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HomeMy WebLinkAboutTR-9986 Glenn Goldsmith, President �OF S®�j� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,�®� ®�® P.O. Box 1179 Eric Sepenoski 1 l Southold,New York 11971 Liz Gillooly els Telephone(631) 765-1892 Elizabeth Peeples � �� Fax(631) 765-6641 C®Uf�,�' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2062C Date: August 14, 2023 THIS CERTIFIES that the demolition of existing 1.5-story dwelling and appurtenances, and construct 27' farther landward a new two-story, 1 757sq.ft. (footprint)single-family dwelling with 725sq.ft. attached garage/mudroom install an unroofed outdoor kitchen area; a 195sq.ft. sunroom with 35sq.ft. deck and steps, a 108sq.ft front porch and steps a I I8sq.ft. rear deck and steps, and 4'xl4' basement stairs; construct 16'x34' swimming pool with 12"coping(equipped with saltwater filtration system), and 1 245sq.ft. grade-level masona pool patio; install 4' high pool enclosure fencing;remove existing non- conforming septic system and install a new IA/OWTS sanitary system at least 114' from Richmond Creek-, install a drainage system of dwells to collect and recharge roof runoff and pool backwash; and to remove 16"tree located immediately seaward of proposed pool patio; the removal of two(2)trees located near pool area; with the condition that the pool fence be no higher than 4' and to maximize the view shed as much as possible; with the condition of sound attenuation around pool equipment and to replace any trees removed seaward of the house with a one to one replacement; by planting trees having a 2-3" caliper of native hardwood; At 3475 Wells Road, Peconic Suffolk County Tax Map#1000-86-2-9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 28, 2021 pursuant to which Trustees Wetland Permit#9986 Dated September 15, 2021,was issued and Amended on November 16, 2022 and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition of existing 1.5-story dwelling and appurtenances, and construct 27' farther landward a new two-story, 1 757sq_ft (footprint, single-family dwelling with 725sq ft attached garage/mudroom install an unroofed outdoor kitchen area; a 195sq.ft. sunroom with 35sq ft deck and steps a 108sq ft front porch and steps a 118sq ft rear deck and steps and 4'xl4' basement stairs; construct 16'x34' swimming pool with 12"coping(equipped with saltwater filtration system) and 1 245sq ft grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new IA/OWTS sanitary system at least 114' from Richmond Creek; install a drainage system of drvwells to collect and recharge roof runoff and pool backwash; and to remove 16"tree located immediately seaward of proposed pool patio;the removal of two (2)trees located near pool area; with the condition that the pool fence be no higher than 4' and to maximize the view shed as much as possible;with the condition of sound attenuation around pool equipment and to replace any trees removed seaward of the house with a one to one replacement; by planting trees having a 2-3"caliper of native hardwood The certificate is issued to Mi ael P. & Susan Cavounis owner of the aforesaid property. Authorized Signature Glenn Goldsmith,President ®f S®I�� 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 Co N11, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 021 INSPECTED BY: Ri7A" PeCVk e_) Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: D i Ch t A AACC EW a e.-W+ CERTIFICATE OF COMPLIANCE: I Michael&Susan Cavounis 3475 Wells Road Peconic,NY 11978 (917)362-2624 October 31,2022 D ECEIVE Board of Trustees ��T 3 3 222 Town of Southold 54375 Main Rd. P.O.Box 1179 Southold Town Southold,NY 11971 Board of Trustees RE: Permit#9986 for 3475 Wells Road,Peconic Dear Board of Trustees, We would like to request to administratively amend Permit#9986 for the items below. -We would like to build a 1,245 square foot grade level pool patio in lieu of the 1,005 square foot grade level pool patio that was previously approved.The attached site plan outlines the addition of 240 square feet of patio off the rear deck of the house. - We are not constructing the previously approved 60 square foot attached storage garage and are removing it from the plan. We understand that if we would like to build that storage area in the future,we would need to reapply to do so. - The site plan now indicates the location of a cap for a buried propane tank off the left side of the house. - The site plan also indicates that the pool equipment was moved to the side of the garage. The site plan also highlights two trees that we are requesting approval to remove in a separate correspondence. Please let us know if you have any questions or require any additional information.Thank you for your consideration. Sincerely, Susan Cavounis r Glenn Goldsmith,President ��rif 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®UN`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 18, 2022 Michael & Susan Cavounis 11 Belleview Ave Port Washington, NY 11050 RE: 3475 WELLS ROAD, PECONIC SCTM#: 1000-86-2-9 Dear Mr. and Mrs. Cavounis: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 16, 2022. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9986 to build a 1,245sq.ft. grade level masonry pool patio in lieu of the previously approved 1,005sq. ft. patio; with the relocation of the pool equipment to the side of garage; install an unroofed outdoor kitchen area; the removal of two (2) trees located near pool area; and to exclude the proposed 60sq.ft. attached storage garage previously approved; with the condition of sound attenuation around pool equipment and to replace any trees removed seaward of the house with a one to one replacement; by planting trees having a 2-3" caliper of native hardwood; and as depicted on the site plan prepared by Peter Thomas Podlas, RA, last dated October 31, 2022, and stamped approved on November 16, 2022. 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, ? Glenn Goldsmith President, Board of Trustees GG/dd J G16.4-1.`bldsmith,Presidenth�o�pSVFFOI,_ � Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y , P.O.Box 1,179 Liz Gillooly �y ® ®fig Southold,NY 11971 Elizabeth Peeples �Ol �� Telephone(631)765-1892 . Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 11 2 LL SiZDP Completed infield by: MICHAEL P. & SUSAN CAVOUNIS request an Administrative Amendment to Wetland Permit#9986 to build a 1,245sq.ft. grade level masonry pool patio in lieu of the previously approved 1,005sq. ft. patio; with the relocation of the pool equipment to the side of garage; install an outdoor kitchen; the removal of two (2) trees located near pool area; and to exclude the proposed 60sq.ft. attached storage garage previously approved. Located: 3475 Wells Avenue, Peconic. SCTM#: 1000-86-2-9 Typeof area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: sS�td�aln ornraX�1 - adds ova amina otiol Pain= Present Were: G. Goldsmith N. Kru ski E. Sepenoski L. Gillooly E. Peeples Proposed Lot Coverage APPROVED BY Buildable Land = 18886 sq.ft. BOARD OF I RUSTEES 15586 x 20% =3111.2 sq.ft. TOWN OF SOUTHOLD House 554 x 31'9 = 1151 sq.ft. w DATE ND✓erM� Sun room. 12'2 x 16' = 195 sq.ft. fP 0 Garage/mudroom 31'6 x 23' = 725 sq.ft. = W Front porch 21'8 x 5' = 108 sq.ft. Rear deck 19'8 x 6' = 11 S sq.ft. o ' pool w/ 12"copin = 648 sq.ft. 0 2� -�---� - oc 0 3� Z tY wry 5unR'm deck 5'x1' = 35 sq.ft. o0 p Total = 3586. sq.ft./19.0% Dwelling w/ oZ NOTES: Public Water '� II 1u w oz 1. FLOOD ZONE INFORMATION TAKEN FROM: o Z w � 18 �� �. FLOOD INSURANCE RATE MAP No. 3610360162 H m N/O/F o� ��r ZONE AE: BASE FLOOD ELEVATIONS DETERMINED KOWALGHUK FAMILY 2008 IRR OGAB TRUST n J N Sq 35'50" E PROJEGTLIMITING 186.83' 3m �Oj� i0ry ZONE X:*AREAS OF 0.2%ANNUAL CHANGE FLOOD;AREAS OF 1%ANNUAL CHANGE FLOOD OVERHEAD WIRES FOUND B oC' Q' SPLIT RAIL FENCE FENCE .r` �O Oj WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LE55 THAN 1Q.5 IRON BAR U z.9 0� Oj 1 SQUARE MILE;AND AREAS PROTECTED BY LEVEES FROM 1%ANNUAL CHANGE FLOOD. PrchaTe'Tan'k"""""."""" I 10.8 4'HIGH POOL BLHD. BLHD. 1.8 Py 707 36'5. q 3'S. 4 ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL GRANGE FLOODPLAIN. a� �$��TREE ...-.._ ROWO TREES.._._... - ..- -.-= FENCE .. ...........� B 9.0 D z o 18"TREE o, 1 8.4 O -\ 0..TREE _.._._._...................._..._.-. r r. $' tree°Sea roil 10"TREE Tree55eawardsideOf 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM ''^Is ry ool 16"TWINTREES the house toremaln EXI5TING ELEVATIONS ARE SHOWN THUS: 5.o EE Removal _ autd r- m f r p, _ 9.4 F.FL. - FIRST FLOOR o osed pervious stone o n r Pro Proposed ,76 8'8 bl II p p I t 6`rl0 R o tdoor p - ..3, 1` E' G.FL. - GARAGE FLOOR er ravel(piped Tree Prop.76 x34 pool TB. - TOP OF BULKHEAD n -J driveLay o 119 eqw° 17towerS� / ower over Removal �t�\-1 BB. BOTTOM OF BULKHEAD with 12' coping. I TEST HOLE .. o dryuell) m' TW. - TOP OF WALL 3 , i'rP I % 15 ° J/ 5° r J 1.8 B.W. - BOTTOM OF WALL W ( posed mate 105 c i f N ! � Prop - ��. 30'TRE O r�lhe f Garage& mud ° 100 sf 3o- f ;/ 10.5 L"��. EL.11.0 EL.13.5 -�?� gr de PROJECT Limir wide of nonovenanted turf buffer 10 "((1�/�� ° I el / �� or LIMITIN6-�� (LlberD00012868,Page �m k Y- lueston FENCE 216) EXISTING LOT COVERAGE OVER TOWN z \ se Prop.su rm w ing teps oa Q [/�' v F m 54. t ' "TREE rebaryd neC!<P�be ` j - - 0.6 patio a°av` ^ry DEFINED BUILDABLE LAND(18,8$6 sq.ft.) F w ,_0° 100 94rrytS per _ _ Qaf' , 8.0 DESCRIPTION AREA %LOT COVERAGE W F- �_,� t --� \ n 16"TWIN TREE � r�s R a a .�y� HOUSE 1,635sq.ft. 8.7% JEX 5 ` el f '6eLP/obe 'Per SC t7' TEST HOLE DATA utdoor kit hen do h\ �_ q $ !! U (TEST HOLE DUG BY McDONALD GE05GIENGE ON DECEMBER 29,2020 AT 1:30 m) Fro t porch /` r. Yz�� �? p ` l .0 f 9.6 J� ,w ^ EL.11.5' 0, $ / (,� �O O DARK BROWN LOAM OL $ / I PROPOSED Rear d ck - �o CP '2 5tr1y Fr mt House -- ^,r' 2w�", _ �� pl ,r __- ,rte//�W 2' BROWN SILTY SAND SM p Y 44/p ! EI. 13.5 ^ __ 1-- ° a3v iw �o 4,4 . �c 2.5' be 1b67ry o rer/Ipe 10.6 �Q\ \ Prpp ----4. ,�„1 rV U f f�W ��C+ BROWN FINE TO MEDIUM SAND SP /A E ' V � O _�Y m U, 'VC �3 \`\�C3 W ■lel• STO�F °1/• �ea ��a � 3j9 ,. \ 9rdde po ��� , �-• �v O !j N ��,� �5,: , `� �/V i a/� %fry len (cv\ i / �WJ V D 0�� F� EL.1.9' }• ^'� ° -".»�eg�� ^C/ -�__�6.6 �>� "-" ti 4 GROUND WATER 9.6' z WATER IN �1 �1 N 4,N/ 1 \\ pJ mY 1 5 BROWN FINE TO MEDIUM SAND 5P NOV Y/��( � 3 LO22 9Gy"004 "4A. 10.4 $'SO j o m o0 PRO moiF .2 ,mea 11' Tpyyll / �cr Q. C. 9.9PENC7/ �•\4m 4/S 7/ floardof711 " / Q q0, O�tG o� ^ I'G O�C RaB�Njo�� ,. .5 = Roof Area 2402 sq.ft.x 0.11=406 cul19,026 sq. ft. Rr �, AREA 408 tuft./42.2=9.1 vertical ft.of V dia.leaching pool required SFR /N /��` 4$• *, ,� (TO TIE LINE 0.431 ac. PROVIDE(3)8'dia.x 3.5'deep STORM DRAIN POOLS p GJ.` / k " } &BULKHEAD) [!fie/• •- 7.9 a Driveway Area 106'1 sq.ft.x 0.1'1= 182 cu.ft. P46/ic/y �'� R� OPrRF 02w �I�/ 182 cu.ft./42.2=4.2 vertical ft.of V dai.leaching pool mater FS 7'9 3415 kNe I I s Road, fleco n i c , I 1 PROVIDE(1)8'dia.x 5'deep STORM DRAIN POOL s 2 ,�� TOM OF 5OUTHOLD �4.,7 �Ho `� q �.....�. SUFFOLK COUNTY NEVI YORK m) 84H -0.7 �' r`•(t Y:J ,r y`~'� o,�w � 5.6. TAX No. 1000-86-02-09 r Iwo w� �•�- °,� SCALE 1"=20' lz�SN PROPOSED SITE PLAN FOR MICHAEL AND SUSAN CAVOUNI5 ; .¢• ` . .: f„ r` k Prepared bu Peter Podlas Architect 1-22-2021 � F 9 s t Site Plan based on survey by R"� 5` Nathan Taft Corwin III 'a, :` a �" Revlslon 10/31/2022 `" '•�' Land Surveyor the extension of the patio off of the rear deck w N.Y.S.Llc.No.50461 removal of garage storage area at garage side pool equipment re-located to side of garage EXISTENCE OF RIGHTS OF WAY AND/OR EA5EMENT5 OF RECORD,IF the addition of the buried propane tank ANY,NOT SHOWN ARE NOT GUARANTEED. Revision:Trees updated September 10,2021 proposed(2)trees to be removed I _ _ EiVE u � QGZ 3 1 2022 Proposed Lot Coverage Buildable Lend•1 BOSS sq.R. ---- IObbbx20%•3177.2 q.ft. .S,,po,MoIO iowfl Mous.55'4 x 31'9.1757.4.11. Vlwrd of Trustees Sun—12'2 x 16'•145 eq.R. ' 8 Gwge/mudroom 31'6 x 23'•725 sq.R. Front porch 215 x 5'•108 s4 ft. Rear deck ITS x 6'•116 q.ft. P a 16X64'pool u4 12"copMg•648 sq.ft. 8, garage storage 0,10'•60q 2 5unRm deck 5'x7'•35 s4 .ft. t p Total•3b4b..4.R./19.3% Giuenlrp u4e� S NOTES: Public Wafer g i Yy` 1.FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No.3610360762 M mr S "0" ZONE AE:BASE FLOOD ELEVATIONS DETERMINED yC KOWALLHUKFAMILY20061RR OLA TRUST 186.83' i tbD'r1Of 0 2% N 89 35'50"E { y, 'G ZONE%�AREAS H AVER OEANNUALDEP HCHANCEOFS THAN AREAS Olt"TH UAL CHANCEFLOODLESS E , rr�` 1 SQAVERAGED AND AELE55TMAN1FOOTEVWTHDRAINAGEAREASLE55THAN rn� 1 SQUARE MILE;AND AREA$PROTECTED BY LEVEES FROM I%ANNUAL CHANCE FLOOD. ZONE X AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL CHANCE FLOODFWN. v SD y ® A r�e,� 2.ELEVATIONS ELEVAT ARE REFERENCED TO N.A.V.D.190D DATUM `y m 1°"•I" EXISTING IONS ARE SHOWN THUS: ba N pe'A u none l n.., 26g.r� /P tltu 6l 4 dd ebN �,,bv wM uM 12' ped 11 Ar Rr madman „ { a ®A__,°, '�. •r / 1r / nw.:w '..'1 Exnnx6loT covERAve avt:RTarw a tea.,,, • p f DEFINED BUILDABLE LAND(tb,bNb R.) °��°�//,�� RNce 1 i pesclurinN w e , TEST HOLE DATA (TEST HOLE DW WNCDONALD 6t05LIENLE ON DECEMBER N.]p10 ATI Wi-) • �.,,�•�,,,,p ro w _J _.,�a ,°, �� �d4'.Y'4\�F�j� `O p.v r.e.o l.eaw,,.vx �f1v10//q Rod A- 2 .q. .0.17•4osw.a.Ian odd ra4NNea ROaFR 5?RL,A ar•,,I AREAne uNE026 eq.R. 0.437 ac. 406 w.R 1202 2.9.jverBul Rab" a 6'Ela b' '61. oral PROVIDE(3)6'dl,.3 5'deep STORM DRAIN POOLS 6 }' e;�,.1%1 A...10 e1V,w,;;app„ `��� '��r 34'15 We115 Road, Peconic ,NY 4„ PROVIDE(1)6'dY..V—P STORM DRAIN POOL € �p TOWN OF 5OUTHOLD '4?9e SUFFOLK COUNTY, NEW YORK „ 5.6.TAX No.1000-86-02-09 rr a SCALE V=20' y� 1 PROPOSED SITE PLAN FOR MICHAEL AND SUSAN CAVOUNIS SN,PW,beee J—.'N bg HtlNan TO Lawn Is LerW Surveypr „-�Y-`'!v N.Y.S.LIc.N°.60461 ��roa1tli n•� tMSTENLt M R,dxr4 M rNY E•Y•,rol,m AN1..01SHavN AR[-T.-FANr[t0. RM,bn'Troe,Iad.,d Sep—1 10.-1 M�°�0Atl1�bn1i°�'•"r pi Y f `� �r �L lt� i -+.ter.• �. _ _ ti�`r .�T`���` -'�! ,. } � '{lire '+� � �'. `�,�•r -+' ,�' .�' '� � •� If � Y� - ��"' � .:;'�i. { Via/• ,� i' i�'r. .,t� y�; '� .. t�. �. It � r ti J+' If• � i `� � - , 7 .I r � t t '• 1 Y� r. Glenn Goldsmith,President �QF SO(/rTown Hall Annex A.Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Ji[ Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE`REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72°HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF 'BELOW INSPECTION SCHEDULE Pte7 construc1ion;3h-4y:ba1e jhe>silt b6'- ilt curtain. bf�o s ruc id nry Vllheri.project Gomple#e,-call for comj lia! inspection; =� _ t ' , . p'9i}Of C9�6 v = ,'°,°00'`,jOp ,�Yy-v1,0°,,0 d,°Q4 C!•0., - �VOP� - d°Pr°'•• 'eVa11°1••40i00``-� _ ,4lh 4000 aG• cell 1 dl/pyr•._ MIA �r%�,. � �j�i,•� y,,' �_-���• �' �:� n'"'"�� � .�_ ,�a r�•.\ �,\j. �v ;�`t eke.9%'„ e 'r;�`� �C s �s - - 3 4°d°0'p�0 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK i. 45 �vd PERMIT NO. 9986 DATE: SEPTEMBER 15,2021 s f ISSUED TO: MICHAEL P. & SUSAN CAVOUNIS xr �oJy. PROPERTY ADDRESS: 3475 WELLS ROAD,PECONIC SCTM# 1000-86-2-9 :1 AUTHORIZATION ' Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in r accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 15, 2021, and in consideration of application fee in the sum of$250.00 paid by Michael P. & Susan Cavounis and subject v 1 to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and �p d 9 permits the following: eon` Wetland Permit to demolish existing 1.5-story dwelling and appurtenances,and construct 27' d•4°iiP� farther landward a new two-story, 1,757sq.ft. (footprint)single-family dwelling with 725sq.ft. e;. �f attached garage/mudroom (with 60sq.ft. attached storage),a 195sq.ft. sunroom with 35sq.ft. s deck and steps,a 108sq.ft front porch and steps, a 118sq.ft. rear deck and steps, and 4'x14' basement stairs; construct 16'x34' swimming pool with 12"coping(equipped with saltwater filtration system),and 1,005sq.ft.grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new IA/OWTS sanitary va system at least 114' from Richmond Creek; install a drainage system of drywells to collect and i recharge roof runoff and pool backwash; and to remove 16"tree located immediately seaward ==> - of proposed pool patio;with the condition that the pool fence be no higher than 4' and to maximize the view shed as much as possible; and as depicted on the site plan prepared by Peter �.d Podlas Architect,last dated September 10,2021 and stamped approved on September 15,2021. - _ IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Sea]to be affixed, and these 91 presents to be subscribed by a majority of the said Board as of the 15th day of September,2021. ",�,�6j�eb0 5 1 �"ceL/{M� ii6-� f` I°+fe!•'�� :� ��. ,.�-- - "1• ';i•" it,.:.,9�n1fiFe 7fFt;iG.@R.r:iiwi5a�i)rYirt7i.i�Sr°�iaiiirj5ji.f 7iiir,lriilr'Rn�>rniiY rn �,� nL2eX4,i?iriea�ieh`ridrt,�e�G`�tlan,iv.°,afnn.a�:nt�'kt;,[fn�kul.6C:" atel;R�.1r`r;°n�t��tn7. iv"ii."et :;.C;t;+rn.aB.iPiytina$�Cf3v'lT.nn?siecn,�tn veaLd..a�u.Tu%„2., � •xF�'. -��t �'- �/ u',g �,_ t. vv %: - �• �v�. - -_-'-fir,-a a:!•° �p ° •:ae/4 61s• :d0 9,.°•'_ - �:e:0 60ia. .,Ip 11e,., .:e0p BLen.• -” _ ..°a'd1°3'0:°.�'_ -_ ,.esae:�OQ"'°''�,_'' =��`0/6be_°d°I�a'°°�' --- °`J:�°1ia:.•s _'r:ei0id,_,�ial�:•'._ ,9SIL!°d�°�IeP,I�;.r-'. TERMS AND CONDITIONS The Permittee Michael P. & Susan Cavounis residing at 3475 Wells Road, Peconic New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ��QF SOUTyo Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �y�4UNT1 N� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 15, 2021 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: - MICHAEL P. & SUSAN CAVOUNIS 3475 WELLS ROAD, PECONIC SCTM# 1000-86-2-9 Dear Mr. Herrmann: The,Board of Town Trustees to the-following action_during1ts regular-meeting held on ,3 Wednpsday;<September 15, 2021,,regarding=`the',aboue;matter: ; WHEREAS, En=•Consultants on behalflof MICHAEL-P:A_S,U`SAJR VOUNIS applied to the . Southold Town-Trustees-for a permit under the provisions of`Chapter 275'of�'the Southold Town Code, the Wetland Ordinance of the Town of-Southold;"application datod-July 28,2021,-and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and-to the•Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with,the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 15, 2021, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MICHAEL P. &SUSAN CAVOUNIS to demolish existing 1.5-story dwelling and appurtenances, and construct 27' farther landward a new two-story, 1,757sq.ft. (footprint) single-family dwelling with 725sq.ft. attached garage/mudroom (with 60sq.ft. attached storage), a 195sq.ft. sunroom with 35sq.ft. deck and steps, a 108sq.ft front porch and steps, a 118sq.ft. rear deck and steps, and 4'x14' basement stairs; construct 16'x34' swimming pool with 12" coping (equipped with saltwater filtration system), and 1,005sq.ft. grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new IA/OWTS sanitary system at least 114' from Richmond Creek; install a drainage system of drywells to collect and recharge roof runoff and pool backwash; and to remove 16" tree located immediately seaward of proposed pool patio; with the condition that the pool fence be no higher than 4' and to maximize the view shed as much as possible; and as depicted-on the site plan prepared by Peter Podlas Architect, last dated September 10, 2021 and stamped approved on September 15, 2021. Permit to construct and complete project will'expire two,years from the date the permit is signed. Fees must-be.paid, if,applicable,-.and permit issued within six-months of the date of this notification, ec fi ,See�attached-scl edule': Inspections;are regial,red at a,,ee;of'$50:00',p r insp - do (, _ Fees:$50':00:_- i Very,truly yours, e, s i President, Board of Trustees GG/dd Michael P.&Susan Cavounis 3475 Wells Rd.,Peconic 111 .`�1. 4/8/21 Ilk- .,.:. w�.._ ,„,e__'.r.. .. .... -,. :"•,. ._,rte.._ �• • - _ SIA..�. �' ` _ ar,. '%+�� � �'r� i - r I t�.� •^' i Its 6x i \ -. - �.. o- y- F � � IM Proposed Lot Coverage Buildable Land = 18886 sq. ft. 1 bb56 x 20010 = 3711.2 sq.ft. House 554 x 31'q = 1757 sL U, 5unroom. 12'2 x 16' = 1 q5 sq.ft. 0 a Garage/mudroom 31'6 x 23' = 125 sq.ft. = W z Front porch 2V5 x 5' = 108 sq.ft. Rear deck 1 q'8 x 6' = 118 sq.ft. A e 0 16'x34' pool w/ 12"coping = 648 sq.ft. ZP z garage storage 6'x10' = 60 sq.ft. wry 5unRm deck 54' = 35 sq.ft. qzo p Total = 3646. sq.ft. /1 q.3% Dwelling w/ o NOTES b Public Water ;o fJ 6 1uIU o2 1. FLOOD ZONE INFORMATION TAKEN FROM: oJ z � IL1 0 18 `� FLOOD INSURANCE RATE MAP No. 3610360162 H cn N N/O/F /( c Q 2 P zw `r � ZONE AE: BASE FLOOD ELEVATIONS DETERMINED N Sci 35'50" E KOWALGHUK FAMILY 2008 7REVOCABLE w 186.83 %mZONE X AREAS OF 0.2%ANNUAL CHANGE FLOOD AREAS OF 1%ANNUAL CHANGE FLOOD 100 5 I OVERHEAD WIRES FouND R SPLIT RAIL TRUST ` �•"� ^O�`4j�` WITH AVERAGE DEPTH OF LE55 THAN 1 FOOT OR WITH DRAINAGE AREAS LE55 THAN P RON BA !f r 2.� o? ro 1 5OUARE MILE;AND AREAS PROTECTED BY LEVEES FROM 1%ANNUAL CHANGE FLOOD. 10. 10 8 4'HIGH POOL BLHD ( BLHD 1 8 ,tv wui3.6'S (0 ZONE X: AREAS DETERMINED TO BE OUT5IDE THE 0.2%ANNUAL CHANGE FLOODPLAIN. z t" 18"TREE -1Y"TREE ROW 0 TREES 7 FENCE TB PROJECT LIMITING___ 8.4 0"TREE /90 ° _ 8'SD a'SD `"cE Fn 10"TREE Trees seaward side of 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1 cob DATUM ° H `,, r p.4'x4'- a E ry 001 16"TWIN TREES the house to remain EXISTING ELEVATIONS ARE 5HOWN THUS: 5.o ° o -°I0"TREE ' -L- - - - - - outdeo ® / 26"TRE o p p \ 94 \ bbl F.FL - FIRST FLOOR ° o os d ervtous stone , o Ek,o shower ;/ a II ° st o tdoor nye 1 �� 6F - GAR.AGE FLOOR J ° 'drivel°eay ° m %' t dee \ ower over d II Prop.16'x34'pOOI TB TOP OF BULKHEAD A 115 r; ravel(piped \ BB BOTTOM OF BULKHEAD with 12"coping. / Tw roP of wALL c TEST HOLE o dwell) i ! i m Pr37'S' 1.6 B.W - BOTTOM OF WALL 3 O,bO , if1 / .30"TREE Sed ", .1 5 °` O 1` a rc [U m /Prop. t ate"llhe Garage& mudroom ' 100 sf r Nom' !` = F't EL.i 1.o EL13 5 \ Y ,z gr,de /' PROJECT Limit of covenanted 10' v w , 10 5' wide non-turf buffer ^O � •.ri-b - IeNel H oc !�` / LIMITING~ LU % �` j; (Liber 000012868,Page � EXI5TINO LOT COVERAGE OVER TOWN ` luestone^'` / 6 \FENCE ;216) DEFINED BUILDABLE LAND 18,886 5 ft.) v 'W SePtie� !,\ �'^•: Prop.sln�m w ding 8-teps / Qo w ..TREE abando �bPto '��..' \ 0 patio /�i l w v err ry q, a z �', �2� 10.0 9�4ts 5 j`, \• �\ /8 _ 8.0 DESCRIPTION AREA %LOT COVERAGE w C \ Q" l m N W H /�\ \\ \ \ -t ! n / /16"TWIN TREE !45` / HOi IE__ a.ft. LUv J/ 4p g 3' nm•.,fr'\\. \ \ \,\\\ \ ``,` (r/ e hntsnedpe'SCH 70, O2 n 1 utdoor kitehen i o / TEST HOLE DATA �9' ? (TEST HOLE DUG BY McDONALD GE05GIENGE ON DECEMBER 29,2020 AT 1:30pm) 8' Fro t�JO�Gh,\\ /' luF l(O l` \\�\\� ` 5.p - ` 96 J �W g�_G EL.11.5' 0, n. 8' �� Y P1' .•\ \ \ \\J'(. DARK BROWN LOAM rn 2\5tr1}Fram use \\ ,av" 103 O BROWN SILTY SAND p, 9.5 A 6 Bedrobm�-���.,`� -,�.' ' �r;�o � O/ � E 1, /`h ��• � v O \ /'J �' SM Ory/<q 2 5 t6 aw 10.6 \\ Ei.,13.5 \'\ 77 / B ,w w �^ aMp eabyn ater/irye �0` 'r `\, \% 4.6rI. a,'c Qw /O O/ DST\ wQ m done ti / ti f'S d r \ \ \ +'� '� a U,/ BROWN FINE TO MEDIUM SAND .;r STO Discs �S _ .\ � � � SP qRear di�// .' .° �'\ / w g RiyF N10 �, \! �� cv u / zwv !J APPRO'�E� B ' EL1.9' }- l�� ^rj_ 4.° se''enis.�. •/ / m, ( D �. GROUND 9.6 BOARD OF 1t?USTEES NATERNATER ROWNIFINE TO MEDIUM SAND 5P 69Goo` N�F ,042 , I TOWN OF SOUTHOLD F�b.,H;t ✓j 7 '9. k D DATE Q, 4; / zozl "ING c � AREA = 1q,026 5q. ft. Roof Area 2402 sq.ft.x 0.11=408 cu.ft. (TO TIE LINE 0.431 ac. 408 cu.ft./42.2=9.7 vertical ft.of 8'dia. leaching pool required SFRL/ 45=�*; ti 5 &BULKHEAD) PROVIDE(3)V dia.x 3.5'deep STORM DRAIN POOLS p NG J J / k " I u'e//ih w � \� t Driveway Area 1067 sq.ft.x 0.11= 182 cu.ft. p46//o 9�/ RO r Z ^ 182 cu.ft./42.2=4.2 vertical ft.of 8'dai.leaching pool Z5 7Am ` n \ ) 3415 Neils Road , P e eo n i e , N PROVIDE(1)8'dia.x 5'deep STORM DRAIN POOL w ^o. ry \\// X 42(7 084 I'D (1)ry TONN OF 50UTHOLD °gI 5UFFOLK COUNTY, NEN YORK �� 4w O.Rm 66SD ,0. a-• j-�' (I�� (-, (' '`� 1 E� '' S.G. TAX No. 1000-86-02-0q �oJ � I s•� 1 � �_ X11 o�o�z II �' SEP 1 3 2021 `J 56ALE 1"=20' UQu = PROPOSED 517E PLAN FOR MICHAEL AND, 5A A(5011 15 Prepared bL4 Peter Podlas Archite I -2021 Site Plan based on surve Nathan Taft Corwin III Land Surveyor N.Y.5.Lic.No.50467 EXI5TENCE OF RI6HT5 OF 1^lAY AND/OR EASEMENTS OF RECORD,IF Revision:Trees updated Se tember 10,2021 ANY,NOT 5HOY`,N ARE NOT GUARANTEED. p p Cantrell, Elizabeth From: rkowalc223@aol.com Sent: Monday, September 13, 2021 11:48 AM To: Cantrell, Elizabeth; DiSalvo, Diane Subject: [SPAM] - Cavounis application SCTM#1000-86-2-9 Attachments: Sept 13.docx Southold Trustees.pdf Attached you will find a letter in regard to the issues we have with this application for permit. Please confirm that you have received this PDF document. Ben Kowalchuk Richard Kowalchuk Susan Kowalchuk Kowalchuk Family 2008 Irrevocable Trust PO Box 225 3375 Wells Rd Peconic, New York 11958 SEP 1 3 2021 1 Sept 13,2021 To:Southold Trustees Town ufSouthold Subject: [avourisResidence application S[TW1#100U'86'Z'0 VVehave 2major issues with proposed permit application 1. The 4ftpool fence shown along our property line tothe bulkhead bordering Richmond Creek.This will negatively effect our Viewshed and reduce our property value. We ask the Trustees to amend application to prevent any fence being installed along the property line in perpetuity. Further,the construction of the 4 foot fence along both property lines to the bulkhead gives a fortress like appearance to the property and diminishes the natural beauty ofthe shoreline. We believe a reasonable solution is to build the 4ft pool fence along the immediate perimeter ofthe pool.This would also bethe safest option. � ^ Z. Set Back from Bulkhead and Wetlands Southold Town should strictly enforce all setback minimum distances from any bulkhead or Wetlands.This application is for a tear down and new build. Enforcing the current code should be a priority.The plan shows a pool being constructed 45 feet from the bulkhead, 50 feet is the current code. Protecting Richmond Creek, which is listed as a Critical Environmental Area necessitates adherence to the current � standards. ' The Kowalchuk family has resided at 3375 Wells Road for over 40 years. We would like to be here for another 40.We love the beauty and small town feel of Southold � and the North Fork. We realize that change will happen and respect the Cavouris's right right tnbuild anew home. VVehope this can beaccomplished with consideration for existing standards as well as the interest and property value of adjoining neighbors. We just hope Southold can maintain a special place to live and not become Hampton's North. Thank you for the opportunity toexpress our concerns, Kuvva|chukFamily ZOO8Irrevocable Trust BenjaminKowa|chuk RichardKovva|chuk SusanKovva|chuk P0Box Z2S 3375Wells Rd Peconic, New York 1l9S8 Glenn Goll, h,President p�Qs r '�C�G Town Hall Annex A.Nicholas Krupsi<i, Vice President 54375 Route 25 John M. Bredemeyer III co -�' P.O. Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: O/lCompleted in field by: � G- En-Consultants on behalf of MICHAEL P. & SUSAN CAVOUNIS requests a Wetland Permit to demolish existing 1.5-story dwelling and appurtenances, and construct 27' farther landward a new two-story, 1,757sq.ft. (footprint) single-family dwelling with 725sq.ft. attached garage/mudroom (with 60sq.ft. attached storage), a 195sq.ft. sunroom with 35sq.ft. deck and steps, a 108sq.ft front porch and steps, a 118sq.ft. rear deck and steps, and 4'x14' basement stairs; construct 16'x34' swimming pool with 12" coping (equipped with saltwater filtration system), and 1,005sq.ft. grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new IA/OWTS sanitary system at least 114' from Richmond Creek; install a drainage system of drywells to collect and recharge roof runoff and pool backwash; and to remove 16" tree located immediately seaward of proposed pool patio. Located: 3475 Wells Road, Peconic. SCTM# 1000-86- 2-9 CH. 275-3 - SETBACKS L WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool. (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 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 revie�w//consultant/application completeness/co ments/standards: `fir AA V° roll %cl f I have read & acknowledg the foregoing Trustees comments: Agent/Owner: Present were: J. Br meyer : M. Domino �dsmith N. Krupski G. Williams Other Proposed Lot Coverage Buildable Land = 1 bbb6 sq. ft. 18886 x 20010 = 3717.2 sq.ft. House 554 x 31'q = 1157 sq.ft. w 5unroom. 122 x 16' = 195 sq.ft. W Garage/mudroom 31'6 x 23' = 725 sq.ft. z z Front porch 2 V x 5' = 108 sq.ft. ie Rear deck 19'8 x 6' = 11&sq.ft. 4 Ll e 0 16'x34' pool w/ 12"coping = 648 sq.ft. 2� garage storage 6'x10' = 60 sq.ft. 5unRm deck 5'x'1' = 35 sq.ft. qZ p Total = 3646. sq.ft. /19.3% Dwelling w/ o 0) b NOTES Public Water x ,p LL' p • 1. FLOOD ZONE INFORMATION TAKEN FROM: / w �o2 m Zlw ° I FLOOD INSURANCE RATE MAP No. 3610360162 H N/O/F / "� ��P� ry ZONE AE: BASE FLOOD ELEVATIONS DETERMINED Pm N 89 35'50" E KOWALCHUK FAMILY 2008 I REVOCABLE 186.83 / :� 1p ZONE X:*AREA5 OF 0.2%ANNUAL CHANGE FLOOD'AREAS OF 1%ANNUAL CHANGE FLOOD OVERHEAD WIRES P �-' < )1'1'1'N'IIA vTRUST 1 / �•�'� �Od`4jd` WITH AVERAGE DEPTH OF LE55 THAN 1 FOOT OR WITH DRAToAGE AREA5 LE55 THAN SPLIT RAIL / I10.5 R 1 p 24 ° ro 1 5GUARE MILE;AND AREA5 PROTECTED BY LEVEES FROM 1010 ANNUAL CHANGE FLOOD. 10. job 4'HIGH POOL BLHD �BLHD 1.8 1t1 -v w'! , r/ FENCE 3.6'5 I 43'5 �, ZONE X: AREA5 DETERMINED TO BE OUT5IDE THE 0.2%ANNUAL CHANGE FLOODPLAIN. 18"TREE -18"TREE ROW O TREES _ TO W PROJECT LIMITING 8.4 _ TREE 2 ELEVATIONS lf'1 0" 9 0 1 ° iV t3'SD a'SD ENGE 1 10"TREE Trees seaward side f / DATUM % ° p ° ° - ry ool ® 1b"TWIN TREES � the house to remain o V EXISTING ELEVATIONS ARE TH OWN THUS 8 D oT oposgd pemous stone "71 0"TREE -------.__-.__ 'e---- - ortdoorx4 6_TRE�E out er 9.4 !! g"g 6) F.FL - FIRST FLOOR tt ° ! (E (7.FL GARAGE FLOOR 1 J ° 'driveway ° \ �a9e ower over dL�uell Prop.1Vx34'pool ` TB TOP OF BULKHEAD m 11.6 D \ revel piped / BB BOTTOM OF BULKHEAD TEST HOLE d IQ with 12"coping TW - TOP OF WALL prOpoS P, 1' ® .30"TRE // t 8 bY4 - BOTTOM OF WALL O v m ed 40. 74s ° ° ` '..r Prop. er//he / Garage&mudroorm ' 3 / 100 sf r / "' Limit of covenanted 10' = W' .✓• ', �L.71.0 EL13.5 PROJECT wide non-turf buffer ..�. 9/ %; t \ \ \ .i- el t-! i ,or `7 / LIMITING-�f W ` \ - (Liber D00012868,Page `, \ ', `, , !'. / �o � EXISTING LOT GOVERA6E OVER TOWN 3 Ek _- _ luestone", o i,' FENCE "216) e w ,1 `C; 4 Prop.su rm u/ ng 8 teps ( 4 J �' DEFINED BUILDABLE LAND 18,886 s ft.) m ,.TREE abando ��P to ••\ ti"N-.,,� '1 '0. patio !,`! °' ``!,� �l ( q• £ �'� 10.0 nts �SGy \ \\ , % ter. t m "r ! '� / 80 DESCRIPTION AREA %LOT GOYERAGE ' h 11 /ib"TWIN TREE j S' \ C• /r (+ / '.`-' < d '�2 / \ \ \ \ \'- FF ! % �' •) k / HOUSE 1,635 sq ft. 8.LU T'/o \, FCPto a "' -l-' 8' 'k' V\%'\ ,.\ \.\ ! ., !1 / 'e "rats bcerSG �o' w o TEST HOLE DATA \ \'\\'\\ \\\ \\<' Outdoor kitchen HD / 8 /\poPc\. \ '`.\;, % 9�. w� to �/ (TEST HOLE DUG BY McDONALD GE05CIENGE ON DECEMBER 29,2020 AT 1:30 m) P a Front , \ \ \ `i,' �. 1 ! / -1 yr � A\ p EL.11s' 01 j.'`\ „' \, \\ \•\' `,t. (� %' / O �S, DARK BROWN LOAM v =-2 Str>ydram use I vfi �°'' 103 f z"'�J z° '0 r` tr^Al a' ` \ \� \ •` r� 'v BROWN SILTY SAND 9.5 a 1�5,r//�u 6 Bedroo?rrs.,,�.,, \ /t Y� � q/ e / 7�4/ a3 �y P s.s e Enna ntell'e O \ 6,r, S!° o;/SCE S. ` \\• ,\``, \\ .\ '' / -�� ;a h !^ / BROWN FINE TO MEDIUM SAND ���d0 \`; \ v' o �' 3 NFO,P/L �'3E GEN7011 e ;.��r�, \\\ •'\ `fl Rear d�Gk J% ,, -� o 2� ��' gp 5P F O/1 EL 1.9' 9.6 GROUND , WATER BRONI � FINE TO MEDIUM SAND 5P N \� �, 111111 �r-J `j W 64•y/�H � 1. 92 ~� , "004 P q q 10.4 94 p,, N 9.9 �y PENCE G / ��tm Ski Q, 10, ON N sTtNG D F ��'\� r*' ti0'+" G AREA= 19,026 sq. ft. Roof Area 2402 sq.ft.x 0.17=408 cu.ft. Rr 408 cu.ft./42.2=9.1 vertical ft.of 8'dia. leaching pool required S�R�/kG % 4S,(.,�ti 5 (TO TIE LINE 0.437 ac. PROVIDE(3)8'dia.x 3.5'deep STORM DRAIN POOLS Die///,7 // J/ `" - _ _ � � _ .- / i 9 � �. &BULKHEAD) Driveway Area =106-1 4.2v .ft.x0 .of5'd2cu.ft. X46/ic lh9�'� ;l ROwOFrRE 347 l�lelis Road, �eeonie I `f 182 cu.ft./42.2=4.2 vertical ft.of 8'dai.leaching pool 1ater Eg T.9 H w , PROVIDE(1)8'dia.x 5'deep STORM DRAIN POOL ~m ry TOl�IN OF SO UTHOLD ry �4z 96' e H '� OBSD _ - SUFFOLK COUNTY, NEN YORK 4 0. �``` U - I 5.C. TAX No. 1000-66-02-Oq SCALE 1"=20' 60 Qom" { SEP 1 3 2021 PROPOSED 51TE PLAN FOR MICHAEL AND, `05 CAVOb15 \ S .. \ Prepared bu Peter Podlas Archite 2021 '-��"•"+�, to ..� Site Plan based on surve b �' Nathan Taft Corwin III Land Surveyor N.Y.5.Lic.No.50467 EXISTENCE OF RIGHT5 OF WAY AND/OR EA5EMENT5 OF RECORD,IF tember 10,2021 Revision:Trees updated Se ANY,NOT 5HOWN ARE NOT GUARANTEED. p p SURVEY OF PROPERTY 10� SI T UA TE P PECONIC TOWN OF SOUTHOLD D r'-E-' E 0 V E SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86-02-09 JUL 28 2021 SCALE 1 "=20' southotdTown MARCH 10, 2016 Board of 'ruS192a-----J SEPTEMBER 25, 2019 ADD WATER DEPTHS N JANUARY 21, 2021 UPDATE SURVEY JULY 14, 2021 LOCATED CATWALK, RAMP & FLOATING DOCK } N AREA = 19,026 sq. ft. v =O (TO TIE LINE 0,437 ac. _ & BULKHEAD) � o m QO CERTIFIED TO: Z_ K & G ABSTRACT INC. a " Ate TD BANK MICHAEL P. CAVOUNIS H SUSAN CAVOUNIS .e r o 6.. o �� NOTES: w�a$ 1 . FLOOD ZONE INFORMATION TAKEN FROM: zla o FLOOD INSURANCE RATE MAP No. 36103CO162 H �• N 89°3S'SO" E KORTALCHUK FAMILY 2008 IRREVOCABLE TRUST 86.83 / ���� ZONE A*: BASE FLOOD ELEVATIONS DETERMINED 42 Mme, j ZONE X AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD OVERHEAD WIRES FOUND SPLIT RAIL FENCE //?� � cy// WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN . • �� °� C0 j Qz 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. 10.5 IRON BAR .. �i ri ri r r i NCE BLHD. BLHD. l+�/2 / . .V' ------- "^�`'"� - -Off'Tr EE"\C-ROW OF TREES�J`�`�✓ °•5 S' a's's' 4'3's' /yD ��`/ ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. n 18" TREE V It 20" TREE / (0 "I \ —to" TREE // x / / '" 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM °a. M o \ 16" TWIN TREES X-� / / JL / EXISTING ELEVATIONS ARE SHOWN THUS: t 0) \ x to.9 I 6v 5o`/ 25" TREE 70" TREE F.FL. — FIRST FLOOR / x / � G.FL. — GARAGE FLOOR a ° �I f8• / p� TS. — TOP OF BULKHEAD "I �� 5\ x 10.6 I+„ // f AE (E', 86. — BOTTOM OF BULKHEAD ' . TEST HOLE 1--, B.W. — BOTTOM OFWALLo r -LB AL 30" TREE •• 'a, � � 10.5 �R�`� I // / M /// �� EXISTING LOT COVERAGE OVER TOWN '�v DEFINED BUILDABLE LAND (18,886 sq. ft.) 16" TWIN TREES xm / DESCRIPTION AREA % LOT COVERAGE I / � 1L/ / / -QZ ( 1 HOUSE 1,635 sq. ft. 8.7% 0 X12 c0 -`f i\ Co 0 cfs40'I c � / Q �Q / '` TEST HOLE DATA a ° yR ess''°ot N 14� �� / l a� (TEST HOLE DUG BY McDONALD GEOSCIENCE ON DECEMBER 29, 2020 AT 1:30pm) to�1l 72. c°1 R "� � ,t,, x 2� I o / / 10 0,. 11.5 0' �4 I �p� / / p DARK BROWN LOAM OL •. . +a ° °• •.' ♦ W WA RLE � � ,m 124r�J 2 // �Q / „ 1' JdLW •: �`p"'r �` AL BROWN SILTY SAND SM • '• .a ' ° osr 11.3. r / / N a '4$1P1(gLr OR a W O iu /? �Mp ��? l l 2.5' • r G SAY. • • a ' ' �' ' ..� .. OCG• � [y 1.¢• � .� /V; �' ,�u� �lhc. / BROWN FINE TO MEDIUM SAND SP o1F ►yf :•• 5.4• ?� tri / JL l EL 1.9' • .: O • .' e ri f s'..':y. do GROUND WATER 9.6' 9y •' 1- B 8 .. • =Gio h '.}.;>F`:'`z ' •' //� / / WATER IN y ��..,. /v BROWN FINE TO MEDIUM SAND SP sP � �- N �104 `L ' 'd 1i S69° X QD , Cf 17' .t?O� AjO {s. / OD PREPARED IN ACCORDANCE WITH THE MINIMUM / Rq STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LLA-L.S. AND APPROVED AND ADOPTED C' '���` �^ X7.3 �♦ ,� / wpa�niyG FOR SUCH USE BY THE NEW YORK STATE LAND Row � / POCK TITLE ASSOCIATION.JL 1�r Or- IAFrN: S. Uc. No. 50467 V11 UNAUTHORIZED ALTERATION OR ADDITION Y TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE �fp EDUCATION LAW. Nathan Taft Corwin III COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL ORY ���NC TO BBE SA VAUD UEAL HE COPY.BL NOT E CONSIDERED I� Y Land %'S"huveyor CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND e Josh A. In a no L.S. LENDING INSTITUTION LISTED HEREON, AND P 9 9 TO THE ASSIGNEES OF THE LENDING INS — TUT10N. CERTIFICATIONS ARE NOT TRANSFERABLE. Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 36-050C Proposed Lot Coverage Buildable Land = 18886 sq. ft. 18886 x 20% = 3171.2 sq.ft. House 554 x 311 = 1751 sq.ft. Uj 5unroom. 12'2 x 16' = 1q5 sq.ft. a Garage/mLid room 31'6 x 23' = 125 sq.ft. X i z Front porch 21'8 x 5' = 108 sq.ft. a Rear deck 1 q'8 x 6' = 118 sq.ft. 0 16'x34' pool w/ 12"coping = 648 sq.ft. z� 0 Zgarage storage 6'x10' = 60 sq.ft. 5unRm deck 5'x7' = 35 sq.ft. 02 p Total = 3646. sq.ft. /1q.3% Dwelling w/ of NOTES o Public Nater x zr� LU W • 1. FLOOD ZONE INFORMATION TAKEN FROM: �N Cn / Z m a z 1 e FLOOD INSURANCE RATE MAP No. 3610300162 H � � m N� N/O/F �+ ZONE AE: BASE FLOOD ELEVATIONS DETERMINED KOWALCHUK FAMILY 2008 IRREVOCABLE 186.83 N Sol 35,501, E a'r •� �0 ZONE X:'AREA5 OF 0.2%ANNUAL CHANGE FLOOD;AREAS OF 1%ANNUAL CHANGE FLOOD OVERHEADyNIRES P ' < TRUST 0z, Q���' WITH AVERAGE DEPTH OF LE55 THAN 1 FOOT OR WITH DRAINAGE AREAS LE55 THAN )IRON OUND � � 10.5 BARSPLIT RAIL 2A Orr 1 SQUARE MILE;AND AREAS PROTECTED BY LEVEES FROM 1%ANNUAL CHANCE FLOOD. - 10. 10.6 4'HIGH POOL BLHD BLHp L6 Pv W 'iFENCE 3.6'5 4.3'5 �� ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL CHANCE FLOODPLAIN. \ of o 16"TREE 15"TREE RDW 0 TREES PROJECT LIMITING' B v� 0"TREE '9.0 0. _ ALL TREESSEAWARDSIDE 2. ELEVATION5 ARE REFERENCED TO N.A.V.D. 1988 DATUM 't o ° ry ° PJ'5D ENGE / 10"TREE OF HOUSE TO REMAIN 010"TREE (/�? 6k - N o01 16"TWIN TREES unless noted otherwise EXI5TI N6 ELEVATIONS ARE 5HO1NN THUS: 5.o / E - - r 4'x4'6"TRSS -- ehoLer � 94 F.FL - FIRST FLOOR p ° op05gd pervious stone o so o' o tdoor nue e (V- G.FL - GARAGE FLOOR ° b V B9e ower over t'.. 11 Prop.16'x34' pool � / A`� TB - TOP OF BULKHEAD J drIVeLlIay m p 30"TRE / b SGL BB BOTTOM OF BULKHEAD ravel(piped ¢ with 12"coping. affiv wPedp m GO Ing / Le TW TOP OF WALLTEST HOLE 3 o drywell) 5 10 BY4 BOTTOM OF W ALL rOPOSujaterll ° Pp n Garage mudrooe \ _ 100 5f _ l w EL.i t.o EL 13.5 ✓ / /� Limit of covenanted 10 105 \ 1 gr de ,- , PROJECT wide non-turF buffer �) LIMITIN el / �o� IS X .�w" / ,� (Liber 000012868,Page EXIST NO LOT COVERAC7E OVER TO -^ b W ebk septj. �, Prop sunrmwll nding&'ceps lueston Q FENCE 2t6) �1 DEFINED N BUILDABLE LAND(18,886 sq.ft.) N u, TREE a 4P v /� L` noon tob '�. 0. patio grrynte &Q,Csr s e _ - 13 5----- 6_, / 8.0 t $ \ E w GN > \ \ \ 16"TWIN TREES DESCRIPTION AREA 9b LOT COVERAGE Ja I IL ��;I's HOUSE 1 X635 sq.R. 6.1 Yo r J 'f' so Fk.se gaeOper be 2j� utdoor kitchen `"D i r TEST HOLE DATA (TEST HOLE DUG BY McDONALD 6E05CIENCE ON DECEMBER 29,2020 AT 1:30pm) 8' Fro e.0 ;b 9.6 �� �`4j EL11s' o, ti ry �V r 67 0 2 p \\ ,� h W �. DARK BROWN LOAM� / �O � 9� � 1, 1[ �7 °• cc / 'U 10.9 2�/�� O" BROWN SILTY SAND 9.3 \ yer°' �, A A� �_� �� b� O% ^ SM2.5 t besbl1a8 wateN�. 106 p, , 7741 61,, j � wW Z�Q•l P0,q, ndo a ;. FFy hed / \ m U /V / BROWN FINE TO MEDIUM SAND 5P �1��/ > J / ,� ` ' / buy \ ■ EL.1.9' 9.6 GROUND �* tJ YVP`TER WATER IN BROWN FINE TO MEDIUM SAND SP 6 / 14 Ht OH P004 9 \ 10.4 7 Ato A(cz FF \�o l 5�w �MOj$C eRoof RENCE'G/ '!�'/ -• fxtsTl RpB�Nip�F \ o ��' AREA = 1 q,026 sq. ft. 408 curft. 42ea 02 s ol1 vertical ft.of Voila. leaching pool required RrSER(!M \ / 5 (TO TIE LINE • J / 4s:�* 1. 0.431 ac. PROVIDE(3)8'dia.x 3.5'deep 5TORM DRAIN POOLS D G / / k " &BULKHEAD) -- Driveway Area 1061sq.ft.x0.11= 182CUR, F46/ic�gu,� R�WPFr 34751�1e11s Roadeconic ICY 182 cu.ft./42.2=4.2 vertical ft.of 8'dai. leaching pool -ter RFEs 'a �° a m i PROVIDE(1)8'dia.x 5deep STORM DRAIN POOL TOVlN OF 50UTHOLJ7 14� 96 e4 � °BS° U SUFFOLK COUNTY, NEN YORK mB45 y 5.C. TAX No. 1000-S6-02-Oq A 061 T J 5GALE 1"=20' j PROP05ED SITE PLAN FOR MICHAEL AND SUSAN CAVOUNIS Prepared by Peter Podlas Architect 1-22-2021 Site Plan based on survey by Nathan Taft Corwin III Land Surveyor N.Y.5.Lic.No.50461 NFA tyN EXI5TENCE OF RIGHT5 OF WAY `. G AND/OR EASEMENTS OF RECORD,IF ANY,NOT SHOWN ARE NOT GUARANTEED. CK tr " > ■'!on oil ■ �■ � �� � J U L 2 8 2021 Kim m .�" Southold Town Board of Trustees I . _MICHAEL P.AND SUSAN CAVOUNI�,,475 WELLS ROAD,PECONIC 7 L,�tyy � ► G7. S ® dl ' _ ,nom-a-�.._.. . . -'`-, ► 71 '17 1 WRY A Figure 3. Looking northeast at Richmond Creek and waterside of existing dwelling to be demolished and replaced with new dwelling located farther landward. R .t ti !i r Figure 4. Looking southeast toward Richmond Creek over location of proposed swimming pool;and at north side of dwelling to be demolished and replaced with new dwelling located farther landward. MICHAEL P.AND SUSAN CAVOUNia,X475 WELLS ROAD,PECONIC a ' + f, 3475 WOls _d t V-- Google Earth Figure 1. Aerial view of subject property and existing dwelling to be demolished and replaced with new dwelling(relocated landward)and swimming pool. 5 Figure 2. Looking west from Richmond Creek at existing dwelling to be replaced;and at location of proposed swimming pool to be located between new dwelling and bulkhead(right). n�Mf Ct ,SEE SEC NO.aT6 SEE SE O d SeE SE..N� E O.E aLANE MTC LRE q - MATON` °) Z C 41N K a .,be 6EE SE'C.HG.,d a.toa S .,. .��� � ti� 5 � ..� tua ��, �i, s.°" t» •,,'t )s.osort o•u)noe, :P g�F'. $ aJa X �`�� tih. - r�aaM�mury°tcb,. 4Gn xsn�tcl d! 31 1 •, `.z , ieui 0 ua wm.rw t /- a who ^ase` .�,+- '.g .f 't.,•� ,�.dE o .:,+ 431 ° a..L y' �eewEo,KL.•ef '� tats d.T 7 1 T.We, 427 tout n se 3+ s � 'br l.w. aep k� `L" ��'' aawr.•t»onu � 'k >� � 3 IA O- 1,7t 0'. E.a ° ysilcl F Yl.. y" .•• ;S: i`47! ..ea tf xr.; rt b 3.5 a� \M1P n. JJ 14 i�,.ck M ,. 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Box 1179 54375 State Route 25 °, Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) , Southold NY 11971 d Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 10, 2021 Re: LWRP Coastal Consistency Review of MICHAEL P. & SUSAN CAVOUNIS SCTM# 1000-86-2-9 En-Consultants on behalf of MICHAEL P. & SUSAN CAVOUNIS requests a Wetland Permit to demolish existing 1.5-story dwelling and appurtenances, and construct 27' farther landward a new two-story, 1,757sq.ft. (footprint) single-family dwelling with 725sq.ft. attached garage/mudroom (with 60sq.ft. attached storage), a 195sq.ft. sunroom with 35sq.ft. deck and steps, a 108sq.ft front porch and steps, a 118sq.ft. rear deck and steps, and 4'x14' basement stairs; construct 16'x34' swimming pool with 12" coping (equipped with saltwater filtration system), and 1,005sq.ft. grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new INOWTS sanitary system at least 114' from Richmond Creek; install a drainage system of drywells to collect and recharge roof runoff and pool backwash; and to remove 16" tree located immediately seaward of proposed pool patio. Located: 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 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. 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 ,� jI:F04 Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 8, 2021 the following recommendation was made: Moved by Carol Brown, seconded by Maggie Merrill, it was RESOLVED to SUPPORT the application of MICHAEL P. & SUSAN CAVOUNIS to demolish existing 1.5 story dwelling 1,757 sf. with appurtenances, and construct 27' farther landward a new two-story single-family dwelling with 725 sf. attached garage/mudroom, 195 sf. sunroom with 35 sf. deck and steps, 108 sf. front porch and steps, 118 sf. rear deck and steps, and 4'X 14' basement stairs; construct 16'X 34' swimming pool with 12" coping and 1,005 sf. grade-level masonry pool patio; install 4' high pool enclosure fencing; remove nonconforming septic system and install new I/A OWTS sanitary system outside Ch. 275 jurisdiction; install a drainage system of drywells to collect and recharge roof run-off and pool backwash; and remove 16" tree located immediately seaward of proposed pool patio. Located: 3475 Wells Rd., Peconic. SCTM#86-2-9 Inspected by: Maggie Merrill, Carol Brown, John Chandler The CAC Supports the application with the condition the pool is located a minimum of 50' from the bulkhead. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith, ident �,(�F S Town Hall Annex 54375 Route 25 Michael J.Domino,Vice-President P.O.Box 1179 John M.Bredemeyer III 1L Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams ® Fax(631)765-6641 l'��OUtstd� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only �JJ Coastal Erosion Permit Application ® E C E V Wetland Permit Application 1 Administrative Permit JUL 2 Amendment/Transfer/Extensio.2$•ZI 2021 Received Application: Received Fee: $ 06A,OV Southold Town Completed Application: 7'2 •Zi Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): j ---V-LVW Consistency Assess At Form Sent: 3 a1 AC Referral Sent: ;O Date of Inspection: '2 Receipt of CAC Report: Technical Review: Public Hearing Held: + Resolution: Name of Applicant Michael P.&Susan Cavounis 187 Hemlock Road Address Manhasset,NY 11030 Phone Number: 91 362-2624 Suffolk County Tax Map Number: 1000 - 86-2-9 Property Location:3475 Wells Road,Peconic (property is located on east side of Wells Road) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) i Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 CCAs� I30jaA Board of Trustees AX-_ n[catio GENERAL DATA Land Area(in square feet): 19,026 sf Area Zoning: R-40 Previous use of property: Residential,single-family dwelling Intended use of property: Same,with new dwelling and swimming pool Covenants and Restrictions: X Yes No If"Yes", please provide copy. (copy provided) 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. pnor 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. X Yes No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Trustees#1565 9-8-82(transferred 12-21-15) Southold Trustees#7525A 4-20-11 Southold Trustees 98756 3-23-16 Southold Trustees#9678 9-19-20 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Demolish existing 1.5-story dwelling and appurtenances,and construct 27 feet farther landward a new 2-story, 1,757 sf(footprint) single-family dwelling with 725 sf attached garage/mudroom(with 60 sf attached storage), 195 sf sunroom with 35 sf deck and steps, 108 sf front porch and steps, 118 sf rear deck and steps,and 4'x 14'basement stairs; construct 16'x 34'swimming pool with 12" coping(equipped with saltwater filtration system)and 1,005 sf grade-level masonry pool patio;install 4'high pool enclosure fencing; remove existing nonconforming septic system located 29 from Richmond Creek,and install new I/A OWTS sanitary system outside Chapter 275 jurisdiction,at least 114 feet from Richmond Creek; install a drainage system of drywells to collect and recharge roof runoff and pool backwash;remove 16"tree located immediately seaward of proposed pool patio,all as depicted on the site plan prepared by Peter Podlas Architect,dated July 22,2021. ]Board of Trustees Appli_ tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To replace existing dwelling with new,modernized,energy-efficient dwelling with attached garage and swimming pool;and replace and relocate existing nonconforming septic system with a low-nitrogen,innovative/alternative sanitary system(UA OWTS). Area of wetlands on lot: +/- 140 square feet Percent coverage of lot: < 1 Closest distance between nearest existing structure and upland edge of wetlands: +/-41 feet (existing waterside deck) Closest distance between nearest proposed structure and upland edge of wetlands: +/-42 feet (proposed pool patio) Does the project involve excavation or filling? N o X Yes (as required for replacement of dwelling and sanitary If yes, how much material will be excavated? TBD cubic yards system;proposed drainage system) How much material will be filled? N/A cubic yards Depth of which material will be removed oNW&Md: +/-8 feet (for installation of dwelling foundation) 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): See attached addendum. STATEMENT OF EFFECT AND LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR MICHAEL & SUSAN CAVOUNIS 3475 WELLS ROAD PECONIC,NY SCTM#1000-86-2-9 The proposed project, which seeks to replace an existing dwelling with a new, modernized, energy-efficient dwelling with attached garage and swimming pool, will have a net beneficial impact on the tidal wetland ecosystem as a result of the below described design elements and additionally incorporated environmental mitigation measures. A) Project Design 1) The project is designed to increase or maintain existing wetland setbacks: a. The proposed habitable dwelling structure would be located 27 feet farther from Richmond Creek than the existing habitable dwelling structure. b. The proposed waterside deck would be located 25 feet farther from Richmond Creek than the existing waterside deck. c. The proposed grade-level swimming pool patio would be located 1 foot farther from Richmond Creek than the existing waterside deck. d. The proposed swimming pool would maintain the same setback from Richmond Creek as the existing dwelling. 2) Due to the landward relocation of the dwelling, the project design would result in the replacement of a dwelling projecting seaward of the plane drawn between the two adjacent dwellings with a dwelling positioned landward of that plane, thus compliant with Section 275-11(A)(3). B) Additional Mitigation 1) The existing nonconforming septic system, which is located 29 feet from the surface waters of Richmond Creek, will be removed and replaced with a low-nitrogen, innovative/alternative sanitary system (I/A OWTS) located outside Chapter 275 jurisdiction, at least 114 feet from surface waters. Unlike conventional septic systems, the UA OWTS is designed to significantly reduce nitrogen loading into the groundwater table. 2) A stormwater drainage system consisting of leaders, gutters, and drywells is designed to collect and recharge roof runoff. 3) The proposed swimming pool would be equipped with a saltwater filtration system, thus avoiding use of a traditional, high-chlorination treatment system; and a drywell dedicated to the capture of pool backwash. 4) Although located more than 100 feet from the bulkhead and thus outside Chapter 275 jurisdiction, the proposed driveway and parking area would be composed of pervious gravel. 5) A project limiting fence would be installed to contain site disturbance and potential surface runoff during construction. 6) The existing 10' wide non-turf-buffer situated adjacent to the bulkhead will be maintained. These project design and mitigation measures, which together would result in increased separation between wetlands and site development; potentially reduced runoff and improved runoff quality; and potentially improved groundwater and surface water quality, will further the goals of Chapter 275 and LWRP Policies 5 and 6, including protecting and improving water quality; and protecting the quality and function of the surrounding Richmond Creek tidal wetland ecosystem. t 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project. Cavounis Residence Project Location(describe,and attach a location map). 3475 Wells Road,Peconic,Town of Southold,Suffolk County, SCTM#1000-86-2-9;property is located on east side of Wells Road),location map attached. Brief Description of Proposed Action: Demolish existing 1 5-story dwelling and appurtenances,and construct 27 feet farther landward a new 2-story, 1,757 sf(footprint) single-family dwelling with 725 sf attached garage/mudroom(with 60 sf attached storage), 195 sf sunroom with 35 sf deck and steps, 108 sf front porch and steps, 118 sf rear deck and steps,and 4'x 14'basement stairs;construct 16'x 34'swimming pool with 12"coping(equipped with saltwater filtration system)and 1,005 sf grade-level masonry pool patio;install 4'high pool enclosure fencing;remove existing nonconforming septic system located 29 from Richmond Creek,and install new I/A OWTS sanitary system outside Chapter 275 jurisdiction,at least 114 feet from Richmond Creek,install a drainage system of drywells to collect and recharge roof runoff and pool backwash;remove 16"tree located immediately seaward of proposed pool patio,all as depicted on the site plan prepared by Peter Podlas Architect,dated July 22,2021 Name of Applicant or Sponsor. Telephone: 917-362-2624 Michael&Susan Cavounis E-Mail: cavounis@yahoo.com Address: 187 Hemlock Road City/PO: State: Zip Code: Manhasset NY 11030 1 Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2 If no, continue to question 2. X 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: NYS DEC,Suffolk County Department of Health Services X 3.a.Total acreage of the site of the proposed action? 19,026 sf b Total acreage to be physically disturbed? +/-15,500 sf ; c Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 19,026 sf 1 4. Check all land uses that occur on,adjoining and near the proposed action. ❑ Urban ❑ Rural(non-agriculture) ❑ Industrial ❑Commercial ®Residential(suburban) ❑ Forest ❑Agriculture ®Aquatic ❑ Other(specify)• ❑ Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6.Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes,identify: Names-Richmond Creek&Beach,Pecomc Bay&Environs,Reasons-Significant coastal fish&wildlife habitat, protect public health,water,vegetation&secemc beauty,Agencies-Southold Town,County of Suffolk,Dates-10-20-88,7-12-88 X 8 a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b. Are public transportation service(s)available at or near the site of the proposed action? X c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11 Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment. A new,UA OWTS 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? X b. Is the proposed action located in an archeological sensitive area? X 13 a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? 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 INFOTION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: a .'Herrmann,Coastal Mgmt. Specialist Date: July 20,2021 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? f 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? J 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 . 1 - 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. �vh,n a-C Sov ,old ,TJ �sVs�-ees 9/�1z1 Name of Lead Agency Date nian�, Qo IkM:)40 Print or y e Name f Responsible Officer in Lead Agency Title of Responsible Officer Signature o Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 3 77'4y, CIO, The Lenz g Winery ki% _90w--- n�?;P os 7 Emelson Pindar (25 THK Vineyards 25 �q 48 Raphael Vineyards /7"'k LA ZJ)U119 Bedell Cellars ft 519 (ACC�55 VIA 5'0_11�Cf Pughese Vineyards PICHMONP Ck��K) '0 PS -K� EAST 5uffolk COU*HM5trom Map 45� ew, 104 CUTCHOGUE 1 2000' G NTE C_K -K, < Ile, -34 Peconic Bay OW 19 Winery MY,�,rMv PS B wil. Al, Pl. 6 F� EET K �NCK Little 1,1111�oa er P, I Hog Neck NA Au bn PO dars 6, Loop)- rco"o 1�arr�h Pt 71 21 LIXFS fft North Fork cc I ILL D j Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM l PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 0� 1000 86 2 9 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN tD stFicF Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT 7 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 within19,026 sf Generated by a Two(2)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 +/-15,500 sf Site improvements and the permanent creation of construction activity? (S F/Acres) impervious surfaces) 2 Does the Site Plan and Survey Show All Proposed ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Demolish existing 1.5-story dwelling and appurtenances,and construct 27 feet Slopes Controlling Surface Water Flow, farther landward a new 2-story,1,757 sf(footprint)single-family dwelling with 3 Does the Site Plan and/or Survey describe the erosion XF 725 sf attached garage/mudroom(with 60 sf attached storage),195 sf sunroom and sediment control practices that will be used to with 35 sf deck and steps,108 sf front porch and steps,118 sf rear deck and control site erosion and storm water discharger This steps,and 4'x 14'basement stairs,construct 16'x 34'swimming pool with 12" Item must be maintained throughout the Entire Construction Period. coping(equipped with saltwater filtration system)and 1,005 sf grade-level masonry pool patio;install 4'high pool enclosure fencing;remove existing 4 Will this Project Require any Land Filling,Grading or . Excavation where there is a change to the Natural nonconforming septic system located 29 from Richmond Creek,and install new Existing Grade involving more than 200 Cubic Yards I/A OWTS sanitary system outside Chapter 275,junsdiction,at least 114 feet of Material within any Parcel? from Richmond Creek;install a drainage system of drywells to collect and 5 Will this Application Require Land Disturbing Activities recharge roof runoff and pool backwash;remove 16"tree located immediately Encompassing an Area in Excess of Five Thousand seaward of proposed pool patio,all as depicted on the site plan prepared by Peter (5,000 S.F.)Square Feet of Ground Surface? Podlas Architect,dated July 22,2021. 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 Beach7 disturbances of one(1)or more acres.including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes Elare part of a larger common plan that will ultimately disturb one or more acres of lands; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is,required for storm water discharges. I 8 Q SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit Will Driveways,Parking Areas or other impervious or Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ❑ 1.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-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit In addition,the SWPPP shall Area?(This item will NOT include the installation of Driveway Aprons) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE:If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F &1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in theprinciples and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any'Building Permit. S P g (NOTE:A Check Mark(X)and/or Answer for each Question is Required for a Completed Application). STATE OF NEW YORK, COUNTY OF Suffollt SS That I, ltObert E.Herrmann ==------------------------ ______________,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 fhe best of 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; ---------------------20th ------day o ,--- July-'--------------------'-- 12021--- Notary 2021Notary Pub _ _ -_ ___- I_M-_H_.__S T E P H_E N S -- - ---------- -- -- - ------------ ----- -- --------------------------- - ------ ------ N 0 T A R Y- P U B L I C ignature of Applicant) FORM - 06/10 sTATE 0 NEW YORK COMMISSION NO . 5015931 OUALfFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 20 J� Board of Trustees Apply tion AUTHORIZATION (Where the applicant is not the owner) I/We Michael P.Cavounis owners of the property identified as SCTM# 1000- 86-2-9 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Pro rty Owner's Signature Property Owner's Signature Michael P. Cavounis SWORN TO BEFORE ME T S D OF , 20 Z G/ Notary Public MARCIA R.GRANT Notary cublic,State of New York No.01 6R6114114 Qualified in Queens County Commission Expires 08/09/20 ?j L� Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, _ Susan Cavounis owners of the property identified as SCTM# 1000- 86-2-9 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town ; Board of Trustees for this property. N/A P perty Owner's Signature Property Owner's Signature Susan Cavounis SWORN TO BEFORE ME T AY OF �L�I� , 20 —�-- 17 � Notary Public Notary°ubf cARC�State of New York No.01GR6114114 Commission Expires 08 09/2 Board of Trustees Appli, ;ion AFFIDAVIT Michael P.Cavounis BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 0 d N/A Signature of Property Owner Signature of Property Owner Michael P.Cavounis SWORN TO BEFORE M HIS DAY OF / _, 200/ Notary Kublic MARCIA R.GRANT Notary°ublic,State of New York No.OIGR6114114 Qualified in Queens County Commission Expires 013 q/26 Board of Trustees Application AFFIDAVIT, r+ Susan Cavounis BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE s' 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. x THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE F BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES 7 AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF : TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE x COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. N/A S' nature of Property Owner Signature of Property Owner usan Cavounis SWORN TO BEFORE THI U _DAY OF N Public MARCIA R.GRANT Notary Oublic,State of New York No.01GR6114114 commission Expi es o8/09/20 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this farm 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: Cavounis,Michael P. (Last name,fust name,.gtiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interesC 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/agcnt/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); Bj 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 th4ichael 20— Signature Print Name P.CgyDunis- Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soutbiild's Code'of Ethics pLohibits conflicts of interest on the part of town°bfficeis and emplayees The oumase of this,forin is,@o°°'provide iiifdrinatian vihich cart alert the'town of Possible conflicts of interdst•and allow it,to take whatever•acftonts neYo avoid same. YOUR NAME: ;, Cavounis,Susan (Last name,fust name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) . Do you personally,'(dir throughybur company,°spouse,sibling,°parent,or�chikl),have a relai onship vtith,pny'pffic'er'oremployee-' of the Town of-Sri Aold? "Relationship"includes by blood,rnarria'ge,or,linsme"ss interest."Business,interest"means=a t iisincss, including a,partnership,,in which the iownofliccr or'cr ployec has edema pprlial ownership of(ar employmgnt by);a carporatiom in which the to, a�officer`of employee owns more than 5%ofthe 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 ownepof greater than=59l of thd-shafcs'of the corporate stock of the applic4nt ,-(when-the applicant is a-,eorpocAon);, $)the'Iegal'orxtierteficial owrier'ofnny'interest.in a non-corporate entity(when the applicant is nota corporation); C),an of cerdirector,.parhrer;or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this of 20_ Signature Print Name Sus,,rn Cavou ' Form TS 1 J � ' 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 nuroose 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: Hermann Robert E (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION. (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person— Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitte:this"dayof 202LSignature Print Nameui Form TS 1 i Glenn Goldsmith,PresidentO�QSUFF01'�(-COG Town Hall Annex A.Nicholas Krupski,Vice President �� 54375 Route 25 John M.Bredemeyer III C= P.O.Box 1179 Michael J.Domino ry Southold,NY 11971 Greg Williams �,hol p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ---August-30, 2021 -- - - - - - - - Robert Herrmann En-Consultants 1319 North Sea-Road Southampton, NY 11968 Re: Board of Trustees Application of Michael P. & Susan Cavounis 3475 Wells Road, Peconic SCTM# 1000-86-2-9 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Orders, this application is now scheduled to be heard by the Southold Town,Board of Trustees via a combination of an in-person'meeting and videoconferencing on Wednesday, September 15, 2021 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. V ry Truly Yo rs, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President c>�O�Q�UFFa(�-�,G Town Hall Annex A.Nicholas Krupski,Vice President -0k�� ���h 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino ,� Southold,NY 11971 Greg Williams 4� p� 'r Telephone(631)765-1892 Or Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MICHAEL P. & SUSAN CAVOUNIS COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE I, Robert.E. Herrmann , residing at/dba En-Consultants 1319 North Sea"Road;�&uthampton, NY 11968 being duly sworn, depose and say: That on the 4th day of September , 20 21 , I personally posted the property known as 3475 Wells Road, Peconic; SCIM #1000-86-2-9 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster h remained in place for a full seven days immediately preceding the date of the public hear'ng�. Date of hearing noted thereon to be held Wednesday, September 15, 2021. Dated: (signature) Sworn to before me this 15th day of Sept. 2021 / KIM H . STEPHENS NOTARY PUBLIC STATE 0 F NEW YORK Notary Public COMMISSION N 0 , 5 0 1 5 9 3 1 QUALIFIED IN SUFFOLK CO.0 TY EXPIRES AUGUST 2 , 20:0 COMPLETE •N COMPI E7E THIS SECTIONON DELIVERY 7 ■ Complete items 1,2,and 3. aS■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mail leve, B Rec d by(Printed Name C. Date of Delivery I p )i or on the front if space permits. in CD I 1. Article Addressed to: D. Is delivery address differ[es t-from Item 1? ❑Yes rn'o o aNi o -Q ¢ w E.>, If YES,enter delive}��aTdres�pelow: ❑No Q Q z t 0&C, ,� 4 y m�xr Zrupst� } rU =o' o ` W'=0 o 'o>mcnm_cm, or aa) `m�• ron aT Solo ❑❑❑ ❑❑: 8 I o Catherine Other I 3330 Wells Road 3. Service Type V Uses N" ❑Priority Mail Expresso I • Z °' p > °_�' ❑Adult Signature ❑Registered Maffm '"D ❑Adul i nature Restricted Delivery Peconic, NY 11958 g ry ❑Registered Mall Restricted v �: AR'CEntffied MaII® Delivery ❑Certified Mail Restricted Delivery ❑Signature Confirnat;onT T :: Q d ami m 11 Collect on Delivery 13 Signature Confirmation a a) ¢ 2. An — -,. _., n n-11—. nei,.,ery Restricted Delivery Restricted Delivery T ar m m�—� o c 7020 2450 ❑❑01 6055 9248 m >- _>vi m � ���� � tdoted Delivery o w o.LM-8-0 Y} Cel'ya0 • (n cc w r a) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt ' ¢ X m o m v v m o c C3 QQ UUC C3 Cd 1111 qE3❑C ru Ir — Ln r� ----- - - -- -- aS ul rn 120 ami O C) n rD o SECTIONSENDER: COMPLETE THIS •MPLETE THIS SECTION ON DELIVERY • aI O E N ■ Complete items 1,2,and 3. A. Signatur - o 0) C3 o ■ Print your name and address on the reverse e yygent o o o h so that we can return the card to you. X l " ❑Addressee n � x E z ■ Attach this card to the back of the mailpiece, Received l (Prints ams) C. Date of Dell ry a '� C3 a or on the front if space permits. .� ca m a) o N 1. Article Addressed to: D. Is delivery address different from item 1? Yes 1 N r_? a ' ru N I r ¢ oLO If YES,enter delivery address below: y a .o._ o C/) t C3 E E ¢ 01 A a) C 0 0 0 W O k 0 J 4 T J ; � � � � 3 = -C! Ir- 0 I�-- - - -- - - - - - E ° U Hco P i o ! Un r°n ¢ o rd u- Kowalchuk Family 2008 Irrev.Trust ■ ■ ■ N a- 3110 Bleller Road 3. Service Type EI Priority Mail Express® ❑Adult Signature ❑Registered MaiITM Emmaus,PA 18049 ❑Ad Signature Restricted Delivery ❑Registered Mad Restricted jrtified Mad® Delivery I ❑Certified Mail Restricted Delivery ❑Signature ConfirmatlonTM I ❑Collect on Delivery ❑Signature Confirmation I n rue,..,..,relivery Restricted Delivery Restricted Delivery i 7 0 2 0 24,50 0001, 6055 9224 1 Restricted Delivery I PS Form 3811, ti c Jul 2020 PSN 7530-02-000-9053 Domestic Return Receipt NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Michael&Susan Cavounis SCTM#1000-86-2-9 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Demolish existing 1.5-story dwelling and appurtenances,and construct 27 feet farther landward a new 2-story, 1,757 sf(footprint)single-family dwelling with 725 sf attached garage/mudroom(with 60 sf attached storage), 195 sf sunroom with 35 sf deck and steps, 108 sf front porch and steps, 118 sf rear deck and steps,and Tx 14'basement stairs; construct 16'x 34'swimming pool with 12" coping(equipped with saltwater filtration system)and 1,005 sf grade-level masonry pool patio;install 4'high pool enclosure fencing;remove existing nonconforming septic system located 29 from Richmond Creek,and install new UA OWTS sanitary system outside Chapter 275 jurisdiction,at least 114 feet from Richmond Creek;install a drainage system of drywells to collect and recharge roof runoff and pool backwash;remove 16"tree located immediately seaward of proposed pool patio,all as depicted on the site plan prepared by Peter Podlas Architect,dated July 22,2021. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3475 Wells Road,Peconic 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wed,Sept. 15,2021 @ 5:30 pm in-person or videoconference(access info attached) You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Michael P. &Susan Cavoums PROPERTY OWNERS NAME: 187 Hemlock Road MAILING ADDRESS: Manhasset,NY 11030 PHONE #: 917-362-2624 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road, Southampton,NY 11968 PHONE #: 631-283-6360 J1 r Enc: Copy of sketch or plan showing proposal for your conve tie�"ce. + SEP 1 3 2021 E 1 pSoathol!",vin J PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 1000-86-2-8 3110 Bleller Road Kowalchuk Family 2008 Irrevocable Trust Emmaus,PA 18049 1000-86-2-10 P.O.Box 572 Robert Serlmg Rockville Centre,NY 11570 1000-86-2-28.4 P.O.Box 1179 Town of Southold "Southold,NY 11071 1000-86-1-13 23 Seaton Street William&Angela Weissert Massapequa,NY 11758 1000-86-1-12 3330 Wells Road Catherine Othen Peconic,NY 11958 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the -3rd' day of Sentcrnher 2021 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment_roll_of the Town of Southold; that said Notices were mailed at the United States Post Office at Water Mill ' , that said Notices were M sled to each of said persons by (certified)(ragjstovoc� mail. Robert E. 1 Coastal Managment Specialist Sworn to before me this 3rd KIM H . STEPHEN S day of September ,2021 NOTARY PUBLIC STATE OF NEW YORK COMMISSION N0 , 5015931 QUALIFIED IN SUFFOLK COUyTY Not blic EXPIRES AUGUST 2 , ' 20 ■ rq ■ ® © s ■ f�7 rLJ ru Erlu Ul t€E3 Crtified 2F.T /_ Certified Mall Fee ry�I L N 1 r EMra$ervloeS&Fees(check box,add tee as appmpnate)a"" ���n $ �•�` r��� ❑Return Receipt(hardcopy) $ .(.�� /' �G, Extra Services&Fees(check box,edd tee ss appropriate) '•`jam 0 ❑Return Receipt(electronic) $ ❑Return Receipt(hardcopy) $ / C' /- Pos rnark tmark O ❑Certified Mail Restricted Delivery $T-- Here- Here Return Receipt(electronic) $fPo ❑Adult Signature Required $ �) ❑Certlfled Mail Restricted Delivery $ Here n Q�J 0 ❑Adult Signature Required $ i Will 0Lla ❑Adult Signature Restricted Delivery$s r� �i1 (� t` °� r/p o .J []Adult Signature Restricted Delivery 3 L�°`� G ul Jam° O _, Lr) Postage P p rLJ $ �• F' ) RI Total Post ru William&Angela Weissert Sent To Kowalchuk Family 2008-Ir-rev:Trust 3 Seaton Street' ~a�'�' �''� ostreet and 3110 B1eller Roa�� =—'�Massapequa, NY 11758Emmaus PA 18049 '--"""-"" City,-State, , . a TIM rvicwm U.S. . e RT F1 11,11 ® CEIPT =0 G 11 ® ■ - a e. e ru 0-' ° °- . j CeLn rtified Mall Fee A f s• f E3 i' `-'-' _ V 1 Certifietae "(n- 7-.1 e�$ sf ) — V �y -n $EMra Services&FeeS(check box,add leaasa pro nate❑Retum Recelpt(hardcopy) $N p.+ p ) `�4 Extra SFees(check box,atld tee as eppropnate) -❑Retu (hardcopy) $t 0 _O ❑Retum Recelpt(electronic) $' PostmarkO ❑Retut(electronic) $C3 ❑Certlfled Mall Restricted Delivery $ iPostmark HeraCertiestricted Delivery $ , Here ❑Adult Signature Required 1 r[ G,l , 3 2021 ❑Adult Required $ 1 C� , 3 Adult Signature Restricted Delive `,D"' i � Posta e ry r d P❑f dulltt Restricted Delivery$ ru Total Pos /� rU (U Total F Sent To Catherine Othen cl o Sent? ld� Town of Southo ��---- N streeten 3330 Wells Road sweet PO Box 1179 ---------- c-6y stat Peconic, NY 11958 ctry s Southold, NY 11971 A ® ■ N ru Ir Ln Ln Ln Certified Mad Fee °y` r�1(/ � X91 Extra Services&Fees(check box,add fee as appmpnatey --- r-� L1 Return Receipt(hardcopy) $ L - C-3 ❑Return Receipt(electronic) $ 1 Postalark 13 ❑Certified Mall Restricted Delivery $ 'O E]Adult Signature Required $ L �� O ❑Adult Signature Restricted Delivery$ ( I = Postage e / ru Total Pc ru Sent To Robert Serling stF(5etai P.O. BOX 572 c,rysta Rockville Centre, NY 11570 -------- Glenn Goldsmith, President All dSufFO(+t'Dye Town Hall Annex A.Nicholas Krupski, Vice Presidents 54375 Route 25 John M. Bredemeyer III y P.O.Box 1 179 Michael J. Domino �,y lg4 Southold,NY 11971 Greg Williams � Telephone(631)765-1892 z� rr Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION,& PUBLIC HEARINGS WEDNESDAY, SEPTEMBER 15, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA A ZOOM ONLINE PLATFORM A Regular Work Session and Public Board Hearings of the-SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, September 15, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. The public is invited to attend the meetings either in person or virtually via the Zoom online platform. Masks are still required for members of the public who are not fully vaccinated. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at-the public hearing-provided'that they are submitted no later than 12:00 P.M. (Prevailing-Time) on the day of the public hearing. The public will have access to view and listen to the meeting-as it is•happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen,in via telephone. ,Further details about how to tune in to the meeting are on the Towd's website at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 813 4681 5078 Password: 851461 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). - In order to "'request to speak" when 'the application`you are interested-in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche", go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees both in-person and via the online Zoom platform. ' OWNER(S) OF RECORD: MICHAEL P. & SUSAN CAVOUNIS SUBJECT OF PUBLIC HEARING: For a Wetland Permit to demolish existing,1.5-story dwelling and appurtenances, and construct 27' farther landward a new two-story, 1,757sq.ft. (footprint) single- family dwelling with 725sq.ft. attached garage/mudroom (with 60sq.ft. attached storage), a 195sq.ft. sunroom with 35sq.ft. deck and steps, a 108sq.ft front porch and steps, a 118sq.ft. rear deck and steps, and 4'x14' basement stairs; construct 16'x34' swimming pool with 12" coping (equipped with saltwater filtration system), and 1,005sq.ft. grade-level masonry pool patio; install 4' high pool enclosure fencing; remove existing non-conforming septic system and install a new IA/OWTS sanitary system at least 114' from Richmond Creek; install a drainage system of drywells to collect and recharge roof runoff and pool backwash; and to remove 16" tree located immediately seaward of proposed pool patio. Located. 3475 Wells Road, Peconic. SCTM# 1000-86-2-9 TIME & DATE OF PUBLIC HEARING: Wednesday, September 15, 2021 — at or about 5:30P.M. — Either in Person or via Zoom. To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"• click on "Trustees" folder• click on "Applications"• click on "Pending"; files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A, INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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# 86 - 2 - 9 PROJECT NAME Michael P.and Susan Cavounis The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Demolish existing 1.5-story dwelling and appurtenances,and construct 27 feet farther landward a new 2-story, 1,757 sf(footprint) single-family dwelling with 725 sf attached garage/mudroom(with 60 sf attached storage), 195 sf sunroom with 35 sf deck and steps, 108 sf front porch and steps, 118 sf rear deck and steps,and 4'x 14'basement stairs; construct 16'x 34'swimming pool with 12"coping (equipped with saltwater filtration system)and 1,005 sf grade-level masonry pool patio;install 4'high pool enclosure fencing;remove existing nonconforming septic system located 29 from Richmond Creek,and install new UA OWTS sanitary system outside Chapter 275 jurisdiction,at least 114 feet from Richmond Creek;install a drainage system of drywells to collect and recharge roof runoff and pool backwash;remove 16"tree located immediately seaward of proposed pool patio,all as depicted on the site plan prepared by Peter Podlas Architect,dated July 22,2021. f Location of action: 3475 Wells Road,Peconic Site acreage: 19,026 sf Present land use: Residential,single family dwelling Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Michael P.&Susan Cavoums (b) Mailing address: 187 Hemlock Road Manhasset,NY 11030 (c) Telephone number: Area Code 917-362-2624 (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 z Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable The proposed project is designed to be consistent with Policy 4,as the property is situated in a FEMA Zone X flood zone; and the proposed dwelling would be relocated 27 feet farther from the bulkhead than the existing dwelling,a 60 percent increase in setback from wetlands and surface waters. 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 addendum. 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 STATEMENT OF EFFECT AND LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR MICHAEL & SUSAN CAVOUNIS 3475 WELLS ROAD PECONIC, NY SCTM#1000-86-2-9 The proposed project, which seeks to replace an existing dwelling with a new, modernized, energy-efficient dwelling with attached garage and swimming pool, will have a net beneficial impact on the tidal wetland ecosystem as a result of the below described design elements and additionally incorporated environmental mitigation measures. A) Project Design 1) The project is designed to increase or maintain existing wetland setbacks: a. The proposed habitable dwelling structure would be located 27 feet farther from Richmond Creek than the existing habitable dwelling structure. b. The proposed waterside deck would be located 25 feet farther from Richmond Creek than the existing waterside deck. c. The proposed grade-level swimming pool patio would be located 1 foot farther from Richmond Creek than the existing waterside deck. d. The proposed swimming pool would maintain the same setback from Richmond Creek as the existing dwelling. 2) Due to the landward relocation of the dwelling, the project design would result in the replacement of a dwelling projecting seaward of the plane drawn between the two adjacent dwellings with a dwelling positioned landward of that plane, thus compliant with Section 275-11(A)(3). B) Additional Mitigation, 1) The existing nonconforming septic system, which is located 29 feet from the surface waters of Richmond Creek, will be removed and replaced with a low-nitrogen, innovative/alternative sanitary system (UA OWTS) located outside Chapter 275 jurisdiction, at least 114 feet from surface waters. Unlike conventional septic systems, the UA OWTS is designed to significantly reduce nitrogen loading into the groundwater table. l 2) A stormwater drainage system consisting of leaders, gutters, and drywells is designed to collect and recharge roof runoff. 3) The proposed swimming pool would be equipped with a saltwater filtration system, thus avoiding use of a traditional, high-chlorination treatment system; and a drywell dedicated to the capture of pool backwash. 4) Although located more than 100 feet from the bulkhead and thus outside Chapter 275 jurisdiction, the proposed driveway and parking area would be composed of pervious gravel. 5) A project limiting fence would be installed to contain site disturbance and potential surface runoff during construction. 6) The existing 10' wide non-turf-buffer situated adjacent to the bulkhead will be maintained. These,project design and mitigation measures, which together would result in increased separation between wetlands and site development; potentially reduced runoff and improved runoff quality; and potentially improved groundwater and surface water quality, will further the goals of Chapter 275 and LWRP Policies 5 and 6, including protecting and improving water quality; and protecting the quality and function of the surrounding Richmond Creek tidal wetland ecosystem. See attached addendum. 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 r Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southa'►u 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. j ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies;-Pages 62, through,65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLE Coastal Management Specialist DATE July 20,2021 Robe E. IN41rlaiiii Amended on 811/05 } F 1 EN-CONSULTANTS July 23, 2021 E E II// Town of Southold Jut Z 2021 Board of Trustees 54375 Main Road Post Office Box 1179 Seu;holdTown Board f Tru.,,. Southold,New York 11971 Re: Michael P. & Susan Cavounis 3475 Wells Road, Peconic SCTM#1000-86-2-9 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP Consistency Assessment Form. 2. Photographs. 3. Four(4) site plans prepared by Peter Podlas Architect, dated July 22, 2021. 4. Four(4) surveys prepared by Nathan Taft Corwin III Land Surveyor, last dated July 14,2021. 5. Application fee of$250.00. 1 trust this information shall allow you to process our permit request. Should any additional information be require ,please do not hesitate to contact our office. Sincerely Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.63601 f 631.283.6136 www.enconsu[tants.com environmental consulting