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1000-77.-1-1
OFFICE LOCATION: so MAILING ADDRESS: 01 Town Hall Annex �0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 • O Telephone: 631 765-1938 olyc0 , LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: May 12th 2026 Re: LWRP Coastal Consistency Review DEBRA COADY & PATRICIA REILLY, SCTM# 1000-77.-1-1 This application is to install an Innovative/Alternative Onsite Wastewater Treatment System (I/A OWTS) system. 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 policies of the LWRP as follows: Policy 5: Protect and improve water quality and supply in the Town of Southold. 5.1 Prohibit direct or indirect discharges that would cause or contribute to contravention of water quality standards. C. Ensure effective treatment of sanitary sewage and industrial discharges by. 3. modifying existing sewage treatment facilities to provide improved nitrogen removal capacity The I/A OWTS will treat wastewater to a better degree than the system it is replacing. 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. 2 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM �, A. INSTRUCTIONS APR 2 9 2026 SOUTHOLD TOWN PLANNING BOARD 1. All applicants for permits* including Town of Southold agencies, shall complete this CUAV Io 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 wiL be evaluated as to its significant beneficial and adverse effects upon the coastal. area(which includes all of Southold Town 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detait, listing both supperfing and non- sunportine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 77 - 1 - 1 PROJECT NA1V1E Debra Coady _ The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval,license,certification: a Nature and extent of action: The project includes the proposed septic upgrade to the existing residence and abandonment of the existing septic system. PL Location of action: 560 Oak Ave., Southold NY 11971 Site acreage: 14,001 sq.ft. (0.33 A) Present land use: Residence y Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Tomm of Southold agency, the following infom*lion shall be provide l: (a) Nwne of applicant: Lisa Poyer, Twin Forlcs Permits (b) Mailing address: 288 B. Montauk HighwaY_Hampton Bays, NY 11946 631-644-5998 lisa@twinforkspermits.com (c) Telephone number: __--- - - Will the action be directly undertaken,require fur&ng,or approval by a state or federal ageaacy? Yes ❑ No 0 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. DEVELOPER► 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 infirastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWI P Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Private residential lot, I/A septic upgrade only. 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❑X Not Applicable Private residential lot, I/A septic upgrade only. Attach additional sheets if necessary Policy 3. Enhance visual qualiily and protect scenic resources throughout the Town of Southold. See LWRP Section I:II—Policies Pages 6 through 7 for evaluation criteria ❑ Yea El .No a Not Applicable Private residential lot, I/A septic upgrade only. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from; flooding and erosion.. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes El No❑ Not Appllicable Private residential lot, I/A septic upgrade only. Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria 0 Yes ❑ No E]Not Applicable Private residential lot, I/A septic upgrade only. ------------ ------ -- Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats andwetlands. See LW?.P Section III—Policies; Pages 22 through 32 for evaluation criteriat. ❑ Yes E]No ❑ Not Applicable Private residE.,ntial lot, I/A septic uGgrade only. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes E]No❑X Not Applicable Private residential lot; I/A septic upgrade only. _ — — 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 ❑ No X❑Not Applicable Private residential lot. I/A septic upgrade only. 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 Sect7on III—Policies; Pages 38 through 46,for evaluation criteria. ❑ Ye❑ No 0 Not Applicable Private residential lot, I/A septic u grade only. Attach additional shuts if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable -_P vate-re5iOnUaLbt, UA sentic-upglade cnlvT--- - -- --- — -- Attach additional sheets if necessary—---- — --------- - - - ----- -- Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-:Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No❑ Not Applicable Private residential lot, I/A septic upgrade only. 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 Private residential lot. I/A septic upgrade only. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resouram. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Private residential lot. IAA septic upgrade only. PREPARED 13Y Lisa Poyer TITLE Principal Planner DATE_ 4/23/26 d --r 'j•�r' Al vrl'ti f M1 yI f /•\���� ���41.1 � ,xe 37 i e .o... UN—.�.�, — •.,••�•""'•••_••••— COUNTY OF SUFFOLK© N NorcE „�� _— __ _-- _— „,•„ - _ — Peal Properly Tax 5—kv Ag—y +nwncw waa v ft M.�__- _- --._- _- -_ Wl.r..Dr.11n•vl.f..w w ' r�..+lrhY.w..w,J.OM M • 3n xx 9011iNOL0 OTT a. Wwn•obNO n Y �_�.-- • �-_..-- �^ -__ _ter- (21) �.-.• - tiNMRsiYrO At P u I 3 p , �� .,. � � �kt� J � -=_n•C� � � �� ,p' .�'. I a �,_�K - IL r �Y is, v t !•a,,,y�.,�wr.�i�;•1 t�F, ` •�13�► �. � r tJt ` Ale, � •L I�. •Y'�-0 •1, 6 `�',a' h•• A• yaI♦ `5 S��r ' .N,AI:%.y � T' y`�l�� �•Y� - .�' -•a�� ,1�A,�./�� ig) .t. �. � -•;I� S � �.�r ♦ _r�ii�+'y�' t ^', �iXl�'�1�';*�• .7!-•F;\y. �� ` t�1� - �rCT F� �� rT'Q 1.•i N" i '><�}jJ . _1: r 1C .,� •I,, 'in+�� F•ti +" 1?JV�`�";/!!ih• :'" � ti. ��= k'lY`. ...r` •�.'•jti:�- t'� ,�r ,"?' �1� qq i�i- ,F �y� � r'1 tc � •uA• � 7 - mil• ,�. �4."`�'� 1� ,�-F .. •r ��' '� ."•- , ^-��'�'7 � � y' �.�' .. S ..I��• '. L 4 ti,: '•�`ti'tt t c._' - T•� l.i� i 'Y �'. : .fyy`. t � ,t -.t 17 w • �.. 1 •1' • • 1 • • • • •1 .1 1 • •1 .1 • ✓- err � .tir•`t"►/ ,. �: • ly OF Ir,.14 �! 1'f.��' �f�-y 'fie ;'y �; a. Rai. � � 1 �y. - :`^ _}�* �".':l.`�.'..��Y S-Ti•���:+�, -. _ A •� • � � . • • • • off O • •• • • •� / + r q II wl Sc - ,� �� _ - '���• `a ��.O� -•I .•y w_ _ - stir � Ty A5-15UILT SITE INFORMATION: ( ID:10JO-077AI-OI FRdEy).y TEST 701E INFORMATION p C -EXISTING 3 BEDROOM HOME NO PROPOSED CONSTRUCTION. GY\\ GRADE EL.6.5'± P V n L -LOT AREA:ACRE 0.33. 4,0'J SF. 0�1y'g'1 J�k'y -'`1T5- ENGINEERING PRQPERtt LOCATED AT 5600AK AVENUE. LOAM L PROPERTY LOCATED AT O c C SOUTHOLD.TOWN OF OUTHOLD.SUFFOLK COUNTY,NEW YORK TOL _ 56J PAIL AVE JG -SURVEY PROVIDED BY:PECONIC SURVEYORS PC I2-16-1998 6 ' 5ILTY5AND EL SDUTHOL0,NY 1 1971, G _VERTICAL DATUM-NAVD'I988 DATUM ) O M •_. OATED04-L4-2026 R -PUDUC WATER SERVICE �=N EL DEPTF OFiEST HOLE 6'x W► -ALLHOME5VATHIN 1501POF PROPERTY CONNECTED TO PUBLIC W.ATER5ERVICE. 5AND ) I.O. niGneDT exPecreO -SURFACE WATER SHOWN ON 51TE PLAN. Nt A RIN illyg�7 DwAf�� GENERAL NOTES: " ROFciglQ''lP' r SAND EL srnr�e,�. G � -N FOR, HOME.F,T• �-u - GRowICwAreR J� snawr 2.51 E FLACWT5K AND ARYREF REPLACEMENT EMEM DESIGN. WATER ENCOUNTERED' ENccLNreRCD AT a.I.vs / \ - 3.517E PLAN AND REFERENCE T PROPERTY TO U USED FOR VA OATS-ION5 AND ELEVATIONS M AT EL 1.Pt neGw: .s'x ------- k6g-,)p.,y�•£ ARE'CONSTRUCTION ONLY.EXACT PROFERT'f BOUNDARIES,UTILITY LUCA'IONS AND ELEVATIONS 1�BSI SO.�' ARE NOT GUARANTEED, TEST HOLE INFORMATION AM60 d6 °� 4.ELEVATIO>LSB45EDON 1-I5 CO1- 4ENG1l E--MEASUREMeN5. s.n l Rs Toa-1 5.--AT ,ON5IrE UTIUTY'MARK-OU75 TO BE'ERPORMED BY CONTRACTOR PRJORTO PERFORMING SITE OAS.NiS nL�� •G E SOILLTTEST HOLE DATA PROVIDED BY HOMEPOKT ENGINEERING PC 04-14-202G * aaL ni 7.EXISTING SANITARY CE55POOL5(5)TO BE PUMPED AND REMOVED AS NECESSARY PER 5CDH5 5TANDAMOP05ED VA OW75 SEPTIC SYSTEM FOR UP TO 4 BEDROOM RESIDENCE, 1. !'L Rl / 2.ONE(I)FUJI MACBOR BLOWER VENT AND FUJI CONTROL ASSEMBLY. cNOTE..uMrts of ..,..z O 3.ONE(1)POLYL.OK DISTRIBUTION BOX TEARING,GRADING 4.FOUR44)8.5'X 4.75'X 3 EFFECTIVE DEPTH LEACHING GALLEYS. DGROUNO DISNPe.cel—.)t �-----�� 5.THREE(3)8.5'X 4.75'FUTURE EXPANSION AREA. V (jJ m SILT FMCINGAND F�I GENERAL5ANTTARYSYSTEM AND IN5TALLATION NOTES: Z EROSION CONTROLTO 1 V - f- 5R rrU7lfDROOM HOME PER SUFFOLK COUNTY W Z SE INSTKLEDAWNG p J LCGD O jr LNIB DEPARTMENT OF HEALTH STANDARD5 5C0115). Q w r nw 2. INTERIOR PWMBING 6 INVERT TO BE RELOCATED BY LICENSED PLUMBING CONTRACTOR A5 > Z 5HOWN. Cn Q �,. 3. SANITAKe GRAVITY DRAIN PIPE TO BE 4-INCH CAST IRON AT FOUNDATION PENETRATION AND LLJ 0 ITAav NOCR nl„c BW Er�+ �� 4-INCh PVC 5DR35 DOWNSTREAM OF FOUNDATION, X Y J CESSPOOLS TO BE PUMPED ANO � __� 4. VAO'NT55HAUL BETE5TED FORWATER TIGHTNE55 PRIORTO ARRIV NG ONSITE LEIINGTHE } Q ABANDONED OR REMOVED PFR O SO ars STANDARDS. ' .�• FEtY3 I iRr METHOD APPROVED BY MANUFACTURER = 7eCCf y I I^t 5. THE DE5'GN ENGINEER511ALL OVER5EETHE OWT5 DURING 5Y5TEMSTARTUP. Q G. THE OW75 INSTALLER SHALL BE UCENSED,HOLD AN ENDORSEMENT FROM ODHS AND BE A Q c PROP.WASTE LNE RELOCATMkl. CES „jn.MNC LLRMmiT `�. uA FWI AUTI0RZED N5TALLER O Ll•) Q HNOM CASE IRON INSTALLED BY -.i 7. THE OS NSTALLiRSHALL REC-LTER7HE ONSRETREATMENT SY5173A WITH SCOHS.THE D PLUMBING •' I DESIGN ENGINEER5HALL PROVIDE CERTIFICATION DOCUMENT5 AS REQUIRED 5Y5CDH5. U) CONTRACTOR. AN GPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTENANCE PROVIDER AND THE NncONTROLPANEL.—SLOWPI ASSEMB ,ANDVENT I - d PROPERTYOWNERSHALL BE PROVIDED TOSCDHS FOR VA OWTS. 9. A GARBAGE GRINDER SHALL NOT BE INSTALLED UPSTREAM OF THE OWTS. PROP.fUJI EN-S. yA�"1 • q. C I O.WATER.-OFTENER BACKWASH SMALL NOT BE FLUSHED TO PROPOSED 5EPTIC 5Y5TEM. owrs WRO•ADAPrER = - _ _ _ �J- I I.CONTRACTOR 5 RF5FON5BLP TO OB'AIN TOWN BUILDING PERMIrS A5 NECESSARY MOP TO LT —1•ELECTRVERRRA C PROP.POLYLOX 4-� �ELE csER E INSTALLATION A THE PROPOSED HOU SEPIC SYSTEM. OWT DISTRIBUTION^_ 12.NOTE THERE LS AN EXISTING HOUSE TRAP.VA OWTS TO BE VENTED THROUGH 2 INCH CARBON ® I w �� I)� ; VENT. PROP.FOUR()1FOOT PREGST `. 13.NO EXISTING OR PROPOSED DRWF_LL. LEACHING GALLEYS 0 0 X W •,n_ - 1` • j1y �. m T7 NNRE EXPANSNXa DO EXIS.TREES TOSEREMOVEDAS E%IS PUELIC Sroot - NECESSARY FOR INSTAL—ION SERVICE PS vcz nOVrnort SVSTM Z 011� of SANRARY SYSTEM S 1 G - _ xrT DVAAT,nnrt or n,nTn Suvcn 0 L _ o �' 1 �•o...r d g - Arlw. - U W Z Y �nF �✓i.- 5000, 2,'.A2' Awv. •� Vo:o-`w�n�G rA'e.eRuiew°,:r°eoen's ,1rrM,?N-,nrwTN U 44g6 AVEME/E HOMEPORT ENGINEERING SHAM NOT BE RESPONSIBLE FOR THE CONSIRUCTTON MEANS a METHODS UTIUZED W J Y S• BY THE CONTRACTOR,NOR FOR THE SAFETY OF THE PUBLIC OR CONTRACTOR'S EMPLOYEES.THE ENGINEER H (_i OAK -- SHALL NOT BE RESPONSBLE FOR THE FAILURE IF THE CONTRACTOR TO CARRY OUT THE WORT(IN (n O i< ACCORDANCE WITH THE SUFFOLK COUNTY DEPARTMENT OF HEALTH'S STANDARDS AND REGULATIONS QI- of Ld I- CONTRACTOR SHALL NOTIFY THE ENGINEER PRIOR TO BACNFIWNG OF ALL STRUCTURES AND ASSOCIATED _ PIPING. Q ❑� Z <O Q �m <O z O- J� �C� 15, DATE:04-21-2026 / 4°9 FFEL11'S - �YL Cf 04RKe 2 EXISGDELIGY SCALE:1:30 PROP INV BL 5ANITA N2�6 worto-u a DEBIGNER:JB m SHEET: SCALE= 1:30 Boa�DfT/, 5' Poyye� N 10, 20' 30' 40' 50' 60' 4 G 00 101, o / STRt 50 00 cn 0 1pp` , m m 0 JP Ad -+ tov y fwwyF9 c9p. �o �_ t•�. 4ys% I s�0�� m eo DO, �K ��� � 0.3W H• S q � ,S l Ov �� \\ f•�} O \ \ � � •30 50, S• 68 27lZ, vE 00o AVE0 �h SURVEY OF PROPERTY Ago. 6\0 44 AT SOUTHOLD TOWN OF SOUTHOLD - SUFFOLK COUNTY, NY 1000 - 77 - 01 - 01 16 SCALE 1" = 20" DEC. 16, 1998 AUG. 21, 2000 (loc, dock 1 Ocl. 3, 2000 (revision) NOTE LOT NUMBERS REFER TO 'MAP OF GOOSE BAY ESTATES'FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON NOV.13, 1934 AS MAP NO. 1176 J AREA = 14,001 sq. ft. ; i < ANY ALTERATION LW ADO/770N TO TI65 SURVEY/S A VIOLATION \ `OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, '�L;`•, _ EXCEPT AS PER SECTION 7209-SUBDIVISION P.ALL CERTArICATIONS H��RR£ON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF / `;'..a Y` (t:; O. 49616 SSI,MAP OR COPIES BEAR THE MIPRESSED SEAL OF THE SURVEYOR `�' WHOSE SIGNATURE APPEARS HEREON. PECONIC SUPWYORS, P.C. ADD11'10NALLV TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' (630 765 - 5020 FAX 1631) 765 - 1797 MUST BE USED BY ANY AND ALL SURVEYORS UTClZWG A COPY P. O. BOX 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'NSPECTED'AND 1230 TRAVELER STREET 'BROUGHT-TO-DA TE'ARE NOT 4N COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. 11971 rI 0 0,04