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Home My WebLink AboutTR-9794A Glenn Goldsmith,President ��0f S10 Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 Southold,New York 11971 Michael J.Domino G • Q Telephone(631) 765-1892 Greg Williams '0 Fax(631) 765-6641 COUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1849C Date: August 17, 2021 THIS CERTIFIES that the as-built 564sq.ft. seaward side deck with stems and 36sq.ft.,spa; and landward 386sq.ft covered porch with generator; At 2455 New Suffolk Avenue, Mattituck Suffolk County Tax Map #1000-114-9-14.1 Conforms to-the application for a Trustees Permit heretofore filed in this office Dated December 4, 2020 pursuant to which Trustees Administrative Permit#9794A 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 the as-built 564sq.ft. seaward-side deck with steps and 36sq.ft. spa; and landward 386sq.ft covered porch with generator. The certificate is issued to Dolores Kreitsek owner of the aforesaid property. Authorized Signature r-� Glenn Goldsmith,President \\QF SO(/rTown Hall Annex A. Nicholas Krupski,Vice President ,`O� �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold, New York 11971 Michael J.Domino cn ,c G @ Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 COUNN,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COMMENTS: Bp►t-v ► 010--01��Olncla �f . ,�„• 1794 A CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President *QF SO(/Ty Town Hall Annex A. Nicholas Krupski,Vice President ,`�� - Ol0 54375 Route 25 John M. reemeyer P.O.Box 1179 JhMBdIII _ � � Southold, New York 11971 Michael J. Domino cn ,c G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD 'OF-TOWN TRUSTEES -" TOWN OF SOUTHOLD SOUT11 LD TOWN BOARD OF TRUSTEES "YOU-ARE REQUIRED TO CONTACT THE OFFICE OF THE-BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE"ACTIVITIES CHECKED OFF BEWW INSPECTION SCHEDULE -Pte-coristructidn;-fray'bale-line/`silt boom/silt curtain `. 'Iit`d4bf gonsttQctioh; Y2 constructed - Wheri-project.corhpl"ete, call for compli'nce.inspection; Glenn Goldsmith,President a SDU�� Town Hall Annex A.Nicholas Krupski,Vice President hOV� ��® 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III l Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �® Fax(631) 765-6641 ��-GpUItT`I-� - --- - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9794A Date of Receipt of Application: December 4, 2020 Applicant: Dolores Kreitsek SCTM##: 1000-114-9-14.1 Project Location:-2455 New Suffolk Avenue, Mattituck Date of Resolution/Issuance: January 20, 2021 Date.of Expiration: January 20, 2023 Reviewed by: Glenn Goldsmith, President - Project,Description: For the as-built 564sq.ft, seaward side deck with steps and 36sq.ft. spa; and landward 386sq.ft covered porch with generator. Findings: The project meets all.the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Cade. The issuance-of an Administrative Permit allows for the operations as indicated on the survey prepared by John C. Ehlers Land Surveyor, dated November 18, 2020 and stamped approved on January 20, 2021. 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 SURVEY OF PROPERTY _ � N SITUATE: MA<TTI TUCK TOWN: SOUTHOLD SUFFOLK COUNTY, NY ; �,1.. W E ` u D E C 2020 `� i �c\a''°ti 3' \ SURVEYED I I-18-2020, LOT GOVERAC5E I I-23-2020 j F°��\\O I ^', `� ® S O r Y � SUFFOLK COUNTY TAX # I ga�ru r _5 �Ot` 90 �f '�` 1000-114-a-14.1 ) I i Cl»[MIM 71O: nLij"I=S �6,°� `� '; ' TABLE OF AREAS Total Area = 55k5cl SF Adjacent Area = 46,611 5F `I House Porch = 2,200 5F Out buildings = 500 SF • 3 ��\ N Driveway = 4,085 5F Deck and Steps = 564 5F Total coverage area = 7,34q 5F It, Adjacent Area Goverage = 14.8 % r R�OOO S a J M) r r !L Z0 r r L N o r r o Q N ��' ONLL S8►001 r u r L -APPROVED BY .:BOARD OF 'i RUSTEESAr o TOWN OF SOUTHOLD4P, ` 30 , --- > % cto DATE TAg0,Vj 20 2024 ` � ® I -r •� °y0 _pf I 1.F,wtharlied alterollon or oddltlon to a BiTV 11T'79os�, 0' c ti 9 ': map bears g a licensed bnd eurveys'!Beal b a 30 �` pAe 4� ob lm of aectlon 1309,oub-Al d—7,of the A §(V \ � New York State E-duaatbn Law S9 �ro 0� � �� Only wpbs from the o gMI lhro aH y .4 �` 9d�a = I d) �p mwked nith cm orlgwal of Ehe o survayor's V P=' ea<npea seal,hall t»corek+ered to do gaud te" wpbs• '� r M+ °Gertlfkatlona urdlcalad heroon slyniFy that lhls "�"''-�.x y ey nos prepared N xcordar�ce nl[h the ex- NOTES: 3 ��.�'af': �Ap + isttrg Lada of F7octlre For Lare9 Surveys adopted •by the NeH York Stale Assoclatbn of Professional �j LaM�rveyors Saitl cerilf kalloro shall run only the person For whom the survey Iro prepare, and on his W I to the title company ermx,n- 's 020 to the asslynee9 of the IOhdVxj Iretk the LertlFloa- MONUMENT FOUND '' s �� tbrea aMab®taadd naN.ane p PIPE FOUND AREA = 5303Q SF OR 1.28 ACRES JOHN C. EHLERSL SURVEYOR ' 6 BAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIG SCALE 111=40' RPIERBEAD,N.Y.11901 631-3698288 1 REF.-C:1UsmIJohnQWbox\03\03W-207 2020 survey only FOR BK.pro --- S�FFO(k Glenn Goldsmith, F 1dent ��0 CSG Town Hall Annex Michael J. Domino ` yam, 54375 Route 25 John M. Bredemeyer III a "` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams p! Telephone (631) 765-1892 X01 �`a Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: I��2/ZI q',20 Completed in field by: ig, 6old5dti,�'A Suffolk Environmental Consulting, Inc., on behalf of DOLORES KREITSEK requests an Administrative Permit for the as-built 564sq.ft. seaward side deck with steps and 36sq.ft. spa; and landward 386sq.ft covered porch with generator. Located: 2455 New Suffolk Avenue, Mattituck. SCTM#: 1000-114-9-14.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3: Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission ,f 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer M. Domino � G. Goldsmith N. Krupski G. Williams Other �r KREITSEK Property Situate: 2455 New Suffolk Avenue • Mattituck, NY 11952 SCTM#: 1000— 114—09— 14.1 (Photographs taken mi September 2911,, 2020) 41 The photograph above (taken facing north) depicts the freshwater wetlands (Lake Marratooka) as well as the as built deck thereon. KREITSEK Property Situate: 2455 New Suffolk Avenue • Mattituck, NY 11952 SCTM#: 1000—114—09—14.1 (Photographs taken on September 29", 2020) + Y A— j r. a y?4 �n A7A The photograph above (taken facing west) depicts the covered porch located along landward side of the existing dwelling. Please take note of the leader and downspout depicted thereon. KREITSEK Property Situate: 2455 New Suffolk Avenue • Mattituck, NY 11952 SCTM#: 1000—114—09—14.1 (Photographs taken on September 291h.2020) Oyu 1 s I +� qW�� '+y i is Y y-10 r. 7 ' / I � f r The photograph above (taken facing northwest) depicts a downspout attached to the existing dwelling. KREITSEK Property Situate:2455 New Suffolk Avenue • Mattituck, NY 11952 SCTM#: 1000—114—09—14.1 (Photographs taken on September 29th,2020) all w I _ _ The photograph above (taken facing west) depicts the existing dwelling as well as the attached seaward deck thereon. Please take note of the gutters, leaders, and downspouts attached to the subject dwelling. 5URVEY OF PROPERTY t N 51 TUATE: MA<TTI TUCK TOWN: 5OUTHOLD SUFFOLK COUNTY, NY , r I've. 1 0 , � � � � � �pr�3 � \ � �' ® S SURVEYED II-I8-2020, LOT GOVERA6E 11-23-2020 DEC 2020 ',�" E o��r \�G ^ ` \\ �� ---- - v SUFFOLK GOUNTY TAX # i �p�d 9��c _,-- Cf 1000-114-Q-14.1 °''r'' -_' - — •' i CHMMD TO: WZZIIAMK=T �61 \�� ' m TABLE OF AREA5 lip Total Area = 55,63ci 5F Adjacent Area = 4x,611 5F N House � Porch = 2,200 5F Out bulldin 5 = 500 5F • ;;=3k' `� Drlvewayy = 4,085 5F Deck and 5tep5 = 564 5F Total coverage area = 7,34q 5F d, \�,' Adjacent Area Goverage = 14.8 O O I 1 80 ~ ' LO � O z Z -p NOrr . Or � c�. 581001'3pIFt O 247.23' L S-7-10 o w a 7 z 1211 IV741 I �o Nem 1 x•49' It—tton mdltf-tc n e.rvey map 111=%. eo^n9 f Ilcemetl land s rvey,1 seal n a ilo F section'fork sole E-2,of the York State 6ducatlon Law' �� 59 AQ' , I N 'pily wpbs from the-199 l of thb swvey //•�-MV{ masked� 0 st11 orlgtml of the surveyors an�oe al1 snow re�oreldoroe too'us goaaplee• NOTES: _ G ? bttrg ode of Fra�For Lona E-pyyodopta0 f +y_ N swvey was prepared n accordance w11 the ex- LE�s1aP , 'yLond 6w'veyor9�5aItlA ertfiboltorol ehgga00ll runt halal n.drt tgheMttitalve beoas rrI�batenyd fiev-pe-S • MONUMENT FOUND -x-61 50202 totteqf the drearotraM- ttrefe arFa ?GAND atb -taw_ p PIPE FOUND � c AREA = 55,63a 5F OR 1.28 AGRE5 JOHN C. EHLERS LAND SURVEYOR GRAPH I G SCALE 111=40' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RMERHEAD,N.Y. 11901 631-369-8288 REF.-C:\Usm\John\Dlvpbox\03\03\03-207 2020 survey only FOR BK.pm l f _ NpTCN _ m 1p umm FREE 1 ,Yi`A 1Aµ ''�5 -'- A �1 \\ i^ /� v 9.wcl ♦ ° r r 9plOM DISTMy 9 72 I TOWN OF soun4olu O zeta) r �... . f Swc) Sr S z�r '•� ,f.3 �, 3 q/ � 4.wc1 4 I T1,l1CK �i O wuac asTrs�cT / � � C/ e � !NA !z� ' ,� a C :J 9� t ,,•1) ,34(c) 7 r r � ♦ ttct ' o • foum GT"DU ° Gff�tc,1 e 'S 1.w4 JT ✓J79 A • 22,4 ?7 to 22.3 1AA pp •� ,a 18NA FOLK e 9 • r- 142 p0 ,oPp wcD 0 I e FOR PCL NO. SUF 7 SEE SEC.No. _ e I" 1111]-0,e 11 S 3 I w gal) ...'to is x ., 4.T I s ..n• 2 1.1� 42 r ,1.M 4.4 N FOR PCL NO. U N' sEE SEO-,q. - PDR PCL NO. ,.W / 2wc) ,71-0100, ul ,off w �y =43a �i \ .$'' 14M P WT N —� t1NE Mlp t�,dd _ -----z?.---uNE � SEESM No.,a T µATCN / S 13.7 2.4 N s¢en I p1-1 `f w SECTION NO ~ raw ar SOUTNOLO COUNTY OF SUFFOLK 114 NoncE Real Properly Tau Service Agency r u e ^�O _ __ _ �,t^1O`v^OcrtR rwMruwcE./i, e'ae onyNInIrM�NY 1,MN M t _ �surw9 oswtt romi9x ar Tre u p 114 Ps*mc*rte 1000 PftOPENT•�P R+1 w O �u.ru. -- „w _,.r-- yrwmn+nawr�erRawsrEo P r.nsn OFFICE LOCATION: 9, " r MAILING ADDRESS: Town Hall Annex wa P.O. Box 1179 54375 State Route 25y 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: January 19, 2021 Re: LWRP Coastal Consistency Review for DOLORES KREITSEK SCTM# 1000-114-9-14.1 Suffolk Environmental Consulting, Inc., on behalf of DOLORES KREITSEK requests an Administrative Permit for the as-built 564sq.ft. seaward side deck with steps and 36sq.ft. spa; and landward 386sq.ft covered porch with generator. Located: 2455 New Suffolk Avenue, Mattituck. SCTM#: 1000-114-9-14.1 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 INCONSISTENT with the Policy Standards and therefore is INCONSISTENT with the LWRP. The as-built structures were constructed without the benefit of the Board of Trustee review and issuance of a Wetlands Permit. If approved the following is recommended: 1. The installation of a vegetated, non-turf buffer to protect water quality. 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 �QF so(/ry Town Hall Annex Michael J.Domino,Vice-President �� Ol0 54375 Route 25 P.O.Box 1179 Y John M.Bredeme III er k �R �[ Southold,New York 11971 A.Nicholas Krnpski G 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 Pt �: • .`:a %if E- r«-,=7: rope fv Owner Name: .,V... _f • .;t l`_,.:ti. ? lv_✓�,_t. It,t .'e ice! .. .1,ti A Date'Se�it`td''B1dg:�Dept: 12-21-20 The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Deka tme,tfs permitting 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? Will any part of this application,be considered:a,;QemgIition as described under Town Code? - COMMENTS: o Q IlAh i�th;Lm S ature of Reviewer Date 1 - M16hael J,Domino,President ; a Tokva Hall Annex ° � s John M.Bredemeyer 111,Vice-President � X375 Route 25 P.O.Box 1179 Charlea J.Sanders Southold,Now York 11971 �g Glenn Goldsanith Telephone(631) 765-1892 A. 1Vicholas Kmpslri �1 . :;� IlFax(631) 765-6541 Y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application XAdministrative Permit Amendment/Transfer/Extension Received Application: /2.µ.2d Received Fee:$ 2404 As— mar Completed Application: IZ.ZI•Z0 Incomplete: j SEQRA Classification: Type I Type II Unlisted S; „ �Coordination:(date sent) t, ` f 0 EC 2020 J LWRP Consistency Assessment Form: r CAC Referral Sent. Date of Inspection. Receipt of CAC Report: Lead Agency Determination Technical Review. Public Hearing Held i• 24.21 Resolution: Name of Applicant William and Dolores Kreitsek Address P.O Box 934 • Mattituck. NY • 11952 Phone Number: (631) 484—9369 Suffolk County Tax Map Number: 1000— 114-09-14.1 Property Location: 2455 New Suffolk Avenue Mattituck,NY 11952 507.03' east of Reeve Avenue (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 T } Board of Trustees Application GENERAL DATA Land Area(in square feet): 51,400 square feet+ Previous use of property: Residential Intended use of property: Residential w/ deck Covenants and Restrictions: Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes X 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 wetland permit#7420(10/20/10).#954 (9/19/19) Army Corps of Engineers NAN-2019-00831 ERO(2/13/20) NYSDEC Permit# 1-4738-03269/00001 &/00002(11-02-2010.01/24/20) 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 seaward deck with seaward steps (564.0 s.f.) and spa (36.0 s.f.) thereon, landward covered porch (386.0 s.f.), and generator thereon. T U Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: to legalize existing structures within subject property Area of wetlands on lot: 6,027.0 square feet Percent coverage of lot: 0.13 ± % Closest distance between nearest existing structures and upland edge of wetlands: 34.0' feet (Existing Deck Stairs) Closest distance between nearest proposed structures and upland edge of wetlands: 0.0 feet (Proposed/ Permitted Dock)(Trustee Permit No. 9545) 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 feet Proposed slope throughout the area of operations: none 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 further impact to adjacent wetlands in that structures have existed on-site without any undue impact on the adjacent freshwater wetlands. 617.20 Appendix 13 Short Enriroirinc,ntcrl tfsvessurelrt h'orin Instruetions For CoulpletinQ Part 1 - Project information The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of tkie 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 trs necessary to supplement any item. Part 1 - Project and Sponsor(reformation Name of Action or Project: KREITSEK Property Project location (describe,and attach a location map): 2455!,Tew Suffolk Avenue • Matt tuck,New York ♦ 11952 Brief Description of Proposed Action: Applicant proposes to legalize the existing seaward deck with seaward steps (564.0 s.f.).and spa _(36.0 s.f.) thereon,landward covered porch (386.0 s.f.), and generator thereon. Name of Applicant or Sponsor: Telephone: :(631)537-5160 I Robert W. Anderson @ Suffolk Environmental Consulting, Inc. E-Mail: robert@suffolkenvironmental.com - ----- - - --- -- --------- - - - - Address: P.O.Box 2003 - -- - - - -- - - --- - - - - - ------ -- - - - - - --- - - - -- - - ---- - - City,'PQ: State: Zip code: Bddgehampton NY 11932 I.Does the proposed action only involve the legislative adoption of a plan.local law, ordinances NO YES administrative rule.or regulation If Yes,attach a narrative description of the intent of the proposed action and the enN ironmental resources that 0 may be affected in die municipality and proceed to Part 2. if no,continue to question 2. 2. Does the proposes!action require apermit,approval or finding from any other governmental Agency I? NO YES If Yes.list aaencv(s)name and permit or approval: NYSDEC Freshwater Wetland Permit a 3.a.Total acreage of the site of the proposed actions 1.28 acres b.Total acreage io t)e physically distttri)cd*t o.o,. . -_ acre. c.Total acreage(project site and any contiguous properties) ownecj or controlled by the applicant or project sponsor' 1.28± _-_acres 4. Check all land uses that occur on, adjoining and near the proposed action ®Urban [:]Rural (non-agriculture) ❑Industrial [3Commercial ®_Residential(suburban) ❑Forest []Agriculture []Aquatic QOther(specify):, ®Parkland Page I of 4 S. Is the proposed action, NO YES N/A a,A permitted use under the zoning regulations: ❑ ® ❑ b.Consistent with the adopted comprehensive phntT El M El G. Is the proposed action consistent with the predominant character of the existing built or naturall NO YES landscape f ❑ 1 El 7. Is the site of the proposed faction located in, ordges it adioin,a state listed Critical_Environmental Ar&?l NO YES If Yes,identify: a F-1 S. a. Will the proposed action result in a substantial increase in traffic above present levelsi NO YES b. Are public transportation smice(s)available at or near the site of the proposed action? o El c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ® ❑ 9.Does the proposed action meet or exceed the state enemy code requirements`] NO YES if the proposed action will exceed requirements,describe design features and technologies: ❑ El 10. Will the proposed action connect to an existing public/private water supply` NO YES If No.describe method for providing-potable water: jJyj ___ __._.__ _ _ - FYI El N/A Legalization of,As-builts 11. Will the proposed action connect toexisting%mastewaterutilitics'?l� NO 1'[:S If No,describe method for providing waste1 1water trummaent: r 11- w.,w..___._._. _m..._._,_.._ ___. m ❑ __N/,A Legalization of As-builts_V_ 12. a.Does the site contain a structure that is listed on either the State or National Register of I-listoricl NO YES places?l b. 1s the proposed action located in art archeological sensitive arena? 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 w'aterbodies regulated by a federal,state or local agency`:) El El_ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? I ❑ if Yes,identify the wetland or waterbody and extent of alterations in sgttarc feet or acres: 14. Identify the typical habitat types that occur on,or arc likely to be found on the proj ect site I Check all that apply: 0 Shoreline ❑forest 0 Agricultural/grasslands p Early mid-successional ❑x Wetland ❑Urban [21 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 endangerudl 0 ❑ 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 source'] YO YES If Yes, a. Will storm eater discharge flow to adjacent properties? X❑NO DYES M b. Will stonn water discharges be directed to established conveyance systems(runoff and storm drains)? if Yes,briefly describe: MNO AYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment oft NO YES water or other liquids(e.g,retention pond,waste lagoon,dam)l If Yes,explain purpose and size: r7V L J ........ NO YES solid waste management facility') If Yes,describe: El El 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing orl NO VES completed)for hazardous wasiel if Yes.describe- 4,7,- 7 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor n rt W Anderson@ Suffolk Environmental Consulting,Inc Date: NQv',enibei,2,3;.20202,' Signaturek Pail 2- Impact Am-essinentl The U-nd Agency is responsible for the completion of Part 2. Answer all of the following questions in Part using the infon-nation 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 tile proposed action`?" No,or Moderate Small to 1.11-ge Wpact impact may may Mull occur 1, Will the proposed action create a material conflict with an adopted land use plan or zoningi F-71 regulationsl LJ LA 2. Will the proposed action result in a change in the use or intensity of use of land`? Lil r--11 r1r—" L 3. Will the proposed action impair the character or quality of the existing communityTL171-7771'J 4. Will the proposed action have an impact on the envirortmental characteristics that caused till Li F71 Li —7 1 establishment of a Critical 13-tivironmental Area(CrA)l S. Will the proposed action result in an,adverse change in the existing level of traffic o4 FM-771 affect existing infrastructure for mass transit,biking or%a21kwayr Li 6. Will the proposed action cause an increase in the use of energy and it falls to incorporate) 17771 r71177 reasonablavailable oner -1 y p i es LLJ ,y conservation or renewable energy opportunit LJ 7. Will the proposed action impact existing a.public/private Nvatersupplics? L—J", b. public I private%vastewater treatment utilities? E3 8. Will the proposed action impair the character or quality of important historic.archaeologicall IT, I r—_1" architectural or aesthetic resources) L-J-1 U 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetland4 r17-1n M-1 waterbodies,groundwater,air quality, flora and fauna)' Li LJ Page 3 of 4 No,or Moderate small to large impact impact mal' may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding mordrainagel a a probles' 11. Will the proposed action cre=ate a hazard to environmental resources or human health`p E Part 3 - Determination of significance) The Lead Agency is responsible for the completion of Part 3. For every, question in Part 2 that %&-as auiswered"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 fart 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included hyj 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. Bach potential impact should be assessed considering its setting,probability of occurrin-I 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 datennined,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 Iead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency _ Signature of l'n;parer(if different from Responsible 011icer) PRINT Page 4 of 4 r y Board Of Trustees Appllce, "M AFFIDAVIT Dolores Kreitsek BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR'I'HE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO 1"IE BEST OF RISIKER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY TIIE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE B0A,RD Oft TRUSTEES HARMLESS AND Fum MROM 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 PROPER'T'Y 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. Dolores Kreitsek SWORN 1'0 BEFORE ME THIS DAY 41' ,,/vJ ' 20 �o PETER E SWAHN —•- _ :_ Notary Pudic,SIP-to ct Nem yorl, No u is Rec.No.09 SW9257?_30 Qual od in SUffGi'�county Cornmission Expire;September 30,2022 i Board of Trustees Applioatf AUTHORIZATION (Where the applicant is not the owner) I, Dolores Kreitsek, owner of the property identified as SCTM# 1000— 114—09—014.1 in the town of Mattituck,New York, hereby authorizes Suffolk Environmental Consulting, Inc. 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. Dolores Kreitsek SWORN TO BEFORE ME THIS_ _3 DAY OF_ yy. , 2020 V. PETER E SWAHN Notary Public,State of New York Notary Public Reg.No.0 1 SW9257280 }� oual'rl;ed in Su;:olk County commission Expires September 30,2022 1 1 - j APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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 lake whatever action is necessary to avoid same. YOUR NAME: Kreitsek, Dolores (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)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 then 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 Brother in law Submitted is da of Signature _ Print name Dolores Kreitsek Town of Southold 1 1 r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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: Robert W. Anderson na Suffolk Environmental Consulting Inc (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)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 then 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_16 1ay o eptember 2020_ Signature Print name Robert W. Anderson Form TS 1 j f 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 perinits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town) 3. If any question in Section C on this form is answered"yes" or"no",then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail,listine both supporting and non- supportin2 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# 114 - 09 - 14.1 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees ® ZBA ❑ 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 seaward deck with seaward steps (564.0 s.f.) and spa (36.0 s.f.) thereon, landward covered porch 386.0 s.f.), and generator thereon. Location of action: 2455 New Suffolk Avenue • Mattituck.NY Site acreage: 1.28 t acres Present land use: Residential w/Single Family Dwelling w/Deck 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: William and Dolores Kreitsek. (b) Mailing address: P.O. Box 941 • Mattituck,NY 11952 (c) Telephone number: Area Code(631) 484-9369 (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 This policy is not applicable in that the proposed is to legalize existing structures thereon Consequently, this Policy is not applicable to this proiect. 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 Not Applicable. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable 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 This policy is not applicable to the subiect project 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 This policy is not applicable. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the subiect protect 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 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 Not Applicable. Attach additional sheets if necessary 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 Not Applicable. l r Attach additional sheets if necessary 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 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 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 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 Not Applicable. Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village Suite E 2310 Main Street PO Box 2003 . Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED f December 7h 2020 Board of Trustees DEC - 9 2020 Town of Southold Southold Town P.O.Box 1179 Board of Ti us;ees Southold,NY 11971 RE: KREITSEK Property—App_lication Fee Situate: 2455 New Suffolk Avenue • Mattituck,NY 11952 SCTM#: 1000—114—09—14.1 Dear Members of the Board, As per your request, please find attached herewith a check made out to the Town of Southold in the amount of two hundred dollars ($200.00), in satisfaction of the requisite fees. Thank you for your time and anticipated cooperation in regard to this project.Please feel free to reach out to this office at any point, should you have any questions. Yours Truly, r Robert W. Anderson (enc.) / l� \Suffolk Environmental Consulting, Inc. Newman Village Suite E a 2310 Main Street PO Box 2003 m Bridgehampton NY 11932-2003 t 631.537.5160 a f 631.537.5291 Bruce Anderson,M.S.,President REGULAR MAIL n FfbyI� C '� f December 3rd,2020 SENT b Board of Trustees DEC - 4 2020 Town of Southold P.O.Box 1179 Souihoidov.,n Boar;Of Treztns Southold,NY 11971 RE: KREITSEK Property— Situate: 2455 New Suffolk Avenue Mattituck, NY 11952 SCTM#: 1000—114—09—14.1 Dear members of the Board, This Firm represents the owner of the above referenced property,who is seeking your Boards regulatory approval to legalize the exiting seaward deck with spa thereon, street facing covered porch, and generator thereon. Attached herewith please find the following application materials; 1. Board of Trustees Administrative Wetland Permit Application, one original and one copy; 2. Owner Affidavit, one original and one copy; 3. Agent Authorization, one original and one copy; 4. Applicant Open Government Transactional Disclosure Form, one original and one copy; 5. Agent Open Government Transactional Disclosure Form,one original and one copy; 6. Local Waterfront Revitalization Program Consistency Assessment Form, one original and one copy; 7. SEQRA Short EAF,one original and one copy; 8. Photographs of the subject property and current conditions thereon, two [2] sets; 9. Survey prepared by john C. Ehlers, L.S., dated November 23rd,2020 four [4] original signed and stamped prints, and; 10. Check made payable to the Town of Southold in the amount of two-hundred dollars ($200.00)in full satisfaction of the requisite fees. Thank you for your time and anticipated cooperation in regard to this project. Please feel free to reach out to this office at any point, should you have any questions. Yours Truly, Robert W. Anderson (enc.)