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HomeMy WebLinkAboutCITARDI, JOSEPH NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ® EFFECTIVE DATE NUMBER � 4/4/88 .88-0009 EXPIRATION DATE(s) ,rYIPROGRAM NUMBER(s) PERMIT Under the Environmental Conservation Law 12/31/93 N/A a 6NYCRR 608: Article 25:Article 15, Title 3; 6NYCRR 327, � Water Quality Certification Tidal Wetlands 328, 329: Aquatic Pesticides Article 27, Title 7; 6NYCRR 360: Article 15,.Title 5: Article 17, Titles 7, 8: SPDES Solid Waste Management* Protection of Water Article 27, Title 9; 6NYCRR 373: Article 15 Title 15: Article 19: Hazardous Waste Management Water Supply F Air Pollution Control* Article 23, Title 27: Article 34: Article 15, Title 15: Coastal Erosion Management Water Transport Mined Land Reclamation Article 24: Article 36: Article 15, Title 15: Floodplain_ Long Island Wells � Freshwater Wetlands Management 3 17, 19 27 37; Articles 1, r , Article 15, Title 27: N—New, R—Renewal, M—Modification, 6NYCRR 380: Radiation Control Wild, Scenic and Recreational C—Construct (*only), 0—Operate (*only) Rivers PERM(�pSep�T�itardi ADDRESS OF PERMITTEE 26 Rustic Rd. , Greenwich, CT 06830 7DINATES AGENT FOR PERMITTEE/CONTACT PERSON NY 1 1944 Peconic Assoc. , One Bootleg Alley, Greenport, NAME AND ADDRESS OF PROJECT/FACILITY(If different from Permittee) COUNTY TOWN�CITY/VILLAGE LOCATION ong FIsln PROJECT/FACILITYSound Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Reconstruct a single family dwelling and associated sanitary system in accordance with. the NYSDEC approved plans enclosed. GENERAL CONDITIONS By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compli- ance with the ECL,all applicable regulations and the conditions specified herein or attached hereto. signated e special conditions,a notice of 1 The k at permittee east 481hours in advance of the timepof commencement permit andadministrator, nor other tify him/her promptly n1 writing of the completion of the wlorkntion to commence ded if 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspen the public interest so requires pursuant to ECL§71-0301 and SAPA§401(3). ty for all 3. The permittee suffered,arising out of the project described eheein end has agreed to indemon of the application, nify and save harmless al lthe State from om suits,actions,amages,direct or'damagesand costs of every name and desc ip- tion resulting from the said project. 4. The Department reserves the right to modify, suspend or revoke this permit at any time after due notice,and, if requested, hold a hearing w en. a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found;or b) the permit was obtained by misrepresentation or failure to disclose relevent facts;or c) newly discovered.information or significant physical changes are discovered since the permit was issued. 5. The hermet pemitea is re P n later r kee30 days perm it actsys or SPDES or'Solid or Haza duouslWastelManagement perm permits)prior to heplemenuding any forms,fees or sutexpf expiration al information which hick may be required ittby t p or interfere 6. This m fled workf notor a be construed tas he impairment of any rights,anytitl right interespa st in real or personals property held'or vested inaa pe son not a of epa ty to thein order operrmit.rm the P 7. The permittee is responsible for obtaining any other permits,approvals, lands,easements and rights-of-way which may c required for this project. b. 8. Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms,conditions,or requirements contained in such order or determination. 9. Any modification of this permit granted by the Department must,be in writing and attached hereto. enal ADDRESS PERMIT ISSUANCE DATE PERMIT AD INIS RATO Bldg. 40 SUNY rm. 219 Stony Brook, NY 117 4 AUTHORIZED SIGNATURE Page 1 of 3 cc: BMHP FRANK A. KUJAWSKI, JR., President ® TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III (516) 765-1892 JOHN L. KI, JR HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 19, 1988 Mr. Merlon E. Wiggin, Ph.D. , M.E. President Peconic Associates, Inc. One Bootleg Alley P. O. Box 672 Greenport, New York 11944 Re: Joseph F. Citardi - 1000-044-01-22 Dear Mr. Wiggin: Please be advised that the Town Code has been amended to "Delete" the word "Sounds" from the Wetland Ordinance (Local Law No. 10) . The Town Trustees have no jurisdiction regarding the above matter. Should you need any additional information please contact this office at 765-1932. Very truly yolfs, Frank A. Kuj ski, Jr. President Board of Town Trustees FAK:ip PECOMCAssoCIA ES, INC.- Engineering, Marine & Energy Consultants E n v i r u n to e n t a l Planning One Buutleg.Alloy P.0, Box 67 1. Croennurt,New Yurk 11944 (5 t6)477.0030 April 25 , 1988 Southold Town Board of Trustees Southold Town Hall Main Road - 53095 Main Road P . 0. Box 728 Southold , L. I . New York - 11971 Re : Joseph F. Citardi Tax Map No . 1000-044-01 -22 Gentlemen : Enclosed for your information is a copy of the New York State Department of Environmental Conservation Permit Number 10-88-0009 for the above referenced project. If you have any questions , please do not hesitate to contact this office . Sincerely , PECONIC ,ASSOCIATES, INC. 0 J A' Mer o �W' -gin , Ph . D. ,M. E. Presir fj, cc : Mr. Joseph Citardi c i New York State DeP prtment of Environmental Ccinservation Regulatory Affairs Unit oboe Bldg. 40, SUNY, Rm. 219 Stony Brook, NY 11794 Thomas C, Jorling commissioner (516) 751-7900 April 4, 1988 Joseph Citardi 26 Rustic Rd. Greenwich, CT 06830 Re: 10-88-0009 Dear Mr. Citardi: In conformance with the requirements of the! State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please cont4ct us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site .and protected from the weather,. _ Very tFuly yours, Dennis W. Cole Senior Environmental Analyst . enclosure Q 95-20-E.(9/86)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION �.._ ... DEC PERMIT NUMBER 0 f:FFECTIVE b,AjE 10-88-0009 4/4/88 FACILITY/PROGRAM NUMBER(s) PERMIT EXPIRATION DATE(s) Under the Environmental-Conservation L;lw N/A 12/31./93 Article 15, Title ; 27, 328, 329: Aquatic Pesticides des � Water Quality� Article Certification � Tidal I Wetlands Article 15,F7 Protection of ItWat r SPDES 17, Titles 7, 8: Solid Waste Article 27, TlManagementle 7; t* 360: ArticL�1 Water Supply S pplytle 15: Airlcle Pollution Control* Hazardous W: Article 27, aste�M nage Management 3 Article 15, Title 15: Article 23, Title 27: Article 34: Water Transport Mined Land Reclamation Coastal Erosion Management Article g Island W S ells Freshwater r Wetlands F oodplaincle 24: Article � Long Management Article 15, Title 27: N-New, R—Renewal; M-Modification, Articles 1, 3, 17, 19, 27, 37: Wild, Scenic and Recreational C—Construct (`only), 0—Operate ("only) 6NYCRR 380: radiation Control Rivers Q PERMLToseph T`itardi ADDRESS OF PERMITTEE 26 .Rustic Rd. , Greenwich, CT 06830 AGENT FOR PERMITTEE/CONTACT PERSON TELEPHONE NUMBER Peconic Assoc'. , One Bootleg Alley, Greenport, NY 11944 477-0030 NAME AND ADDRESS OF PROJECT/FACILITY(If different from Permittee) LOCATION OF PROJECT/FACILITY COUNTY TOWN/CITY/VILLAGE UTM COORDINATES Long Island Sound Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Reconstruct a single family dwelling and associated sanitary system in accordance with the NYSDEC approved plans enclosed. GENERAL CONDITIONS By acceptance of this permit,the permittee agrees that the permit Is contingent upon strict compli- ance with the ECL,all applicable regulations and the conditions specified herein or attached hereto. 1. The permittee shall file in the office of the appropriate regional permit administrator,or other office designated in the special conditions,a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires pursuant to ECL§71-0301 and SAPA§401(3). 3. The permittee has accepted expressly,by the execution of the application,the full legal responsibility for all damages,,direct or indirect,of whatever nature,and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name end descrip- tion resulting from the said project. 4. The Department reserves the right to modify,suspend or revoke this permit at any time after due notice,and, if requested,hold a hearing when:. a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found;or b) the permit was obtained by misrepresentation or failure to disclose relevent facts;or' c) newly discovered information or significant physical changes are discovered since the permit was issued. 5. The permittee is responsible for keeping the permit active by submitting a renewal application,including any forms,fees or supplemental information which may be required by the Department,no later than 30 days(180 days for SPDES or Solid or Hazarduous Waste Management permits)prior to the expiration date. . 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights,title or interest in real or personal property held or vested in a person not a party to the permit. 7. The permittee is responsible for obtaining any other permits, approvals,lands,easements and rightsof-way which may be required for this project. 8. Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms,conditions,.or requirements contained in such order or determination. 9. Any modification of this permit granted by the Department must,be in riting and attached hereto. PERMIT ISSUANCE DATE7 PERMIT AD INIS RATO ADDRESS ---414/88 Alfred T. Kellar Bldg. 40 SUNY rm. 219 Stony Brook, NY 117 4 AUTHORIZED SIGNATURE Page 1 of 3 cc: BMHP 95-20.6a(1186)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(Title 5), 24, 25,34,36 and 6 NYCRR Part 608( ) .10. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized,or project. if, in the opinion of the Department of Environmental Conservation 14.•Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work,obstructions, or hazards caused 15. There shall be no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit,the project hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed,the applicant shall,without expense pleted, the owners, shall,without expense to the State, and to such to the State,and to such extent and in such time and manner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require,remove all or Conservation may require,remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of and flood capacity of the watercourse.No claim shall be made against New York on account of any such removal or alteration. the State of New York on account of any such removal or alteration: 17. If.granted under Article 36, this permit does not signify in any way 11 That the State of New York shall in no case be liable for any damage that the project will be free from-flooding. . or injury to the structure or work herein authorized which maybe caused 18. If granted under 6 NYCRR Part 608,the NYS Department of Environ- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or improvement of navigation,or for other purposes,and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 12. Granting of this permit does not relieve the applicant of the responsi- (PL 95-217)provided that all of the conditions listed herein are met. bility of obtaining any other permission, consent or approval from 19. All activities authorized by this permit must be in strict conformance the U.S.Army Corps of Engineers, U.S.Coast Guard, New York State with the,approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required. of the permit application. 13. All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by of any wetland or waterway by suspended solids, sediments, fuels, solvents,lubricants,epoxy coatings,paints,concrete,leachate or any on SPECIAL CONDITIONS There is to be no disturbance to vegetation or topography within 25' (seaward) of house. All roof runoff is to be directed into drywells. Driveway is to be constructed of pervious materials. Supplementary Special Conditions (A) thru (J) attached. DEC PERMIT NUMBER PROGRAM/FACILITY NUMBER Page of r New York State Department of Environmental Conservation p . NOTICE gar The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted on this site. For further informa- tion regarding the nature and extent of work approved and any Departmental conditions_ on it, contact the Regional Permit Administrator. listed below. Please refer to the. permit number shown when contacting the DEC. Regional Permit Administrator Permit No. Expiration Date 63 /0 9j 9 -20-1(11184 NOTE: This notice is not a permit 10.5 � I srk r o h ►.da ti��. �0' IEXISTIN PINE • 7fr 03.•20 - W. _ _ p� f ; ScRe N1H5 TO BE RENS1, P 4S RfqulReD LOT COVERAGE: 17.9 9/o r 1 PUBLICS WATER IN STREET; �. Q I1. 28 rL 10.72 NORTH ROAD �( C.R. 48 ) /d 6 b '-Rnr,' I • AREA 15, 207. 5 SQ.FT. 600 '- . to ALBERTSON LA. - OR 0. 3491 AC . totie line �QkOYtI) UI a aa05EPH F. CITARDI 'HE :WATER SUPPLY AND -SEWAGE -D'ISPOSAL -SYSTEMS 'FOR THIS RESIDENCE SURVEY OF PROPERTY WILL ,CONFORM TO THE 'STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF AT = HEALTH,. �t7® - ARSHAMOMOQUE ot -_ sicNATURE � TOWN 0 F . SOUTH OLD y .. 0 SUFFOLK COUNTY, N . Y. 044 - -0 1 - 22 ' *-.SCALE 1 /1 = 201 . OCT. 8. , 1 .987 N.Y.S.- LIC .NO. 49668 Pt CONIC S.UAVE-YORS_ _.a ENGINEERS , P.C . t 516) 765 - .5020. {P. O.• 80X .909 v 4AA1N ROAD E L EVATIONS ARE REFERENCED TO MEAN SEA LEVEL SOUTH OLD ,:N.Y .1197:1., ,etasi 87 �y;sjo i/-i9 �^ . _ 87 - 7)4 . �✓ — �t ts t PECONIC ASSOCIATES, INC. Engineering, Marine & Energy Consultants Environmental Planning `One BoodegAlley P.O. Box672 Greenport,New York 11944 (516)477-0030 March 23 , 1988 Mr. R. E. Petritsch Suffolk County Department of Health Services Wastewater Management Section Suffolk County Center Riverhead , L . I . New York - 11901 Re : Reconstruction of Citardi Residence - North Road Southold , New York H. S. Reference No. 88-SO-01 Dear Mr. Petritsch : Enclosed is a revised Sanitary Plan for subject residence in accordance with our meeting and discussion . The Owner is prepared to proceed with the installation of sanitary- systems first so that the Department of Health Services can inspect and determine the adequacy of the soil materials for drainage , as per your recommendation . If you have any further questions , please do not hesit-ate to contact this office . Sincerely , PECONIC ASSOCIATES, INC. Merlon E. Wiggin , Ph . D. ,M. E. President Enclosures : Form WWM-042 Dated 03/ 10/. 1988 Revised Sanitary Plan Dated 03/22/ 1988 cc : Southold Town Board of Trustees w/Attachments Southold Town Building Department w/Attachments Southold Town Zoning Board of Appeals w/Attachments Mr. Joseph F . Citardi w/Attachments MEW/iw D PEC NIC ASSOCIATES, INC. _.._... Engineering, Marine & Energy Consultants Environmental Planning One Bootleg Alley P.O. Box672 Greenport,New York 11944 (516)477-0030 February 26 , 1988 Mr. R. E. Petritsch Suffolk County Department of Health Services Wastewater Management Section Suffolk County Center Riverhead , L. I . New York - 11901 Re : Reconstruction of Citardi Residence - North Road Southold , New York H. S. Reference No. 88-SO-01 Dear Mr . Petritsch : Reference is made to your comments on Forms WWM-042 and WWM- 043 . 1 1 . Application has been made to New York State D. E. C. - copy attached . 2 . Application has been made to the Town of Southold Board of Trustees - copy attached . 3 . There are existing residences on either side ( P . Thorn and Lederle ) , both of which are serviced by public water supply from the Village of Greenport , and as near ,as it could be determined from property owners and surveyors , neither of which have any individual well water supply.'. 4. Septic tanks and leaching pools have been relocated on the street side of the proposed reconstructed dwelling . This places the leaching pools in excess of one hundred ( 100 ) feet from surface water as per Health Department requirements,. This relocation is also in accordance with comments received from the Southold Town, Trustees . This does , however , place both the septic tank and the two (2 ) leaching pools partially within the proposed driveway extension . Location within the driveway cannot be avoided if the existing and renewed screening is to be maintained.. Therefore , both the septic tank and leaching pools are to be reinforced for highway loads with corresponding covers and installed as .per Section 5-109 , A - 8 of the Suffolk County Department of Health Services Standards . Mr. R. E. Petritsch February 26 , 1988: Page 2 - - Because of the lack of alternatives and the agreed to compliance , can we assume that a Board of Review will not be required because of the driveway location of. the relocated sanitary system for an existing residence that is to be .modified and reconstructed? 5 . The brown silty sand with ten percent ( 10%) to twenty percent (20%) gravel is .considered suitable for . leaching materials if the leaching pools are installed in accordance with Suffolk County standards to include a backfill of clean gravel . If you have any further questions , please do not hesitate to contact this office. Sincerely , PECONIC ASSOCIATES., INC. Merlon E. Wiggin , P . . ,M. E. President Enclosures : Copy of N. Y. S. D. E.C. Permit Application Copy of Southold Town Board of Trustees Application cc : Mr . Joseph F. Citardi New York State D. E. C. Southold Town Board of Trustees Southold Town Zoning Board of Appeals File Please note the relocated Sanitary System . Jr,�x 1 Via, * ' S sin ti Ol r�O TELEPHONE (516)765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO-_ b -----DATE OF APPLICATION_ _—_--_ IDENTITY OF APPLICANT_P_e_conl_c Assoc . , Inc . for Joseph_ F. C1�dPHONE NO (516)477-0030 ADDRESS OF APPLICANT One Bootle Alley , Greenport , N . Y. TAX MAP NO. 1000-044-01 -22 AGENT Peconlc Associates Inc . --__— PHONE NO.— 516) 477-0030 PERMIT REQUESTED To_reconstruct a' one story, sinq.le�family— dwelling _ LOCATION OF PROPERTY FOR WHICH PERMIT WANTED56225 Cnty • •-Rd . , Rte . 4$—_— __ Greenport N. Y . 11944 HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION -- 26 Rusticview Rd . , Greenwich , Conn . 06830 _—___--_—_— CREEK, BAY OR HARBOR FRONTING PROPERTY_ Lon_g_ Island Sound SIZE OF PROPOSED WORK 2720 sq . ft . LENGTH 7 3 1_6 n—+------------------ -------- ---- ------ WIDTH 64' -0 " ± HEIGHT ABOVE HIGH WATER—± 12'f10- eIeyatin—_____—___— DEPTH BELOW LOW WATER N/A WATER— N/A YARDS TO BE EXCAVATED N/A YARDS TO BE FILLED N/A WIDTH OF CANAL , CREEK OR BAY FRONTING PROPERTY N/A DEPTH AT LOW TIDE N/A AVERAGE RISE IN TIDE N/A ---------------------------------------------------- y M. Hy.,Wx�x. yyy DISTANCE TO THEi1l� e, `7rIC�7l� R17ET.--_70 ' ____FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS 1N THE AREA 0FT. (see attached print) IS THIS FOR PRIVATE OR BUSINESS USE? private AREA ZONING residential MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED N/A -- ----------------------------- ------------------------ INTENDED USE OF PROPERTY one family dwelling DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE N/A AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY N/A ----------------------------------------------------------------------- DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS, COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY-1 and s cape around residence after comoletion of construction -------- ------------------------------------------------------------------------ WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, 1F NOT THE SAME AS THE APPLICANT. Lsee attached ) ,------___M__--------_------------- ------------------------------------------------------------------------ ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? NO I I . V � COUNTY OFI SUFFOLK ) STATE OF NEW YORK ) SS: MERLON E: WIGGIN BEING DULY SWORN DEPOSES AND SAYS 'THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ,ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL DE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWNIBOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE 'ITOWN OF .SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. c- SIGNATUR OF APPLICAN SWORN T`OO ,BEFORE ME THIS pl is DAY OF 1 9 ELM Aiify pinStato t Ft of Nw Yw� NOTARY PUBL 1 C fled In Suffoot COtit& EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER, 97) APPROVED "BOAT, DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED " WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS , DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS , IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 qpE101s A ..f..-._I .._� EAf ENMIflt NkNTAL ASSESSMENT PART I prrirct InhiwaRlrn NOTICE: This dOCIANOT •: gocivit" tG istltt IN iitirel/1e9 whither the action Proposed tits have a significant conside effect an the «1virenairnt. Please Comelete the entire Data Short. Answer 'to these Quo l0ns evil be Considered as NMitionel Wlicatloft fyeY be1ww10�11 bey be subject to Wded to CgWJets MILTS 2her landtjlon and Public review. provide y It is •ioOctee teat coaletion of tw EAi will be dependent On Information Currently available and will not involvi a" studies, riseirch or lnveetveitlOn. If information rehulrine such additional wort is unavailable. to indicate and specify each Instance. .� O`��ECT: NA An JWDRESS Of MINER (If Dlfferentl Joseph F. Citardi - ape 26 Rusticyiew Road ARMES% AN RAMS Of RNLI AUNT: (Street Greenwich , -.Conn . 06830 tau - 1616 r[UP One -Bootle A11-e. . _.. ... . . w�l.ss ilioNE: (212 ) 824 trw � Green port , 11944 - tete P DESCR'►T IM Or ►WECT_• (Or+of.ly ascribe type of project or action) reconstruct._ a one story , nq on 56225 Cnt� Rd , Rte . 48 , Greenoort , single family dwel.li New York (PLEASE CWLETE EACH QUESTION - indicate M.A. 1f not aPPltcable) A. SITE 06CRIiTI0i ' (Physical settint of o4r,all projeit. bide ioielontd and undeviolooid areas) 1. Geiirral eilaraetir of the li": renerally ufiilfore elope - X 4rneially weever and roll Ina or irregular ur:.n • lii/wstrtal ,_ . cow.rclal Suburean X Rural __, forest 2. Present land rrsi:. AOriculture �• t er 7. total acreage at erojoet 8144:•M91 !rw• AaoretlMtr aereap: 'resiitty After CONj110tlon presently After Coaiplatio, Meedow or /rushlan/ �crrf _��tres litter Suriace Area acres __ .c". acres acres Uhvegetated (rock. Forested -- e+rth or fill) _--acres __-.a c re Agricultural acres __acres �--• Roads. buildings and other paved `Inland (freshwater or surfaces _�Cres —_acre Tidal AS per Articles • 1 5• acres • 1.5 acres or Q.C.L.! Other (Indicate tint) .2-0—aeres .20aere residential lot liro act seta! a. 'Oat is ^redowinant sb11 type(tl 1 —...--— --- - -- -'- ,. a tre :mere D►drota outcrl6ieos on +rnlict•sit�' -_—Les X_!k _(i, r.et) I "At is dpatn tc Dedrec►? . 6. Aaproxinate percentage of proposed oroJect site with $loges: 0-101 1I-151:. t; IS: or greater :. 7. Is project contiquoui,to. or contain a buildinn or site listed on the National Register of Historic Places? ---Yes, 1111 No B. What is the depth to the water tablet —to—feet 9. Oo hunting or fishing opportunities presently exist in the project area? Yes -!—NO 10. Does project site contaif any species of plant or aniMi life that is Identified as threatened or endangered - _ V es )l •b, according to - Identif.y NtM species 11. Are there eny tin14ue Or unusual land forms on the project $1907 (1-4- cliffs, dunes- ether 9ee1091ca1 , formations - __.Yes ._�No. (ascribe — 12. is the project siq presently used by the community or nNgMorhood As an Open space or recreation area —des x No. 11. Does the present site offer or include scenic viers or vistas thorn to be important to the Community? _Yes NO 14. Streams within Or contiguous to project area: a. Nam of stream and now of river to which 1t is tributary N/A 15. lakes. Ponds. Wetland areas within or contiguous to project area: a. (lame N/A : b. Size (in acres) _ 16. What is the dominant land use and zoning classification within a 1/4 tulle radius of the project (e.0. single family residential. 0-2) and the scale of delueloptaalit (e-g. 2 story). ,. PROJECT DESCRIPTION 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned by project sponsor .3491 acres. b. Project acreage developed: -20 acres initially; •2 0 acres ultimately. C. Project acreage to remain undeveloped ._15 i d. Length of project, in miles: N/A (if appropriate) e. If proi ,�tn.1s an expansion of esistlnQ, indicate percent of expansion proposed: building square foot- age _' Q L —; developed rtreage Lys• f. Number of off-strrt parking spaces existing 2: proposed .2 g• Maximum vehicular trigs generated per hour N/A (upon completion Of project) h. if residential: Number and type of housing units: One family Two family Multiple family Condominium Initial Ultimate r ._ i If: Orientation •!eighborhood-CIty-Regional Estimated Employment Commie rc i a 1 Industrial Total height Of tallest ^rbilosed struCture 18 feet• 2. Now much nature) materi.l (i.e. rock, earth, etc.) will be removed from the site - 0 >Ans QCubic yards. 3. Mow many acres of vegetation (trees, shrub%, ground covers) will be reroved Iron site - acres. s. Will any mature forest (over 190 years old) or other locally-importent vegetation oe removed by this project? Yes -!_No S. Are there any plans for re-vagetation to replace that removed during construction? X.._Y Yn NO 6. If single phase project: Anticipated period of construction 12 'months, (including demli tion). 7. If multi-phased oroject: a. Total nvAbor of phases anticipated b. Anticipated data of comoncemsnt phase rJ month 88 ear (including demo)ition) C. Approximate completion dots final phase 1_2 month 88_year. d. Is phase 1 financially de4ent On subsequent phases? Yes X No pee a. Will blasting occur during constructionf Yes X No ^ 9. Number of Jobs generated: during construction _-- after.project is complete 8 . Ia. Number of Jobs eliminated by this project 0- _ II. will project require relocation of any projects or facilities? Yes X - No. If yes, explain: X 12. a. Is surface or subsurface liquid waste disposal Involved? ales No. b. If yes, Indicate type of waste (sewage, Industrial, etc.) ,. C. if surface disposal name of stream Into which effluent will be discharged 13. Mill surface area of existing .lakes. ponds. streams. bays or other surface waterways be increased or ascressed by proposal? Yes X No. la. Is project or any portion of project located in the 100 year flood plain? Yes X 1� 15. a. Does project involve disposal of solid waste? Yes X No p, If yes. will an existing sold waste disposal facility be used? Yes C. if yes, give nape: __. location Into • sewage disposal system or into a sanitary landfill? Yes NO d. .,ill any wastes not g0 -- 16. Mill project use herbicides or pesticides? _�Yss X No M Will project routinely produce odors (more than one hour oer day)? ..yes X No is. will project produce operating noise exceeding the local ambience noise levels? Yes X No 19. will project result in an increase in energy use? _Yes Yo. If yes, Indicate type(%) 15% increase in -residential electric and- heat - NIA ils/minute. 20. If water supply is from wells indicate Pueaing capacity 9 21. Total anticipated water usage per day 22. Zoning: a. What is dominant toning classification of site? _residential b. Current specific toning classification of site _Uaident A _ C. !s or000sed use consistent with present 20ninq? yes d. If no. 'indicate desired zoning i " 4 ZQ, Approvals: A. is any Federal permit required' _ ref -A—NO b. Does project involve State or Federal funding or financing? __tes _-No i C. Local and Regional approvals: Appproval Required Submittal Approval (Yes. No) (Type) (Dace) (Date) City. Torn. villagi bard --- City. Tom village planning bard _ City.tre n Zoning bard City. it ,Health Department _= n12187 Other agencies Tows Trustees _ —1— Other g oval aganciaS State Agencies _— Federal Agencies c. INfOMMTIONAL DETAILS Attach any addttienal information IS way N seeded to clarify your protect. if there are or maK N any t adverse IMAM associated With tN proposal. pleaN di Cuaa Wch le�acts and the yawns Mllc can N taken to mitigate Or a iRE►AJIER'S SIGNATURE: President TITLE: REPRESENTING: Joseph F. C i t a r d i DATE: 12/21/87 3 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *'/a mile *1 mile Essentially undeveloped ❑ ❑ Forested ❑ ❑ Agricultural ❑ _ _ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *'/z mile ❑Yes ❑No *1 miles ❑Yes ❑No *2 miles '-❑Yes El No *3 miles ❑Yes ❑No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or.unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ 2 14.14-11 (2r87)-9c 617.21 SEAR Appendix S State Environmental Quality Review visual EF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-'A 1/a-1/2 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? • An overlook or parcel of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park.Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ . scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ ❑ ❑ ❑ ri, • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) ❑Yes ❑No 3. Are any of the resources checked in question 1 used by the public during the time of year during which the project will be visible? ❑Yes 0 No 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate- Large ; Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change ❑NO` ❑YES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No project is located is likely.to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes El No' • Proposed action will cause a change in the density of land use. ❑ ❑ El Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ El Yes El No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ _ ❑' ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ❑NO OYES If Any Action in Part 2 Is Identified as a.Potential Large Impact or If You .Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF 1MPA1-.-'-R'TS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 IMPACT ON TRANSPORTATION 1 2 3 Small to Potential Can Impact Be 14. Will there be an effect to existing transportation systems? Moderate Large Mitigated By ONO DYES Impact Impact Project Change Examples, that would apply to column 2 � • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ Dyes ❑No • Other impacts: ❑ -0 ❑Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? ONO DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ El Yes ❑No any form of energy-in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ ❑Yes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a.major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ONO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ ❑Yes ❑No facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ El Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ []Yes ❑No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ El Yes ❑No noise screen. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ONO ❑YES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e. oil, pesticides, chemicals, radiation, etc.)in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ - ❑Yes ❑No form (i.e. toxic, poisonous, highly reactive,•radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous waste, • Other impacts: ❑ ❑ ❑Yes ❑No 10 1 2 3 Small to Potential Can Impact.Be Moderate Large ;Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of . ❑. ❑ El Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more - than 2.5 acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ El Yes El No land management systems (e.g., subsurface drain lines,-outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ 0 El Yes El No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ❑NO ❑YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ ❑Yes El No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes. ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the N.YS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to..column 2 ❑NO ❑YES • The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 Small to Potential Can Impact'Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ El Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ - ❑Yes El No IMPACT ON AIR 7. Will proposed action affect air quality? ONO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes []No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ ❑Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ El Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes ❑No development within existing industrial areas. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? ONO DYES, Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ ❑Yes ❑No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ El Yes ❑No than for agricultural purposes. • Other impacts: ❑ ❑ El Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ONO DYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any ,resident or ❑ ❑ ❑Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ Dyes ❑No of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? ONO DYES Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ Dyes ❑No land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 2 3 IMPACT ON WATER Small to Potential Can Impact Be 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under Articles 15, 24,25 of the Environmental Conservation Law, ECL) Impact Impact Project Change ONO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No i"' • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ❑No protected stream. - . • Extension of utility distribution facilities through a protected water body. ❑ ❑ El Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑. ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ El Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect.surface or groundwater quality or quantity? ONO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ El Yes El No • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes El No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes :❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes- []No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes []No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes El No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ Dyes ❑No 7 Part PROJECT IMPACTS AND THE MAGNITUDE Responsibility of Lead Agency General' Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project.Change ONO DYES Examples that would apply to column 2 • Any construction on slopes of 15% or.greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No .foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ El Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ El Yes ❑No 2. Will there be an effect t.. _..iy ur.,que or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)ONO DYES • Specific land forms: 0 ❑ El Yes No . . $x um 1�lii.iVo_ p ps si f 94 Ve° _ � 0 �jb�`� P '•� _' / / FOP PAPCEL•N0. IJ l OI-009 ',I\l -� SEE scc No lao $ �•� sUE1OL6 cwNTT !x Sof—x COUNT. - N e 6 \y p0 O N G 2 4.3 i9 P 336A1c1 \ ,ask\,•t '. °' w�.2 '°• .°° ° f�4, / , .dt\= P.\\\\\\L� to —� LINE _ M—A'C M o- L 1 i E :�bd YATON —LINE SEE SEE,N0.0- !-I +\ ,. \\ \\\ •1 \ A\•~ SEE SEC NO.OUM 5 .•\ \\> \\ f yp\ SEE SEC.NO 032IRE T" isIILE \\ �, u isvox or�°..�• :QNOu'` .� • xT s �exo`ei ri"uvixxwcE pc ' KEY NAP PU© COUNTY OFASUFFOLK TowNOF SOUTHOLD ...... �._�..__ .._....� ��� P..��..L� -�....-. wwr A ._w._—orwr.��w.-v -.''i:-, +. .."_'-,°.; i :e:•_ (—r ,.... grtET i.-•-'- Real.P.roparCrYo uTax I Service ...6Agency YLLA � ESP pfTRICTNO. 1000 :-- September 8 , 1987 To Whom It May Concern : This letter authorizes PECONIC ASSOCIATES, INC. to act in my behalf in making applications and securing necessary - permits relative to replacing of an existing house for Joseph F. Citardi , located on County Road 48, Southold , New York. AUTHORIZED BY : J� �7 NAME : D A T-E. �� �- HENRY P. SMITH, President o JOHN M. BREDEMEYER, Vice-Pres. :-^ (51) 765-01892 NE John Bednoski, Jr. �A`''F , a ALBERT KRUPSKI, JR. ® BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 8, 1988 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: - moans Witted herewith is application no. 603 for a Wetland _ Permit submitted by Peconic Associates, Inc. on behalf of Joseph F. Citardi. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Henry P. Smith, President Board of Town Trustees HP S:ip Attachment HENRY P. SMITH, President 5 JOHN M. BREDEMEYER, Vice-Pres. :f = TELEPHONE Lin Y (516) 765-1892 John Bednoski, Jr. ALBERT KRUPSKI, JR. ,b o B e BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 8, 1988 Mr. Robert A. Greene Alternate Regional Permit Administrator New York State Dept. of Environmental Conservation Bldg. 40, SUN_Y - Room 219 Stony Brook, New York 11794 Dear Mr. Greene: Transm_41-&d--1--^�Cewith is Wetland Application No. 603 submitted by Peconic Associates, Inc. for Joseph F. Citardi. We would like to coordinate with you in our role as Lead Agency regarding this application. May we have your comments on same by January 28, 1988. Very truly yours, ' Henry P. Smith, President Board of Town Trustees HPS:ip Attachments cc: Commissioner Thomas Jorling, D.E.C. , Albany Southold Town Building Dept. %-AFOUr, `f42 HENRY P. SMITH, President s 4. JOHN M. BREDEMEYER, Vice-Pres. [ TELEPHONE John Bednoski, 'Jr. 4' >, V (516) 765-1892 ALBERT KRUPSKI, JR. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 Date: January 8, 1988 TO WHOM IT MAY CONCERN: Attached hereto is a Long Environmental Assessment Form submitted by Pec,onic Associates on behalf of Joseph F. Citardi for a Wetland Permit on certain property located at 56225 County Road, Greenport to reconstruct a one family dwelling. � � ��c7r���✓ Henry P. Smith, President Board of Town Trustees Posted: Januar-y 8, 1988 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO-SIGNIFICANT EFFECT ON THE ENVIRONMENT DATE: APPLICATION NO. : 603 NAME: PECONIC ASSOCIATES, INC. FOR JOSEPH F. CITARDI This notice is issued pursuant to the provisions of Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as lead agency for the action described below has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: DESCRIPTION OF ACTION: To reconstruct a one story, single family dwelling. LOCATION: S.C.T.M.- 1000-044-01-22 - 56225 County Rd. , Rte. 48, Greenport. REASONS SUPPORTING THIS DETERMINATION: 1. An environmental assessment form has been submitted which indicated that there would be no adverse effect to the environment should the project be implemented as planned. 2. Because there has been no response in the allotted time from the Southold Town Building Dept. and the New York State D.E.C. it is assumed that there are no objections nor comments from those agencies. Board of Town Trustees Page 2. For further information regarding this application please contact: John M. Bredemeyer, President Board of Town Trustees Southold Town Hall Main Road Southold, New York 11971 or by calling: (516) 765-1892 cc: Commissioner Thomas C. Jorling, D.E.C. , Albany Robert A. Greene, D.E.C. , Stony Brook Stephen Mars, Army Corps of Engineers Thomas Hart, Coastal Management John Holzapfel, Chairman, Southold Town C.A.C. Victor Lessard, Admin. , Building Dept. Planning Board Board. of Appeals Town Clerk's Bulletin Board file I OF51�y/VA�'I�hi - i { ZONt A-8, (I-L.. I� J0 A. �G .r•;.-ram -- I �' i a.;0 MNW. �� 1 tic r SANITARY SY�nM ELEVATIM co FLUOR ELEVATION, - - I F?f , / • JGROUND ELEVATION.- - f ;/3,® FTSEPTIC TAKfLEACH. POOL l9 :RT - F71 TOP LEACHING POOL - ` s 1FTj ` j1,• /'7' K 80TT? LEACHING POOL - 4;,0 FT; �,,' «�.c7 AT- GROUND WATER - - - - - 2.0 FT. , .� /' D }Ci'i k lorl' 15LnN .. yNZ :,. . SEPS 1 c , o r Ad►++oew - IUPLII s..�..i • C.O.• W M1•lr.,•,:; 911 ; LL I •.>. ,�!� Hoy • . °i sr' � .., Il.k -X - 1•,. .f'. : I rA W CCAIX ITl FEET (APPR,JK) vLP.lL,6iCP romp 'f } ', Ai1!E I 1 0 o Ioou , o0 _0 o:i 8' OVA. S,T. PROOOSED I `'r RA,SC S�ADC L.I? 9%„ dRi EWAY��I� �1. 1 y��r;. IIn f PRo1lEcT /QC.t.�-tr f3f APPRox I.S' 6' ti v 'ri`:�,: * ii Y L•P (FUTIAL , ..._. Tit— �vi to . t' >t l S. 7 003• W. I.09 �:f 00 EAISTIHGG .PI;�E: i _ .r.; ,.� 4. �'i,y ;'r `, 51�.� ay ,, ScREfrvlri'y 'P S7'R♦ f . LOT ;'VERAGE- 17.95? 1 PU1LIC MATEN IN ITA1111' �• I I Q �Lj. NORTH ROAD ( C.R. 48 ) Ela >Z .: ARF A 15, 207. 5 . SO.FT. 5 41 soo'} to ALBERTSON I_a OR 0. 3491 AC foffe-line _ THE WATER SUPPLY AND SEWAGE A* J OSEPH F CITARDI O'ISPOSAL SYSTEMS FOR THIS RESIDENCE v /I WILL CONFORM TO THE STANDARDS OF a �' vi Oi SURVEY OF PROPERTY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH. .t<'`I r�V A T i;;;'1k � ARSHAMOMOQUE ; SIGNATURE! TOWN F SOUTHOLD =� ' OF COUNTY, N. Y. ' 1 N SCALE I11 - 20' NY.S . LIC -NO. 49668 0CT. ® 1987 ;�, •.� PECONIC SURVEYORS a ENGINEERS , P.C. 1 5)6) 765 - 5020 P 0 BOX 909 MAIN ROAD •EL'EV$LTl6N3 ARE REFERENCED TO MEAN SEA LEVEL i S�ilT\1�, n N Y 11971 p .. - 2errs£n //•d,87 �.r.y.•.:t: r r �'7 .. ' .T SS: 2' �L_'. '' �a SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all permits: A. If any of the permit conditions are unclear,the permittee shall con- tact the Division of Regulatory Affairs at the address and telephone noted below. B. A copy of this permit or approval and supplementary conditions shall be available at the project site whenever authorized work is in progress. C. The permit sign enclosed with the permit or a copy of letter of approval . shall be protected from the weather and posted in a con- spicuous location at the work site until completion of authorized work. D. At least 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditions of this permit. Within one week of completion of the permitted work, the bottom portion of that form_ shall also be com- pleted and returned. E. For projects involving activities to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to the commencement of resumption of work each year . F. If project design modifications take place after permit issuance, the permittee .shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial modification may require submission of a new application for permit. G. All necessary precautions shall be taken to preclude contamination of any wetlands or waterway by suspended solids,, sediment, fuels, solvents, lubricants, epoxy coatings, ,paints, concrete, leachate or any other environmentally deleterious materials associated with the project work. H. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. . I . The permittee is advised to obtain any„permits or approvals that may be required from the U.S. Department of `Army Corps *of Engineers, NY District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulatory Functions Branch) , prior to commencement of work authorized herein. J. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other. necessary approval. f.rom the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, N-Y 12242, which may be required for any encroachment upon State-owned lands underwater . Regional Permit Administrator . NYS Dept. of Environmental Conservation Bldg. 40, SUNY-Room 219 Stony Brook, NY 11794 ( 516) 751-7900 DEC Page 3 of-3 CHARLES T. HAK-ILTON. Chifif, 11ARINE REGULATORY SECTION NYS DEC, Bureau of Marine Habitat Protection Bldg. 40, SUNY, Rm. 225 Stony Brook, N. Y. 11794 Re: Permit No. Issued To. Contractor's Address.______ Contractor's Phone Dear Sir: Contractor's Name Pursuant to General Condition No. 1 of the above referenced permit you are hereby notified that the authorized activity shall commence on . This Votice is to be sent at least two days in a?- Vance of commencement of the project. The permit sign will be posted at the site and copy of Permit will be available at site for inspection. Submitted by FAILURE TO NOTIFY OR POST SIGE WILL LEAVE OUVER/AND/OR COIITRACTOR SUB_ JECT TO APPLICABLE PENALTIES FOR NOPI-COMPLWICE WITH PERMIT CONDITIOTS. CHAPJ:EB T. HAIIILTOPI Chief, Marine Regulatory Section NYS DEC, Bureau of liarine Habitat Protection Bldg. 40, SUNY, Rm. ,225 Stony Brook, N. Y. 11794 Re: Permit No. Issued To. Contractor's Address. Contractor's Phone 4 Dear Sir: Contractor's Name Pursuant to General Condition No. 1 of the above referenced Permit, you are hereby notified that the authorized activity'was completed on Submitted by DATE: THIS NOTICE, WITH PHOTOS OF C011'LET D 11op.K AND/OR COPTLETED SURVEY, IS TO BE SEIQT TO ABOVE ADDRESS PROTTTLY UPOII COMPLETION OF PROJECT. FAILURE TO NOTIFY WILL LEAVE OIRIER AJID/JR CONTRACTOR SUBJECT TO-APPLICABLE PENALTIES FOR NON-COt'IPLLANCE WITH PEPsgIT CONDITIONS. HENRY P. SMITH, ' JOHN M. BREDEMEYER, III, President C.0 ;k•. k TELEPHONE John Bed:aoski, Jr. �` vY ,. (516)765-1892 ALBERT KRUPSKI, JR., Vice-Presidents BOARD : OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 29, 1988 Mr. Merlon E. Wiggin, Ph.D. President Peconic Associates, Inc. P.O. Box 672 Greenport, New York 11944 Re: Joseph F. Citardi - 1000-044-01-22 Dear Mr. Wiggin: The following action was taken by the Board of Town Trustees during their regular meeting held on February 24, 1988 regarding the above application: RESOLVED that the Southold Town Trustees TABLE the application of Peconic Associates on behalf of Joseph F. Citardi for a wetland permit until the Z.B.A. and Building concerns are resolved. Very truly yours, John M. Bredemeyer, III President Board of Town. Trustees JMB:ip cc: Bldg. Dept. Board of Appeals HENRY P. SMITH. : JOHN M. BREDEMEYER, President '; „ r TELEPHONE John Bednoski, Jr. " (516) 765-1892 ALBERT KRUPSKI, JR., Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 22, 1988 Mr. Merlon E. Wig gin, Ph.D President Peconic Associates, Inc. P. O. BOX 672 Greenport, New York 11944 Re: Joseph F. Citardi - 1000=044-01-22 Dear Mr. Wiggin: The following action was taken by the Board- of Town Trustees during their regular meeting held on January 21, 1988 regarding the above matter. RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Peconic Associates, Inc. on behalf of Joseph F. Citardi for a Wetland Permit on certain property located at 56225 County Road, Route 48, Greenport. Please be advised that the Board will inspect the property on Feb. 1.7. , 1988. -The property is to be staked for this inspection. Very truly yours, -9, John M. B.redemeyer, President Board of Town- Trustees JMB:ip .,cc: Commissioner Thomas C. Jorling;- D:.E.C�, Albany Robert A. Greene, D.E.C. j_.-Stony Brook' -Stephen Mars,.- Army`Cor' s of Engineers Thomas 'Hart;- Coastal Management --- John Holzapfel-,:.-.Chairman, Southold Town C.A.C. Victor Lessard, Admin.., Building Dept. :, Planning Board .Board .;of Appeals :file RESOLUTION: LEAD AGENCY - PECONIC ASSOCIATES FOR JOSEPH F. CITARDI RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Peconic Associates on behalf of Joseph F. Citardi for a Wetland Permit on certain property located at 56225 County Road, Greenport. - . I .' r - ,R� ,. - - (� - - LN e i 4 (I ^/ , - . .. 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SEPTIC,:TANK='_I.NVERT : 9'9: fT:. LEACH: POOL,INVERT 8.9 FT _ �. 0 TOR LEACNING';POOL -..'10'.5 FT: IY� . -- - BOTTOM LEACHING PO OL.'= 4.0 +FTC o a — GROUND WATER.:- - • 2.0 F'T +t 1. !>wn: el.a:7 i SLPCIC:_ i Aim I AiW97 OC� C:P. Li "J 2 .< W' 3 --- 000J deck Z ; w u a - . ., - Hoy 3.Z� 3 • � � ' 5. O 0.3iv N f M 1 r V ?! 60 Z w�LwM p Z. P12opT.H.- b i2.0• W ATTACH d v :` I SCALE ./N' FEE T=(AROROX,' �` Q o i000 3000 ST \9 ` o I5 1 I I co PRO 0Ec T- LoCSI: MAP to z LP h o. SEPTIC TANK' " AhD LEACH. POOL COVERS .TO GE -REINFORC_E'p: PROFt1SED X `� �. I FOR HIgHWAY LOADS AND -CAST _ DQ IVE'1NAY ^. 3 : I IRON GONERS nrrD RI N S TO 6E Z. 1 _EQUAL TO. NEENAH NO. fZ-6078 I' :•" hd eLll.3. IQ.. I q eL10.5 i brA[r� t I Se7 — I =u,.. — rnon. sYk * `. 76 03',20 W.. , " ' ti f00.po- EXISTINq PINE ". ( JN' / I I SC RE N I H TO SE RENEWW; AS RtQl.l-IRED T, : ��. , ,� ,.r• . , 1' LOT COVERAGE: 17.9% ._e ('PUBL'IC WATER 'A-N STREET)'rL I. II_2B N 0 R IT H_ �R O A D ( C.R. 4:8 ) lo.�2 : .AREA �15, 207. 5. SQ.FT:' 1'. 600 'O to ALBERTSON LA . 0R • 0. 34:91 AC . tolie'line THE .WATER" SUPPLY AND SEWAGE J 0.5E P H F .C'I_TA R-D DISPOSAL SYSTEMS -FOR THIS RESIDENCE WILL' CONFORM TO THE"-STANDARDS OF SURVEY OF - PROPERTY THE SUFFOLK COUNTY DEPARTMENT OF '' ,-. HEALTH . ." i - 1 A R S H-A M OM OQU• E SIGNATURE : - TOWN O,F ' SOUTHOLD .• . SUFFOLK COUNTY., N . Y. 1000 044 - 01 . . _ 22 SCALE 1 '` 20' OCT. 8 1987 N.Y. S . 'L`IC -NO. 4966.8 " P.E CONIC SURVEYORS a .ENGINEERS ; P.C. 516 ) 765 - 5020'. 15 P. 0 . BOX, 909 MAIN. ROAD ELEVATIONS ARE REFERENCED TO MEAN SEA LEVEL" SOUTH OLD. , N .Y . 1-1971 �.]. I EV. /2 /-67 EV, i2-/4-87 EV. •2 87 = -78 4 . NOTE: . FLOOD ' PLAI,.N. DES I /YAT I`0 N - . uN 'ter $0 a 27�M:H:w M LO1 G 590 35�.f• on M .�r�e . a� . 9 I. . �� �� �7.e SANITARY'--SYSTEM•..ELEVAT.IONS 11100 FLOOR ELEVATION - '13 .5;FT:., . �'GROU,ND.ELEVATION -.1-3 "0 FT: SEPTIC TANK INVERT 1'11 :9 FT LEACH. POOL INVERT.,- - 1.0:'9 FT ` 1 ... oM ' . TOP -LEACHING POOL' _ -,,12 .0 `FT= - --- - --- r I. BOTTOM LEACHING POOL.._ 4.0 FT oI - GROUND -WATER. - -. - .- - 2.0 f T,. . - , . EXIST p.7' 1 i L\a v_ A�Na0N u ! ru PLgc - k s 971 w. p O crr+ 3 -- d "0 15 w t H� s 3.2' ti I O 03w c�2 M Ilr_J,M '� 7 z g ; F FL' Z i %2i2" \P r7R F-La. .F'J.5 T.N., (ATTACfiEp)� \. `' i `v° =W a SCALE'. IN FEET (APPROX) w. 0 1000 3000 3 t..P,-(D:DEEP I Q N, oze w DIA. S.T. I I.-;�, :. ' . I. - o' o q� - PROI�OSED _ I :j ' (D ��• , 1 Z . .PRO diF T _L`OCf►'. MA P RAISE SrzAOE - L.P. DRl�EWAY h j APPRox I•S' 5 al r� o ti i Ib' I 3 z L.P (FUTURE 1 � �,p) • I I I � end. e 1.11 3 5' I 9 N. 10.8 I DL2q Mon. o ' ' W. ni ware ti EXISTJNq PINE • ,i f 100.`0� 03 20 P'` _ I SIRE NINJ TO-BE RENEWED.45 RiQUiR0 LOT COVERAGE: 17.99/o .. ER --- (. PUBLIC WATER IN STREET)' 11.28 �! 10.72. , N.0- RTH ROAD ` ( C.R. 48 ). ARE A 15, 207. 5 SQ.-FT.' I 600 '*_'_to ALBERTSON LA.,-=► 0 R 0. 3 4 91 AC . to t i e 11 ne TH E' WATER. SUPPLY AND SEWAGE J. .O S-E P H F CA'TAR D I DISPOSAL SYSTEMS FOR 'THIS RESIDENCE WILL CONFORM TO THE STANDARDS -OF -SURVEY OF PROPERTY THE SU.FFOLK COUNTY DEPARTMENT -OF HEALTH . A T :A R.S H A M OM OQU'E SIGNATURE : TOWN OF SOUTHOLD .• SUFFOLK COUNTY, N . Y. 1000 0.4 4. 0 1' - 22 ' SCALE ' I '1 = 20' N.Y. S . LIC .NO. 49668 OCT. 8 1987. P.E CONIC SURVEYORS a ENGINEERS , P.C'. (` 5-16 ) 765 . - 502.0 P. 0 . e O X. 909 MAIN .ROAD ELEVATIONS ARE REFERENCED TO MEAN SEA LEVEL SOUTH OLD , N .Y . 11071 -:7 );?E EV. •25.88 REV. 3.22.88