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Home My WebLink AboutTR-9514A Glenn Goldsmith,President �e�®F S® Town Hall Annex A. Nicholas Krupski,Vice President �� ® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UNTI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1992C Date: January 2, 2023 THIS CERTIFIES that the construction activity within 100' from crest of bluff, including clearing up to 50 feet from crest of bluff,to construct on vacant parcel an approximate 2 938sf two-story, single- family dwelling, with approximately 1 064sq_ft waterside deck with steps-, 748sq ft swimming pool; and 77sq ft front deck all located at least 100 feet from crest of bluff, At 500 Castle Hill Road, Cutchogue Suffolk County Tax Map#1000-72-1-1.10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 3, 2019 pursuant to which Trustees Administrative Permit#9514A Dated August 14, 2019,was issued and Amended on November 13, 2019 and Amended again on January 20,2021 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 construction activity within 100' from crest of bluff_ including clearing up to 50 feet from crest of bluff,to construct on vacant arcel an approximate 2 938sf two-story, single-family dwelling with approximately 1 064sq ft waterside deck with steps; 748sg.ft., swimming pool; and 77sq ft front deck all located at least 100 feet from crest of bluff. The certificate is issued to Geanie Arciga&Thomas Juul-Hansen owner of the aforesaid property. Va Authorized Signature I Glenn Goldsmith,President so Town Hall Annex A. Nicholas Krupski,Vice President ® 54375 Route 25P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 COUNT I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: A Zs INSPECTED BY: Ch. 275 C11. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1 st day of construction '/2 constructed Project complete, compliance inspection COMMENTS: —�O Vim w,( t W lis 4%4w.,�.. oy, Is �ppl {e,i -1 to 01i 'bee✓ •v CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President � � ` Town Hall Annex A. Nicholas Krupsli,Vice President 54375 Route 25 P.O. Box 1179 John M. III Bredeme er Y � k� Southold, New York 11971 Michael J. Domino „k� C Cr Telephone(631) 765-1892 Greg Williams ¢�� Fax(631) 765-6641 0,11 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 17, 2021 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: GEANIE ARCIGA & THOMAS JUUL-HANSEN 500 CASTLE HILL ROAD, CUTCHOGUE SCTM# 1000-72-1-1.10 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 16, 2021: RESOLVED that the Southold Town Board of Trustees grants a One (1) Year Extension to Administrative Permit#9514A, as issued on August 14, 2019. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Aenn President, Board of Trustees GG:dd Glenn Goldsm 'President S�FFQ(�-c>>� Town Hall Annex A Nicholas rv6pski, Vice-President ��; 54375 Route 25 John M. Bredemeyer, III y P O. Box 1179 Michael J. Domino oSouthold, NY 11971 Greg Williams y O� , Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Li"'A I Completed in field by: �• Yl , En-Consultants on behalf of GEANIE ARCIGA & THOMAS JUUL-HANSEN requests a One (1) Year Extension to Administrative Permit #9514A, as issued on August 14, 2019. Located: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 P sted: Y / N Ch. 275 �✓ Ch. 111 SEQRA Type. I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction 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: 40 Q)d- 51ya+t 4-w-&-X- I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer M. Domino G. Goldsmith ✓ N. Krupski G. Williams Other EN-CONSULTANTS June 2,2021 1St PERMIT EXTENSION REQUEST Town of Southold Board of TrusteesE® Cy E E 0 V Post Office Box 1179 L5 l�1 L5 V l5 Southold,New York 11971 II f JUN -4 Mt Re: Permit#9514A Genie Arciga&Thomas Juul-Hansen Southold Town 500 Castle Hill Road, Cutchogue Board pf Trustees SCTM#1000-72-1-1.10 Dear Board of Trustees: The above referenced permits are due to expire August 14,2021. As the approved work has not been completed,please accept this letter as the first request for a one-year extension. The permit fee of$50.00 is attached. Thank you in advance for your attention to this matter. Yoursruly, Robert E.I� 'mann Coastal Management Specialist /khs Enc. r 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsu[tants.com environmental consulting Glenn Goldsmith,President �QF SOUrTown Hall Annex A.Nicholas Krupski,Vice President ,`O� O1 54375 Route 25 John M. Bredeme er III P.O.Box 1179 York Y l� J�[ Southold, New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 CDUM(`I BOARD OF TOWN TRUSTEES January 21, 2021 TOWN OF SOUTHOLD Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: GEANIE ARCIGA & THOMAS JUUL-HANSEN 500 CASTLE HILL ROAD, CUTCHOGUE SCTM#:- -1000-72-1-1.10 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday;January'20, 2021. RESOLVED that the Southold Town Board'of Trustees APPROVE the Administrative Amendment to Administraitive Permit•#0514A16 conduct construction;activity within 100'from crest of bluff, including clearing up,to 50 feet from crest of bluff, to construct on vacant parcel.an approximate 2,938sf two-story,•.single=family dwelling, with approximately 1,064sq.ft. waterside, deck with steps;-748sq.ft.,_swimming_pool; and 77sq.ft. front deck, all located at least 100 feet --- - - - - - -- --- -- from crest of bluff; and as depicted.on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC, last dated December 14, 2020 and stamped approved on January 20, 2021. Any other activity within 100' of the wetland boundary requires.a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, ec— Glenn Goldsmith President, Board of Trustees GG/dd Glenn Goldsmith, F'-"dent �S�fFO(,�coG �"j- Town Hall Annex Michael J. Domirr� l yJ, 54375 Route 25 John M. Bredemeyer III o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams y �ao�� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES / TOWN OF SOUTHOLD n Date/Time: /a(9� Completed in field by: 1�,y�� En-Consultants on behalf of GEANIE ARCIGA & THOMAS JUUL-HANSEN requests an Administrative Amendment to Administrative Permit#9514A to conduct construction activity within 100' from crest of bluff, including clearing up to 50 feet from crest of bluff, to construct on vacant parcel an approximate 2,938sf two-story, single-family dwelling, with approximately 1,064sq.ft. waterside deck with steps; 748sq.ft., swimming pool ;and 77sq.ft. front deck, all located at least 100 feet from crest of bluff. Located: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other i S.C.T.M.# DISTRICT 1000 SECTION 72 BLOCK I LOT 1 . 10 APPROVED BY #8I0190105—ZEC BOARD OF 'I RUSTEES to TOWN OF SOUTHOLD on" S 42 037'28"W 28.50' DATE ammq zo, zozi BW 5.0 .0 .0 SO DEC 2 3 202b .0 06-1, L L ?0 '7 TOWN OF SOUTHOLD LOT COVERAC, HW LINE ALONG BULKHEAD BASED ON LOT AREA LANDWARD OF COASTAL EROSI( SO S9 54,374 SQ.FT. or 1.25 ACRES '?0 PROPOSED DWELLING: 2938 S.F. REAR WATERSIDE DECK W/STEPS: 1064 S.F. 40 SWIMMING DECK: 77 S.F. POOL: 748 S.F. .0 TOTAL: 4827 S.F. or 8.,, 5 S3503 '36" $0 SNIT 70 00 -80 ...... ...... 60 DRAINAGE CALCULATIONS: '70 DWELLING FOOTPRINT. 2938 S.F. 2938 x 0.166-488 CF REO, (3) B'DIA x 4' DEEP ORYWELLs-531cf PROVIDED 40 TYPICAL S1 --_30 SCREEN SECTION DRIVEWAY-4250 SQ.Fr. 4250 x 0.166 706cf GEOTDMUE FABRID-1 (2) I0DI4 x 6' DEEP DRYWEU- 821cf PROVIDED WOOD n1----SUPPORT POSTS 60 1-11, WOOD OR METAL 4S 4 1 40 FLOW DIRECTIO Si :c? EXCAVATED AND 60 BACKFILLED TRENC 50 WIN. 4C BUT SUFFICIENT TO KEEP- 60 / (STING GROUND SEDIMENT ON SITE 601, HAY BAILA ND/OR SILT FENCING 60 70 ` R f r a: ` �f� \�� OF, 70 -7- LL 0 LIMIT =ARING, Arb w GRADIf-,AND GROUND 0,,, TYPICAL DRYWELL CROSS SECTION CONSTRUCTION ENTRANCE FOUNDATI� DISTUf MNCE z- 80- (CONIC, PRECAST COMPONENTS) -314* STONE BLEND OR N.Y. STATE D.0 39.5C-* S.F.* • 100' FILL TO 18- (min.) ABOVE EXISTING m FOR NON-MFM WAVING Ir SLAS FOR IFFIN'M BEARING —74 APPROWD OW pff NEAW OW CAST IRON FRIME AND APPROVED OUTLET PM MIN.4'06k CDVER To GRADE TO E&A PFICHED f/r/1' 74 29 ED 0 0 0 0 TYPICAL CLEAN OR OUT SLATE SUITABLE ORSTOPf 3' MIN. 8. 37 ELBOW 0 COLLAR 67 WYE BACK FILL MATERIAL TO BE DRY WELL CLEAN SAW AND GRAVEL.My War B'DIAx4'DC 58.5' 8'DIAx4'DEEP FLOW DECK EL(77.0) EIDZ90) J. .. ..... .. 30.0, 2 s ...... 52.0' 4 SEDROOMS)..'.-*..'..*.:.-'.--',.,.::'.-...i fIROOF&WE'-:.*'-..-.** LAND NIF. OF CAN 150' T MARY MCKAY VA DWELLING W/WELL WATER CLEAW1 WEI T's,0 61 0 4'Df 0 -h -- -,, PROPOSED 1 74 INGROUND ----STAGING AREA LP. GAS TANK --�CONCRETE WASH OUT AREA IN 90 OF PROPOSED DRNMy. IOUN I 4I U :EXP' 8'ifr ::L.P. � � ? I ODIAx6'DEEP DRY WELL W/INLET LL 111036 PLP. C)0 Ld O V) PROPO sm STOCK LIMIT OF CLMM GRADING AND GROUND DISTURBANCE 39,000 S.F.* DRY WELI&W. LET 10 A 6p DEEP ST.L.P. ELM TRANS. "�&CATV 00 RON '233 ' WELL** CONSTRUCTION ENTIW4CE FISP HAL R4 176.94 RWAGI, LAND NIF CASTLE 9ILL (PRIVA7mt JOSEPH OF` 5.ROAD CAROLyN RICCI VACANT 150' :z NYS DEC COASTAL EROSION HAZARD LINE AS SHOWN ON PANEL 5 AUG. 29, 1988 OREGON ROAD SHOWN AS LOT I ON APPROVED MINOR SuBDMSOjN MAP THE WATER SUPPLY, WELLS, DRYMLS AND CESSPOOL OF BAXTER PPOPERTIES, INC. LAST AMENEDED JULY 18, 1980 LOCA77ONS SHOW ARE FROM FIELD OBSERVA77ONS SUBJECT TO COVENANTS & RESTRICTIONS LIBER 9272 PG.535 AND OR DATA OBTAINED FROM OTHERS. ELEV. 72.0 AREA: 75.8,79.86 SQ.FT. or 1.74 ACRES ELEVA 770M DATUM. NAVD88 oL DR BROWN LOAM UNAUTHOR12ED ALTERA7701V OR ADDIFRON TO THIS SURVEY IS A WOLA7701V OF SEC7701V 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY —0.5' MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN BROWN ONLY 70 7Hr PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77XE COMPANY, GOVERNMENTAL AGENCY AND LENDING IIVS77TU1701V SC MAYEY SAW LISTED HEREN, AND TO THE ASSIGNEES Or THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. I —4.0' THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE PALE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON Or FEWCES, ADD1770MAL STRUCTURES OR AND 07HER IMPROVEMENTS. EASEMENTS BRFINO01 AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY E SP TO COAim SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: THOMAS JUUL HANSEN; SAND MAP OF. FILED: REVISED 12-14-20 REVISED 11-10-20 SITUATED AT. "UTCHOGUE REVISED 04-09-20 NO WATER Tom OF. SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC REVISED 10-03-19 1— 17l SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design REVISED 08-27-19 L 10, 20,1) P.O. Box 153 Aquebogue, New York 11931 JUNE 29, 2019 ADD PROP. DWELLING UcDONIALD GEOSC?SMCE FILE # 18-29 SCALE:1.=30' DATE:MAY 15, 2018 PHONE (831)298-1588 FAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of ItobftA J. Hennessy & Kenneth N. Woychuk S.C.T.M.# DISTRICT 1000 SECTION 72 BLOCK 1 LOT 1 . 10 #R10190105-ZEC -to S 42 03728"W 2830' BIN 5.0 --JA-10. X.> z .0 SO .0 IS> DEC 2 3 2020 Az& HW LINE ALONG BULKHEAD BASED OF SOUTHOLD LOT COVERAGE BASED ON LOT AREA LANDWARD OF COASTAL EROSION LINE 0ISS 54,374 SQ.FT. or 1.25 ACRES 1?0 0 PROPOSED DWELLING: 2938 S.F. REAR WATERSIDE DECK W/STEPS: 1064 S.F. FRONT DECK: 77 S.F. SWIMMING POOL: 748 S.F. 40 I7go TOTAL: 4827 S.F. or 8.9Z SC so36 S3 7 3f " $0 Sg 60 DRAINAGE CALCULATIONS: 0 .20 DWELLING FOOTPRINT- 2938 S.F. 2938 x 0.166-488 CF REQ, 40 TYPICAL Si (3) B'DIA X 4' DEEP DRYWELLS-531cf PROVIDED SCREEN SECTION DRNEWAY-4250 SQ.FT. 30 4250 x 0.166- 706cf GEDTEXTILE FA8FHC----,,"" (2) 10'014 X 6' DEEP DRYWELL- 821cf PROVIDED ---SUPPORT POSTS WOOD OR METAL FLOW DIRECTIO" 4D� 40. EXCAVATED AND BACKFILLED TRENCH-------\ W MIN. 4z so BUT Sk EP 6 STING MUNI) SEDIMENT ON SITE '_;Z6 611P HAY SAIL AND/OR SILT FENCING 60, 10 \CC' OF BL 70 04 0 ' LIMIT OF CLEARING, -11b GRADING AND GROUND TYPICAL DRYINELL CROSS SEC17ON NSTRUCTION ENTRANCE - FDUNDA77ON OF COMPACTED DISTURBANCE 80— (CONC. PRECAST COMPONENTS) STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.C.A. 39,500 S.F.* 100' r SW FOR NDN—TRAM BE410W Fitt TO 18' (Min.) ABOVE EXISTING GRADE FOR DRAINAGE. r SLAB FOR TRAFFIC BEARING MEAW Om 74 APPROVED.OLET PIPE Q%ST IRON MME AND APPROVED MV PIPE W.4•NkTO ECANS4MHOS 011D, L 19"011 ---PRgRD FIB'/A• PnCHED 1/A'/I• 74 E:3 0 C3 0 -n E-71 0 E3 0 TYPICAL CLEAR OUT SLATE OR STOPPER END 116' SUITABLE OR PLUG 0 31 WN. 81 37 ELBOW COLLAR 0 W WYE BACK FILL MATERLAL TO BE .......... CLEAN SAND AND GRAVEL DRY WELL DRY WELL B'DIAX4'DEEP 58.5' 8'DIAx4'DEEP FLOW DECK EL(77.0) DECK E ............. 52.0'— . ..... POS 30.0'—*."* ". .'.'ko OF( 0). LAND N/F W/RooF OF VADA T 150' MARY MC KAY I'D DWELLING W/WELL WATER CLEAM" WELL 4'DEEP ----6 74 Ck: PROPOSED --- PROPOSED WAOuND ---STAGING AREA L.P. GAS TAN --CONCRETE WASH OUT AREA f OWN IN DED OF PROPOSED DRIVEWAY.0. Q, .............. I Fv--"--x, DRY WELL W/WLET 5 8MW%-ITM 0 (1) '1'0Q0x1W3DEEPTLP. 0 O V) STOCK P$L SOIL 7.6 138.3' LIMIT OF CLEARING OWING AND GROUND DISTURBANCE 39,000 S.F.* DRY WELLINLET A ,O.Dj&/ 6 DEEP LP. ELEC. k, TRANS. Z�9-.CATV 1,01 IRON 51023'3011 wwEtc'' CONSTRUCTION ENTRANCE ASP tik 176,94 F WA Y CASTLE 1AO N #!4 JOSEPH NOF /E PRxoRROWAD & CAROLyIV RICCI 1608.43' -j VACANT 150' NYS DEC COASTAL EROSION HAZARD LINE AS SHOWN ON PANEL 5 AUG. 29, 1988 OREGON ROAD SHOWN AS LOT I ON APPROVED MINOR SUBDIVISOIN MAP THE WATER SUPPLY, WELLS, DRYXILS AND CESSPOOL OF BAXTER PROPERTIES, INC. LAST AMENEDED JULY 18. 1980 LOCATIONS SHOW ARE FROM RELD OBSERVA7701VS SUBJECT TO COVENANTS & RESTRICTIONS LIBER 9272 PG.535 AND OR DATA OBTAINED FROM OTHERS. 0". 72.0NAVD88 AREA: 75,879.86 SQ.FT. or 1.74 ACRES ELEVAnON DATUM. OL DR BROWN LOAM UAIAUTHOP12ED AL7ERA170N OR ADD17ION TO THIS SURVEY IS A WOLA7101V OF SEC7701V 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY —0.5, MAP NOT FEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN BROWN ONLY TO WE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77YU77ON SC XAYEY SAK .0. LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS777U77ON, GUARANTEES ARE NOT TRANSFERABLE —4 — . THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE PALE NOT IN7EACED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD17IONAL STRUCTURES OR AND 07HER IMPROVEMENTS. EASEMENTS BROWN AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 17ME OF SURVEY FINE SP COAIRTO SE SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: THOMAS JUUL HANSEN; SAND MAP OF. FILED: REVISED 12-14-20 SITUATED AT. CUTCHOGUE REVISED 11-10-20 Tom OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PUC REVISED 04-09-20 NO WATM SUFFOLK COUNTY, NEW YORK REVISED 10-03-19 — 17' Professional Land Surveying and Design REVISED 08-27-19 APRIL 16, 2019 P.O. Box 153 Aquebogue, New York 11931 JUNE 29, 2019 ADD PROP. DWELLING UeDO11#0 CEDSCOCE FILE 1 18-29 SCALE.1"=30' DATE.-MAY 15, 2018 PHONE (631)298-1588 PAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of Robert I. Hennessy & Kenneth W. Voychuk Glenn Goldsmith,President �QF so(/Ty Town Hall Annex Michael J.Domino,Vice-President ,`O� �� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l�[ [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES - TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT -RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS SI; -7,2- 1 - 1 .10,z, n . 's e,•.I cl. -Proper'Owner NaTe. •I Lf Date'Serit`td"B-Idg 'Dept: 124#'ZU The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building De partment's4permitting requifements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination " z from the Zoning Board-of Appeals? Will any part of this application be considered ;Rerrlolition as described under Town Code? COMMENTS: • - i L 'fh t < / I / ignature of viewer Date Town Hall John M.Bredemeyer a itlesident �g+�FFO� ' 53095 Route 25 Michael J.Domino,Vice-President �� O� P.O. Box 1179 James F.King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee q Charles) Sanders,Trustee Telephone (631) 765-1892d Fax (631) 765-1366 BOARD OF TOWN TRUSTEES DEC 2 3 2020 TOWN OF SOUTHOLD Southold Town ADMINISTRATIVE Board of Trustees ER OF REQUEST FOR AN AMENDMENT DATE December 22,2020 OWNER Geanie Arciga&Thomas Juul-Hansen PHONE 212-929-7109 15 Maiden Lane, 19th Floor ADDRESS New York, NY 10038 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 500 Castle Hill Road,Cutchogue TAX MAP NO. 1000-72-1-1.10 Administrative I/We En-Consultants for Geanie Arciga&Thomas Juul-Hansen request an Amendment to Permit# 9514A to authorize construction activity within 100'from crest of bluff,including clearing up to 50 feet from crest of bluff,to construct on vacant parcel an approximately 2,938 sf,2-story,single-family dwelling with approximately 1,064 sf of waterside deck with steps,748 sf swimming pool,and 77 sf front deck,all located at least 100 feet from crest of bluff,and as depicted on the site plan prepared by Kenneth M.Woychuk,last dated December 14,2020. Signed By: Robert E.HeNdann,Coastal Management Specialist Board of Trustees Application 3 s ' AUTHORIZATION (Where the applicant is not the owner) I i t I/We, Thomas Juul-Hansen # owners of the property identified as SCTM# 1000- 72-1-1.10 in the town of r s Southold New York,hereby authorizes 1 s z En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. i N/A Property Owner's Si re Property Owner's Signature j Thomas Juul-Hansen SWORN TO BEFORE ME THIS pDAY OF c I I tar .4athalle Levy Co�inmi'ssi&ia FoMf-Deeds,State of New York -.'No.2-14276 _ �Qu�l%fied�n Newyork County -7; Certified in Kings County -, (;omrriiss'to 82 Nassau Std 2uary 1406 9010 ;, The UPS ROW, I Board of Trustees Application f € AUTHORIZATION (Where the applicant is not the owner) I r } 1/Wei �Geanie Araga owners of the property identified as SCTM# 1000- 72-1-1 10 in the town of Southold ,New York,hereby authorizes i 8 ' En-Consultants to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town k Board of Trustees for this property. , i s NIA Property Ow is Signature Property Owner's Signature ' Geanie Arc€ga i , , SWORN TO BEFORE ME THIS_ DAY OF ,20 Notar Publi Commissioner9fiDe &';Sift®-664ewYork No.2=1 270 ; - Qualified in Nevr.Y— 'bounty Certifl�;d:in Kings Go�unty,-, Comm€s€on E�cp€re ,Februa y 1,20211 The UM 1-,ne V j;,, Nassatr,Stj212.`406.9010 r t - — Board of Trustees Application E County of Suffolk 3 r State of New York I f °s i z Thomas Juul-Hansen BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK s WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT t AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF H APPLICATION. 5 Si nature,Thomas Juul-Hansen a r i I SWORN TO BEFORE ME THIS-DAY.OF ;20_ t ; I i otary b . - Nathalie Levy _ Cornmissione ,q beds,State of New York -�No,2-1427fi _ Qua'0 dlfi,NewYork county Certifred.-iniKinf County. `Comian 4 February 1,2021 The upS 5 ,,18?Nassau St1212.406.9010 Board of Trustees Application County of Suffolk State of New York i Geame Arciga BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY F BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR E REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE 's PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. t Signa re,GeanieArciga ' n Q DAY OF 1— 'F!�`�i�'� ,20 SWORN TO BEFORE ME THIS f i t t i Nota ublic Levy Cort7miss over ofer3ds,State of New York 2-14278 Qua0fied in York County Cei, edAn,Kind County CoriEiriii§stonExpires Febniary.1,2021 Toe UPS Store ,E8�'Nassau 38212.408.9090 ! +r +I 1 1 Y F APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnloXm The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to tape whatever action is i necessary to avoid same. YOUR NAME: Juul-Hansen,Thomas (Last name,first name,middle initial,unless you are applying in the name of i someone else or other entity,such as a company.If so,indicate the other person's or company's name.) s t NAME OF APPLICATION: (Check all that apply.) r Tax grievance Building _ Variance Trustee X f Change of Zone Coastal Erosion + Approval of plat Mooring Exemption from plat or official map _ Planning Other (If"Other",name the activity.) f g Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee !k of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); )3)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi 'b d o 204A Signature Print Name Thom6s J ul- ansen Form TS 1 1 + � t APPLICANT/AGENT/REPRESENTATI'VE TRANSACTIONAL(DISCLOSURE FORM The Town of n thold's Code of E ics m ibits conflicts of interest on the , of town officers and em l ees The Man=o this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is Iteco w y to avoid same. YOURNAME: Araga,Geanie (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other i person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion j 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 s in which the town officer or employee owns more than 5%of the shares. i YES NO i ( 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 j Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. I - i The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this V day of MWI 200 19 Signature Print Name eanie Arciga Form TS 1 APPLICANT/AGEN'T/REPRESENTATIVE TRANSACTIONAL.DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The DuMose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Herrmann- Rrh.-rt F (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name) NAME OF APPLICATION• (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest "Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person_ Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant,or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 2 day of December 2p 20 Signature Print Name ert E. Hermann Form TS I L EN-CONSULTANTS E rC E V E December 21, 2020 Glenn Goldsmith, Chairman �� Board of Trustees DEC 2 3 2020 Town of Southold P.O. Box 1179 Southold,NY 11971 Southold Town Board of Trustees Re: Thomas Juul Hansen,Administrative Wetland Permit No. 9514A Dear Mr. Goldsmith: The above referenced permit authorizing construction activities within 100 feet of the top of bluff for purposes of constructing a single-family dwelling and swimming pool located at least 100 feet from the top of bluff was issued on July 3, 2019, and later amended on November 13, 2019, to reflect changes to the design and footprint of the approved dwelling and appurtenances. As the dwelling design has again been modified, resulting in a substantially reduced building footprint(4,827 sf total/8.9%lot coverage in place of the previously proposed 8,340 sf/1-5.3% lot coverage), I am writing to again request an administrative amendment to reflect the most recently revised site plan prepared by Kenneth M. Woychuk, last dated December 14, 2020, three(3) copies of which are enclosed herewith. The modified site plan now depicts work reflected by the following project description: Conduct construction activity within 100'from crest of bluff, including clearing up to 50 feet from crest of bluff, to construct on vacant parcel an approximately 2,938 sf, 2-story, single- family dwelling with approximately 1,064 sf of waterside deck with steps, 748 sf swimming pool, and 77 sf front deck, all located at least 100 feet from crest of bluff, as depicted on the site plan prepared by Kenneth M. Woychuk, last dated December 14, 2020. If you have questions or require additional information in support of our request, please let me know. Respec lly yours, Robert . errmann Coastal Management Specialist Enclosures 1319 North Sea Road I Southampton,New York 11968 1 p 631283 6360 1 f 631.283.6136 www.enconsultants.com environmental consulting /! Michael J.Domino,President QF S0!/ Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES November 13, 2019 TOWN OF SOUTHOLD Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: GEANIE ARCIGA & THOMAS JUUL-HANSEN 500 CASTLE HILL ROAD, CUTCHOGUE SCTM#: 1000-72-1-1.10 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 13, 2019. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Administrative Permit#9514A to conduct construction activity within 100' from crest of bluff to construct on vacant parcel an approximate 4,076sq.ft., two-story, single-family dwelling in lieu of the proposed 3,411sq.ft. two-story, single-family dwelling, with approximately 1,285sq.ft. waterside deck with steps, in lieu of the proposed 1,518sq.ft. waterside deck with steps; 1,792sq.ft. pool deck in lieu of the proposed 1,632sq.ft. pool deck, 690sq.ft., swimming pool in lieu of the proposed 680sq.ft. swimming pool, and 436sq.ft. front deck; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC, last dated October 3, 2019 and stamped approved on November 13, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJ D/dd S.C.T.M.# DISTRICT 1000 SECTION 72 BLOCK 1 LOT 1 . 10 sl p4F S 42°37'28"W �l y16 .p� 28.50' 8W 5.0 6 •lU�� f� 0. to TjyW 4? pV ,.0 � Y Jgw kV s ojr I x'40 �ppo a�o6,yy �l I �y d ?o �F Og- �o TOWN OF SOUTHOLD LOT COVERAGE V MHW LINE ALONG BULKHEAD SED ON LOT AREA LANDWARD OF COASTAL EROSION LINE nr�`so 's9 APPRCOVED BY 54,374 SQ.FT. or 1.25 ACRES 30 ,.0 6g. BOARD OF 1 RUSTEES PROPOSED DWELLING: 4076 S.F. REAR WATERSIDE DECK W/STEPS: 1285 S.F. I TOWN OF SOUTHOLD POOL DECK: 1792 S.F. 40 FRONT DECK: 436 S.F. SWIMMING POOL: 690 S.F. I ' DATE NoVVt-m�,2 13 ZOtSPA: 61 S.F. I SIDE STOOP: 22 S.F. S 3S°35'36"W (N/A) $o se 7.�' Bw 4? � TOTAL: 8340 S.F. or 15.3% I \ •o ?o ,o I 60 ( ` 30 ?p 50'MIN. III T SUFFICIENT TO SEDIMENT ON SITE KEEP — 40 / TYPICAL SILT HAY BAIL AND/OR 30. SCREEN SECTION /SILT FENCING rt�!;-•!�: �-- _. `: :-;-.�n1'_. 6EOTE%TIE FA �- 'i _ PaPOSTS WOOD WOOD OR METAL RE .. *00.��V EX 7 2019 CAVATED AND 60 BACKFlLLED TRENC . pp R. UND Ncco ... ,S .;s ---�A�yC•t' Qz •. CONSTRUCTION ENTRANCE - FOUNDA77ON OF COMPACTED w ],�F7LL/4' STONE BLEND OR N.Y. STATE D.O.L APPROVED R.C.A. TO 18" (Min.) ABOVE EXISTING GRADE FOR DRAINAGE 60 To � 1 L 1 OF BLU TO 1a LIMIT OF CLEARING, 16 GRADMwG AND GROUND S TYPICAL DRYWELL CROSS SECTION DISTURBANCE gr so I 39,500 S.F.f � 1� (GONG. PRECAST COMPONENTS) DRAINAGE CALCULATIONS: r SLAB FDR NDN-TR,fF,C�.�IIC SLAB FOR TRAFFIC srARMJc NEAvr OM DWELLING FOOTPRINT. 4076 S.F. I T4 APFKtOrlO MET RPE GST wo I FrAW AND APPROVED OUTLET PPE D 4076 x 0.166-677 CF REQ. 9 MR.t'OK ODLER ro LxapE ro om,W4P RIIJGS' � PITCHED t/8'/t' � MW.4 aA. (3) B'DfA x 6' DEEP DRNYEI.LS-798ef PROVIDED Prralm t/s'/L. I 74 p� ®� 1❑ DRIVEWAY-4770 792cf n 11 4770 x 0.166 7924 O El Q (2) 10'OlA x 6' DEEP ORYWELL- 821cf PROVIDED o I p ti 1 B2 i � TYPICAL CLFIW OUT / 60 SLATE OR -STOPPER END SUITABLE _� OR PLUG 3' MIN. r 8' .-_1 . 30' ELBOW O 's IIDRY WELL:�/8'DIA%5'D E COLLAR C SAND AERIAL TO 60 WYE EL 76.0) 4•:r._. FLOW PR SPA'' EL(76.0) DECK .::27 0-'-':: 36.3 :. ::..;. EL(82.2)25. PROPOSED :.W 8.0':;.'"i•;FFL 7.0 INGROUND �::.':: L.P. GAS TANK PROPOSED ','.:':'::"• ::::. ':::::;::::::. 79.6);'::..';:.2 STORY::::,::::;'::::::'::.:::;;::';::.;::::;:'.Ot Ts I DECK N{:. ::.ERM. DWELUNG;:._':'::.'f:': ::r;:.'::::.':::. •:: DRY WELL ^� EL(77.0) BEDROo WAxS'DEEP%DIMS ::.•� LAND N/F VAC A T f50 41.7 :....:..... •: : • :EFL(a2z);.=:::':::. :. .........•.....,.. •..., y OF :10.5 ':.t::'::.:;::':'::::'::•' '.::::..:':..;:..::.• :.:::;'::: '.:.:.::':.:'. ::'.:. : L% MARY MCKAY To .0' rn:, : ::::':"::.;::;'::.':':::.:':::;'::. .' "::;::.;::: DWELLING W/WELL WATER fv: 62.0 ry,8.0':...: \ GARAGE'•;':: '\ I EL(7 .0 N .';:.;; 74 WELL 40e I } L�::�:::yl TOS ,• ':.:�:27.OEL•73.0) �O 6 �WDEEP ,ExP: �S. . 1O'11RV f PROPOSED PERVIOUS I GRAVEL DRIVEWAY U N PROPOSED STAGING AREA 5 5MCONCRETE WASH OUT AREA I z 1011 DEE''• I PROPOSED ORNEWAY. 10' WDEEP 4 Io o w (1) i0/x13 DEEP LR DRY wEu NLET i oI SSL I x STOCK P i , 7.6 � X a I LIMIT OF CLEARING.GRADING AND ! I DISTURBANCE GROUND at?. 2$ I39,000 S.F.* 21 I I LI IELEC. TRANS. 110, : DRY w/INLET �.�N I 1 DIAx6 DEE IRON 023'30 T' W _ WELL ' CONSTRUCTION ^�•�- ENTRANCE ASP ROAD gGyRq y� '^- 176.94 T -- -J _ A,STLE (HILL _ LAND N/F "� –'' --- ROAD OF /VATS Rpgp� (25' JOSEPH & CAROLYN RICCI 1608.43' W. VACANT 150' > n A I N x NYS DEC COASTAL EROSION HAZARD LINE — r AS SHOWN ON PANEL 5 o� AUG. 29, 1988 OREGON ROAD SHOWN AS LOT 1 ON APPROVED MINOR SUBOMSOIN MAP THE WATER SUPPLY. WELLS, DRYWEL.LS AND CESSPOOL OF BAXTER PROPERTIES. INC. LAST AMENEDED JULY 18, 1980 LOCATIONS SHOWN ARE FROM nELD OBSERVATIONS SUBJECT TO COVENANTS & RESTRICTIONS LIBER 9272 PG.535 AND OR DATA OBTAINED FROM OTHERS ELEV. 72'0 AREA: 75,879.86 SQ.FT. or 1.74 ACRES ELEVATION DATUM: NAVD88 OL DR BROWN LOAM UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA7701V OF SEC77ON 7209 OF TIME NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY —0.5' MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN SC BROWN AYEY ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777UIION —4 0' LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 714E PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFlC PURPOSE AND USE THEREFORE THEY ARE PALE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC7701V OF FENCES, ADD1770MAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS fBROWN AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY NE sP TO COARSE SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: THOMAS JUUL HANSEN; SAND MAP OR FILED: SITUATED AT: CUTCHOGUE WATER TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC REVISED 10-03-19 NO — 17' SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design REVISED 08-27-19 APRIL 16, 2019 P.O. Bog 153 Aquebogue, New York 11931 JUNE 29, 2019 ADD PROP. DWELLING ML:DONALD GEOSCIENCE PHONE (631)298-1588 FAX (631) 298-1588 FILE # 18-29 SCALE:1 =30DATE:MAY 15, 2018 N.YS. LISC. NO. 050882 maintaining the records of Robert J. Hennessy a Kenneth N. Roychuk Michael J. Domino, PresC'a 3` Town Hall Annex John M Bredemeyer I1I,Vice•'fiGbIdent �� G�f "$ 54375 Route'25 Glenn Goldsmith c P.O. Box 1179 v� ze A.Nicholas Krupski Southold,NY 11971 Greg Williams � p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: En-Consultants on behalf of GEANIE ARCIGA & THOMAS JUUL-HANSEN requests an Administrative Amendment to Administrative Permit#9514A to conduct construction activity within 100' from crest of bluff to construct on vacant parcel an approximate 4,076sq.ft., two-story, single- family dwelling in lieu of the proposed 3,411 sq.ft. two-story, single-family dwelling, with approximately 1,285sq.ft. waterside deck with steps, in lieu of the proposed 1,518sq.ft. waterside deck with steps; 1,792sq.ft. pool deck in lieu of the proposed 1,632sq.ft. pool deck, 690sq.ft., swimming pool in lieu of the proposed 680sq.ft. swimming pool, and 436sq.ft. front deck. Located: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 V Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: /1 !fib\ +D �fovk V—�1(�� CkJ (_0Il/0Vua� >Il��lu fi�LWJ• /jo C_0W*u-fl6V W/ [o o' ct- B�JF(' , Jho clg4y'�rj r rl"v,& or C(Prrf) VJ/I N O a lJl 9I v c ti a N6P 1)(5-W 60fe Gvgf( /,eJ'c� 0'�_f 4 10/7 Sy 1, / — � �- - - I ha e read & acknowledged the foregoing Trustees c mments: Agent/Owner: / Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other SUFFOt, Michael J. Dominc resident ��o�� o�� Town Hall Annex John M. Bredeme,.....',' 111, Vice-President o 2 54375 Route 25 Glenn Goldsmith N P.O. Box 1179 A Nicholas Krupski y Southold, NY 11971 Greg Williams ��l , �� Telephone (631) 765-1892 Fax (631) 765-6641 S0(TTFIOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE- VERIFICATION OF BUILDING DEPARTMENT PER,YJ REQUI-REMENTS SCTM#: 4-3 OCT - 7 2049 1 �'f2CLfr�- Property Owner Name- A Date Sent to Bldg_ Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: 1�&2 liq Date gnature of Reviewer . r Town Hall John M Bredemeyer III,.--dent 1 gp0FAF. v 53095 Route 25 Michael J.Domino,Vice-President �� a� P.O. Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee q y Telephone (631) 765-1892 Charles J.Sanders,Trustee d Fax (631) 765-1366 �- 41- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OCT 7 2019 LETTER OF REQUEST FOR AN AMENDMENT, �r'` I3Gar 1 rtf�'U�;;'.PS DATE October 4,2019 OWNER Geanie Arciga&Thomas Juul-Hansen PHONE 212-929-7109 15 Maiden Lane, 19th Floor ADDRESS New York, NY 10038 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 3160 Wlggm9L-ane;Greenport' TAX MAP NO. 1000-72-1-1.10 I/We En-Consultants for Geame Arciga&Thomas Juul-Hansen request an Amendment to Permit# 9514A to authorize the construction of a 4,076 sf,2-story,single-family dwelling with approximately 1,285 sf waterside deck with steps, 1,792 sf pool deck,61 sf spa,690 sf swimming pool,and 436 sf front deck,all located at least 100 feet from crest of bluff; install drainage system of leaders,gutters,and drywells;and clear up to 50 feet from bluff,all as depicted on the site plan prepared by Kenneth M.Woychuk,last dated October 3,2019. Signe d Robert E.Hernkarm,Coastal Management Specialist r Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) jf fie, _Geame Arciga owners of the property identified as SCTM#1000- 72-1-1.10 in the town of Southold ,New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. (a N/A Property Own is Signature Property Owner's Signature Gearne Araga SWORN TO BEFORE ME THIS DAY OF - - '20- V71- Notary Public Lekry ICTr rtlissione60f Deeds, State of New York NO. 2-14276 dualifi,=in New York County ' Certifit�d in Kings County '��a»missian Expires February 1,2021 Nassau StJ212.406.9010 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Thomas Juul-Hansen — owners of the property identified as SCTM# 1000- 72-1-1.10 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permits) from the Southold Town Board of Trustees for this property. N/A Property Owner'sign re Property Owner's Signature Thomas Juul-Hansen SWORN TO BEFORE ME THIS DAY OF _ ,20 Notary Pub is J ,Nathalie Lerma Corrisnissioner of Deeds,State of New York No.2-14278 budtifedin New York County Certified in Kings County Corfnmission Expires February 1,2021 The,OpS Stora 0 182 Nassau St1212.406.9010 Board of Trustees Application County of Suffolk State of New York Geame Arciga BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. f Signattie,GeanieArciga s 0� q, SWORN TO BEFORE ME THIS DAY OF 20 0 i "ot ublic -"t+lathal00 Levy Commissioner;,df 7�_.Stats o4 New York No;2-94278 QUalified'tn NeW York County `CertiQed iq Kinpi County CommisslorjExpires February 1,2021 The UPS Store 182 Nassau St1212AM9010 Board of Trustees Application County of Suffolk State of New York Thomas Juul-Hansen BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW RF THIS PLICATION. SrWlature,Thomas Juul-Hansen f SWORN TO BEFORE ME THIS -DAY OF 20L Notanf POW ,t;�kt lalie Leery Commissigner of Deeds,State of New York „Noy 2-14276 Qualified in,New York County Ce jfied in'Kings County CommisSror)txpires February 1,2021 The UPS Store'0 182 Nassau St1212.406.9010 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORD The Toque of Southoid's Code of Ethics prghibits conflicts of interest on the Dart of town officers and employees.Th�usro5_a_of this form is to,pmvide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Araga,Geanie (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO r If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this W daof MAf-C}-I 20011 Signature `— Print Name Geani Ar icga Form TS 1 � w APPLICANT/AGENT/REPRES]ENTATIVE TRANSACTIONAL DISCLOSURE FGM The Town of Southold's Code of Ethics prqhibits conflicts of interest oLi the w of town officers and em to ees.T#t se o 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 some. YOUR NAME: Juul-Hansen,Thomas (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D}the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Z.C� day of tkA 200 Signature Print Name Thomas J I- ns Form TS 1 A-PPLICANT/AGENT/REPRESENTATIVE 'I'I2ANSACTIONAL DISCLOSURE P®IM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pgMose of this form is to provide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME Herrmann, Robert R (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company If so,indicate the other person's or company's name.) NAME OF APPLICATION (Check all that apply) Tax grievance Building Variance Trustee XX Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest "'Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person__ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this1 ay of July 20 19 Signature Print Name o E .Herrmann Form TS 1 `ra''z _ fi ,:�g15fFQLK Michael J. Domino, President ��opo �o� Town Hall Annex John M. Bredemeyer, III, Vice-President ;rY=� A'� 54375 Route 25 Glenn Goldsmith r V� ,McP.O. Box 1179 A Nicholas Krupski %y • o ),r Southold, NY 11971 Greg Williams �� Telephone (631) 765-1892 `- Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed When project complete, call for compliance inspection; r: Michael J.Domino,President �QF SUUjTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �Ol� �� Fax(631) 765-6641 COUNTY BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9514A Date of Receipt of Application: July 3, 2019 Applicant: Genie Arciga & Thomas Juul-Hansen SCTM#: 1000-72-1-1.10 Project Location: 500 Castle Hill Road, Cutchogue Date of Resolution/Issuance: August 14, 2019 Date of Expiration: August 14, 2021 Reviewed by: A. Nicholas ,Krupski Project Description: Conduct construction activity within 100' from crest of bluff to construct on vacant parcel an approximately 3,411 sf, 2-story, single-family dwelling with approximately 1,518sf waterside deck with steps, 1,632sf pool deck, 61 sf spa, and 680 sf swimming pool, all located at least 100 feet from crest of bluff, install drinking water well and drainage system of leaders, gutters and drywells; and clear up to 50 feet from crest of bluff Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC, last dated June 29, 2019 and stamped approved on August 14, 2019. 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. Michael J. Domino, President Board of Trustees 'i Michael J. Domino, Presid �";4SOFFO(,�.00 - Town Hall Annex John M. Bredemeyer III,Vice-President Z G�,a - 54!375 Route 25 Glenn Goldsmith � z _ P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: % t `a Completed infield by: /✓�'vy,o�v �� En-Consultants on behalf of GENIE ARCIGA & THOMAS JUUL-HANSEN request anAdministrative Permit to conduct construction activity within 100' from crest of bluff to construct on vacant parcel an approximately 3,411sf, 2-story, single-family dwelling with approximately 1,518sf waterside deck with steps, 1,632sf pool deck, 61 s spa, and 680 sf swimming pool, all located at least 100 feet from crest of bluff, install drinking water well and drainage system of leaders, gutters and drywells; and clear up to 50 feet from crest of bluff. Located.: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 y1 Ch. 11'1 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: Ok 40 co W .4,e'I- �jo a 4, I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other S.C.T.M.# DISTRICT 1000 SECTION 72 BLOCK 1 LOT 1 . 10 Sl0� NN" S42°37'28"W �1 top 28.50' v BW 5.0 O 10 so o l,. Tp psi`�oJ�s �-1 ' oe� ITOWNOF SOUTHOLD LOT COVERAGE e`�FF ti 20 rOf°o MHW LINE ALONG BULKHEAD BASED ON LOT AREA LANDWARD OF COASTAL EROSION LINE I B/YSo ps9 54,374 SQ.FT. or 1.25 ACRES 7p •6�, 30 o PROPOSED DWELLING: 3411 S.F. REAR WATERSIDE DECK W/STEPS: 1518 S.F. I POOL DECK: 1632 S.F. FRONT DECK: 986 S.F. 4p 6/y ,3 SWIMMING POOL: 680 S.F. 1.0 SPA: 61 S.F. SIDE STOOP: 22 S.F. (N/A) g/y S350353d W TOTAL: 8288 S.F. or 15.2% Sp -A 7.00 ew,z ?o 20 60 50' MW. BUT SUFFICIENT TO KEEP SEDIMENT ON SITE > TYPICAL SILT HAY BAIL AND/OR 4p SCREEN SECTION SILT FENCING 30, z. GEOTEXTILE FABRI w PPORT POSTS ' T�T 50 `` WOOD OR METAL )� r'? 40 FLOW DIRECTION a0 ��ry t. .,J—�'l(,1y,• Z_ '� O`S H'��q� 0'`\ EXCAVATED AND O Qq "7/p 60 011% ` BACKFILLED TRENC �C V� 4�`, N or XISTING GROUND O O_\So` _ - - w d" I I- CONSTRUCTION ENTRANCE - FOUNDATION OF COMPACTED &Cp I 1— —{{ w 3/4" STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.C.A. IIc —I = - —II FILL TO 18" (Min.) ABOVE EXISTING GRADE FOR DRAINAGE.I _III 60, c >p 1 1�Rf'�=F QLUF ;10 ti I LIMIT OF CLEARING, 16 TYPICAL DRYWELL CROSS SECTION GRADING AND GROUNDSir 80 (CONC. PRECAST COMPONENTS) 1 DISTURBANCE DRAINAGE CALCULATIONS: 39,500 S.F.* �� O.� 1 e'sue FOR NDN-TRAFFIC eFARrNc v 6'Sue FOR TRAFFIC eeAmc AJEAVY DUTY DWELLING W/ROOF OVERHANG-3,916 S.F. 74 APPROVED RJIET PIPE CAST IRON FRAME AND APPROVED OVILET PIPE 3,916 x 0.166-650cf REQUIRED 0o MIN.D'DW. OWER TO GRADE TO E=411 (3) WDIA x 5' DEEP ORYWELLS-664cf PROVIDED � PITCHED 1/9'/T' PnCAJEO�/e'/�• 0 DRNEWAY=4770 SQ.FT. ®Q a ❑ [1 4770 x 0.166= 792cf 74 �O O❑ d 0 (2) IVOR x 6' DEEP DRYWELL- 821cf PROVIDED I ,fib B TYPICAL CLEAN OUT I j SLATE OR STOPPER END p'7 PROPOSED O SUITABLE COVER OR PLUG O I EL( -0) / I 3' MIN. -r - 30' ELBOW I O > COLLAR 8 60' WYE DRY WELL j .: LCK FlMATERIAL BE18'DIAx D CEANSAD ADGREEL(76 FLOW- 25.7 LOW25.7 ` p PROP D r O DECK EL(82.2) POSE :::. r:r'r:;`'iri:': :PRO D.,...,,.,.. ... >s / - - PROPOSED :.:.� --1/0, K :::::2 STOfZY::': ::::::::::.':::::::::;:;;.;:: :'; l'::.:::1 EL 77.0) r;j;.:79.6).' FRM. DWELLfNG;:;:;::;?i: ::::,:::Y::::.:.':.•;..�i LA D N/F ( m 1::::;:::/ BEDROOMS)::: DRY WELL F >p o..:.. :. :. ' (82 : 8'DIAx5'VACA T 150' ;; DEEP MAR MCKAY ii. I DWELLING W ELL WATER 4 4' ::.'.14.0':.F '::::::::::::..:.•:::::: I 20.0' .'::::•':2 PROPOSE VV > DECK ::GF(73.5)',...: 74 EL 70 � �'::::;:�:i N ? • 36.3' DRY WEL I �Q�Q EQ�•8'DIAx5'DEE 5 Bf UtfWMs J7JItM EL(73.0) - J PROPOSED PERVIOUS O 150p GAS T. S T' GRAVEL DRIVEWAY rr (1) 10/x13 DESEP L.P. V PROPOSED STAGING AREA PROPOSED SOIL CONCRETE WASH OUT AREA �� 2019 STOCK PILE AREA IN BED OF PROPOSED DRIVEWAY, 10' 6'DEEP Y Z lL n DRY WELL NLET j oow z z 0 7.6 1500 I 150' APPROVED BY a I { BOARD OF 'I RUSTEE* TOWN OF SOUTHOLD LIMIT OF CLEARING, S.T.I.' r 'I t4 GRADING AND GROUND DATE A*a S ` DISTURBANCE C 39,500 S.F.t L.P. ELEC. ell TRANS. DW/INLET ® oCA.N 1 'DIAx6'DEE IRON PIN S 51023'30 .1023130rr ��`�✓ CONSTRUCTION W ENTRANCE ASPH4Lr/C PAIvrZ 176.941CASTLE HILL R A ]� LAND N IF (PRIVATE ROAD -"Ort jJ JOSEPH & CAROLYN RICO VACANT 150' NYS DEC COASTAL EROSION HAZARD LINE AS SHOWN ON PANEL 5 AUG. 29, 1988 SHOWN AS LOT 1 ON APPROVED MINOR SUBDIVISOIN MAP OF BAXTER PROPERTIES, INC. LAST AMENEDED JULY 18, 1980 7HE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL ` SUBJECT TO COVENANTS & RESTRICTIONS LIBER 9272 PG.535 LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM 07HERS ... ELEV. 72.0 AREA: 75,879.86 SQ.FT. or 1.74 ACRES ELEVATION DATUM. NAVD88M OL DR LOAM UNAU7HOR/ZED ALTERATION OR ADD1770M TO THIS SURVEY IS A WOLA770N OF SEC77ON 7209 OF THE NEW YORK ST47E EDUCATION LAW. COPIES OF THIS SURVEY --0.5' MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN BROWN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING IN5777U77ON SC I,AYEY SANC LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. —4.0' THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 7HEY ARE PALE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR To GUIDE 7HE EREC77ON OF FENCES ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS BROWN AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY FINE SP COARSE SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: THOMAS JUUL HANSEN; SAND MAP OF: FILED: SITUATED AT.. CUTCHOGUE Tom OF. SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC NO WATER 17' SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design APRIL 16 2019 y� P.O. Boz 153 Aquebogue, New York 11931 McDONALD GEOSCIENCE `"�+'ff PHONE (631)298-1588 FAX (631) 298-1588 JUNE 29, 2019 ADD PROP. DWELLING FILE # 18-29 SCALE:1"=30' DATE:MAY 15, 2018 N.YS. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth V. Woychuk GEANIE ARCIGl_ __ THOMAS JUUL-HANSEN,500 CAST HILL ROAD,CUTCHOGUE Y, Figure 1. Looking west along top of bluff over bluff face,beach adjacent to Long Island Sound, and existing retaining wall at toe of bluff(lower right). ,- r �(( a Figure 2. Looking east at top of bluff and at existing bluff stairway on neighboring property to east. • � � it � � • � `'�i 1 ��,� ., 4"�! r•999 • w `c Ji -� tit � 3 � ��''�` ,+ �R�, �• >�•'� T��•s;' � � 1 3 a � ✓ �'�c ".pct�' r yy"` N �+a,�' ��p.:.k�':. •.'., � �: ``�.. _rit`},,.. , �,, - �`�� fes.-. '�F \\, ,t•� Ps r�a ' "J,�u �,1 4��. � 1l•, .. - .X %J� A,l� -�� I'�I)'I�. ».stP�6^aT '\t �� 500 Castle Hill Rd 0 • Google Earth Ko tt N -3'v r'�'••.,-`, V' "Y _: '4l. 6` r: -°' T ;. 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Se alk County Clerks Oie, iiaa° sr ;`h , i{ -•r"s, _ .,ri`�6}YiJ:,.4r+'''`.,."x,41 ,'`y7cy6�iyy 0.,'� �'ry'^� - _. :a .,, .{ M1•p,^.Y_F,�liyi:�H:43e .�'��'i.XA`t-'h�'k:#'•>��te-� ; � '� '£ ix�z�, s:1. - i' c:. ,:.: � 4q�t,•;�5-"y�:+irjt:Y�Y� t�•ire r?� ' ,. _ i, -..,•-1,S _• ��,,��taC"4'J:Y S la' d,-ass_ inns the right to•;hlte_3G► t' •T1t.i.., ,w;t_'•.:�r�n:e� F' f,t�, 'xx. 1 �anr►ul` any of the codenan c1a?� + k ' 4, ;+`f F•� 'Q' ii'y:.r��w.YYi i :•'Fjn`,'. n},it1: ,y} • !,,:,.`t'.+K`.s{C. ' .,�,_. k, '�i.ST,F•'Vi '✓ 2 � r ag9t�etgent with the owners.,ofi #�eg►;,' `` i'.y.. , ppr� t r c3 a tw; s•.v=_ 1},r.., i. ,e� ,i ' ,` +f^ !" :'�S n t `r Yid9E12EA3, Declarantffi;`.�ri �s � ;�9 ' ` j ' QVX -• `,;':',,',' '9.,"C 1. fi Ino' niou vel'r� m a dt',' }Q ect add ' .m0 dQ e.a.6. i�"" s'„F .f'= •,z4 i•„'y�'. 9t- -1 ,: 5 .::".r aj-.z}.;,�}„y.U�.:: 5�.a't."N 3•k inti, f: � . oify and amend, Yi+a.cts` tial ? ' ? ry.•;;,1'' :,.`: ..: -, - r:f1:r;� 'a'''��".�iz�"�s 'a�•n��s t`^="''q'„vf�a�r'�r-�. p ';t'i` ,;w shicl 't eclaratior. dated IVUn S t,�,:?� .t j:`W, } 5?•�g��i�q{Yh ,:i,kak`.= - - - , _. '':'' ,�..,„o;�;J�;'�F'.syr n,-`'q�° r�'PLi�y`•}'y�,.,��;s^I.i �� ;ir ;. „ _ .c +,'-,,.tida"t:f:' �C. fr"xd'}` 'zs"•� :F� 1 •� *±J:x 5.A�' �,'s`,:; ��-''°•''"t' �!.'nx•I r >i}r't�' - _ = '�' - '� ^RF ;5t'i' 3�`"3L.�'•r�$�5tiy'+�,,{{,,_,��i: '•s:gS k*y,•+r,. �F:'.L`✓x'•P y: ' '�' r v:`J�^` '�� -,�j.h',',j.G's`'.V F _ 7+'d d4.`.a�S,`u.•'- �� 4•d.".5>.-k. '�a:� `. ,t``'`uL*�-,'F: .�, 't'7♦. - �.��;� RGa-�r+k-.ry,•''v�n r$.''� �j'..Nx �s ''Y�,:� :Ei;t�',�"',��:°Y�rtia4�??v:�:a. 5i;;�s.�F��'Z�t�,q,`.'�=,,., ., :;�h?'}�rdg;o_.•.>4.;,� t= «e .(`4��.y� ,.3F - 11' ' a'7`�;� '�'�°44�r�S.i •)9!Lro: �SS:.�i'l3�'�ii� %�'f�i�yF+':�'•'�+'�"'^'" qtr, • :.t�j.k. N[: an=Ipwa!••ftep +MA•• - :°''•- „i,y,:`,�,YF�;b'�L•3-�"k` , Na M& that cartaia plot, piece or p r3" being at WtchOgta� !lathe 11CfE1Fl 4t 07, State of New$ox*s lime parti;d'1mz X ra." 4u.y Aa' 1 s4 NEGINMOM at a monument cm the i•iIi 01MGi•}yjj.��M1'•,i'a T �-. °-, a�.•` � i"`4 p'}^��U point intersects the easterly 1i0 w:,•,'t',ts;y � : Som Sill 4,:' 3V Ust 28.77,�ge+,ap�t�TJ�!�a4 aide of lana and� nIDl Y r '- `• ?'- iF.„' r �w �5=�,?°}'.rxs�r',•�2� , thaa�oa lrcaa staid t of pain �' �.,. �``.:� !•I .: ��',�v--� #W BOOM U- 440 •W iMt '�0.13��l�y tf1 a `•' � _' d�tiint3saa �� Ibilh•�$5°:t1i'6 F•M4Rte .�_.�d,e '.�� , `��e.�.��` T"'. ., r .��=�`� (Z) &nth 44. 356 ld" tient r1y of SRimwhicky thence Q mmeiid':1aTt8 •a*7d .!ey;`,? `2Y 1F'W YF4,� I� COaLip and distaaoa<r 4 f�.� zZ`• Som� 551- 236 30- West, 469• Ap.to�*t'V/ •� �./� fit,. L t t}N'v#�i,ir` .t��.+q�2�w'' pa�^'' '!4 \• E��17.�I,iM1 ��l'°��_ 2• (B� Worth 471 OS' 40"-West, 550'f"3{ 3 zT�;s• ��., ;, i= ,+�� fir, high watermark of to 3s1aRs1 &ot�j n + the ordanazy high wafter WAM 9f. ;A01-A 1 'AA-M�� L sorra as',X"a to Sand of 8®kiatai' lo! 11' 20" fit•1440 tont wome 03r,10 • OX,�a�• `y ^7 �. 4- AiU.' .+�•3j,-0'a.rw�5 S sw '3' 47' INITMO z } :'L.. . !j`., g7ys•4x�•'� {'YY1F 4N,P �',P gg 4% - ��YM�t' Vii. ' ` ,h :=4'^ F'..f•�S'n`.:y„+ cr `� 'fir}` -r.•'t;��.' - • .' t.'!' stn=� i- � .,•r,d}!;tl�h'.�`�'��9�ry;-."r.�.,'. Itis. i{; '.: t.;vSt�Sj''t�..s•.�.Ia�Yf,^%;�,1”" .:d k 1RRJ�t .V:�,.^hr's •":='{2yty rarsiyFa. 1 y"M '1 the restrictions=imposed in provisl:on%% '4i? age 69 to remove r i f said Declaration requiring common access structures'to tl€' each and to impose modified and'aiiierided Covenants wind A fOt""rk� which shall be binding on all, tib pui��is :• :j;=r1 :_' pon the premises tiro nand mortgagees of .individual lots, their:heirs,. B%0Cut0i'Hr, adp►i�i�'}h°� � jstrators and assigns. NOW, THEREFORE the Declaration ot,June 42, terminate 09 i5 amende'd -and 15, 1981 in Liber 9015Page provisions 8 and 9 tliei'ebf: aril the t0lI0Vil CA1" �17I :-",,- -r:•,:{ <-.:'.:',' ,�r-��;_ r ,� : } od: is and Restrictions-are herel#y-imp�?s_+� Pd?n` ,- I _fied Covenants •• .;..• ,• ..:,:- ".<<:`��'-"•<<�h';�y t of the' cXaratioi' dared Jtiii and in place and instead .--r,•�,;;�;m,'�=s�� the land described`in 5chodule A, aerie __ `and shall run with , { facilit shah be iristaf *de q 1. No sanitary disposal ,y, , •' ,'r;��,,.r,, T .""Vat feet of f theQi"esq®",o, G ` . constructed within one hundred•(100)' �luff of Long Is and Sound.7 strua'tu e;.a i 1A be 2. No residential ; . :•r ,t ,,;a=a:r:-.;,,. `,�-<, ORK I}{ ne hundred (100) feet of thb"=tOP- ;;•,htii 1I.otfl 1 6 uk A� 'J�ion ound on 2 of the; Min V, within TO feet of said-8113f 'gti 'Tabb 3 hd.,400 t?ta , 'r�• aid bluff on Lot 4. 3. Any improvements or'dev6lopmehts s alI iiaeQ ;, le= S the uffolk' County lid arinerirb'flit`' a encs and standards or s tandards. 4. No stormwatez ruiiofi ze9U]t3 i from the-d f ,%- ivi.a4n � nd Improv of the lots or bhe'la�i1?dskCm�Li,b g x I' ' 'r •' .?,k' ice_+� 'fi�ra ?�� ' - - •�_ - - - _1 n '�' ,. r `Jgr.;-s'.�y14'.�'."`.'`•i':R�i5,Y�,,tt- c .it Esgf c,.d�'k i^�w;3.1^115`y,�iYfr { - ''•"'��t�F;T,ii�324 r F t16ER�••i' - - _;�{�'��'-31''x,� i sh ;!down the face of the bluff in any_manned'. iS. No cirading shall be peYmitted withiin -5o`TeOt.,of- t,top edge of the bluffexcept as be .,•. b., '�:,;; _ +, may' neces6ary;to'coiatol !remedy erosion or to prevent stormwater-from,flowing av' r 5'eage of the bluff. ¢ 6. Clearing and cutting of,veg�otatioa within he to of the bluff shall bh'-T t i� P edge g ifi�;� ed tq tha� ji��iary�'•s 9�(b3r?��'�.3• al •- -�-°,'�. ant i intenancc•. V ;=a,Fi , 7. Access from any lot to the beach shall be'bV aertrts, 4si `" `} X, , a� suitable stairway or structure and cbnstr1vd ir};'r�?- �" ��•� ++manner that will result in the least:disturb ce of c,th+�=.�1�e �� s i , tiara A• �. 3f the bluff. :f 8. No lot may be subdivided, nor shalthe' il$ine anaions L}isy t t r+ red in an ma y manner, unless authariaied, by Southci `+ vYt►I' Planning Board. 10,41 .� 9. The minimum setbaak8 "tc. the bluff!as X' Oli re less than the 100 foot setback policy •of the-Suffplli.J bri}jtrV s ;> � lanning Commission and the'Souih'bla Town plan tk Oolicy was implemented to uaril against'gamag to 4 esider►ces resultingfrom stead Y (i t =vi'' j Y y, era ,,oan-oft a-bl 8 'q ' 3iq g ; 'w ° s s .,:;;fri•'-- �+.esd2'';vif ,.gip. ' ` eland Sound. Therefore, damragA,-Eo;$tructuxe ; -, '. .:,iia Lots 3 6 4 constructed wit lA�; ;'°MR, s within 100.'.f�et,o'� the bluff oo` �;' s•�F ,'. ,,= 1 1s ,gyp, �• ithin 50 years due to bluff erosion. 10. Any reference herein to top„of the 4uf f,.21g I1 -• 1, " A eaii ,t. _rr,V.:.- - '":. - - - ��.$t:A i.'{.r�=t`=jg"��' 'd� .L^rr'��'s".:'�' d,�� f�C{�,•��'tk,�'��, tMasm WSW I �5 11those bluffs in their present location. IN T4ITMESS WHEREOF, the fore going Pea I,arb— executed by 'Jilliam .1. Baxter, Jr., and Jane successors in interest to Baxter.-Pronerties, Tnd.,-� on't pe. of 1982. f1k 7-, ;W'v Let',,; M STATE OF tjEW yoRK :Y 11 COUNT7 OF S'FFOT.K on the 3011dav of Augiiii etorp me e WILLIAM J. BAXTER, aR. to me'known'�to, r the-A adi a iin and who executed the foieg'oiw ins, r,� ent,! an that he executed the same. 'Atli CA�W' A*, STATE OF NMI y0vjK t,.VA,KtHA r0tary pu St 'A"I'lli '�4 �;jA 7.1 '140 -7 ss A j" COUNTY OFF sUFrr)LK M on the 364116dav of Augu8t j be�6 e JANE P. GOELLER to Tne knowh.,td be-the;41,fiddiv Nho executed the foregoin'g' instritime'Ln,;�-,4nd -a�kn 5 4% executed the same. A A81 Omar 09 SGS 16 D.f. yI A SEE SEC N0130 VO 15 Im MATCH UN I B 4 CAWLEHIIW 1. c2a) "'10 A(c) 23 FOR PARCEL NO SEE SEC NO �01=2 101103 M P 4 1 SA m FOR PARCEL NO &14 FORPARCELNO SEE SEC NO SEESEC.No lit 88302-0093 of ___--CH_ -Z—————— UNE w .o NOTICE COUNTY OF SUFFOLK SECTION N L Real Property Tax Service Agency 72 E (21) CyR-1d.NY11� G E N L sgFOL.t' Michael J. Domino, Pres—'It ��o�� C01- Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmith N T P.O. Box 1179 A Nicholas Krupski y Southold, NY 11971 Greg Williams 0,' * dao Telephone (631) 765-1892 Fax (631) 765-6641 SOUTROLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT �r�I 201 RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREf�CE� ' PILTIT DAG DEPT. 72- 1 - 1,10 S CTM#: Property Owner Name: Date Sent to Bldg. Dept: 7.I2.(q The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: ignature of Re ewer Date OFFICE LOCATION: a®��®� S®UTy®� MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd, &Youngs Ave.) css �r Southold, NY 11971 ® �� Telephone: 631765-1938 ®�yC®UNTI LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 13, 2019 Re: LWRP Coastal Consistency Review for GENIE ARCIGA & THOMAS JUUL-HANSEN SCTM# 1000-72-1-1.10 En-Consultants on behalf of GENIE ARCIGA &THOMAS JUUL-HANSEN request an Administrative Permit to conduct construction activity within 100' from crest of bluff to construct on vacant parcel an approximately 3,411sf, 2-story, single-family dwelling with approximately 1,518sf waterside deck with steps, 1,632sf pool deck, 61 s spa, and 680 sf swimming pool, all located at least 100 feet from crest of bluff, install drinking water well and drainage system of leaders, gutters and drywells; and clear up to 50 feet from crest of bluff. Located: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP provided the following is considered to further policies 5 and 6. 1. Require the installation of an I/A OWTS. Note that a 1981 Covenant and Restriction on the property prevents grading and clearing of vegetation (excluding necessary maintenance) within 50' of the top edge of the bluff. 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 1 T _ Michael J. Domino,I,_ dent ' Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith 0�' �0Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Greg Williams,, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES Lw,d P_ TOWN OF SOUTHOLD h- This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit - Amendment/Transfer/Extension Received Application: 1*54 eceived Fee: $ 100,00 Completed Application: 712.E Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): g,z.�9 ice' - 1 IZ �LWRP Consistency Assessment Form Sent: CAC Referral Sent: _ i I Date of Inspection: FL-lq JUL 3 2019 Receipt of CAC Report: Technical Review: Public Hearing Held: "/ Souihoid Town Resolution: Board of Trustees Name of Applicant Genie Arciga and Thomas Juul-Hansen Address 15 Maiden Lane, 19th Floor New York,NY 10038 Phone Number: 212 929-7109 Suffolk County Tax Map Number: 1000 - 72-1-1.10 Property Location: 500 Castle Hill Road,Cutchogue (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 Board of Trustees A1.,--dcatiori GENERAL DATA Land Area (in square feet): 75,879 sf Area Zoning: R-80 Previous use of property: Vacant-Residential Intended use of property: Improved with single-family dwelling and swimming pool Covenants and Restrictions: X Yes No If"Yes", please provide copy. (Copyprovided) Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy N/A Yes No Prior permits/approvals for site improvements: Agency Date Southold Wetlands#4525(retaining wall) 9-28-95 Southold CEMP#72-1-1.10(retaining wall) 9-28-95 NYSDEC Tidal Wetlands 1-4738-01154/00001 (retaining wall) 8-15-95 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? If yes, provide explanation: X No Yes Project Description (use attachments if necessary): Construct on vacant parcel an approximately 3,411 sf,2-story,single-family dwelling with approximately 1,518 sf waterside deck with steps, 1,632 sf pool deck,61 sf spa,and 680 sf swimming pool,all located at least 100 feet from crest of bluff; install drinking water well and drainage system of leaders,gutters,and drywells;and clear up to 50 feet from the crest of bluff,all as depicted on the Kenneth M.Woychuk Land Surveying,PLLC,last dated June 29,2019. Proposed sanitary system and driveway to be located more than 100'from bluff crest and outside Chapter 275 jurisdiction. Board of Trustees AppAtion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Improvement of vacant-residential parcel with single-family dwelling and swimming pool. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 100 feet Does the project involve excavation or filling? No X Yes (as needed for construction of dwelling and If yes, how much material will be excavated? TBD cubic yards installation of drywells and sanitary system) How much material will be filled? N/A cubic yards Depth of which material will be removed ordeposited: TBD feet (as required for proposed construction) Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Standard construction practices. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed development of the subject property has been designed to conform to the 100'bluff setback requirement pursuant to Town Code Sections 280-116(A)(1)and 275-3(D)(1)(b). And to mitigate the proposed clearing,disturbance, and development of the presently vacant land: 1)all clearing,grading,and ground disturbance is limited to a distance of 50 feet from the top of bluff,2)a drainage system of leaders,gutters,and drywells is proposed to collect and recharge roof runoff from the new dwelling;3)additional drywells are provided to contain potential site runoff associated with the proposed pervious gravel driveway,which shall be located more than 100 feet from the crest of bluff and outside Chapter 275 jurisdiction;4)a project limiting fencing will be installed to control and contain site disturbance during construction, and 5)the sanitary system is proposed on the landward side of the new dwelling and well outside Chapter 275 jurisdiction, at least 175 feet from the top of bluff and 275 feet from the surface waters of Long Island Sound. And the bluff is protected from erosion by an existing retaining wall constructed pursuant to Town Wetlands Permit No.4525 and Coastal Erosion Management Permit No.72-1-1.10,issued in September 1995. Thus,as designed with the incorporated mitigation,the project will protect groundwater quality and supply and will not adversely impact the quality or function of the surrounding ecosystem,adjacent surface water quality,or integrity of the adjacent bluff. 1 i Board of Trustees Application i i i AUTHORIZATION (Where the applicant is not the owner) I/We, Geanle Arclga 1 owners of the property identified as SCTM# 1000- 72-1-1 10 in the town of I Y Southold ,New York,hereby authorizes t En-consultants to act as my agent and handle all Y necessary work involved with the application process for permits) from the Southold Town Board of Trustees for this property. N/A Property wner's Signature Property Owner's Signature Geanie Arciga f� SWORN TO BEFORE ME THIS DAY OF ,2�� i f I i , ��al otary P c a 3 W-khalie Le `"Coininiss>IoneGof;D'eeds,State of New York K > >> No.-2-14278 - , .'`(milified in New York County sniffed in Kings County 'CCniiiW"G1,t=xpires February 1,2021 r ;TQe UPS Store-0 82 Nassau StJ212.408.8010 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) i r I/We, Thomas Juul-Hansen i owners of the property identified as SCTM# 1000- 72-1-110 in the town of Southold New York,hereby authorizes E En-Consultants to act as my agent and handle all 8 necessary work involved with the application process for permits) from the Southold Town n i ( Board of Trustees for this property. E i NIA Property Owner S' ature Property Owner's Signature r Thomas Juul-Hansen i SWORN TO BEFORE ME THIS_+� DAY OF 120 �. l No tc ComMissiOrier of feeds Stat®of New YorK „ '•- ;,->>» No;2-14276 ' N York 06unty „c? -;Certified in Kings Corin CP'mrt►ission Expires ebruary,1,2021 " The UpS Stoic IS182 Nassau StJ212.406.9010 \ I I Board of Trustees Application County of Suffolk State of New York Geame Arciga BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK' WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT ? AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR # REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Sign re,Geanie Arciga SWORN TO BEFORE ME THIS DAY OF \� ,20_0 Notary blic Nallhatl® Le Commissioner of pee4S Mete of New York Qualified 1n )Nev4Yofk County Certitied'in,tVngo County Commission tk0*94 Februr3ry 1,2021 Tire LIPS Stogie W0:t*Wu St1212.406.9010 Board of Trustees Application I County of Suffolk State of New York s i Thomas Juul-Hansen BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK } WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE E PREMISES IN CONJUNCTION WITH REVIEW OF S AR LICATIO . , Sign tune Thomas Juul-Hansen { SWORN TO BEFORE ME THIS DAY OF .24__�_c1 I l I f Notary Yublk-L-' Na1r'hilie Levy Co�inmissSorler of Dee ds,State of New York No a2-14276 :, -� _ ,Qa►&lifiedfi�Neta York County 1 .a `_ eitif��d in Kings County .}Commi's- n-Expires February 1,2021 -�YheUPS,Stofl !182 Nassau St1212.406.9010 6 t € APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southoid's Cade of Ethics prohibits conflicts of interest on the part of town officers and employees.The_p_nEpose 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 neces.Sary to avoid same. Arciga,Geanie YOUR NAME: (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map . Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this W day of M4MCIA 200 I� Signature Print Name Geame Arciga _ Form TS 1 i APPLICANT/AGENT/REPRlESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sauthold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The nmiose 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. YOURNAME: Juul-Hansen,Thomas t (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) Y NAME OF APPLICATION: (Check all that apply.) i Tax grievance Building _ Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning I Other i (If"Other",name the activity.) j 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 I Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. 1 The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): j A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this " o � 200 Signature Print Name Thomas J ul- n n Form TS 1 „ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The oumose 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: HPrTTmm 9 Rnh.�Y+ (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company If so,indicate the other person's or company's name) NAME OF APPLICATION. (Check all that apply.) Tax grievance Building Variance Trustee XX 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 Southold9 `'Relationship"includes by blood,marriage,or business interest."Business interest”means a business, including a partnership,to which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation), B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 1st of July 20 19 Signature Print Name E. HPrrrnann Form TS 1 617.20 Appendix B Short Environmental Assessment Form Instructions for Comaletin� Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Arciga&Juul-Hansen Residence Project Location(describe, and attach a location map): 500 Castle Hill Road,Cutchogue,Town of Southold,Suffolk County;SCTM#1000-72-1-1.10;property is located on west side of Castle Hill Road,+/-1,615'west and south of Oregon Road;location map attached. Brief Description of Proposed Action: Construct on vacant parcel an approximately 3,411 sf,2-story,single-family dwelling with approximately 1,518 sf waterside deck with steps, 1,632 sf pool deck,61 sf spa,and 680 sf swimming pool,all located at least 100 feet from crest of bluff;install drinking water well and drainage system of leaders,gutters,and drywells;and clear up to 50 feet from the crest of bluff,all as depicted on the Kenneth M.Woychuk Land Surveying,PLLC,last dated June 29,2019. Proposed sanitary system and driveway to be located more than 100'from bluff crest and outside Chapter 275 jurisdiction. Name of Applicant or Sponsor: Telephone: 212-929-7109 Geanie Arcida&Thomas Juul-Hansen E-Mail: thomas@thomasjuulhansen.com Address: 15 Maiden Lane, 19th Floor City/PO: State. Zip Code: New York NY 10038 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. X 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? N O YES If Yes,list agency(s)name and permit or approval: NYS DEC Letter of Non-Jurisdiction,Suffolk County Department of Health Services X 3.a.Total acreage of the site of the proposed action? 75,879 sf b.Total acreage to be physically disturbed? +/-39,500 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 75,879 sf 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial N Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES I N/A a. A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify• X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b. Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: A new private water supply(well)is X proposed. 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: A new,SCDHS compliant sanitary X system is proposed. 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? X X 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres- X 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ® Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water-discharge,either from point or non-point sources? YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g. retention pond, waste lagoon,dam)? If Yes,explain purpose and size: X 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes, describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Robert E. arm,Coastal Mgmt. Specialist Date: July 1,2019 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations. 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 ti No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part I Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility, geographic scope and magnitude.Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 ft .4�r r 39x X. TOWk Park j^ FK ti^F !V, DunesP . Drives County A K,37' SONS s r " GoldsmitiY Goldsmrth's�} 2 Cnlet Inlet P t,' y Cob tyl SS i �ob / SP\S `rT°yam OCG �`PJ r R.4•b 9�a� ' S1te C Access Via ` Q� 5ubect property) v o / Suffolk County Hacgstrorn Map #44 t•.d- t l 2,000 q9 The Tasting PS Roc rn PECONIC fi The Lenz Winery te; t Ptndar Yi Al _ Vineyards i,u 9 S TRK25 \. v ` �Ox Raphael y „ PO Vineyards r{gn•. �Fa Bedell .. OT Cellars ;�;�.•�;a yJ y"'r�*i'r• `S`ti+'moi=_7Y30'Oi1','.G: - .,!• ::�i,�, '1:Y 'n' ��''-`2�'u`:i,. Y•''t' t} - 'yf.,�"a`::4 t't�<'' i` ,a 'i -r•; r: E3 ' F3 '!.' 4:xy , lzzss, ::;. 4Ci3 7rza3u alz>zla6..'_�: r , %r„ �0 -(. - -,.i'„�p•r iM:�J>�r% !!w. 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'.�.tev�`� >SL'.�t�s,'sx..�.:a.11`_.acii:..�.!:,.�:ac..�`, �'U�. .r'i`i' � Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Q� 1000 51 1 15 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN iDU rlcE Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within 75,879 S.F. Generated by a Two(T)Inch Rainfall on Site? the Scope of work for Proposed Construction) (S.F./Acres)) (This item will include all run-off created by site ❑ b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed +/-39,500 S.F. Site improvements and the permanent creation of construction activity? (S F/Acres) impervious surfaces.) 2 Does the Site Plan and Survey Show All Proposed X PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indidi cating Size&Location?This item shall include all proposed Grade Changes and Construct on vacant parcel an approximately 3,411 sf,2-story, Slopes Controlling Surface Water Flow, single-family dwelling with approximately 1,518 sf waterside 3 Does the Site Plan and/or Survey describe the erosion ❑ deck with steps, 1,632 sf pool deck,61 sf spa,and 680 sf and sediment control practices that will be used to swimming pool,all located at least 100 feet from crest of bluff; control site erosion and storm water discharger.This install drinking water well and drainage system of leaders, Item must be maintained throughout the Entire gutters,and drywells;and clear up to 50 feet from the crest of Construction Period. bluff,all as depicted on the Kenneth M.Woychuk Land 4 Will this Project Require any Land Filling,Gradin or Excavation where t ere is a change to the Natura Surveying,PLLC,last dated June 29,2019. Proposed sanitary Existing Grade involving more than 200 Cubic Yards system and driveway to be located more than 100'from bluff of Material within any Parcel? crest and outside Chapter 275 jurisdiction. 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres.including disturbances of less than one acre that '] Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of lands; which Exceed Fifteen(15)feet of Vertical Rise to El1X � Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges, Q (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1:11 The SWPPP shall be prepared prior to the submittal of the NOI The NOI shall be into and/or in the direction of a Town right-of-way7 submitted to the Department prior to the commencement of construction activity. 2 The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ❑ \/ constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder X compliance with the terms and conditions of this permit. In addition,the SWPPP shall identify potential sources of pollution which may reasonably be expected to affect the Area?(This item will NOT include the installation of Dnveway Aprons quality of storm water discharges NOTE If Any Answer to Questions One through Nine is Answered with a Check Mark 3 All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE.A Check Mark(X)and/or Answer for each Question is Re uired for a Completed Application) STATE OF NEW YORK, COUNTY OF -S--uffffollk----------------------- SS That I, Robert E.Herrinann -------being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the -Agent-for-Owner ----------------------------------------------------------------------------------------------------------------------------- (Owner,Contractor,Agent,Corporate Officer,etc Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to tibesf his knowledge and belief,and that the work will be performed.in the manners set forth in the application filed herewith. Sworn to before me this; ----------------------1st --- ---------d f, July ,20 19 Notary Pu lic -- KIM H . STEPHENS -- - - --- -- ---- -- NUTaity P119L C - ---------------------re of Applicant) FORM 06/10 COMMISSION NO . 5015931 QUALIFIED IN SUFFOLV COUNTY EXPIRES I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1 , All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si nificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 72 - 1 - 1.10 PROJECT NAME Geame Arciga and Thomas Juul-Hansen The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: VN Nature and extent of action: Construct on vacant parcel an approximately 3,411 sf,2-story,single-family dwelling with approximately 1,518 sf waterside deck with steps, 1,632 sf pool deck,61 sf spa,and 680 sf swimming pool,all located at least 100 feet from crest of bluff,install drinking water well and drainage system of leaders,gutters,and drywells;and clear up to 50 feet from the crest of bluff,all as depicted on the Kenneth M.Woychuk Land Surveying,PLLC,last dated June 29,2019. Proposed sanitary system and driveway to be located more than 100' from bluff crest and outside Chapter 275 jurisdiction. `Y Location of action: 500 Castle Hill Road,Cutchogue Site acreage: 1.74 acres Present land use: Vacant-Residential Present zoning classification: R-80 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: Geame Arciga and Thomas Juul-Hansen (b) Mailing address: 15 Maiden Lane, 19th Floor New York,NY 10038 (c) Telephone number: Area Code 212-929-7109 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable As designed,the project is consistent with Policy 3 to the extent that a 50'wide non-disturbance buffer will be maintained between the top of bluff and the area of the property to be developed,thus maintaining an undisturbed visual buffer between the proposed development and Long Island Sound and adjacent beach. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III- Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable See attached narrative addressing Policies 4,5,and 6. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ®Yes ❑ No ❑ Not Applicable See attached narrative addressing Policies 4,5,and 6. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes ❑ No ❑ Not Applicable i LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM for ARCIGA &JUUL-HANSEN PROPERTY 500 CASTEL HILL ROAD CUTCHOGUE,NY SCTM#1000-72-1-1.10 POLICIES 4, 5 & 6 The proposed development of the subject property has been designed to conform to the 100'bluff setback requirement pursuant to Town Code Sections 280-116(A)(1) and 275-3(D)(1)(b). And to mitigate the proposed clearing, disturbance, and development of the presently vacant land: 1) all clearing, grading, and ground disturbance is limited to a distance of 50 feet from the top of bluff, 2) a drainage system of leaders, gutters, and drywells is proposed to collect and recharge roof runoff from the new dwelling; 3) additional drywells are provided to contain potential site runoff associated with the proposed pervious gravel driveway, which shall be located more than 100 feet from the crest of bluff and outside Chapter 275 jurisdiction; 4) a project limiting fencing will be installed to control and contain site disturbance during construction; and 5) the sanitary system is proposed on the landward side of the new dwelling and well outside Chapter 275 jurisdiction, at least 175 feet from the top of bluff and 275 feet from the surface waters of Long Island Sound. And the bluff is protected from erosion by an existing retaining wall constructed pursuant to Town Wetlands Permit No. 4525 and Coastal Erosion Management Permit No. 72-1- 1.10, issued in September 1995. Thus, as designed with the incorporated mitigation, the project will protect groundwater quality and supply and will not adversely impact the quality or function of the surrounding ecosystem, adjacent surface water quality, or integrity of the adjacent bluff. The project will thus be consistent with Policies 4, 5, and 6 of the LWRP. See attached narrative addressing Policies 4,5,and 6. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable ti Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY, TITLE Coastal Management Specialist DATE July 1,2019 Robeft e=ann Amended on 811105 h. EN-CONSULTANTS July 1, 2019 REQUEST FOR AN ADMINISTRATIVE WETLAND&rF10M Town of Southold Board of Trustees 54375 Main Road r Post Office Box 1179 L Ll -'� Southold,New York 11971 Re: Geanie Arciga &Thomas Juul-Hansen JUL 3 2019 500 Castle Hill Road, Cutchogue SCTM#1000-72-1-1.10 5ou;holJT%va aar of rti.,fee. Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four (4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; 2. Four(4)LWRP Consistency Assessment Form 3. Four(4) Survey prepared by Kenneth M.Woychuck Land Surveying, PLLC, last dated June 29, 2019. 4. One(1) set of site photographs. 5. Copy of Amended Declaration of Covenants and Restrictions. 6. Application fee of$100.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sin ly, Robert`E.Herrmann - Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 1 p 631.283 6360 f 631283 6136 www.enconsultants com environmental consulting