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TR-8066A
I I James F.King,President ��p��$Uf FQ(�-cOGy Town Hall,53095 Main Rd. Bob Ghosio;Jr.,Vice President a P.O.Box 1179 Dave Bergen w Southold,NI' 11971 John Bredemeyer �� • !�` Telephone(631)765-1892 Michael J.Domino ��,( �`a� 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 1 St day of construction % constructed V Project complete, compliance inspection i James F. King, President So yO Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O . 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 119.71-0959 John Bredemeyer N �r Michael J. Domino �Q Telephone (631) 765-1892 O Fax(631) 765-6641 UM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I, Permit No.: 8066A Date of Receipt of Application: February 5, 2013 Applicant: Michael & Daryl Malter SCTM#: 111-9-7 Project Location: 4450 Nassau Point Road, Cutchogue Date of ResolutionlIssuance: February 20, 2013 Date of Expiration: February 20, 2015 Reviewed by: Trustee Dave Bergen Project Description: To replace existing block cesspool with new upgraded one in-kind. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John T. Metzger, Land Surveyor, last dated on October 9, 2012, and stamped approved on February 20, 2013. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees su�Fa�� James F.King,President O� Cp P.O.Box 1179 Bob Ghosio,Jr.,Vice-President � Southold,NY 11971 Dave Bergen y Telephone(631 765-1892 John Bredemeyer ,F, Fax(631)765-6641 Michael J.Domino Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: d Mark Schwartz, Architect on behalf of MICHAEL & DARYL MALTER request an Administrative Permit to replace existing block cesspool with new upgraded one in-kind. Located: 4450 Nassau Point Road, Cutchogue. SCTM# 111-9-7 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound < Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment XCNdministrative_Emergency Pre-Submission Violation Info needed: A06- A( A (I Q k Modifications: Conditions: Present Were: J. King _ B. Ghosio '�_D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: i �� �s . ►► �, , '►,r���, j �� ��- _�;' � ����� ;><�►` awe �� - _ / N / \ pltx-Po ,x.Osm td/ ..\ '•! ► 'N, :�� O ""t taNa � r 2•r tr 4 ♦ ♦ — Se / / ,S P, \• otw _ ®�\\\ ', i-. _{iru- +ro ' * A t F I < <A "' e.\°3rM' • \ t,A 6y 17 NIy, \... 11 A y( +_- � N n n 10 ..P P D* • 1e ! F �� 1e1 s• ".3 pout�-,m eYq 1 d a •/ 1 •. V P e n ) r P P 3 j3 • / � / P le d^ \ i +1 b ♦ /'� ow )!'O 4 t _______ tWq ai 1\ P a a t" a O"'"' P 4 •� \ Iwo � �• r•'aiD, \: / ______ IeuV•1 ""p t\ ^, < f.tN. 1 a • f-W •. \\ a P � ^ U'"- �'i. .x ta: r .• d< ~ t/ / �u9Ma P f.w 1 r' lr� r HS • a - ,.\^^rI, K _-3 do------ '•"a 21: �. • a / ' EfyE1A 1 xWq ® 11Nc1 w' �' \ 1 .Pf FOE SEC nN0� E\ /, `1 / Au' sE w,a„� S'" a P, • \ —_�---uw fa 1 o S '• NOTICE COUNTY OF SUFFOLK © K v Ilurlrsa sECTION NO E „_�� —�— pti y O r� ---- -- -- RealProparty Tex Service Agenq v taln E�u� - ___ ___ �� _—__ - -- Yriryi c^•^M1rw..e...nT„wt N t nt wu" ��� p�� n r Ix,Nq�,iu r ��u� r —�•�� rr--�-- w�..INF •...0 N ® P to 4ACt•D 11\\ PROPErtTV MAP OFFICE LOCATION: ��OF SOUT�O MAILING ADDRESS: Town Hall Annex ,`O l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) cn Telephone: 631 765-1938 Southold,NY 11971 Fax: 631 765-3136 COUPM,��v LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM E C-E V 1 To: Jim King, President Town of Southold Board of Trustees F E B 1 5 2013 From: Mark Terry, Principal Planner LWRP Coordinator Southold Town oard of Trustees Date: February 13, 2013 Re: Proposed Wetland Permit for of MICHAEL & DARYL MALTER SCTM#1000-111-9-7 Mark Schwartz, Architect on behalf of MICHAEL & DARYL MALTER request an Administrative Permit to replace existing block cesspool with new upgraded one in-kind. Located: 4450 Nassau Point Road, Cutchogue. SCTM# 111-9-7 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 Policy Standards and therefore is CONSISTENT with the LWRP provided that the Board consider relocating the leaching pools to 100' from top-of-bluff(not shown) to meet Chapter 275 Wetland and Shoreline regulations. The site is served by public water. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application j Administrative Permit Amendment/Transfer/E ension Received Application: a 13 F E B 5 2013 -- Received Fee:$ /06 Completed Application a 13 _Incomplete Southold Tow _SEQRA Classification: B ar o Tr e Type I Type R Unlisted _Coordination:(date sent) _X__LWRP Consistency Assessment Form (e _CAC Referral Sent: Date of Inspection: 3 /3 _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: Public Hearing Held: c_D 13 Resolution: Name of Applicant Michael and Daryl Malter Address 4450 Nassau Point Road, Cutchogue, NY Phone Number:( ) 73¢ S�l 01 Suffolk County Tax Map Number: 1000 - 111-09-07 Property Location:4450 Nassau Point Road, Cutchogue, NY (provide LILCO Pole#, distance to cross streets,and location) AGENT:Mark Schwartz,Architect (If applicable) Address:PO 933, Cutchogue, NY 11935 .Phone: 73 4 -¢ fX S� ,rd of Trustees Applicatic GENERAL DATA Land Area(in square feet):gross: 38769 sq ft,to bulkhead: 36096 sq ft Area Zoning: R40 Previous use of property:single family residence Intended use of property:single family residence Covenants and Restrictions: F] Yes _0 _N0 If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes No If"Yes",please provide copy of decision. Will t i�. ject require any-tiemolition as per Town Code or as determined by the Building Dept. Yes No Does the structure(s) on property have a valid Certificate of Occupancy Yes_nNo Prior permits/approvals for site improvements: Agency Date FEA!f� 3 Z sr 1 2 0 0 6 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by vernmental agency? ✓ No-_Yes If yes,provide explanation: Project Description(use attachments if necessary): replace existing block cesspool with, new, upgraded one in kind ',rd of Trustees Applicati<, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: replace existing block cesspool with, new, upgraded one in kind Area of wetlands on lot:2673 square feet Percent coverage of lot: 11.7 % Closest distance between nearest existing structure and upland edge of wetlands:60.7(terrace) feet Closest distance between nearest proposed structure and upland edge of wetlands:none feet Does the project involve excavation or filling? No M _Yes If yes,how much material will be excavated?50 cubic yards How much material will be filled?45 cubic yards Depth of which material will be removed or deposited: 12 feet Proposed slope throughout the area of operations:+/-5% Manner in which material will be removed or deposited: Excavated shall be used for final grade, new fill for septic shall be contained on property. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed work shall have a positive impact on the wetlands and tidal water through the installation of new, upgraded, septic system PROJECT 1D NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME Mark Schwartz midtff HMO &PROJECT LOCATION: Municipality Southold County WHO 4 PRE RE LOCATON: Str t ,(1d ®and+F g Intersections. Prominent landmarks etc -or provide mao c� �y S.IS PROPOSED ACTION: Li New EExpansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: remove and replace existing block cesspool with like in kind 7.AMOUNT OF LAND AFFECTED: Initlallyno chart acres Ultimately no change acres S.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Eyes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) 7 Residential Industrial Commercial F-JAgriculture 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) FlYes ❑✓ No If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes 7No If yes, list agency name and permit / approval: 12. AS A BUULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es LJJ No I CERTIFY THAT THE INFORMATION �14OVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Na / v! 4le 1C C. 47f-f Rx- Date: Si nature ©�Lo'�a If the action Is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II- IMPACT ASSESSMENT To be completed by Lead Agency). A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process,and use the FULL EAF. Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes [Z]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: . C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: . .. ..._...... C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7..Other impacts(including chap es"in use of either quantitX or!Xee of ener ? Ex lain briefly. - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA? Jlf es,explain briefly: Yes a No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: ❑ Yes 0 No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary,the reasons supporting thi determination. Board of Trustees O/7 Name of Lead Agency Date J 0,91FS F• A) President President p Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer 5iffinature of Responsible Officer in LeatloAgency Signature of Preparer(If different from responsible officer) ',rd of Trustees Applicati< * to ra R- County of Suffolk State of New York /t�, `(- G Z__ 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 AP ATION. Signa e SWORN TO BEFORE ME THIS DAY OF ��,��j ,M Notary Public VICKI TOTHpp Notary No.01W6190696 York 'Qualified in Suffolk Coun{{yy Commission Expires July 28. rd of Trustees Applicatic AUTHORIZATION (where the applicant is not the owner) I, 14 A- (,Y35itresiding at 4- ¢Z 1r A4�--r-w 1:27- 1 (print own r of property) (mailing address) C-,(,17L & do hereby authorize (Agent) N1W tC rLjo apply for permit(s)from the Southold Board of Town Trustees on my behalf. e s (tgnature) APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of!an officers and employees The puraose of this form is to provide information which can alert the town ofpossible conflicts of interest and allow it to take whatever action is new to avoid some YOUR NAME: Mark Schwartz,Architect (Last name,first name,ipiddle 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 Z_ 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): EJA)the owner of greater than 5%of the shares of the corporate stock of the applicant LL (when the applicant is a corporation); B)the legal or bencfrcial owner of any interest in a non-corporate entity(when the 4 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 200 I,3 Signature. Print Name Fotm TS 1 ask Town of Southold Nil Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.I&M THE FOLLOWING ACTIONS MAX REQUIRE THE SUBMISSION OF A 4!111 1000 ill 09 07 _STORM WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN "6 s�trTct' eT . -m -ut CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORIL SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F./A—) (This item will include all run-off created by site b. What is the Total Area of Land Clearing 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? (S.F.!Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION m-kraAWtlo*Pam-NeedA Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and replace existing block cesspool with new, upgraded Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion one in kind and sediment control practices that will be used to control site erosion and storm water discharges. This Item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or / Excavation where there Is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area In Excess of Five Thousand a ✓/ (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities Involving soil Beads? disturbances of one(1)or more acres: Including disturbances of less than one acre that 7 Will there be Site preparation on Fadsting Grade Slopes are part of o larger common plan that ing soil disturb one or more one (1 eland; which Exceed Fifteen(15)feet of Vertical Rise to ❑ including Construction activities involving sol!disturbances of less than one(1)acre where One Hundred(100')Of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious a for Storm Water Discharges from Construction activity-Permit No.GP44"01.) Surfaces be Sloped to Direct Storm Water Run-Off / 1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI shall be 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 Q WiII this Project Require the Placement of Material, required,postconstructlon storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ❑ constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder terms compliance with the and conditions of this parmiL In addition,the SWPPP shall Area?tlhfs item will NOTlnclude the Installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management praetrce In a Box and the construction site disturbance is between 5.000 S.F.&1 Acre rn area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to lasuence of Any Building Permit. (NOTE: A Check Mark(4)and/or Answer for each Question is Required for a Complete Applicagon) STATE OF NEW YORK, �F�U L /� COUNTYOF........... .............................SS That T,........,1.....! /�.......G ....b rie n duly sworn,deposes and says that he/she is the applicant for Pemii% (Name of inkrmvidual signing Document) Andthat he/she is the ............................................................... 1.... . ........ ...}............................................................... (Owner, tractor,Agerlt kxate ,etc 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 knowledge and belief;and that the work mill be performed in the manner set forth in the application filed herev6di. Sworn to before me this; �b / .............r........ ...... of.r ....................... ......... ... .TICA m of NeW York Notary Public: .1 ...... ..........MOmNbor"-Of ........................................................................... 40 n g()ffoik County (signature of Applleanl) FORM - 06110 Commission plc Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# 111 _09 _07 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit,approval,license,certification: ✓� Nature and extent of action: replace existing block cesspool with, new, upgraded one in kind Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ✓❑ Yes ❑ No ❑ (Not Applicable—please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintenace of the well vegetated area buffering the developed portion of the site from the tidal wetlands of Little Peconic Bay. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable—please explain) The project does not address nor affect erosion control structures or other erosion/flooding control initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable—please explain) The proposed project is consistent with Policy 5 via upgrade of existing cesspool system. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑No (Not Applicable—please explain) This project will be consistent with Policy 6 for the same reasons described for Policy 5; because there will be no loss Location of action:4450 Nassau Point Road, Cutchogue, NY Site acreage:•89 Present land use:single family residential Present zoning classification: R40 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:Michael and Daryl Malter (b) Mailing address:4450 Nassau Point Road, Cutchogue, NY (c) Telephone number:Area Code( )(631)734-5101 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ❑✓ (Not Applicable-please explain) This project entails replacing existing cesspool to the existing single family home in a heavily developed neighborhood. Policy 1 is not applicable to the project. 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—please explain) The subject property does not contain nor does the project affect historic or archeological resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. of wetlands and because the statutory and regulatory requirements of both the Soutnold Town Trustees and the New York State Department of Conservation will be complied with. 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. See Section III—Policies Pages; 34 through 38 for evaluation criteria. ❑ Yes ❑No❑✓ (Not Applicable—please explain) The project will neither affect nor have an impact on air quality in the Town of Southold, Policy 7 is not applicable to the project. 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 evaluation criteria. ❑Yes ❑ No 0 (Not Applicable—please explain) The project will neither create nor rrequire the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No❑ (Not Applicable—please explain) The project is limited to the upland portion of the property, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ✓❑ (Not Applicable—please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to the project. 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—please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the living marine resources of Long Island Sound. Policy 11 is not applicable to the project. 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❑ Not Applicable—please explain The project site is neither situated on nor adjacent to agricultural lands. Policy 12 is not applicable to the project. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No❑ Not Applicable—please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. i N GARAGE SANITARY SYSTEM (0.5 BATH) SURVEY. OF PROPERTY 1,000 GALLON SEPTIC TANK AT NASSAU POINT [1] 1] 8' DIA. x 12' DEEP LEACHING POOL TOWN OF SOUTHOLD r WITH 3' SAND COLLAR 3' ABOVE GROUND WATER SUFFOLK COUNTY, N. Y, �� W000 RETAINING WALLs EXISTING WELL TO BE ABANDONED 1000-111-09-07 s a wAu SCALE: 1'=30' 0`o�c SEA SA E�0°c`Asn°" °I� 39 13 Wgs D FEBRUARY 2, 2012 exls�NG w poa cr; y 1,.OS 26 TO e _641 LEASING WG WA-�4• F-3 APRIL 11, 2012 (PROP. GAR.) ``1NG) wITN Wow RESp1N J L+ APRIL 16, 2012 (REVISIONS) QD USV,"0WN WAV W AUGUST 28, 2012 (REVISIONS) ) TIc LocA�ON 2gN 1ss 00 STAIRS rA D OCTOBER 9, 2012 (FOUNDATION LOC. & REVISION sEp FE - _ Wo _ _ EER FEN 'SX x� Xx EXISTING SP TIC YSTEM # EU t 2013 ....... N78.365p 'c �g roc�X�x WAE LDONED� �cP 0 C� onthoid TomdofThIs o ^� '—-�2 _ — x (To BE AakNtA P J�\ _ _ "'' k1'2 �a.e , CD CE � r B.B. �t �` �� s� ^' 7 2 � 'A CI Z GRAVEL `pT 277 0 Z Q+ �► 03 TEST HOLE DATA o ✓ �.4 BY McDONALD GEOSCIENCE k 9 pit 2/2/2012 �N� / \% MIN. STONE ST ' ° 10 f WAS AIRS o S BROWN SILTY SAND SM O�y MIN +72.3' (� TES HOLE v r� \1ELT 72 gg 1, Wow RETAKING W 38A.13s PALE BROWN FINE SAND SP ! 25 0 ' J APPROVED BY 17' EEAD _4 M K WRS RETA/KING WAI'- BOARD OF TRUSTEES WIR _ FOLf _ __ oT 28 TOWN OF SOUTHOLD paE - - .36'50 �pWE NG) 57$ �'u OWI•I A MON - SEpnc LOCAnON VNKN DATE Z 0.8 5 2.1'E Elevations referenced to N.A.V.D. '88 10 I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the ' pAD Y r permit to construct. LATER ARPE t R � The location of public water, wells and cesspools shown hereon are from field observations and or from data obtained from others. 4 F -� N. Y S.:�6_C)INO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ECON1C SOPVEYORS,-P C. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. _1 765-5020 63 `FA)e 6J1 765-1797 EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS LOT NUMBERS REFER T0. AMENDED MAP A OF. NASSAU _ P_ _-.� . HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF AREA-38,769 SO. F7. � POINT CLUB PROPERTY INC" FILED IN THE SUFFOLK �P.CJ BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR TO Tf; LINE COUNTY CLERK'S OFFICE ON AUGUST 16, 1922 AS MAP NO. 156. 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. 1,2-11 D SOUTHOLD, N. Y. 11971 i