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TR-8978
Michael J.Domino,President ��,OF soUjyo Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • �Q Telephone(631) 765-1892 Greg Williams COUNTV N a Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ' CERTIFICATE OF COMPLIANCE # 1562C Date: March 12, 2019 THIS CERTIFIES that the construction of a two-story dwelling and attached garage with a footprint of 1 369sq ft• construct a 94sq ft deck against the seaward side of dwelling; install a new sanitgy system landward of dwelling-, install gutters to leaders to drywells to contain roof runoff and to install a driveway; At 700 Deep Hole Drive,Mattituck Suffolk County Tax Map#1000-115-12-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 13, 2017 pursuant to which Trustees Wetland Permit#8978 Dated March 22,2017,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 two-story dwelling and attached garage with a footprint of 1 369sq ft• construct a 94sq ft deck against the seaward side of dwelling; install a new sanitary system landward of dwelling-, install gutters to leaders to dr ywells to contain roof runoff, and to install a driveway. The certificate is issued to Peter Haack owner of the aforesaid property. o � e Authorized Signature Michael J. Domino,President OF SOUlyO Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Q Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 COUNTY, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: -iA2—/J 9 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: �����m► � COMMENTS: CERTIFICATE OF COMPLIANCE: *QF SOUjy Town Hall Annex Michael J.Domino, President John M. Bredemeyer III,Vice-President y 54375 Route 25 P.O.Box 1179 Charles J.Sanders C, Southold,New York 11971 Glenn Goldsmith ® y0� Telephone(631) 765-1892 A.Nicholas Krupski IyCOUNVI� Fax(631) 765-6641 s 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/silt boom/silt curtain 1 st day of construction Y2 constructed Project complete, compliance inspection TERMS AND CONDITI®NS The Permittee Peter Haack residing at 700 Deep Hole Drive 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. 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 pennitted 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. Orr soutz' Michael J.Domino,President ��� Ol0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith • a� Telephone(631) 765-1892 A.Nicholas Krupski O��'CO(II Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2017 Shawn M. Barron, M.S. 124 Pleasure Drive Riverhead, NY 11901 RE: PETER HAACK 700 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-115-12-10 Dear Mr. Barron: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 22, 2017, regarding the above matter: WHEREAS, Shawn M. Barron, M.S., on behalf of PETER HAACK 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 13, 2017, 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 22, 2017, 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 PETER HAACK to construct a two-story dwelling and attached garage with a footprint of 1,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway; and as depicted on the survey prepared by Fox Land Surveying, dated August 15, 2016, and stamped approved on March 22, 2017. 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, Michael J. Domino, President, Board of Trustees MJD/dd t �_ Ql Michael J.Domino, Presidentti'r�0 CO Town Hall Annex John M.Bredemeyer III,Vice-President 6,�d Oy�� 54375 Route 25 Charles J. Sandersy p , a y P.O.Box 1179 Glenn Goldsmith� ® Southold,NY 11971 A.Nicholas Krupski ,y,� �p�'fi Telephone(631)765-1892 0� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 3,ads I TO: Please be advised that your application date - d --� has been reviewed by this Board at the regular meeting of &� 7-2, _ 1Z► 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) % 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: Michael J. Domino, President Board of Trustees NEW SUFFOLK - � AVENUE - now or formerly; John L. Braun & Evelyn I?. Braun (Dwelling With Public Water) (Tax Lot 7 & B. Dwellings W/Public Witer) a/ In-� a0 3 1 —LANDWARD LIMIT OF N o TIDAL WETLANDS � � W E 1 I .o Irl a WOOD I O 3 I BOAT FRAME LINE OF HAYBALES & SILT FENCE 0 3 S87"1 8-20"E I RACK SHED 3 G I Z9CN & LIMIT OF CLEARING, GRADING rn Q, & GROUND DISTURBANCE I. I S EL=2.2 ,3 W ' I I 4., (s,1so s F) 205.42 STK � I _m 3 EL=12.0 04 w > Q 1 �- ---------------- 75.0' i—�\ w I ? 1 1 0D SETBACK---- -----------� cli / I w I I DIN a ST f ----I z z o I ���� ��L-- J LP I ¢ '¢ • ' sm I 1 v t60.0 �'`------ -3B 9 I ----L�----- I '------------ \\ L4 1 vZ d I ._- 1� ----78.9---- -- -------------L I �1 % --/ j Q 3 11 A9 1 1 -Im----____ I II FL- -I it LP I In w PROPOSED 2 STORY I L� L- -U 1 vA 752'--_ I b HOUSE & GARAGE I L�--J I ^ _------_�I 117 �4(FFD 405, � S)- — \I FE o I ar 1 ; N m 1 m 1 1 1 I (GF=13 0) \ L—�- , I J 3 M 3 • 1 1 11ROP D — I PROPOSED 0 PERVIOUS DRIVEWAY ILLI I _ OO O_ _ r / LAWN 1 -� I .5 0- ' I EDGE OF LAWN 62N i I / �S TEST \ 0' ' EL=2.3 / oi�s - _ I rI4\ DW 01 JOE HOLEDN I - o C X 3 PROPOSED WATER — LAWN WOOD ¢ i x ,'�7..18�20nW SERVICE 32'N BULKHEAD w N / LAWN DEC. 07, 2016 IND CLEARING LIMIT o v I O / 93 .54 EL=11.8 w I W NOV. 07, 2016 SCDHS AMENDMENTS SEPT 26, 2016 AMENDED PROPOSED STRUCTURES N I N Survey for. now or foi-merly _W W w SEPT. 22, 2016ADDED PROP STEPS DATE: AUG. 15, 2016 JOB N0:2016-446 W. PETE HAA CK James W. E ginton Q (Dwelling With Pub,:-- Water) UPLAND LOT COVERAGE: )(Tax Lot 12 & 13, Dwelllrigs W/Publlc Water�c BRENDA J. HAACK ; HOUSE & GARAGE = 1,369 S.F. CERTIFIED To: DECK = 94 S.F. W. PETE HAACK At BRENDA J. HAACK TOTAL 1,463 S.F. OR 16.4% Mattituck APPROVED BY Town of STORMWATER DRAINAGE CALCULATIONS: BOARD OF TRUSTEES 1 Southold (HOUSE & GARAGE) �T®�NH.OLE 6A9AUTH®l� Suffolk County, New York 1369 S.F. x 0.167 x 1.0 = 229 C.F. 229 C.F. _ 42.24 = 5.4 V.F. A�TTGG McDONALD GEOSCIENCE S.C.T.M,: 1000-115.00-12.00-010.000 USE (2) 8' DIA. x 4' ,DEEP LEACHING POOLS Qfyl�- SEPT.` 9, 2016,& 24 20 0 20 I I I I L11 9 W 0 SCALE:1 =20' C I. COVER TO GRADE NOTES: HOUSE 0'S J DAVID H. FOX, L.S. P.C. N,Y.S.L.S. //50234 FF=14.4 ' FOX LAND SURVEYING 1. AREA = 9,974 S.F. EL- 8 FINISHED GRADE - r; - PALE.BROWN UPLAND AREA = 8,947 S.F. EL='20 { SILTY SAND 64 SUNSET AVENUE EL-112 l�T �' ' P 'I (SM) WESTHAMPTON BEACH, N.Y 11978 ADJACENT AREA = 2,335 S.F. ° MIN 20'MIN S (631) 288-0022 2• ® = MONUMENT FOUND, AL = STAKE FOUND IE=100 ER98 �li �• I r=== iIL PALE BROWN 3 REFERENCE DEED L 12854 CP 691 E-93 E'92 �� ' JAN 1 3 I`-f ' FINE SAND UNAUTHOPIZED ALTERATION OR ADDITION TO THIS SURVEY 4. ELEVATIONS SHOWN HEREON ARE REFERENCED ---ea'-- I•= ! 2017 I (SP) IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STAT EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARIN TO N.A.V. DATUM (1988). GR WATER 9 7 THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL 30 MIN I EL=?2 WATER IN SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY 5, THIS PARCEL IS LOCATED WITHIN THE AEEL 6 ( ) GROUND WATER 7 EL=2 2 SOUtiQid TGiYO � PALE BROWN CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE FIRM ZONE AS SHOWN ON FIRM PANEL NO. I �RMEd afT(:IStP,°S w� FINE SAND PERSON ALF FOR TO THEWHOM TITiE COMPANYE SURVEY . GOVERNMENTAL PREPARED AND ON HIE AGENCY36103C0762 H LAST DATED SEPT. 25, 2009. SEP11C TANK CESSPOOL (SP) ASSIGNEES 0 THE LENDING SNSTITUTONTED N CERTIFICATIONS 6. WETLAND LINE TAKEN FROM SURVEY BY 1000 GAL, 17.0 FRE NOT TRANSFERABLE TO ADOR I SEOUENTIN TIOWNERS JOHN EHLERS LAST DATED AUG. 24, 2006. ' DWG: 2016-"446 .l I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY 0 Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec.ny.gov D E VE LETTER OF NO JURISDICTION MAR 2 2 2017 January 19, 2017 Southold Town T Mr. Peter Haack 104 Gregory Way Calverton, N.Y. 11933 Re: U PA#1-4738-03552/00002 Facility: 700 Deep Hole Dr., Mattituck, N.Y. _S_CTM#.1000=115-1.2-0-1 Dear Mr. Haack, Based on the information you have submitted, the Department of Environmental Conservation has determined that the property landward of the 10 foot contour line, as shown on the survey prepared by David H. Fox last revised 12/7/2016, is beyond Tidal Wetlands Act (Article 25)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required. (DEP- ARNO) Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance,to the ground surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15'to 20'wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you,of the responsibility of'obtaining any necessary permits or approvals from other agencies or local municipalities. S c ely, usan V. Ackerman Deputy Permit Administrator cc: Shawn M. Barron, BMHP, file wsn►oesc Department of om°uam En 'L Conservation FORM NO. 3 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT /1 Town Hall f Southold, N.Y. Pow.� BIIILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33424 Z Date SEPTEMBER 26, 2007 Permission is hereby granted to: WILLIAM NIEDORODA 13-48 209TH- ST BAYSIDE,NY 11360 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH FRONT PORCH & REAR DECK AS APPLIED FOR at premises located at 700 DEEP HOLE DR MATTITUCK County Tax Map No_ 473889 Section 115 Block 0012 Lot No. 010 pursuant to application dated SEPTEMBER 13, 2007 and approved by the Building Inspector to expire on MARCH 26, 2009 _ Pee $ 1,422 . 80 Authorized Signature t Vii^' - , • - �� - �, � ORIGINAL Rev. 5/8/02 �f-s Go�oslc earth feet 100 meters 50 13 L)t cj �30� vj-,j —)SLI (KLqz -4- D oiu- �DOC� o noin zx 120'wide "citerHoz, Sectior COUNTY DEPARTNILEW OF TE-ALTH SE-R'v ICES ,h 12' V 2C SUFFOLr,Co I 97' to OPP051te ghoF,- T"(2 5'aLv acr) Revised fihmip;-rovved-19, ------ �,a r?-C77 7 1 FEP.kffT FOR OF r-0,'qS-1RUC'-qOt`T FOR A SINGLE FAMILY Rt'SUDENCE OffUj =Of cis 4'x4!1 Fox DATE qh,-/�,- 16-7 o s-006�I- L2!�u exist ott"r, Ji�,NU NQ. Feb,'05 APPROVED �/: N'T'-5[)ZC NOT-r:5 OV N;1,XaUlSOT ROOMS rill Total Lot Area F BED' NOtland Area 1651 sf arY 'em to be EXPIRES THREE YEA rcS FRO'NI DATE Or APPROVAL A t a JUL 0 �JCICOnt Area = qo-)5 f UL 0 proposed House 4 Deck =15225 5P Boundar Mown on app"mti sm6y. 0 16 adjacent area Coverage LftrIll:of clearing and ciradfriq I tic 100 -75'1.and By Oe EXISOq ui-,edlnq 04 coo 0 7 LM--Of ?- co 0 K) 1-a C) 118.33' S87°18'20"E Proposed Septic 500 9641 tcir 4 n I P PC rooln I 3r 15)5' used Ld .I`m In dif r9posed Dock(3 w; L3 Irp nr _e with c id PI Proposed yl,ass ho. , alar Slake set 4F.1 2 rin Cons. Ion 4 Bdrm (4 Dwelling 7-11-06 ;f :zs abv gr.) f Cr U-PEx!stinr.Dwelling PLbIIE cite, 50 0 e._ f e Lot/-raa= ros set stake staktiset 0.2.5 AcrcI5 7-11-C)6 7-1 6 to Opp Permeable C) RD) I-6tor 0. f-, Driveway III 2J' 1) -?,iolling timber X\ 11 F (n g, EM5thg L EX!5, W public.40's, Pub Go I i Existing i 2-08.69 �87-100MI 7z�- jomas N 1_ inn Lnnd Eginto,,na EoIntor. In F rvey of Proper-ty gqeyed Dec.27,2005 SGALE I"= 3p � �t fin'wide waterwol 4'xl 6Srwalth•1 nded:Jan.6,20 g f �_) Jqi'tooppo5lte shore °r°(2s'env i5,2oo6,Juneis,2006 APPROVED EKY 24,2008 �i M5L vL - SCT#�1000-115-12.10 BOARD OF TRUSTEES =• _ .•.. • Situate:Mattituek - _.._.-•- 4.x4 Town:Southold TOWN OF SOUTHOLD' exl5t �ttm. t Suffolk County,NYS= Datum:MSL-NGVD'28 DATE Tide Range:2 51+/- � pi/1 � Public wala� v r,tt e c or lb Al'^=or_r, AS PrR TERMS Limit of cl "• :' t'ON iii-i-l4`VS OF Septic _ a •N wa[cr Ve Tr 70 f � /&— o t axls_dOL - -- -i rr iCv:•:_u`:-t' '1 p2- VM t ; a la t•+.etfaxt flac+;+dwy t ao 6 ^ lo4, Er c,1n ^ �'m 1.1t 4T`p R For -rob C75 a 01 r ^ e 1-,c In s2 lY`7Ur a ✓; S87°18'20 E �xirt. o :5 C} Extstl q 1 ��t � 218.33 Xt fi• a, �? t 1-= _ _ filo —f114. 21i 0 1 s✓ � s9 r ,.t, .,-�, [" - - -'Prc+posad u t*,120 al tank< •,\ b" omit�•f1 c�leo"19 to �,n err=r 1 ' •oo i ;Prposed Dod,;1,; xtcisavl h ;,-..• Q 1 -`d %' f r IaSS fid '9 �c , test (fc'1-CnPI ...t- g 9 j P,rm^d hcrAnaioe stake set " 4'x 5'w14'xf2' ;�'R dwix _bastvctbn y t :. ;i y a EIKIP 7-f f-96 2 'abv.gr14, is rmtlx s F Sotbo k jg. - „_u-c,. -• -„+sa, '• ', {, �-7� C� stake set< O- .,t'stag set _ - =tP /Z 7.1 f 06 x 7•'k-0f pp Popo ne bto 51'Iza opp,rs;tR she ro ;t u �° ,.,, . ;,vb 1^htar _1_s .e,7 120 Mde—t-'K09 ;t a'�= �,a, 1 F _(} fuee r^ tervlc; DrNQvrey -07 �i br, ,'3 A1j'.' ,t,.r-•".--T--` j5 - -- '-_ -_"-•. 1 tel. 1 �87°18'20`lW 208.69' pqi '06 r4.� Dru%IIMcy , nvtAc ater I �`��----- C Y La•d ref• 77' r6 Mwy: Eamir,•t CA it X , �� Maayo — hteii Test H"'a SEPTIC DETAILo5 03[l� ro- hlc tide rit,, vFoFIOL to SGQIE Mc onald ' '� Ex15tn,n Pr+efnng ��CtLI+., GaoSclenco 5f"'d relr rater a• ;�•r:b:•guns �....,•, 76566d i , 604PD L.JF TRUSTEES PAGE d3 Board Cif Southold Trustees .10trTTfOLD,NEW"CORK � F ISSUED-10 p a ' � C t'umiant #ra 1'n`e ,rOV410na of aapler 415 of I#ac-kxat,rc of Bf re Sta h of Mi-Yorf 109)t avid Chapler 404,of Ao 1.mm of the - sate of ff:w York M52, and lira soid6fd TWO flrtffrsasnca oil. MW "96:41LAYING ANO TT*Pt JNG Ors Vjf f•1s IN 141°O 0,M TC)' fI WATERS ANO PUDLIC LMOS and<fire • OYAL OF SAND, GPLAVEL Or OTHER MATERIALS-FROM " LAN-DS UNDER TOV>r 'WATTERS,.' u4 lrl i�m<Nnv-- 4mn,tho a Tfres�fuf:a:�u!Tfar;#ts��r�ednl�°d a#:,rsxcatin•a!�:t<9 era,i,,'. ,�.�r:.„ , � . u ZQ0,5 4n4 gra rani »tx#;ark of#hr tram of S_M°mt?q— pegzf by ft t rtgrar: t#sr 7 aY,csIa fi .<t't, Y� and rra6{rca ..#cs 0o ,• tl icra s argsi Condtf;ons listed oft 16, rv-drt s 41do N-4001. Tram#sulfsaar;rm and pert4hs tis* Mowing: s a ,,;a T L'd�'°��wAc�.�a.>�.^:f..s;da:,�.S'x`r'.•'P'.»�.:aw�rd'�s i,;',2s,:+�".:.t,:,C�c@�rc.cfsFs.�^.=;_,;,��sb+�u;<t 'rs e.� Y56s z c r 9 fit• ,ar�n3a s rz�Y<t�a�d'rFai nr:z S ^:rsvk.x xta"x,t :�7"d;r:;g ti3• zsa me 1.'.;(u"9tp"Ors•^s?da?+7'..sr;rr`4:t.•fC � r9."✓u'a.�r4,.}$ay(.t'h°: :a�»'�'S$a'Y:�'.,gr riir C�Pp'•:Sf4s�.s>..+�L"ii'��$iif'°.a�&,F�R�d4.3.f:';?3"`�7�8 i1iT g �l„�:�s,rni::?ii�.'��.'w.sst?.•R;;:�rtfir�t?�» s[�:a...c;�..qis ' t . • og�f atc t €asn s i#}z t°s=.a s salaif c3 �sptc;(;r*1t*As a5 plo:�:ral€sd in esiQfi'aYXra#C[d rk�33�€Lt1Ai�r9, 3 IN WITIMES WHEREOF. The ce7d Ri„rd of,fro fee.f:ji^6• 3 ay %,-ibcp mht-Segel trs fin drixed,Aral tfsusa pruents to lxr �irkis:,re d #ay 4 rx liMly of A*fold044-rd Al of this jaao. ,. .'z. sa°�w'�v«'nw"�`•�»3,�°•y.' a�S:�:w�"� r Z.. MRX "�,. u, �.,.,, ice. y � °*` ,�``ra.+.�” � :"r '.,�„`- ,�..:;«,•;!>��" r "�, . 1 - P : un, uun ta;49 765661 BOARD OF TRUSTEES F':SGF 07 Albert.J Kmpnki,President �pF SOUp Jame,Tung,Yice•Preaident Town Hall Artie Foster !Q l 53095 Route 25 Ken Poltkodax P O.Box 1.179 Peggy A.Dickerson y _ Southold,New York 11971-0959• G ` Telephone(631)765-1892 11.cou Foe(631)765.6641 BOARD OF TOWN TRUSTR]gS 'TOWN OF 90UTHOLD May 18,2005 Ms.Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches,NY 11940-1222 RE: KATHRYN NIEDORODA 700 DEEP HOLE RD„MATTITUCK SCTM#115-12-10 Dear Ms. Mesiano: The Board of Town Trustees took.the following action during its regular meeting held on Wed.,May 18,2005 regarding the,above matter. WHEREAS, Catherine Mesiano or,behalf of KATHRYN NIEDORODA applied to the Southold Town Trustees for a penult under the provisions of Chapter 97 of the Southold Town Code,the Wetland Ordinarre of the Town of Southold,application dated April 27, 2005 and, WHEREAS,said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations,and, WHEREAS,a Public Hearing was held by the Town Trustees with respect to Bald application on May 18,2005,at which time all interested persons were given an Opportunity to be heard,arid. WHEREAS,the Board members have personally viewed and are familiar with the Premises in question and the surrounding area, and, WHEREAS,the Board has considered all the testimony and documentation submitted concerning this application,and. .•Ubi 11E E: 14:4'3 16566 1! BOAPD Or rP,USTEES PACE 02 f( WHEREAS,the structure complies with the standards set forth in Chapter 97 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, RESOLVED,that the Board of Trustees approve the application of KATHRYN NfEDORODA to construct a 24.b x 50'dwelling with 10'x 24.5'attached deck,on-site sewage disposal system,pervious driveway,clear and maintain a 4'wide pervious path to the proposed dock '_x 60'low profile fiberglass grid dock(2'above grade),with the condition of a 75'non disturbancr buffer seaward of the house,a haybale fine during construction,and drywells on the house to contain roof runoff,and all as depicted on the plans drawn by Robert Fox and last dated 10/17105. 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.) This is not a determination from any other agency. Fees:$100.00 Very truly yours, Albert J.Krupski,Jr. President,Board of Trustees AJK/nkc r NEW SUFFOLK now or formerly AVENUE John L. Braun & Evelyn R. Braun (Dwelling With Public Water) ,�— ANDWARD MIT OF 0 i i10A1 VCTL.A,10S DO / WOOD (� S87'18'20-E :)C I 80 C. }RAMS RACK 1 SNEC GI n..c. 'ter•-_� eA i L=2.2 I I yti; I � M1 205.42' I'- -- - - - -- 75.0' EL=12.0 ` re I I ------------ -___—� SETBACKri _ I 1 I DWis '14 ST LP �=a q1 I-- -' --- - _ - 7.6' -60.0 } Ci Gly l9 --__._ __.-__— ----.- • �.. --._'t.35.o•—rrTJ O J a�� OxY I� I n HOUSE GAR GRY do E %�P I LP �- W x� I LnO� (a-aeD�coa+s) _ �___� I -4I (FF_I ns) —r-. .-. �. _'..=J ..� 1 1 �` "� (GF-,s 0) 1 l PROP. PROPOSED a tt 1 i DECK i' f l PERVIOUS DRIVEWAY e{d I �� FE FE ITEST .0^1 I EL-2-3 `—EDGE OF LAWk `— MOLE � WOOD BULKHEAD wq�I% N$ .18 20nw ! " lPROPOSED WATER W 0 jo 193.54' — _ EL-1i 8 I now or formerly Survey for: James W. Eginton W. PETE HAA K (Dwelling With Public Wt,)�V & BRENDA HAA(AA CK At LOT COVERAGE: TEST HOLE DATA Mattituck M.-DONALD GEOSCIENCE HOUSE & GARAGE- = 1,369 S F. SEPT. 9, 2.016 Town of DECK = 94 S.F. Southold TOTAL = 1,463 S.F. OR 14.7% 'L-17'9 DARK SR40WN o.o Suffolk County, New York LOAM o,s S.C.T.M,: 1000-115.00-12.00-010.000 STORMWATER DRAINAGE CALCULATIONS: ' (HOUSE & GARAGE) HOUSE PALE SKO%'N FF=14.4 ViF,Q S F x n 167 x 1 0 = 229 C.F SILTY SAND - , Town Hall Annex Michael J. Domino,Presii Q%OFUt/ ', John M. Bredemeyer III,Vice-President� �ti� �� OGy� z 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith 1O Southold,NY 11971 A.Nicholas Krupski rB,y�o gyp!¢ Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2:55 Completed in field by: G. G, Edlsn& Shawn M. Barron, M.S. on behalf of PETER HAACK requests a Wetland Permit to construct a two- story dwelling and attached garage with a footprint of 1,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway. Located: 700 Deep Hole Drive, Mattituck. SCTM# 1.000-115-12-10 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: pow A r\eej\ z g� Leave � ,raes Jolzes� �o wcle-F Present were: J. Bredemeyer M. Domino /G. Goldsmith ✓ N. Krupski C. Sanders Other Page 1 of 2 Michael J.Domino,Presi —1 Town Hall Annex John M. Bredemeyer III,Vice-President ��� G�� 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith 0 � Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Shawn M. Barron, M.S. on behalf of PETER HAACK requests a Wetland Permit to construct a two- story dwelling and attached garage with a footprint of 1,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway. Located: 700 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-10 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. Jncrease 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 2 111 1 law `Y ..y +ON&A WF, R If , �L OL 16 31 ! +. �`�. .■• rr „.�;� •� 7" �} h # � ..*'r�� •• +�,A`__ �, '• ,*!f w•.._-.fir, —4 . `:� ;• `•r+•,.+„- "'- - +,. l ►' Sys, f ; �' . � ar r K ''10 l .` - 'c **t��4. j•� J�- :1� 4 �Jti"� ■ r. ', w 4 - p + iL 7WO' Peter Haack 1000-115-12-10 �+ ,700 Deep Hole Dr., Mattituck■ IR IL 4 •" l ,•AY, j.. t Y .w� of f''-. � . x �1r7_ir. ' r��, !• t.� t6 w{f ety��n r k rAC J•. ` • - ' 'til era -.• .• .. .� �'- " *' - r � �P • e•r +ydewow.y1YF '.wt. v •yk - (,k� .._ �r �- .,x � J ,g -' a ►..�,� A J �,Y y � 'r -'y ,.''#`• s e ice,._ •� .i 4r• - "� 4r, ez IN . d i_y 6 t 1, `•!` '°e i e •" �1 e s ., Mw r � � i 3 y �,, e •T� msr` — b•� ,rt 'i t _ ° ' s +� �• 'nr.-a- _ S a .r Y .. r - 5 .. area ` • r Jv OkAw {.� -a Michael J. Domino,Preside o�OuFD�xC'©� Town Hall Annex John M. Bredemeyer III,Vice-President- �� �� 54375 Route 25 Charles J. Sanders y P.O.Box 1179 ze Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p'b Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2//2 A 2 1 ;2n Completed in field by: �' , �a Tj5IM Shawn M. Barron, M.S. on behalf of PETER HAACK requests a Wetland Permit to construct a two- story dwelling and attached garage with a footprint of 1,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway. Located: 700 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� 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 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: Present were: ✓ J. Bredeme er V/ M. Domino v/ G. Goldsmith ZN. Kru ski Y p ./ C. Sanders Other Page 1 of 2 Michael J. Domino Pre i en nUEFr'7Cq�` s d t b�0 CSG d� Town Hall Annex John M. Bredemeyer III,Vice-President"" 54375 Route 25 Charles J. Sanderscoo2 P.O.Box 1179 Glenn Goldsmith D " Southold,NY 11971 A.Nicholas Krupskiv� pl Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Shawn M. Barron, M.S. on behalf of PETER HAACK requests a Wetland Permit to construct a two- story dwelling and attached garage with a footprint of 1,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway. Located: 700 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-10 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 �: '.' � •�'�'� r. f:'�; f '�' ��� Y• �, .fit. { �ML& PW- • ice:': . � . �%�.,,,,r.yy, �� ��;L. .,,►- " s t tt. nutok ri i �r ir .�, t.`� �•. � � ;;rte °� i n wr i - • � c t' ., it .i f .,• � .3. �, r _'• - - _ ` ���" _ o, ti - r � SIP see I a WN Ir Y �.� �. ��' �i`�\I y .��•/' � � � it � s' •. is .�....�, .. - .}.a �., :. r T .`. ''`��.�� e . ^�. - J .. 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"+m' wsn suFFoucouwrrru waves aRORien[n 9'"rFwF`tT m A O o uon mo a mo rns PROPERTY MAP �E N O visix suffoliicoun n av c erI t'Ia1�S _ t80%799=7233 . C OFFICE LOCATION: ®f s® �O MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) C Southold,NY 11971 ® �� Telephone: 631 765-1938 ' Fax: 631765-3136 ��c®U0,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: February 8, 2017 Re: LWRP Coastal Consistency Review for PETER HAACK SCTM# 1000-115-12-10 Shawn M. Barron, M.S. on behalf of PETER HAACK requests a Wetland Permit to construct a two- story dwelling and attached garage with a footprint of 1,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway. Located: 700 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-10 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 action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with the LWRP provided that: 1. The Board requires a 15' wide non-turf, vegetated buffer landward of the top of slope incorporating existing, beneficial vegetation. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. ' os�fFotk Peter Young,Chairmany Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 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., February 8, 2017 the following recommendation was made: Moved by Greg Williams, seconded by John Stein, it was RESOLVED to SUPPORT the application of PETER HAACK to construct a two-story dwelling and attached garage with a footprint of 1,369 sf. and a 94 sf. deck with steps to grade. Install a pervious driveway, sanitary system, and two (2) drywells. Located: 700 Deep Hole Dr., Mattituck. SCTM#115-12-10 Inspected by: Greg Williams The CAC Supports the application, however, the project was not properly staked. Vote of Council: Ayes: All Motion Carried John M Liredemeyer lil, President._ ��J"' "/yQ Lown Hall Annex O l Michael J Domino, Vice-Preside, i- 54375 Main Road P.O. Box 1179 James F. Kin - h. Trustee � Southold, New York 11971-0959 Dave Bergen,Trustee G � Charles J.Sanders, Trustee 'Q �� Telephone(631)765-1892 co Fax(631) 765-6641 BOA-RD OF TOWN TRUSTEES D NCIED'Y[2 TOWN OF SOUTHOLD DD To: Southold-Town Building Department J\� JAN 1 9 2017 Re: Verification of Building Department Permit Requirements IRUILDIIetG Dim. TOWN OF SO OLD SCTM#: 115-- 12—_10 Property Owner Name: -' Date Sent to Bldg_ Dept-: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Deparfinent's permitting requirements stated below: YE NO ill the proposed project require a Building Permit? ill the proposed project require a variance determination from—Z /he Zoning Board of Appeals? WII any part of this application be considered as Demolition as 'described under Town Code? COMMENTS: *Sgnature of Reviewer Date John M.Bredemeyer III,President tt1 � '���K�� Town Hall Annex Michael J.Domino,Vice-President h "�� ,. - '� 64375 Main Road �j P.O.Box 1179 James F.King,Trustee °' I y �� �'� �� Southold,New York 11971-0969 Dave Bergen,Trustee 0 -- ;�� t9. `LL` s 41Telephone(631) 766-1892 Charles J.Sanders,Trustee /'S/ "` '� tilt Fax(631)765-6641 ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application e/ Wetland Permit Application Administrative Permit _Amendment/TraP,sfer/Extension Received Application: X13.17 Received Fee:$ Z.SO BD _ Completed Application _Incomplete �� /' _SEQRA Classificat' r !, " ' Type [____Type It . Unlisted Coordination:(date sent) XLWRP Consistency Assessment Form 2' '17 JAN 3 2017 CAC Referral Sent: 1.25.17 V ` Date of Inspection: 2�7��� _ Southold Tovm Receipt of CAC Report: Boarli f T ut ? _Lead Agency Determination: -3 Technical Technical Review: 7-Public Hearing Held: 2 t IS,17, Resolution: Name of Applicant Mr. Peter Haack Mailing Address 104 Gregory Way,Calverton,NY 11933 Phone Number:( ) 631.793.5082 Suffolk County Tax Map Number: 1000 - 115-12-010 Property Location: 700 Deep Hole Drive, Mattituck (provide LILCO Pole#, distance to cross streets, and location) AGENT: Shawn M. Barron, M.S. (If applicable) Address: 124 Pleasure Drive, Riverhead, NY 11901 Phone: 631 786-6672 Bard of Trustees Application GENERALDATA Land Area(in square feet): +/-9,974 Area Zoning: R-40 Previous use of property: Vacant residentially zoned Intended use of property: Single family dwelling Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes x No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No N/A Prior permits/approvals for site improvements: Agency Date Southold Trustees 9/20/06 Southold Building 4/15/08 (voided) 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):Construct a 2-story dwelling and attached garage with a footprint of 1,369 sqft located 78.9'form wetlands and a 94 sq ft deck with steps to grade located 75.2'from wetlands and pervious driveway located 139'from wetlands,to install a sanitary system located 148'from wetlands and two drywells 104 and 107'from wetlands, ,.ward of Trustees Appliaaticra. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Single family dwelling. Area of wetlands on lot: 200 square feet Percent coverage of lot: +� 2 % Closest distance between nearest existing structure and upland edge ofwetlands:not applicable feet Closest distance between nearest proposed structure and upland edge of wetlands:75.2 feet Does the project involve excavation or filling? X No Yes T If yes,how much material will be excavated? 1 y/A cubic yards How much material will be filled? N/A/A cubic yards Depth of which material will be removed or deposited: N/A/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): The proposed improvements are not anticipated to have a negative impact on the wetlands or tidal waters of the Town. 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 1-Project and Sponsor Information Name of Action or Project Haack Project Location(describe,and attach a location map): 700 Deep Hollow Drive, Mattituck Brief Description of Proposed Action: Construct a single family with attached garage with a footprint of 1,369 square feet, located 78.9' from wetlands, a 94 square foot deck located 75.2' from wetlands, to install a sanitary system located 148'from wetlands, to install a pervious driveway located 138' from wetland and to install two drywells located 104' and 107' from wetlands. Name of Applicant or Sponsor: M.S. elephone:631 786 6672 M Shawn M. Barron, E-Mail:shaven@barronenvironmental.com Address: 124 Pleasure Drive City/PO: State: Zip Code: Riverhead _ _ _ NY 11901 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or finding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: NYSDEC El V 3.a.Total acreage of the site of the proposed action? <0z5 acres b.Total acreage to be physically disturbed? <o 25 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 IZResidential(suburban) ❑Forest ❑Agriculture V1AqL12tjC ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, _ NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural _ NO YES landscape? ❑ 7. Is the sike of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ® ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ® ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: —_ _ t _ ❑ (Z 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: on site Waste Water disposal ® ❑ 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? ❑ 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: t]u 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: VShoreline ❑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? W1 ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water dischauge,either fi-om point or non-point sources? NO YES If Yes, ® ❑ a.Will storm water discharges flow to adjacent properties? VI NO ❑YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: VNO ❑YES 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 THE REST OF MY KNOWLEDGE Applicant/sponsor name: Shawn M.Barron Y _� Date: 11/30/16 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning Elregulations? 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? EL 4. Will the proposed action have an impact on the environmental characteristics that caused the El establishment of a Critical Environmental Area(CEA)? 5. 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? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate~ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? --�_ 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? l J 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 l I problems? u 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-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 environmental impact statement is required. ElCheck 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 mp ts. Town of Southold-Board of Trustees ?i �_ _ �T Name of Lead ncy _ Date President Print or Tt Nme of Responsi e Officer in Lead Agency Title of Responsible Officer atu - -- Sign tire of Res risible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Scott A. Mussell '0 k ST 1R.MWA\TIE1K SUPERVISOR � � ( � ��J[A\I�A\G�IEI��J[IEI�T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold vCH"TER 236 - ST®RMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ROTAS THIS PROJECT INVOLVE AfaT'Y OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) f ✓ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ,( B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. �Ir C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. �J' F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT (Pi opet ty Oamei,Design Pi ofessional,Agent,Contractoi,Other) I S.C.T.M. #: 1000 Date- NAME Shawn M. Barron, M.S. (agent) 115 12 t c 010 1/9/17 'p-0 Section Block Lot °'7g�86 6672' k FOR BUILDING DEPARTMENT USE ONLY Contact Information 631 Reviewed By: Date_ Property Address/Location of Construction Work: — — — — — — — — — — — — — — — 700 Deep Hole Drive, Mattituck Approved for processing Building Permit. ® Stormwater Management Control Plan Not Required. ® Stormwater Management Control Plan is Requued. (Forward to Engineering Department for Review.) jj FORM * SMCP-TOS MAY 2014 i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 1+Address: T�3� ��vo P eT ( iT i�Jl -FI•� J ♦, , n r�1 b8U b t"'t� ��w Lv� C.a,.�_ cl,t', `�1��r�• v,�I YV\, S ,O'A G\C--? eeD leDe1 N'�a Cc.roA I Y4.� Dne,q STATE OF NEW YORK COUNTY OF SUFFOLK �V°LvI,v�.� e✓r�c�te7�0 , residing at 1 ��} ��- S U ��► e , being duly sworn, deposes and says that on the 6 day of b 20R deponent mailed a-true copy of the Notice set forth in the Board of Truste 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 1:..5} Q,,Qc,,,6 %-j , that said Notices were mailed to each of said persons by CERTIFIED MAIL T RECEIPT. f +t� Sworn to before me this 1p Day of ' O 1`7 l M ars �1 /, oil I a Notary Public TRACEY L. 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Sanders z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 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 PETER HAACK COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT_ LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, SVICI VJI Y'' I, residing at being duly sworn, depose and say: That on the da of �OOtLG 1 , I personally posted t;e ro erty known as 'q00 I by placing the B and of Trustees official poster where if 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,February 15, 2017. Dated: / (signature Sworn to before me this +r day of Ha(ch201-7 Notary P lic TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2,fte NUTILt: Ulm HtAI< ING 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: PETER HAACK SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a two-story dwelling and attached garage with a footprint of 1 ,369sq.ft.; construct a 94sq.ft. deck against the seaward side of dwelling; install a new sanitary system landward of dwelling; install gutters to leaders to drywells to contain roof runoff; and to install a driveway. Located: 700 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-10 TIME & DATE OF PUBLIC HEARING : Wednesday, February 15, 2017 — 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 B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 i t l E s NOTICE TO ADJACENT PROPERTY OWNER i BOARD OF TRUSTEES, TOWN OF SOUTHOLD , In the matter of applicant: Peter Haack SCTM#Wad' 'L5— YOU L5--YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: I I Construct a single family dwelling, deck, driveway and sanitary system. i 2. That the property which is the subject of Environmental Review is located !- adjacent to your property and is described as follows: i 700 Deep Hole Drive, Mattituck 3. That the project which is subject to Environmental Review under Chapters i 96,111 and/or 275 of the Town Code is open to public comment on: i DATE: j You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: Peter Haaack MAILING ADDRESS: 104 Gregory Way,Calverton,NY 11933 PHONE #: 631.793.5082 r AGENT: Shawn M.Barron,M.S. i MAILING ADDRESS: 124 Pleasure Drive,Riverhead,NY 11901 PHONE #:631 786 6672 i i i Enc: Copy of sketch or plan showing proposal for your convenience. -ovard of Trustees Applicatio.. County of Suffolk State of New York Peter Haack 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 PROP RTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OFT IS APPLICATION. gnat r o ` ropeycaner SWORN TO BEFORE ME THIS DAY OF DeCee 61 )-qr-,20 �0 Notary Pu is LORI DESTEFANO Notary Public-State of New York NO. 01OE6269788 Qualified in Suffolk�ou t My Commission Expires 1 ward of Trustees Applicatiou AUTHORIZATION (where the applicant is not the owner) I Peter Haack residing at (print owner of property) (mailing address) /v L( G s2,�Gc vj,44-1 �4 y1 do hereby authorize (Agent) Shawn M. Barron to apply for permit(s)from the SouABdown Trustees on my behalf.re) f APPLICANT/AGENT/REPRESENTATIVE I TRANSACTIONAL DISCLOSURE FORM The`r Town of SouUtold's Code of Ethics prohibits conflicts ofirderest on the Hart of town officers and emplavees.'IYte nurrsc, of T W. form€s-to- rovide inforinatir3 whielt can alert the town of ss ble conflicts of a t Must and allow it to take whate er action is < ec ssa to avoid same. i YOURNAME: Peter Haack (Last name,first name,iriddle 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 xxx Change of Zone Coastal Erosion Approval of plat Mooring i Exemption from plat or official map Planning Other (If"Other',name the activity.) i Do you personally(or through your company,:spouse,sibling,lygent,or child)have a relationship with any officer or employee of the"town of Southold? "Relationship"includes by blood,marriage,or business inidrest."Business interest"means a'business, including a partnership,in which the town Officer or employee has even a part€al pwrir rsltip of{or employmc+tf by}a corporation in which•the town officer or employee awns more thad 5%of the shares. YES NO XXX If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the i ovm of Southold Title or position of that person Describe the relationship between yourself(the applicant/agerit/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. i The town officer or employee or his or her spouse,sibling,parent,or child is(check all'that apply): , }Ute owner of greater than 5%of thG`shaics of the corporate stock of the applicpnt- (when the applicant is a corporation); B}the legal or befef€cial owner of any interest ima non-corporate entity(whetithe applicant is not a corporation); C}an officer,director,partner,or eriiployeo of the applicant;or D)the actual applicant. DESCRiP ON Of RELATIONSHIP Submitted this d5� y of AI 0 � Signature Print Nam Form TS 1 f e Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 explainW 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# 115 _' 12 _ 010 PROJECT NAME Peter Haack The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ -construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: Construct a single family dwelling and related appurtenances. Mininum structural setback of 75.2' for deck and 148' for sanitary system. Location of action: 700 Deep Hole Drive,Mattituck Site acreage:9,974 square feet Present land use:Vacant Present zoning classification:Residential - R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:Shawn M. Barron, M.S. (b) Mailing address: 124 Pleasure Drive, Riverhead, NY (c) Telephone number: Area Code( )631 786 6672 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ NoWl 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. ' ire'4 Yes `dam No ❑Not Applicable P proposed—'single family dwelling consistent in that it makes beneficial use of a coastal location and will be permitted so as to minimize adverse effects. 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 W1 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 7Yes 1 No ❑ Not Applicable Ithe proposed improvements will not disturb the wetland adjacent area,the proposed improvements will protect the existing scenic quality 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 0 Yes ❑ No ❑ Not Applicable The improvements shall comply with applicable FEMA standards. Attach additional sheets if necessary Policy 5. ]Protect and improve water quality and supply in the Town of,Southold. See LNVRP Section III —Policies Pages 16 through 21 for evaluation criteria 21 Yes ❑ No ❑Not Applicable Drywe s for f r�runoff are proposed and the proposed sanitary system exceeds the 100-foot setback(proposed at 148 feet from wetlands) 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 LVVRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ ❑ ZYes ❑ No ❑Not Applicable See#5 above. 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 ❑No7 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 LNVRP Section III—Policies; Pages 34 through 38 for evaluatiop criteria. DYes ❑ No [57 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. ❑ Ye,� No 0 Not Applicable Attach additional sheets if necessary WOIaE NG COAST POLICIES Policy 14. Protect Southold's water-dependent uses and promote siting of neva water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. a Yes ❑ No 7 Not Applicable The proposed use of the property as a single family dwelling,is not a water dependent use 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. 91 Yes ❑ No ❑Not Applicable See#5 above. 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 Z Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable PREPARED BY Shawn M.Barron • TITLE Agent DATE 11-30-16