DOMES AND/OR SLABS. ��� ! 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). y i Successor To: Stanley J. Isaksen, Jr. L.S. 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF t1/4") 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. tS` %"' " a �- Joseph A. Ingegno L.S. ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. f 3 a' ` //1�_8`':�V�_'•-I" Title Surveys - Subdivisions - Site Plans - Construction Layout 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. 1 K. j PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 N.Y.S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947 27-142 ' o 0 ry �o 101 SURVEY OF PROPERTY Oso SITUATE MATTITUCK 4� FJq 0� thy ,;4 C, TOWN OF SOUTHOLD 2� 0 SUFFOLK COUNTY, NEW YORK `s S.C. TAX No. 1000- 139 -02-03 �°°°� SCALE 1 "= 10' MAY 16, 2007 C�v / JANUARY SURVEY MARCH 9 201 1 ADDED PRO OSEDADD TIONS ph. 3.4 APRIL 12, 2011 REVISED MAP OCTOBER 24, 2011 ADDED DISTANCE TO PROPERTY TO THE SOUTH DECEMBER 6, 2011 REVISE PROPOSED SEPTIC SYSTEM I, APRIL 30, 2012 ADD NOTE FOR HOUSE TO BE RAISED 16„ / ry cF MAY 10, 2012 REVISE NOTES SEPTEMBER 18, 2012 CORRECTED SEPTIC SYSTEM DETAIL NOTES ti TOTAL AREA = 7,280 sq. ft. (TO TIE LINE) 0.167 CIC. 5.9 G UPLAND AREA = 7,141 sq. ft. Q 9U p �Fp 4 tii° O (? WETLANDS B F '�� �' �s �r WETLANDS AREA = 139 sq. ft. W F v F• /T- i T � � tiSFA A) /L / e�� / 10 EXISTING LOT COVERAGE OVER >< cl�' 49-10 UPLAND AREA (7, 141 s t lil, q 4S• tiy" Q Z �� 'o" 0� q f 01 �� s' o �����}S ���0 DESCRIPTION AREA Y. LOT COVERAGE EXIST. HOUSE 1,079 sq. ft. 15.1 o/sTtia�' °° 0�`'q ,Z��' EXIST. WOOD DECK 228 sq. ft. 3.2°° Ii1, �� ° 5.e 9�/o/s�rop� S < 09� 1 w� EXIST. GARAGE 373 sq. ft. 5.2/ / TOTAL EXIST. 1 ,680 sq. ft. 23.5% �° s pro �T PROPOSED LOT COVERAGE OVER Ito S>, J�� CdA A �/�/���L1 \ �O Sl0 ��'c o SJ ti otic \ UPLAND AREA (7, 141 sq. ft. ) s � ~ /ST ti �9d'Po 2 "Fr � DESCRIPTION AREA % LOT COVERAGE 11' 0' PROP. HOUSE 1 ,267 sq. ft. 17.8% mss. `foo y�o docFP� h�85 1 / PROP. PORCH 60 sq. ft. 0.8% NOTES: ryQ \ \x G EXIST. GARAGE 373 sq. ft. 5.2% 150 1. ELEVATIONS ARE REFERENCED TO 1988 N.A.V.D. DATUMlb \R�s EXISTING ELEVATIONS ARE SHOWN THUS: / eF oo�esT"o 1°�° cir R�EP� TOTAL PROPOSED 1 ,700 sq. ft. 23.8% 2. FLOOD ZONE INFORMATION TAKEN FROM: ��lloI� FLOOD INSURANCE RATE MAP No. 3610300481 H 5.5x l s O �° FS ° °G X� ZONE AE: BASE FLOOD ELEVATIONS DETERMINED TE9Tl�IIDLE ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. \F"r� ` / FRS �,� RAye, / _ x o L�jF v v l "c F 0 /� x 10.2 cF ST C� RFS ,� QO 3. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. _ oti � � o ° EXISTING LOT COVERAGE OVER ��" , \ c /"Q 14.2 S 1 I J�\V � o ° v ADJACENT AREA 4. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1 ,000 GALLONS. / _ Ao" °P� •� o T (AREA BETWEEN LANDWARD WETLANDS LANE '� �T° � �" ° AND 10' CONTOUR LINE - 5, 115 sq. ft.) 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP / ( �o M Zo.\ � \\ ��\,�.. I / �ti x, s � ,s.9 � � Co o � �� 5. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. }�� x iN I ry M �� ° o DESCRIPTION AREA % LOT COVERAGE 5 POOLS; 2' DEEP, 8' dia. � `` `` 77-'4 � � `� �- b ° EXIST. HOUSE 1 ,079 sq. ft. 21 .1 �o °o� \ G rso+esr" 1 1 o s S7O -IQ,, x1s z ill C41 ° ° FF"o�F�;`SSA° 1 �r,� c ��o ' I ° �< EXIST. WOOD DECK 228 sq. ft. 4.5% PROPOSED FUTURE 50/ EXPANSION POOL sF o 9,� l ° "o Foo ��. •Q SAeFII r�� �Q 7 " ti'M"F� '� , x8 ��� 1� _141F 'oF 4- TOTAL EXIST. 1 ,307 sq. ft. 25.6% l7� 0, STO �.s B o �` C9,Q ° X13) �.4�� �� �cF o ��� o PROPOSED LOT COVERAGE OVER -A t-n ADJACENT AREA PROPOSED 8 DIA. X 2 DEEP LEACHING POOL Qj�' CIV J� (AREA BETWEEN LANDWARD WETLANDS LANE ,0 'I: 00 ti0 / a�°c� �` , �`P / N o ° ° -10 AND 10' CONTOUR LINE - 5, 115 sq. ft.) �0V)�� / A °"` 1 s 9��G �sA , ° DESCRIPTION 4 AREA % LOT COVERAGE v O v A PROPOSED 1 ,000 GALLON SEPTIC TANK �'�� �r�� °�sF ° ° qy ° ° o\ ° `� PROP. HOUSE 1 ,267 sq. ft. 24.8% 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD �/ 12.7 PROP. PORCH 60 sq. ft. 1 .2% STAINED FROM OTHERS. `� O� / � ° OBSERVATIONS AND/OR DATA 0 �v �Q o / ^I I CCONC.IBLO �°BLOC DIRT �� �� TOTAL PROPOSED 1 ,327 sq. ft. 26.0% DRAINAGE SYSTEM CALCULATIONS: ROCK / / PLANTER 16.0 HOUSE ROOF AREA: 1 ,327 sq. ft. / 74 i MN / „� °o ° o F1y 1 ,327 sq. ft. X 0.17 = 226 cu. ft. 226 cu. ft. / 42.2 = 6 Vertical ft. of 8' dia. leaching pool required v o 0 ' X 2' high STORM DRAIN POOLS I / ��/ ��Fs PROVIDE (3) 8 dia. g a N / a �� \ F , GARAGE ROOF AREA: 373 sq. ft. �� 373 sq. ft. X 0.17 - 64 cu. ft. 64 cu. ft. 42.2 = 2 vertical ft. of 8' dia. leaching pool required / 00 AAtio x 1s.5 °� / C"- JAN � � 2Q?G p PROVIDE (1) 8' dia. X 2' high STORM DRAIN POOL / PROPOSED 8' DIA. X 2' DEEP DRYWVELLS FOR ROOF RUN-OFF ARE SHOWN THUS: ` TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 30, 2007) EL. 5.9' 0. �0' 17.6 ° PROPOSED SEPTIC SYSTEM DETAIL 0� x OR HOUSE (NOT TO SCALE) a a 9y a l 1�Nc'N ��P�``R To HIS SURVOEYLTERATION IS A VIOLATION OFTION ELEV. 10.5' FINISH GRADE ' MIXED FINES, LOAM AND SAND ° PL �S1F \\C' SECTION 7209 OF THE NEW YORK STATE Qv8 FINISHED GRADE ELEV. 10.0' - 14.0' EDUCATION LAW. �5 ELEV. 10.0' o �`� COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED 1' MIN. TOP EL. 7.7' - 1' MIN. ° 4' F�PpE TO BE AD VALID SHALL T BE CONSIDERED TRUE COPY. TOP EL. 8.3' 6" CERTIFICATIONS INDICATED HEREON SHALL RUN MIN. 4" DIA. PALE BROWN FINE SAND SP ONLY TO THE PERSON FOR WHOM THE SURVEY SEPTIC LEACHING T 3' CLEAN EL. 1.2' 4.7' CP IS PREPARED, AND ON HIS BEHALF TO THE APPROVED PIPE APPROVED PIPE LEACHING n, SAND TITLE COMPANY, GOVERNMENTAL AGENCY AND INV. EL. TANK POOL oo cP, min. PITCH 1 4" 11' min. PITCH 1/8"/1' POOL I COLLAR LENDING INSTITUTION LISTED HEREON, AND � � INV. EL. 6.9' 7,8' � p TO THE ASSIGNEES OF THE LENDING INSTI- INV. EL. 7.3' INV. EL. _ TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 7.1' o 8 � 8 8 THE EXISTENCE OF RIGHT OF WAYS I ORD, IF DISTRIBUTION POOL OF BOT. EL. 5.2' GROUND WATER AND/OR NOT SHON EASEMENTS ARE FNOTCGUARANTEED. ANY ZBOT. EL. 3.7 5 POOL SYSTEM ELEV. 2.2' WATER IN PALE BROWN FINE SAND SP ICP &�� 000 PREPARED UM Moi 81L BY THE L.1 I FOR TITLE PSURVEYSAPPROVED ASCE WITH H ESTABLISHED Nathan T SEPTIC TANK (1 LIP FORSUCHUSE BYNTHEPNEWVYORKNSTATELA ADOPTED aft Corwin III 1. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 3 BEDROOM HOUSE IS 1,000 GALLONS. LEACHING POOLS (5) TITLE ASSOCIATION. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. 1 "��°P Vfib `a. Land Surveyor 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 5 POOLS; 2' DEEP, 8' dia. ' 3. WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4". 2, LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) J1�Fr ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF tt/4") 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. p Successor To: Stanley J. Isaksen, L.S. L.S.S 2 ;� g Joseph A. Ingegno .S ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. �' s Title Surveys - Subdivisions - Site Plans - Construction Layout 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. PHONE (631)727-2090 Fax (631)727-1727 ° OFFICES LOCATED AT MAILING ADDRESS a."SO467 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 1-14