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HomeMy WebLinkAboutTR-9075 Michael J.Domino,President *QF SU(/j Town Hall Annex John M.Bredemeyer III,Vice-President �Q� yOIO 54375 Route 25 P.O.Box 1179 South Glenn Goldsmith old,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 olyCOU ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1567C - Date: April 17, 2019 THIS CERTIFIES that demolition of 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft. (footprint)westerly two-story addition situated no further seaward than existing; remainder of existing dwelling pool,terrace, and porches to remain, and to abandon and fill existingsanita1y Ustem and install a new septic system landward of dwelling,and relocate an existing drywell to accommodate new system, At 280 Basin Road, Southold - -- - -- - -- - --- - - -- - Suffolk County Tax Map#1000-81-1-19 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 6,2017 pursuant to which Trustees Wetland Permit#9075 Dated August 16,2017,was issued and Amended on November 15,2017 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 demolition of 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft.(footprin)westerly two-story addition situated no further seaward than existing; remainder of existing dwelling,,pool,terrace, and porches to remain; and to abandon and fillexistin sg anitarysystem and install a new septic system landward of dwelling and relocate an existing_&well to accommodate new system. The certificate is issued to JOSEPH&LAURA MAZZA owners of the aforesaid property. _ O e Authorized Signature tr Y t Michael J.Domino, President OF SUUTyO 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 KrupskiG Q � � Telephone (631) 765-1892 Greg WilliamsO a Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: I /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: L COMMENTS: CERTIFICATE OF COMPLIANCE: Michael J.Domino,President ®�'h0� s®Urjyol Town Hall Annex John M.Bredemeyer III,Vice-President Q 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith • Q Telephone (631) 765-1892 A.Nicholas KrapskiFax(631) 765-6641 Iy�UUNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2017 Thomas C. Samuels Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 RE: JOSEPH & LAURA MAZZA 280 BASIN ROAD, SOUTHOLD SCTM# 1000-81-1-19 Dear Mr. Samuels: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, November 15, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9075 to abandon and fill existing sanitary system and install a new septic system landward of dwelling, and relocate an existing drywell to accommodate new system; and as depicted.on the site plan prepared by Thomas C. Samuels, dated September 6, 2017, and stamped approved on November 15, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, i� Michael J. Domino, President Board of Trustees MJD/dd KkViblUrib RESIDENCE: FIRST PLR EL 21.35 FT EXI5TING BULKHEAD 1016117 6RADE LINE ELEVATION 20.0 FT sovro����- SITE DATA CLEANOUT / \ EXISTING RETAINING WALL GRADE LINE ELEVATION t20.O FT. PROPERTY: 280# 100 BASIN-19 I' MIN. 2' AX. ADDRESS SOU HOLD,NY ROAD, 97�DISE POINT 4"/PT MIN S 83.52'45" E OWNER: JOE MAZZA 8" TOP OF POOL 18.51 FT 8 LONGVIEW ROAD SEPTIC AGHIN 7— SOUTH SALEM,NY 10590 TANK POOL '7-:: Bw ' 15 8' re } IE. +111.0 IE. 18.3' BOT OF POOL 10.51 FT B ass re SITE: 29,986.88 SQ.FT. =0.688 ACRES Z IE. +18.8' I . +18.18' °� rsz� __7 SURVEYOR: PO BOX 6ATE WIN,LS Uj p GROUND WA-It-R �Z_ JAMESPORT,NY 11947 = —_— V 10' 12' 3' MIN 13� �rs� 1W _°ao LICENSE#50467 14_ EXISTING _176 rW 66° ,312 = Z 0 SEPTIC PR ILE 15 DECK 1 ,14 NOVEMBER 27, 2006 UDATE SURVEY FOR NEW BULKHEAD � �e D _ —17+e OCTOBER 7, 2011 UPDATE SURVEY Q LU z N.T.S. ,a— � X5 LAWN ,B\ _ Z9zo DECEMBER 14, 2011 ADDED LOT COVERAGE 1 SWIMMING — NOVEMBER 15, 2012 STAKE NEW GARAGE EXISTING UNDERGROUND DRYWELL Q Q POO � —24 DECEMBER 2, 2012 FOUNDATION LOCATION Z U P T BW1aee APRIL 10, 2013 ADD PROPOSED SHED Q O EXISTING SHED(100 sP, I STORY f7 Tw DW '20 LOCATION MAP o to a rio U) NO WATER) TO REMAIN ._ r �S�� a E� _NV- z_ 17 �s EXISTING ONE STORY WIN6 TO BE - ,_ .:x __-__2-STORIES,__ � D�N - 24 a. m =: ;, h BEDRooMS Nt/ FIRS FIN FLR- w DEMOLISHED & REPLACED w/NEW TWO STORY �'�;°^y; �'x�'�:.�i;pq�IAL BASt_I�IEMENT, WING(NO BASEMENT) "' � ELEV-+23.59/ _ _ °o.s� Z o L:}215-:s OtAt=GRo55 FLaol - _ 8.4' AiZE,4,4382.5E- GRAWL - '. ,` _- 22.41 N Q Q PORTION OF NEW TWO STORY WING lae r„ _ - _ __-___ __=_-- E� ____ Sas (NO BASEMENT) ON ENLARGED m = _ - H N Q ELE1/ 16' EXISTING V Q 0. FOOTPRINT ,e a DW =a `r 'Y, - 35.3' DRIVEWAY 23 N o N/O/F IR 22.7' I 1° Q 14 BASIN ROAD REALTY TRUST 3 O_ GLEAN I �^ 1 47 Chester St, Arlington, MA 02476-7606 p ° LAWN Ip OUT } y I �� i N/O/F Z x 450 Basin Rd 3 ZO 5T MUJI 2 KEVIN A. BARR & DORR N A BARR a w Z 1000-81.-1-18 \11 Dirkeen Dr, Wilton, 06897 y DWELLING WITH PUBLIC WATER y I az 200 Basin Rdlm 1&s z Parcel: 1000-81.- -20 GREAT HOG NECK c DWELLING DRYWELL NEW LOCATION \ LP I I DWENG WITH PUI WATER ao 3 l I EXISTING tim a EXISTING UNDERGROUND PROPANE TANK In- 22' $ DRYWELL LP ° 150 FEET RADIUS NO WELLS EXISTING DRYWELL TO BE RELOCATED 5, — o �� 150 FT RADIUS FOUND WITHIN RADIUS oe z• VERIFY LOCATION PRIOR TO CONSTRUCTION t=icISTING MIN FOUN6 WITFIIN RAD IUSLLS TEST HOLE �'a• � GARAGE:- _ i TEST HOLE PROPOSED NEW SEPTIC SYSTEM N EXISTING W 1°sroRY,'"•° m EL +21.s � r FOR A 6 BEDROOM RESIDENCE NO WATER N EXI5TINIS ,,, DRIVEWAY NO SCALE 2. 9 0 - CLEANOUT o FLOOR AREA DRI\/EKT DRIVEBY McDONALD GEOSCIENCE - 1500 GAL SEPTIC TANK(ST) v.-_572 5F' ��,i EXISTING SSANITARY TEST HOLE DATA 513117 ELEV.+20.5 =w• S - (2) 8'DIA x&HIGH LEACHING POOL (LP) �r 2a' I j9 SYSTEM TNW• ^ 5 -FUTURE LOCATION FOR(I) 8 DIA x 8' p I ' ABANDONED - FILLED 2.0 FT. MIXED SAND LOAM 5- N HIGH LEACHING POOL (EXP) .y IN OR REMOVED I r A5 /0/F �rn• BASIN R R EALTY ester St I InEALTYTRUST I DW I I m a REQUIRED - 47 gton, MA 02476-7606 1 11,0 FT_ BROWN CLAYEY SAND SC Basin 1000- 1.-1-17 EXISTING UNDERGROUNDj9� { DWELLING W PUBLIC WATER >>\ ELECTRIC LINE VERIFY I °gym a BROWN FINE SAND SP \ LOCATION COMMENTS:NO WATER ENCOUNTERED EXISTING UNDERGROUND \ s\ \f�TER LINE FROM ROAD I p g VERIFY LOCATION tb ELECTRIC _ APPR® MMUR 1b, ,Z\ 4' A w\ 1100 — '�� s B3 ,50° W 5; ' \'9 BOARD OF T"�USTEES 615 o , BEHR 81 -LU —'\ Bw TOWN OF SOUTHOLD UT tw• - O,T \ • � ��, !\\ s° - —,a Bw A IN50t� W YOR TS \` \ ••� ' • °1 DA A� TA Nod 15'�2017 �� SAA4 916117 u�2 Ila >�sa ; • EDIaE OF PAVEMENT _ 4 - '° <• _ 5 �`s �g 1"=30.4- 4 PUBLIC VYATER CO \ LINE UNDER ROAD N/o/F = BASIN ROAD Victor J Zupa, Mary S ups 4565 Paradise Point Rd, Sou old, NY 11971 NOTES: \ _ SITE PLAN 1. LOT NUMBERS SHOWN THUS: LOTQ2 REFER TO 4565 Paradise P int Rd MAP OF SECTION ONE PARADISE POINT 1000-81. -13.1 0183 DWEWNG PUBLIC WATER FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY \ D ON APRIL 11, 1963 AS FILE No. 3761 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM N/0/F EXISTING ELEVATIONS ARE SHOWN THUS:.&g Mary Pinker. Ja L Alberi EXISTING CONTOUR LINES ARE SHOWN THUS: —s— 832 Roanoke amsey, NJ 07446 7 FFL - FIRST FLOOR S E-PLAN345 Paradise Point RdG FL OCT , 0 201/ TB - GARAGE FLOOR BULKHEAD DWELLING WITHo00-8PUBLIC WATER 1 BB - BOTTOM OF BULKHEAD T.W. ALE: 1" = 30'-0" W. -•TOP OF WALL SCDHS REF # R10-17-0192 W B - BOTTOM OF WALL Southold Town SCDHS SUBMISSION S A M U E L S & S T E E L M A N October 10, 2017 Southold Town Board of Trustees Town Hall Annex D E C E I V E Main Road Southold, NY 11971 OCT 10 2017 RE: MAZZA RESIDENCE 280 Basin Road, Southold, NY SCTM# 1000-81-01-19 Southold Town TRUSTEES PERMIT#9075 Board Dear Sir/Madam: We hereby request an amendment to the WETLANDS PERMIT for the above reference project. The only change regards the sanitary system: we now propose to abandon the existing system, and slightly enlarge the new proposed system to accommodate the sanitary flow of the entire house. There will be no change in the impact of this action, especially as the sanitary system in on the very edge of the Trustees jurisdiction. For your review we are submitting the following documents: 1. (4) Copies of-SITE-PLAN 2. Copy of Trustees permit date 8/16/17 3. Check for$50.00 As this is a very minor matter, please handle the amendment administratively, if possible. If not, please place this on the agenda of the next public hearing. Please call us with any questions or concerns. Sincerely, SAMUELS &STEELMAN ARCHITECTS *WWQ I Thomas C. Samuels,Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 Michael J. Domino, Presilg�FFO(� CO Town Hall Annex John M. Bredemeyer III,Vice-Pw'esident ��� GyJ, 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Z 0 0 V L Z W (50Q YK Completed infield by: -�q IOL Samuels & Steelman Architects on behalf of JOSEPH & LAURA MAZZA request an Administrative Amendment to Wetland Permit#9075 to abandon and fill existing sanitary system and install a new septic system landward of dwelling, and relocate an existing drywell to accommodate new system. Located: 280 Basin Road, Southold. SCTM# 1000-81-1-19 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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: I II Unlisted Action Type of Application: Pre-Submission dministrative 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: Present were: J. Bredemeyer P01 Domino Goldsmith L---N--Krupski Sanders Other Page 1 of 2 Michael J. Domino,Presi� O�Q$UFFQ(�COG r Town Hall Annex John M. Bredemeyer III,Vice-President y_ 54375 Route 25 Charles J. Sanders y = P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski y p! Telephone(631)765-1892 �Od �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Samuels & Steelman Architects on behalf of JOSEPH & LAURA MAZZA request an Administrative Amendment to Wetland Permit #9075 to abandon and fill existing sanitary system and install a new septic system landward of dwelling, and relocate an existing drywell to accommodate new system. Located: 280 Basin Road, Southold. SCTM# 1000-81-1-19 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 *OF SO(/j Michael J. Domino, President � yQIO Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders 0.12 -Nat Southold, New York 11971 Glenn Goldsmith ® a� Telephone(631) 765-1892 A. Nicholas Krupski QIi�C®U N 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/silt boom/silt curtain 1St day of construction. Y2 constructed /Project ,com letecompliance inspection p P P BOARD OF SOUTHOLD TOWN TRUSTEES 94 SOUTHOLD, NEW YORK �VVO PERMIT NO. 9075 DATE: AUGUST 16, 2017 4, ON ISSUED TO: JOSEPH & LAURA MAZZA N PROPERTY ADDRESS: 280 BASIN ROAD, SOUTHOLD !R. SCTM# 1000-81-1-19 p AUTHORIZATION I 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 August 16, 2017, and in consideration of application fee in the sum of$250.00 paid by Joseph & Laura Mazza and subject to the I t ,3 Terms and Conditions as stated in the Resolution, &e—Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish 570sq.ft. of existing westerly one-story section of existing dwelling; s r construct new 719sq.ft. (footprint)westerly two-story addition situated no further seaward than existing; remainder of existing dwelling,pool,terrace,and porches to remain; and to install an additional septic system with existing to remain to accommodate new addition; and as ,sir P depicted on the site plan prepared by Samuels& Steelman Architects, dated June 29,2017,and yf stamped approved on August 16,2017. 'o IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 2- and these presents to be subscribed by a majority of the said Board as of this date. _osaf F01/,r D. fI Ca 4,- S .......... TERMS AN CONDITIONS The Permittee Joseph& Laura Mazza, res dint at 280 Basin 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 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. ZD 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 pen-nit 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. J Michael J.Domino,President �� SU(/jjyo Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Charles J.Sanders jr Southold,New York 11971 Glenn Goldsmith G ® p Telephone(631) 765-1892 A.Nicholas KrupskiO a Fax(631) 765-6641 N% BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2017 Tom Samuels Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: JOSEPH & LAURA MAZZA 280 BASIN ROAD, SOUTHOLD SCTM# 1000-81-1-19 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2017, regarding the above matter: WHEREAS, Samuels & Steelman Architects, on behalf of JOSEPH & LAURA MAZZA 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 July 6, 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 August 16, 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, i 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 JOSEPH & LAURA MAZZA to demolish 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft. (footprint) westerly two-story addition situated no further seaward than existing; remainder of existing dwelling, pool, terrace, and porches to remain; and to install an additional septic system with existing to remain to accommodate new addition; and as depicted on the site plan prepared by Samuels & Steelman Architects, dated June 29, 2017, and stamped approved on August 16, 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 kms,. *oF SO�jPy Michael J. Domino, President Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Charles J.Sanders JW P.O.Box 1179 cn Q Glenn GoldsmithSouthold, New York 11971 `'c� �O ® ,�`Y® Telephone(631) 765-1892 A. Nicholas Krupski lif'�+®UN� �`(,''' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ds e, WAA ftZ ,* CIO 1$0tAWW,sKCTMMM � Please be advised that your application dated U°°T k 2-017 has been reviewed by this Board at the regular meeting of fAWQ' llv, Zei7 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) 1 sc Day of Construction ($50.00) ,Y2 Constructed ($50.00) Final Inspection Fee 50.0 P ($ 0) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) 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: $ �OD Coll v BY: . Michael J. Domino, President Board of Trustees LOT 1;�ATA REVISIONS: Site ?area: 2q,°07 sf 'SITE DATA 20% Allowable Coverage: 5gq1 sf EXISTING: 5353 sf 1-7.85% Residence 2211 5f SCTM # 1000-81-01-19 Porches 425 sf Pool 4 Spa 585 sf PROPERTY: 280 BASIN ROAD, PARADISE POINT Shed 100 sf ADDRESS SOUTHOLD, NY 11971 Decks 1460 sf OWNER: JOE MAZZA Garage 572 sf 8 LONGVIEW ROAD Total 5353 sf1:;O/ /.����� �� � SOUTH SALEM, NY 10590 Z PROPOSED: 5500 sf 18.34/0 ° (� SITE: 29,986.88 SQ. FT. = 0.688 ACRES " Residence EXISTING STAIRS � 2356 sf Porches 425 sf � � � ZONING: R-80 EXISTING BULKHEAD EXISTING BULKHEAD = Poo I � Spa 585 sf w , O EXISTINa) kblu � Shed 100 sf X Uj fY EXI5TIN6 RETAINING WALL -� Z Exls - �� SURVEYOR: JOSEPH INGEGNO LS Decks 1460 sf 1.1...1 Q cf3 F- Z Garage 572 sf N TING RETAINING WALL 0 v PO BOX 1931 = C0 m RIVERHEAD, NY 11901 �-- _ -- s 83'5 -- - E W X LICENSE # 49668 Z Total 5500 sf �x15TING - ------- --_ DATED 213/04 O 0 PLANTINGS � UPDATED 11/27/06 � F- I E• u EXISTING PLANTINGS 150.08' Q V NOTES: O 0 1. LOT NUMBERS SHOWN THUS: LOT 2OREFER TO EXISTING UNDERGROUND - - MAP OF SECTION ONE PARADISE POINT EXISTING PLANTINGS - DRYWEL FOR ROOF EXISTING WALKWAY - - - —1 p FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY RUNOFF _ PAVERS ON GRADE - - -12 ON APRIL 11 , 1963 AS FILE No. 3761 a 1=X15TDE - -- -- -14 — 16 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM Z \ / EXISTING LAWN \ EXISTING ELEVATIONS ARE SHOWN THUS: - - - EXISTING CONTOUR LINES ARE SHOWN THUS: - EXISTING EXISTING — — — —20 - p_ POOL r +la RETAINING -22 EXISTING UNDERGROUND DRYWELL EXIST 6 18.5 WALLS --24 (n Uj FOR POOL BACKWASH - _ sQ or u� 0 DW EXISTING DECK x 21U0)C Alm I I- - - %off 0 1'41 M A 0 J 11 11Q 1.6+27 CiUHJ/r/U� ROJECT'Sl I r-/, B'/4Sj%1-7' X � XX' a HED TO REMAIN /"1 `:;,��Y,n`Kr'Y?Y!',}'!,'.y,r �;✓.KY'�,.".,lx,`l..yy,,. k x ,/�/'h� (y4J' y7f j�k`M�p�\''/"J k x }j+—i '/1"^''/�` � 'yyi{..,s,A�l'Va.I(VY/' yyiIr,,..0'`xJC C I � ' --r�i ...•"j/ / / Oh EXISTING RETAINING WALLEXI5TIN6 ONE STORY WING TO BE YUj -�' v` "FIfSTI•Nx .�kE` 45?ix/> 8:47;�N: ;� �. * DEMOLISHED REPLACED w/NEW TWO ' ;,r? r r+ x -, STORY WING k�. k 75 WATERFRONT SETBACK LINE Z 4x ROBINS / :j,'v'�"*?.r/✓:'1 :ter;v 'V ✓ '"k X?!r1, r x�`�'' >:j +�,.�h�12 X`r'�:: PORTION OF NEW TWO STORY +22.1 - -�- - - - / WING ON ENLARGED FOOTPRINT 2020.6+ 21.4+ +21.0 i .•. '•. .' ' . .. o Ok °P9 a / ,,,;, /, 227. 00 EXI5TIN6 UNDERGROUND PROPANE TANK �' 2 �9'T'F N % // N TEMPORARY STORM WATER RUNOFF SHEL`L`ER 131 AND/ CONTROL MEASURE: PROPOSED SILT / EXP S FENCE DURING CONSTRUCTION I ` DW ;�\ J/ - EX15Ti�NG UNDERGROI}ND EXISTING.. '. . GREAT HOG NECK SOUND \ J DRYWALL FOR ROOD 3 '; LP - - RUNOFF / 5YSTEM #1 EXISTING RELOCATED DRYWELL NEW LOCATION / - 22- -- DRI1lEYVAY EXISTING SEPTIC SYSTEM (TO REMAIN) FOR ROOF RUNOFF µ TEMPGIRARY STORM WATER FOR A EXISTING 2 BEDROOM RESIDENCE08 Z• EXISTING LAWN RUNOFF CONTROL MEASURE: \\ - 1200 GAL SEPTIC TANK (5T) N .2.21 1 PROPOSED SILT FENCE \ - (1) 8 DIA x 12 HIGH LEACHING POOL (LP) TEST HOLE v) a' EXI5TIN6 DRYWELL TO BE RELOCATED VERIFY DURING CONSTRUCTION " M Y }} \ NO SCALE LOCATION PRIOR TO CONSTRUCTIONy F o 0 v ,, �� BY McDONALD GEOSCIENCE w • W Z 3 X TEST HOLE DATA 5/3/17 ELEV. + 21.5 t a Z LL W. U La 5Y5TEM 2 PROPOSED NEW cv EL 21.5 . .. # < N N O F n " Oa PROPOSED NEW SEPTIC, SYSTEM G�4 ' GE �.. . . / / FOR A 4 BEDROOM RESIDENCE , ., -` ty. EXISTING .: . ; L.P. W• "' S M ' KEVIN A. BARR & DORREN A. BARR - 1000 6AL SEPTIC TANK (5T 4, x rRvEL : •• :�' '�' 2.0 FT. MIXED SAND LOAM _ a DRIVEIN?�Y 11 Dirksen Dr, Wilton, CT 06897 - CLEANOUT o � : .. : .. .. : . 200 Basin Rd N CO. - (1) 8' DIA x 12' HIGH LEACHING POOL (LP) Parcel: 1000-81.-1-20 - FUTURE LOCATION FOR (I) 8' DIA x 12' 22 :_ DWELLING WITH PUBLIC WATER 8.0 FT. BROWN CLAYEY SAND SC r 1416H LEAG44IN6 POOL (EXP) o / I 17 FT. BROWN FINE SAND SP N/O/F \\ \ DW / :: I COMMENTS: NO WATER ENCOUNTERED BASIN ROAD REALTY TRUST \ 47 Chester St, Arlington, MA 02476-7606 \ 0 0F / � 450 Basin Rd N �ti ,�.,. /r BASIN ROAD REALTY TRUST 1000-81.-1-18 '8 I\\ // 3 ���� 47 Chester St, Arlington, MA 02476-7606 DWELLING WITH PUBLIC WATER \ \ / o � '" �; 520 Basin Rd \ \ EXISTING UNDERGROUND o ��:'• ,�;.•.:. 4i 1000-81.-1-17 \ DRYWELL FOR ROOF W'> DWELLING WITH PUBLIC WATER 's\ \\ \\ RUNOFF TEMPORARY STORM WATER RUNOFF LO •� ? \ \ \ CONTROL MEASURE: PROPOSED SILT 1 ?• \ \ \ FENCE DURING CONSTRUCT191d o 0183 O,Z� 'EXISTING EXISTING UNDERGROUND D,RY01ELL / \ PROJECT NO: GRAVEL \\ \\ \\ - FOR DRyF�IAY RUNOFF �� I;RIY#=YV?.`i'. \ \�z 1615 DRAWN BY: - - - - - - \ N 8594 40 NTR1.Y,S 3.265+50W _ UT / 90.90 — — — --- X100 00 — \ CHECKED BY: O TS TO ` / DATE: — _ — — — — — \ \ ►N50N `� i 6/29/17 ROAV ` v SCALE: EXISTING �O 1 of = 16'-0:: I \ \ EDGE OF PAVEMENT \\ UTILITY POLE 6' EXI5TIN6 TRENCH DRAIN SHEET TITLE: 1TIED TO EXISTING DRYWELL N N/0/F PSITE PLAN BASIN ROAD Victor J Zupa, Mary S Zupa 4565 aradise Point Rd, Southold, NY 11971 4565 Paradise Point Rd 1000-81.-1-13.1 DWELLING WITH PUBLIC WATER APPROVED BY BOARD OF TRUSTEES � TOWN OF SOUTHOLD r� air "mE PL A" N N/0/F l ? l 11 L SHEET NO: IJ SCALE. 1 - 16'-0'. Mary Pinker, James L Alberi t' DATE A11Nsr /to 2 17 832 Roanoke Ct, Ramsey, NJ 07446 �' I JUL " 6 217 4345 Paradise Point Rd 1000-81.-1-11 DWELLING WITH PUBLIC WATER ; Sau±hold Town I -R2rf Trust�rc I i Z n J r \ g� BATH L ' `%\ d"k ILU — / f --------------- O co \✓ / / /yy y / WALK-IN CLOSETQL �y / vw . O P`S R GUE5T ROOM c O o , , , yy,yyyVHALL � O Z Q \ / \ �' / \ twin / � U EXISTING RESIDENCE EXISTING WING DEMOLISHED AND y \ \/\ \" C4' -- ------------ 0 RECONSTRUCTED AS TWO STORIES \/ / ✓" `� /\ / ° HALL cf) cn BATH ROOM 06 a y, x �. \ y W ® 0 co p SECO" O FLO PLANQ — SCALE: 1/4 = V-0" I,dOle Q O a EXISTING WING DEMOLISHED AND z n RECONSTRUCTED AS TWO STORIES EXISTING RESIDENCE ❑ E111 uj ❑❑❑❑❑❑❑ O FlIe9T BOOR Z Q _YNOORTH ELEVATIONm SCALE: 1/4"=V-0" EXISTING WING DEMOLISHED AND DECK otS Z RECONSTRUCTED AS 'TWO STORIES EXISTING RESIDENCE NQ• C ^ Mo on a o POOL W J• w . w ~ Q Z LL W• U to Q N t�0 SPA W• N 2 M Q �• t° ® ® SCREENED N N- PORCH Effl] DECK — BREAKFAST — --- -- -- _ ROOM Jill ® —� — Al ❑ ❑ ;; y � y X . , i DINING ROOM —�— SHED l� 04',xiliTFlItbT BOOR z 15'- .\ y - x � �.� KITCHEN y ;yy y; CIL y y X \ , SITTING __ / k X y y\\,/` u \i ROOM LIMING ROOM -- y ,y/ 101 ' t \HALL i PROJECT NO: N �n �. y >:\ 1615 SOUTH ELEVA' TIONy� SCALE: 1/4"-V-0 / \, , , y y, DRAWN BY: FOrER TCS CHECKED BY: 16'-4 x 16'-4' T, /, ;y • DATE: 3/15/17 ORGH SCALE: SHEET TITLE: FIRST F SCALE: 1/4"=V-0" PLANS =5 6ri-1,+66 x 1a'1 dMann1aT1oM EXISTING WING DEMOLISHED AND LEVATIONS RECONSTRUCTED AS TWO STORIES EXISTING RESIDENCE SHEET NO: REGULATORY APPROVALS !n ��' [�= SURVEY OF PROPERTY SI T UA TE JUL - 6 2017 BAYVIEW i Jzt"l�{'T!own TOWN O F S O U T H O L D SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81 -01 - 19 SCALE 1 "=20' FEBRUARY 3, 2004 NOVEMBER 27, 2006 UDATE SURVEY FOR NEW BULKHEAD OCTOBER 7, 2011 UPDATE SURVEY DECEMBER 14, 2011 ADDED LOT COVERAGE NOVEMBER 15, 2012 STAKE NEW GARAGE DECEMBER 2, 2012 FOUNDATION LOCATION APRIL 10, 2013 ADD PROPOSED SHED AREA = 30,026 sq. ft. (TO BULKHEAD) 0.689 ac. S� UTH� CERTIFIED TO: ?, -�-•�L/ -8A Y JOSEPH M. MAZZA OWN HARBOR) LAURA M. MAZZA FIDELITY NATIONAL TITLE INSURANCE COMPANY JPMORGAN CHASE BANK, N.A. S 83°52'45" E NOTES: APPARENT HIGH WATER MARK 1 . LOT NUMBERS SHOWN THUS: LOT02 REFER TO ALONG BULKHEAD _ _ MAP OF SECTION ONE PARADISE POINT OV r " OVER eU E o - --- 150.08'- _ _ _ FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY CN 0 ► - - ON APRIL 11, 1963 AS FILE No. 3761 g r RBULKHEAD WOOD I — C) CAP cWi 20.8' M OVER BULKHEAD zWar 35' D D C I SEPTIC SYSTEM TIE DISTANCES 0. Z-.Vt 7o I I COVER HOUSE CORNER"A" HOUSE CORNER"B" 0XUQ SEPTIC TANK 42' 28' W INGROUND POOL 3' OUTLET COVER �o� w SPA CESSPOOL 32' 7. STONE WALL STONE STEPS N COVER 65' 60' 18.6' PROPOSED 7'X -7' 09 Cn OUTSIWITH DRYh�LL$ENE16. WER E K .0 °$s " N ''�`��'�'�`'�' PS T BAY \ U O) z in POOL FILTER 22.5' r. WOOD DECK v 16.8' \ 3 Ld 3e �ipi z 8.4 C! EQUIP. 13.1' T N j 7 N N N i & 2 STORY FRAME HOUSE r g 8.4'' 66 11 U U E UNITS 13.1' \\ LA CFENCE 22.5' r4 16.4' \WOOD FENCE . 22o' 0 O W —�— BAY O� WINDOW 3 b 41, ,HOUSE,. W o ,PROPANEI (� 0 6 TANK VALVE N 10 ROOF OVER 3 yl •',; j�' s' . SLATE STOOP \W _ \� I 1'�0 3 �.. O r 7T to_6' 1 I ' :• • ' '� OeS� CON((�ETE O �l•� i FOUNDATION . 11_-0' 122.x' O $ ' Ca \ (yam Li I 1 } 0 I I I N N Ui Lr) ° O V Z I ° . p ° v '•• 229.65' LAMP ;►' i a F ELECTRICPOST ` OUND METER \ PIPE UTILE POLE FOUND . UL 4 PIPE O GUY WIRE N 85°44'40" _OVERHEAD WIRES �Un L�4 - o a a ~gONC.'APRON EDGE OF PAVEMENT W . v '100.00 s. , 99 W , 50.90. 'a S 83°26 50 4..d :e a •. da O� O.div• •'„ v •d• .a .'. .• a''. v. dv • w• d a' a ,a v. v „•d' a Y BASIN ROAD PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.IA.L.S-AND APPROVED AND ADOPTED FOR SUCH-'USE BY'TRE�NEW YORK STATE LAND Tm E,oAssoc%AndN. „ A �>1 ..,,, r..�!i • N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION THIS SURVEY IS A VIOLATION OF SE Nathan Taft Corwin III SECTION 72OF THE NEW YORK STATE LA EDUCATION LAW. COPIES THIS SURVEY MAP NOT BEARING Land Surveyor THE LANDD SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: Stanley J. Isaksen, Jr. L.S. IS PREPARED, AND ON HIS BEHALF TO THE Joseph A. Ingegno L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND Title Surveys - Subdivisions - Site Plans - Construction Layout TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FaX (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFF10ES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 Michael J. Domino,Presi& r}��QS �C®� Town Hall Annex John M. Bredemeyer 111,Vice-Preg'iaent };�® Gym 54375 Route 25 Charles J. SandersCn o P.O.Box 1179 Glenn Goldsmith � Southold,NY 11971 A.Nicholas Krupski ,��Ql pl {y Telephone(631)765-1892 Fax(631)765-6641 e BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: [ pfi �� \��ce` Completed in field by: Samuels & Steelman Architects on behalf of JOSEPH & LAURA MAZZA request a Wetland Permit to demolish 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft. (footprint) westerly two-story addition situated no further seaward than existing; remainder of existing dwelling, pool, terrace, and porches to remain; and to install an additional septic system with existing to remain to accommodate new addition. Located: 280 Basin Road, Southold. SCTM# 1000-81-1-19 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 V Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment VVetland 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: Present were: redemeyer M. Domino G. Goldsmith N. Krupski \'_e. Sanders Other Page 1 of 2 t gUFFa�;� . Michael J. Domino, Presides® t'0 Town Hall Annex John M. Bredemeyer 111,Vice-President �¢ Gym 54375 Route 25 Charles J. Sanders ® a �� P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski � �p� ; Telephone(631)765-1892 1 ,U Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Samuels & Steelman Architects on behalf of JOSEPH & LAURA MAZZA request a Wetland Permit to demolish 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft. (footprint) westerly two-story addition situated no further seaward than existing; remainder of existing dwelling, pool, terrace, and porches to remain; and to install an additional septic system with existing to remain to accommodate new addition. Located: 280 Basin Road, Southold. SCTM# 1000-81-1-19 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- New York State DeNRrtment of Envirohmelital'C®hservation Division of Environmental Permits, Region One Building 40-SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 • FAX: (631)444-0360 Website:www.dec.state.ny.us Erin M.Crotty Commissioner LETTER OF NO JURISDICTION -TIDAL WETLANDS ACT Patricia &John Keitt March 25, 2004 D ECL � V E 300 East 5e Street, #29G New York, NY 10022 JUL ® 6 2017 ' Re: Application #1-4738-00177/00010 Southold Town Keitt Property, 280 Basin Road, SCTM #1000-81-01-19 Board of Trustees Dear Mr. & Mrs. Keitt: Based on the information you have submitted the Department of Environmental Conservation (DEC) has determined that the property landward of the pre-existing (prior to 8/20/77) bulkhead as shown on the survey prepared by Joseph A. Ingegno last revised on February 18, 2004, is beyond Article 25 (Tidal Wetlands Act)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Be advised, however, that 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 Tidal Wetlands 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. Sincerely, Mark Carrara Permit Administrator cc: En-Consultants, Inc. MHP file Albert J.Krupski, President ®�® �O Town Hall James King,Vice-President 53095 Route 25 Artie Foster P.O.Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A.Dickerson Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 24, 2004 Mr. Robert E. Herrmann JUL ® 6, 2017 En-Consultants, Inc. 1329 North Sea Rd. Southold Town Southampton, NY 11968 a RE: PATRICE & JOHN KEITT 280 BASIN RD., SOUTHOL.D SCTM#81-1-19 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 24, 2004 regarding the above matter: WHEREAS, Robert E. Herrmann on behalf of PATRICE & JOHN KEITT applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 4, 2004 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 said application on March 24, 2004, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 r , 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, NOW THEREFORE BE IT, RESOLVED,'that the Board of Trustees approve the application of PATRICE & JOHN KEITT to construct a 24'X 26' wood trellis, and as depicted on the survey prepared by Joseph A. Ingegno, last dated February 18, 2004. 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, 0 Albert J. Krupski, Jr. EC President, Board of Trustees AJK/Ims JUC 6 2017 r outhoId Town ,�Y,t• .ate^ l `��' u y� �%`..7C� r`• v6 � ` ♦�y�i..'- ���t y. :1 �'��( �J l%��f y ::r•'. �.�' I; 'f! �{'u����� �1{!/�t� � 11 lr,. •!! •ti. J ::. dam{{lJ.�- :�L ,.f .Y .� � i.. ' if �• f r�I..rr r J� 'w - o ,,ter �{ .r •/��. ,�'- - ` 4 LN • • ��' �� �:• _ _ _ /' Io- - -- t�P� 4 3� • • , • • " • EM 14 i ti� t_ 'II/ ice _ ter♦ _ - - - li! r3 .,. �'l S: "�� � � '1. •« 'r v mit// I'" !, sf'.N^� .-� �Sl�.f+.�y��t 41 Y�`.^�,..��:.� 'tT.r ��c `�_)���.+� �6�aa� `:•;�. `, •. •,• -,iY �• I F-ILI. :fV VQ/yo/&VVI 1V.VV rr.A VOL4000•-'•' t.1V-lJV1V0 UL1t11V1 a,LIN%, V Albert J.Krupski,President, Town Bari James King,Vice-President �� 53095 Route 25 Attie Foster P.O.Box 1179 Southold,New York 11971-0959 Keri holiwo" Q Peggy A.Dickerson * �► Telephone(631.)765-1892 Fax(631)765-1366 r ]BOARD OF TOWN TRUSTEES TOWN OF SOtT7[TILT November 17, 2004 E �qV Mr, Robert E. Herrmann En-Consultants, Inc. AUL o 6 2017 1319 North Sea Rd. Southampton, NY 11968 outhold Town RE: PATRICE & JOHN KEITT 280 BASIN RD., SOUTHOLD SCTM 1-1-19 ,t Dear Mr. Herrmann: - The Board of Town Trustees took the following action during its regular meeting held on November 17, 2004 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of PATRICE &JOHN KEITT!applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application:dated October 25, 2004, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Tearing was held by the Town Trustees with respect to said application on November 17, 2004, 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, . WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, UO/UO/6UU1 1U:al rAA 00160001 ZA-l.Vn0UL1ri1V10,IMI. LFJvuo 2 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of PATRICE &JOHN KEITT to remove/replace (in-place) approx. 152 linear ft. of existing timber bulkhead with vinyl bulkhead; remove (2) existing timber retaining walls and construct (1) approx. 159 linear ft. timber retaining wall; and backfill with approx. 125 cy. of clean sand fill to be trucked in from an upland source. Remove existing swimming pool, patio, decks, landing and stairs; and construct new swimming pool, terrace, deck, stone landscape wall, walks, landings, and stairs, including 4'X 15' platform/stairs to beach, with the condition a drywell is installed to contain the pool backwash, and all as depicted on the plan prepared by En-Consultants, Inc. last dated December 8, 2004. 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: $50.00 Very truly yours, D I V I iD' t JUL ® 6 2017 Albert J. Krupski, Jr. President, hoard of Trustees Southold Town Board of Trustees AJ K/I rns V®/VO/6VV! bV:e71 3.13b OS1LOaDO1J® L',1V—VV1140UL1b181V10,IINVi LYJVV41 r• ' A. � � � ,. oarSouthold ru �. sour iou)) NEW YORK" DATE: ...Plavo..... .... ...2004 L. PEPWIT NO. .. ..........ATR... i... cE 6 JOf(N KBIT r _ � . .�.... . ., ISSUED TO ,...-. ......_ . .... ... --- JUL 6 201 ` Oursuant to the proyooa'as ®f Chap er 15 of the Law$ a � the,Stare of New York, 180, and Chapt® 404o, t o d vn state of New Yolk 1952® and the South awin on� 'titled;°1RI GULATING AND E•LACING OF..' 114 A14D ON TOWN WATERS AND PUBLIC E) eleI the REMOVALF® r SAND. GRAVEL-0R R VEL. R OTHER MATERIA►L&AgOM LAND I , Dbm O ' tear A l-Sa"a and °ea dna an N �vl the ® 'Board adopted at a meeting held an . Resoltatiara of °�a ,_.........��..._.-•-- 2004• and an aonzderata®n of tit® SUM Of $... �00- paid by Pa l,i,a9- 6 John. Ke Ut - ...._ -.._.-..._�.�...�o..� Southotd ......... N. yo a+nd_ subject t to,'the �`erat�s Brad �raditi®+� listed on the reverse side hares ft of Southold T-owrd T s authorisas and perwi's tht� folloiyings Welland Perm%to removalreplace(In-placa)appro&iminear ft,of existing timber bulkhead wlthvinyl bulkhead;remove (2)existing timber retaining walls and consirdol(1)appmx-,169 Ilnear it_limber retaining wall;and baddll with apptok 125 cy.of clean sand fill to be trucked In from an upland source,Remove axlsdng swimming pool,patio,docks.IaWngs and stairs;and construct new swimming pool,tsfmm,deck stone landscape wall,walks,landings,and stairs,including 4'X 16' ' ;platformistains to beach,with the condition a drywall Is InsWiled to contain the pool backwash,and all as depicted on the plan prepared by 5n-Cansuttanta.ins dated: °ef&i pati®ors ®s #ed in aQ in �si�rdaace .t d®ta sp !g ,the Originating aPPIC91,60. IN WRNESS WHER, m e said Board �f T qes ha- oil to be afifixed® and gess roseate to � We- by cai+<ases its mate Soil th® said Board .as of t 's' ale. r be, subsuled bV b ,o r :r .5 uO/y0/LUV! 1V:06 rAA 00,16000- LyjViV Mill Mimi imp E E I IMMSAnj CONDMOt L - 6 2017 JUL - 5 2017 iVTA Tu z -- zioutnp town 280 "in Rd. South.ot 03 the M- towing.,of the demdoa far the of 60 permit tpe d and o L %it the Odd AWed of Tnmtm mad the Town of mol(1 alta gde from �y damages„ cdairas for ,dame , of sow y 4x�y as a aE '° adm perfamm d .pto01W0 : f+. W4.aq 00, *t.1a'."Msec aeom a &E=,&any and #a s.&salt mdated tbird°�f die sQ a M%b Mq resp�c thdr�a„ ba l td of � of the of�. of ft. 2. °E'6at tis f► ole fs#�adid ss•pOd of • 2 to bo*9 acrid dsad'roq ted tra ebwolew dw in"lwed, for an demagoee relay to made to dm BOOA at a bm dsft That-this Pew* should be setslaod fadeftaWy, or ss long as the add Pambtft WMW 'mghak,d& stmttaoe or pMjea kmty d, to pmvide ed4eaoe to eapone ooamned dot a di 4, Tbg &e wo&bss+alTed wM.be subjea to the W#Kdm aad anuo"t 9166 Bwrd or },m !vats, and 06ataomplbm Wsh the p 'a of doe odg'pafag y 6d case for semmlion of dais lit by mouton of the sold Boned. S. Tbot daere wM be no msocoblo ldimfmm vft 0. "s a eesalt of doe flack ; bm k NiSOdSOCL d Vont die Aali be va laftdamm wIdL the A& of puk to pars and npW d mg baa sad bw Wsar 'Pt ' ifCa�A . 7a TbAt if f dem opmtl=of du:Torn of Soubpld gyre*aa tmmd Oalot dosdom *e JA e lea et Of 41V tic •rte, or IK bz&g eph of +e.8 af'1" , • . �EdG.,=htt11 Cavasmc�a to free as idea, doe said 4 span rine aodoe,so s or wX p deet banal! acpa s to a°Eben of old. �. s doe raid BOWwlll be by the at �ld�a � ; otiaed. - • ' . y. Meat the P&MItoes ,ail! 4c& all oder peada$ad®oaaab aft MY be ie PW $q �l to dols p=k rvW& may mbled to MOM IPM fdhftoa obatia�• d • b a. Albert J.Krupski,President ��®f ® �® Town Fall James King,Vice-President 53095 Route 25 Artie Foster P.O.Bog 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A.Dickerson ® ova Telephone(631)765-1892 COU 19,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 24, 2005 Mr. Thomas Samuels D E E If Samuels & Steelman Architects 25235 Main Rd. 0 Cutchogue, NY 11935 JUL e 6 2017 RE: JOHN & PATRICE KEITT Southold Town 280 BASIN RD., SOUTHOLD o Tru ea SCTM#81-1-19 Dear Mr. Samuels: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 24, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit#5883 to re-shingle and re-roof the entire house and re-constructl,landward entry porch in-kind, and as depicted on the plan prepared by Thomas C. Samuels last revised June 27, 2005. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, I Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims a. 1 1 ,r f+•t . l • • • am, View tr MAZZA RESIDENCE, 280 BASIN ROAD 6/28/17, 10.17 am, View North C E IV JUL - 6 2017 Sou � 3 ion IN MAZZA RESIDENCE, 280 BASIN ROAD 6/28/17, 10.27 am, View South 7E SOUTHOLD SEE SEC NO N3 ,40 FD 28 131 168 - is, 158 15516 23A18A 234 5 6 25 4A(c))) 13 RA 1 OAJ.) ROBINS, 16R 18R 1 m(c) ZaA(c) 28 114(c) Is, 3,4(c) SEESEC NO IM 157 29A 15,3 J ZOA(.) 14 F 271 I SWA(.) z24(c) V2 5 3 4A(c) 196 37A 197 6 IA S4 M( 194 3 Wc) LC 21 23 zt 7 1 �q FOR MRC NO A( O I SEE SEC NO 242 ZaA Z()A2 NOTICE amu COUNTY OF SUFFOLK @ TION NO K SEC E .�,=�..nCy . 81 4 -7�7 OFFICE LOCATION: ®��rg S® �®l MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) 4UT Southold,NY 11971 ® �� Telephone: 631 765-1938 C®UN�`I LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: August 11, 2017 Re: Local Waterfront Revitalization Program Coastal Consistency Review for JOSEPH & LAURA MAZZA SCTM# 1000-81-1-19 Samuels & Steelman Architects on behalf of JOSEPH & LAURA MAZZA request a Wetland 'Permit to demolish 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft. (footprint) westerly two-story addition situated no further seaward than existing; remainder of existing dwelling, pool, terrace, and porches to remain; and to install an additional septic system with existing to remain to accommodate new addition. Located: 280 Basin Road, Southold. SCTM# 1000-81-1-19 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. Note that the planted, non-turf buffer was a condition of Wetland Permit 6683 issued in 2007. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. _4%%yfFQ1ME Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary cei Ze P.O.Box 1179 • 'g Southold,NY 11971 y�a� � 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., August 9, 2017 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of JOSEPH & LAURA MAZZA for the demolition of existing one-story, two bedroom wing, and construction of new two-story, four bedroom wing, in same footprint, with additional square footage added landward of existing; and addition of new sanitary system to accommodate additional bedrooms. Remainder of existing residence, pool, terrace and porches to remain. Located: 280 Basin Rd., Southold. SCTM#81-1-19 Inspected by: Peter Meeker, Keith McCamy, John Stein Vote of Council: Ayes: All Motion Carried l� 54375 Main Koad Michael J Domino, V+ce-President #, '�� P O. Box 1179 James T King. Trustee , Si' X D-Id. New York 11971-0959 Dave Bergen_Trustee �O Telephone(631) 765-1892 Charles J. Sanders,Trustee Fax(631) 765-6641 BOA-RD OF TOWN TRUSTEES TOWN OF SOUTHOLD J D To_ Southold.Town Building Department JUL m 6 2017 Re: Verification of Building Department Permit Requirements DMD1NGD , TOWN SOUTH®LD SCTM#: 9 Property Owner Mame: Date Sent to Bldg- Dept-: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? - Will any part of this application be considered as Demolifion as described under Town Code? COMMENTS: ---- --- -- ------- --- - ---- -- -------- - ---------- --- ---------- ------- - - --- r Signature of1 reviewer Date X - John M.Bredemeyer III,President � tiFO UT� �. Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President a P.O.Box 1179 James F.King,Trustee , ' Southold,New York 11971-0959 Dave Bergen,Trustee sw p p 'w Telephone(631)765-1892 Charles J.Sanders,Trustee � COUNIVI Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit / ____Amendment/Transfer/Extension V Received Applicatio 7�0 6` 7_ V-Received Fee:$ Z50-0 IL Completed Application _U•11 F7E C V L= —incomplete _SEQRA Classifica ion: Type I Type 11 Unlisted ® 6 2017 oordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: . � _ Southold Town _Date of Inspection Receipt of CAC Report- -Lead eport• 0-f Trustees Lead Agency Determination: Technical Review,- _Public Hearing Held_' Resolution. Name of Applicant Joseph and-Laur MA 7 7A Mailing Address 8 Longview Road, South Salem, NY 10590 Phone Number:(914. 216-1861 Suffolk County Tax Map Number: 1000-_81-01-1 A Property Location- #4, Basin Road, Southold, NY #4, 220' to Robinson Road (provide LILCO Pole#, distance to cross streets, and location) AGENT. Tom Samuels, Samuels and Steelman Architects (If applicable) Address 25235 Main Road, Cutchogue NY 11935 631 734 6405 Phone• k - U Board of Trustees Application GENERAL DATA Land Area(in square feet): 29,987 sf .688 ac Area Zoning: R-80 Previous use of property: Residence - Single Family Intended use of property: Residence -Single Family Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Trustees #5883 3/24/04 Trustees #6031 11/17/04 Trustees 8/24/05 NYS DEC - Letter of NJ 3/25/04 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: SEE ATTACHED Project Description (use attachments if necessary): MAZZA RESIDENCE 280 Basin Road, Southold, NY SCTM# 1000-81-01-19 PROJECT DESCRIPTION Demolition of existing 570 sq. ft. one story two bedroom wing, and construction of new 719 sq. ft. (footprint) two story, four bedroom wing, in same footprint, with additional square footage added landward of existing; and addition of new sanitary system to accommodate additional bedrooms. Remainder of exiting residence, pool, terrace and porches to remain. n Board of Trustees Application WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Renovations and additions of a single family residence, sanitary system and drywells. Area of wetlands on lot: 0 square.feet Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: 39' - 9 " feet Closest distance between nearest proposed structure and upland edge of wetlands: 54' -4 " feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? 80 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed ersi ; 3 feet Proposed slope throughout the area of operations: 0 Manner in which material will be removed or deposited: mechanically 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): None 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:- M ZZA EJESIDENCE - - Project Location(describe,and attach a location map): 280 Basin Road, Southold, NY Brief Description of Proposed Action: Renovation and additions to an existing one family residence, new sanitary system, and drywells. Name of Applicant or Sponsor: Telephone: 914 216-1861 Joseph and Laura Mazza E-Mail: Address: ; 8 Longview Road City/PO: South Salem State; Zip Code: NY 10590 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 UK .R 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: Southold Town Building Permit Q 0 3.a Total acreage of the site-of the proposed action? p,6.8gT_acres b.Total acreage to be physically disturbed? __0 Q5 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.688 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 5. is the proposed action, - NO ' YES N/A a. A permitted use under the zoning regulations? El El 1:1 b.Consistent with the adopted comprehensive plan? ❑ X❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ D' 7. is tite site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify; ❑, 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑ ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X❑ ❑ 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; KI 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water; ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: new Sanitary System Q ❑' 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? l� Elb.Is the proposed action located in an archeological sensitive area? �I 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 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? 16. Is the project site located in the 100 year flood plain? NO YES TT X 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: ❑NO [ YES —gutt G/e.r_IPacip„c.,; to-dn1wells 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: FX I F 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: X ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ) Applicant/sponsor —name: —Thomas Samuels Date: 6 Z9 Signature:, �y�yl�LtX.l�4 Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 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? I !/I ;❑' 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? El 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 reasonably available energy conservation or renewable energy o IF opportunities? A El 7. W ill the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impairthe 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)? Page 3 of 4 1 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the,impact may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. f Check this box if you have-dete?mined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental 'npacib. Town of Southold-Board of Trustees - -- -- - ' Name of Lead A enc � Date Cl G t President Print or Type Name of Responsible Office in Lead Agency Title of Responsible Officer Signature of Responsible icer m Lead'Agency Signature of Preparer(if different from Responsible Officer) PRINT_ Page 4 of 4 J/ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 'oh a �,9uyj I 1 A z-z- ' Address: STATE OF NEW YORK COUNTY OF SUFFOLK 1-0,V ! 44 c1e/ , residing at SA tis/�+��5 Stce�� 9rLc1.r�T-s 2 A' being duly sworn, deposes and says that on the R day of r- 20_L7, deponent mailed a-true copy of the Notice set forth in the Board of rustees 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 &q TGLj o a'-G1 L 11L, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETUItN RECE Sworn to before me this / Day of 29_/ 7 LAUREN M MCKISSICK NOTARY PUBLIC-STATE OF NEW YORK No.01 MC6342308 Notary Public qualified in Suffolk County My Commission Expires May 23,2020 n '',^-1 A rr ' , tti x y �""g d(L/�. „ /� y d4 lap Ln ®I 8 �],y�r�^�' AhiA 1 'Ir:, i!'..t. y ''A'� N -F i{M1�N'f"drcq"lu �i':1� ®I © Via �8OU,TH0LD'y ;11�i9 1 i�t1 � •�� '� IARLtINUONrE7A 0?�7� rp Certified Mad Fee $3.35 i `Y. c Certified Mail Fee �yy c 35 r Ln Extra Services&Fees(check box,edd tee pr to /�l 1•J�Lt I $ $2-75 1 J �'Q ) ,.� yr Extra Services&Fees(check box,edd lee p te) . �t�.��� ❑Return Receipt(hardcoPY) $ t_•f�yy"_� Ir f CJ r� ❑Retum Receipt(hardcopy) $ • " x`\��i -�9�` \ ❑Return Receipt(electronic) $ $ (-00 _ P0Sin1 f�C ❑Certified Mail Restricted Delivery $ d:f _f11� Here 1 ` ❑Return Receipt(electronic) $ ��if.I]I] posrk�� Q ❑Certifled Mall Restneted Delivery $��-�_111 1-3 E]Adult Signature Required $ �� a E]Adult Signature Required $ � -1 00 [, E]Adult Signature Restricted Delivery$ t� �' f E]Adult Signature Restricted Delivery$ S t p Postagerq �~ `i 1.4U �%}��} b O Postage r 1� 0 $Total Postage and F�egYso � UE/l($� �)f-7 '- O Total Postage and Fe t• (013/09/201-7 d $ f ...r —0 Sent To p 0 Sent To aS�n�a � L a A :_Shane-Curcuru---------------------------- O SireeiandApEA5k5R64ta rise-Point-Roa ------------------------- O StreeiandApt lVo.,or ox No. -----------------Southoldl�Y----1971---------------------------------- �` 47 Chester_$t.-.............................................. City,State,ZlP+41 � '-""'-""2115;4-0------------ Arlington, •' City,State, Arlington, MA 02476-7606 ru =r 0iiaimii�tp�111 • . . 3C�Z IWILTON r,XTEU6Y97y +� p Jr-I130UTHOLOD 3CY 11871 r- �j T U- U via U a, N --0935 _. p _a Certified Mad Fee E�,�tr'(97Fc p Certified Mad Fee $3.3,5 /�,-19?3 1(9 1 1 $3.35 $ �1�,` Extra Services5 Ln &Fees(checkbox,eddfeea$ p te) o Extra Services&Fees(check box,add lee e@q.rpq`.�te)/ j,/el El Return Receipt(hardcopy) $ +' � ❑Return Receipt(hardcopy) $ tl_�1 V 1. _ � �i)�111 �,�' (j7' ❑Return Receipt(electronic) $ �))-)�� y( POsitG�rk O ❑Return Receipt(electronic) $ _ postmark I Q []Certified Mail Restricted Delivery $ d:1�1i_.RIf� Here Q ❑Certified Mail Rastncted Delivery $ 1_,,,_,�.r�l� Here O -> ❑Adult Signature Required $ i r [1 Adult Signature Required $- r 3 O —7nT•r.*1 '-, (, []Adult Signature Restricted Delivery$ 1`� �Z / []Adult Signature Restricted Delivery$ f� E3 Postage ` -3 Postage 16vin i Er Total Postage and Fees l�u/flSJ�L717 0 Total Postage and Fees O $7.50 t' $ IT-11� dF $ ,..I] Sent To 2�7�1' l=, � Sent To 4380 Pqrqdj5R-Poiat-RoBd-------------------- o SiieelandApt No., 1�CJ90 A�?en-Drive----------------------------------- ---------------------------- O $iieetandApt No., POB N . N `--outdo--d NY 11971 ------------- Wlltan;CT-068 7 City,State,ZIP+4a Crty,State,ZIP+45 VIM MIA PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were.mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTOTIED MAWRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public 1 ' MAZZA RESIDENCE 1000-81-01-19 (certified mail, return receipt) 4565 Paradise Point Rd 81.-1-13.1 Zupa Victor J Zupa Mary S 4565 Paradise Point Rd Southold, NY 11971 Basin Rd 81.-1-18 Basin Road Realty Trust Attn: Shane Curcuru 47 Chester St Arlington, MA 02476-7606 200 Basin Rd 81.-1-20 Barr Kevin A Barr Doreen A 11 Dirksen Dr 'Wilton, CT 06897 800 Private Rd#17 81.-3-29 Paradise Point Assoc 4380 Paradise Point Rd Southold, NY 11971 Michael J.Domino, President Town Hall Annex John M. Bredemeyer III,Vice-President ,�?e�� y.� 54375 Route 25 Charles J. Sanders P.O. Box 1179 Glenn Goldsmith =' �f Southold,NY 11971 A.Nicholas Krupski . 'b p! 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 JOSEPH & LAURA MAZZA 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, Tam 5e9z-,We�S , residing at/dba mss.-3 s w1H;N .�D�d, Gr,►TcG vs yPi 111y being duly sworn, depose and say: That on the b day of qV'y 4,5r- , 201i', I personally posted the property known as /�fOAa(, SOc®7ho/�, Aly 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,August 16,2017. Dated: allS-1i'7 (sign ture) Sworn to before me this 15,-day ofl4 j. 20/y LAUREN M MCKISSICK NOTARY PUBLIC-STATE OF_NEW YORK No.01 MC6342308 <o_ta_ryPublic Qualified in Suffolk County My Commission Expires May 23, 2020 0 Board of Trustees Application County of Suffolk State of New York Laura Mazza BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of PrbploAwner SWORN TO BEFORE ME THIS 3® DAY OF,HTU N ,20 I 1 LAUREN M MCKISSICK NOTARY PUBUC-STATE OF NEW YORK --_ _ No.01MC634230B Notary Public - Qom' ed in Suffolk County My Commission Expires May 23,2020 Board of Trustees Application County of Suffolk State of New York Joseph Mazza BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Prop Owner SWORN TO BEFORE ME THIS 0 DAY OF J L4 ,20_L] FM WREN M MCKISSICK OTARY C�ST�ITE OF NEW YORK Notary Public �°t)1MC634230� ®uali6ed in Suffolk County My Commission Expires May 23,2020 i 'Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) r I,we, Joseph and Laura Mazza.. . owners of the property identified as SCTM# 1000-- 81-01-19_ :in the town of ; Southold New York,hereby authorizes Tom,Samuels _.of_Samuel's and Steelman Architects to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board'of Trustees for this property. Pr rty Owner's Si rer. Property Owner-s Se F SWORN TO BEFORE ME THIS DAY OF ��-(_AJe- - _ _ ,20�__ LAUREN M MCKISSICK NOTARY_ PUBLIC-STATE®F NEIN YORK. Notary Public - No.01MC6342308 Qualified in Suffolk County My Commission Expires May 23, 2020 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCL®SURE FORM e Town cif sots d's Code of Ethics prohibits conflicts of interest on tiic Hart oftowit officers and employees.Tile purpose of this form is to provide information which can alert the town of possible cann;ets of interest and allow itxo takewhatever.action is necessary to avoid same, YOUR NAME: . Joseph Mazza (Last name,first name,g»ddle 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 Trustee X Variance Change of Zone Coastal Erosion Approval of plat Mooring f. Exemption from plat or official map Planning Other (If"Other",name the activity.) ` Do you personally(or througivyouncompanny,,,spouse,sibling,parent;or child)have a relationship with any officer or employee of the Town of Southold? "Retatianship"includes by;blood,marriage,or business interest."Business interest'means a business, including a,parGiership„in which-the town officer or employee his everra partial ownership of(or employment by)a corporation in which the(own.ofliccr or employee owns more than=S%6N116 shares. ?' YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check 33 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): A)the owner of greater thaw%of the illares.of the corporate stock of the applicant (when the applicant"(S a corporation); i B)the legal or';beneficial'owner of any interest in ri non-corporate entity(when the applicant is not a corporation); ,C)an-officer,director,partner,Qtemployee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP f; _ f Submitted t ' 3® da ,of Z5rvA"--e— 200 /7 • Signature: ��'° _ , Print Nam ose Mazza , Form TS I ` 1 { APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Towp of Sou Liold'S Coda of Ethics prohibits conflicts of interest on theHart oftorvn ijfficers and emplovees.The puroose of this form is to provide inforination which can alert the town of possible conflicts of interest and allow.it to take whatever action is necessary to avoid same. YOUR NAME: _ Laura Mazza + (Last name,first name,giiddle initial,unless you are applying in the name of i someone else or other entity,such as a company.If so,indicate the other I person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of platMooring I' Exemption from plat or official map Planning ' Other (If"Other",name the activity.) Do you personally(or,through�y-our company;,-spouse,sibling,parent,or child)have a relationship with any officer or employee of the'rown of Southold? "Relationship."includes by blood,njarriage,.or business interest.`Business interest"means a business, including a partnership,in which the town officer or employce leaseven-a partial ownership of(or employment by)a corporation l in which the town officer or employee owns more thdn 5%bf the shams. I YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person : Describe the relationship between yourself(the applicant/aggnt/representative)and the town officer or employee.Either check i the appropriate line A)through D)and/or describe in the space provided. 1, 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 beneflciai'own-r of any interest in anon-corporate entity(when the applicant is not a corporation); C)anofficer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi ��n day of wY��� 200 Signature Print Name Laura azza Form TS I I APPLICANT/AGENT/REPRESENTATIVL TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part oftown officers and employees.The purpose of this farm is to provide inforination which can alertthe town of possible conflicts of interest and allow,rt.totake whatever action is necessary to avoid same. YOUR NAME: _ Tom Samuels (Last name,first name,apiddle initial,unless you are applying iii the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring C Exemption from plat or official map Planning y Other j (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 J'own of Southold? "Relationship"includes by blood,rOrriage,or business interest."Business interest"•means a business, including a partnership,:in which tite 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%ofthe shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check I„ 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 theshares,of the corporate stock of the applicant ,(when the applicant is a corporation); B)ihe: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 day of S ignature, Print Name Om- amue s Form TS I J ` I ,NUTILt Uim HtAKING. 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: JOSEPH & LAURA MAZZA SUBJECT OF PUBLIC HEARING : For a Wetland Permit to demolish 570sq.ft. of existing westerly one-story section of existing dwelling; construct new 719sq.ft. (footprint) westerly two-story addition situated no further seaward than existing; remainder of existing dwelling, pool, terrace, and porches to remain; and to install an additional septic system with existing to remain to accommodate new addition. Located: 280 Basin Road, Southold. SCTM## 1000-81 -1 -19 TIME & DATE OF PUBLIC HEARING : Wednesday, August 16, 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 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold �. _ ,LL Erosion, Sedimentation A Storm-Water-Run-off ASSESSMENT FORM ' PROPERTY LOCATION: s.c.T.M.#: THE-FOLLOWING-ACTIONS-MAY REQUIRE THE SUBMISSION-OF A ; Of 11000 81 01 19 STORM-WATER,GRADING:DRAINAGE AND EROSION CONTROL-PLAN ' CERTIFIED BY A DESIGN PROFESSIONAL-IN THE STATE OF NEW_YORK. SCOPE OF WORK PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 29,987sf 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within 0.688aC_ Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) � (S.F.!'Acres) (This item will include all run-off created by site X' , b. What Is the Total Area-of Land Clearing 2 000 ft. clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? 0.05aCres.- impervious surfaces.), ; (S,6/Acres) - 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide AddlUonelPages asNeeded) Drainage Structures Indicating Size&Location?This, X „ - - - — Item shall Include all Proposed Grade Changes and Renovation and additions to single-family Slopes Controlling Surface Water Flow. - new sanitary system and 3 Does the Site Plan and/or Survey describe the erosion - residence, new p and sediment control ractices that will be used to X'_- control site erosion and storm water discharges. This drywells. item must be maintained throughout the Entire Construction Period, i t - 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural . X Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? i - - �5 Will this Application Require Land Disturbing Activities 117-111 X Encompassing an Area in Excess of Five Thousand _ (5,000 S.F.)Square Feet of Ground Surface? - ' ;,`, 6' Is there a Natural Water Course Running through the X - Site? Is this Project within the Trustees jurisdiction, ;I Genesi IDE6,§WPFP Requirements: or within One Hundred(1001)feet of a Wetland or El Submisslon of a SWPPP Is required for all Construction activities Involving soil Beach? disturbances of one(1)or more acres; Including disturbances of lase than one acre that '7 Will there be-Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to X I Including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC hes determined that a SPDES permit Is required for stone water discharges, } Will Driveways'Parking Areas or other Impervious ! � (SWPPP'®Shall moat the Minimum Requirements of the SPDES General Permit �j3 I for Storm Water,Discharges from Construction activity-Permit No.613-040-001.) Surfaces be Sloped to,Direct Storm-Water Run-Off X ! 1.The SWPPP shall be prepared prior to the submittal of the Not.The NCI shall be j Into and/or In the direction of a Town right-of-way? ! submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and,sediment control practices and where 9 'WIII this Project Require the Placement of Material, ! required,post-consWGlon storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any X q I constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder j compliance with the terms and conditions of this permit.In addition,the SWPPP shallEl Area?(This nem will NOT Include the Installation of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the I quality of storm water discharges. NOTE: 11 Any Answer to Questions One through Nine Is Answered with a Check Mark In a Box and the construction site disturbance is between 5,000 S.F.&1 Aare In area, 3.All SWPPPs that require the post-construction storm water management practice j a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of: , component shall be prepared by a qualified Design Professional Licensed In New York Southold and Must be submitted for Review prior to Issuance of Any Building Permit. 1 that is knowledgeable In the principles and practices of Storm Water Management (NOTE: A Check Mark(J)and/or Answer for each Question Is Required'rar a Complete Application) d' - - - - - SPATE OF NEW YORK, SUffOIk r COUNTY OF...........................................SS ...... i ' That I,_.Tom Samuels ,,, being duly sworn,deposes and says that he/she is_the applicant for Permit, -'(Name oiindiAdual-tipping Docurdent) And that he/she is the ...... , A ant..... ................ .. .. ............. ........................................... (Owrie�,Conlrticlor,Agent,Corporate Officer�etc.j�� i Owner and/or representative of the Owner or Owners,and is duly,authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his kttowledge and belief;and l j that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; .�...... day of, „ •tAUREN ` iSSICK J, Notvy Pub/' . - -: ,...., - o�N"W: .,....,.... ,.,..,._ . ignalure'iAppllcant) ,. FORM - '06/10 NO.01 N101342308 Qualified in Suffolk County ' My Commission Expires May 23, 2020 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 sianificant ,beneficial and_adverse"effectsiupon:the-coastalrarea'Lwhich,iacludes:all ..,of Southold,16wn1: 1, 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;'esicli.answei'.riiust;lic'explaincil.in,detail.=lisfins,.both-,,suppo�rtinz'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 a 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# 81 01 19 PROJECT NAME MAZZA RESIDENCE 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 undertakewdirectly by Town agency(e.g.,capital - ❑ construction,planning activity,agency regulation,land transaction) r (b), Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: X Nature and extent of action: Renovations and additions to.a single family residence,new sanitary system, and drywells. Location of action:_ 280 Basin,RoadNY= - Site acreage sf= 688 ac Present land use: RESIDENTIAL Present zoning classification: _. _R-80 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:: - - (b) Mailing address: 8 Longview Road, South Salem, NY 10590 (c) Telephone number: Area Code( (d) Application number,if Will the action be directly undertaken,require finding,or approval by a state or federal agency?. Yes D No;L!J: 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. F]Yes 0; No 0 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological- resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes, , No Not Applicable There-are no historic or.archeological structures on property. 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 X Yes F] No [:1 Not Applicable Building structure is_ n keeping-in style anakale of neighboring 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 S through 16 for evaluation criteria ❑ Yes Ell No 0, Not Applicable Attach"additional sheets if neoessaiy 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 0 Not Applicable --- --- - - ---- - -- - Attach additional slieets 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 1[II—Policies; Pages 22 through 32 for evaluation criteria. 0' not applicable Yes No Not Applicable No development will take place in the"protected"or"natural indiginous environment". 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. RI Yes ❑ No❑ Not Applicable The development will not add pollutants into the air. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluatiop criteria. ❑ Yes 0, No ❑X 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. El Yc�] No 0 Not Applicable No public land involved. Littoral access unimpeded. 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. ❑! No 0 Not Applicable 0 Yes There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential. 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. 0 Yes ❑ No ❑ Not Applicable ' This _project will protect and preserve the living marine resources by maintaining all rainwater discharge-on site: -- - - 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 0 Not Applicable There are no agricultural lands on site. 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 '.0 No 0 Not Applicable The construction will be using equipment approved by the Federal government for energy usage.The project willmeet Federal standards for conserving-energy "energy Star Program". PREPARED BY Tom Samuels.- TITLE Architect DATE S A M U E L S & S T E E L M A N June 30, 2017 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: MAZZA RESIDENCE 280 Basin Road, Southold, NY SCTM# 1000-81-01-19 Dear Sir/Madam: We are requesting a WETLANDS PERMIT for the above reference project, for the demolition of an existing 570 sq. ft., one story two bedroom wing and construction of a new 719 sq. ft. bedroom wing, and a new sanitary system. We are in application to the SCDHS. For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4. LWRP Consistency Assessment Form 5. Erosion, Sedimentation & Storm-Water Run-Off Assessment Form 6. Prior permit/approvals for site improvements—TRUSTEES AND DEC 7. (4) Copies of SITE PLAN 8. (4) Copy of FLOOR PLANS and ELEVATIONS 9. Stamped current Survey 10. Letter of authorization from Owner 11. Photographs of existing site conditions 12. Transactional Disclosure Form, Owner 13. Transactional Disclosure Form,Agent t 1 E G E Q V E 14. Check for$250.00 L 1 Please call us with any questions or concerns. JUL ® 6 2017 Sincerely, Town SAMUELS & STEELMAN ARCHITECTS oadoflTuste f Thomas C. Samuels,Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407