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TR-9391
Glenn Goldsmith, President q sorry Town Hall•Annex A. Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O. Box 1179 Eric Sepenoski l [ Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples Fax(6.31) 765-6641 couff N,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTI.FICATE OF COMPLIANCE # 19040 Date: March.15,2022 . THIS CERTIFIES that the installation of a 16'x32' in-ground steel wall vinyl swirnming_pool . with coping; install a 4' high pooF enclosure fence extending from deck'38'seaward, returning to easterly. propelly. line 461.,and alo ig_property line.extendir g landward; and to remove,trees;` with the condition of the use of sound deafening material on the pool equipment area; and that the.area:Trustee is met with at site prior to tree removal; At 800 Glenn Road, Southold .Suffolk Cp,ynty,Tax Ma0;#1000-7.8-2=26 Conforms'to the applkafion for.,a Trustees Permit heretofore`fled in.this off ce Dated December 6 2018 pursuant to which Trustees Wetland Permit#9391 Dated Febru' 'g>13; 2019,_was-issued and conforms'to all the:requirements iffid conditions of theapplicable provisions-of law The:prolecf-for which this certificate is being issued is for the installation o -a 16'x32'.in-ground steel wall`vinyl swiiritningpool with, install a 4' high pool.enclosure fence extending from deck 3 8' seaward, returning to.easterly property line 46.7', and along_propeM line extending landward; and to remove trees; with.the condition of the use of sound deafening material on the pool.equipment:area; and that the area Trustee is>met with at site-prior to:tr&b remal ov :. The.certificate is;issued to Marc Zupicich.& Tonya Hurowitz owners of the.aforesaid pro r Authorized Signature Glenn Goldsmith, President QF soar Town Hall Annex Michael J.Domino,Vice-President �Qy�lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l�i[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 104UNT`(,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION,: 'I 1-� " INSPECTED BY:` P-eefJ '�Ch: 275'° Ch. 111 = INSPECTION SCHEDULE Pre-construction;.haybale line/silt 'boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection CO MENTS_: .+!moo3�� 3 y 2v IS 2 - FtAce i5 2_'3 u J"s-Vc0.4 o 38'b u vF eA( 1 �` t plo'Wi s axe okay %r soma SOYA yl. o out e i o+ I n �a�, I e - 06k\4 . 4 - ) e, CERTIFICATE OF COMPLIANCE: SURVEY Off IOT . 10 N A5 SHOWN ON A CERTAIN MAP'ENTITLE D"MAP OF.WE5T CREEK ESTATES" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY AUGUST.19, 1993A5 MAP NO..3848 SITUATE.: 50UTHOLD W E TOWN . SOUTNOLD SUFFOLK COUNTY; NY �- �, r __ S SURVEYED 1-I.-08-2018 PROPOSED 11 - 1 9-201'8; 12-05-2018 L's' • � �_118 I SUFFOLK COUNTY TAX # 1000 - 78 - 2 - 2G CERTIFIED TO Q- G��TONYA HUROWITZ O " MARC ZUPICICH Pv 4• /0, r�O SEGO �: . a4'wa�Q • :. rR al..O t LOT AREA = 2G,827 5q, Ft. AREA OF WETLANDS = 3,332 Sq. Ft. OR 12.4% PROP05ED LOT COVERAGE INFORMATION TAX MAP# (ZONE R-40) 1000-78-2-26 AREA LANDWARD OF FLAGGED WETLAND5 23,455 5.F. 0 EXI5TING COVERAGE WACK •: 22, G, Q, EX15T.I10U5E 4 GARAGE 2,658.0 S.F: EX15f.DECK 437.4 5.F. N 5p/ .. STp�p PROPOSED COVERAGE q. PROP05ED POOL 512.0 5.F.or 2.I% '1A/ '19 " FT TOTAL PROP05ED COVERAGE E EX15TING 3,607:4 5'.F.or 15.3%1v/E �RY LIS o PR� �2 N Pp P; 4x6' gFCKF,.. O PROP, -J PppC: Vi G W f.s.o, zzs' �040. .. POO EQUIP �:, P. 5'•T .' m . NCCpS RE �\ 1kAp � . 4. 0 '3 \.. APsPROVED;BY; BOARD OF .TRl1STEES T °wTOWN-OF SOUTHOL hF ooop RFo MF x'20 .O DATE ,,- �3, 24,1 0(.' 4. WETLAND FLAGS.SHOWN THUS WERE SET 5Y SURVEYOR NOTES: survey map'Unauthorized alteration or addition to a map bearing a licensed land surveyor's seat'is a • PIPE FOUND' �' : violation of-section 7209, sub—division 2, of the JOHN C..'E H LE RS ::LAN.D .:S U KV EYO'R New York Slate Education Law." TREE TO BE REMOVED . ' "Only copies from the original of this survey ' marked with an original of the land surveyor's . stamped seat shall be considered to tie valid true .. .. copies" ELEVATIONS REFERENCE NGVD 1929. G'EAST MAIN.STREET. N:Y.S.:LIC. NO. •50202 - "Certifications Indicated hereon signify that this survey was prepared In occordance.with-the ex— •• Area = 26,827 S Ft. RIV'ERH EAD N.Y. I'l 90 I -3G9-$28.8:fax.3G9-8287 tettng Cede ar St Practice far Land Surveys adopted q•. e' ,• „ , by itis New York Slate Association of professional Area = 0.615 AerC5 Lond Surveyors. Sold certifications shall run only „_. je5urvey@optonkne.net' to the person for whom the survey is prepared. GRAPHICSCALE 1 30 an on his behalf to*the title company, governmen— tal agency end lending institution listed,hereon, and .. .. — to the assignees of the lend(ng institution. Cerllfico I'6-1 5G• tions ore not transferable to additional institutions S FFO Michael J. Domino, President �o�— Town Hall Annex John M. Bredemeyer, III, Vice-President �� y< , 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A Nicholas Krupski y off,' Southold, NY 11971 Greg Williams � Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction %2 constructed When project complete, call for compliance inspection; L rk _100-M -I Mmll BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9391 DATE: FEBRUARY 13,2019 ISSUED TO: MARC ZUPICICH & TONYA HUROWITZ PROPERTY ADDRESS: 800 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-26 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 13,2019 and J in consideration of application fee in the sum of$250.00 paid by Marc Zupicich &Tonya Hurowitz and subject 6 to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes an permits the following: Wetland Permit to install a 16102' in-ground steel wall vinyl swimming pool with coping; install a 4' high pool enclosure fence extending from deck 381 seaward, returning to easterly property line 46.7',and along property line extending landward; and to remove trees; with the condition of the use of sound deafening material on the pool equipment area; and that the area Trustee is met with at site prior to tree removal; and as depicted on the survey prepared by John C.Ehlers Land Surveyor,dated November 8, 2018,and stamped approved on February 13,2019. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 13"'day of February,2019. t G A,<vZ,WNl�0) 40bAmkxwo,�,�b) TERMS AND CONDITIONS The Permittee Marc Zupicich &Tonya Hurowitz, residing;at 800 Glenn Road, Southold, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize 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. SURVEY Off LOT 10 N A5 SHOWN ON A CERTAIN MAP ENTITLED"MAP OF WE5T CREEK ESTATES" "- FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY AUGUST 19, 19G3A5 MAP NO. 3848 51TUATE : 50UTMOLD w, E TOWN : 50UTHOLD SUFFOLK COUNTY, NY ; �' s L s SURVEYED 1-1 -08-2018 r PROPOSED 11 - 1 9-2018, 12-05-2018 6 i-")18 SUFFOLK COUNTY TAX # 1000 - 78 - 2 - 2G CERTIFIED TO TONYA HUROWITZ O GAF MARC ZUPICICH � as 9 4' /O, pha�tVr \ 3 O oa S66° 1, U d 30/1 • we wgrFR rRF a �p t s. 0 pp LOT AREA = 26,827 5q. Ft. �W AREA OF WETLANDS = 3,332 5q. Ft. OR 12.4% p Ile dy' PROPOSED LOT COVERAGE INFORMATION 12, ' TAX MAP k (ZONE R-40) 1000-78-2-26 AREA LANDWARD OF FLAGGED WETLANDS 123,495 5.F. O EX15TING COVERAGE wgCK 22 6 EXI5T.HOUSE 4 GARAGE 2,658.0 5,F. `Q FX15T DECK 437 4 5.F. N so,/, TOO/' O PROPOSED COVERAGE PROPOSED POOL 'fi 12.0 5.F.or'2.1% F 57- TOTAL PROPOSED COVERAGE 4 EXISTING 3,607 4 5 F or 15 3% �ME OR GqpHOLIS E m CV O� PROP , `I P�OL' G W /s.0, ___2 .5, - - a-00 p�OP -- - m_4 4 EQUOL P X5.7_- _I1 m 5 CO'3 \�� c MFq SFT ,%weAPPROVED BY �OSe06 2 ' t-. -BOARD_OF TRUSTEES Try"ogo01Rq. �° � TOWN-OF-SOUT OD oRFO � jq RN��YOF. 4540"� TO GO, DATE i 312 is pp�� , No ' p�F ORF R✓R JgoQ��RCro \ , S F•. WETLAND FLAGS SHOWN THUS WERE 5ET 5Y SURVEYOR NOTES: "Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's Baal is a 0 PIPE FOUND JOHN C. E H LE R5 LAN D •5 U RVEYO R' violation ar section York sub-divisioni2.o of the New York Slate Education Law. ® TREE TO BE REMOVED ` 'Only copies from the original of this survey marked with an original of the land surveyor's stomped seal shall be considered to be valid true copies" ELEVATIONS REFERENCE NGVD 1929 G EAST MAIN STREET N.Y.S.. LIC. NO. 50202 "Certifications Indicated hereon signify that this survey woe prepared in accordance with the ex— Pr Area = 2G,827 5q. Ft. RIVERHEAD, N.Y. 1 -130 1 -3G9-$288 Pax 3G9-82(57y the by the Cede of New York SSates for Land Surveys adopted tale Association of Professional Area = 0.G 15 Acres Land Surveyors Said certifications shall run only net tonkne GRAPHIC SCALE 1"= 30' jesurvey@op . to the person for wham the survey is prepared, _ and on his behalf to the title company, governmen— tal agency and lending Institution listed hereon, and Ito the assignees of the lending institution CerliLco- 18-15G one are not transferable to additional institutions Ire\, Michael J.Domino,President O��QF SOUrTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • �Q Telephone(631) 765-1892 Greg Williams �CUU O Fax(631)765-6641 � NT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 13, 2019 Eastern End Pools P.O. Box 369 Peconic, NY 11958 Attn: Jennifer DelVaglio RE: MARC ZUPICICH & TONYA HUROWITZ 800 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-26 Dear Ms. DelVaglio: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 13, 2019, regarding the above matter: WHEREAS, Eastern End Pools, on behalf of MARC ZUPICICH & TONYA HUROWITZ applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 6, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 13, 2019, at which time all interested persons were given an opportunity to be heard, and, 2 {. „ r WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MARC ZUPICICH & TONYA HUROWITZ to install a 16'x32' in-ground steel wall vinyl swimming pool with coping; install a 4' high pool enclosure fence extending from deck 38' seaward, returning to easterly property line 467, and along property line extending landward; and to remove trees; with the condition of the use of sound deafening material on the pool equipment area; and that the area Trustee is met with at site prior to tree removal; and as depicted on the survey prepared by John C. Ehlers Land Surveyor, dated November 8, 2018, and stamped approved on February 13, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 0 Michael J. Domi o, President, Board of Trustees MJD/dd r OSUFFQC�e, Michael J. Domino,'President ���� �Gy� Town Hall Annex John M. Bredemeyer, III, Vice-Presidenty 54375 Route 25 Glenn Goldsmith k� P.O Box 1179 A Nicholas Krupski y,�j0 �o�; Southold, NY 11971 Greg Williams �� `y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MARC ZUPICICH & TONYA HUROWITZ c/o EASTERN END POOLS Please be advised that your application dated December 6, 2018 has been reviewed by this Board at the regular meeting of February 13, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) - - The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: . 4,i2,Jq TOTAL FEES DUE: $ 50.00 BY: Michael J. Domino, President Board of Trustees Michael J.Domino,President ��OF S0(/jTown Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone (631) 765-1892 Greg Williams O Fax(631) 765-6641 �y'rou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 17, 2019 Francis & Maria McNamee 19 Skipper Drive West Islip, NY 11795 RE: MARC ZUPICICH & TONYA HUROWITZ 800 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-26 Dear Mr. McNamee, The Southold Town Board of Trustees received your letter in opposition to the swimming pool application on the property mentioned above. The Public Hearing regarding this matter was held on February 13, 2019 at which time the Board reviewed all pertinent information including the February 4, 2019 field inspection notes. Accordingly, the Board found in favor of the applicant and a permit to construct was issued on February 13, 2019. Very Truly Yours, Michael Domino, President Town of Southold Board of Trustees Francis and Maria McNamee 19 Skipper Drive West Islip, NY 11795 631661-1799 IL Town Hall Town of Southold 53095 Route 25 PO Box 1179 Southold, NY 11971 Attention: Board of Trustees Dear Sirs, My name is Francis McNamee and I own the property at 910 Glen Road in Southold. Suffolk County Tax #473889 78-2-27, 1 received notice seeking variance looking for an exception to put a proposed pool on our neighbor's property at 800 Glenn Road tax#1000-78-2-26 which butts our property. I was hospitalized for several weeks and wasn't able to respond to a hearing regarding this matter. I respectfully request that you deny this permit allowing the pool to be put in. Please notify me at your convenience of this status. Respectfully, Francis H. McNamee 4 L_FF9252019 Southold Town f Trustees • DEPARTMENT OF THE ARMY U.S.,ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT ii: 1 tit JACOB K.JAVITS FEDERAL BUILDING'J'26 FEDERAL PLAZA fig 14 NEW YORK NEW YORK 10278-0090 LW- 4 REGULATORY BRANCH SUBJECT: Permit Application Number NAN-2019-00169 FEB 1, 2 2019 By Zupicich, Marc Marc Zupicich 35 Chatfield Road Bronxville, New York 10708 Dear Marc Zupicich: On February 11', 2019; the New York District, U.S. Army Corps of Engineers (Corps), received a request for Department of the Army authorization for tree removal in the West Creek watershed at,800 Glenn Road in the Town of Southold, Suffolk County, NA York. 4 The specific applicant-provided details are as shown on the attached project drawings titled "Survey of Lot 10" by John'C: Ehlers. Our review indicates that since the proposed work does not appear to include dredging or construction activities in or over any navigable waters of the United States, the placement of any dbedged orf_ IIIm`aterial in any w ters of_the United tates�including coastal or inland wetlands) or the accomplishment of any work affecting the course, . - - location,-condition-or capacity-of such-areas;-a-Department of the-A-r-my permit;in.- -- --- - --- --- - - -- - - --- - accordance with 33 CFR,320-330, will not be required provided the proposed,work is - executed in accordance with the referenced material. , -Care-should-be taken so that-any fill-or-construction-materials,including debris, do -- - - - not enter the waterway to become a drift or pollution hazard. A No Permit,Required (NPR) determination by the Corps: f • Does not obviate the requirement to obtain any,other Federal, State, or local permits which may be necessary for your project; • Does not constitute a federal evaluation of possible impacts to species protected under the Endangered Species Act. Projects that have the potential to impact federally listed species should contact the (U.S. Fish and Wildlife Service/NOAA Fisheries Service); and, • Does not constitute a federal evaluation of possible impacts to historic resources protected under Section 106 of the Natural Historic Preservation Act. Projects that'have the potential to impact historic sites should contact the State Historic Preservation Officer in New York. REGULATORY BRANCH SUBJECT: Permit Application Number NAN-2019-00169 FEB 1 2019 By Zupicich, Marc 2 This NPR determination neither addresses nor includes any consideration for geographic jurisdiction on aquatic resources and shall not be interpreted as such. In order for us to better serve you, please complete our Customer Service Survey located at http://www.nan.usace.army.miI/Missions/Regulatory/CustomerSUrvey.aspx. If any questions should arise concerning this matter, please contact William T. Bruno, of my staff, at (917) 790-8516. Sincerely, Ronald R. Pin Chief, Eastern tion Enclosures Copies furnished to: Eastern End Pool LLC Attn: Jennifer Del Vaglio P.O. Box 369 ReGG)nir ,AIV 11 A58 -.--_- Town of Southold Y i SURVEY OF LOT 10 NAN-2019-00 69-EBR N I A5 5HOWN ON A CERTAIN MAP EN In ED'MAF OF WHIT GREEK15TATOM FILED IN THE OF ICE OP THE CLERK OF 5UFFOLK COUN Y AUGU5T 19,19G3A5 MW NO.3848 SITUATE: SOUTHOLD w E TOWN: SOUTHOLD SUFFOLK COUNTY, NY s SURVEYED 11-08-2018 PROPOSED I I-19-2018, 12-05-2018 SUFFOLK COUNTY TAX# 1000-78-2-2G CERTIFIED TO* / TONYA HUROWITZ MARC ZUPICICH /C' /� s4 a/t /O ro Oiq h 'V a � S6D3/apo P� WA� 00 0 V °• Q O LOT AREA —2G,827 Sq Ft r AREA OF WETLANDS—3,332 5,1 Ft OR 12 49 O PROPOSED LOT COVERAGE INFORMATION Tm% l MOOR-IQ100.}7&2-2G � �Q AREA IANDWARD OF FLAGGED V4nMO5 123.4955X. O EXISTING COVERAGE WAW 226, I ~ Etl T HODSE•GARAGE 265BAS P qq• , �' BaST DED:. 43]45 P N sp r, STOI`'OP N PROPOSED COVERAGE nq 3 PROPOSED FOOT- 512 09 P or 2 I% / TOTAL PROPOSED COVERAM EMNG U07.45 F..,153% D Pgqc FNoRU n tl' s A eAGE SF D7 DQ�L O 7a 7, `f2r— u CVO PROP• s� - 2 p00L �t G W FOUIP, C ❑A••lD.D� - -- ----- - - - - -N -= - —3- w- - �� -- --- - --- -- - —- -- 00 n M � 2 1 nyFOWOrO� 4S��N��/ q F/�GroP g0nw OVGO \lL\ J R OSF R�'�-� Boor `'"DNo 0 4 Fob \ �c4C F� r WETLAND FLAGS 5HOWN THUS HERE SET BY SURVEYOR r' p� vn.mn.re9m ll—e n er,ealmn/m N 4 PIM FOUND 1 9r iV9� Ndolbn of eecVm 12V9. b-dMalon L.1 ttb. • JOHN C. EHLERS LAND SURV YOO R �.E f N.1-k slaty Eau— TREETOEERUKNED H�Cnn Ve%evRxv aan"o uymd er"u�n ® O "T •'S madcd,aN.n mi°Hal of the lend nw.ervr" .vnaar<.a w by wru w. • .evw ELEVATION5 REFERENCE NGVD 1929 G EAST MAIN 5TREET N.Y.5.LIC.NO.5 202 zF •1 'S T�• -crrnneanona nmeelro nereen.lymry",1 mro Area —2G,827 Sq.Ft. RIVERHEAD,N.Y. 1 1901 3G9-8288 Fax 34:9-8287 11 ' ' y.e,5=' "OC= Ibn—1. xiM.N,.er R t. rm d.0 areen vavvd Area —O.G 15 Acres G Q- i$M.Nom..roM swl.Aaodeuon.r Rrvrr wy resurvey@optonlm .net ccL 502o e�°� >°wodU:'m°n,L° ,tea G PH C SC LE A O a vn be n.ndr to"Lo—nn . v �- SFOLANG•U id eve �ae'w,v R end S le w nar u.lmC,q wbwb". ewr.v- 18•156 ne.n en h3..,, m amnd xdnnue., STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA ANDREW M. CUOMO 99 WASHINGTON AVENUE GOVERNOR ALBANY,NY 12231-0001 ROSSANA ROSADO WWW.DOS NY GOV SECRETARY OF STATE February 5, 2019 Ms. Jennifer Del Vaglio East End Pool King Post Office Box 369 Peconic,New York 11958 Re: F-2018-1366 U.S.Army Corps of Engineers/New York District i- Permit Application-Mark Zupicich 11' til I Construct a 16 x 32 vinyl in ground swimming pool ° FEB I a 2019 �� with 4 x 6 drywell and 4'high fence around pool. Remove 12 trees. 800 Glenn Road, Town of Southold, Suffolk County No Jurisdiction Dear Ms. Del Vaglio: The Department of State has reviewed your Federal Consistency Assessment Form and supporting information on December 31, 2018. The proposed activity does not appear to require a federal permit, license, or other form of authorization. Therefore, further review of this project by the Department of State, and concurrence with your consistency certification, are not necessary. If you have any questions or need any additional information regarding this matter, please contact me at (518) 474-6000. Sincerely, �a'-"a.L.. ' Tanna LeGere Coastal Resources Specialist Office of Planning, Development and Community Infrastructure MM/tl ec: COE/New York District-Ronald Pinzon DEC/Region 1 -Sherri L Aicher(1-4738-04655/00001) NAIEOF Department STATE OF OPPORTUNITY. of State I r V, T s DEPARTMENT OF THE ARMY �1 � U.S.ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT i JACOB K.JAVITS FEDERAL BUILDING26 FEDERAL NEW YORK NEW YORKL 0278-0090 FEB 1 3 2019 Board of o-ist.ns REGULATORY BRANCH SUBJECT: Permit Application Number NAN-2019-00169 FEB 1 2 2019 By Zupicich, Marc Marc Zupicich 35 Chatfield Road Bronxville, New York 10708 Dear Marc Zupicich: On February 11'3 2019, the New York District, U.S.Army Corps of Engineers (Corps), received a request for Department of the Army authorization for tree removal in the West Creek watershed at 800 Glenn Road in the Town of Southold, Suffolk County, N6v York. The specific applicant-provided details are as shown on the attached project drawings titled "Survey of Lot 10" by John C. Ehlers. Our-review indicates that since.the proposed work does not appear to include dredging or construction activities in or over any navigable waters of the United States, the ___-. pJ.�cement of�,y_c�dg�,�1 or�ill�atesi.�l_i�r►,.any�t��f..theS.L�1it�cLS��s lincludir�g coastal or inland wetlands) or the accomplishment of any work affecting the course, location, condition or capacity of such•areas,•a Department of the Army permit, in accordance with 33 CFR 320-330, will not be'required provided the proposed work is executed in accordance with the referenced material. Care should be taken so that any fill or construction materials, including debris, do not enter the waterway to become a drift or pollution hazard. A No Permit Required (NPR) determination by the Corps: • Does not obviate the requirement to obtain any other Federal, State, or local permits which may be necessary for your project; • Does not constitute a federal evaluation of possible impacts to species protected under the Endangered Species Act. Projects that have the potential to impact federally listed species should contact the (U.S. Fish and Wildlife Service/NOAA Fisheries Service); and, Does not constitute a federal evaluation of possible impacts to historic resources protected under Section 106 of the Natural Historic Preservation Act. Projects that have the potential to impact historic sites should contact the State Historic Preservation Officer in New York. REGULATORY BRANCH SUBJECT: Permit Application Number NAN-2019-00169 FEB 1 2 2019 By Zupicich, Marc , 2 This NPR determination neither addresses nor includes any consideration for geographic jurisdiction on aquatic resources and shall not be interpreted as such. In order for us to better serve you, please complete our Customer Service Survey located at http://www.nan.usace.army.mil/Missions/Regulatory/CustomerSLirvgy.aspx. If any questions should arise concerning this matter, please contact William T. Bruno, of my staff, at (917) 790-8516. Sincerely, Ronald R. Pin Chief, Eastern tion s FEB 1 3 2019 Enclosures Copies furnished to: Eastern End Pool LLC Attn: Jennifer Del Vaglio P.O. Box 369 ---.�ewnic;-N-Y-44958 NYSDEC - Region 1 Town of Southold 1 I � SURVEY OF LOT 10 WAIN-2019-00 69-EBR N A5 SHOWN ON A CERTAIN MAP WrITIEO`MAP OF W15T CRZ EK E5TMIV RED IN THE OFFICE OF THE CLERK OF SUFFOLK COUMY AUGUST 19.190A5 AMP NO.3848 51TUATE: 5OUT110LD w E TOWN: 50UTHOLD SUFFOLK COUNTY, NY s SURVMD 11-08-2018 PROP05ED I 1-19-2018, 12-05-2018 SUFFOLK COUNTY TAX# 1000-78-2-2G CERTIFIED T0: m TONYAHUROWITZ MARC ZCPICICH h 304 c Wq� 00 LOT AREA —26,827 Sq.Ft. AREA OF WEMNDS-8.882 5q,Ft.OR 12.4'i% O PROPOSEOLOr COVERAGE INFORMAIIGN O �,l?� �l TAX Nuri UMFY1e1 2w 7.7,m AF ALUIONMDOFf4G owlTlmDs 2A49S5 r, J J HaS11NG COVERAGE cmi.nowd.cAwl oasr.oca PROF050 COVERAGe s, til rRammlva rA1 PFDN9E0 COVWJ✓E FF18TU10 S. S.P.ar 15.3rb 09 ¢Ap�Sf '� m }g! P FEB 2019cv •.••-d ?� �4 Pr•!CW/pdot � j aag Q.Inv �j� 4; r; � s � Mme "o "Q, G 10" OS�L'i��1 //S K PQM 'OpI p OW OR \ e WETLAND FLAGS SHOWN THUS HERE 5ET 5Y SURVEYOR NOT@4. I ,�'ti Vn.Nlia6ed dbosbn or eddld,to a—ref "`pro JOHN C. EHLERS LAND 5URV YOR °� H.r YVN RpNp�.�gtdwWnw4rpr(.ry�' IFUTO Ee R9VlXFD ' !`�<, �n damend wvlmilM M mWmd{e a Mtl ImI ® , �,OS �t� 'r�•� M vIW®e,�Ntl of IaW�M�err ELEVATIONS REFFRRICE NGW 1929 G EAST MAIN STREET N.Y.5.LIC,NO.5 202 * �Y t unreom.nanw nala: w!w eue mae°a Ares ®26,827 5,1.Fk RIVFRFiEAD,N.Y. I 1901 369-8288 Fax 3(;9-8207 ¢, y u.,,,,,.,,, Arca a O.G 15 Acres t c+ O !.w s.wr.r. a.mdmeeuon.and M.�r .� O �85UfVEYQOpLOU(111 .f1Et �s 50?0 `�� dmWlo F i LAND Sal I.;"dpu.IuaNt a'�u�'°`md 1 8-I .t SpFFO(�- r - Michael J.Domino,Pre! 0�0 COG Town Hall Annex John M. Bredemeyer III,Vice-kr-6sident �� yam,' 54375 Route 25 Glenn Goldsmith w a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ��,Cl p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD n Date/Time: Completed in field by: il�w V Eastern End Pools on behalf of MARC ZUPICICH & TONYA HUROWITZ requests a Wetland Permit to install a 16'x32' in-ground steel wall vinyl swimming pool with coping; install a 4' high pool enclosure fence extending from deck 38' seaward, returning to easterly property line 46.7', and along property line extending landward; and to remove trees. Located: 8,00 Glenn Road, Southold. SCTM# 1000-78-2-26 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N N Ch. 275 Ch. 111 SEQRA Type. I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 4-v i2e4M�2h� 'L-V� Ole �4 'Aallk�_ �. I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: / J. Bredemeyer /M. Domino /G. Goldsmith °C N. Krupski ` ./ G. Williams Other •ti;�( 1 (° � � .� � i ��� ,�• +sem R� � kms!•• 'f _�R t W, A. , m '...uy..� ►M .�F., 'r.. • .a. ,/ I� tom.. • I . t �f ir 1.k 00 AL t � `,. / « i • Y � R.1 .� ..�,�, � 1� }E �, � - ��_�•—•_.._ .___mss��/ Lr f t #a. 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" , 1p' '^ ,2 w •• e 1� $10 3tr2 'AN ® J'ya J'�c dx 12 13 s9 �� V e , ..• • <• all 1211 � Sf 38? N a• � 30 ♦ d 0• 11 BJ ( •e 33.f_ � 66 b FpB q $ .5.1 29. % BI_ •r a 0 d© 31.3=t 1��y fAA(c)• z3A(c) 11.1 ,• ,) 15.3 19 SAN.) Lsal m, R ]( B B• sBe K Ne. b d A MATCN--�--UNE •� � W ,f 4T qN SEE SEC.NO. r 6 0•E A ` I (Ba7 7 - �miw L ,...�.. �..�.�.A. ^• u. ------ o..... — ••'-- w...�. --"-- NOTICE COUNTY OF SUFFOLK © Ic eaB 13' ,o»ta SOUTHOLD SE OG W=° _Y2_ �'��`�•" (21) . 2, ,NraNEan.wr ro6nex es,N1 E o<Real Property Tax Service Agency r ®am —__ w.�.r . w -- eunu.. --•-- mu.--•-- Out W,Mvtta wvNVBo,tetFe ® Caunry Gnrn Rlrn,Maa,NY 11W1 M N 0!5 eR 9un0E D AirA )3 r ,2,Nrls t3.iA p..u. --r-- o•way.--aw-- T aH P 6ae eBi 6ea Ga,eKT xO ,000 PRC OFFICE LOCATION: ®��q s® MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �a Southold, NY 11971 ® Telephone: 631 765-1938 ®lgc®U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: February 11, 2019 Re: LWRP Coastal Consistency Review for MARC ZUPICICH &TONYA HUROWITZ SCTM# 1000-78-2-26 Eastern End Pools on behalf of MARC ZUPICICH &TONYA HUROWITZ requests a Wetland Permit to install a 16'x32' in-ground steel wall vinyl swimming pool with coping; install a 4' high pool enclosure fence extending from deck 38' seaward, returning to easterly property line 467, and along property line extending landward; and to remove trees. Located: 800 Glenn Road, Southold, SCTM# 1000-78-2-26 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following is considered: 1. Clarify why the pool dewatering well is located so far from the pool. 2. Retain trees proposed to be removed that are located closer to the wetland boundary and within Board jurisdiction. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney i Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 6, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of MARC ZUPICICH & TONYA HUROWITZ for the installation of a 16'X32' in-ground swimming pool, tree removal and fence. Fence will be 4' high extending from deck 38' returning to property line. Located: 800 Glenn Rd., Southold. SCTM#78-2-26 Inspected by: John Stein, Peter Meeker, Carol Brown Vote of Council:'Ayes: All Motion Carried �i Michael J. Domino, President ��O��SUFFO(,r100 Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmith N ,r P.O. Box 1179 A Nicholas Krupski y • Southold, NY 11971 Greg Williams �Ol , dao Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS SCTM#: 7� 2 2& Property Owner Name: Date Sent to Bldg. Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO 77, Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: c Date igna ure of Reviewer I . L,- Michael J.Domino,President fjf SOUTy� Town Hall Annex John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski 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 Wetland Permit Application Administrative Permit i Vmendment/Transfer/Extension ! DEC w6 20,8 eceive250&�Application:eceived Fee: $ �-• ---- , - ' ompleted Application: e Incomplete: SEQRA Classificdtion: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination-(date-sent): _;;�'� LWRP Consistency Assessme Form Sent: I Y CAC Referral Sent: 1,3A _Z-Date of Inspection: 02. If Receipt of CAC Report: Technical Review: Public Hearing Held: oZ►I Resolution: Owner(s) Legal Name of Property (as shown on Deed): Mailing Address: Phone Number: 91-4 S o(o — 2>'%D�4 Suffolk County Tax Map Number: 1000 - Property Location: Jct G�2 (\ (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): Mailing Address:"T I 1 Phone Number: COL �j�- :4" '1' ChrA 5A � '�')�qI Board of Trustees Applin ;,ion GENERAL DATA Land Area (in square feet): C:�-�o X59 o(0 Area Zoning: Previous use of property: 1Zes� 1� Intended use of property: Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. �A Will this project require a Building Permit as per Town Code? )( Yes 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 XNo If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes —No Does the structure (s) on property have a valid Certificate of Occupancy?—A—Yes No Prior permits/approvals for site improvements: Agency Date 1SSU(aa Norl k No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?.No Yes If yes, provide explanation: Project Description(use attachments if necessary): 1 ��a�;©� c 0. �� ��NJ �G x, �` �'��� 5111 D.� � A�or-���A �` �`1�• "�\ Board of Trustees Appli. .ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: Ag "�ajz*� square feet Percent coverage of lox: /6" 3 % I 0 C1 u Pa� �1 Closest distance between nearest existing structure andeupland edge of wetlands: 110 feet +0 c1QjZL, Closest distance between nearest proposed structure and upland edge of wetlands: `3® feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? JQQ D cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited:,'-'•-�— feet Proposed slope throughout the area of operations: I — Q Manner in which material will be removed or deposited: D po rn c�c�„d h 7jnn i r v c�fc.- tin �ry N� .i a4 d 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): tic)rhe n cam- . 617.20 Appendix B Short Environmental Assessment Form 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: Project Location(describe,and attach a location map): `�) Brief Description of Moposed Action: \\ Ski ten. 4P Q 1 W\A'�'N cx'Vega- Name of Applicant or Sponsor: Telephone: �2� �.\ \i E-Mail: Address: 4(oS2,-p City/PO: State: Zip Code: 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 thatElmay 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 governmental Agency? XN_O YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? Co\ acres b.Total acreage to be physically disturbed?S1r-"1 -°— 49 S9('ee' bay c.Total acreage(project site and any contiguous properties)owned s or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial 114a=idential(suburban) El Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 I 5. Is the proposed action, NO Y E5 N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: El 8. a.Will the proposed action result in a substantial increase in traffic above present levels? rqO YES El b.Are public transportation service(s)available at or near the site of the proposed action? F-1- c. c.Are any pedestrian accommodations or bicycle routes available on or near 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: ,_p 10. Will the proposed action connect to an existing public/private water supply? _ NO YES If No,describe method for providing potable water: V.� _ ' ❑ 1 l.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 1� � � ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? Vk ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NQ YFIS 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? ! i If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: X_ 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed �Nq YES by the State or Federal government as threatened or endangered? b Cyr -TO Com. (17b19 g ❑ 16.Is the project site located in the 100 year flood plain? 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? ['ANO DYES ❑ ❑ b Will storm water discharges be directed to established conveyance systems(runoff and!stprm drains)? If Yes,briefly describe: ❑NO S & 4X� Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: % ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste 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: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE l Applicant/sponsor name:�O nni�-Qz -1 )Z \ /o 1 l O Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning F-1 ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ F-1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El L-1a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, El 1:1architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage El Elproblems? H. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in-Part 2-that was answered`-`moderate to large impact may occur-7';-or if there-is-a-need-to-explain why a-particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. F1Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. F1Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 East End Pool King September 12"'0" ---- -- P.0 Box 369 Peconic, NY 11958 I hear by grant Jennifer Del Vaglio and her husband as property agents for all Swimming Pool installation and related activity and all tree removal and related activity for my property at 800 Glenn Road Southold, NY 11971. D. � 9 � SEP 2 1 2018 Sincerely, BY: ....................... ^bm PASS Marc Zupicich, Property Owner 16b v"h Xmfilp'lsIse tes 800 Glenn Road Southold, NY 11971 917-566-3824 (y� t Board of Trustees Appli:, `:ion AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- in the town of New York, hereby authorizes 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 Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF , 20 Notary Public AIPPLIrCANT/AGENT/REE I'RES ENTATIVE TRANSACTIONAL DISCLOSURE.FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessai•y to avoid same. YOUR NAME: (Last name,ft t ame,-Qrrddle initial,unlessyd\-ar,6Xpplyingin the name of someone else or other entity,such as a company.Tf so,indicate the other person's or company's name.) Q >� NAME OF APPLICATION: (Check all that apply.) 1 r� 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,rttarriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/ag(-,nt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of��Prr1�P�1 Signature Print Name Form TS 1 CONNIE D. BUNCH Notarl Public,State of Now York No.01 BU6185050 Qualified in Suffolk County Commission Gxpires April 14,2Q)'o ATPD LIGAN T/ADEN T IR LD RE.SENTATI WE TRANSACTIONAL DISCLOSURE (FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first nam ,.giiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",nape the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of uthold 4 Title or position of that person Describe the relationship between yourself(the applicant/agendrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 200— Signature GAJ Print Name or Form TS1 �nfatg�ublie�afe®f Leh►welt �II1��laIaaIa4 �►fQniro�aelun�xplr�puna D2,aD2Q Board of Trustees Appl — .tion AFFIDAVIT L%=v%c'\cy . 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. � � G Signature of Property 0,4ner Signature of Property Owner SWORN TO BEFORE ME THIS_,��_DAY OF_ Q�l , 20� Notary Pub �t�ai���iaeiea NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: SCTM# YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: WA4C MAILING ADDRESS: PHONE #: - 53(0- -SI l®(o AGENT: �F�y� - --Q-S�® MAILING ADDRESS: "F-C) 3(ocl lrjoc��c- �ZI t 1QSs PHONE #: 03i- Enc: Copy of sketch or plan showing proposal for your convenience. Michael J.Domino,President o�QSllFFO(��'O!r Town Hall Annex John M.Bredemeyer III,Vice-President �� ��, 54375 Route 25 Glenn Goldsmith .' P.O.Box 1179 CIO A.Nicholas Krupski Southold,NY 11971 O e �s,ry Greg Williams ` '� pe'-�Y 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 MARC ZUPICICH & TANYA HUROWITZ COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, u o n �-\` F� , residing at/dba 41041,<- (3(_, 4:&g LQLk� being duly sworn, depose and say: That on the ��day of F2bCucul) , 2019 , I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, February 13, 2019. Dated: (signat re) Sworn to before me this 7+'I-day ofR(,,, 201°) otary P is TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2020 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: qO`f57 4�;d�( STATE OF NEW YORK COUNTY OF SUFFOLK _AL.a.�r:, z6Lt= S 6�S �.� , residing at ` ' Ovr-l'o being duly sworn,deposes and says that on the _day of ¢,7e_b , 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ; Sc�v (gk , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. �th Sworn to before me this - Day off�bV-uto,Vj 201 Notary Public TRACEY L. 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"., - 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of_ , 20 Notary Public I r ,NUTILL: Ulm Ht: 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: MARC ZUPICICH & TONYA HUROWITZ SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install a 16'x32' in-ground steel wall vinyl swimming pool with coping ; install a 4' high pool enclosure fence extending from deck 36' seaward, returning to easterly property line 46.7% and along property line extending landward; and to remove trees. Located : 600 Glenn Road, Southold. SCTM# 1000-76-2-26 TIME & DATE OF PUBLIC HEARING : Wednesday, February 13, 2019 — 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 for inspection prior 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 LVWRP 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- supporting 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# I OOb - `4�- 02 — 2l-p PROJECT NAME^ Zy,Q i C The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. N 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: Location of action: kea-r li Site acreage: Present land use: e .4 Present zoning classification: ® 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: (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, if any: 1 /7 Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 9 No❑ eU If yes, which state or federal agency? 6C, 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 ❑ NoA Not Applicable 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 ❑ NOA Not Applicable 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 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 HI—Policie Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable 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 ANot Applicable 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 IH—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ t � Yes No Noi Applicable 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 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 ZANot Applicable 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. ❑ YeO No Not Applicable Attach additional sheets if necessary WORKING COAST POUCtES 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 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 ❑ N04 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No, Not Applicable r PREPARED B TITLE_ T &--AM O