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Auteri Living Trust
Glenn Goldsmith,Presider �0�0 COGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y , P.O.Box 1179 Liz Gillooly oy • 0�� Southold,NY 11971 Joseph Finora � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Co 0 sz- ` Islandwide Engineering & Land Surveying on behalf of ROBERT P. AUTERI LIVING TRUST & NANNETTE M. AUTERI LIVING TRUST requests a Wetland Permit to remove existing sanitary system and replace it with a new I/A sanitary system consisting of a Fuji Clean Cen 5 treatment tank, an inlet adapter 90, an Orenco pump and 52' of Quick 4 plus standard infiltrators designed as a combined system serving both the main house and the cottage; and to install and maintain silt fencing around the work area until the site is fully stabilized. Located: 3885 Camp Mineola Road, Mattituck. SCTM# 1000- 123-5-31 Typof area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ./Chapt. 275 Chapt. 111 other Type of Application: ✓ Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info need ed/Mo(diifications/Conditions/Etc.: Present Were: - G. 9oldsmith f N. Kr pski f E. Sepenoski L. Gillooly J. Finora NOTES Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision 2, of the New York 1. FIELD WORK WAS CONDUCTED JUNE 2026 BY ISLANDWIDE ENGINEERING & LAND SURVEYING DPC AND HEIDECKER LAND SURVEYING State Education Law. Copies and of this ALL MEASUREMENTS WERE TAKEN ON THE GROUND. survey map not bearing the la surveyor's inked or embossed seal shall 2. PROPERTY LINES, BEARINGS, AND NORTH ARROW not be considered to be a valid copy. ARE BASED UPON THE FOLLOWING: LIBER 13027-PAGE 984 3. TIE LINES BASED ON MEAN HIGH WATER (MHW)= 0.9' IN NAVD88 DATUM, AS PER NOA REFERENCES AND BENCHMARKS. 4. UNDERGROUND UTILITY LINES ARE NOT SHOWN. PRIOR TO CONSTRUCTION THE CONTRACTOR SHALL CALL "DIG SAFELY NEW YORK" AT 811 AND HAVE ALL UTILITY LOCATIONS MARKED ON THE GROUND. 5. BUILDING TIES SHOWN ARE BASED UPON THE SIDING OF THE STRUCTURE AND ARE SHOWN FOR (j INFORMATIONAL PURPOSES ONLY. THEY SHOULD NOT BE `\ USED TO SET PROPERTY LINES, FENCES, BUILDING ADDITIONS, ETC. 6. THIS IS NOT A TITLE SURVEY. 7. THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TITLE REPORT AND IS SUBJECT TO ANY STATE OF �Q 3.6 F� `AA �\ FACTS A FULL AND CURRENT TITLE REPORT MAY REVEAL. U m r`Cvn 8. ELEVATIONS ABOVE THE MEAN LOW WATER LINE ` I�Q� ' 4 GPr` REFER OF 1988 (NAVD 88)E AND RARE TH ABASED UPONMERICAN T Qp G S ICAL DATUM / pl- PeR�O 1 OBSERVATIONS PERFORMED BY HEIDECKER LAND Pam` e�0 2.$ SURVEYING, PLLC. , 011 ny� � FRAME 9. FLOOD LINES AS PER FEMA FLOOD INSURANCE ♦_� 3 0 Q GARAGE RATE MAP (FIRM) #36103CO482H, REVISED SEPTEMBER 25, 2009. � O .9 0 1 oOO �.3 4.4 3.3 1 LOOSE VEW DAY 0 44 E CONCRETE PSQ�P \��8� SOON 1 APRON 4.5 n 4.7 4.3 N 0.6,E 4.6 WD FAME Z COTTA E/ /� G�J�1 g�GG� 5.1 O i GARAGE gF� OO FFL=6.7' a Z m GARAGE=4.7' Q n 0 4.7 Qi�1 m v c m Q 4.7 '4.7 OVERED O o p r Q PORCH QD , 0 LA r0 Q 4.8 9 PROPAN O p� O oTANKS QET C COVER 5.0 0 EPTIC5.0' t` COVER 0,3 N Q W 0 5.1 5.2 A r GRASS 4'9 94 T O E oPROPANE O / Q 0 0 .9' 4.9 �O O 5.1 Q / STONES 5.0 OD 5 2 rn 5.3 13� PAVER #3825 5.3 PAVER VQ WD FRAME A P'AT10 DD 2 RESIDENCE / o . .3SC �� .cp / / COVER X #31885 o WD FRAME �40�5.7 0 3 s' R�03 3E Op0 ZONE 5.8 TEMP FL 5• AC / O 6.1 #4025 X 26.2 WD FRAME 0 ROAR RESIDENCE 5' ^' COVERED 6 a PORCH 2S.2 x 6.4 6.9 T p�6.3 6.8 6.7 x m RpER 2.4 2.3 1 6.3 ALUMI STA S SAND a o p ° 2.4 Z o \� BOULDER GROIN N pN988) NOW OR FORMERLY OF 1-3MHW _0 tirEE NANNETTE M AUTERI LIVING TRUST � �� w (S 81-49 & ROBERT P AUTERI LIVING TRUST S 86`ZO' 1\0 32.38 TIE) SECTION 123.00-BLOCK 05.00-TAX LOT 031.000 LIBER 13027-PAGE 984 ° AREA= 10,970 SQ FT. (0.252 ACRES) i 23 i 2 202 0 10 20 30 I I METERS S;I�It.,.;:;[c'. n FEET 0 20 40 60 80 GRAPHIC SCALE 1" = 20' oF NEW ENGINEEPING ISLANDWIDE I LAND SURVEYING G raE�o 0 = F0 CIVIL ENGINEERING-SITE PLANNING-SURVEYING 280 MAIN STREET,SUITE 1 = o FARMINGDALE,NY 11735 TELE.(631)-820-0296 l/cF� 4/O. 0501�1' �A' � DATE: TOPOGRAPHIC/BOUNDARY SURVEY JHE'No. SFD ��� UNE 25,2026 SECTION 123-BLOCK 5-TAX LOT 31 LANDS DRAWN BY.B.D. #3885 CAMP MINEOLA ROAD -s01 .ND. JOHN G D HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 CHK BY:J.H. MATTITUCK,TOWN OF SOUTHOLD 2os SUFFOLK COUNTY,NEW YORK CAD FILE: SCALE:P=26' zsmaFv awe z SANITARY CALCULATIONS TANK CALCULATIONS: M FLOW=4 BEDS(110 GAUDAY)=440 GAUDAY SITUATE AT MATTITUCK CAPACITY FOR FUJI CEN5=749 GAL TOWN OF SOUTHOLD � INFILTRATOR CALCULATIONS: SUFFOLK COUNTY, NEW YORK L _ rn� 2 U o FLOW=4 BEDS(110 GAUDAY)=440 GAUDAY SCTM: 1000-123-05-31 00 — ®�! yil (440 GAUDAY)I(2.83 LF)1(3.0 GAUDAY/SF)=51.83 LF Z C O W W U 51.83 LF REQUIRED - __. _._-_.• _. L- 52 LF PROVIDED FF _ -•� f r n �4 2 ROWS OF 26 LF 12'STANDARD INFILTRATORS ti/q ' I F� F7~a a l t�• I`-� O v W ��a'' a SOFA F< L 1 _ fi t GO J f 3 p p g F 4 PlIF �rEXISTING OVERHEAD OELECTRIC WIRES TO tiREMAIN ��U W IA U G 1 2 2Q26 —0,4' �S '� L���,�5 3 N \ N Q'2 > C/] a 1\ ,�ld w i Ate( G� �F�Mq F 30 N SD old Town{{ SITE PLAN k <O SCALE:1"=20' o DWELLING 00 o Boar Trustees Z_ W� PUBLIC WATER Zp O O 10 20 DIST 1000-SEC 123-BLK 5-LOT 32.0 �F a PROPOSED FUTURE '9F I+- O m EXPANSION EXISTING UNDERGROUND Q m 3 y w ELECTRIC SERVICE TO REMAIN W - r d `p PROPOSED 26'QUICK 4 ORENCO PUMP W W w z m o w PROPOSED i o 0 PLUS STANDARD W a o w 3 m N N INFILTRATORS(TYP-2). WC D RET WALL IN 2 01 77' S 04°01 20 E _ _ _ _ o 3 a 3 3— 3— 3 ON R- WALL 3 3— 3 x r WOOD GROIN p: TEST PROPOSED m - 1______ __ SEPTIC h TOTAL AREA=0.252 ACRES >., BORING CONTOUR (- 3 EXPANSION w COVElj X R 10,970 SF O HOLE U I----------- ---1 PROPOSED ; Q r ABANDON EXISTING c�Qm pr ` y O\ x S ONE WALK SILT FENCE q � xa 26'INFILTRATOR p SANITARY SYSTEM ^ Lll z a x m Doan oD�o Q`6 , 6; F 2'a �DD�DoDDo�C� N ' Q o u, (L o \ Dag 1D Q �Q �! IZ E � U E 111 pO x 00 W o DR -� 5.0' -PROPOSED I/A Q x �• Do ~ CD - ELECTRIC LINE^ w 2\ CC) 10.2 K, ; C�/ Z (n N ® Q ems.• COVERED PROPOSED I/A� X 2 Q PORCH - o CONTROLPANEI O �,S c z CD "SE`: I- uj PAVER �� 743 m CONCRE 2 PROPOSED I/A PA TIO w EXISTING ONE STORY SIN X W p U APRON 281� 5'N1! - AIRLINE vi FAMILY OWE MAIN N COVEREDcN Cb o I X TING BEDS) PORCH � � O W g' EASTINGONESTORY - x" COV R 0 - ___-_ N a p )) W v vi CRAWL SPACE=915SF N r PP11 COTTAGE TO REMAIN o Q - c 14,4' 1ST FL=900 SF - LL =a z "7 \ (EXISTING 1 BED) N r CO. FF EL.7.3 ALUMINUMF-- V 3 _ CRAWL SPACE=574SF ®' �. STAIRS 40 z u� ,M1 STONESN o ^0 'yy 1ST FL=567SF GRASS p o F.F EL.6.7 77.T.0�C0� R \ 10.2' O 2 Z p m o G.F E\4.7 /, \ 22.5' �, wn w n \2g.2 STONES �r5 " d 00 cV /yam W N w �Z v H LI K FENC wm m w vm w� E B DER CONCRETE WALL M I•� z �= °�a W n �Z dw am -` , ,r OO PROP N U p N 03°4O O W PROPANE TANKS `�$l X P& FENCE N ' U r TANKS EX I TING ABOVE GROUND 17 8.2 5 ; HI y z o "❑ NOTES: m U \ pU PROPOSED FUJI PROPANE TANKS AND GAS `3 y 1. ALL PROPOSED SANITARY LINES TO BE 4"0 SDR35 PVC PIPE UNLESS SPECIFIED 7 U, r W ABANDON EXISTING CLEAN CEN-5 SERVICE TO REMAIN ? r g OTHERWISE. B• \ V SANITARY SYSTEM TREATMENTTANK n w 2. NO NEIGHBORING WELLS WITHIN 150 FT OF THE PROPOSED SANITARY SYSTEM. 0 1 p O PROPOSED VENT 2'MIN.WI h�1 o i,s PROPOSED FUJI CLEAN 3. ALL UNDERGROUND STRUCTURE LOCATIONS ARE APPROXIMATE AND SHOULD 7Q EXISTING WATER CHARCOAL FILTER MIN.3' INLET ADAPTER 90. w BE VERIFIED IN THE FIELD BY THE CONTRACTOR BEFORE CONSTRUCTION i- _ SERVICE TO REMAIN FROM DOORS/WINDOWS w BEGINS. N N p 4. REFER TO ARCHITECTURAL DRAWINGS FOR ALL INTERIOR HOUSE DIMENSIONS. Q` U� PUBLIC WATER \ PROJECT U 5. DWELLINGS HAVE ATOTAL OF 3 BEDS,HOWEVER THE SANITARY SYSTEM IS x m DIST 1000-SEC 123-BLK 5-LOT 30 DESIGNED PER THE CAPACITY REQUIREMENTS FOR 4 BEDROOMS DWELLING. 6` N Qz LOCATION LOCATION MAP EXIST.GRD=4.8(PECONIC SURVEYORS,P.C.) HIGHEST EXPECTED GROUNDWATER INFORMATION / Q THE AREA IS SUBJECT TO TIDAL ACTION SO HIGHEST EXPECTED .�a� 0.0'-2.5' MIXED SAND OL GROUNDWATER IS MEAN HIGH WATER(MHW). % ;• a y 00 F- w AND LOAM BENCHMARK 8512735 �/ /' \'•�', �,�� Py`� Q'_} n 3 BENCHMARK STAMPING:NO 11917 p 2.5-3.8' BROWN SILTY SAND SM MLLW=1.848 METERS=6.063 FT \°'� J O Y GROUNDWATER EL.1.0 )))1 ORTHO HT=1.211 METERS=3.97 FT i rn (HIGHEST EXPECTED) DIFFERENCE=2.093FT W ►i' o�n, WATER IN MHW=0.917 METERS=3.008 FT(MLLW DATUM) // f� ` t 1 Z z O 3.8-0.0' BROWN SILTY SM MHW OR HIGHEST EXPECTED GROUNDWATER=0.915 FT(NAVD88) / {� o a a SAND CALCULATED MHW ELEVATION 15 LESS THAN GOUNDWATER f�` /� I ' �' , (L Y O y m ENCOUNTERED IN SOIL BORING THEREFORE THE , % 4 1 u"o GROUNDWATER TAKEN IS THE HIGHEST EXPECTED 'sv�e.M,l°o f ' Qt:o GROUNDWATER. //f f U k WATER IN PALE SP /.� ��, 1` �' c S2 4.0'-13.0' '} BROWN FINE. /,� �, 1 coI� 1 M p SAND /' �1 on BORING BY:MCDONALD GEOSCIENCE TAKEN ON:MARCH 18,2014 , cM NOTE:WATER ENCOUNTERED AT 3.8' -�(A,' ° a BELOW GRADE. I `— O TEST BORING HOLE r w Lu N.T.S. , '9 `] z w HOUSE BUOYANCY CALCULATIONS FUJI CLEAN INLET O COTTAGE ADAPTER 90 C/O TO WEIGHT OF FUJI CEN5=463 LBS EACH F.F.EL.6.7 GRADE EL.5.2 WEIGHT OF BUOYANCY KIT=2,412 LBS \\ \\ �" 00 COVERS TO (2X8'X1.5'XGATX150) C.O.TO GRADE. COVER TO GRADE ROUND ELEVATION 5.0 WEIGHT OF SATURATED SOIL ABOVE BUOYANCY KIT=5,359 LBS L o U Go C.O.TO GRADE. EL.4.8 GRADE EL.5.2 EL 5.0 (2 X V X 1.5'X 2.03'X 110 p./ EL.5.0 WEIGHT OF SOIL ABOVE BUOYANCY KIT ABOVE HIGHEST EXP.=9,072 LBS O W U (2X8'X1.5'X4.2'X90) LL- DISTAL HEAD HEIGHT 24' TOTAL=17,306 LBS O �O � 1TMIN.COVER ``, 0 i z >� TOP EL.4.00 BUOYANCY FORCE ON SEPTIC 8 TREATMENT TANK ASSUMING TANK IS EMPTYv/ 13.30'PRESSURIZED PIPE 12•LP INFILTRATORC INV EL 303_ -��5.8_5' TOP EL.3.7 2 ROWS-26'LONG BUT EL.3.00 AND GROUND WATER XI4.9 X 2..70'X 62.4 HIGHEST EXPECTED,324 LBSINV.EL,3.15 GROUNDWATER C 21 75 - '~ 5.00' ORENCOPUMP NV EL. INV.EL.3.67 17,306 LBS SEPTIC TANK>5,324 LBS(3.25 FACTOR) PROPOSED INV.EL. FUJI CLEAN CEN5 TANK 2.53 INVZ 4 WEIGHT OF ORENCO DISCHARGE ASSEMBLY=26 LBS EACH Tn INV.EL.2.7 (NEEDS BUOYANCY KIT) WEIGHT OF CONCRETE DEADMAN=530 LBS (PI(15)A2)X 0.50'X 150) ?„ TOTAL=556 LBS C c HIGHEST EXPECTED BUOYANCY FORCE ON PUMP BASIN ASSUMING IT IS EMPTY AND GROUND V a= —_ GROUNDWATER EL.1.0 WATER IS UP TO HIGHEST EXPECTED GROUNDWATER 3 w BOT.EL.0.5 (PI IV)A2)X 0.50'X 62.4=98 LBS _ BUT.EL.-1.7 '--' �— -- m z SANITARY SYSTEM PROFILE 556 LBS PUMP>98 LBS(S.67FACTOR) %.+`+ 00 2 N.T.S uv ti OOV NK OPEN DISCHARGE PUMP TO o` A U G 2 2026 OBTAIN GRAB SAMPLES DURAFIBER ACCESS LID ORENCO EXTERNAL SPLICE FLD24G W/RG24 SAFETY BOX 5 BEX1.4 1}'LATERAL GRAT TO GRADE DISCHARGE ASSEMBLY 2"Xl?REDUCER(TYP) Sold!old Town PUMP BASIN HV125 W/DRAIN HOLE MODEL PB2454 AND BALL VALVE 2'FROM OWTS Board of TnJstees J_ Q TO 2'HEADER ~ 4°PLUG AT GRADE DRAINFIELD (TYP) 0 FORCLEANOUT FROM GRADE OWTS 5 HEADER DETAIL °N 2 N.T.S 4'PVC 4'X 45°BEND 4"PVC WYE ORENCO DISCHARGE L7 PUMP MODEL PF200511 °a? U> 4'PVC ix MIN SLOPE @'PER FLOW c w v z v' > � CAST-IN-PLACE CONCRETE U Z o PROVIDE 6"SAND 8 GRAVEL DEADMAN POURED PRIOR Z g G BEDDING UNDER CLEANOUT TOP PUMP BASIN INSTALLATION PENETRATE _ w PUMP BASIN 3"INTO DEADMAN _ w z s CLEANOUT DETAIL 4 PUMP BASIN S y 2 a W ROPE WITH 2 318 N.T.S 2 N.T.S 3/8'WIRE N.T.SCLLAMP(2TYP 2"WIDE X 10'LONG ( ) NYLON STRAP w y rj ti ESTABLISH VEGETATIVE COVER AND na o TOPSOIL GRADE TO DRAIN 1�1 3 NATIVE BACKFILL ~J \\\ 5/8"X 9"TURNBUCKLE (TYP OF 2 MIN.PER TANK) w U a w y 316'WIRE ROPE WITH wo a o `v EMBEDDED EYEHOOK (2)318 CABLE CLAMP 0- 4 _ 0 (TYP OF 4) (TYp) TUNDISTURBED --- -�• - - Q SOIL 36'TRENCH WIDTH ��?' - _ -_ - _ Lro>o DETAIL A NOTES: DETAIL B NOTES: CONCRETE ANCHOR g S Z'n 1. QUICK4 STANDARD CHAMBER(LEFT)AND QUICK4 STANDARD MULTIPORT ENDCAP(RIGHT) 1. FLUSHING MECHANISM WITH VALVE BOX DETAIL SHOWN SIZED PER FUJI CLEAN 6"MIN BED OF COMPACTED GRAVEL O w SHOWN 2. INSULATE BOX AS NECESSARY INSTALLATION MANUAL BENEATH TANKS AND ANCHORS LLJ o=m 2. PRESSURE PIPE SIZE PER DESIGN ORIFICES AT 12 O'CLOCK,WITH FIRST AND LAST ORIFICE 3. PVC FEMALE ADAPTOR WITH A MALE THREADED CAP Z Z o N AT 6 O'CLOCK TO DRAIN THE PIPE(ADD EROSION PROTECTION SUCH AS PATIO BLOCK) 4. PIPE SIZES PER PLAN 30o Y 5. INSTALL 90'SWEEP FITTING OR 2415'BENDS,NO ELBOWS DEADMAN CAPACITY USING SIMPLIFIED SOIL COLUMN APPROACH a r J w PRESSURE PIPE DRILL HOLE USING IDENTIFIED FACTORS u LL N LOCATIONS ON END CAP Q~ o 4.." MODEL DEADMEN(EA) DEADMAN NET RESTRAINT U DIMENSIONS PROVIDED(LBS) U CEN5/CE5/CE7 2 8'X 18"X 8" 22,200 00 0 - CEN710E10 2 8'X 18'X 8' 26.232 CEN1010E14 2 8'X 18"X 8' 29.320 DETAIL A END CAP CEN1410E21 2 10'X18-X8- 39,065 ch INFILTRATOR CHAMBER CEN2110E30 2 12'X 18'X 8' 51.235 ILL (ANY MODEL) O DETAIL B ~ s INFILTRATOR QUICK 4 PLUS STANDARD 7 FUJI CLEAN TIE DOWN DETAIL 2 N.T.S 2 N.T.S U) z w 'ii 0 1�LO A U G 1 2 2026 z o � w O o Southold Town v�d� y �On, Board of Trustees j ` S(6� �S d z v� 120V AC,10.60 HZ,20-AMP POWER SUPPLY. #12-AWG WITH GND IN PVC CONDUIT. HIGH WATER ALARM WIRING k AS PER MFGR.IN CONDUIT. MAIN w SERVICE `"a PANEL Y N o 1- 2 i OCONTROL ZPANEL w w �> pO BCHAMBER VOLUME(GAL) ya o�, I SCUM BAFFLE m 1 SEDIMENTATION CHAMBER 277 FUJICLEAN UNIT ELEC.SERVICE 2 ANAEROBIC FILTRATION CHAMBER 278 (SINGLE BLOWEm CONNECTION 2'-10}° 2'-7}• 2 '� 3 AEROBIC CONTACT FILTRATION CHAMBER 127 RECIRCULATION 4 STORAGECHAMBER 63 J _ AIR LIFT PUMP 5 DISINFECTION CHAMBER 4 HARDWIRE O DISINFECTION TOTAL VOLUME 749 GROUND ROD Q CYLINDER(OPTIONAL) - 4"INLET I,IPE 4"OUTLET PIPE LLI SPECIFICATIONS Z A 4 A ANAEROBIC MEDIA PP I PE FILLING RATE 32% e z = BOARD TYPE AEROBIC MEDIA PVCIPPlPE FILLING RATE 16% O AEROBIC MEDIA PP/PE FILLING RATE 57% FUJIMAC BLOWER 0 BORII-20ORII BLOWER 2.8 CFM EFFLUENT INLET BAF LE O AIR LIFT PUMP TANK FRP U o O PIPING PVC/PP/PE 9 ELECTRICAL ONE LINE DIAGRAM ACCESS COVERS PLASTIC I CAST IRON DISINFECTANT(OPTIONAL) CHLORINE TABLETS 3 N.T.S W Z RECIRCULATION PIPE L FLOW BAFFLE 112"AIR INTAKE u > u (CLEANING OPENING) B w g h z FLOW OPENING(TYP.) z 4.87• a63 PROVIDE SECONDARY PLAN VIEW SAFETY COVERS P b CLEAN OUT MUST BE INSTALLED a � ) 24'ACCESS COVER TO PROVIDE ACCESS TO THE F y Q 3 AP 20'ACCESS COVER(TYP) TER FROM ABOVE(TYP) 20°ACCESS COVER(TYP) 24°ACCESS COVER(TYP) DISINFECTION AD Q ;z CYLINDER(OPTIONAL) z w y 77-- FLOW OPENING 6.24• � i �LL o I w BOARD TYPE j7.03° 4. w HWL — I Ir — — CONTACT MEDIA WL — 1-4 1--1 O OUTLET SOLVENT WELDED TO 4'LONG STUB OF 4•SCHEDULE 40 PIP p ® CONNECTED TO FUJI CLEAN CEN UNIT(TYP) 1 O Q F Oj 90DEGREELATERAL3INLE TOP VIEW o 0 O RECIRCULATION PORT ADAPTER ALL PORT q Z ASSEMBLY ARE4'OPENINGS 7.03• J o Y 0 PLAN VIEW .23• o o=m < < Z_zo- 3U EXTRA INLET CAPPED Y U VIA4'SCHEDULE40 1.97' Y O y O Q 3 ADAPTER&PLUG(TYP) < LLI� LL AEROBIC MEDIA 4 N 7. .3' � t~n 00 0 AERATION ASSEMBLY cM SECTION A-A VIEW SECTION B-B VIEW SIDE VIEW `O LL s FUJI CLEAN CEN-5 DETAIL /'l-o**N FUJICLEAN INLET ADAPTER DETAIL CO O w 3 N.T.S 3 N.T.S W 2 rn To,%',IN OF SOUTHOLD SUFFOLK COUNTY, NY 11971 3885 Camp Mineola Rd SCTM No. 1000-123-5-31 04/09/2026 Photo 1- 3885 Camp Mineola Rd 04/09/2026 Photo 2- 3885 Camp Mineola Rd TO%,NN OF SOUTHOLD SUFFOLK COUNTY, NY 11971 3885 Camp Mineola Rd SCTM No. 1000-123-5-31 0410912026 Photo 3- 33885 Camp Mineola Rd r � 04/09/2026 AW Photo 4- 3885 Camp Mineola Rd 0. S - -kc. ,5 °c ko„5 .;"S'•-'3k ste ssc No t,s r.,. R 0 4 rZ ally k, �' 0 { OLE. 3, TOM w ' CREEA' .1d 1 t� 1° � tba cE��`a.° ao a x° s 4 tp <'' h, �, „ ,'�_.� ,• '�off° `its d y.¢1 1.S k�i•� V�.c.. 4A4 ... `, � tMc\ � •- .. \ try,.eµ � a �8 'p�Rl`,�", k 1�.. MNjEst� � 4 W\ aF • p !;A°' t ad\t r v+ � v 4e a . s x, A iya �E6 .' DCDKIc B cRDA1 Q COUNTY O S LK L'l _ . F R-1 n.p i TF S—Ole i y ..iewKK r „ "' ° 123 1. .„n,�,ta.,,tw , ' fclx CWMv inxAW n ai N c••�_— v — _ w »1•tqur xturta,6it®o< i� p _.-..••Yl p w___.__ •r _ w__ "' —_ uu.. Itt) ate. .. ��. VSO OFFICE LOCATION: I MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 I' , LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: September 11, 2026 Re: LWRP Coastal Consistency Review ROBERT R AUTERI LIVING TRUST & NANNETTE M. AUTERI LIVING TRUST, SCTM #1000-123.-5-31 This application is to remove the existing sanitary system and replace it with a new I/A sanitary system consisting of a Fuji Clean Cen 5 treatment tank, an inlet adapter 90, an Orenco pump and 52' of Quick 4 plus standard infiltrators designed as a combined system serving both the main house and the cottage; and to install and maintain silt fencing around the work area until the site is fully stabilized. The proposed action has been reviewed under Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the policies of the LWRP as follows: Policy 5. Protect and improve water quality and supply in the Town of Southold. 5.1 Prohibit direct or indirect discharges that would cause or contribute to contravention of water quality standards. C. Ensure effective treatment of sanitary sewage and industrial discharges by: 3. modifying existing sewage treatment facilities to provide improved nitrogen removal capacity. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction The proposed installation of an Innovative/Alternative Onsite Wastewater Treatment System (I/A OWTS) is consistent with Policy 5.1.C.3, which calls for the replacement of existing sewage treatment facilities with ones that have improved nitrogen removal capacity. The proposed I/A OWTS will reduce nitrogen inputs into adjacent waters. The proposed I/A OWTS is consistent with Policy 6.3.A, which states that actions must comply with the Southold Town Board of Trustees' laws and regulations. The proposed location meets the wetland setbacks stated in Town Code Chapter §275-5D(a)[4] Septic tank. 75 feet. The proposed action has been reviewed under Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. 2 Glenn Goldsmith, President t�ho�$ Town Hall Annex A. Nicholas Krupski, Vice President �Q i' 54375 Route 25 John M.Bredemeyer III f P.O.Box 1179 Southold,New York 11971 Michael J.Domino c Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application_ 9 Wetland Permit Application Administrative Permit 1� Amendment/Transfer/Ext si FA U G 4 2026 Received Application: Received Fee: $_L b SS7h Southold Town Completed Application: oZ rT Board of Trustees Incomplete: __SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. __Lead Agency Determination Date: Coordination:(date sent): __�Z_LWRP Consistency Assessment Form Sent: oq,' CAC Referral Sent: TDate of Inspection: 01fo Receipt of CAC Report:�V Technical Review: _ _Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): Auteri RP Living Trust and Auteri NM Living Trust Mailing Address: 4 Pidgeon Ct, Manorville, NY 11949 Phone Number: 516-768-7990 Suffolk County Tax Map Number: 1000 - 123-05-31 Property Location: 3885 Camp Mineola Road, Mattituck, NY 11952 See location Map (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Islandwide Engineering&Land Surveying c/o Karol Carvajal Mailing Address: 280 Main Street_Suite 1,Farmingdale, NY 11735 516-707-4073 karol is g g.Phone Number: Email: @' landwideen ineerin com S�aS�acP ISLANDWIDr, I LAND SURVEYING 280 Main St-Suite 1, Farmingdale, NY 11735 July 7,2026 RE: AUTERI RP LIVING TRUST AND AUTERI NM LIVING TRUST 3885 CAMP MINEOLA ROAD,MATTITUCK,NY 11952 SCTM No.1000-123-5-31 PROJECT DESCRIPTION This project includes the removal of the existing failing sanitary system and replace with a new I/A type sanitary system consisting of a Fuji Clean Cen 5 treatment tank, an inlet adapter 90, an Orenco pump and 52' of Quick 4 plus standard infiltrators designed as a combined system serving the main house and cottage house. A silt fence will be installed around the work area until the site is fully stabilized. toard of Trustees Applicat GENERAL DATA Land Area(in square feet): 107970 SF — — --�- — Area Zoning: Res. Previous use of Res. property: s. Intended use of property: Res. --- — — Covenants and Restrictions on property? ❑ Yes 0 No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _❑_Yes R] No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? ❑ Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? 0 Yes _[�✓ _No Does the structure (s) on property have a valid Certificate of Occupancy? Yes_E]_No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 0 No ❑ Yes If yes,provide explanation: — Project Description(use attachments if necessary): See attached Board of Trustees Applica n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See attached Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 250 feet Closest distance between nearest proposed structure and upland edge of wetlands: 250 feet Does the project involve excavation or filling? ❑ _No 0 Yes If yes, how much material will be excavated? 15 cubic yards How much material will be filled? N/A _cubic yards Depth of which material will be removed or deposited: 3 —feet Proposed slope throughout the area of operations: 1-5% Manner in which material will be removed or deposited: Excavator and skid steer 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): Positive effect on wetlands due to I/A style sanitary system with reduced nitrogen outflow. Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 3885 Camp Mineola Rd-Town of Southold Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Proposed I/A OWTS sanitary system. Name of Applicant or Sponsor: Telephone: 516-768-7990 Auteri RP Living Trust and Auteri NM Living Trust E-Mail: rpafiberman@aol.com Address: 4 Pidgeon Ct City/PO: State: Zip Code: Manorville NY 11949 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes, list agency(s)name and permit or approval:NYSDEC,Town of Southold Trustees,SCDHS ❑ 3. a.Total acreage of the site of the proposed action? 0.21 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.21 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ❑✓ Residential(suburban) ❑Forest ❑ Agriculture ❑✓ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ rt-/] ❑ b. Consistent with the adopted comprehensive plan? ❑ Fv-1 ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑ ❑ b. Are public transportation services available at or near the site of the proposed action? R] ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ Z 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: New I/A OWTS type sanitary system F ❑ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: Page-2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ❑Wetland ❑ Urban ❑✓ Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ElLeatherback,Green Turtle,... RI 16. Is the project site located in the 100-year flood plan? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑✓ ❑ a. Will storm water discharges flow to adjacent properties? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑✓ ❑ If Yes,briefly describe: ' 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: Fv_1 ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Au rillpo-Trustand Auteri NM Living Trust Date: rP Signature: Title:Applicant/Owner PRINT FORM Page 3 of 3 EAF Mapper Summary ..eport onday, May 11, 2026 9:36 AM Disclaimer: The EAF Mapper is a screening tool intended to assist �' �,+. ti project sponsors and reviewing agencies in preparing an environmental S` ' 1:2,3. 6-?i 3 assessment form(EAF).Not all questions asked in the EAF are ' answered b the EAF Ma er.Additional information on an EAF 5=6% �, Y PP Y 121-5-36.11 123 75-18 question can be obtained by consulting the EAF Workbooks.Although the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources to 123:5-1- 3. a�� 12 -6 I:z 4 confirm data provided.by the Mapper or to obtain data not provided by 123r�=36J'G �, the Mapper. scur.J ' Ixrtr.c,llp f23:5 p 33 ��raie a Ina�ton rdOn}ps 12.3':5 21:2 yyll - 3.-5-32 onror: 1 - - Tx ILtI l d ) , tro t - toc' -` - :1 fa•1 123. 301 Hamilian t o. f7o�i�tcr 1.123.-5-29' r' on t3yrffalc 4f'. Alhnny. -- 123,.-5-2.7121-5-28j : t23 5 26 ` S l 1 f E 1, HERE,Garmin USGS II t,rrra IN REAd�l'1 1 4Pu1',I;Esii, ERE-Ga 1?it:,LISGS.htem?ap,IP.CREMENT P, n.f?Ca t, BAJapar IAFI, &J. RCan E ;i J pan,.AE"I. Esn Chira(roitiu K-1. _Esf1 Kcr� Es;i �h n�.fM� E•sri Karen;Esd 71-iailard; fVt, �.: . iper.;treeth.tap rn-iur.t.tcros (n. `i 10 roar, T\Gr , ;^pPrStrzrkP.tap�c i tra t,tc rs,arrl t z GIS tls •Cawim-ilt �` User�cli?ip�i i'it;';E,d:.HERE;Ga1`i In,a�'91 5;NF5' ;Part 1 /Question 7 [Critical Environmental ;Yes ;Area] i ;Part 1 /Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health, water, Area- Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 ,Part 1 /Question 12a [National or State ;No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] ;No Part 1 /Question 13a [Wetlands or Other Yes-Digital mapping information on local, New York State, and federal Regulated Waterbodies] #wetlands and waterbodies is known to be incomplete. Refer to the EAF 3 Workbook. 'Part 1 /Question 15 [Threatened or sYes Endangered Animal] I ;Part 1 /Question 15 [Threatened or Leatherback, Green Turtle, Loggerhead, Kemp's or Atlantic Ridley 'Endangered Animal- Name] ;Part 1 /Question 16 [100 Year Flood Plain] ;Yes ;Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 „_.:Board of Trustees Applical� i AFFIDAVIT Auteri NM Living Trust 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE. COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. c Signature of Pro erty Owner Signat e f Property Owner SWORN TO BEFORE ME THIS DAY OF 1120 �Y. J -Notary Public_ _ _-__._ rot SALVATORE,MORZANO JR a Public,State of IVew�Yorlt Comm f�n��6►u's April -,-,,,Board of Trustees Applica- z AFFIDAVIT Auteri RP Living Trust 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signatu of Pry erty Owner Signa re 6f Property Owner SWORN TO BEFORE ME THIS DAY OF J�VLY ,20 SAL', 4cl! AAlO AA10 i " J . Notary Plsbfic State of Nesv York co U mmissim Expires�ipt��0,un � Board of Trustees Applici )n AUTHORIZATION (Where the applicant is not the owner) I/We, Auteri RP Living Trust and Auteri NM Living Trust owners of the property identified as SCTM# 1000- 1 23-05-31 in the town of Southold ,New York,hereby authorizes Islandwide Engineering & Land Surveying to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property bwner' ignature Property Owner's Signature SWORN TO BEFORE ME THIS 2 a' — DAY OF ^�uL'/ ,20 Notary Pub SALVATORE MORZfOd01R Votary Public,State of New York A � � 4922898-Suffolk Cour►�i APPLICANT/AGENT/REPRESENfi UMP, TRANSACTIONAL DISCLOSURZ,FORM The Town of Southold•s Code of Ethics nroWh9 s2yMjgts of fn Loajk.»art of tgYm-QffiRers.and etrrnloyem.ne mane of is farm is to gMide inforination which can alertshe sibI 0Qnf[icts_of iblereka d allow it!g Wa WfijW=action .gecessary tt).avoid saute. YOUR NAME: Auted NM Living Tnut (Last name,first name,4dddle initial,upless you are applying in the name of someone else or otherentity,such as a'company.If so,indicate the other person's or company'sname.) NAME OF APPLICATION: (Check all that apply.) Tax grievance 71 Building Variance Tnrstee Change ofZone 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%o the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): L_JA)the owner of greater than 5%of the shares of the corporate stock of the applicant- EL (when the applicant is a corporation B)the legal orbeneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)as officer,director,partnei,or employee of the applicant;or D)the actual applicant DESCRIPTION.OF RELATIONSHIP Subntittedthis 2 da o 202.E Signature-. Print Name_ T _ Form TS l '• _ r r APPLICANTIAGENTBEPRESEN'PA.TIVR TRANSACTIONAL DISCLOSURM•FORM The Town of Sou1bold"s Code ofEthics nrohM&Lfstnflicts of intere MU-h12art of town offers and em oVees`flte iatxrixise of this form:is to provide infocination.whioh:can.)lert the towno£nossiBl ct►uEllicts of hitatesl and allow it to take whatever actmn is_ neceSsaN:ttl art�fd same. YOUR NAME: Auted RP thing Tnist (Last name,first name,ipiddle initial,upless you are applying•in the name of someone else or otherentity,such as a company.If so,indicate-the other person's or company'sname.) 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,remarriage,or busmess ittemst."Business interest't 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%ofthe shares. YES ❑.._ _- NO If you answered"YES-,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold — Title or position of that person — Describe the relationship between yourself(the applicantlagcnt/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,of child is(check all that apply): O_A)the owner of greater than 5%of the shares of the corporate stock of the applicant El (when the applicant is a corporation); la)the legal orbeneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,painter,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this t1- 202�. Signature. . Print Name O PZr 'r-77?T— Form TS l APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and emnlovees.The aurmose of this form is to provide information which can alert the town of possible conflicts_of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Islandwide Engineering&Land Surveying.D.P.C.-Jeffrey Patanjo (Last name,first name,.middle initial,unless you are applying in the name of someone else or otherentity,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 ofZone 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. YES1:1 NO R1 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,o'r child is(check all that apply): LIA)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); n_B)the legal or-beneficial owner of any interest in a non-corporate entity(when the 9Lapplicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or —D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 29 day of o y _ 2026 Signature Print Name Jeffrey Pa anj Form TS l APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of SouthoId's Code of Ethics prohibits conflicts of interest on the hart of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts-of interest and allow it to take whatever action is.. necessary to avoid same. YOUR NAME: Islandwide Engineering&Land Surveying.D.P.C.-Karol Carvajal (Last name,first name,.ipiddle initial,unless you are applying'in the name of someone else or otherentity,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. YES1:1 NO R1 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): LJA)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); II_B)the legal or-beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP SubmittedX47- day of Jury 2026 Signature Print Na de Karol Carvajal Form TS l Board of Trustees Applic,-__-'.on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: 46(-,ace-d 61 � /a3 -- s- ia3 _ S- Iq 1a 3 -, — �(a llP STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees.Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public ISLANDWIDE ENGINEERING& LAND SURVEYING 280 Main Street-Suite 1, Farmingdale, NY 11735 September 4, 2026 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold,NY 11971 RE: AUTERI RP LIVING TRUST AND AUTERI NM LIVING TRUST 3885 CAMP MINEOLA RD-MATTITUCK SCTM No.1000-123-05-31 AFFIDAVIT OF MAILING Dear Trustees: Attached, please find Affidavit of Mailing and Certified Receipts for the above reference project. If you should have any additional questions or comments,please don't hesitate to contact our office,or email me directly at karol@islandwideengineering.com Very truly yours, $9� Karol Carvajal Project Engineer SEP 1 0 2026 a: r, Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:96ert f,646 L;vttq 1VUs+ o4 0(t i\c'eAAe- f,f1u�rj 1 J,A 1000-43-5-31 Li NAME: AnnRF.SS: 000 L)& il'!at'i�iQ1 FCiYt LLC .. NR(6r,liflo s._ouis A -c/a John Simone ��NUr 'dine Eric,A 71 4.rarrik inc Ave Pve., d:7 Ci r�I F"r'3 �'ii.%i, i1\! 11530 ,LFAur' 1. 'NY 11948 1 1)-1,2�.- -19 :,1000-1�3.-5-36.16 Ctiirl i:lharios F W ACp Mineola Cain Maly L RO yy 140 LOVE, Ln f0a tli-ua,(, NY 11 a52 PU Box 14 10t�f,3-123-5-30 Pidf,rioni KP Rev I-rt 53 i is-'t.s, N L. r Plaza Cir Pi')Qe!Ox, AZ 85012 STATE OF NEW YORK COUNTY OF SUFFOLK �p l lahjw'6de Enfneenny y larva fVrUeYij c/o V0101 Crtxju� residing at 28a �oirt 54, S' It f-(YmiA dace �� a13�" , being duly sworn, deposes and says that on the 3 day of Sep��n.ber , 20 26 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at 7-0►rrn i i,I C�`(e . , that said Notices were mailed to 4-1 each of said persons by CERTIFIED MAIL/RETURN RECEIPT. L9-P 4 Signature Sworn to before me this 3 P- Day of Seh-tebnbE--.r 20 JcANNE M. LODICO votary Public, State of New York No.01 L06023719 Qualified in Suffolk County ;c,r;em . ission Expires Apr. 26., 20a7 ?�tary Public Q ®° NEON=0 ru ®° ® E 1: IN 1 ru 1 ? 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PO piex 1701 .................. ru 0 140 Love I n r- €tl"s'I'kit t.ick, NY 119 62 r, F'a E3ox 1 1 4 w' 1 �cr, �3C, , :oe 1 e6 ele'1• :B1 1 B1 e/b•6• ® o O CO ®® r3 ru iT �Ii y i U Certified Mail Fee ru Extra Services&Fees(check box,add tee I s approprjate) Return Receipt(hardcopy) $ rrt E]Return Receipt(electronic) $ - Postmark Q ❑Certified Mail Restricted Delivery $..�.J- -„'�-- Here L� E]Adult Signature Required $ .. E]Adult Signature Restricted Delivery$ Cl Postage r'u ,lai dolWo l=o�in A_ .................. 420 'Bray Ave .............. Laurel, #'' 1" r`i8 :BI 1 /1 61A°1 ISLANDWIDE ENGINEERING& LAND SURVEYING 280 Main Street-Suite 1, Farmingdale, NY 11735 September 14, 2026 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, NY 11971 RE: AUTERI RP LIVING TRUST AND AUTERI NM LIVING TRUST 3885 CAMP MINEOLA RD-MATTITUCK SCTM No.1000-123-05-31 AFFIDAVIT OF POSTING Dear Trustees: Attached, please find Affidavit of Posting for the above referenced project. If you should have any additional questions or comments, please don't hesitate to contact our office, or email me directly at karol@islandwideengineering.com Very truly yours, A41 Karol Carvajal Project Engineer Glenn Goldsmith, President V®6,FFO(tC® Town Hall Annex ® A.Nicholas Krupski,Vice President 54375 Route 25�� yj, Eric Sepenoski P.O.Box 1179 Liz Gillooly o Southold,NY 11971 Joseph Finora 4,, 7 ��®� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ROBERT P. AUTERI LIVING TRUST & NANNETTE M. AUTERI LIVING TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER I, 0(1(01 Cc1�vt �` , residing at/dba �I YO 1 0,yk being duly sworn, depose and say: That on the H day of t �' t' , 2026, 1 personally posted the property known as ,3'H S Cta Ag'e01 c% A� 1 Agc1 64uck, jqV RkgT2- by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 16,2026. Dated: 1,06 P y' 1201)1G' � (signature) Sworn to before me this Y day of -�'?p�20 JEANNE M, LODICO ,,,ary Pkiblic, State of New York •. c '�' No. 01 L06023719 Qualified in Suffolk county �, otary Public •,jmi%lion Expil'es Apr.26, 2U, NUTIC 't-:' Uim H 't: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: ROBERT P. AUTERI LIVING TRUST & NANNETTE M. AUTERI LIVING TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing sanitary system and replace it with a new I/A sanitary system consisting of a Fuji Clean Cen 5 treatment tank, an inlet adapter 90, an Orenco pump and 52" of Quick 4 plus standard infiltrators designed as a combined system serving both the main house and the cottage; and to install and maintain silt fencing around the work area until the site is fully stabilized. Located: 3885 Camp Mineola Road, Mattituck. SCTM# 1000-123-5-31 TIME & DATE OF PUBLIC HEARING : Wednesday, September 16, 2026 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD.OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,..each answer must be explained in detail, listing both supporting and non- ;sunaortine<:facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#, 123 05 31 PROJECT NAME 3885 Camp Mineola Road- Town of Southold The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate response): (a) Action 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: See attached A Location of action:3885 Camp Mineola Road,Mattituck,NY 11952 Site acreage:0.252 Present land use:Res. Present zoning classification:Res. z 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:Auteri RP Living Trust and Auteri NM Living Trust (b) Mailing address:4 Pidgeon Ct,Manorville,NY 11949 (c) Telephone number:Area Code 516-768-7990 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes R] No❑ If yes, which state or federal agency?NYSDEC,SCDHS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY, Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑✓ Yes ❑ No ❑ Not Applicable Project is consistent with neighboring area and makes beneficial use of property.Proposed new construction with I/A style sanitary system. 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 No Effect. 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 No Effect 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 No effect 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 Project provides new sanitary system that has a positive effect on wetlands due to I/A style sanitary system with reduced nitrogen outflow. 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 No Effect. 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. ❑ Yes ❑No❑✓ Not Applicable No Effect. 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 ❑✓ Not Applicable No Effect. 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 R1 Not Applicable No effect 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 No Effect. 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 0 Not Applicable No effect. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable No Effect. 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 Fv] Not Applicable No Effect. PREPARED BY TITLE DATE Karol Carvajal Agent 07/09/2026 ENGINEERING& ISLANDWIDE I LAND SURVEYING 280 Main St-Suite 1, Farmingdale, NY 11735 July 29,2026 Town of Southold Trustees Town Hall Annex Building 54375 Rte.25 P.O. Box 1179 P LUG E IV E ��Rom, Southold, NY 11971 LI L! fj RE: AUTERI RP LIVING TRUST AND AUTEM NM LIVING TRUST 2026 3885 CAMP MINEOLA RD-MATTITUCK SCTM No.1000-123-OS-31 Scuffiold Town WETLAND PERMIT APPLICATION Board of Trustees Dear Trustees: We hereby submit the application package,(1)original and three(3)copies of the proposed plans,wetland permit application, SEAF, project description, stamped survey, floor plans, photographs, and a check in the amount of$1,250. The purpose of the project is to remove the existing failing sanitary system and replace it with a new I/A type sanitary system designed as a combined system serving both the main residence and the cottage. If you should have any additional questions or comments, please don't hesitate to contact our office,or email me directly at karol@islandwideengineering.com Very truly yours, Karol Carvajal Project Engineer