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Home My WebLink AboutTR-9735A Glenn Goldsmith,President ®F S0(/,� Town Hall Annex ® 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples • �® Fax(631) 765-6641 c®UNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2059C Date: August 6, 2023 THIS CERTIFIES that the existing 1,100sq.ft. deck with 3'7"x7' stairs with a 60sq.ft. hot tub; and as- built metal 218sq.ft.awning; At 550 Blue Marlin Drive, Southold Suffolk County Tax Map#1000-57-1-27 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 7, 2020 pursuant to which Trustees Administrative Permit#9735A Dated October 28, 2020,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for existing 1 100sq.ft. deck with 3'7"x7' stairs with a 60sq.ft. hot tub; and as-built metal 218sq.ft.awning. The certificate is issued to Jacqueline Pottgen owner of the a fo r e s ald property. V c Authorized Signature Glenn Goldsmith,President ®� s®(/�� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly @ Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 C®UNTi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 2 INSPECTED BY: Gb Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection COMMENT as �- X17 ?3'!S A; CERTIFICATE OF COMPLIANCE: i9k Glenn Goldsmith,President QF SOUTH, Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 John M.Bredemeyer IIIP.O.Box 1179 Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631)765-1892 Greg Williams �� Fax(631)765-6641 COUNTI,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72'f-Ob tPRIOR TO'COMMENCEINENT OF THE ACTIVITIES CjD OFF - INSPECTION SCHEDULE 1 Pr'e-constrtact=oa�;Iiay safe linelsilt booFn/ ilf'curtain Y 1St day of construction v %2 constructed When project complete, call for compliance inspection; Glenn Goldsmith,President �QF S0!/TTown Hall Annex Michael J.Domino ,`O� �l0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III J�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9735A Date of Receipt of Application: October 7, 2020 Applicant: Jacqueline Pottgen SCTM#: 1000-57-1-27 Project Location: 550 Blue Marlin Drive, Southold Date of Resolution/Issuance": October 28, 2020 -Date of Expiration: October 28, 2022 Reviewed by: John M. Bredemeyer, III, Trustee Project Description: For the as-built 1,100sq.ft. deck with 3'7"x7' stairs with a 60sq.ft. hot tub; and as-built metal 218sq.ft.awning. Findings: The project meets all the requirements for issuance of an,Administrative Permit set forth-in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the'survey prepared by Gary Benz, L.S., dated January 24, 2020 and stamped approved on October 28, 2020. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President SU(/jg, Town Hall Annex Michael J. Domino,Vice-President ,`O� �� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III J�i[ Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-664 u �' �TM; BOARD OF TOWN TRUSTEES OCT 1 4 2020 TOWN OF SOUTHOLD ff , TO: SOUTHOLD TOWN BUILDING DEPARTMENT Jk mot k RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS (Property Owner Name: Q ==, -_ Datd° ent t6'BI g."Dept: IB q-.20 Y The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building De' rtment s_zpermiiting Requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? _r, Will any part of this application be conside.'red;e, Demolition as described under Town Code? COMMENTS: { " , A0, / d Sig a re of Reviewer Date THE AREA OF THIS PROPERTY IS 2J,620 S.F. OR 0.542 ACRES CLEARING CALCULATIONS EXISTING CLEARING IS 23,620 S.F. (1007.) p COVERAGE CALCULATIONS r— ALLOWABLE COVERAGE IS 4,724 S.F. (207.) EXISTING COVERAGE IS 3,798 S.F. (16.17.) 0iZ _ } IL — MON. N �R� 11 GE OF nAVEMENT pvgoN X Ngo 1000 Mp"f 1m Z 1 N 89'15'00" E 269.55' 1 MONS 3N a N N_ tZn G Z O • LJ VOLrt] lJ U—IJ � GRA wAY DR►� O O� X0.2 gR1CK " lL gR1CK ""22.4 1 p STONE V-R- 7 --- - O-- /� -- - RpOF�1NE, 1 aONC1C 20.5' 17.0 1 j n E M TER APP0VE'® BY 111 OAR STONE r UNt FC RpOF 6 A 8'w BOARD OF f TRUSTEES 1110 #R DwE``�N� 1 NS��KEPDE TOWN OF SOUTHOLD FF• „ 10 9 (11 16.3 � CPA 8w DATE �MMQ 29 20ao N 20�' 1�""" "� wDDD 0O%14G DECKLYI LA LOT ' ��.� OR. LOT 6 LOT SLK EA° 1 r 5ry1,pET AL .............. OCT — 7 2020 `O FRAME BULKHEAD S-75 �g" 1^'il9�u i•'`!il _ ......................... TIE DISTANCE ONLY) 87.5 f3Cafti O !f?j_1^� WATER ALONG BULKHEAD S 85'55'16" W Of- N c,,,`P c�P�Y J & CERTIFIED TO: PECONIC SOUND) c Y)`� Jacqueline Pottgen �PECONC RIVER) - * ;` 0 �S�8?� ��. _ F�LAfdD S�j GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERABLE. S.C.T.M. N0. 1000 — 57 — 1 — 27 SURVEY OF: LOT 6 MAP OF SOUTHOLD SHORES GARY BENZ, L.S. FILED AUG. 29, 1953 — AS No. 3853 Surveying and Land Planning SITUATED IN: SOUTHOLD (ARSHAMOMAQUE) TOWN OF: SOUTHOLD 527-B Hawkins Avenue SUFFOLK COUNTY, NEW YORK Ronkonkoma, N.Y. 11779 DATE: 1/24/2020 JOB NO. G20-5435 SCALE: 1 = 30 GaryBenzLS®Yahoo.com / (631) 648-9348 THE EXISTENCE OF RIGHT OF WAYS, WETLANDS, UNDER UNAUTHORIZED ALTERATION OR ADDITION TO COPIES OF THIS SURVEY MAP NOT BEARING THE LAND GROUND UTILITIES AND/OR EASEMENTS OF RECORD THIS SURVEY IS A VIOLATION OF SECTION 7209 SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL IF ANY, NOT SHOWN ARE NOT GUARANTEED. OF THE NEW YORK STATE EDUCATION LAW. NOT BE CONSIDERED TO BE A VALID TRUE COPY. Glenn Goldsmith, Pres7� ",it �' � Town Hall Annex Michael J. Domino, Vice-Prt��"ent �� yam, 54375 Route 25 John M. Bredemeyer III o ` P.O. Box 1179 Ze A. Nicholas Krupski v Southold, NY 11971 Greg Williams y �ap�r� Telephone Fax (631) 765-664892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: -19 -)_0 Completed in field by: J - R'�G Suffolk Environmental Consulting, Inc., on behalf of JACQUELINE POTTGEN requests an Administrative Permit for the as-built 1,100sq.ft. deck with 60sq.ft. hottub; and as-built metal 218sq.ft. awning. Located: 550 Blue Marlin Drive, Southold. SCTM#: 1000-57-1-27 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 Ch. 275 Ch. 111 SEQRA Type: 1 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: If y!�� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: /J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other THE AREA OF THIS PROPERTY IS 23,620 S.F. OR 0.542 ACRES CLEARING CALCULATIONS EXISTING CLEARING IS 23,620 S.F. (1007.) 0 COVERAGE CALCULATIONS ALLOWABLE COVERAGE IS 4,724 S.F. (20%) 'Q EXISTING COVERAGE IS 3,798 S.F. (16.17.) S Z � Q � / / �o — } MON.--\ 1 - N ORS OF IV.1 0 ,�OD O MOND 1 = 0» Ilm N 89'15'00" E 1 269.55 1 G. MON. A. a wIV O N G Wi ,�,^ V+ Z o CI`]OG� IJ G� s GRA WAY W pRIVE 0 O� 10.2 BRIGK Z BRICK 22.4 1 p STONE Wp�K £NP' 1 o Wj��UTM 1 F01F- N ROOF 11NE, 1 Co 014C1C 17.0 1 j cr oEC M�R 11 cr IL- OVER STONE UNI FC 11 ROOF 296 1gW CKADE 1 g 550 ELL�NG 1 NS�NCE 1 � � FR• �w x 1 1 S1�R FF. 1'33I0 9 W 0 16.3 F L a,W 1 I 001 1,1-MET NO I Q N 20 0 WOOD ; A R i PECK pEGK_J .CP W SUB r� CTI �OT {� f, �I 1y o? LOT r__. - r i( ,I ��-;' LOT 5 BU�KN/ 4 OCT - 7 2020 �..w. `O FRAME BULKHEAD 13 20 •••• A8 _ v TIE DISTANCE ONLY ................. WATER ALONG BULKHEAD S 85'5516 PEr � C BAY ��Q'C?PJ & o� CERTIFIED T0: (VOR ISLAND SOUND) .; SOUTHOLD BAY Jacqueline Pottgen �PECONIC RIVER ' ,o - UFO L-A fJ D_Ste/ GUARANTEES INDICATED SHALL RUN ONLY TO 7HE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERABLE. S.C.T.M. N 0. 1000 — 57 — 1 — 27 SURVEY OF:, LOT 6 MAP OF SOUTHOLD SHORES GARY BENZ, L.S. FILED AUG. 29, 1963 - AS No. 3853 SITUATED IN: SOUTHOLD (ARSHAMOMAQUE) TOWN OF: SOUTHOLD Surveying and Land Planning 527-B Hawkins Avenue SUFFOLK COUNTY, NEW YORK Ronkonkoma, N.Y. 11779 DATE: 1/24/2020 JOB NO. G20-5435 SCALE: 1" = 30' GaryBenzLS®Yahoo.com / (631) 648-9348 THE EXISTENCE OF RIGHT OF WAYS, WETLANDS, UNDER UNAUTHORIZED ALTERATION OR ADDITION TO COPIES OF THIS SURVEY MAP NOT BEARING THE LAND GROUND UTILITIES AND/OR EASEMENTS OF RECORD THIS SURVEY IS A VIOLATION OF SECTION 7209 SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL IF ANY, NOT SHOWN ARE NOT GUARANTEED. OF THE NEW YORK STATE EDUCATION LAW. NOT BE CONSIDERED TO BE A VALID TRUE COPY. POTTGEN Property Situate: 550 Blue Marlin Drive ■ Southold ■ New York SCTM #: 1000-057-01 -027 EXISTIN AWNIN - f ■„ �� ■ e ' C XISTINC , $ DECKIN Photograph indicating the existing deck and metal awning off the southerly section of the existing dwelling thereon. Photograph taken from the southerly section of the property, facing northwest. POTTGEN Property Situate: 550 Blue Marlin Drive ■ Southold• New York SCTM #: 1000—057—01—027 IN G AWNING EXISTING HOT TUB i i .97 14� �� ■111 � �y� ., IL 4 r• ';EXISTING Photograph indicating the existing deck, metal awning and hot tub off the southerly section of the existing dwelling thereon. Photograph taken from the southerly section of the property, facing northwest. POTTGEN Property Situate: 550 Blue Marlin Drive ■ Southold• New York SCTM #: 1000—057—01 —027 AWNING . EXIS' T TUB s N b i ,•x xls`rING` ; c KI Photograph indicating the existing deck, metal awning and hot tub off the southerly section of the existing dwelling thereon. Photograph taken from the southwesterly section of the property, facing northeast. r POTTGEN Property Situate: 550 Blue Marlin Drive ■ Southold ■ New York SCTM #: 1000—057—01 —027 EXISIUN ,f Photograph indicating the existing deck and hot tub off the southerly section of the existing dwelling thereon. Photograph taken from the southwesterly section of the property, facing north. r POTTGEN Property Situate: 550 Blue Marlin Drive ■ Southold ■ New York SCTM #: 1000—057—01 —027 EXISTING BULKHEAD 1 Photograph indicating the location of wetland, along the seaward face of the existing bulkhead situated along the southerly shoreline of subject property. Photograph taken from the existing deck, facing southeast. POTTGEN Property Situate: 550 Blue Marlin Drive • Southold, NY • 11971 SCTM#: 1000 — 057 — 01 — 027 a, SITE LOCATION f SITE LOCATION ....�.___-_�_ _. ...e--. _ _- . �._ „e: - ,our ... .._.-.-F _1 _ - -+� _ - ��. .• - L90aio unos o n ao 3rs wuma na,ex 3 M ua�y awag xe•L L•a oil IPaTI \ Hi. —�— y� —_O _ — –��`W — �.e ' 3 " o )loduns:jO A1Nnoj pO _~, •i L= Door c^lliwsa �� N 301ION N OPl NJu�3S _ i �s 3 , 83yi-3N r _—r QNOOS i i = ' /' 7 W)VI oz IB !_/ / e. 0 a\ i J� * b•`! 4S .1�0 ^ CoS1 F {z Lm w�p, ga Nti r[ �n rZr ,K • e ��, Q a w l- _ n a ae a Cc ` a r '.� .. 'Br '•. 9ZL o-m49) 3s 'ON-0 33s loWn ( h1Y.y w� w u'u t g s61g-so-ESB .ON'1O Wi LK F ON NO zn� .ccx �d aoi fy\ � — __ tI , �rvw � f ! B A 3Nfl �- •�\ - N •FANO. m ON 036 _ `L r I! OFFICE LOCATION: � MAILING ADDRESS: � �;�� , Town Hall Annexu° �� 'rox P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 �� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 26, 2020 Re: LWRP Coastal Consistency Review for JACQUELINE POTTGEN SCTM# 1000-57-1-27 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 based upon: The Board granted a request of waiver for the deck in 1995. The other structures caused no ground disturbance and are therefore EXEMPT. 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 Town Hall annex Michael J,1?omixtn,Pz°ecident };�?' "'. ;��, �;:� 54375 Route 25 John M.Bredemeyer I1I,Vice-President P.O.Box 1179 Charles J.Sanders - n, , 1 Southold Now York 11.971 Glenn Gnldemith , ` ,. ..: � ! Telephono(631) 766-1392 :, f° Fax(631.) 765-6641 A.Nicholas Ipskl '" \' �°� ��g F' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application X Administrative Permit Amendment/Transfer/Extension _Received Application: 16,'7'20 K Received Fee:$ ZBO.O d 0 IV&J`' X_Completed Application: 10,1�W Incomplete: SEQRA Classification: Type I Type II Unlisted E fit! Coordination:(date sent) LWRP Consistency Assessment Form: 01T ® 7 2020 i CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination Technical Review: Public Hearing Held: JV.X'.2O Resolution: Name of Applicant Jacqueline Pott2en Address 550 Blue Marlin Drive - Southold, NY - 11971 Phone Number: (631) 765 —9501 Suffolk County Tax Map Number: 1000— 057—01 —027 Property Location: 550 Blue Marlin Drive - Southold,NY - 11971 269.55' west of Dolphin Drive (provide LILCO Pole#, distance to cross streets, and location) AGENT: Robert W. Anderson- Suffolk Environmental Consulting, Inc. (If applicable) Address: P.O. Box 2003• Bridgehampton,NY 11932 Phone: (631)537—5160 o Board of Trustees Application GENERAL DATA Land Area(in square feet): 23,620 s. f. ± Previous use of property: Residential w/ Single Family 1 Story Dwelling Intended use of property: Same w/legalized Wood Deck, Hot Tub and Metal Awning over Deck Covenants and Restrictions: Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X 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 X No If"Yes",please provide a decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s) on property have a valid Certificate of Occupancy? Yes X No Prior permits/approvals for site improvements: Agency Date Southold Town Board of Trustees Permit No.4594 05-22-1996 Southold Town Building Permit No.44402 11-12-2019 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Applicant proposes to legalize the existing Wood Deck(1, 100 square feet±), the existing Hot Tub (60 square feet±) atop the existing deck, and the existing Metal Awning(218 square feet±)located over the existing deck. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: To legalize the existing Wood Deck(1, 100 square feet ±), the existing Hot Tub (60 square feet ±) atop the existing deck, and the existing Metal Awning (218 square feet±) located over the existing deck. Area of wetlands on lot: 0± square feet Percent coverage of lot: 0.0 % Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (bulkhead) Closest distance between nearest proposed structures and upland edge of wetlands: 0.0 feet(bulkhead) 52.8' feet(existing decking) Does the project involve excavation or filling? X No Yes If Yes,how much material will be excavated? N/A (cubic yards) How much material will be filled? N/A (cubic yards) Depth of which material will be removed or deposited: N/A Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): No impact to the wetlands or tidal waters of the town anticipated in that these structures are situated a substantial distance from the shoreline which is improved with a bulkhead. Additionally, these structures have harmoniously existed hereon for over twenty (20) years without any adverse impact to the surrounding area. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Robert W. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003, Brid eg hampton, NY 11932, being duly sworn, deposes and says that on the day of , 2018, 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 at Bridgehampton, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 520— Notary 20_Notary Public NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Jacqueline Pottgen SCTM# 1000—057—01 — 027 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to conduct regulated activities: Applicant proposes to legalize the existing Wood Deck(1, 100 square feet±), the existing Hot Tub (60 square feet±) atop the existing deck, and the existing Metal Awning(218 square feet±)located over the existing deck. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 550 Blue Marlin Drive • Southold, NY • 11971 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: Jacqueline Pottgen MAILING ADDRESS: 550 Blue Marlin Drive Southold, NY 11971 PHONE #: (631) 765 - 9501 AGENT: Robert W. Anderson cD- Suffolk Environmental Consulting, Inc. MAILING ADDRESS: P. O. Box 2003, Bridaehampton, NY 11932 PHONE #: (631) 537 - 5160 Enc: Copy of sketch or plan showing proposal for your convenience. Board of Trustees Application County of Suffolk State of New York Jacqueline Pouge n BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS-MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), 1F GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. r Signature SWORN TO BEFORE ME THIS I DAY O20'--() WILSON SALAZAR Notary Public-State of New York No.01 SA6224708 Qualified in Suffolk County My Commission Exp.July/12/x?L Notary Public Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, JacgmelipS Potteg n residing at550 Blue Marlin Drive• Southold NY• 11971 does hereby authorize Suffolk Environmental Consulting�Inc.to apply for permits)from the Southold Board of Town Trustees on our behalf, r a eline Pottgen APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the aart of the town officers and employees. The purpose of this form is to provide_information which can aleit the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same, YOUR NAME: Jacqueline Pottaen (Last name,first name,middle initial,unless you are applying in the name of someone else of other entity,such as a company. If so,indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal'Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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 appropriate line A)through,D)andlor 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 thi day of ' 2ao MATTHEW D. (VANS Signature NOTARY PUBLIC-STATE OF NEW YORK print name Aacafieline Potten No.01 IV6053859 Qualified in Suffolk County "Ay Commission Expires 01-22a Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,the action should be analyzed in more detail and, if necessary,modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 057.00 - 01.00 - 027.000 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept/ZBA. ❑ 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: Applicant proposes to legalize the existing Wood Deck(1, 100 square feet±), the existing Hot Tub (60 square feet±) atop the existing deck, and the existing Metal Awning(218 square feet±)located over the existing deck. o Attach additional sheets if necessary Location of action: 550 Blue Marlin Drive• Southold,NY• 11971 Site acreage: 23, 620 s. f. ± (0.54 acres) Present land use: Residential Lot Present zoning classification: R-40 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:_ Jacqueline Pottgen (b) Mailing address: 550 Blue Marlin Drive• Southold,NY• 11971 (c) Telephone number: Area Code(631)765-9501 (d) Application number, if any: N/A Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ® No ❑ If yes, which state or federal agency? NYSDEC 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 The proposed project is consistent with this Policy in that a substantial number of adjacent properties currently contain similar improvements without any form of adverse impact to the community character. 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 Policy 2 is not applicable in that,the surrounding area does not include any structures that can be classified as historic or archaeological resource. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable The above policy is not applicable to the subject project in that the existing structures to be legalized are largely undetectable from the street,and only from the adjacent properties(many of which contain similar structures),and potentially from a distance from the shoreline. i 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 ❑ Yes ❑ No ® Not Applicable The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. Policy 11. Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary and Town Waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria ❑ Yes ❑ No ® Not Applicable The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. 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 The above policy is not applicable in that this proposal is for the legalization of decking,hot tub and metal awning. -+ A •Suffolk Environmental Consulting,i ng9 Inc. Newman Village . Suite E 2310 Main Street o PO Box 2003 ® Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President i� October 6, 2020 OCT - 7 2020 Mr. Michael J. Domino, President Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: POTTGEN Property Situate: 550 Blue Marlin Drive ■ Southold ■ New York SCTM#: 1000—057—01 -027 Dear Mr. Domino, This Firm represents the owner of the above referenced above, who is seeking to legalize the existing decking, hot tub and metal awning thereon. Consequently, in that this parcel is waterfront, approval from your Board is required via an administrative wetlands permit. Please find enclosed: (1) Town of Southold Board of Trustees Administrative Wetlands Permit Application (original and one [1] copy); (2) Town of Southold Local Waterfront Revitalization Program ■ Consistency Assessment Form (original and one [1] copy); (3) Survey of subject property, prepared by GARY BENZ, L.S., dated January 24, 2020, indicating the current conditions thereon, including the existing decking, hot tub and metal awning (four [4] prints); (4) Location Map of subject property (four [4] copies); (5) Photographs of subject property indicating the existing decking,hot tub and metal awning (four [4] sets); and (6) Check made payable to the Town of Southold to cover the requisite application fee. Kindly commence the review of this application and issue the requested administrative wetlands permit at your earliest opportunity. Should you have any questions or comments, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Matt D. Ivans enc. cc: J. Pottgen