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TR-9795A
Glenn Goldsmith, President ®w��Z� so Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples `® Fax(631) 765-6641 04OUNT�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1958C Date: September 7, 2022 THIS CERTIFIES that the removal and replacement(in-place)of 218 sf grade-level masonry patio beneath existing second-floor porch to remain construct 30"-ht x 11' Ig retaining wall adjacent to patio, and repair/cosmetically renovate porch(e.g., replace/reinforce ex support posts/deck frame replace siding and screen panels); remove existingretaining wall excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx. 5 ft install 380 sf sunken masonry patio with approx. 37 if of 18"-high masonry curb and paver steps and install drywell to collect patio runoff; construct 200 sf grade-level masonry patio in place of ex. 280 sf patio; construct+3' x 14' 2-story addition in place of existing bU window(adjacent to 100' wetlands setback); and establish 12' —26' wide approx. 1,770 sf non-turf buffer in place of existing lawn adjacent to bulkhead. At 4680 Wunneweta Road, Cutchogue Suffolk County Tax Map#1000-111-14-36.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 23, 2020 pursuant to which Trustees Administrative Permit#9795A Dated January 20, 2021,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 removal and replacement(in-place)of 218 sf grade-level masonry patio beneath existing second-floor porch to remain construct 30"-ht x 11' (g retainingwall all adjacent to patio and repair/cosmetically renovate porch(e.g., replace/reinforce ex support posts/deck frame replace siding and screen panels); remove existingretaining wall excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx. 5 ft install 380 sf sunken masonry patio with approx. 37 if of 18"-high masonry curb and paver steps and install drywell to collect patio runoff,• construct 200 sf grade-level masonrypatio in place of ex 280 sf patio; construct+3' x 14' 2-story addition in place of existing bay window(adjacent to 100' wetlands setback); and establish 12' —26' wide approx. 1,770 sf non-turf buffer in place of existinglawn adjacent to bulkhead. The certificate is issued to Roni Jacobson&David Feldman owners of the aforesaid property. 4 Authorized Signature Cantrell, Elizabeth From: JNS-Office <office@jnsdevelopment.com> Sent: Friday, August 19, 2022 10:42 AM To: Cantrell, Elizabeth Subject: Final Inspection Good morning, I have to schedule a final inspection in regards to 468o Wunneweta Rd.—Cutchogue with the Board of Trustees. Can you please help me schedule that? Thank you! JNS Development N S 256 Route Wading River, NY 11792 D E V E L O P M E N T Meagan Shann O: 631.929.5500 X 100 OFFICE MANAGER Officena.JNSDevelopment.com JNSDeveloament.com ATTENTION: This email came from an external:source. Do not open attachments or click on links from unknown senders or unexpected emails. zx � i azo Town Hall Annex Glenn Goldsmith, President 3 54375 Route 25 A. Nicholas Krupski,Vice President �� P.O. Box 1179 Eric Sepenoski AE11 ,. Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth PeeplesFax (631) 765 6641 .BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 7 7-t INSPECTED BY: /). I(PeP kA _ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection COMMENTS: Lir,( a/Qa - o� o�r OWJ(' CW 50,4 s1(kf o�� c� �l�.le7, ��Q� C(u(1<co�W -11) 13i'l-t S• .. CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President *Q? SO!/rTown Hall Annex_ - - -- . -- A. Nicholas Krupski,Vice President ,`O " 1 54375 Route 25 P.O.Box 1 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams a0 Fax(631) 765-6641 -- - BOARD OF TOWN TRUSTEES _ TOWN OF SOUTHOLD SOUTH LD TOWN BOARD OF TRUSTEES 'YOU ARE'REQUIRED TO GQNTACT THE OFFICE OF THE-BOARD OF TRUSTEES 72:HOURS PRIOR'TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE - - f're�consfrt cticFl_'49Y_-bal flhn /silt boom/silt`wftain -. 'l$"O-4,borfsfroct'ion 'fz constr_ucted X WI)66-project;complete;call-for compliance inspection; Glenn Goldsmith,President �rjF SO(/�y Town Hall Annex A.Nicholas Krupski,Vice President �O� ��� 54375' P.O.Booxx 25 1179 John M.Bredemeyer III 411Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES Permit No.: 9795A TOWN OF SOUTHOLD Date of Receipt of Application: December 23, 2020 Applicant: Roni Jacobson & David Feldman SCTM#: 1000-111-14-36.6 Project Location: 4680 Wunneweta Road, Cutchogue' Date of Resolution/Issuance: January 20, 2021 Date of Expiration:January 20, 2023 Reviewed by:, A. Nicholas Krupski, Vice-President Project Description: Remove and replace (in-place) 218 sf grade level masonry patio----- beneath.existing second-floor porch to remain,'construct 30"-lit x 11' Ig retaining;wall = adjacent to patio, and repair/cosmetically'renovate porch (e.g., f6place/reinforce ex. support posts/deck frame,, replace siding-and screen`panels),; remove;existing retaining wall, excavate approx. 135 cy of soil material to lower'existing;grade adjacent to dwelling by approx. 5.ft, install 380 sf sunken �nasonry,-ppM yvith_.apprpx;37 If'of 18"=high masonry curb and paver steps, and-install dry_well'to-,collect patio runoff; construct 200;sf ; grade-level masonry patio in place of ex. 280 sf patio; construct+3' x,1 4' 2-story:addition -in place of existing bay Window(adjacent to 100'wetlands setback);and establish 12'— 26' wide, a0prox.-1,770 sf non-turf buffer in place of;existing,lawn:adjacerit,to-bulkhead. 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 site plan prepared by _Marshall Paetzel Landscape Architecture, dated December 3, 2020 and stamped approved on January 20, 2021. Special Conditions: The Permittee is required to provide evidence that a copy of this 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 Inspections: Final Inspection., . l 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. , *—6""Oelll Glenn Goldsmith, President Board of Trustees JACOBSON RESIDENCE 4680 Wunneweta Road Cutchogue, New York 100'-D" EXISTING TREE(TYP.) 100'SETBACK FROM BULKHEAD AND MEAN EXISTING HIGH WATER LINE ELECTRIC METER N EX.STONE WALL+ - - - - - EXISTING STEPS EX.COVERED - � - - FLAGPOLE _F- _ GENERATOR �5'I RIGHT OF WAY a O _ EXISTING ELECTRIC N 44°34'20"E ° TRANSFORMER \ marshal) paletel I11T1111TIT11111TTITTT(TT1T1T�1 II ITlljllilll 111 Iil'T1Taifi11111 - -- - 179.97 , I EXISTING PROPOSED NON-TURF ' .26'WIDE: PROPOSED 218 SF - = CATWALK BUFFER(TYP.) 3 ON-GRADE STONE PATIO (B B2j • r LANDSCAPE ARCHITECTURE 1770 SF IN TOTAL UNDER PORCH TO BE CONSTRUCTED IN-PLACE ! �* Q EXISTING Z : . ' OF EXIST.218 SF (W ':9j O TANK a (W p�) ' COBBLESTONE CURB EXISTING ON-GRADE STONE PATIO " 5175 FLOAT �L N Mat itRuock,NY 11952 t 77 EX.DWELLING (EL 12.0) /PROP.380 SF SUNKEN MASONRY �23s) EXISTING UNDERGROUND EL 10.1) PATIO(EXCAVATE APPROX.135 CY (BW 20.7) 'Q ELECTRIC LINE(TYP.) ±6T EX.'COVERED P OF SOIL TO LOWER GRADE t5 FT); "' phone: (631)209-2410 PORCH EX.SECOND FLOOR PATIO TO BE ACCESSED VIA I fax: (mal plaSt�UCItO.COm +RECONSTRUCTED PATIO PORCH TO REMAIN WITH DWELLING ADDITION/ALTERATIONS 8 REPAIRS+COSMETIC SITUATED MORE THAN 100 FEET 3' RENOVATION(E.G., FROM WETLANDS EXISTING STONE P $(CNK REPLACEMEINFORCE -SEE BOARD OF TRUSTEES I RETAINING WALLS(TYP.) EXISTING ON-GRADE ATjO Eq/ EX.SUPPORT JURISDICTIONAL DETERMINATION POSTS/DECK FRAME; WOOD DECK (EL 3.7) DATED NOVEMBER 23,2020. I, NEW SCREEN PANELS, t- SURVEYOR: SIDING) - \` Kenneth Woychuk LS EXISTING-� PROP.30"HT.X 10'-9"RETAINING WALL WOOD PILING - - - • ❑ Y / EX.RETAINING WALL TO BE REMOVED-'(TW 11S)- ,r-5^ \ ,j IB`N204) ® I li P.O. Box 153 N.Y.S. Licensed Land Surve or (Bw 10.4) I EXISTING ELECTRIC METER 11931 © Aquebogue, NY W U N N E W E T A EX.FENCE TO BE REMOVED 631 298-1588 1 .\ \ N/ ( ) Q x N 1191, ARCHITECT: PROP.18"HT. X t37'LF OF ,, N `' ,p.0) j Meryl Kramer Architect MASONRY CURB W/STEPS EXISTING UTILITY ly \ \ EXISTING 1 POLE+GUY WIRE (631)-477-8736 PROPOSED UNDER STEPPING STONE ° GROUND \ 260 Hortons Lane PROPOSED NON-TURF ?; EX.RETAINING WALL 9_ 19'-0" ` (TYPO ° CATV LINE PO Southoldox , New York 11971 BUFFER(TYP.) k, S'" 00 TO BE REMOVED ® PROP.2'-8"x 14'-4"1+2 EXISTING WOOD / � v STRY ADDITION TO BE BULKHEAD �h PROP.200 SF ON-GRADE STONE PATIO CONSTRUCTED IN PLACE TO BE CONSTRUCTED IN-PLACE OF OF EXISTING BAY WINDOW ��) MEAN HIGH WATER LINE 3s) `. ' EXIST.280 SF ON-GRADE STONE PATIO (BW_y„ ELEVATION 1.8 " EXISTING (" 2,�•, (Bw2o.B) (MHW LAWN p - 1 l e) / EXISTING 1 +2 STRY ® DWELLING TO BE EX. -/ - RENOVATED PROP.6'x4'DRYWELL TO COLLECT EX. GRAVEL 1 ♦ RUNOFF FROM SUNKEN PATIO RAISED ON INTERIOR WITH DRIVEWAY ° W EXISTING WATER METER O ; WOOD/STONE NO CHANGE IN N0. W "� �' /♦//// TEST HOLE PROP.4"SDR 35 PATIO OF BEDROOMS(SEE ` //ij % LOCATION (EL 20.2) ARCHITECTURAL w EXISTING DRAIN PIPE WOOD RAMP �9�" �B7°0', '♦♦♦♦/z CONNECTINGZZ PLANT BYO HERS) EXISTING WATER LINE W sO'ly ♦//, PATIO DRAIN TO \ \- ( ) (E n ♦//i,♦♦/♦♦♦/ DRYWELLi6o EXISTING (EL 20.4) STONE ,/�/♦i,,/♦//♦ ° ® ° +RETAINING S ° ° am ;a SITE DATA: / ; ♦�// SCTM# 1000-111-14-36.6 ♦ EX STONE Lot Area: 45,824 SF (or 1.05 acres) ♦///, PATIO Zone: R-40 PROJECT LIMITING SILT ,///♦///,♦/ WELLEXISTHOUSENG ° FENCE-AREA OF ♦// (EL 19.6) (Tw24.5) ` EXISTING BELGIAN BLOCK APRON ♦ DISTURBANCE=14,000 SF /i/ (BW 23.9) AND MASONRY ENTRY PIERS (SEE DETAIL 1) ♦�/i, j w 20.6� (TW 16.8) (1W 24.9) NOTES: O'N yob ` (BW ls.a) EXISTING STONE (BW 24.0) 100'SETBACK FROM RETAINING WALLS _ _ BULKHEAD AND MEAN 0 (TYP-) -� ---- �;, 1. Existing conditions based on survey _ prepared by Kenneth M Woychuk Land HIGH WATER LINE EXISTING BELGIAN t"I Surveying dated 9/19/2019. o Y g BLOCK CURB(TYP.) 2. This drawing is for the purpose of 2 �� `` DEC 3 20120 obtaining permits only. NOT FOR CONSTRUCTION. 3. Unauthorized alteration of this plan is a V violation of NYS Education Law. S66a SI1ak` ` ?j ` EXISTING GRAVEL O 0\, REVISIONS O PARKING AREA e ` EXISTING MASONRY DATE DESCRIPTION STEPS O \- (EL 23.0) ` \l ` TEST HOLE DATA - EXISTING WELL O LAND N/O/F EXISTING EDGE OF APPROVED VED BY S e 8 1 RUST FAMILY COTTAGE EXISTING STONE RETAINING PAVEMENT BOARD OF I r�USTEES HOLDINGS LLC EXISTING STORM TOWN OF SOUT �o�NDSCgo ELEV. 1 1 .7 DRAIN MOLD t�,F1' Marshal F OL DR BROWN �� DAIFE TANUf�I2 20 SANDY LOAM ??'29' `� I �OZ� r 18'-0"MAX. C.to C. BROWN r N n ' DE " :` om SM SILTY SAND 4.0' z �QfiNEW� - 1 JJ^ o� " goy' CLi U1 PALE TITLE: ,,/ BROWN GEOTEXTILE PERSPECTIVE VIEW SP FINE L E G E N D TIED TO WIRE FENCING SAND WIRE FENCE 2"x4"OPENINGS 48"FENCE POST 1 1 .2 --- PROPERTY LINE - -W--- EXISTING WATER LINE EXISTING COMPACTED SOIL 8'O.C. GRAD GEOTEXTILE SITE PLAN TO BE BURIED x(75.0) EXISTING SPOT ELEVATION - - E EXISTING ELECTRIC LINE IN GROUND, SHOWN OPE WATER IN PALE SP BROWN (5) --- .._ - - IN NTOUR MEAN HIGH WATER LINE NOTE: MAXIMUM DRAINAGE AREA FINE 5" 1/2 ACRE / 100 LINEAR FEET SAND ® EXISTING TREE(TYP.) 1 00'BULKHEAD SETBACK 0 10 20 17' -- EXISTING STRUCTURE TO BE REMOVED I I I I I I I III I II I IIIIII111 SILT FENCE �o�~� SILT FENCE DEC. 27, 2019 Detail Not to Scale McDONALD GEOSCIENCE Scale 1"=20'-O" �\\ EXISTING RESIDENCE TO BE REMOVED PROPOSED NON-TURF BUFFER DRAWN RT.A N STON CHECKED BY: SP-2 DATE:12 03.2020 TEST HOLE LOCATION REVISED: SHEET 1 OF 1 4 SUFFO(,� Glenn Goldsmith, Pr' gent �O Cp Town Hall Annex Michael J. Domino` „�� Gym ��_ 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 A. Nicholas Krupski o Southold, NY- 11971 Greg Williams ti O! Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �` a S Completed in field by: IJ ► V En-Consultants on behalf of RONI•JACOBSON & DAVID FELDMAN requests an Administrative Permit to remove and replace (in-place) 218 sf grade-level masonry patio beneath existing second- floor porch to remain, construct 30"-ht x 11' Ig retaining wall adjacent to patio, and repair/cosmetically renovate porch (e.g., replace/reinforce ex. support posts/deck frame, replace siding and screen panels); remove existing retaining wall, excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx. 5 ft, install 380 sf sunken masonry patio with approx. 37 If of 18"-high masonry curb and paver steps, and install drywell to collect patio runoff; construct 200 sf grade-level masonry patio in place of ex. 280 sf patio; construct +3' x 14' 2-story addition in place of existing bay window (adjacent to 100' wetlands setback); and establish 12' — 26' wide, approx. 1„770 sf non-turf buffer in place of existing lawn adjacent to bulkhead. Located: 4680 Wunneweta Road, Cutchogue. SCTM#: 1000-111-14-36.6 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 Not of Hearing Card Posted: Y / 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 Surveys 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other JACOBSON RESIDENCE 4680 Wunneweta Road Cutchogue, New York 100'-0" - EXISTING TREE(TYP.) - 100'SETBACK FROM BULKHEAD AND MEAN EXISTING f = HIGH WATER LINE ELECTRIC METER I I N EX.STONE WALL+ EX.COVERED - - - - EXISTING STEPS FLAGPOLE GENERATOR 15'RIGHT OF WAY a ( EXISTING ELECTRIC • o TRANSFORMER - NIITMIII E _ marshal) poetzel II11111111T11TII�T1)1TRIITIIT11 I IT►jll1 IIITi'(lfTlTl -- � - _ 179.97 EXISTING PROPOSED NON-TURF 26`WIDE PROPOSED 218 SF (rW2o-2) "' � CATWALK BUFFER(TYP.) 3 -GRADE STONE PATIO (BW 18.2) • 1770 SF IN TOTAL UNDER PORCH TO BE LANDSCAPE ARCHITECTURE CONSTRUCTED IN-PLACE 'I EXISTING v OF EXIST.218 SF 111 ( 1.9 j O EX. j N (BW °° COBBLESTONE CURB z 5175 Route 48 EXISTING OWGRADE STONE PATIO N FLOAT o Mattituck,NY 11952 e ±77 EX.DWELLING (EL 12.0) -- -- -- - N EXISTING UNDERGROUND PROP.380 SF SUNKEN MASONRY) A ` + y - IBW 20.7) No ELECTRIC LINE(TYP.) ±6T EX..COVERED P IEL 10. PATIO OF SOILETO LOWER GRADE±5 FT); I m phone: (631)209-2410 PORCH fax: (631)315-5000 +RECONSTRUCTED PATIO EX.SECOND FLOOR PATIO TO BE ACCESSED VIA l ` ` PORCH TO REMAIN WITH DWELLING ADDITIONIALTERATIONS email: mail@mplastudio.com REPAIRS+COSMETIC Al EDIVIORE RENOVATION(E.G., FROM WETLANDS THAN 100 FEET EXISTING STONE S(/ REPLACEIREINFORCE -SEE BOARD OF TRUSTEES EXISTING ON-GRADE /'qP/ONKF/�/ EX.SUPPORT JURISDICTIONAL DETERMINATION RETAINING WALLS(IYP.) WOOD DECK (EL3.7) I POSTSIDECK FRAME; DATED NOVEMBER 23,2020. / NEW SCREEN PANELS, SURVEYOR: SIDING) I Kenneth Woychuk LS EXISTING-�� PROP.30"HT.X 10'-9"RETAINING WALL WOOD PILING FW 2.J.7) �� ® ° N.Y.S. Licensed Land Surveyor EX.RETAINING WALL TO BE REMOVED - '(,W IIs)4 '17'-5" i (BW 20.4) ° P.O. Box 153 (BW 10.4)^ EXISTING ELECTRIC METER W U N N E W E T A h�a/ EX.FENCE TO BE REMOVED NEl Aquebogue, NY 11931 ooh q \ `� ,\ (631) 298-1588 P O N D PROP.18"HT. X±37'LF OF N j ARCHITECT: MASONRY CURB W/STEPS .' �' I (20.0) EXISTING UTILITY Meryl Kramer Architect I X EXISTING 1 `POLE+GUY WIRE (631)-477-8736 PROPOSED o UNDER 1 STEPPING STONE GROUND 260 Hortons Lane PROPOSED NON-TURF 2; EX.RETAINING WALL y_ 1g°" / LIi S+ (TYP.) CATV LINE ' . PO BOX 1600 • BUFFER(TYP.) /p TO BE REMOVED / R 4 I -PROP.2'-8"x 14'-4"1+2 Southold, New York 11971 EXISTING WOOD STRY ADDITION TO BE BULKHEAD yh PROP.200 SF ON-GRADE STONE PATIO I ' CONSTRUCTED IN PLACE TO BE CONSTRUCTED IN-PLACE OF OF EXISTING BAY WINDOW MEAN HIGH WATER LINE w3.51 ' , ' EXIST.280 SF ON-GRADE STONE PATIO _ 1t-y, (BW ELEVATION 1.8 EXISTING - 2'$ -- (MHB LAWN © EXISTING 1 +2 STRY a DWELLING TO BE EX. '1 , • PROP.6'x4'DRYWELL TO COLLECT EX. RENOVATED GRAVEL RUNOFF FROM SUNKEN PATIO RAISED ON INTERIOR WITH DRIVEWAY ® W EXISTING WATER METER WOOD/STONE NO CHANGE IN NO. w` TEST HOLE PROP.4"SDR 35 PATIO OF BEDROOMS(SEE W EXISTING s , LOCATION (EL 20.2) ARCHITECTURAL / \ eio //j/ DRAIN PIPE PLANS BY OTHERS) EXISTING WATER LINE WOOD RAMP w� oil //i/ CONNECTING FIFE=21.4 W �y /i, PATIO DRAIN TO /4 DRYWELL r"N177 W N `- // (BW 16.0) EXISTING (EL 20.4' o- \ STONE STEPS I\ /Oi,/ ° o +RETAINING ® ® $ SITE DATA: ///i ° WALLS /// SCTM# 1000-111-14-36.6 EX; Lot Area: 45,824 SF (or 1.05 acres) / STONE Zone: R-40 PROJECT IMI /i EXISTING XISWELLIHOUSE . PATIO OJ CTL TING SILT FENCE-AREA OF // (EL 19.6) (TW 24.5) EXISTING BELGIAN BLOCK APRON DISTURBANCE=DETAIL 1) /, (BW 23.9) AND MASONRY ENTRY PIERS (SEE DETAIL 1 / I ' ) // (TW 22.6) ' (BW 20.1) (e;sa)) rrW24.9) P NOTES: ON 'Oct, EXISTING STONE I8W 24.0) 100'SETBACK FROM RETAINING WALLS 1. Existing conditions based on survey BULKHEAD AND MEAN �P•) prepared by Kenneth M HIGH WATER LINE L r ® _. I Surveying dated 9/19/2019.oychuk Land EXISTING BELGIAN e BLOCK CURB(TYP.) {i i� 2. This drawingis for the purpose f obtaining permits only. NOTFORo DEC 2 3 2020 CONSTRUCTION. ` 3. Unauthorized alteration of this plan is a `,.` G L. ___-- -•, violation of NYS Education Law. w` EXISTING GRAVEL O �, REVISIONS \ ` EXISTING MASONRY © PARKING AREA DATE DESCRIPTION STEPS O EXISTING WELL TEST HOLE DATA LAND N/0/F EXISTING EDGE OF S e 8 RUST FAMILY COTTAGE EXISTING STONE RETAINING PAVEMENT HOLDINGS LLC NDSCgA� EXISTING STORM ELEV. 1 1 .7 DRAIN Q- far ha/jA -9 N DR BROWN OL SANDY LOAM c_ 18'-0"MAX. C.to C. BROWN cS' 0 1 01 Ow SM SILTY SAND .1$1 F NEw�0 OU:j w e�o� kms/ PALE \ TITLE: BROWN GEOTEXTILE PERSPECTIVE VIEW SP FINE L E G E N D TIED TO WIRE FENCING SAND WIRE FENCE �-'2'W"OPENINGS 48"FENCE POST 1 1 .2' --- PROPERTY LINE ----NJ - EXISTING WATER LINE EXISTING COMPACTED SOIL 8'O.C. SITE PLAN :L"ION G=OTEXTILETiE BURIED x(75.0) EXISTING SPOT ELEVATION - ---E -- -- EXISTING ELECTRIC LINE GROUND, _4S SHOWN 111_PE WATER IN c( 11I" ' PALE (5) - - -I EXISTING CONTOUR MEAN HIGH WATER LINE SP BROWN NOTE: MAXIMUM DRAINAGE AREA FINE 5' 1/2 ACRE / 100 LINEAR FEET SAND © EXISTING TREE(TYP.) 100'BULKHEAD SETBACK 0 10 20 17' -- EXISTING STRUCTURE TO BE REMOVED IIIIIIIIII1111111111111 SILT FENCE �o�`~ SILT FENCE DEC. 27, 2019 Scale 1"=20'-0" Detail Not to Scale McDONALD GEOSCIENCE EXISTING RESIDENCE TO BE REMOVED PROPOSED NON-TURF BUFFER DRAWN BY: T.KENNISTON CHECKED BY: S P-2 DATE:12.03.2020 V TEST HOLE LOCATION REVISED: SHEET OF1 t S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 14 LOT(S): 56.6 r �R20 A� C'G 3p L' i I i ti DEC 2 3 2020 '4A M -.120.7 BW 20.7 2 12.OAK 14" U.P° 6 S SLS!'f,3id iv'Vn j14' 23.7 D 19.7 OAK I1ypE• I °Oh 00 0.8 2 po W 2 DRAIN STONEDRIVEWAY i�8 I 30 Q , 20.2 4j , BTW 3. 1 016 V A9. �� W ]8. 47 BW .4 WM� ?? �OT 2 I. / / ry.. o ?�• I S 72ONF 1 OAK �' ::'':':�� :;... ��``Y�::' :•. /�° P SOT 220 6g°pp2p. 70 23 14'oAK ty GEN. :;::' •::::.;.' :::=: ::::-= BW 8Lp G. .-!V.-:i-:rc,a--:: .••p•'...;..•;,;•::..::.;::-�'••"�- CG I COLUMN 4.OAK EL 12 ,�v 10 TW 11.9 �i 0 Y E DR z to' :F! e..�`V' 'AY TW 24.5 W 10.1 BW 23.9 o : .::. s�y �'- e..�•:;,:;;• 7 `mac..•.. •...• 14'OAK LUMN I>>6 , TW`24.9 6T�1 3 a ::: :.;': o ,` `':`:• o.- STONE U 'L e•� �' '•. .. - tic•:::;::::-•:.,,:•,.. BW 24.0 ° 2 A 10.OAK D h OUT 1 .1 WONE et. :;;:. q •.; STONE r9/N '�c I 10"aw PARKING A*A CONI. AQ 70 1) 7W 1 5 ® (EL 23.0) IO BQG BLOB 4.9 Tw 10 4 " cc .:':' 1. °'• h0 OAK S7 0 00. k CUR@ O POLE \ s�0;:..:: RAISED :::a? •':.:::=::; :.;:::• E Bim• BL°CIC CURB • l2'1 Sn PAIJ WELL �o . .s• 24 EXI49 �ST�ICNc �0 (EL 20.2) r rc': :; TW 2 S M0 G •''•O• •• ':''" "' `�9, �f' O 1 �•..•....:::::::::::::•• 12'OAK 18'OAK fid, !s yE O °NF W IQs 0 ;h 80W 22 F.y1 22� 9 STONE 12'OAK EL 19 ? y STEPS STONE WA LANDING .6 G rn lo" 5.4$ 18'OAK 17.7 (� C<11W WOOD BW 0 8 STAT DECK 12'OAK 14.0 STONE K 10'OAK �ppT GRANDE 12'OAK �C 12'OAK (EL 3.7) TW 16. � BW 15.4 1 OAK S 18'OAK 14'OAK ®PIT 14 LAND N/F OF C Z c RUST FAMILY COTTAGE oHOLDINGS LLC ELEV. 11,7 Z °0 4 °AK THE WATER SUPPLY. WEILSr ORYNELLS AND CESSPOOL Z PILING , 10' 1 ,® 12 P/O LOT 220 LOCATIONS SHOWN ARE FROM RELD OBSERVATIONS OL DRSANBROWN fT1v"LOAM ,-, C� 12� X11 AND OR DATA OBTAINED FROM 07HERS. -1.0• � 0 6°5�1 SM yry�Np D t2® II S 6 AREA:45,824.00 SQ.FT. or 1.05 ACRES ELEVAAON DATUM: NAVDBS -4.0' ! UNAU7HOWED AL7ERA770N OR ADD1770H TO THIS SURVEY IS A NOLA77ON OF SEC7701V 7209 OF THE NEW YORK STATE EDUCA71ON LAW. COPIES OF 7711S SURVEY MAP NOT BEARING 7HE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALID TRUE COPY. GUARANTEES INDICA7ED HEREON SHALL RUN 70 WN ONLY TO 7HE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 777LE COMPANY, GOVERNMENTAL AGFJVCY AND LENDING INS71IU71ON BROWN 0 LIS7ED HEREON, AND TO THE ASSGNEES OF THE LENDING 1NS777U770N, GUARANTEES ARE NOT TRANSFERABLE. FINE Z �" WOOD RAM 7H£OFFSE75 OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES 70 7HE STRUCTURES ARE FOR A SPEaF7C PURPOSE AND USE 7HEREFORE THEY ARE SP u, OO NOT 1NIENDED 70 MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES; ADD177ONAL STRUC7URES OR AND OTHER IMPROMWEN7S, EASEMENTS SAND 3 °' 1� I AND/OR SUBSURFACE S7RU0MRES RECORDED OR UNRECORDED ARE NOT GUARAN7EED UNLESS PRYWCALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY -11.2' S.3 S1°01'50"W LOT 218 SURVEY OF. P/0 LOT 220 & LOT 221 INCL. CERTIFIED TO: RONI JACABSON; MAP OF. AMENDED MAP "A" OF NASSAU POINT DAVID FELDMAN; PNCE IN � (i FILED:AUG. 16, 1922 No-156 FIDELITY NATIONAL TITLE INSURANCE COMPANY; SP BROWN I MHW LINE EL 1.8 ( SITUATED AT:NASSAU POINT BETHPAGE FEDERAL CREDIT UNION; FINE 0 SAND o I TOWN SUFFOLK UTHOLD COUNT KENNETH M WOYCHUK LAND SURVEYING, PLLC - 17' i SUFFOLK COUNTY, NEW YORK 'f Proteesfonal Lead Surveying and Design DEC. 27, 2019 «w.3�f ' P.O. Boz 159 Aquebogue, New York 11951 McDONALD GEOSCIENCE FILE #19-131 SCALE:1"=30' DATE:SEPT. 19th, 2019 N.Y.S LISC, NO. 050882 PHONE (991)298-1588 FAX(881) 298-1588 i ROM JAC(---ON& DAVID FELDMAN,4680 WUNNEWETA ROAD CUTCHOGUE z a,. t� y n i ei �jryy I � r a M Figure L, Looking east at existing second floor porch to remain(with repairs and cosmetic renovation); and at existing grade-level masonry patio beneath porch to be removed and replaced(in-place). a Figure 2. Looking northeast at existing porch and patio described in Figure 1 above(left);at location of area to be excavated to lower grade for construction of proposed sunken masonry patio(center);and at location of proposed two-story dwelling addition(in place of existing bay window)and replacement grade-level masonry patio(right). RONI JAC(.Y—ON& DAVID FELDMAN,4680 WUNNEWETA ROAD,CUTCHOGUE t. 'Al q. Figure 3. Looking southwest from existing dwelling toward Wunneweta Pond and over existing 280 sf grade-level �M masonry patio to be removed and replaced with 280 sf grade-level masonry patio. i AM 4 i a t v A • y r i% i� f Figure 4. Looking north over existing bulkhead and location of proposed 12'-26'ft wide non-turf buffer in place of existing lawn. Glenn Goldsmith,President Ig so�/rTown Hall Annex Michael J.Domino ,`® ®f® 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G C Telephone(631) 765-1892 Greg Williams �O ��O Fax(631) 765-6641 ��CO(liVti`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 23, 2020 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ROM JACOBSON & DAVID FELDMAN 4680 WUNNEWETA ROAD, CUTCHOGUE SCTM#: 1000-111-14-36.6 Dear Mr. Hermann: The Southold Town Board of Trustees reviewed the survey/site plan prepared by Marshall Paetzel Landscape Architecture, dated October 27, 2020 and determined that the proposed renovations, alterations, and additions to an existing 1 and 2 story single- family dwelling, on the captioned property are out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Condition: Silt fence and haybales to be installed as located on site plan aforementioned. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no clearing, no removal of vegetation, no cut or fill of land or removal of sod, no construction, sedimentation, or disturbance of any kind may take place within 100' landward from the top of the bluff, or seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without further application to, and written authorization from, the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or-other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call.,, Sincerely, Glenn Goldsmith, President Board of Trustees GG:dd '►' : '�. - wF o, � , -O t.Wel � , Lqy 2, ® �. 1 _ e^' ♦ 2 P �.. � ` n a � , az I "+ ° z � ' `' a+ � �' cP SNF\ ♦ P . 19 ^m _yam m I V 27 1e • 6y1,� r \- ♦ 2 � a w, s � `s ♦ s" " to -_4ii-� e C-11 nga t.'ASI-' ,2 a ----- � n t2 P' \ _ \ T2 a tP' c✓` \ p ,' R b lam. . I e T O PW +-BA(c) P' � Z) ✓, -,�' � 16 1Z � �� F as 1a 10 ta• N M �. ie Wtil, / P� n ,pe� a t"♦ --iit^'-- P ♦ 2sN=).-�` 1e � • N '\ n 14 `�� �\ / ----------- - wt�e) J ♦ e^` - pa O Ptv) PO \� O t P P^ \ 0 IL3Ncl-- an 1a y 121' 12 1� • ` P,O�. p`A---- M2 taz 1• 20 YY� `0 • �. � i a�' P --A '"< ''' w a 17 a•' e w e�/ 10 P^ r '�Ii ��•-T.'r�1 7 P ^ m �� '� '`�.P- p-Z `P- 'P ^,' • BI,Y � t.tAkl ew Y` e 24 I W r \'� ' � e2 � � 15 ♦t � ,P 3,3' P 6 72 'P ;t, w � e• S aA e1 a I '�� �� n.t �''"'ai,Y�V 2aµ=) 62 ael a � ���7A /^ 2fiA(c) � 11111� M ♦ P SEC.NO. 2u 11 .- \- •O8 tteOt-0tt M M \ pa 00 "iiaii— AR is w `g _—_ _ --_ NOTICE COUNTY OF SUFFOLK E �pLD 6ECTN7N N0 ' u.:z _ - — — =— ^�^ �'+^^* •^�� Real Prop eRy Tax Seryice Agency Y tnv.m..a, m A 1000 PROPERLY e111P w..Six:.. -:•_ OFFICE LOCATION: �� g MAILING ADDRESS: Town Hall Annex ' '' P.O. Box 1179 54375 State Route 25 ��+ Southold, NY 11971 (cor.Main Rd. &Youngs Ave. C Telephone: 631 765-1938 Southold NY 11971 � P 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: January 19, 2021 Re: LWRP Coastal Consistency Review for RONI JACOBSON & DAVID FELDMAN SCTM# 1000-111-14-36.6. En-Consultants on behalf of RONI JACOBSON & DAVID FELDMAN requests an Administrative Permit to remove and replace (in-place) 218 sf grade-level masonry patio beneath existing second- floor porch to remain, construct 30"-ht x 11' Ig retaining wall adjacent to patio, and repair/cosmetically renovate porch (e.g., replace/reinforce ex. support posts/deck frame, replace siding and screen panels); remove existing retaining wall, excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx. 5 ft, install 380 sf sunken masonry patio with approx. 37 If of 18"-high masonry curb and paver steps, and install drywell to collect patio runoff; construct 200 sf grade-level masonry patio in place of ex. 280 sf patio; construct +3' x 14' 2-story addition in place of existing bay window (adjacent to 100' wetlands setback); and establish 12' —26' wide, approx. 1,770 sf non-turf buffer in place of existing lawn adjacent to bulkhead. Located: 4680 Wunneweta Road, Cutchogue. SCTM#: 1000-111-14-36.6. 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 ins considered to further Policy 6. Require that the non-turf buffer be planted with native, salt tolerant vegetation. 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 Glenn Goldsmith,President ISO yTown Hall Annex Michael J.Domino,Vice-President h0� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 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 TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS -•_�::•�: ,Y $,(�� '+ - `Pr"rt OWr Narpe: {' _ Date°Serit`tti- 1tlg:'Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Departmet'spperrpiiting req uirements stated below: YES NO Will the proposed project require a Building Permit? __�Z Will the proposed.project require a variance determination from the-Zoning Board of Appeals? rr.... -. Will any part of this application,be conside.rpd,a„Qemolition as described under Town Code? - COMMENTS: 4A/2�i 1,21 h V Signature of ReAW6r Date, Glenn Goldsmith,t-resident so Town Hall Annex Michael J.Domino,Vice-President ,`l�A ar® 54375 Route 25 P.O.Sox 1179 John M.Bredemeyer III jr Southold,New York 11971 A.Nicholas Krupski V Telephone(631)765-1892 a Greg Williams �Y� Fax(631)765-6641 1'�CDUtJ't`t,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension #Received Application: I Z-23.20 Received Fee: $ 100.OD Completed Application: I Z•ZS-20 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: � Coordination:(date sent): LWRP Consistency Assessment Form Sent: E /CAC Referral Sent: Date of Inspection: R 0 Receipt of CAC Report: n FC 2 32020 Technical Review: Public Hearing Held: 1 1 20'2l Resolution: Soutilold Town Board of Trustees Name of Applicant Roni Jacobson&David Feldman 175 West 73rd Street,Apt.2JK Address New York,NY 10023 Phone Number: M 386-5983 Suffolk County Tax Map Number: 1000 - 111-14-36.6 Property Location: 4680 Wunneweta Road,Cutchogue (property located on south side of Wunneweta Road,+/-115'west of Bayberry Road) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Phone:631-283-6360 Board of Trustees A. `licatiori GENERAL DATA Land Area(in square feet): 45,824 sf Area Zoning: R-40 Previous use of property: Residential,single-family dwelling Intended use of property: Same,with landscape renovations&dwelling repairs/alteration Covenants and Restrictions: Yes X No If"Yes", please provide 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 copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Wetlands Permit#4238 10-1-1993 Southold Wetlands Permit#5330 5-24-2001 Southold ZBA Variance Case#5034 4-15-2002 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): Remove and replace(in-place)218 sf grade-level masonry patio beneath existing second-floor porch to remain,construct 11 if of 30" high retaining wall adjacent to patio,and repair/cosmetically renovate porch(e.g.,replace/reinforce ex.support posts/deck frame, replace siding and screen panels); remove existing retaining wall,excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx.5 ft,install 380 sf sunken masonry patio with approx.371f of 18"-high masonry curb and paver steps, and install drywell to collect patio runoff;construct 200 sf grade-level masonry patio in place of ex.280 sf patio;construct a 39 sf 2-story addition in place of existing 24 sf bay window(adjacent to 100'wetlands setback);install stepping stone walkways;and establish 12'-26'wide,approx. 1,770 sf non-turf buffer in place of existing lawn adjacent to bulkhead,all as depicted on the site plan prepared by Marshall Paetzel Landscape Architecture,dated December 3,2020. Board of Trustees App' Itiorl WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To renovate existing landscape features,hardscape and softscape;repair/renovate existing porch;and alter existing dwelling. Area of wetlands on lot: +/-38 square feet Percent coverage of lot: +/-0.68 Closest distance between nearest existing structure and upland edge of wetlands: +/-67 feet (2nd floor porch/patio beneath porch) Closest distance between nearest proposed structure and upland edge of wetlands: +/--67 feet (replacement patio beneath porch) Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? +/- 135 cubic yards (for installation of proposed sunken patio) How.much material will be filled? N/A cubic yards Depth of which material will be removed oi%dgw&iWd: '+/-5 feet Proposed slope throughout the area of operations:, N/A Manner in which material will be removed or deposited: Standard construction practices. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The project consists of renovations proposed substantially within the footprint of existing structures;located no closer than the existing minimum wetlands setback of 67 feet between the bulkhead and existing dwelling structure,including ordinary repairs to and cosmetic renovation'of a Trustees-permitted second floor porch and in-place replacement of the grade-level patio beneath it(see Wetlands Permit No.5330);a new 380 sf sunken masonry patio adjacent to a dwelling addition/alteration on its landward side,which is situated outside Chapter 275 jurisdiction(see Trustees jurisdictional determination dated 11-23-20);a 39 sf 2-story addition in place of an existing 24 sf bay window,which is situated adjacent to but physically landward of the 100'wetlands setback;and replacement of an existing 280 masonry patio with a sinaller,200 sf patio. The project will thus result in a net increase in total patio area of 300 sf with no additional encroachment on the existing,previously permitted wetlands setback;and a nominal net increase in dwelling footprint of 15 sf,thus leaving Town-defined lot coverage effectively unchanged. However,to mitigate any potential project impacts,the new patio area will be equipped with a drywell-connected drainage system to collect and recharge surface runoff;and a 12'to 26'wide,approximately 1,770 sf non-turf buffer will be established in place of existing lawn area adjacent to the bulkhead. Therefore,the project will not have any significant adverse impacts on the adjacent tidal wetlands or waters of Wunneweta Pond. Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, Roni Jacobson residing at (print owner of property) (mailing address) 175 W 73rd St,Apt.2JK,New York,NY do hereby authorize (Agent) En-Consultants to apply for permit(s)from the Southold Boar wn Trustees on my behalf. (O ner's signature) Roni Jacobson - Board of Trustees Appl Ltion United State: of America State of New York AUTHORIZATION County of Neje York (Where the applicant is not the owner) I/We, David Feldman , owners of the property identified as SCTM# 1000- 1000-111-14-36.6 in the town of Southold New York, hereby authorizes En-Consultants 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. N/A Property Owner's Signature Property Owner's Signature David Feldman SWORN TO BEFORE ME THISI ® DAY OF 061-k �kp- t20 2- 0 t Notary Public R013MTAARNOME aA 2023 Board of Trustees Application County of Suffolk State of New York Roni Jacobson BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature, Roni Jacob on SWORN TO BEFORE ME THIS l DAY OF 20 NEIGHBO'EL' Notary Public State of New York Qualified In Novi York Couratgy ��- 02ARS044142 All y Eup.May 22,2023 Notary Public ' o p United Stites of America State of New York J County of New York Board of Trustees Appi__=tion United States-of America. State of New York County of New York AFFIDAVIT David Feldman BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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. N/A a ure of Property Owner Signature of Property Owner David Feldman SWORN TO BEFORE ME THIS _ DAY OF O C,��V'__ . 20 rdy � Notary Public ROBMA ARNON vEIGIi90 Rio"Public State o9 Now York QualMed In New York Cmffq ® 02AR6044142 `VOT-ARY E5p.May 22,2023 APPLICANUAGENU/REPRESENTATIVE 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: Jacobson, Roni (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO ✓ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): 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 ION ay of 0C� 6(/ 20W,- Signature Print Name o11i Jacobson Form TS 1 API'LICANT/AGENT//REPRLSENTATIV]E TRANSACTIONAL DISCLOSURE FORM The Town of Southold's-Code of Ethics prohibits conflicts of interest on'the tart of town officers 5itd,emnlovee"s The pm-nose of thisfonn'is to Qrovide inforinatiorn whicb-c•an alert the town of possible conflicts outiterast and allow rt to-take whatever action is necossary to-avoid same. YOUR NAME: - Feldman, ®avid _ - - - (Last name,first name,piddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance _ Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,-parent;or child)have arelationship with any officcr.or employee' of the Town of Southold? "Relationship'includes by blood,-marriage,or business interest.•"Business interest"means_a business, including aparinership,in which the town officer-or employee hls;even apartial ownership-of(or employment by)a corlroratiom in which the town offiicer or employee owns-more than 5%_�of the shares. YES NO 9/ 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 applicantlagent/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 grater than 5%of the shares of the corporate stock of the applicant (when the applicant is a ebrporatiob); l3) die legal orbeneficial'ciwnef'of any,interest.in a non-corporate entity(when the applicant is nota corporation); C)an officer,director,partner,or einployee of the applicant;or , D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this/day of 20M Signature Print Name avid Fel m Form TS 1 APPLICANT/AGENT/REPRESENTATIVE 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: Herrmann, Ppbprt-yF. (Last name,first name,middle 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 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 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 18 ay of December 20 20 Signature Print Name Herrmann Form TS 1 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-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 I 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 I-Project and Sponsor Information Name of Action or Project: Jacobson&Feldman Renovations Project Location(describe,and attach a location map): 4680 Wunneweta Road,Cutchogue,Town of Southold,Suffolk County,NY; SCTM#1000-111-14-36.6;property is located on south side of Wunneweta Road,+/-115'west of Bayberry Road,maps provided. Brief Description of Proposed Action: Remove and replace(in-place)218 sf grade-level masonry patio beneath existing second-floor porch to remain,construct 11 if of 30" high retaining wall adjacent to patio,and repair/cosmetically renovate porch(e g.,replace/reinforce ex.support posts/deck frame, replace siding and screen panels); remove existing retaining wall,excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx.5 ft,install 380 sf sunken masonry patio with approx.371f of 18"-high masonry curb and paver steps,and install drywell to collect patio runoff,construct 200 sf grade-level masonry patio in place of ex.280 sf patio,construct a 39 sf 2-story addition in place of existing 24 sf bay window(adjacent to 100'wetlands setback);install stepping stone walkways;and establish 12'-26'wide,approx. 1,770 sf non-turf buffer in place of existing lawn adjacent to bulkhead,all as depicted on the site plan prepared by Marshall Paetzel Landscape Architecture,dated December 3,2020. Name of Applicant or Sponsor: Telephone: 917-386-5983 Roni Jacobson&David Feldman E-Mail: rjacobson@mooreholdings.com Address: 175 West 73rd Street,Apt.2JK City/PO- State: Zip Code: New York NY 10023 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. X 2.Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Town of Southold Building X 3.a.Total acreage of the site of the proposed action? 45,824 sf b.Total acreage to be physically disturbed? +/-14,000 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 45,824 sf; 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5.Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6.Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? - X 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: Name:Peconic Bay&Environs;Reasons:Protect public health,water,vegetation &scenic beauty;Agency:-Su olk County;Date:7- 2-88 X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: X 10.Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: X 12 a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action located in an archeological sensitive area? X 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14.Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ® Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ' ❑NO❑YES Page 2 of 4 I 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: X 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: X 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: X I AFFIRM THAT THE Lb . ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name-. Herrmann,Coastal Mgmt. Specialist Date: December 18,2020 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 I 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 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 establishment 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: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural 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 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. 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",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 I 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. ❑ Check 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. ❑ Check 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. Name of Lead Agency Date 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) Page 4 of 4 Raphael Vineyards Pit II!t",J c'c"I ni mn, LA Bedell Cellars Pugliese' Vineyards Ps EA Or:- Lt_K CUTCH UE BAY 7 44 �GpO C3� z P�� QS�� °� �i34 A Peconic Bay 0 Winery RALDW PL w, N 0-f F(EET Little --K Hog F I I,,- "Iter noD NA AU Neck 33 X C,);}.' Marsh ft 4" gt "E WICKS C DAK ST ILL CC q Accc55 Via Subject Property) Old Cove FANNING RI) lf-�--,yc %I OR Y'OuRos RD ST 5iffolk CourtlyHaq5trom Map 45 M min 1 2000' ACK- C 00 Sr j f& P P NEW SUFFOLK J Nassau Pt Lf"J'"T.1-E P ECONIC: B A Y 31- A K '27TEr, 3 k3, 72*28'30' 72*26'15* n 'M P s @1-1a6strom MAP Company,Inc Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.MA THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 111 14 36.6 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN iI3'FRT Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located with) theScope of work for Proposed Construction) 45,824 sf Generated by a Two(2")Inch Rainfall on Site? (S F,/Acres)) Elthe Scope (This item will include all run-off created by site b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed +/-14,000 sf Site improvements and the permanent creation of construction activity? (S F/Acres) impervious surfaces.) 2 Does the Site Plan and Survey Show All Proposed y ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Remove and replace(in-place)218 sf grade-level masonry patio beneath existing Slopes Controlling Surface Water Flow, second-floor porch to remain,construct 11 if of 30"high retaining wall adjacent 3 Does the Site Plan and/or Survey describe the erosionXF to patio,and repair/cosmetically renovate porch(e.g,replace/reinforce ex. and sediment control practices that will be used to support posts/deck frame,replace siding and screen panels), remove existing control site erosion and storm water discharger This retaining wall,excavate approx. 135 cy of soil material to lower existing grade Item must be maintained throughout the Entire Construction Period. adjacent to dwelling by approx 5 ft,install 380 sf sunken masonry patio with approx.371f of 18"-high masonry curb and paver steps,and install drywell to 4 Will this Project Require any Land Filling,Grading or ❑ Excavation where there is a change tot the Natural collect patio runoff;construct 200 sf grade-level masonry patio in place of ex Existing Grade involving more than 200 Cubic Yards 280 sf patio;construct a 39 sf 2-story addition in place of existing 24 sf bay of Material within any Parcel? window(adjacent to 100'wetlands setback),install stepping stone walkways; 5 Will this Application Require Land Disturbing Activities and establish 12'-26'wide,approx 1,770 sf non-turf buffer in place of existing Encompassing an Area in Excess of Five Thousand lawn adjacent to bulkhead,all as depicted on the site plan prepared by Marshall (5,000 S.F.)Square Feet of Ground Surface? Paetzel Landscape Architecture,dated December 3,2020 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements. or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres-including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ❑ X are part of a larger common plan that will ultimately disturb one or more acres of lands, which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges_ iQ SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious ar Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1:1X1.The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of- submitted to the Department prior to the commencement of construction activity 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit In addition,the SWPPP shall Area?(this item writ NOT include the installation of Road SDriveway Shoulder Apron ) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE-If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and radices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit g P P P g (NOTE:A Check Mark(X)and/or Answer for each Question is Required for a Com leted Application) STATE OF NEW YORK, COUNTY OF -Suffolk------------------------SS That I, Robert E.Herrmann _ being duty sworn,deposes and says that he/she is the applicant for Permit, (Name o-f individual signing Document) And that he/she is the Agent__________________________ ________________________________________ (Owner,Contractor,Agent,Corporate Officer,etc. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are t4�((signatture best of his knowledge and belief;and that the work will be performed.in the manners set forth in the application filed herSworn to before me thi ;______________ 18th-_- -day _December 2020 Notary PKIM N . STUVENSO T{�{I Y P U B L I C - ---------- of Applicant) — FORM - 06/10 C0MM1 5S I ON N0 . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 201 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 si nificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town) 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# 111 - 14 36.6 PROJECT NAME Rom Jacobson&David Feldman The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: Remove and replace(in-place)218 sf grade-level masonry patio beneath existing second-floor porch to remain,construct 11 If of 30" high retaining wall adjacent to patio,and repair/cosmetically renovate porch(e.g.,replace/reinforce ex. support posts/deck frame, replace siding and screen panels); remove existing retaining wall,excavate approx. 135 cy of soil material to lower existing grade adjacent to dwelling by approx.5 ft,install 380 sf sunken masonry patio with approx.37 if of 18"-high masonry curb and paver steps, and install drywell to collect patio runoff;construct 200 sf grade-level masonry patio in place of ex.280 sf patio;construct a 39 sf 2-story addition in place of existing 24 sf bay window(adjacent to 100'wetlands setback);install stepping stone walkways;and establish 12'-26'wide,approx. 1,770 sf non-turf buffer,in place of existing lawn adjacent to bulkhead,all as depicted on the site plan prepared by Marshall Paetzel Landscape Architecture,dated December 3,2020. Location of action: 4680 Wunneweta Road,Cutchogue Site acreage: 45,824 sf Present land use: Residential,single-family dwelling 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: Roni Jacobson&David Feldman (b) Mailing address: 175 West 73rd Street,Apt.2JK New York,NY 10023 (c) Telephone number: Area Code 917-386-5983 (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? 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 1:1No VN 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 ❑ No ® Not Applicable i 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 III- Policies 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 ❑ Not Applicable See attached narrative jointly addressing Policy 5 and Policy 6. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and,wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes ❑ No ❑ Not Applicable LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR RONI JACOBSON&DAVID FELDMAN 4680 WUNNEWETA ROAD CUTCHOGUE,NY SCTM#1000-111-14-36.6 POLICIES 5& 6 The project consists of renovations proposed substantially within the footprint of existing structures, located no closer than the existing minimum wetlands setback of 67 feet between the bulkhead and existing dwelling structure, including ordinary repairs to and cosmetic renovation of a Trustees-permitted second floor porch and in-place replacement of the grade-level patio beneath it (see Wetlands Permit No. 5330); a new 380 sf sunken masonry patio adjacent to a -dwelling addition/alteration, on its landward side, which is situated outside Chapter 275 jurisdiction(see Trustees jurisdictional determination dated 11-23-20); a 39 sf 2-story addition in place of an existing 24 sf bay window, which is situated adjacent to but physically landward of the 100' wetlands setback; and replacement of an existing 280 masonry patio with a smaller, 200 sf patio. The project will thus result in a net increase in total patio area of 300 sf with no additional encroachment on the existing, previously permitted wetlands setback; and a nominal net increase in dwelling footprint of 15 sf, thus leaving Town-defined lot coverage effectively unchanged. However, to mitigate any potential project impacts, the new patio area will be equipped with a drywell-connected drainage system to collect and recharge surface runoff; and a 12' to 26' wide, approximately 1,770 sf non-turf buffer will be established in place of existing lawn area adjacent to the bulkhead. Therefore, the project will not have any significant adverse impacts on the adjacent tidal wetlands or waters of Wunneweta Pond. See attached narrative jointly addressing Policy 5 and Policy 6. 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 ® Not 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. Yes No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 4 Policy 10. Protect Sout'noid's water-dependent uses and promoie 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. ❑ No ® 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 PREPARED BY TITLE coastaI Management specialist DATE 12/17/20 Robert E. e Amended on 811105 t 1 „ 0 EN-CONSULTANTS December 18,2020 Town of Southold Board of Trustees E C E VE 54375 Main Road Post Office Box 1179 Southold,New York 11971 DEC 2 3 2020 Re: Roni Jacobson&David Feldman 4680 Wunneweta Road, Cutchogue Southold Toiin SCTM#1000-111-14-36.6 Board of Trusteos Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP Consistency Assessment Form. 2. Photographs. 3. Southold Trustees Letter of Non-Jurisdiction,dated November 23,2020. 4. Site plan prepared by Marshall Paetzel Landscape Architecture,last dated December 3,2020. 5. Survey prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated May 15,2020. 6. Hydrographic survey prepared by Kenneth M.Woychuk Land Surveying,PLLC, dated September 19, 2020. 7. Application fee of$100.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincer ly, Robert E. errmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631283.6360 f 631.283.6136 www.enconsultants com environmental consulting