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TR-9897
Glenn Goldsmith,President *oF Soury� Town Hall Annex A. Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino :47, Telephone(631) 765-1892 Greg Williams '0 �� Fax(631) 765-6641 enutm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1863C Date: October 12,-2021 THIS CERTIFIES that the existing 1,846sq.ft. (footprint)two-story dwelling with associated 1,694sq.ft. attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 12'xT covered patio and converting it into living space with no expansion to existing footprint or additional impervious area added due to proposed work;with the condition of the installation of gutters to leaders to existing dWyells; At 10098 New Suffolk Avenue,Cutchogue Suffolk County Tax Map#1000-116-6-2 Conforms_to the;application for.a Trustees Permit:heretof6re,filed in this, office Dated March 25„2021 pursuant to which Trustees Wetland Permit#9897 Dated gy-19,2021 was issued and conforms to all,of the requirements and,couditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing 1,846sq.ft. (footprint)two-stbry dwelling with,associated 1,694sq.ft.attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 12'x7' covered patio and converting it into livingspace pace with no expansion to existing footprint or additional impervious area added due to proposed work; with the condition of the installation of gutters to leaders to existing drywells. The certificate is issued to David Westermann,Jr. owner of the aforesaid property. 4"^� Authorized Signature Glenn Goldsmith,President 'of So(/jy Town 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 G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 Own BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: �()9A t 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: UVB 4" "Sve, CERTIFICATE OF COMPLIANCE: Glenn Goldsmith, President �QF So(/ry Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 h0 lQ P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino ,e G � Telephone(631) 765-1892 Greg Williams �'0 �� Fax(631) 765-6641 ���4UNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72`HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction"hay-bale line/silt boom/silt curtain 1St day of construction- '/ constructed When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9897 DATE: MAY 19,2021 ISSUED TO: DAVID WESTERMANN,JR. PROPERTY ADDRESS: 10098 NEW SUFFOLK AVENUE,CUTCHOGUE SCTM# 1000-116-6-2 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 19, 2021, and in consideration of application fee in the sum of$250.00 paid by David Westermann,Jr. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the existing 1,846sq.ft.(footprint) two-story dwelling with associated J., H 1,694sq.ft. attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 121x7l covered patio and converting it into living space with 2 no expansion to existing footprint or additional impervious area added due to proposed work; with the condition of the installation of gutters to leaders to existing drywells; and as depicted on the site plan prepared by Jeffrey Patanjo dated March 7,2021,and stamped approved on ti May 19,2021. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 19th day of May,2021. FDJ U 0. 4� IR 4 Cil TERMS AND CONDITIONS The Permittee David Westermann, Jr.,residing at 10098 New Suffolk Avenue, Cutchogue,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President *0 SO(/ly Town Hall Annex A.Nicholas Krupski,Vice President op 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 �y�4UNT1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 25, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11-716 RE: DAVID WESTERMANN, JR. 10098 NEW SUFFOLK AVENUE, CUTCHOGUE SCTM# 1000-116-6-2 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 19, 2021 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of DAVID WESTERMANN, JR. applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 25, 2021, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 19, 2021, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has-determined that the-project as-proposed-will not-affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of DAVID WESTERMANN, JR for the existing 1,846sq.ft. (footprint) two-story dwelling with associated 1,694sq.ft. attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 12'x7' covered patio and converting it into living space with no expansion to existing footprint or additional impervious area added due to proposed work; with the condition of the installation of gutters to leaders to existing drywells; and as depicted on the site plan prepared by,Jeffrey Patanjo dated March 7, 2021, and stamped approved on May 19, 2021. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, L nn GoldsPh "- President, Board of Trustees GG/dd I LOCATION MAP N.T.S. i 00 d,y,° .,,);�;a�,.};,�%,_ `>,a-,',s'i;,�,� - r.. ,fy'I, ,ray, ;�� „+�•;•�;d.�;rt�; r + / 01"4:1 "-', . a ;f`� ;,bo:�a< .,yak 4,�,J•.,^+9 _"�,`n ,_ ,�•"��;:%-,�X �" WO�'E .90.4.9 ' �'��� _ ` .y_,�➢; _ fir' ��' y' - 'c _ °' � '� MHW& MM ALONG FACE OF BULKHEAD ty^" ex Nab L t ..a.'' -„ <'3" .�n '1. •'s<a rr A V By,Su. ,,,, .}. :'^l'3�;i,'m(a;�,,,` xPr'x4=•'-'(;�,'t; 1ia''eT' _ Zw ,,�,�t„r,aP�:`_ _ Olk�y� s�t'.,�•r�i>,'� .�.'<_d'.�i`� ����.,"y'":x� :;y, ,�f�er4�„`s,�;�;, lz#;f'�`;” -_ �'"d�, �_Jl--:�'� s,:_�}',SullolK'Ave:h�'n"� ,,„";r,•��., :`',mob.•''.x`F. ;a�� - `=+� a�}y",' �^�'��.. �'+x;"`; ,�",�..ei.�°`�.";T�< ROOF OVER WOOD DECK ,•r���;;.r;�'y�,, �'�'' -_'' ':,;,off°- , .,, ,,;'�,��„ �,'. sw,�< K;"1 co V'i�'f,_�Jr i'�p ;'•i;;;f`ff='�ci+'�L t`"1:+.v�'�i 'a�"An';�-•;, �j�y',YA°"a"�• ai:ti�'v^..� - �r`-J,• �.it+'�� PR OJECT 2 STORY c_;' a [j WOOD WALL FRAME LOCATIONS DWELLING g �m _E 0 GRVEL DRIVEWAY GRVEL DRIVEWAY 3� WOOD WALK PROPOSED WORK INCLUDES ENCLOSING EXISTING PORCH WHICH CURRENRY HAS SPLIT Rq�� WOOD WALL SECOND STORY ABOVE THERE WILL BE NO FURTHER EXPANSION OF RESIDENCE OR C F INCREASE OF IMPERVIOUS AREAS. 626 75'E N 14°07'W 2 STORY 31.04' 1V 010FRAME 26 201- ARAGE m `96 - - - - - - N 15°28'40" W 145.00' SITE PLAN [rFMAR AP.P ROVE D BY SCALE: 1"=30';'BOARD 'OF I RUSTEES 2021 TOW K OF.•SOUTHOLD Southold'Town Board of Trustees ' DAJE PROPERTY OWNER: DAVID WESTERMANN PROPOSED PERMIT PLANS SCALE: 100 HILTON AVE. - UNIT 410 1"=30' GARDEN CITY, NY 11530 PREPARED BY: PROPOSED PLAN DATE: 3-7-21 I JEFFREY PATANJO 1 P.O. BOX 582 10098 NEW SUFFOLK AVENUE BOHEMIA, NY 11716 CUTCHOCUE, TOWN OF SOUTHOLD 631-484-9332 SUFFOLK COUNTY, N.Y. SHEET: JJPATANJO@GMAIL.COM TAX MAP NO. 1000-116-6-2 1 OF 1 �®SUFFoc,��o Glenn Goldsmith, President ��o ay Town Hall Annex A Nicholas Krupski, Vice-President y 54375 Route 25 John M. Bredemeyer, III o ® P.O. Box 1179 Michael J. Dominoy� o� Southold, NY 11971 Greg Williams ®� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DAVID WESTERMANN. JR., c/o JEFF PATANJO Please be advised that your application dated March 25. 2021 has been reviewed by this Board at the regular meeting of May 19, 2021 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE. $_50.00 BY: Glenn Goldsmith, President ` Board of Trustees Table 3.1 Nailing Schedule(Wood Framed Construction Manual 2015,Page 149) Framing Notes: Joint Description Number of Common Nails Nail Spacing ROOF NAILING The contractor is to verify all measurements in the field ad any discrepancies are to Rafter to Top Plate(Toe-nailed) 3-8d per rafter be brought to the attention of the Engineer prior to constiction. Ceiling Joist to Top Plate(Toe-nailed) 3-8d per joist Ceiling Joist to Parallel Rafter(Face-nailed) 5-16d each lap Wood Framing Ceiling Joist laps Over Partitions(Face-nailed) 5-16d each lap Collar Tie to Rafter(Toe-nailed) 2-10d per tie 1. All lumber is to be No. 2 or better Douglas Fir Larch N)with the following minimum Blocking to Rafter(Toe nailed) 2-8d each end specifications: Rim Board to Rafter End Nailed 2-16d each end WALL FRAMING Fb= 825 psi _ Top Plate to Top Plate(Face-nailed) __ _ 2-16d(1) perfaot -Fv=95 psi Top Plates at intersections(Face-nailed) 4-16d joists-each side Fc perp=625 psi Stud to Stud(Face-nailed) 2-16d 24'o.c. E= 1,600,000 psi Header to Header(Face-nailed) 16d 16'o.c.along edges 2. All Microllam(LVL) Lumber is to have the following runimurn specifications: Top or Bottom Plate to Stud(End Nailed) 2-16d per stud Fb=2,600 psi Bottom Plate to Floor Joist,Band Joist,End joist or Blocking(Fa 6d)(1,2) per foot .. _ Fv= 285 psi FLOOR FRAMING Fc perp=750 psi E.= 1,900,000 psi Joist to Sill,Top Plate or Girder(Toe-nailed) 4-8d per joist t I t co Bridging to Joist(Toe-nailed) 2-8d each end i 1 X13. All beams fabricated with multiple Laminated Veneei Lumber boards are to be Blocking to Joist(Toe-nailed) 2-8d each end 2 x 8 CJ k:; nailed/bolted in accordance with the manufacturer's ipecilications. Blocking to Sill or Top Plate(Toe-nailed) 3-16d each block X X Ledger Strip to Beam(Face-nailed) 3-16d each joist N I i N 4. All straps, connectors, plates, bolts, nails,etc, are tobe galvanized or stainless Joist on Ledger to Beam(Toe-nailed) 3-8d per joist t I steel. Designated connectors, strap etc.on these drawings are made by Simpson Band Joist to Joist(End-nailed) 3-16d per joist x unless indicated otherwise.All connectors, straps eta areto be nailed/bolted in Band Joist to Sill or Top Plate(Toe-nailed) 2-16d(1) perfoot accordance with the manufacturer's specifications. ROOF SHEATHING N — w .... — T..—"""�^�' '- 3 rr '�"-'�""` N 23 Structural Panels Bd (Detail) (2)2 x 8 e/w(1)a"FP I I (2)2 x 8 e/w(1)s FP 2 x 8 RR 5. All floor sheathing is to be /2 inch AC type plywood,tongue and groove,with an APA span rating of 48/24. Floor sheathing shall be glued and screwed to the floor CEILING SHEATHING joists(6"O.C.edges and 12"Q.C. field). Gypsum Wallboard 5d coolers r edge 110'field I 1 6. All wall sheathing is to be 15/32 inch APA Rated Exposure 1 plywood and shall be WALL SHEATHING t I nailed with 10d common nails 6"O.C.edges and 12"O.C.field. Structural Panels 8d 60-4'edge/17 field 7. Solid blocking is to be installed every 8'max or mid span of all floor joists with 2x8FJ spans exceeding 8'. Particleboard Panels 8d See Manaf. — I 1",Xl/ I I a. FLOOR SHEATHING _ 8. Double joists are to be installed below parallel walls. Structural Panels 1 9. Blocking is to be installed at all point load bearing points. 1°or less 8d 6w edge 112°field I r. 10. Walls are to be framed with 2x6 inch studs spaced 16 inches OC unless indicated (1)Nailing requirements are based on wall sheathing nailed 6'on-center at the panel edge. Altemate nailing schedules co otherwise. shall X be used where wall sheathing nailing is reduced.For example,if wall sheathing is nailed inches on center at the panel - - - -- . — 1 -- edge to obtain higher shear capac!ties,-nailing requirements for structural members shall be doubled,or altemate (v 11. All bolts nuts and washers are to be hot dipped-galvanized. — 2 x 8 RR connectors shall be Steel Notes : used to maintain the load path. (2)When wall sheathing Is continuous over connected members,the tabulated number of nails shall be permitted to be o \T4 All Tube Steel ASTM A500-GR-46 (0) 1 * reduced to 1-16d nail per foot. ® I bolted connections are to be made with A-325 bolts. 1 - r Design Loads: ' Ico Roof-Live Load-20 psf Existing 3) 1.75 x 11.25 LVL e/w(2) "FP X -Dead Load-15 psf (2)2 x 8 e/w(1)2"FP 1`%J 104 1 st&2nd -Live Load-40 psf 2 x 8 RR -Dead Load-15 psf - Ind Loads- 135 mph-ASCE-7I/N • • 1 MWFRS-Method 2 Design Criteria- 1 * NYS Residential Code R301.2.1.1 and utilized the methods )��Scale Connection Details 1 and procedures stipulated in Chapter 2 Engineered Design „_ ,_ „ It and Chapter 3 Prescriptive Design in the 2001 Amarican : 1/2 - 1 0 c Forest and Paper Association Wood Frame Construction cxv I Manual(2001 WFCM)for One and Two Family Dwelling Units I and ASCE 7. 5 3r, 2 2 x 8 f I I4 '-rr 2" 2 211 Existing 2nd Floor Framing Plans 41 '__C::F`J _ 2rr I P8'Q1 BOIL Holes I 211 31r 4 2rr I 5 4 2 2rr 2 2" 1" l��� "O Boit Holes 211 4 z a 1- 22 4 _ _ _ _ _ 2 2 32 211 1 21r 2 1n 5 3n 2 Custom Hanger Details MAY 1 8 2021 g �y Scale: 1"= 1'-0" 684 r� r Plans are prepared b Condon En ineedn ,P.C. It is a violation of the New York State Education FDrawn _1�-O° s+ Condon Engineering l .V r Y 9 9 Law,Article 145,Section 7209,for any person unless acting under the direction of a licensed Residence Professional Engineer,Architect,or Land Surveyor,to alter any item in any way.If an item bearing . .��C 1755 SlgSbee Road the seal of an Engineer,Architect,or Land Surveyor Is altered,the altering Engineer,Architect,or Land Surveyor shall affix to the item his/her seal and the notation'Altered by'followed by hisiber Mat ituck, New York 11952 New Suffolk Avenue signature and the date of such alterations,and a specific description of the alteration. (631) 296-1986 . Date : '!2-30-2020 i - - - - - � (2)2x8Hdr 2x8FJ 1 Existing 2 x 8 CJ 8 I Existing x 8 CJ 00 CO X X N N s. 1 1 'Y7 u.. 0 X I CN N �.� 04 Existing (2) 2 x 8 e/w(1)e" FP 1 Existing (2)2 x 8 e/w(1)s" FP 1 New penin 2x8FJ ( I I 1 LO N 1 , Existing 2 x 8 RR 1 I U M W Existing 2 x a FJ Q X N A (3) 1.75 x 7.2 L L e/w(2) 0.5"FP S-1 V 5.25_ 11. 5 PSL Flus X Dint Lo from Above/ �n i- tM v _ Existing 2 x 8 RR N N W CO © O X I N ❑ o N 1 _�... I100N N c :w ❑ jX Existing 2 x 8 RR �.`/ 0- I I � 1 CO I ❑ X N cr, ❑ [ 1 X ..F9.._._... ..__. g ( --—_ Existinng (2 2 x 8 Cellar Foundation and 1st Floor Proposed Framing Plans 2nd Floor Proposed Framing Plans (3) 1.75"X 11.25"LVL /8"0 Bolts 841 117 2y,. — — 2 — I— I Foundation Notes: The contractor is to verify all measurements in the field and any discrepancies are to be brought to the Engineer prior to construction. (2) 0.75" Flitch Plates 1 -All concrete 4,000 psi after 28 days minimum. (3) 13/4"x 7.25" LVL 518"0 Bolts 2-All rebar ASTM A-615 Grade 60. 2x6 Stud Wall 2" 16" 8"0 Simpson TITEN L 22 3- Footings are to be installed on undisturbed virgin soil. The Anchor Bolts 25"OC in bottoms of all footings are to be installed a minimum of T below 8' End Zones 29"OC in l grade unless indicated otherwise. Interior Zones - -33/ 6 MC 2"�- - -1 4-All snap off form ties are to be removed and remaining openings 2x „ I are to be sealed/grouted. (2) 0.5"A36 Grad Steel Flitc 5- Foundation excavation is not to be back filled prior to the d upper Termite Shi !d Plate installation of the floor framing. in — 6- Backfill along foundation walls is to be clean material and is to w 2"Rat Slab be mechanically compacted in 6" lifts to 95% of maximum dry .a u LL - - �'� l'j Flitch Piate Details density. , 8 2 �t Scale 1"= 1' S u y c c $„ 7- Follow cold weather concrete treatment relative to add mixtures rn z ' in accordance with ACI 212.3R. Use Air-Entraining admixtures per - --- r- ASTM C260, AASHTO M154 or Water Reducing and Set- - _...................... Q4 ........ -.................. Controlling Admixtures per ASTM 0494, AASHTO M 194 only. Do �- - �C1 not use Calcium Chloride or other corrosive type admixtures. ubbase-Compactable Fill k� (2) No. 5 Rebar 16" Mil Vapor Barrier C�,S�cale: lace Foundation Details Scale: ��a" _ ��-o" Condon Engineering, P.C. 112"= 1'-0" Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education g g, Law,Article 145,Section 7209,for any person unless acting under the direction of a licensed Residence Professional Engineer,Architect,or Land Surveyor,to alter any item in anyway.If an item bearing Drawn b ��C 1755 Sigsbee Road Die seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or y Land Surveyor shall affix to the item his/her seal and the notation'ARered by'followed by lislher Mattituck, New York 11952 New Suffolk Avenue Sm2 signature and the date of such alterations,and a specific description of the alteration. (631) 298-1986 Date : 12-30-2020 SoFDL Glenn Goldsm' 'resident ,f p Town Hall Annex rr�� A.Nicholas Krupski, Vice President lys; �'y� 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 co r+7 Michael J. Domino .s- , Southold,NY 11971 Greg Williams' Ao,� �� Telephone(631) 765-1892 Fax(631)765-6641 41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: }1�a ' I Completed in field by: r,� Jeffrey Patanjo on behalf of DAVID WESTERMANN, JR. requests a Wetland Permit for the existing 1,846sq.ft. (footprint) two-story dwelling with associated 1,694sq.ft. attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 12'x7' covered patio and converting it into living space with no expansion to existing footprint or additional impervious area added due to proposed work. Located: 10098 New Suffolk Avenue, Cutchogue. SCTM# 1000-116- 6-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction 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: Q/-P4�j I( aFo���o-f��►. w,ll be w, 4(Iy� addfieti- . I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: Bredemeyer �M. Domino ✓ G. Goldsmith N. Krupski G. Williams Other r - I r �• M1 I Y � David Westermann,Jr. 10098 New Suffolk Ave., _ •r"j"t�, 111 5/12/21 i (� �r Y .` — .Y' �' •'1��i�si._ A .t��j��(�r"'^r� { _ �I- " ,,h+�N�� .1 7" l :ills,- � s r' D15Tc 1",000" 'SECTION:' 1 1`6 ,BLOCK: 6 1 TAX LOT, 2- 5UKV>Y NO. 20-22�26i MAP, QF PPOPERTY _ TITLE NO. 301'9=1030540 '�//SSIITUAfEAT //11 J/ TF{E OFFSf T5 OR-D!MEN510N5 SHOWN HEREON. f f 'f HO/' (� FROM THE PROPEia1'UNE9Tb;ME'S7RUL7URE5. v ( I I v(� ARE FOR AF SPEEIFJC PURPOSE "AND U$@ THERORE THEY ARE .NOT 11dTf:NOED. TO �, MONUMENT THE PR0grr(UNES'ORTOGUIDETHE TOWN OF SOUTHOL.D ERECTION`OF FENCES. _ENTMONAL,MWcIURE5• op. 6T�iEklfAPROVEMENr SUPFDLK CO(INTY, N. Y. LOT NUIVI6ERS: % � I UNAUTHORIZED ALTERATION 6F, ADDITION TO' 7HI5 SURV'STATE EDUCAMON LAW. EY I5 A VIOLATION OF SECTION 7209 OF THE NEW ' YOM COPIES OFTVIS5,SURVEY MAP-NOT`,BEARING,THE LAND 5URVEYOR5.INKEDSEAL OR EM5055ED SEAL 511ALL NOT BE-CON5IDERED-10 BE A VAUD TRUE-COPY. GUATtANTFfS OR'CERl1ftCAfION5 INDICATED HEREON a SHALL RUN 'ONLY TO;THE PERSON,FOR,-WHOM'THE D 5URVEY'L5 PREPARED,•AND ON HI5 BEHALF TO THE TITLE COMPANY„GOVERNMEN AL-AGENCY'AND'LENDING IN- I STITUTION LISTED HEREON;AND TO THE A55IGNEE5 OF - O Tl1E 1 ENDING 1N5[ITI_MON.-GUARANTEES.OIC CERTIR- o CAMON5 ARE NOT'TRAN5FERA5LETO,?01b 10NAL IN- STITUTIONV-OR SUBSEQUENT ONMERS. n1 GU,ARANTEED TO r= -FIRST AMERICAN TITLE 11V3URANCF-Co. DAVID ISTERMA.NN, JR. Q 8 x vi .ui z o N 75`56-E 109,24 t _. 0 ) TSURVEYED . 2020 5PLR L FENCE 1'•4°x P-4° jusl�9 : t BR1CR'e WOOD U PIERS FE. P-31t 0 0 ISLAND EYORS PROF ON L SURVEYORS d 99 LAFAYEM-DRIVE,SY055ET,N.Y. 1 179'1 -8GG-808-5800 FAX: 5 16-496-1792 s�°=E ' 'RECORDS OF WALTERd,°.BROM.-;GU5TAVE A L-KOUItiEk`,'"--I e ROBERT A.flAYNE5 GRAFTED BY 5.G. OCTOBER 13, 2020 D�l WOOD tAT 9 ,' P40 PLAT p \ 3i3"C m I q Xs') , MO. 10090 0� a 2 3TGQRY• ' a p,3rDRY 7 N FRAME r Q FRAME N o 7-1° fILING �i WALL 0-10°±E O SAY WOOD 4- 12-7 o� THUU5 14-2° DECK = ah pY� N QD o WOOD Al00� 1 D V✓A�i•I-2� MAR 2 5 2021 Southold Town 1 I Board of Trustees LOCATION MAP N.T.S. „'�r3.y-`n:_•x`x��C(i,l;sh ' -C`;y•r, -�'�FA", ,,�9 °^' 0' a. , .^q`j, slr- "r - .'iz/,,"k.:�a.� tY.•�q`_"'�i' - '- xi•�+�`s,F,`r=�. `r,�a3;;R`;�,A^'r�y�^��."a?av'sm;.i:.� �;'p; -Ka��,`;�uFr`p ,a; er,:�y%{ •�.: ..;F� �,., x,��-`-;;r'� wr'. , �,,,.ti, n,N.�'t>~.: .r5'.a„�,s� ,�; �/�� ° �,�';,�• 90.49' �'�}amu i,i„^, s7�'�'_'k/;;.J?_r��"L�'"" V„f';v. ='✓4%{•, �nn^'%-;S`r,,F,S�:;;p�^t'""',< 'I MHW do MLW ALONG FACE OF BULKHEAD Nr "�,.^:Str, - krk•i:"ac/ti�'1,;',f'z,;;v!'"t�is�w/`" :"k�"�i.�,°y-,`�,',n"n;ia'. 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ROOF OVER WOOD DECK 4y: ''j``).,^:t N4V."v,r/.'t�r"5 S�tY .�,,cy �.y F,;,y�y";':Fhr,n' ,5{,.,�f,sl;"V. !��`�'���'=� .�`f„ - --� %fi`�ye`'�'``^'•'�`'„`i"aj'r"��' .;,v"��u,"�'v,,�„�%'�+.�r,�``;^` '+>�,`+„JhL'�.,'>S,ys+ �`":� W ICE CID PROJECT 2 STORY w o LOCATION WOOD WALL FRADWELLING o � GG ��� ~`° _~ 0 0 CL CD GRVEL DRIVEWAY I WOOD WALK PROPOSED WORK INCLUDES ENCLOSING GRVEL DRIVEWAY EXISTING PORCH WHICH CURRENTLY WAS SPLIT RAIL WOOD WALL SECOND STORY ABOVE.THERE WILL BE NO FURTHER EXPANSION OF RESIDENCE OR F� % INCREASE OF IMPERVIOUS AREAS. • �? 626.75'E N 14°07'W � _ L 2 STORY 31.04' N p�° FRAME Q 2s Z0 � ARAGE N 15°28'40" W 145.00' ECEDVE SITE PLAN SCALE: 1”=30' MAR 25 2021 - 0 Southold Town Board of Trustees PROPERTY OWNER: DAVID WESTERMANN PROPOSED PERMIT PLANS SCALE: 100 HILTON AVE. — UNIT 410 1”=30' GARDEN CITY, NY 11530 PROPOSED PLAN PREPARED BY: D3 -21 JEFFREY PATANJO I P.O. BOX 582 10098 NEW SUFFOLK AVENUE BOHEMIA, NY 11716 CUTCHOGUE, TOWN OF SOUTHOLD 631-484-9332 SUFFOLK COUNTY, N.Y. SHEET: JJPATANJO®GMAIL.COM TAX- MAP N0. 1000-116-6-2 1 of 1 e N MATCH 9EE SEC.NO.I. LINE MATCH INFO ` ,9B � 5•E SEC NO. <1.N0. w _ al 25 vs m naoaaa W 00x500 x a e S 5e1Nc) eno a sI.SA +, %afsouTNOLo e�GNp 9�5 TovM oc souTHao Baa) ..g0' A 35 PELONIC tANO TROsr xi is u�A Kw,vxwToxcvuaxn - e1 -- 350900 +t oAvrtOf r.NTmcxrq R' 0 ) r. . P TO—OFF JOA;ci twwl .a eouTHOLo .\ p . : . 0' ' 1I.tlAlc1 �� n ID asa2 .. 11 .mtl`A e�! noxeeN.,,nYFAseMexn '"'"" ° •. .... 5. n cw Aro musT a �+•�- ' wxaew nw s,seue;,,p �.' 1 z ak) ! „=E, !afif ++1!t I 'o a���•. '-.� :....... II -' I I M - 1` e a E e el x 8 Ie 1 xx.a el izt x�c) §; p,. -. ,yF�IX — _ HJ.. ' ••• x,a4c) p..: TOM OF t'-.OLD at ] „� a s ,... •�� s '$Lt I p a�glp pxxt'.,p�p, y iaA 7r' aa<t ° ,� �s...ya &_ __M..¢_.-:��,".'_•_i,f `-aY-_ F,'..,� Wcl �t`..• a. 0 �..0'0^� 1311 la to 'a 'v Mlcl '.� ]W 1 I.1Nc1 1<I.ttacl S3A iWcl x.M p„ \, 9 : fW alff IN 1]Alc)N, 2.Wc1 r u -I 9$ / A to fax —TNlcr }p e r. 1 + :/n_i lig tin - ..' cc 1.1�I<I ]x ','i.E 5y. ,. `• o i� sA "--' , t + ^ yo ',0 '-. ow•. tSAf 1 •/ a •' i i.� „ 4 E - �1nOfSOU LO 222 ill 1p 1 TOwN o PECONIC ,a". sour p 4,(vl L0.45 9 2.1 T� O k/Ix : sEG NO,jx 0V PO sio ]o r DIM' b -f COUNTY K© rvoTlce x iu x„�.0 toao SECTI—W e va e,* .w,,.A_JWa_ .... O •••„°"�iO^ —Yt— '^ ,v Nm.n,. Pca Ylce ,9uroNSALF Ox y F SUFFOLK G ,.A ___ ..,..„, ___�__ . Troy Ty OF .lgcncy ofn poxnoxa TxE E mwr 1 +mt n w, amOna MN r ' , —'—— sv,^ fi...f�f 1, falx ca.Mv rM wls wlun]EO M CO W E BOYTXOIo .�.�s O __,__ e �.«� irr. .r MO.e„' 'r�N 5tTN0£AOBLv p _ 1 _.. 8 Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish, Secretary ; P.O.Box 1179 `^ Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held May 12, 2021 the following recommendation was made: DAVID WESTERMANN to enclose the existing 12'X 7' covered patio and converting to living space. No expansion of existing building footprint or additional impervious area added due to proposed work. Located: 10098 New Suffolk Ave., Cutchogue. SCTM#116-6-2 The CAC inspected the property, however a quorum was not present. No comments were provided. OFFICE LOCATION: ` MAILING ADDRESS: x Town Hall Annex "� � � �� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 �� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director, AICP LWRP Coordinator Date: May 11, 2021 Re: LWRP Coastal Consistency Review for DAVID WESTERMANN, JR. SCTM# 1000-116-6-2 Jeffrey Patanjo on behalf of DAVID WESTERMANN, JR. requests a Wetland Permit for the existing 1,846sq.ft. (footprint) two-story dwelling with associated 1,694sq.ft. attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 12'x7' covered patio and converting it into living space with no expansion to existing footprint or additional impervious area added due to proposed work. Located: 10098 New Suffolk Avenue, Cutchogue. SCTM# 1000-116-6-2 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 Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions The as-built structures single family residence and garage are shown existing on the 1978 aerials; however, additions were constructed without a Wetlands Permit. The unpermitted structures and proposed addition are located within FEMA Flood Zone AE EL 6' and INCONSISTENT with policy 4.1 Minimize losses of human life and structures from flooding and erosion hazards. 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 RE: 10098 NEW SUFFOLK AVE—CUTCHOGUE SCTM No. 1000-116-6-2 PROJECT DESCRIPTION - REVISED Project includes the enclosing of existing 12' x 7' covered patio and converting to living space. There will be no expansion of existing building footprint or additional impervious area added due to proposed work. In addition, request permit for existing 1,846 SF (footprint) two-story residence and associated 1,694 SF attached timber deck with integral 8'x8' hot-tub. EC EE VE APR 2 8 202 Southold Town Board of Trustees S01 r� Michael J.Domino,President �y�� g�N Tows Hall Annex John M.Bredemeyer III,Vice-President '"� �4 �; 54375 Route 25 P.O.Box 1179 Glenn Goldsmith ;.; !!` Southold,New York 11971 A.Nicholas Srupski c �, i� Telephone(631)765.1892 Greg wham �, ,� � Fax(681)765-6641 CQ(JA�ftt BOAM OF TOWN TRUSTEES TOWN OF SOUTHOLD TI&Section]For orw use Only n n Coastal Erosion Permit Application ® E C E 0 V �Wetiand Permit Apphcafton Adininistrative Permit Amendment/Transfer on MAR 25 2021 Received Application,�17 Received Fee: $ 29 d Southold Town Completed Application: •31•Z Board of Trustees Incomplete: SEORA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �Coordination0ate sent): i LI,WRP Consistency As me t Form Sent: -� 7 �� __, � AC Referaal Senh Date of Inspection• •12 Receipt of CAC Report Technical Review: Public Hearing held: 'I TW Resolution: Owner(s)Legal Name of Property(as shown on Deed): DA v i Mailing Address: i o v 91 L+oe-j A u e — y N t-� P D ei�Gc�c rt G"t�c �Uy t 153 D_-_ Phone Number: Suffolk County Tax Map Number: 1000- Property Location: 1 o a 9 d' Ave C✓�v��5 uL s C � � .4eL� (If necessary,provide LILCO Pole#, distance to cross streets,aad location) AGENT(If applicable): Mailing Address: Phone Number: 31 q- 93 32- CC45 � a�f l J308Y''L[' OS TLIlB'G®�$ ,�l�la.��.vsb i GENERAL DATA Land Area(in square feet): 3 L{, 6 9 z4P.-7ql L Area Zoning: Previous use of property: S Intended use of property: Covenants and Restrictions on property? Yes '✓ No If"Yes",please provide a copy. V-1,Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and,Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes V., No Does the structure(s)on property have a valid Certificate of Occupancy? ✓ Yes No Prior permits/approvals for site 'improvements: Agency Bate No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a,governmental agency?_`1 No Yes If yes,provide explanation: Project Description(use attachments if necessary): 5`c'44 ArA-ed RE: 10098 NEW SUFFOLK AVE-CUTCHOGUE SCTM No. 1000-116-6-2 PROJECT DESCRIPTION Project includes the enclosing of existing 12' x 7' covered patio and converting to living space. There will be no expansion of existing building footprint or additional impervious area added due to proposed work. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Sec a44c.e he cC Area of wetlands on lot: square feet Percent'coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: , 90 _feet Closest distance between nearest proposed structure and upland edge of wetlands: 90 feet Does the project involve excavation or filling? V No Yes If yes,how much material will be excavated? Ja cubic yards How much material will be filled? 'v A- cubic yards Depth of which material will be removed or deposited: Pi A feet Proposed slope throughout the area of operations: (4 A Manner in which material will be removed or deposited: ^' 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): e e -e(+'ee-+ d v` --J0 r c c f G o e&.+1�•-� Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 10098 New Suffolk Ave-Cutchogue Project Location(describe,and attach a location map): See locations map Brief Description of Proposed Action: Enclose existing 7'x 12'covered patio on existing residence within existing building footprint.No projecton beyond existing footprint to be permitted, only work shall be to enclose existing porch and make part of interior space of existing residence.There will be no additional runoff or lot coverage by way of this application. Name of Applicant or Sponsor: Telephone:P 516-220-6690 David Westennann E-Mail: davidwestermann@westerlaw.com Address: 100 Hilton Ave-Unit 410 City/PO: State: Zip Code: Garden City J NY 11530 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 a may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees -E-11 3. a.Total acreage of the site of the proposed action? 0.791 acres b.Total acreage to be physically disturbed? 0.001 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.791 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ 7 ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ lr I 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Downs Creek,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, If Yes,identify: Reason:Protect public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk ❑ W1County, ... NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? 7 ❑ b. Are public transportation services available at or near the site of the proposed action? W1 ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed Elaction? 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: ❑ 0 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 0 17 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? F71 ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 l I 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑Wetland ❑ Urban ®Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? Least Tem,Piping Plover ❑ W1 16. Is the project site located in the 100-year flood plan? NO YES ❑ ✓❑ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ ❑ a. Will storm water discharges flow to adjacent properties? ❑ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: 7 ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicantl sp r/name: David We rmann Date: Signature: V\JTitle:Owner PRINT FORM Page 3 of 3 - EAF Mapper Summary Report Thursday, March 4,2021 7:44 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental ,�- 11 ea•-$'1.1 = ~ - •< assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF I1 :5 ��•^b'1-� f.; `=- ;. ' "h question can be obtained by consulting the EAF Workbooks. Although x the EAF Mapper provides the most up-to-date digital data available to f DEC,you may also need to contact local or other data sources In order %; �" k � % '3 11 -� to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. 11 G.-5- { ry r "' `� �10a dtcr�ffr�af ' r Toronto t'Rodi3lr � 11 -1# L § F `•; - �,. _ t#�p 's>.tl�_��4Ta�r�'e' ,'�bas#«� 6-5 111 .-5-�f2 .. y!' crw #ta ' roldooe 111 -!'I �___ __ _ n ` S rilr A ►tTra�?„IC tEh TF` l r i E ri �l at>f t T,',E�”i Fi�1 :� c.nt1 If4tt s'E ti' t;tpawma -6 FFCb>lGkGe sId Odt tx-, Ett China(Hong I.ciEs Cr(tl� ilt?,t [ tef.0jt � siti9p crttli>►fk+f a '1tFiGI `JsY� rnn.titlis' ( +clizlt5 �,ta ' litrib r'r'° {,1�the Gt5►JseG CaiiTiniajllly= Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Downs Creek, Name:Peconic Bay and Environs, Reason:Significant Area-Identify] coastal fish &wildlife habitat, Reason:Protect public health,water,vegetation, &scenic beauty,Agency:Southold,Town of,Agency:Suffolk County, Date:3-24; 88, Date:7-12-88 Part 11 Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodie_s is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Least Tem, Piping Plover Endangered Animal-Name] Part 1 /Question 16[100 Year Flood Plain] Yes Part'l /Question 20[Remediation Site] -No Short Environmental Assessment Form -EAF Mapper Summary Report I Part 2-Impact Assessment. The Lead Agency is responsible for the comp) ',)n of Part 2. Answer all of the following questions in Pam 2 usink information a;iaroained in Part I and other material. amitted by the project sponsor or otherwise available to the reviewer, When answering the questions:the reviewer should be guided by the concept"Nave 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 6. Wtle proposed action ate a material with an adopted land use plan or zoning `� P P create regulations? j✓j l 2. Will the proposed action result in a change in the use or intensity of use of land? .3. Will ther _� � �_ _�..�.�._ • p oposed action impair the character or quality of the existing community? 4. Will the o action osed ro on have an impactn the environmental ch � __.__..._....._ P P � ._.. aracteristics that caused the establishment of 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 walkway7 6. Wih the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available enerey conservation or renewable enerwg,y�pportunitles? 7. Will the proposed action impact existing: a.public!private water supplies? l b.public/private wastewater treatment utilities? _ 8 - proposed.�.......�..�.dation impair_the Will the char.a.c,.,ter or quality of important historic,archaeological, architectural oraesthetic resources _.—---- 9- 9_ Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, P waterbodies,groundwater,air quality,flora and fauna)? 10. Will the_.� �._� �...�..._. ._�_...__ _gy... .....� ..._f ._.. proposed p g drainage problems? ro osed action result in�i increase in the potential far erosion,flooding orm�mm cz( [_—J .... • 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 whya 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 irripact,including any measures or design elements that have been included by the project sponsor to tavoiad or reduce impacts. Part 3 should also explain how thelead agency determined that the impact may or will not be significant.Each potential impact should be a .,:.,sed considering its setting;,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also considerthe potential forshort-term„long-term and cumulative impacts. "heck this box ii°yore have de�terinined,6 iseJ oil the information arid analysis above and riity supporting documentation,El � Haat the. pa•oposed iacGon may result ill one or more potentiaily iitrge or signifiicarit adverse anipacts and an en virriri1neiat rlinipact st"itet ient is required. Check this box ifyou have determined,based on the int'-oana.tion and analysis a'�bovc„iirid atny sup, rting�,documentation, that the proposed action�a^ill not result lit an},significant adverse environarterital irripaets.. Town of Southold-Board of Trustees , Name of Lcad Agency Late' President Print or." y pe� � ar Responsiblp officer in Lead Agency Title of Responsible Officer a" r g p possible Officer) p i f different from Responsible , a ii«ktair+�rrl'lta,s oiti,il�le titl"ficei°in Lead Agency 5i nature of Pre ares f-- A1 iJ.p�•1 a D,AvnjL BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TRIS 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. Signature o 'op Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF ���G` 1 ,ao Notary Public CYNTHIA ALMONTE Notary Public, State of New York No. 01AL6345552 Qualified in Suffolk County Commission Expires July 25,20L `, aoe�ra yr •rtsarwwes n�a�aii.ss vu AUTHORIZATION (Where the applicant is not the owner) UWe, owners of the property identified as SCTM# 1000- in the town of C� CL-s v .New York,hereby authorizes ^YD 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. V�j N P�opeesltivt=N Property Owner's Signature SWORN TO BEFORE ME THIS 4*1 DAY OF M 0 ITC CYNTHIA ALMONTE ^_ �,� Notary Public, State of New York �� No, 01AL6345552 90AM—k-1 Notary Public Comm ssiofin ExpSes July 25,n20a4 APPLICANUAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURZ FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cxrrt of town officers and employees The M=%of this farm N to grovide information which on alert the town of ggAble conflicts of interest and allow it to utke whatever action is nec,essaw to avoid sante. YOURNAME: IoJeS-'erMwnn4'-,)CyV GQ (Last name,first name,�al,uWess you=applying in the name of someone else or otlta 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 applicanVagent/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 orbeneftcial 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 applicam. DESCRIPTION OF RELATIONSHIP Submitted this 1 y of K20_IL Signatu Print Name Form TS I APPLICANTIAGENTMPROENTAME TRAN$AMONAL DISCLOSM WORM eTo a ' a i ' of a m ' o e c thisorYn o vide in f�rinaiion wMch can aleft the town of no�r'ble 111,111,1111111of it►terost and allow It to tate whatever ecti_o� r,�Pncarv'tb avoid same. YOUR1dA -- (i,astname,first name,Viddle initial, ass you are applying lathe name of someone also 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 ofplat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally4or through your company,spouse sibling,pamttt,of child)have a ratationship with any officer or employee of the Tman of Southold? "Relationship"includes by blood,marriage,orbuRness interest"Business interest"means a business, including a partnersl»p,in which rho town officeror employee has even a patW ownership of(or employment by)acorparation in which the town officer or employee owns more*M 5%Of the YES NO If you answered"YES",complete the balance of this form and date and sign where indlcate& Name of person employed by the Town of Southold Title or position of that person Describe the rclationship between yoUrOlf(the applicandagert/representative)and the town officer or employee.Either check the appropriate line A)through D)andlor describe in the space prodided. 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 35/5 of the shares afthe corporate stock of the applicant (when theaappplicant is a corporations whets the B)the legal orbeneftcial owner of any interest in a tion-corporate entity(when applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submftted this daY of Signature WintName Form TS 1 c i Glenn Goldsmith,President o�QSUf{D('Y�oG Town Hall Annex A.Nicholas Krupski,Vice President y'�� �,,„�; 54375 Route 25 John M.Bredemeyer III ry z P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams �� pl �� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 29, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of David Westermann, Jr. 10098 New Suffolk Avenue, Cutchogue SCTM# 1000-116-6-2 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, May 19, 2021 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. Very Truly Yours, 4 Glenn Gol smith, President Board of Trustees Glenn Goldsmith, Presidentyo\oS�Ffo�k�0F1_�� - Town Hall Annex A.Nicholas Krupski,Vice President " �k 54375 Route 25 John M. Bredemeyer III N ,��x P.O. Box 1179 Michael J. Domino �,y ��i Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, MAY 19, 2021 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, May 19, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownnV.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 929 4246 7425 Password: 716691 • Telephone: Call 1(646) 558-8656 Enter Meeting ID-and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file Glenn Goldsmith, President �OSig FA- Town Hall Annex A.Nicholas Krupski,Vice President ,�� y�� 54375 Route 25 John M.Bredemeyer III CD g P.O. Box 1179 Michael J.Domino 0 Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: • All original white & green certified return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN-IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: j 116 -Y- A i STATE OF�NEW'YORK residing at being duly-sworn,-deposes and says-that on the - day of 220 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named - .persons at the addresses-set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States-Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAWRETURN RECEIPT. ' Sworn to before me this Day of ,20 Notary Public NOTICEOF H NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNERS) OF RECORD: DAVID WESTERMANN, JR. SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 1,846sq.ft. (footprint) two-story dwelling with associated 1,694sq.ft. attached timber deck with integral 8'x8' hot tub; and to construct an addition to the dwelling by enclosing an existing 12'x7' covered patio and converting it into living space with no expansion to existing footprint or additional impervious area added due to proposed work. Located: 10098 New Suffolk Avenue, Cutchogue. SCTM# 1000-116-6-2 TIME & DATE OF PUBLIC HEARING: Wednesday, May 19, 2021 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 'azrzz� Glenn Goldsmith, President o� FFo�kCo Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M. Bredemeyer III y z� P.O. Box 1179 Michael J.Domino y Southold,NY 11971 Greg Williams p! {Y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DAVID WESTERMANN, JR. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I,3e -C ne 1 A,bA-o- 10 , residing at/dba )C7,"-� 552, ` j"M'1a �QkA being duly sworn, depose and say: That on the S day of 1-10"1 , 20111 , I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, May 19, 2021. Datea: 2 0 t/ c ignature)n /4 Sworn to before me this (q4' day of A 20 Zl,, EVELYN A MEDINA GARCIA Notary Public-State of New York NO 01ME6095200 Qualified in Suffolk County My Commission Expires Jul 7, 2023 W 9W l of c J PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-116-5-1.2 Dennis R Sheehan Res Trust Dorann K Sheehan Res Trust 55 Shaun Rdg Roslyn Harbor,NY 11576 SCTM#1000-116-6-1.1 — — — Eileen Courtien 1375 Belleview Ave Plainfield,NJ 07060 SCTM#1000-116-6-3 JBMNY LLC Russell C McCall - - C/O Jerome A Zivian Esq 275 Spring St SIN Atlanta,GA 30303 STATE OF'NEW YORK _ COUNTY GF`SUFFOLK f je-pne j ` n-jn , residing at rP <32 m 111 �y being duly sworn,-deposes and says that on tfie day o f ,20 a t , deponent mailed a true copy of the Notice set forth in the Board of Tr6stees Application,directed to each,of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at �'yom�O, ,that said Notices were mailed o each of said persons by CERTIFIED MAEURETURN RECEIPT. Sworn to before me this t DayofQy , 20 � s - Notary Public ` SCOTT A CAMPAGNA Notary Public-State of New York NO 01CA6376886 Qualified in Suffolk County My Commission Expires Jun 18, 2022 ttv 0 5 Ri hIAA M OR-1-I�3[(-A V H ML DP, . " W Certified Mail Fee Certified Mail Fee -13 $ 1--3 r-3 Extra Services&Fees(check box,add fee as appropriate) Extra Services&Fees(check box,add fee as approprIa tal M Return Receipt(hardcopy) $ El Return Receipt(hardcopy) $ ❑r-I $ Postmark [:]Return Receipt(electronic) $ Postmark ❑1:3 Return Receipt(electronic) E-3$ Here Certified []Certified Mail Restricted Delivery, $ Mall Restricted Delivery L3 Here C3r3 E]Adult Signature Required 1-3 E]Adult Signature Required $ $ F1 Adult Signature Restricted Delivery$ Adult Si❑ gnature Restricted Delivery$ E3 Postage Postage CCi ca $ M $ I ru Total Postage i ru Total Post, SCTM#1000-116-5-12 ru SCTM#1000-116-6-3 $ Dennis R Sheehan Res Trust $ IIIMNY LLC Er U" Sent To Russell C McCall rq LSentTO Dorann K Sheehan Res Trust .... C/O Jerome A Zrvian Esq 55 Shaun Rdg C3 C3 275 Spring St SW N. ....... Roslyn Harbor,NY 11576 ..... -8F------- Atlanta,GA 30303 City-9 uliv State,zip ftw�mm moo ffaimmialmw M r-q u- L-- r M Fee a. 0 Mall r'- Certified il Fee 0 E3 $ Extra Services&Fees(check box,add fee as appropriate) ."t(hardcopy) El Return Receipt(hardcopy) $ 17=1 7 []Return Receipt(electronic) $ Postmark EZI 1-3 M Certified Mail Restricted Delivery $ Here 1-3 E]Adult Signature Required $- []Adult Signature Restricted Delivery$ C3 Postage CO ru $ ru Total Postage SCTM#1000-116-6-1.1 Ir Sent LToElleen Courtien 179 1375 Belleview Ave ---- tr A- P C3 TF,5iliind-Ax Plainfield,NJ 07060 bity_S------- Town of Southold LWRP. OMSTENCY ASSESSM IST LO—RM 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 Waterfmat Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in snaking a determination of consistency. *Except minor-exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hamard Area. 2. Before answering the questions in Section C, the preparer of this form should review-the exempt aninor action list,policies and explanations of each policy contained in the Town of Southold Local wate&ont Revitalization Program A proposed action will be evaluated as to its significant beneficial and adverse acts neon the coastal area,(whioh includes all of Southold Town) 3. If any question-in Section C on this form is answered "yes"or "no",tl=the proposed action will affect the achievement of the LWRP policy standards and conditions contained m the consistency review law. 'tl hm each answer m e MMM_ ned In detaiL lisflna both suo»orti�g amd 1=9rWg,fte& 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.norMork.net),the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCREMON OF Sly AND PROPOSED A MIDN E PROJECT NAME 1y 01 g N e 14 V The Application has been submitted to(check apin+opnate-response). n/ Town Board ❑ phun&g board❑ Building Dept ❑ Board of Trustees L� 1. Category of Town of Southold agency action(check appropriate response). (a) diction undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) permit,approval,license,certification: Nature and extent of action: Location of action: Site acreage: V--79 I Present land use: Present zoning classification: P. 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: Pa%J t IJest'«/-�.a,n1% (b) Mailing address: I o o UtJ%t t4) o , C�c�¢cP�n ��.�.,� � �� •IIS 3D (c) Telephone number:Area Code (d) Application number,if any: /V Will.the action be directly undertaken,require fiWing,or approval by a state or federal agency? Yes D No❑ If yes,which state or federal agency?-.N q S b-V-e-- C. C. Evaluate the project to the following policies by analyzing how the project wM further support or not support the policies. Provide 'all proposed Best Management Practices that will further each policy. incomplete answers wiH eche that the form be returned for completion. � , PED COAST Policy 1. Pester a pattern of development in the Town of Southold that enhances community chanters preserves open space,calces effieaeat use of innkastimetaare9 makes beneficial use of a coastal locations,and minimizes adverse effects of development, :"LwRp Section M-PoWes;Page 2 for evaluation materia. Yes ❑ No ❑ Not Applicable ro�cG-t- Gn-S�S7't�-t" „�i!?e•t h 1'za�t.l/iy �('an�!`�'t•eS �Q boy ( �r�g �N 2 /1''G (��'UI(Y ALC.!► Attach additional sheets if necessary policy 20 Protect and preserve historic and archaeglogical resources of the Town of Southold. See LSP motion M-Policies.Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 12/ Not AppReabfle Attach additional sheets if necessary Policy 3. �uhtoeaee ubaafnl quaty Md protect scenic resources thro u0oaat ibe TOwna of 90ta$ GI& See LWRP Section M—Policies Pees 6 through 7 fox evaluation criteria ❑ rtes ❑ ljo Q'Not Applicable ,moo e f;eC4G�v� Coin !ate - Attach additional sheets if necessary NATURAL CAST PO$IC S Policy 4. lame loss of Meg stmetares9 and nataarall resources from flooding and erosion. See L Section M—Policies Pages g through 16 for evaluation criteria ❑ yes ❑ No 2/Not Applicable no e rte Attach additional sheets if necessary Policy 5. Protect and improve eater quality and supply ire the Towim of Southold.See LWR?Section M —Politcies Pages 16 t Brough BA for evaluation criteria ❑ yes ❑ No e/Not Applicable /1 0 e r tc�t— Attach additional sheets if necessary Policy & Protect and restore the qualsty sand function of the Town of Southold ecosystems iuclludiaag Sigaaifimlat Coastal FIsh and Wildlife HIbitats and weds. See LWRF Sectio®HHS—P,olacies; Pages 22 through 32 for evaluation criteria. ❑ ❑ d Yes No No''1plicable n�y e Ff�aE Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. E] Yea ®No Not Applicable .e f fcG$ Attach additional sheets if necessary Policy 8. Minimise environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluatiop 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 M—Policies; Pages 38 through 46 for evaluation criteria. �-y ❑ YeO No u Not Applicable ono .e F��c Attach additional sheets if necessary WORIMG C®AST P �MS �r Policy 10. Protect Southold's water-dependent arses-and promote siting of new water-dependent uses In suitable locations. See LVW Section M Policies;Pages 47 through 56 for evaluation criteria. ❑Yes Q rio ErNot Applicable no e (-f-e Attach additional sheets if necessary Policy 11. Promote sustainable we of living mrine resources In Long Island Sound, the Peconic Estuary and Town waters.See L' Section ffi—Policies;]Pages 57 through bZ for evaluation criteria. 1:1 Yes 1:1 No B Not Applicable Attach additional sheets if necessary P'oHey 1.2. Protect agricultural lands in the Town of Southold. See LWRP Section M—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes 1:1v NO 4—� Tot Applicable f-'q Attach additional sheets if necessary Policy 13. Promote appropriate use and development of enena and mineral resources. See LWRP Section M—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No Ef mt Appincalale no e PREPARED BY '� _M Lz24Q DATE zt r March 15, 2021 Town of Southold Trustees Town Hall Annex Building - 54375 Rte. 25 �' , P.O. Box 1179 FI(' L a 'tir E Southold, New York 11971 �l RE: 10098 NEW SUFFOLK AVE—CUTCHOGUE MAR 2 5 202 SCTM No. 1000-116-6-2 APPLICATION FOR PERMIT Southold Town Boar of Trustees Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, deed, previous surveys and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je rey Patanjo P.O. Box 582 Bohemia, NY 11716