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HomeMy WebLinkAboutTR-7103 James.IF.King;President �*fjF SO(/ryO Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A.Dickerson P•D,Box 1179 Southold,New York 11971-0959 Dave Bergen G Q Bob Ghos.io Jr. O yCOUN11,� 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 APPOINTME:N.T FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO $O SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE ZPre-construction, hay bale line. 1st day of,construction Y2 constructed V Project complete, compliance inspection. r H.fi , �iV1 11'pti r:���i If ( �r�.,s '-...VV11 �� � lh++rp.�` ^.VI ''Q 11 /r .'1�� rK. ,V • s ON BO SOIITHOLMTOMXT :F SOUTHOLD NEW YORK mall PERMIT NO. 7103 DATE:MAY 20,2009 f ;.� ISSUED TO: ESTATE OF EILEENO GOLDNER ' ,f` �' .: ?.,. • ♦+•Its �, t f. PROPERTY ADDRESS: 435 BAY HOME ROAD,SOUTHOLD . 2 � s+ SC 56=5=22 :f fi� 5 l AUTHORIZATION ff Pursuant to the provisions of Chapter 275 and/or Chapter 11 T of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Tiustees'adopied atthe meeting held on May 20,2009,.and in consideration of application fee'in the sum of$250.00 paid by Estate of Eileen O. d, - Goldner and subject to the Terms"and Conditions as stated to the Resolution,the$outholit Town 130a°rd of Trustees authorizes ad'permits the following­. Wetland-Permit to construct a two-story, one-family dwelling with attached \\ ' deck a'nd steps; install drainage system of drywells; an`d establish a 50 foot'Non= 1 s Disturbance/Non-Fertilization Buffer adjacent to tidal wetland boundary with a 4 wide tt�' 2 acceW path,to the,water,with the conditions-of,the,insta�atiton,of aline of staked hay bales with.silt fencing prior to construction along the 50'-.Non-Dist urbanceline',;and.as depicted on the site plan prepared.by Nathan Taft Corwin III,last dated May 22, 2009, ' u and r..eceived on June 1, 20:09; " JNWITNESS:WHEREOF,the said,Board o£Trustees hereby,:eauses its Corporate Seal.to be affixed, EV Z and these presents to be,subscribed by.a maionty of the said,Roard as of this date t. 10i Pq r1 i . �`�ilit:_/dlii�«aa�q.` 's,.',�...� d�� - � r'�/,t L�li� :rt r�i, INS _�., ,. s�i.,l l,N�..�• * ��/�l/ /111�i. "y,/. / /1p�` TERMS AND CONDITIONS The Permittee Estate of Eileen O. Goldner.residing at 435 Bay Home 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 J damages;or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the.estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. . 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to - _ maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the workinvolved 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. I Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)"calendar days of issuance of this permit.,.. 9. That the said Board will be•notified by the Permittee of the completion of ihe.work authorized. 10. That.the Permittee.will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F.King,President. ��Qf SO(/�yO Town Hall Annex Jill M. Doherty,Vice-President . � 54375 Main Road Peggy A.Dickerson- P.O.Box 1179 Southold,New.York 11971=0959 Dave Bergen Bob Ghosio,Jr. H �e • OQ Telephone(631) 765-1892 , 0 � . - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 20, 2009 Mr. Robert E..Herrmann En-Consultants, Inc. 1319 North Sea Road . Southampton, NY 11968,. RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME ROAD, SOUTHOLD SCTM#56-5-22 . Dear Mr. Herrmann: The Board of.Town Trustees took the following action during its regular meeting held on Wednesday, May 20,2009 regarding'the above matter: WHEREAS, En-Consultants, Inc. on behalf of ESTATE OF EILEEN O. GOLDNER applied to the Southold Town*Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the.Wetland Ordinance of the Town of Southold, application dated April 29, 2009, and,. WHEREAS, said application was referred to.the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program:Coordinator for their findings and recommendations; and, WHEREAS, the LWRP Coordinator issued a recommendation-that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a.Public Hearing was held by the Town Trustees with. respect to said application on May 20, 2009, at Which time all interested persons were given an opportunity to be.heard,, and, : WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, .2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies.with the standards set f6Fth.in Chapter :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 ESTATE OF EILEEN O. GOLDNER to construct a.two-story, one-family dwelling with attached deck and steps;,install drainage system of drywells;.and establish a 50 foot Non- Disturbance/Non-Fertilization.Buffer adjacent to.tidal wetland, boundary with a 4' wide access path to the-water, with the conditions of.the installation of a line of staked hay :\ bales with silt fencing prior to construction along the 50' Non-Disturbance line, and,as depicted on the site plan prepared by Nathan Taft Corwin III last dated May 22, 20091 and received on June 1, 2009. 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: $.100:00 . Very truly.yours, James. F. King President, Board of Trustees JFK/eac James F.King,President. ��3F soUTyo Town Hall Jill M. Doherty,'Vice=President ,`O l0 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen • O Telephone(631)765-1892 Bob Ghosio,.Jr. Q Fax(631.)765-6641 �y00UNT`I;Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: oari been O. b In P(- Please be.advised that your application dated f g�.'o2OO'1 has been reviewed by th.is Board 'at the.regular meeting of Mn and your application lass been approved pending.the comp tion of the following.items checked off below. . V Revised Plans-for proposed project Pre-Construction Hay Bale Line Inspection Fee.($50:00) 1st Day of, Construction ($50.00) - Y2 Constructed ($50.00) 11S' Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275-of the Southold Town Code. The following fee must be paid within 90'days or re-application fees will be necessary. .You will receive your,permit upon completion of the,above., COMPUTATION OF PERMIT FEES: TOTAL FEES DUE::$ BY:. James F. King, President . Board of Trustees 05/15/2009 10:45 908730, DONNA BLANCHARD PAGE 01/01 . may 15,2009 0 $oWhold Bated of Trask= via hx:631-765-W41 BandOfoTu0 ees To the Board: We am v dit in reka .ce to the lion we rived by mail MpWing Lot,SC M 01 OW 50-5-22 from.Fn-CaWahants,Tnc. We were adviwd in This commimiican SW the viff be a town meeting on May 2Ar to doss the pcwosd to build a two-Awy home on ibis l ate adiment to our own, A ccon tng w the decmaentafien,tbkv proposal includes a 4 fea abuv" reftWng WA wbaeh will be constructed on oar grnpefty fine- we stromly object. It has been our mWmstanft that jao bading 0ould be plated dsmetly on the propmy livac, Theme should to a spaee baween the mo paM=ty lines in vvNch nothing is buxtt. This waU vdJI denract from the acWbvfie vd=of our haane,and in from the appeamm of the neiW bodmd. Eavuu mm"y,ve bave&ep cowem xegardiag the widw.rm.-offfmm this paper to our land;we are also comemed about.The close proximity of the septic sys m and my resulting problems. We tr"daai the SoudwId Board.of Tzuslees wm cousi ft this proposal vmy carefully WA regards to the impad to the neighbmiAg hpmeovmas. Sim mly, Dozy&Colin Blanchard I S Alexawhia Drive lfta6vm NJ OS$f 7 and 325.Day Home Road,Southold NY 11971 Board of Trustees Town of Southold In reference to the estate of Eileen Goldner: Bldg. Permit-DVTM#1000-56-522 This letter is to state our opposition of construction of a dwelling at 435 Bay Home Road, Southold,as it is designed. 1) The elevation is much higher than the adjacent homes. This would cause water runoff problems to those homes. 2) The raised front yard is an architectural blunder that would degrade the value of the neighborhood. (Like the Old Mill Creek Restaurant.) 3) The cement wall enclosing the front yard is on the property lines: (What happened to the set back requirements? 4) The cement wall is 4 feet high. Our covenants restrict any front yard enclosure higher than 3 feet. 5) There are at least 25 existing home in our association, None of them have anything like the design of this home, as it is drawn. A new design that is more aesthetically pleasing,must be submitted before we could agree to its construction. Sincerely yours, Robert Guarriello D V Willow Point Association MAY r 5 Zoos cc: Building Dept. Southhotd Board of town Trustees Board of Trustees Town of Southold In reference to the estate of Eileen O. Goldner—SCTM#1000-56-5-22 This letter is to state my opposition to the construction of a dwelling at 435 Bay Home Rd., Southold. My house at 535 Bay Home Rd. is adjacent to applicants property. There are 33 homes in this neighborhood and none of them comes close to resembling this house as it is shown. The elevation is much higher than adjacent homes, (four feet higher than mine)and this would cause water runoff problems. The raised front yard is so unsightly that it would devalue the existing homes. The cement wall enclosing the front yard has two walls on the property line. Have the set back requirements been forgotten in this case? The Willow Point Association's covenants,restrict front yard enclosures to 3 feet. These covenants are listed on all property owners deeds. I can only agree to a design that conforms to the elevations and restrictions that all other homeowners have followed. Sincerely yours, chagagnin C \ u Joseph G E O p� V cc: Building Dept. MAY 15 2009 Sodthhotd T Board of Try t es ' 1 1 o�QgpFFOR�•C�G Donald Wilder,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 �•` Southold,NY 11971- ��JfQ Telephone(631)765-1892 1�[ Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 13, 2009, the following recommendation was made: Moved by Jack McGreevy, seconded by Peter Young, it was RESOLVED to SUPPORT the.Wetland Permit application of ESTATE OF EILEEN O. GOLDNER to construct a two-story, one-family dwelling with attached deck and steps; install drainage system of drywells; and establish a 50' non-disturbance/non-fertilization buffer adjacent to tidal wetland boundary. Located: 435 Bay Home Rd., Southold. SCTM#56-5-22 Inspected by: Jack McGreevy,' Peter Young, Doug Hardy. The CAC Supports the application with the Condition the two large Maple trees located in the front of the property are maintained. Vote of Council: Ayes: All Motion Carried " 1 SURVEY OF LOT 62 AMENDED MAP A OF NASSAU POINT CLUB PROPERTIES , INC . FILE No. 156 FILED AUGUST 16, 1922 SITUATE NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 1 18-04-08 SCALE 1 "=30' SEPTEMBER 30, 2011 TUTHILL ROAD) ��TT� -1.0 AREA = 40,722 sq. ft. ��rATE� LAly � (TO TIE LINES) 0.935 ac. CLE .1 NCO/FRASER CAROLINE m N 0� N SER 4.� 4.0 � � WOOD GR01 T� GROIN & Dp(JGALL FRA m m Nm o I NI Tay GROIN -1.0 S -1.0 LOT m zm �� FOUNDWOOD1m. KTIhNCE 1.5 STAKE 0.4 N. a I CA I� lid m WALL WALL ` STONE VITAE WALL 222 ARBOR O.TS. �lu ON ' 2.3'N. ARBORVITAE I� 22.9 mI hlil I I o mo VP FENCE I 1 10 0 0.YN. A I� 1 FIII Io-' m FENCE 1 ° mqC)o m N µ CHAIN LINK �P x 9T o 11 ��nn pp I. r - x 22.2 23S _ _ ioI T IIli I a W I \a 0 1 a Lam' O O f e E 30.5' ZA- \\ I I I`�I N 8 2a 0 0 FENCE 3 51 I I 1111 JJJ n 0.2 N. I I Z u O WOOD mz o� rn 24.8 STEPS 2� I�bdl 1 1 II o I I '> m z CONC. EP cP o n n WALL BLOCK w y 1.5' o I I 0 0 o FENCE o a a -� 24.7� � o z ° z 1.O'N. IN Gy7= 1 111 a ?n ° s rn PICKET a CONC. ri < 5 I I 1 1 1 1 11 m I I n n FENCE cD r m BLOCK WALL 1.4 ZI, �� rn 2N�� ^o � y 0o a o 000 I 111 1 m c n�I I ? m (� r*I �o roo 24.9 mp 1 1 1 5 = m 3.5' A r*I �I BRICK0-,0) o \F 25.7 I 1 1 1 1 1 1 ^ {� o ' ➢ ° .. .D ° ° STEPS m o m A rn i�u I O sl N 20.3 ro �, III Ig5`� CHIMNEY A/C ---24_8-_* - z Q 62 --1-�} IA° LOT P.° o UNIT 12.3' 76'IHU7SEI y 0 ° :e n 1 111 OT -+ 24. WOOD 1 1 1 II x BRICK STEPS —1.0 1 p'. ELECTfRu] m� �I-PA1�0 I W(AL` `IIIU T �METE1it prl — .FUND WOOD 25.1 1 `O13 BULKHEAD 23.9 STAKE 0.9 N. t ° STONE DRIVEWAY W >\�I \ 0.35. FOUND 0 0 L m FEN N. CO NC. MbN. 1 N I J�rr N o w I cr m � � o �" � No�'rn� 4, 1 ° -� 400 4 �I 9 Im CHAIN LINK FENCE f �0 0 1 0 -UTILITY POLE o 1_5 I FOUND o BOND 1E2 N- WIRES N \ STAKE _ — OVERHEAD o FRAME v 1 POLE w SHED FOUND CAPPED UTILITY RE-BAR 0.7'N. W\RES NYT #1 i OVER » W N/F.lF ALOIA 5 82�0Q'00 JOHN T. AL & ELVIRA LOT 63 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY.THE-NEW PORK STATE LAND TITLE ASSOCIAT�Nb� NE4V YO NOTES: 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:5.0 EXISTING CONTOUR LINES ARE SHOWN THUS: - — — — -20- — — — - A' ''`" F.FL. - FIRST FLOOR G.FL. - GARAGE FLOOR T.B. - 70P OF BULKHEAD i��,� . . T.W. - TOP OF BULKHEAD WAL88. - BOTTOM OF B ✓S�'D �CUh'"`_ J B.W. - BOTTOM OF WALL N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE LA EDUCATION LAW. Nathan T a f t Corwin COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor- CERTIFICATIONS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND e Jos h A. In e no L.S. LENDING INSTITUTION LISTED HEREON, AND p g 9 TO THE ASSIGNEES OF THE LENDING INSTI— Title Surveys — Subdivisions — Site Plans — Construction La out TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Y Y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES 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 31 -16r7 SURVEY OF LOT 20 MAP OF SUBDIVISION WILLOW POINT FILE No. 4652 FILED JUNE 16, 1966 SITUATED AT 4o ARSHAMOMAQUE TOWN OF SOUTHOLD �40 SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-56-05-22 SCALE 1"=30' MARCH 30, 2003 FEBRUARY 23, 2005 ADDED PLOT PLAN MAY 17, 2005 UPDATE FOR BULKHEAD JANUARY 30, 2006 ADDED PROPOSED DECK I APRIL 9, 2009 UPDATE SURVEY & LATH PROPOSED STRUCTURES MAY 22, 2009 ADDED 4' PATH I R=25.89' AREA = 13,834.65 sq. ft. L=39.76' (TO TIE LINE) 0.318 a0. tioGs o�y F ry � s P4 LOT 18 CERTIFIED TO: A V OOQ lu DWELLING CAROLINE FORD so 0 ES PUBUC*A-) � ESTATE OF GEORGE GOLDNER 00 e r , g9 �6 dff 20 sa /i .::.:;�,}o�R,.,,,•:, W�od���a'�S�'`S 82°J1'20" E i 004.47' FOUND F�EO MAP) JD n0�ON�J rvJh O 95.83'CONC.MON. LOT q N y \�t�^ S (VACANT) �- / TIES wocW --- I rxc d5x'i� 4,WIDE eVy`"F"y y xz TO CPATH LEARED AND G AINTAINED�E% LJ/ x O x G NOTES: SOO Ix y PQo,EGK�D+NPPRp UC7\DS r'` w t� erg .�ONc°ey��00� 1. ELEVATIONS ARE EXISTING EI.EVATIONSEARE OSHOWN THUS2 ATOM — �y�, I y,5�N p�O OF GON\S�VRB +�FiE r �, 2cy�+ EXISTING CONTOUR LINES ARE SHOWN THUS:— —5— -- — — �S / �l�l r! "'�J 0 6 '::':' ti eNE r10N�0 (\ON ByM?a. 09 / y��'�A (� 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 3 BEDROOM HOUSE IS 1,000 GALLONS. y 6�.. .,�5.� .:. .. eo ERA"�zP �PQ1 4, 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP ••.a. . goo q�Fj• O��Cy,LO ��''F,�/ ��,�� E� 3 II 2 E ,LEACHING SYSTEM EM FORA 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. 5 POOL; • \ '� o y 0 :' Qom. 5�.. :... 1cj \N gob S�g PROPOSED EXPANSION POOL 4"r•'� lT� \ JyJ�p a.. J/O 35X R PROPOSED LEACHING POOL lr / �q mil• :... 'pj...�:r.r: O,/ 'C` OQO� x �yl• '"�" "�:''.:ti�..'..: �!•— — �'p,S� // ® PROPOSED SEPTIC TANK • +,0. 7 yy 1tlP 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD .� / / OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. y�QJ� Ode O A 5. THIS PROPERTY IS IN FLOOD ZONE AE EL 8 AS SHOWN ON 0 FLOOD INSURANCE RATE MAP No.ION 3 DETERMINED 1 D G ZONE AE: BASE FLOOD ELEVATIONS DETERMINED X�U{G 41 <S / 6. A.PPROXIMATLY 300 c-•. ds. OF CLEAN SAND SHALL BE NEEDED FOB G /� Q •' �� �0 �Q � / a S�� l / THE SEPTIC SYSTEM AREA. t� Q pQ / / IF�s \ ` 7. THE PHYSICAL ADDRESS OF THIS PROPERTY IS: C ++ I 435 BAY HOME ROAD, SOUTHOLD, NEW YORK �yo '�� Qp�(�G I $? 41 Odi 8. THE ADJACENT AREA (TOTAL LOT AREA MINUS THE WETLAND AREA) = 13,610 sq. ft. 9 n�Y THE PROPOSED LOT COVERAGE OVER THE ADJACENT AREA = 1,980 sq. ft. c x \O / < -f- OR 14.5Y. OF ADJACENT AREA. .� O, rir x I• '.� I \ � •ut c_ C� [jlf'u `� RD OF TFLJ3 i UNAUTHORIZED ALTERATION OR ADDITION 1 TOWN TO THIS SURVEY IS A VIOLATION OF ' I O N of SOU I HOI.� EDUCATON209 LAWOF THE NEW YORK STATE /�_ �j o g COPIES OF THIS SURVEY MAP NOT BEARING -t! D/W C G O / THE LAND SURVEYOR'S INKED SEAL OR PROPOSED CONC. RETAINING WALL DETAIL ' _� EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. (NOT TO SCALE) .- CERTIFICATIONS INDICATED HEREON SHALL RUN e" ONLY TO THE PERSON FOR WHOM THE SURVEY FINISHED GRADE I� - - ._... IS PREPARED, AND ON HIS BEHALF TO THE �. : I TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. No. 4 REBAR A PROPOSED SEPTIC SYSTEM DETAIL °2' D.C. a HOUSE (NOT TO SCALE) No. 4 REBAR TEST HOLE DATA THE EXISTENCE OF RIGHTS OF WAY ELEV.-1,U 0 2' O.C. gyp' FINISHED GRADE FINISHED GRADE FINISH GRADE � � (TEST HOLE DUG BY McDONALD GEOSCIENCE ON JANUARY 14, 2005) AND/OR EASEMENTS OF RECORD, IF ELEV. 10.6' ANY, NOT SHOWN ARE NOT GUARANTEED. MEMBRANE WATERPROOFING EL. 7.3 °, 1' MIN TOP EL 88' SEPTIC SYSTEM SIDE s DARK BROWN CLAYEY LOAM OL TOP EL. 9.6' . . 8. 8' ''A , MIN. 4" DIA. SEPTIC LEACHING T 3' CLEAN D APPROVED PIPE APPROVED PIPE LEACHING BROWN CLAY CL INV. EL. TANK POOL a SAND .° PREPARED IN ACCORDANCE WITH THE MINIMUM min. PITCH 1/4"/1' min. PITCH 1/8"/1' POOL n COLLAR a' 3 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED �^y •8.3' IN POOL EL. 8.0 Nathan Taft Corwin III INV. EL. 8.6' INV. EL. ' ° PALE BROWN FINE SW BY THE L.I.A.L.S. AND APPROVED AND ADOPTED m TO COURSE SAND 8.1' u ' � FOR SUCH USE BY THE NEW YORK STATE LAND -f 8'---t �'�° 8' "i —B--I ^ Z u 1,-b" !' B" EL. 3.3 4• TITLE ASSOCIATION. ' D z GROUND WATER DISTRIBUTION POOL OF ' / r r-` "._ Land Surveyor 5 POOL SYSTEM BOT. EL. 6.3' GROUND WATER No. 3 REBAR 0 12" WATER IN / C;- �`); ti(A s PALE BROWN FINE SIN ELEV. 3.0' O.C. SEPTIC TANK (1) + TO COURSE SAND d�C�' tr_7 ttill%'r 1. MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 3 BEDROOM HOUSE IS 1.000 caLLorls. LEACHING POOLS (5) .' 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP / �: — — — 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. 10' Title Surveys Subdivisions Site Plans Construction Layout�v 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 5 POOLS; 2' DEEP, 8' dia. _ , T• ! 3. WALL THICKNESS SHALL BE A MINIMUM OF 3",A TOP THICKNESS OF 6"AND A BOTTOM THICKNESS OF 4". 2 LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) s '<< '' •� ) ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. . 4. ALL JOINTS SHALL LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. No. 3 REBAR 0 19"O.C. ti .' r` PHONE (631)727-2090 Fax (631)727-1727 . ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). . 5. THE SEPTIC TANK SHALL SEALED SO THAT THE TANK IS WATERTIGHT.ALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF d:1/47 3 4. A 10' m- DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. 3•-0" ON A MINIMUM 3"THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. (• I OFFICES LOCATED AT MAILING ADDRESS 6. A 10' m in. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. TW O r• �`0, �i�1:,! �/z.-i, ,,r 322 Roanoke Avenue P.O. Box 1931 N.Y.S. Lic. No. 50467 Riverhead, New York 11901 Riverhead, New York 11901-0965 23-096 1 J Jr LA A� 1 A MIxv sn ,7 r�� �. �Y ~, ,ram �s. i ' ly\it•h��. . 09§06§2002 MOT IT II r� I�,iilri �I � ,� Ia�I , �1 (� 1!ll�'►��I ,�,3 �� � v�� �I I ,I I" t, AL i 1 Oo '00 �SUFFtJ[,� James F.King,President Off' Cp P.O.Box 1179 Jill M.Doherty,Vice-President G� Southold,NY 11971 Peggy A.Dickerson QD coo Telephone(631)765-1892 Dave Bergen u. Fax(631)765-6641 Bob Ghosio,Jr. Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: L7J1 ESTATE OF EILEEN O. GOLDNER requests a Wetland Permit to construct a'two story, one-family dwelling with attached deck and steps; install drainage system of drywells; and establish a 50' non-disturbance/non-fertilization buffer adjacent to tidal wetland boundary. Located: 435 Bay Home Rd., Southold. SCTM#56-5-22 Determination of jurisdiction requested for installation of sanitary system with retaining wall and fill, pervious driveway and public water service. Type of area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland L :=apt.275 Town Code proposed work falls under: Chapt. 111 other Type of Application: C,""W- etland _Coastal Erosion Amendment —Administrative—Emergency Pre-Submission Violation Info needed; Modifications: Conditions: Present Were:J.King J.Dohert P Dickerson N/D. Ber en FB.Ghosio,Y— 9 D. Dzenkowski Acott Hilary_other Form filled out in the field by Mailed/Faxed to: Date: 1 i ' 1 . 1 1 1 1 /r J /�� , m I—JNN� pl�] -0v r , Avjz r Y L.. MR 11 I 'l I / 11 I it / rill ,�* :a �• . �,i�s�� rrs�`� .,.�,r,e env; . ��► � ,. �H; J Ir• I v r iiii; 1 1 ' 1 11moot AM 1 1 i 1 1 1 1 1 1 AAA upp AL f IF •�N r ► e� r _�_�-►Ii` �!�"'`�ea�. -sue�'�' fi� �' ��A � -- _ / ♦ _.E ..� It r r d �j v�i Z�Di �v} 1t tLN f _- cu ' znw,onu\� P '� taxucr y.p' 'z1.wn Dnr�Dwan.",ns� F '� eOS�OD SISa '� 6 ry`�J b 1.x.aee /1 „ •. t• a' � �"`'ate�� '� rf'.iria ,s °° c �, _N_ . �� � m n 1, „° yluo t zt gyp• \\ c•,. 2 D�Oi.DI ti0 331 O ID.Wx�° 19 c ZDp \y°-w�e Y IDA TatUMID ry�/ 1 t•+° t'en.. „a\°n\ i.s' ma n\ \ \\t\. �.o� � °. • Ati+ ap^t- =; mu+'m man - - s\a'o •• �°,�� \\�`,J�\a\ O0o/4 v `�..� ' r61 - �,pvE. mnnnn wns. \�'s Liuci"\,?••\a\;\\� \\ \ �qll QDN °Va AL 1Z � �• Ibltcl "v��::„^ 309ud £�].v cI3/ - . .Z 1411, J • Ir /. .to �jA �''t,•, r 1 A.. \11 m Pm— ' .� Du-D9-Du a 1{ LDk �I ,��� • 4 - aEE s.:-xD.Doc SECTION NO L NOTICE COUNTY OF SUFFOLK © E °'"� SOUTHDLD E _ z9,1 Red Property Tax Se.rgfl Alen: 1319 North Sea Road Southampton, New York 11968 M 631-283-6360 Fax: 6EN-CONSULTANTS INC. www.encnsultants.com ENVIRONMENTAL CONSULTING May 27, 2009 James King, Chairman Board of Trustees Town of Southold P.O Box 1179 i ( ! J U N - 1 2009 Southold,NY 11971 i rl,1 1 1`li Re: Estate of Goldner,435 Bay Home Road, Southold Dear Mr. King: As discussed during the 20 May 2009 public hearing on the captioned application, please find attached (3) copies of a site plan prepared by Nathan Taft Corwin III, L.S., last dated 22 May 2009, which has been revised to depict a 4-foot pathway through the proposed 50-foot nondisturbance buffer. Should you require anything further from me before the requested wetlands permit can be issued, please let me know. Res ectfully yours, Robert E. Herrmann Coastal Management Specialist Enclosures James F. King,President Town Hall Jill M.Dougherty,Vice-Presii'.- ��� CMG 53095 Route 25 Peggy A.Dickerson _ 'f� P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen y Z Bob Ghosio,Jr. • Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application r o; Vetland Permit Application ✓Major Minor � Waiver/Amendment/Changes Received Application: ag10 ✓deceived Fee:$ --Completed Application �I - Incomplete ly SEQRA Classification: Type I Type II Unlisted �1Pft 2 9, 2�09 Coordination:(date sent) AC Referral Sent: IC,_ "ate of Inspection: l`�g Receipt of CAC Report: _ Lead Agency Determination: Technical Review: �,Xublic Hearing Held: Resolution-- Name of Applicant ESTATE OF EILEEly O.GOLDNER Address CJO CAROLIl 4F_FORD,3632 MEN9BERS CLUB'BOULEVARD,SOU HPORT,NC 28461 &ESTATE OF GEORGE GOLDNER,EXECUPORS;GO ROBERT F.HARPER,ESQ.,55 HE[-TON AVENUE,GARDEN CITY 11530 Phone Number: 910-253-3497&516-248-1441 Suffolk County Tax Map Number: 1000 - 56-5-22 Property Location:435 BAYHOMEROAD, SOUTHOLD. (provide LILCO Pole#,distance to cross streets, and location) AGENT:EILCONSULTANTS,INC. (If applicable) Address: 1319 NORTH SEA ROAD,SOUITIANV IEN,NY 11968 Phone: 631-283-6360 Board of Trustees Appli ion GENERAL DATA Land Area(in square feet): 13,835 SQ.FT. Area Zoning: R-40 Previous use of property: VACANT RESIDENTIAL Intended use of property:RESIDENTIAL,ONE-FAMILY DWELLING Covenants and Restrictions: X No Yes If"Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date NYS DEC#1-4738-03482/0001 3/16/06 SOUTHOLD WETLANDS#6160 7/20/05 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: Project Description(use attachments if necessary): CONSTRUCT A TWO-STORY,ONE-FAMILY DWELLING WITH ATTACHED DECK&STEPS LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA;INSTALL DRAINAGE SYSTEM OF DRYWELLS; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY,ALL AS DEPICTED ON THE SITE PLAN PREPARED BY NATHAN TAFT CORWIN III,LAND SURVEYOR,LAST DATED APRIL 9,2009.'DETERMINATION=OFTTON=JURISD CCTION. REQ-UESTED---�FOR=INS-T-ALL`A-`PION`OF SANITARY-SYSTEM-WI-TH RETAINING=WALL AND FILL, PER.IOU S-DIUVEW-AY AND-PU'BMC-WA TERSER XV W-HICH.-WIL-L=BE_LOCATE15 MORE THAN 100'" FRQM_TIDA`L"WETLANDS-AND'THEREFORE-BEYOND CHAPTER 275'7URISDT,CTION Board of Trustees Applic '.on 1 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: IMPROVE PROPERTY WITH SINGLE-FAMILY DWELLING Area of wetlands on lot:+/-160 square feet Percent coverage of lot: +/-1 �% Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? TBD cubic yards(FOR HOUSE FOUNDATION) How much material will be filled? N/A cubic yards (FILL FOR SANITARY SYSTEM LOCATED BEYOND CHAPTER 275 JURISDICTION) Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): ANY POTENTIAL EFFECTS OF THE PROPOSED CONSTRUCTION LOCATED WITHIN(AND ADJACENT TO) THE TRUSTEES 100-FOOT JURISDICTIONAL AREA WILL BE MITIGATED THROUGH THE ESTABLISHMENT OF A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO THE TIDAL WETLANDS BOUNDARY;THE INSTALLATION OF A DRAINAGE SYSTEM OF DRYWELLS;AND THE ERECTION OF A PROJECT-LIMITING FENCE AND STAKED HAYBALES DURING CONSTRUCTION. 14-16-4(2/87)—Text 2 PROJECT I.D. NUMBER 617., S E Q R Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I — PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1 APPLICANT/SPONSOR:ESTATE OF EILEEN O.GOLDNER 2.PROJECT NAME BY EN-CONSULTANTS,INC. 3 PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc,or provide map) 435 BAY HOME ROAD,TOWN OF SOUTHOLD,SCTM#1000-56-5-22; MAPS PROVIDED. 6. IS PROPOSED ACTI N ® New Expansion ❑ Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TWO-STORY,ONE-FAMILY DWELLING WITH ATTACHED DECK&STEPS LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA;INSTALL DRAINAGE SYSTEM OF DRYWELLS;AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY,ALL AS DEPICTED ON THE SITE PLAN PREPARED BY NATHAN TAFT CORWIN III,LAND SURVEYOR,LAST DATED APRIL 9,2009. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL,PERVIOUS DRIVEWAY,AND PUBLIC WATER SERVICE,WHICH WILL BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND CHAPTER 275 JURISDICTION. 7. AMOUNT OF LAND AFFECTED Initially 0.318 acres Ultimately 0.318 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ®Yes ❑No If No,describe briefly 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ®Residential ❑Industrial ❑Commercial ®Agriculture ❑Park Forest/Open space ❑Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ®Yes ❑N o If yes,list agency(s)and permit/approvals NYS DEC,SCDH 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ®N o I CERTIFY THAT TINFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name ROBEM E. ANN,COASTAL MANAGEMENT SPECIALIST DATE APRIL 23,2009 Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD ?d:_ In the matter of applicant :ESTATE OF EILEEN 0.GOLDNER ;.:,: MAY - 5 2009 f SCTM#1000- 56-5-22 w a.._. YOU ARE HEREBY GIVEN NOTICE : Soutl�JloJd OTovdn 1 . That it is the intention of the undersigne _ rL_•„ 13rustL'es Permit from the Board of Trustees to: CONSTRUCT A TWO-STORY,ONE-FAMILY DWELLING WITH ATTACHED DECK&STEPS LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA;INSTALL DRAINAGE SYSTEM OF DRYWELLS;AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY,ALL AS DEPICTED ON THE SITE PLAN PREPARED BY NATHAN TAFT CORWIN III, LAND SURVEYOR,LAST DATED APRIL 9,2009. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL,PERVIOUS DRIVEWAY,AND PUBLIC WATER SERVICE,WHICH WILL BE LOCATED MORE THAN 100'FROM TIDAL WETLANDS AND THEREFORE BEYOND CHAPTER 275 JURISDICTION. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows : 435 BAY HOME ROAD, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on:MAY20TH,2009@6:OOP.M. You may contact the Trustees Office at 765-1892 or . in writing . The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . ESTATE OF EILEEN O.GOLDNER OWNERS NAME: C/O CAROLINE FORD& ESTATE OF GEORGE GOLDNER,EXECUTORS C/O ROBERT F.HARPER,ESQ. MAILING ADDRESS: 3632 MEMBERS CLUB BLVD. 55 HILTON AVENUE SOUTHPORT,NC 28461 GARDEN CITY, NY 11530 PHONE # : 910-253-3497 516-248-1441 Enc . : Copy of sketch or plan showing proposal for your convenience . 5 NOTES: _ �7�+�j {� 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM ,U V 1� 1 O Y EXISTING ELEVATIONS ARE SHOWN THUS: LO 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD LOT 20 4O EXISTING CONTOUR LINES ARE SHOWN THUS:- - - -5- - - - OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS_ 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 3 BEDROOM HOUSE IS 1,000 GALLONS. S. THIS PROPERTY IS 1N FLOOD ZONE AE EL 8 AS SHOWN ON �� 1 TANK: S' LONG, 4'-3" WIDE, 6'-7" DEEP FLOOD INSURANCE RATE MAP IONNo. 3 DETERMINED G MAP OF SUBDIVISION 4(S 3. MINIMUM LEACHING SYSTEM FOR A 3 BEDROOM HOUSE IS 250 sq H SIDEWALL AREA. ZONEIM BASE FLOOD ELEVATIONS DETERMINED WILLOW POINT 5 POOL: 2' DEEP, 8' d1a. 6. THE SEPTIC S 300 cu. yds. OF CLEAN SAND SHALL BE NEEDED FOR THE SEPTIC SYSTEM AREA. PROPOSED EXPANSION POOL 7. THE PHYSICAL ADDRESS OF THIS PROPERTY IS: FILE No. 4652 FILED JUNE 16, 1966 435 BAY HOME ROAD, SOUTHOLD, NEW YORK ,r 8. THE ADJACENT AREA (TOTAL LOT AREA.MINUS THE WETLAND AREA) = 13,610 sq. ft. SITUATED AT PROPOSED LEACHING POOL THE PROPOSED LOT GOVER THE ADJACENT AREA = 1,960 sq. ft.-OR 1145% OF ADJACENTAREA. _ ARSHAMOMAQUE ® PROPOSED SEPTIC TANK CERTIFIED TO: TOWN OF S O U T H O LD d� CAROLINE FORD SUFFOLK COUNTY, NEW YORK �Jo LOT 18 ESTATE OF GEORGE GOLDNER S.C. TAX No. 1000-56-05-22 `�d WELLING SCALE 1"=30' R=25.89' < L=39.76' Sr (USES-us",w�T[R7 = MARCH 30, 2003 FEBRUARY 23, 2005 ADDED PLOT PLAN MAY 17. 2005 UPDATE FOR BULKHEAD 0' ^ JANUARY 30, 2006 ADDED PROPOSED DECK �a ��° 30 APRIL 9, 2009 UPDATE SURVEY & LATH PROPOSED STRUCTURES .1Pg� 0 .41 y0��` Fo ar ��^ Q AREA = 13,834.65 sq. ft. �� �IO}AP�OI� fi,Psa �� rlx,No S 82"5 j'20" E I (704.47' F�L,ED MAP) `.:;..nirir ':. MD'-o� O 0.318 aC. (TO TIE LINE) �95.83 o N ti �l1 S G P� LOT 20 b� a\��p��� (VACANT) TVs Lac I (/1 PROPOSED CONC. RETAINING WALL DETAIL I i .. ° o La's ,y ` s I 100, I (NOT TO SCALE) 751 ,� x� / \ No '�z 3 a FINISHED GRADE I I xAJ •�(7 No. 4 REBAR i....... S ® r D.C. �O \ h 1 lT F.$ F �x J. OZ�uV1 YNGt�t10N E ", 1 °d �.� A 2� 0O No. 4 REBAR \ O. I `9y 9 I PR�SpKFp FGE P CONSjPNC RgPNC ER �'' G6 �Hti gla2TPF 'Sf6 t��i 0 2 O.C. op FINISHED GRADE Vo y J a <s� uE 1N Y 1S O4 _0\SjV gVFF Fd9E 9,' \ ll 1� ����t�s` 6 ' :� 5 ... y BHE gO NOj\\2Pj\0 0 ° �pe� �Sci4 MEMBRANE WATERPROOFING \ FER G�/a' y SEPTIC SYSTEM SIDE e •.a•.. ,'G �oygyQ `S'TFT.... o ��Cti -��1- �O �,,,�, >° MAW ..�`. '0,; . T•G G:.......... _�� / l o /. o �9P`St� TEST HOLE DATA N ., T ......:. .'.�.:: _ _ S �� (EST HOLE DUG BY McDONALD GEOSCIENCE ON JANVARY'14, 2005) xT EL 7.3 a. 1' -8' : p 8' z PCJ�' DARK BROWN CLAYEY LOAM OL 9 _0 / <.Q.. �l -- _.':..G 7 1 I No. 3 REPAIR 0 12" e \Q BROWN CLAY CL O.C. m 2' ��: �� PALE BROWN FINE SW $ ` o / Oe •." ` , �� O v TO COURSE SAND EL. 3.3 \(J�9Ty / // <<S' Q GROUND WATER 4 • + - n No. 3 REBAR 0 18 O.C. t WATER IN • 'a V Q 1 GP O�� PALE BROWN FINE SW 3'-O' PREPARED IN ANG�WITH THE MINIMUM �yo ?jePp�_. x Q` ._.., / �IA\�G � O,�-q TO COURSE S+wD STANDARD L-F TITLE SURpVL�FS�gS ES{ggUSHED °�,9 %Ys�x {y ��p- O1 BY TH IAL-6 BY NLWI - `�G��f 9 I \ I V" ...r.".,:.,� L ��'.°` O FOR SE3 OVEDq�,w',D ADOPTED !3 I '\ S' \. < -�- K�7ATE LAND 2 a a {� f' �' � �� PROPOSED SEPTIC SYSTEM DETAIL I \, HOUSE (NOT TO SCALE) 00.1 A.-9 ELEV. 13.0 FINISH GRADE ;•'A `} .:; "X FINISHED GRADE i I I 1 ELEV. 10.6' ELEV. 9.8' LL 1 i I .52 e c } I \ 1 TOP EL 9.6' 1 MIN. TOP EL 8.8' f-Ifi"MIN. .:-.~,:..� j •"� `� °' MIN. 4" DIA. LEACHING T 3' CLEAN APPROVED PIPE INV. EL. TANK APPROVED PIPE POOL w LEACHING SAND �`"• ""�~•<='1'NaS.S. Li c. No. 50467 rrx I ,� min. PITCH 1/4"/T' min. PITCH 1/8"/T' POOL ra COLLAR 6.3' INV. EL 8.0" \ INV. EL. 8.6' INV. EL. !tom it UNAUTHORIZED ALTERATION OR ADDITION � -� -. TO THIS SURVEY IS A VIOLATION OF 8• Nathan Taft Corwin SECTION 72 OF THE NEW YORK STATE LA - EDUCATION LAW. 4 COPIES OF THIS SURVEY MAP NOT BEARING • DISTRIBUTION POOL OF BOT. EL. 6.3' GROUND WATER Land S THE LAND SURVEYOR'S INKED SEAL OR 5 POOL SYSTEM ELEV. 3.0' Surveyor EMBOSSED SEAL SHALL NOT 8E CONSIDERED SEPTIC TANK (1) TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN LEACHING POOLS (51 , ONLY TO THE PERSON FOR WHOM THE SURVEY 1. MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 3 BEDROOM HOUSE IS 1,000 GALLONS. rrtle Su rve Ys - Subdivisions Site Plans - Construction Layout IS PREPARED, AND ON HIS BEHALF TO THE I TANK: 8' LONG, 4'-3"WIDE, 6'-7'DEEP 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq ft S1DEWALL AREA. - TITLE COMPANY, GOVERNMENTAL AGENCY AND 2.CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 5 POOLS; 2' DEEP, 8' dW. PHONE s LENDING INSTITUTION LISTED HEREON.AND 3, WALL THICKNESS SHALL BE A MINIMUM OF 3'. A TOP THICKNESS OF 6"AND A BOTTOM THICKNESS OF 4". 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) ( 3 1)727-2090 TO THE ASSIGNEES OF THE LENDING INSTI- ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. LEACHING STRUCTURES. SOLID DOMES AND/OR SLABS. FOX (63 1)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE 4, ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. OFFICES LOCATED ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 5.THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF t1/4") 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. 322 ROAN OKE AVENUE AND/OR EASEMENTS OF RECORD, IF ON A MINIMUM 3' THICK BED OF COMPACTED SAND OR PEA GRAVEL RIVERHEAD P.O. Box 1931 S.AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. New York UE ANY, NOT SHOWN ARE NOT GUARANTEED. 6.A l0' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. Riverhead, New York 11901-0965 ?ROOF OF MAILING OF NOTIC• ATTACH CERTIFIED MAIL RECEIPTS Name: Address: DONNA BLANCHARD 15 ALEXANDRIA DRIVE PITTSTOWN,NJ 08867 JOSEPH MAGANIN 535 BAY HOME ROAD SOUTHOLD,NY 11971 ROSAMOND&CHRISTINA BAIZ P.O.BOX 726 SOUTHOLD,NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E.HERRMANN doing business atEN-CONSULTANTS,INC. 1319 NORTH SEA ROAD SOUTHAMPTON,NY 11968 being duly sworn, deposes and says that on the 30th day of APRIL ,20 09 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 addressesset 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 -- - SOUTHAMPTON that th—e United--Sta-tes---Po_st__ Office at said Notices were mailed to each of said- person-s--by- --(cer--ti-fied)____ �=xxg6cExk xi) m a i l . ROBE3i E.HERRMANN Sworn to before me this 3 0 th COASTAL MANAGEMENT SPECIALIST da y o f APRIL 2009 N o t Ax you'ls 1 i c NolaryPublic SialealfleaYork .� Cor�issionNo,50159a1 Quafgied�Softo�Cossh� ,,.Cor�oississE�irosRugusl2,�°, ® MAILTm ■ ■ (Domestic Mbil • o4awrance cotrerpoee r•r cr OFFICIAL co Ln Postage $ rah M Certified Fee �� �� Return Receipt Fee b ostinarkk (Endorsement Required) H M Restricted Delivery Fee O (Endorsement Required) rU M Total Pr ca Sent To Donna Blanchard 0 o 'Street-Al 15 Alexandria Drive ""- rL or PO Bc Ct'9&1 Tittstown, NJ 08867 •--•-•• ty I -� U.S. Postal Servi G b CERTIFIED MA1LT. ,REC.F-lPT Dr a . e Er I ErI Lrl Postage $ �'` 1' MCertified Fee C3 Return Receipt Fee P fig \\. O (Endorsement Required) O Restricted Delivery Fee p (Endorsement Required) m ru TO— — m c Se° Rosamond & Christina Baiz � -- w....� M a. she P.O. Box 726 CM Southold,NY 11971 PostalC ■ M CERTIFIED MAILT�, RECEI (DOM6.qtic M,111 • r r e- r e-r Er ! • M F I _ Ln Postage $rq ��qC� ,A i Certified Fee c� C3MReturn Re cei t Fee ? (Endorsement Required) e' '': Restricted Delivery Fee ; p i p (Endorsement Required) A.l m mTotal Poster co ,Sent TO Joseph Maganin o Street ww, 535 Bay Home Road -' tti --PO BoxN- Southold,NY 11971 Ciry State,Zl I :eo --- -- r? �4%%IFFO(,�� James F.King,President Town Hall,53095 Main Rd. ti P.O.Box 1179 Jill M. Doherty,Vice-President Peggy A. Dickerson d • .g Southold,NY 11971 Dave Bergen �T Telephone(631)765-1892 Bob Ghosio,Jr. * Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ------------------------------------ ----------------------- i In the Matter of the Application of ESTATE OF EILEEN O.GOLDNER COUNTY OF SUFFOLK) I STATE OF NEW YORK) AFFIDAVIT OF POSTING. I, 4d k&wwx ,4e4&"�/db a LI - G6 yW u i l 319 01-4 Seas "oa Ny G l q W�- ' being duly sworn, depose and say: �T i That on th4fiday of M" , 200 1, 1 personally posted the property known as 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 Wed, May 20,2009 on or about 6:00 PM. Dated: i (signature i Sworn to before me this.1�6/";,— day of { 200_9-- .J Notary ublic _ '��wr RI'1N,STEPHEPtS I iT�� PlnwyPuMr•Siateol��rYo� '� F Car,�issiooNo,5015991 , �,� Dua�iedioSuSoV�Couory i •' Co�mis:iaoE�iros�ug�t2,� - I -lard of Trustees Applicati( t AUTHORIZATION (where the applicant is not the owner) /J I, �A2�li�LtG a. residing atj (print owner of property) (mailing address) do hereby authorize (Agent) EN' s�ca � 1 �`�-� • to apply for permit(s) from the Southold Board of Town Trustees on my behalf. l wner's signa r ) Board of Trustees Application AUTHORIZATION (where the ap licant is not the owLIT-Dner) � ,m, ly r vI r' 1, r' residing at 3 -7 q L k _ r ,, (print owner of property) (mailing address) SV,0 ) r1 11 � 3do hereby authorize r c � }� (Agent) f 1(1 " J 5 1 n to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner'' signature) i Board of Trustees Application AUTHORIZATION (where the applicant is not the owner -( / residing at ca I 0 Ct ✓(/( rJ (print owner of property) (mailing address) v 5 ., �� y s 3 6 do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application AUTHORIZATION rr (where the applicant is not the owner) l S- i h - D U1jhCY I, / residing at 3 W (print owner of property) (mailing address)�J�j j j LP n �do hereby authorize h C (Agent) U r 'd�w�' �✓S to apply for permit(s)from the Southo` Board of Town Trustees on my behalf. t (Owner's signature) i ' R . >ard of Trustees Applicati County of Saffbir 21-u.n sw �CAL State of lievrlvrk No rd-k--Cara lv A- . l�R 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 ENTERqNTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTIONCH RE IEW OF THIS APPLICATIO Signatu e SWORN TO BEFORE ME THIS 'DAY OF 1'-(.tip ,20-0 0p00600 neVV°' po O e o �e% a NOTARY e° PUBLIC Not6 P46lic .� v,e.eee 0- i res D� P3 aol 3 f i Board of Trustees Application County, of�saffO"1k i State of New York i / 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 SWORN TO BEFORE ME THIS DAY OF 20 'r� jo Notary Pu c i f'T tFFAN E b GAGNBN=LAW`._ w6ry Public State of Nevit"fork no. A �1t�; Qualrf e� n Nass ?3_.Qi 1�' ItTUSS101r EWNGS,M111 �+ i U Board of Trustees Application County of UP ' State of New York (1 0 Z EuAbvv) qo " Wes v` BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHEIS 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 REVI W OF THIS APPLICATION. V�DAY Signature MAN SWORN TO BEFORE ME THIS OF ,20 Notar bli ( TiFfANtEA�AGf10N=�lll�_ .,"ty'Public,State of Nwl . No.4887993 _e- -"Qual"died in Nastau �y Canmissiorr Expir�Mscch 3ti i i ' I _ I Board of Trustees Application . I I n G0 S La. County of "to k State of New York I 4 I rv-� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/S 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. I Signature SWORN TO BEFORE ME THIS DAY OF ,20 , I NotartPubV i I 1IFFANIE.b:GAGNON tAW trrotaly Public,State of NeW.1W-,. No.4887993 a vied in Nastau pl y i I I I I I I I. I i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: 6y(�� , G (Last name,first name,middle ini ial,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.) i Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business,, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP a� " kWU Submt a day of 200 Srgnatu I j) Print Name �/Jfy Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same676 YOUR NAME: Id Pile (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t day of �0.0 Signatur ��"� Print N e Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. , YOUR NAME: 6700-k (Last name,first name,middle initial unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If'.Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business,; including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of W " 0'0 Signatur F�-- Print Name Form TS 1 s I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �"� t 67 (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation' in which the town officer or employee owns more than 5%of the shares. YES NO 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 applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of / y'./-f 2001 Signature � c Print Name C.Apoflyg T— Form TS 1 i 1319 North Sea Road Southampton, New York 11968 ^^ 631-283-6360 Fax: 631-23-6136 EN-CONSULTANTS, INC. wwwe tnconsul n s.com ENVIRONMENTAL CONSULTING April 24,2009 Town of Southold Board of Trustees 54375 Main Road APR 2 9 2009 Post Office Box 1179 , Southold,New York 11971 Attn.: Lauren Standish Re: Estate of Eileen O. Goldner 435 Bay Home Road, Southold SCTM#1000-56-5-22 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including a) Short Environmental Assessment Form; b) Authorization&Disclosure Forms; and c) Site plans/surveys 2. One(1)set of site photographs. 3. Application fee of$250.00 wetlands. 4. Three(3)LWRP Consistency Assessment Forms including a) Site plan/survey. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincer ly, Robe .Herrmann Coastal Management Specialist /khs Enc.