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TR-8802
Michael J.Domino,President ® ®g s®V��®� Town Hall Annex John M.Bredemeyer III,Vice-President e� ® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams �°® �® Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1392C-AMENDED Date: January 30, 2019 THIS CERTIFIES that the construction of a f2,800sq.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to±5' above grade with a±42' long retaining wall on seaward side; install a ±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff, with the condition to establish and perpetually maintain a 20' wide non-turf buffer landward of the edge of wetlands; that the pool is to be a salt waters stype, and pool and patio are to be not less than 50' from the landward edge of the wetlands; At 675 Hill Road, Southold Suffolk County Tax Map#1000-70-4-28 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 18,2016 pursuant to which Trustees Wetland Permit#8802 Dated May 18,2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a f2,800sq.ft. dwelling with attachedag_rage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in- round pool to be elevated up to±5' above grade with a±42' long retaining wall on seaward side; install a±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff, with the condition to establish and perpetually maintain a 20' wide non-turf buffer landward of the edge of wetlands; that the pool is to be a salt water system type, and pool and patio are to be not less than 50' from the landward edge of the wetlands. The certificate is issued to GFH HOMES,LLC c/o GLENN HEIDTMANN, JR. owner of the aforesaid property. Authorized Signature Michael J. Domino,President V��or S9UTyo Town Hall Annex John M.Bredemeyer III,Vice-President '`O l® 54375 Route 25 Charles J. SandersP.O.Box 1179 Southold,New York 11971 Glenn Goldsmith `® " Telephone (631) 765-1892 A.Nicholas Krupski Fax(631) 765-6641 I�CoUm,� - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1392C Date: September 19, 2017 THIS CERTIFIES that the construction of a±2,800sg.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to f5' above grade with a±42' long retaining wall on seaward side; install a f300sq ft pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff, with the condition to establish and perpetually maintain a 20' wide non-turf buffer landward of the bulkhead; that the pool is to be a salt water system type and pool and patio are to be not less than 50' from the landward edge of the wetlands; At 675 Hill Road, Southold Suffolk County Tax Map#1000-70-4-28 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 18, 2016 pursuant to which Trustees Wetland Permit#8802 Dated May 18, 2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a±2,800sq.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in- ground pool to be elevated up to:5' above grade with a±42' long retaining wall on seaward side; install a±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff; with the condition to establish and perpetually maintain a 20' wide non-turf buffer landward of the bulkhead; that the pool is to be a salt water system type and pool and patio are to be not less than 50' from the landward edge of the wetlands. The certificate is issued to GFH HOMES, LLC c/o GLENN HEIDTMANN, JR. owner of the aforesaid property. Authorized Signature "\pF SOUIy Michael J. Domino,President � ��� Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders y� Southold, New York 11971 Glenn Goldsmith ® �� Telephone(631) 765-1892" A.Nicholas Krupski �r�A-UNV Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD A13' DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: V'1 C��'�(�S sot COMMENTS: 0c, ASSyo-3 rn�c -�Ou Co' � CERTIFICATE OF COMPLIANCE: i - IIIIIIII IIII IIIII IIIII fllll IIIII ILII IIID IIIII Ilii ill 111111 IIIII Illll 1111 1111 . - SUFFOLk COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 06/13/2016 Number of Pages: 5 At: 04: 06:30 PM Receipt Number : 16-0090700 r LIBER: D00012867 PAGE : 712 District: Section: Block: Lot: 1000 070 .00 04 . 00 028 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25. 00 NO Handling $20.00 NO COE $5 .00 NO NYS SRCHG $15. 00 NO TP-584 $0 . 00 NO Notation $0 .00 NO Cert.Copies $0 .00 NO RPT $200 .00 NO Fees Paid $265. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ® CEfllf E AUG 2 5 2016 Southold Town Board of Trutees Fil F21 20'16 jun Number of pages _-`jDT7P1 A. sPq__:Al_E CLEF K �IF t SuFF�11 F' COUNTY This document will be public ' °°'x``01.2-67 record. Please remove all r Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Reco ding/Filing Stamps 3 y FEES i Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) ,Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX Ccs R.P.T.S.A. Dual Town Dual County _ 6� I-1 Held for Appointment Comm. of Ed. 5.- 00_ _ -. m Transfer Tax Affidavit Pj�� Mansion Tax �:/���iND84��4 The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00a family dwelling only. Sub Total YES or NO Other Grand Total �� If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. 3169808 1000 07000 0400 028000 5 Community Preservation Fund Real Prope P T II�IIIO�II�I�II�III�II1��I� Consideration Amount $ Tax Servi( R LPA A II 'ul Agency 13-JUN46 CPF Tax Due $ Verificatic Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD`&'RETiTRN TO: a, Land AUG 2 22016 T Q. g gc ��y C'"+CLC ,,c.� �U Southold Town T c 5 Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title* � I 1Ja.aigvBa� �a.iV�illL)' 1\�.®.Vl ulll� VL L' lll,�.dll ►JClliCll�. 1 Q�C This page forms part of the attached _ :Dec made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104 10i08kk (over) t T f DECLARATION ,OF COVENANTS THIS DECLARATION made this 13th day of June , 20 16 , by Glenn F. Heidtmann Jr. residing at P.O. Box 932/7675 Cox Lane, Cutchogue, NY , hereinafter referred to as "DECLARANT (S) ": W I T N E S S E T H ' WHEREAS, DECLARANT (S) is/are the owners) of certain real property located on 675 Hill Rd. Southold Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 70 Block 4 Lot 28 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake ,such regulated activities, the Trustees required that a 20' wide "non- turf buffer" adjacent to and landward of the edge of tidal wet lands ; NOW, THEREFORE, the DECLARANT (S) do/does here c_ a as � b follows: J AUG 2 5 2016 ' Southold Town Boar of TruS;ees___ 1) Upon the substantial, completion of the aforementioned permitted activities there shall be established and subsequently maintained 20' wide "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the survey prepared by Peconic Surveyors, PC last dated May 20th, 2016 stamped and approved on June 3rd, 2016 see Exhibit A 'attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this day..of June 13th-- - - --20 -16- - ------------- - - - - OWNER'S SIGNATURE C-11.x.1 �,�r Hh v->L OWNER'S SIGNATURE STATE OF New York ss: COUNTY OF(J On the lb day of J((�,VL , in the year 20 �� , before me the undersigned(( a Not arr ' Public in and for said State, personally , appeared CLCu�T• ttt_�C uv. personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature (s) on the instrument, the individual or the persons on behalf of which t e individ al (s) acted, executed the instrument. D Nota Public LORETTA LAMB 2 _ - AUG 2 5 2016 rte, of Now York _ #01LA8179M _ - 5ouihold TwinQuafiftd in k COQ Boardf TrusteesTees Expires member 31,20 � j FirstAmerican Title Insurance Cofnpany t I • 4 Title Number: BAL3206S 1 Page 1 f Amended 11/17/2015 SCHEDULE A DESCRIPTION 1' ALL that certain.plot, piece or parcel of land, situate, lying and being in the Town of Southold, { County of Suffolk and State of New York, known and designated as Lot Number 7 on a certain map entitled: "Map of Calves Neck"filed in the Office of the Clerk of the County of Suffolk on I 2/15/1972 as Map No. 5673, said lot being more particularly bounded and described as follows: i" BEGINNING at a point on the southerly side of Hill Road distant the following two (2)courses and distances from the comer formed by the intersection of the easterly side of Wells Avenue and the southerly side of West Hill Road; t 1. South 88 degrees 52 minutes 40-seconds East, 451.00 feet; t 2. South 68 degrees 53 minutes 50 seconds East, 231.95 feet to the true point of beginning; ' RUNNING THENCE from said point of beginning and along the southerly side of Hill Road, South 68 degrees 53 minutes 50 seconds East, 100.00 feet to a concrete monument and land now or formerly of Shirley E. Bratle Trust; — F, THENCE along said last mentioned land, South 21 degrees 06 minutes 10 seconds West, 224.87 feet to the mean high water mark of Jockey Creek; THENCE along the mean high water mark of Jockey Creek, a tie line course of North 46 degrees { 04 minutes 51 seconds West, 108.49 feet to the division line between Lot No. 7 and Lot No.6 on the above mentioned map; t THENCE along said last mentioned division line, North 21 degrees 06 minutes 10 seconds East, � 182.80 feet to the southerly side of Hill Road at the point or place of BEGINNING. i DD]D i a i i 1 f 1 AUG 2 5 2016 ' Southold Town _ t Qoard nf Tr- C �I SURVEY OF PROPERTY 11 JUN-1 2016 AT SOUTHOLD TOWN OF !SOUTHOLD �5_ SUFFOLK COUNTY, N.Y. tyro A 1000-70-04-28 (ALI"�No� SCALE. 1=30 wA1 NOVEMBER 1J, 2015 JAN.-22, 2016 jWETLANDS FLAGS) FEB.2, 2016'(PROP. NSE.) APRIL 18, 2d16(REWSION) F \heap, fhpj MAY 20, 20)6 (REVISION) lLMtn,, 483' CW 1O ) lu Y r, BS E• o 61 srp �� + �C/ ,'A SEPTIC SYSTEM c2 1 o s 5 BEDROOMS s N o O 0 � rt roar I—80 X 5'LIQUID DEPT PRECAST,SEPTIC TANK �•;� as •r y'��-a �v'\\ T—80 LEACHING POOLS 8'DEPT Lc') y� 1'.ABOVE GROUND WATER .p INT J'SAND COLLAR(SW) CV a ,�• r` 1-4 ©� " 1 I OR ? °W aW t o PROP. ROOF RUNOFF Xt1 TAINMENT ; sr (PfRh(rSY b? O HOUSE,PORCH OGARAGE=Jp00 sq ft --- m J000 x 1 X 0,17-510 cu ft. 7qO• o D j//,� 510/422-12 VF Id PERVIOUS DRIVE—1422 sq ft. 1422x 0.8x 0.17=194 cu.ft ' 194/422=A6VF ? XRy �o Qa• EO/ PROVIDE 4 D aW O(fOPpsWS S ' b Be X 5'DEFT OR EQUAL a, �•� / J� /ice PROP. LOQ COVERAGE F�' � a, R p°RQN -- , –• - ---- �a�' _-.__ _.,.._ •__– - Mc�OIJACD�-"--'--�^ '—J -- 6 no GEOSCIENCE HOUSE,PORCH O GARAGE—3000 sq H F� ,may ay. , o= TEST HOLE DATA J000/�OJ84= 14.7 R Fry6 9�28�15 POOL&PATIO=—683 SOFT s �> 0 / EL 15 0' a; cQ c 7JkL IZ,� BROWN SANDY LOAM IX 883/20384=4 JX bye fqa. ; 0.5' TOTAL COVERAGE- 19R �� ' Q�th ?O'I' BROWN SANDY SILT Mlr s �'\ F•I_ sm i 2 5' 4" \ 1 41I y� byS\ IK I 10 I PALE BROWN FINE SANDI SP CERTIFIED TO' BRIDGE ABSTRACT 0 i GFH HOMES;LLC 8 EL 05' [:]14,5' PRE NO.BAL 320656?Dy WATER IN PALE 8ROINJ SNE SAND SP 61 � \ I 6 • —PIPE I Oq � J �\ qy. WATER ENCOUNTERED 115'BELOW SURFACE ■ —MONUMENT If£TLANDS FLAG \\ ' ELEVATIONS AND.CONTOUR LINES ARE REP ENCED FROM NAVD 88 " FLOOD ZONES FROM FIRM 36fO3CO166H '� LOT NUMBERS REFER Tp MAP OF CALVES KNOLLS'FILED /N THE SUFFOLK COUNTY C WS W 4g4i4 I OFFICE AS FILE NO 5673 �', APPROVED BY- I AM FAMILIAR WIT THE STANDARDS FOR ROYAL y, -� 4.. OFTR1jS U§'`',', y'��t�114 ET P. AND CONSTRUCTION OF SUBSURFACE SEW' DISPOSAL V I ' �sL A V�j '• ' :t 1 �cce,P SYSTEMS FOR SINGLE FAMILY RESIDENCES WiCL AB/D£ IY 4 BY THE CONDITIONS SET FORT THEREIN ON THE PERMIT TO CONSTRUCT. I ..j;`�:Y3+.�1 20f(o�-,• The location of public water, wells and ces s Shown hereon ore 9618 from Reld ob.arvoll.-and or from data I dned Fran others / PECONI RVEY RS, P.C. ANY AL A17 OR ADDITION TO THIS SU /S A VIOLATION ' ' OF SECTION 72090E THE NEW YORK STA I canoN Law. (631) 765-5020 FAX(631) 765-1797 EXCEPT AS PER S£CnON 7209—SUBDIOSI ALL CERTIFICATIONS AREA= 20,384 SO FT. P.O. BOX 909 1 HEREON ARE VALID FOR TIS MAP AND THEREOF ONLY IF TO TIE LINE SAID DOSE P ORSI GNATURE APPBEAEARS HEE'Rl£PRESSE L OF THE SURVEYOR 12JO TRAVELER STREET I SOUTHOLD. N.Y. 11971 15-212 : UfrDC ` John M. Bredemeyer III, President s 0 Town Hall Annex Michael J. Domino, Vice-President y� 54375 Route 25 Glenn Goldsmith �;� z ` P O. Box 1179 A. Nicholas Krupski y ® Southold, NY 11971 Charles J. Sanders al , -� ;Y Telephone (631) 765-1892 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 Y2 constructed Project complete, compliance inspection BOARD OF SOUTHOLDTOWN TRUSTEES SOUTHOLD, NEW YORK DATE: MAY 18, 206 PERMIT NO. 8802 . ......... ISSUED TO: GFH HOMES, LLC c/o GLENN HEIDTMANN,JR. PROPERTY ADDRESS: 675 HILL ROAD, SOUTHOLD SCTM# 1000-70-4-28 AUTHORIZATION ff 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 May 18, 2016 and in consideration of application fee in the sum of$250.00 paid by GFH Homes,LLC and subject to the Terms an Conditions as stated in the Resoluiiofi,'the�'S6iiihold Town Board of Triastee"s auth6hzes and-permits the following: Wetland Permit to construct a±2,800sq.ft. dwelling with attached garige and 431x26' seaward porch; install a new sanitary system; install a 161021 in-ground pool to be a; 11 on seawar elevatedup to gradewith" 42'_ ong retaining wa d'side4 instalfa +-300sq.ft. pool patio; install a pool equipment aiea;�tind for the installation of gutters to leaders to drywells to contain storm-water runoff; with the condition to,establish and perpetuallymaintain a 201,wide,non-turf buffer landward of the bulkhead.; that the pool is to-.be a,saltwater system type, and pool and patio are to be not-less than 501 from the-landward edge of,the wetlands;and as depicted on the revised,survey prepared by Peconic Surveyors, P.C.,,last dated May 20,2016, an&stamped approved on June 3,2016. IN WITNESS WHEREOF,the said goard'of Trustees hereby causes its Corporate Seal to be'affixed, and these pi6sefits to be'subscribed by a majority of the said Booas of is date., cz W-1 V V WhN krJ 11Q: k __AMS AND CONDITIONS The Penruttee GFH Homes LLC c/o Glenn Heidtmann Jr. 675 Hill Road Southold 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 Pennittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Pennittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Pen-nit 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 Pen-nit 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 Pennittee 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 O��®f S®(�Pg�l Town Hall Annex Michael J.Domino,Vice-President O 54375 Route 25 jW P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® �O� Telephone(631) 765-1892 Charles J. Sanders ®l/riO®UN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2016 Glenn Heidtmann, Jr. GFH Homes, LLC P.O. Box 932 Cutchogue, NY 11935 RE: GFH HOMES, LLC c/o GLENN HEIDTMANN, JR. 675 HILL ROAD,'SOUTHOLD SCTM# 1000-70-4-28 Dear Mr. Heidtmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 18, 2016 regarding the above matter: WHEREAS, GFH HOMES, LLC c/o GLENN HEIDTMANN, JR. applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 18, 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 May 18, 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 GFH HOMES, LLC c/o GLENN HEIDTMANN, JR. to construct a ±2,800sq.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to ±5' above grade with a ±42' long retaining wall on seaward side; install a ±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff; with the condition to establish and perpetually maintain a 20' wide non-turf buffer landward of the bulkhead; that the pool is to be a salt water system type, and pool and patio are to be not less than 50' from the landward edge of the wetlands; and as depicted on the revised survey prepared by Peconic Surveyors, P.C., last dated May 20, 2016, and stamped approved on June 3, 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: None Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer III, Pre!iaent :;}`opo coG Town Hall Annex Michael J. Domino, Vice-President :'ter r �� 54375 Route 25 Glenn Goldsmith ^ o _ ' P.O. Box 1179 A. Nicholas Krupskiy ® :y Southold, NY 11971 Charles J. Sanders ``; 01 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD � od� TO: 6n+ i0t , LLC 4O Gt fAl t6F,P 1�1A,0V J Please be advised that your application dated 2_01&j� 2_01& has been reviewed by this Board at the regular meeting of and your application has been approved pending the comp etion 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) '/2 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: TOTAL FEES DUE: $ BY: John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III, President 4rS�tFOtK�o ` Town Hall Annex o G? 54375 Route 25 Michael J. Domino, Vice-President 4, Glenn Goldsmith o '` Southold P.O. Box 1179 A. Nicholas Krupski � o �� , NY 11971 Charles J Sanders �,�, o� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 'zg�.t �zl -:2-2s /' Completed in field by: GFH HOMES, LLC, c/o GLENN HEIDTMANN, JR. requests a Wetland Permit to construct a ±2,8008q.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to ±5' above grade with a ±42' long retaining wall on seaward side; install a ±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff. Located: 675 Hill Road, Southold. SCTM# 1000-70-4-28 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 -et 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 Additiohal information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 1 Present were: J. Bredemeyer ✓ M. Domino __Z' G. Goldsmith N. Krupski __z —4zC. Sanders Other Page 1 of 2 John M Bredemeyer III, PresidentS�tk Town Hall Annex Michael J. Domino, Vice-PresidentC�� S 54375 Route 25 Glenn Goldsmith CD P O. Box 1179 64 A. Nicholas Krupski -, M7 Southold, NY 11971 Charles J Sanders ��� ap! Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: GFH HOMES, LLC, c/o GLENN HEIDTMANN, JR. requests a Wetland Permit to.construct'a ±2,800sq.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to ±5' above grade with a ±42' long retaining wall on seaward side; install a-±300sq.ft. pool patio; install a pool equipment Iarea; and for the installation of gutters to leaders to drywells to contain storm-water runoff. Located: 675 Hill Road, Southold. SCTM# 1000-70-4-28 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT ME_T=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 We'proposed activity and the extent to which the proposed,activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures. -and natural resources: D'. <_25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 .411 10 r ' ,' FH LLC c/o Glenn • ��01675 Hill Road,Southold !` r lotIlk / F All 774 4 ♦ t -��e.. 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F ^.aE It9° ;vS' u \ ., � rr � ^«.f 4 ,,, ° •, � BA -1033 ' m10p ZB m y �.3a,°° e �7 _tx m2,' • ^d, q n^^ "mob +m, o � 3u 37 36, i 195 �r \A m f °F ° .ut ^ m •. 45I' 1� m 6 'a m 0.EANVIEW �' nam ,em a �°v 49- ^1] y•],p �n 19 _ .o s �, a 3, ?< w _ _,d • 10 . 193 47A QFARWEWm°AVE. 1`sl r _42 mt r- 15, a '59P De .P � m49 de n rvxN Or ar- � ypyFOR PCL NO° 1 tOw4a4 ES® , 1 -7<• TOWN OF d4+ 26_ ZI 2B2 264 120A(c) 'y0 —_ ° _SOI—oLD y - C, w ��' y3 'a MATCH ONE x � � 4 �R s4m" Tavxw m,r,xa» _ .ai Pp E dsd,�o.� uw ea.vcn"PO NOTICE ` © E a 553 m SOUTHOLD SECTION NO (2+) � 2 ��� --�-- r,,,� --,-- ,r^4A1r� COUNTY OF SUFFOLK J ------ e ---- a . --V-- ^-^^--�-- Real Property Tax Service Agency 5� „3 ��� 070 co,m �vtdr a.cmd,r,Nv 11°51 °>° A —— —— v vv • 1t:ami P 5I5 ma rwcr xo 1000 n PROPERTY MAP S OFFICE LOCATION: ®�t®f S®Ury®l MAILING ADDRESS: Town Hall Annex ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) CA 'c Southold, NY 11971 ® �p� Telephone: 631 765-1938 C®UNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: May 18, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for GFH HOMES, LLC, c/o GLENN HEIDTMANN, JR. SCTM# 1000-70-4-28 GFH HOMES, LLC, c/o GLENN HEIDTMANN, JR. requests'a Wetland Permit to construct a ±2,800sq.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to ±5' above grade with a ±42' long retaining wall on seaward side; install a ±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywells to contain storm-water runoff. Located: 675 Hill Road, Southold. SCTM# 1000-70-4-28 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 provided the following is required for further Policies 5 and 6. 1. Require that a vegetated, non-turf buffer be established landward of the wetland. 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: Stephen Kiely, Assistant Town Attorney ��Qg�FFO�►�-�G may. G� Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 �1 y` _Fax(63 1)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 11, 2016 the following recommendation was made: Moved by Peter Meeker, seconded by Jack McGreevy, it was RESOLVED to NOT SUPPORT the application of GLENN HEIDTMANN, JR. to construct 2,800 sf. dwelling with attached garage and 13'X 26' porch; 16'X 32' pool, surrounding patio, and pool equipment along the side of the dwelling. Pool will be elevated on seaward side to +/-5' above ground with retaining wall +/-42' in length. Located: 675 Hill Rd., Southold. SCTM#70-4-28 Inspected by: Peter Meeker, Keith McCamy The CAC does Not Support the application because the house and pool setbacks are not in compliance with Chapter 275-Wetlands. Vote of Council: Ayes: All Motion Carried John M. Bredemeyer III, President so yo Town Hall Annex Michael J. Domino,Vice-President �O l0 54375 Main Road a P.O. Box 1179 James F. King,Trustee JIRE 'Yl°' Southold,New York 11971-0959 Dave Bergen,Trustee G Charles J.Sanders,Trustee - 'p �O Telephone(631)765-1892 l,Y`,oU '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD D To: Southold Town Building Department APR 19 2016 Re: Verification of Building Department Permit Requirements BUILDING DEM. T®W10T OF S®UTD®LD SCTM#: L, 6 Property Owner Name: ` C_ 610 Date Sent to Bldg. Dept.: ' f 9' 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? Will the proposed project require a variance determination from t Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: ® 2-2- Signature -zSignature of Wviewer Date *O� S®(/l John M.Bredemeyer.I11,President ®� ®l Town Hall Annex Michael J. Domino,Vice-President ~ ® 54375 Main Road & ` i P.O.Box 1179 James F.King,Trustee CA Southold,New York 11971-0959 Dave Bergen,Trustee ® a� ® Charles J. Sanders,Trustee lf%C®U '� Telephone(631) 765-1892Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application r _Administrative Permit / Amendment/Transfer/Extension ,/--Received Application: V Received Fee: $ ZbO+Q-0 1 _Completed Application: t. `' `' y 1:z F _ 'f _Incomplete: �. jtt _SEQRA Classificati Type I Type Il_y Unlisted APA 1 $ 2016 Coordination:(date sent): pT WRP Consistency Assessment Form: V CAC Referral Sent: Date of Inspection: S�1 _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: f/ Public Hearing Held: g+ r Resolution: Name of Applicant: �-a-rn � ir'� �i.� �j'�• *67S L�L_C Mailing Address: ,0,9 ADO,-" L ,0 PC/Ci 13 S" Phone Number: _C6751) 179 _ 52-1 Suffolk County Tax Map Number: 1000 - �'/& ® O# - 2 Property Location: 675- /�I W !'c'v I 15-0,4*10lw (provide LfLCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: y Phone: Ly P t Boa of Trustees Application GENERAL DATA Land Area (in square feet): ' 3 Iq Area Zoning: P-- q0 Previous use of property: yx,+ r,�, 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? Yes No If"Yes",please provide copy of decision. Will this project req 'r any demolition as per Town Code or as determined by the Building Dept.? Yes —A--No Does the structure(s) on property have a valid Certificate of Occupancy? Yes_No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description (use attachments if necessary): � ` � 4-0 LP-JA )C3 . 5r ' ) i 0-61)L210 Boar , of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: � A � � �'r� �C WIC &4--hol-t-W -PIMA-- lam' (d n q10 Area of wetlands on lot: b/t square feet Percent coverage of lot: % Closest distance between-nearest existing structure and upland edge of wetlands: NAfeet - Closest distance between nearest proposed structure and upland g feet -fV )0acrG edge of wetlands: , Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 700 cubic yards How much material will be filled? _70o cubic yards a Depth of which material will be removed or deposited: 1- feet Proposed slope throughout the area of operations: y 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): cel..- r,.J.a� 5' PROPQ 0on-co r VA u r��?lei 4 •-�\ 1 61Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: _ , D Project Location(describe,andattacha location map): 6.'15 \%1 0-MA. 1' - Brief Description of Proposed Action: l,b Ciz A a V,, Pa6(, P(A,- D) POOL- ` PGD Name of Applicant or Sponsor::yy Telephone: C-1 kFlrl E-Mail: Address: City/PO: State: Zip Code: 1.Does the proposed acti only involve the legislative adoption of a plan,local law,ordinInce, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that F] 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: ❑ la.Total acreage of the site of the proposed action? o acres b.Total acreage to be physically disturbed? , ty acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [Rural(non-agriculture) ❑Industrial ❑Commercial $Residential(suburban) ❑Forest Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 E 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ IN ❑ 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: ® ❑ S. 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? 1W YES If the proposed action will exceed requirements,describe design features and technologies: Jr-AX91 El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ n 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ® ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® ❑ 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? ❑ LAJ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ® ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? r [:J 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 YES � ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: JO [DYES Page 2 of 4 '7 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: F / ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BE/ST- OF MY KNOWLEDGE Applicant/sponsor name: Date: r 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 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? 3. Will the proposed action impair the character or quality of the existing community? C ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the �� I ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or I El 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 El available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: C 1 a.public/private water supplies? L 1 b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, r ❑ 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)? Page 3 of 4 1 t 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? J 11. Will the proposed action create a hazard to environmental resources or human health? i I Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should, in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an V�,�Iheck vironmental impact statement is required. this box if you have determined,based on the information and analysis above,and any supporting documentation, tat the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees % he _Name of L d A nc�YZ 1 Date n A , (/ President Print or Typ arae of Resp ible0`fficV in Lead Agency Title of Responsible Officer r Si tore of Res perKi 1 icer in LeadAgency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 17 �oSUFFo�,��o Town Hall Annex John M. Bredemeyer III, President o Michael J. Domino, Vice-President 4i�� yam' 54375 Route 25 Glenn Goldsmith y ? P.O. Box 1179 A. Nicholas Krupski �► Southold, NY 11971 Charles J. Sanders ` �o� �apr 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 GFH HOMES, LLC, c/o GLENN HEIDTMANN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, C(lely1 `�c t'—c 0.`f►'xle �l!residing at/dba `�(p�yJ (26?6 being duly sworn, depose and say: That on the day of p'ay ) 201&, I personally posted the property known as (n'Z's A i 1 L 00'rj, CS©ce*lw 1 d by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,May 18,2016. Dated: (signature) Sworn to before me this 104-day of lug,2 _T7 J FLORETTA LAMB Notary,public,State of New York 001LA6179883 No r ublic oualitied in Suffolk County Y Term Expires December 31,2015 ,� U.S. PostalService'-r- • , RECEIPT tE ® ® e • M (Dbmestic Mail Only, r Insurahce CoveiPge ..(t (Domestic B No Insurance Coverage Er M For delivery information visit our website at virvirmusps,corne L0 Lrl Soo rr- B I -0 POVEN f, 1935, rq Pone 0 �()G,..0 •70 /.U i" Certified Fee � lu Ln Certified Fee i • �FU — �) Postmark p Postmark C3 Return Recei t Fee /� �� '} p Return Receipt Fee • ,/ Here E3 (Endorsement Required) io.00 _—j AI 'Lo , p (Endorsement Required) ~�,l ! p Restricted Delivery Fee V ,2 c p Restricted Delivery Fee 0.00 (Endorsement Required) '•04 DIV Cp (Endorsement Required) e-R Total Postage Ala �j ��; r-q Total Postage fr ees C3 051 01§ - C3 Sentro .47 Emma Ban-Rooyan Sent To.a Richard Salerno ! ' ------------------------ -------------------- ----------------------------- I Street,Apt No.; 220 Water Street,Apt.428 o Sheer,Apt.No.; P.O.Box Ei] 1 p or Po sox No Southold NY 11971 I________••___________________ or PO Box No. Brooklyn,N.Y. 11201 �` --- = City, tate,----- y Cary,State,ZIP+4 � Cdy,State,ZIP+4 I ' MEN PS Form :ee August 2006 See Reverse for his,tructi :ee ee. 9 •'US • I na ® ® a ® s ■ ® , RECEIPT Er (DomesticB No Insurance Covr r r•r .� (Domestic I No Insdrance CoverageProvided)-r 0 rn For delivery infornnaflon, our website . �> im � .- r FAVI Epp 04 S. r=1 P0440 0 GGU,09, UE Ln r c u7 . Certified Fee Certified Fee i fl l �' Postmark ®' ; ru 0. 00 00 p Return Receipt Fee $0.Q(1 �,/L HH to C3 Return Receipt Fee . A� Postmark p (Endorsement Required) !Y/,Dare W - (Endorsement Required) •�� �- HV e� ,` p / �• i p _ (EndoRestrrsemennt Reicted quired) Restricted ed)Fee �'Q� Restricted Delivery Fee p C3 (Endorsement Required) �� r� r� 7 r-1 Total Postage Jees � ' r-4 Total Postage&FFees '+ p U•7 6 ! :4; C3 sent ro I alter Belancic Sear ro ra Shirleyratle -------------- ------------------------------ Y p orreer,Apr.No; I 389 Roosevelt Street -------------------- ------------------------------ i oSrreet Apt.No.; I P.O.Box 1154 �,. or PO Box o or PO Box No. Fairview,N.J.07022 --- = Southold - - CMry,Stare,ZIP+a City,State,ZIP+4 ,MY. 11971 :ee ee. I :ee ee. -- .r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: --" _ 3. "". w 1 - . . 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 MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ,,' � "—.r-e; , - :-a` '.'`.��,�n'.ai`"•;;.mow;_,";''.•.•,,.-i-- „ Name: �,,k �' M.' ,.`.=-rry;r:- ;.: t'. w k.,; .,,,-,; „n • '.F_ ':1.5'iJ�'a."b+ I;1:';'`fYA—r.i l �+U" ,`d��.is k fi""�;�` `4a:''' •'"., '.i _!��,,) ;'�"A',ji .�+, el, FF,` ��, lir: d'..,,,•,iil;',�� �"� / Y;' _ �',,:• ^^�S-mow_..-s,_ a.Hs rt -_n-'" }r,5 L il;;`.,j.+�.' �ry'su1�l;_;;, � �r.;',',,.k•�i'pn.'"P,✓�n',k -u M�ht r.'.;f���„;°r!''��''��it'`;;p;,��� �r"h,,rLfi,t_'•,�"'�, "ya;���y1.".�2' _ �'=` '3 �d^,f.'^''t��rf�'.r'�z��a+^y� AI`cam ,.;'✓�^,w,i�:'o' ��'Y�„J y,7'f :q!�71F`H,d}4,W�,':�''��^i,J.�,� tt ,y}i'iC„ '.1 -�'"5� - ufl�Fti'%M1,`Vf'"'�4{����"', °z"t^t^.`r,.^.�l`Yi•,5„��',i�„L�!^.k_r' 3Yf'...� 4. nR".�.^� _ +. .n„ _.t:w '-"_�� :DRi ate,. _ •'"i �'r5�j�,;r'�`•'.'��,s'��(I,"#,t-Wit, y,. 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UF HLAIIIIIC3 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: GFH HOMES, LLC, c/o GLENN HEIDTMANN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a ±2,800sq.ft. dwelling with attached garage and 13'x26' seaward porch; install a new sanitary system; install a 16'x32' in-ground pool to be elevated up to ±5' above grade with a ±42' long retaining wall on seaward side; install a ±300sq.ft. pool patio; install a pool equipment area; and for the installation of gutters to leaders to drywalls to contain storm-water runoff. Located: 675 Hill Road, Southold. SCTM# 1000-70-4-28 TIME & DATE OF PUBLIC HEARING : Wednesday, May 16, 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) 765-1692 Boo of Trustees Application AFFIDAVIT BEING DULY SWORN DEPO ESA D AF IRMS 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: Signature of Prop rty Owner �44 CA SWORN TO BEFORE ME THIS DAY OF 20_LL LORETTA LAMB Not P liC Notary Public,State of New York _ N01LA8179883 Gualffied In Suffolk County Term Expires December 31,"uj��j APPLICANT/AGENT/REPRESENTATIVE TRANSACTI®NAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. / YOUR NAME: 61-Lon (� _4411(A 11 (Last name,fust name,qiiddle 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 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 ('gk&day of t I 200 V Signatures f Print Name elv.— Form TS l It 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 LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# Z- PROJECT NAME The Application has been submitted to (check appropriate response): Town Board -C Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license, certification: ( VI Y,Nature and extent of action: OL arzvek- 9k.S1,LLCL- t,�Iralm" OD® E> Ll Np Lv • tZ Location of action: 9�5 � � aD Site acreage: 'l, ®, ?a L4 uCr� Present land use: O'C'&4n 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: G("11 (b) Mailing address: (c) Telephone number: Area Code( ) 31 �N (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No 7` If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ' Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No "'N Not Applicable r� 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 M Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No M 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 XotApplicable 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. ❑ ❑ /4 Yes No !Applicab`f 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`W Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LRP Section III—Policies; Pages 34 through 38 for evaluation criteria. D�Yes_0 No 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 No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No [A] 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 W Not Applicable ' Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62'through 65 for evaluation criteria. ❑ Yes ❑ No IFAVII 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 [9 Not Applicable PREPARED BY TITLE DATE -- SURVEY OF PROPERTY _ z A T SO UTHOLD JUN tots r TOWN OF SO UTHOLD SUFFOLK COUNTY, X Y. -� 1000-70-04-28 (pUeU1 ttkNc) SCALE. 1'=30 wq 72�R) NOVEMBER 13, 2015 JAN. 22, 2016 (WETLANDS FLAGS) FEB.2, 2016 (PROP. HSE.) ep (pUe41C4wNc) APRIL 18, 2016 (REVISION) Yoccarno cF°F q>FR) MAY 20, 2016 (REVISION) 1-15-2015 Pq h � McNr \ f OCe of UTILYe�r .� (DI (/� P OLE A Usuc (',) 483' e�1g 8S3S a ��►'�N O 3 E S�FF Q ws �e°F SEP T1 C S YS TEM T4s �Me"rte 5 BEDROOMS P S e! UTILITY 1 — 80 X 5' LIQUID DEPTH PRECAST SEP77C TANK POLE \ 2 — 80 LEACHING POOLS 8 DEPTH 4P O o 3' MIN ABOVE GROUND WATER a a ti� o WITH 3' SAND COLLAR (SW) �� P off, o a/ ��• °R� ? 0 �� oma` PROP. ROOF RUNOFF CON TAINMEN T q � s a o ,F ST pFR S) ,o j a/j/ Baa HOUSE, PORCH ® GARAGE = 3000 sq.ft. 3000 x 1 X 0.17 = 510 cu.ft. 510/42.2 = 12 VF o "110 �o PERVIOUS DRIVE = 1422 sq.ft. 0 ouip N // /30 1422 x 0.8 x 0.17 = 194 cu.ft. 194/42.2 = 4.6 VF hO Rop° � PROVIDE 4 D WS o y0U ye/ , �s 80 X 5 DEPTH OR EQUAL� o' O x,.0. ? -0; O p° hw '� McDONALD PROP. L 0 T CO VERA GE o°,y ao nU ,"? GEOSCIENCE HOUSE, PORCH ® GARAGE = 3000 sq.ft. F�Op p� �� � 02 TEST HOLE DATA 3000/20384 = 14.7 9 p 2�"e��N `�' p° '0O y0 �� ,� � 9/28/15 61 e o� °se �' "� POOL & PATIO =— 883 SQ.FT. Rerq�N� •/ �Sw� 12 7 EL. 15.0BROWN SANDY LOAM OL 883/20384 = 4.39 a T ^G wq!! �S.0. y 0.5 TOTAL COVERAGE = 19% Fgoti F °ti BROWN SANDY SILT ML ti\ tiP �-�- syep 2.5' aGti� s� �ti �tiFof Oma, ti 10 PALE BROWN FINE SAND SP CERTIFIED TO: BRIDGE ABSTRACT o4o V GFH HOMES, LLC 'S,Lo 8 EL. 0.5' 14.5' TITLE NO. BAL 32065 /� ''Fpey�o WATFR IN PALE BROWN FINE SAND SP S T� 6 17' Cb 20=E LANE PIPE WA7FR ENCOUNTERED 14.5' BELOW SURFACE ® = 'Ac�<c.'fc�� ® MONUMENT Ir = WETLANDS FLAG y c ELEVATIONS AND CONTOUR LINES ARE REFERENCED FROM NA VD 88 CIO. FLOOD ZONES FROM FIRM J610JC0166H S�Fy9PO ���rFo Fo ti� e�oF LOT NUMBERS REFER TO "MAP OF CALVES NECK" KNOLLS" FILED IN 7HE SUFFOLK COUNTY CLERK'S oti�°�,oq, OFFICE AS FILE N0. 5673 ,. .-APPROVED BY._ ' I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL s ��FtiT9s AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL OAd OF TRUSTEES SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE -Taft ^^ir�I� S ✓';.,, .30U",W` � so`�, ',�•n 4'-• <0 �'•''t BY 77-IE CONDITIONS SET FORTH THEREIN AND ON THE d` t PERMIT TO CONSTRUCT. _M:. The location of public water, wells and cesspools shown hereon are t ,. 9618 from field observations and or from data obtained from others. ANY ALTERATION OR ADDITION TO 7N/S SURVEY IS A VIOLATION PE"CON/P (18,V FORS, P.C. OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77FICA77ONS AREA 20,384 SO. FT. (631�7� .=5 20 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF TO TIE LINE P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. 15-212 SOUTHOLD, N. Y. 11971 SURVEY OF PROPERT Y A T SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-70-04-28 SCALE. 1'=30 NOVEMBER 13, 2015 JAN. 22, 2016 (WETLANDS FLAGS) FEB.2, 2016 (PROP. HSE.) Yaccarinoepi (P'J%C 44/,Vo) APRIL 18, 2016 (REVISION) 1-15-2015 F OF °A i �MeNr OF A� Mehr T U POLE A _/ _ (pUrD 44 NC) 4 h 1 C Wi 11111111 83e Ss syq '� G 74J e�,438S3S y �R iN s 0 F �FFT� °mow e Lk OF °°e SEP T/C S YS TEM Q� s s �MeNr 5 BEDROOMS �p F 10 p epce o O ^ pp. OF Pq�M 1 - 80 X 5' LIQUID DEPTH PRECAST SEPTIC TANK `dry - SMF6. POLE Y eNr\ 2 - 80 LEACHING POOLS 8' DEPTH l^ 3 MIN ABOVE GROUND WATER o WITH 3' SAND COLLAR (SW) O pR O� O� a�/ moo• ;;�z� 10)w p �� oma' PROP. ROOF RUNOFF CONTAINMENT O o :F sr (pFR�i USY � = 3000 sq?o'a/i / / c HOUSE, PORCH ® GARAGE .ft. t 3000 x 1 X 0.17 = 510 cu.ft. 20 / o• _510/42.2 - 12 VF ADop ,�' ? .0' o FpU ��p 30�' 'c' PERVIOUS DRIVE = 1422 sq.ft. h. RO ////// 1422 x 0.8 x 0.17 194 cu.ft. O 100, 2 . -. . 194/422 = 4.6 VF PROVIDE 4 DWS o �%�S;�QR y, o r O�v F,r VSEj ry \S0, 80 X 5, DEPTH OR EQUAL 130, ?g o O O PROP. L 0 T CO VERA GE �° AORCN oM a P✓,'cD 0,1/ALD GEOSCIENCE HOUSE, PORCH ® GARAGE = 3000 sq.ft. Fto �o O �� � �� TEST HOLE DATA 3000/20384 = 14.7 9 OD zpNe LINe 'L �°Op AO ti°�S ,� �� 9/28/15 0' i� 4 e POOL & PATIO =- 895 SQ.FT. 2 w 6 ����°� % �S�v I? �� EL. 15.0' 895 20384 = 4q �` S o �c 0.5' / � � BROWN SANDY LOAM OL TOTAL COVERAGE = 18.71'. �p til BROWN SANDY SILT ML 00 2R6� � �° + syep 25' 3rs�� titi 10 PALE BROWN FINE SAND SP CERTIFIED TO: BRIDGE ABSTRACT GFH HOMES, LLC ''F ` 8 EL. 0.5' 14.5' 777LE NO. BAL 32065 (j pig, WATER IN PALE BROWN FINE SAND SP G F � 6 F 17' ® = PIPE c'AF'►�c. ��J cOpD 20Ne UNf WATER ENCOUNTERED 14.5' BELOW SURFACE ® = MONUMENT �.�e'A9 cMF = WETLANDS FLAG T � c ELEVA 77ONS AND CONTOUR LINES ARE REFERENCED FROM NA VD 88 °oF�tio� 9 FLOOD ZONES FROM FIRM J6103C0166H ysG��TFO�Fo do a�oF , 'ti° sG°T LOT NUMBERS REFER TO "MAP OF CALVES NECK" o�-o"'o KNOLLS" FILED IN THE SUFFOLK COUNTY CLERK'S ti,2��9C OFFICE AS FILE NO. 5673 I�10ti9+o �Fti y ,.. ,.. C.� .. .T r• I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL r��s �, AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS SET FORTH THEREIN AND ON THE r PERMIT TO CONSTRUCT. 3 , i The location of public water, wells and cesspools shown hereon are 49618 from field observations and or from data obtained from others. APR 1 $ 1016 ANY AL TERA 77ON OR ADDI T70N TO THIS SURVEY IS A VIOLA TION _ __ PECON/C SUR VE FORS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. ;:; `- EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERT7FICA77ONS AREA= 20,384 SO FT. _ (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.0. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR TO TIE LINE WHOSE SIGNATURE APPEARS HEREON. 1�O TRA VE LER 9 E T 15-212