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HomeMy WebLinkAboutTR-10031 Glenn Goldsmith,President *®f S®Uf� Town Hall Annex A. Nicholas Krupski,Vice President ®� " ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski 3 Southold,New York 11971 Liz Gillooly CoTelephone(631) 765-1892 Elizabeth Peeples ®�� �® Fax(631) 765-6641 C®UNTV,� BOARD OF TOWN TRUSTEES May 19, 2022 TOWN OF SOUTHOLD Bill Gorman P.O. Box 1447 Mattituck, NY 11952 RE: LYNETTE & ROBERT KRUEGER 4375 STILLWATER AVENUE, CUTCHOGUE SCTM#: 1000-137-3-3.1 Dear Mr. Gorman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 18, 2022. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#10031 to install an I/A septic system; and as depicted on the site plan prepared by Louis Schwartz, LPE, dated April 25, 2022 and stamped approved on May 18, 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 X- • 0.75 011 6� W*A s:s% W11 PA" Improved i��wpm - ;:4 Public FNM°M VAUM cl= TV l%1HW Line To 0 E a 6.01 M A9.9 le 0 oz CLEANOUT 7 System Va<_na into Sanitary Vent Top of Boring EL 16.25 Vent must be Sleeved In 0 Pipe through the Foundation .1. Asphalt Brown SlIty Sand SM .9 Proposed z AlpAddition Brown fine sand SP O. X Test Hole Location Dec a Total Lot Area= 13,754 SF 9_0 %03 .4 SUM 1000-137-3-3.1 1 1 9z �Vrlv ay R I\sn 'Jol ,�01910 10% Ca .9 Water In pale brown sand SP �IN . 1� I �-W r1ro IIIWOJ Qn W4 01 Alarm Panel MEN 00 Mm MR I d �$WrL MMMMM !� M4 New Hydro-Action �15-0 17 0901 EX �E 0 C4 N-500 Systemz 0 Ir Elio I Abonao-n�Ex.Cesspool Test Boring s on n.3' By r, rn 6,Min. raw .1L., McDonald GeoSaience z 'It In oAVI of, back FPI ZtPhij.1ra F,0 cl--fl 5xW AM Grovof 9/15/21 z Improved a QA LEACHING 6 ttITt9i -3 Public a APPROVED SY H Plastic Distribution Manhole .;.—BOAR® Q8rjQkk%rSESe) a 4 x 6 x S' EfF Depth Sys Design JOWN. OF SOUTHOLD 5 Bedroom Residence 1j Leaching Galley From All Elevations in NAVD 1_q Long Island Pre-Cast 550 Gals per Day 1.986 Vatwrn 16.83 Hydro-Aaflon AN-_500 DATE Mq 1 20 Z2— z FF EL 17.67 Inv+oll Secondary Sofaiy Covet, I cover 9.5 Sanitary Notes Prop Coradot 16,0 1. There Is no public well or sewage system within SOO'. Inlet Invert EL 13,25 Coat Invert 8 14.33 Inlet Invert EL 14,0. Outlet Invert Un 0 0 cin 2. All surrounding Improved lots within 150'are on public EI 1" water+here are no adjacent,active wells. 4 x 6 x 656 Depth EL "e+"Ver+r 0 Invert 5 " Leaching Galley From Long Island Pre-Cast E C E 0 1W E w/Traffic Bearing Top S 1 zo and At Grade Cover MO.NAME: 4 ;t A P R 2 72022 SITE Highest Exp OW EL 2.73 PLAN Ow EL 1.5 "15-73.No.; Profile Foy77006 Southold Town S-1 scale 1/8"-_ T Board of Trustees PAGIIII W2 Glenn Golgi )ith, President o�OSUFFf" pG Town Hall Annex A Nicholas Krupski, Vice-President 54375 Route 25 Eric Sepenoski o $ P.O. Box 1179 Liz Gillooly o ^+ Southold, NY 11971 Elizabeth Peeples Telephone��1p� �00�� Fax 631 7665 6641-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2 Z Completed in field by: nl • ��w�f� Bill Gorman on behalf of LYNETTE & ROBERT KRUEGER requests an Administrative Amendment to Wetland Permit#10031 to install an I/A septic system. Located: 4375 Stillwater Avenue, Cutchogue. SCTM#: 1000-137-3-3.1 CH. 275-3 -SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V' Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission >/ Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: E. Peeples L. Gillooly G. Goldsmith N. Krupski E. Sepenoski Other J Concerning: Lynette & Robert Krueger 4375 Stillwater Ave. Cutchogue NY SCTM# 1000-137-3-3.1 4.27.22 Elizabeth, As we discussed on the phone please accept this letter as an addendum to the Wetland Permit#10031 that was issued on November 17, 2021 for the above named property of Lynette & Robert Kruger. We are including a new IA septic system in the scope of work planned for this project and would like acknowledgment of that included in the approval by the Trustees. Attached is the certified Site Paan by the engineer, Lou Schwartz, that includes the plan for the new system. Thank-you, E C E-0 V E APR 2 7 2002 Bill Gorman Southold Town Board of Trustees (Agent for owners) . 1 Glenn Goldsmith, President �OF sorry Town Hall Annex A. Nicholas Krupski,Vice President �OVv ��� 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �'0 • �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-,construction; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10031 DATE: NOVEMBER 17 2021 $ ISSUED TO: LYNETTE &ROBERT KRUEGER s PROPERTY ADDRESS: 4375 STILLWATER AVENUE, CUTCHOGUE SCT-M# 1000-137-3-3.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in f accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 17, 2021 o and in consideration of application fee in the sum of$250.00 paid by Lynette& Robert Krueger and subject to 11 arse:` the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the existing one and one-half story dwelling with an existing 734sq ft-1 k footprint and existing 525sq.ft.second story; existing first floor deck is 416sq.ft.with additional 100sq.ft. partially covered front entry porch; ropose to construct a 576s •f. first floor addition on the north side with a 576sq.ft.second story addition; existing first and second floors will be renovated to include new windows and siding; 78sq.ft. of existing deck on north-east V, corner will be replaced with new deck; new deck on north side will total 202sq.ft.including the M A 78sq.ft,of existing; the remaining 338sq.ft. of existing deck on east and South side will be re- , surfaced; existing front entry deck will be re-surfaced; existing cellar entry on north side will wi be removed; new Bilco entry will be added on south side of dwelling; establish and perpetually maintain a 15' non-turf buffer landward of the top of the bank; and as depicted on the site plan prepared by Louis Schwartz,P.E., received on November 12,2021,and stamped approved on November 17,2021. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its,Cor porate Seal to be affixed, and these 'q L presents to be subscribed by a majority of the said Board as of the 17th day of November,2021. if F04 01 Ir '12 4— 4,- ® l My - ... ........ 1z' TERMS AND CONDITIONS The Permittee, Lynette& Robert Krueger, residing at 4375 Stillwater Avenue. Cutchogue,New York as part of the consideration for the issuance of the Perm it 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 1 l. 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 SOUry Town Hall Annex A.Nicholas Krupski,Vice President ,`O� Ol0 54375 Route 25 John M. Bredemeyer III [ P.O. Box 1179 Southold,New York 11971 Michael J.Domino va ,c G � � Telephone(631) 765-1892 Greg Williams '0 Fax(631) 765-6641 �yCOUNT`(,� BOARD OF TOWN TRUSTEES TOWN OF-SOUTHOLD November 22, 2021 Bill Gorman P.O. Box 1447 Mattituck, NY 1952 RE: LYNETTE & ROBERT KRUEGER 4375 STILLWATER AVENUE, CUTCHOGUE SCTM# 1000-137-3-3.1 Dear Mr. Gorman: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 17, 2021 regarding the above matter: WHEREAS, Bill Gorman, on-behalf of LYNETTE & ROBERT KRUEGER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated'September 7, 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 November 17, 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, 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, arid, RESOLVED, that the Board of Trustees_approve-the application of LYNETTE &' ROBERT KRUEGER for the existing one and one-half story dwelling with-an existing 734sq.ft. footprint and existing 525sq.ft. second story;,existing first floor deck is 416sq.ft. with additional 100sq.ft. partially covered front entry porch; propose to construct a 576sq.ft. first floor addition on the north side with a 576sq.ft. second story addition; ----- ---existing-first-and-second-floors-will-be renovated-to-include-new windows-and-siding;--- 78sq.ft. of existing deck on north-east corner will be replaced with new deck; new deck on north side will total 202sq.ft. including the 78sq.ft. of existing; the remaining 338sq.ft. of existing deck on east and south side-will be re-surfaced,; existing front entry deck will be re-surfaced; existing cellar entry on north side will be removed; new-Bilco entry.will be added.on south side of dwelling; establish and perpetually maintain a,15',-non--turf buffer landward of the top of the bank; and'.as depicted on.the siteplan prepared by, Louis Schwartz,',P.E.,, received on Noverriber12, 2021, and stamped-,appr'oved on _ -November 17,2021. Permit to_construct and complete_project,will-bxpire two years from,the date the permit is signed. Fdes'must;be paid;-if-applicable,°and permit issued.withinsix,months of the date of this nofifcation. ' Inspections are"required at a fee'of'$50.'00`per inspection. (See attached'sehedule.) Fees: $50.00 Very truly yours, 4 Gl4enlgo ldsm �h , _, - President, Board of Trustees i icnr��7+1_ 9;asathr(!c?}-,,i>�rcut.sT ShoRer Island _ O 1 2 P4:CJt71f. �' PIPE PND, r �4� �}au. � { rui osiue Nr a i gas ArPPAID. 0\ ,BOARD ��`® u� ,BOARD OF i RUSTEES > iOL® ��?' .\ A� } N1at4I4UCk o0. � �� \ ,70111017 JOWN-OF SOUTHNew DATE Mo��i/(1�+/iQ °ndO tS 'V� \�tiDa\ ,{ , P, \ QE; N. \ Fdoh:ns island WOOD ---- 44—'a MON. �., `\\ STEPS j -- — --— PND./ v� le C 10 MON. `�i FVQ a PND. \� unuTY _ POLE n� ��,.p ®V 1 2 2021 i,_.. l T ci � �®'ti ..r"" 7 t.)la� AM M 0� 15T• S(a\!G1.. " F'PttYl j l.`j RAS� -Ts 's'71 LJ—W? )v 9. AVE Southold l"orvn � Board of Trustees MON. .,���5 �U->(C�7GC,E NJI( q36 .�, NEW t%gra tT c okJ i5-7c sQl(� (oco- I3-7 D 3 - 3, 1 Ex�sT t-kv�s� �o � x c5T p ,C t� �1$ fT1 N Af PU C•�r\Yt' 15 4 3M5` s°r"i+..�-t•� �.LC e XLST TORQA loo '��� S y�'I'�- -t' JP >�b COY Pik C XIsT c ° 'fit t_L 6C?,KA 4 New &opmolj nh - ' z (,at - A-lt5 4 1461 Naw DESK ?4 ^Co-r �E�o�os�p {x .02 %� ice" epv F -77006 C(C) cort AREA .�1 13,763 t2. ��+ . FESS' 1-0 $ . (2 . 2-1 _0 TI LIN ltY! _�. �t•.•Ci��:, tib.. I I t �` � �y� � �� - .•• '` Vis:. y - Jl L6 nLakiLl ell e Tyr E• - s � �, .11, a ' 'T Vow 4C" L•b, y sem. `� ,T• " �,�_ 44 x "� Glenn Goldsmith, President Town Hall Annex A Nicholas Krupski, Vice-President ® 54375 Route 25 John M. Bredemeyer, III ® P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams ®� ' ` �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: LYNETTE & ROBERT KRUEGER c/o BILL GORMAN Please be advised that your application dated September 7, 2021 has been reviewed by this Board at the regular meeting of November 17, 2021 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction,($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) xx The Permittee is required to provide evidence that;the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk Countyl,Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of.rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Tiderunner Engineering Design, P.C. i 7 Ridgewood St Bay Shore, NY 11706 (631)-839-4824 November 16, 2021 Board of Trustees Town of Southold Town Hall Annex f 54375 Main Road i Southold,NY 11751 Re: Site Plan j Residence 4375 Stillwater Ave, Cutchogue,New York To Whom It May Concern. I reviewed and approved the notes on the subject plan and all notes were on the plan prior to my stamp and signature. If you have questions please feel free to call V Sincere r , ga P (� .,outs Schwartz, P.E. '1 NOV1 7 2021 i k i ................... ............. N ........ RPE FND, tir '0110 MON. MON f, a�'!r 0 1 "00 -,o Qi� ......... 1V �s �s LIN %. >0 C) ow WOOD MCK FWD. IN 4 < as a as, </ > h, '00,0 011 FND� 47f UTUSTY PME& /X \vJ FEE J5-T. SIN&L-e' FAmiL.\1 Pzy,, NOV 12, 2021 L AMT100 IM I�X 1 1, i 3-vs - -wArmK Ave Ilk vsTiLL al CvTct-o&L-e N1 FW. 13-7- 03 - 3, 1 y L STILuAA—M L-Lc S .4315 E� 'tC�C UST V 0( I APPL-1 C-*-rto,-J Pfc PAKJ50 QY -tDIW- eXMT q 95 ,l LOT Q9v crz NEW hopimla Q (081 De - ? r-r- 77006 2 .02 covw1w IQ . zi AREA kl'3,763 zFr,, Glenn Goldsmi 'resident =' F Town Hall Annex A.Nicholas Krupski, Vice President - 54375 Route 25 John M. Bredemeyer III cz P.O. Box 1179 Michael J. Domino ; Southold,NY 11971 Greg Williams , 5 ' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: `��y Z I Completed in field by. ' Bill Gorman on behalf of LYNETTE & ROBERT KRUEGER requests a Wetland Permit for the existing one and one-half story dwelling with an existing 734sq.ft. footprint and existing 525sq.ft. second story; existing first floor deck is 416sq.ft. with additional 100sq.ft. partially covered front entry porch; propose to construct a 576sq.ft. first floor addition on the north side with a 576sq.ft. second story addition; existing first and second floors will be renovated to include new windows and siding; 78sq.ft. of existing deck on north-east corner will be replaced with new deck; new deck on north side will total 202sq.ft. including the 78sq.ft. of existing; the remaining 338sq.ft. of existing deck on east and south side will be re-surfaced; existing front entry deck will be re-surfaced; existing cellar entry on north side will be removed; new Bilco entry will be added on south side of dwelling. Located: 4375 Stillwater Avenue, Cut hogue. SCTM# 1000¢137-3-3.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� 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 & 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__,Z' Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: e e c 5F L � � Jul ef I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: f J. Bredemeyer VI/ M. Domino G. Goldsmith /—N. Kru pski ^� G. Williams Other A T CUTCHOG UE TO WN OF S'O UTHOLD ago SUFFOLK CO UNT�; N. Y 1000-137-03-31 S SCALE. 1'=30' OF DECEMBER 18, 2014 Q 'F C O PIPE � FND. � I FHD - `so \ 0 0- S \\\` '� �.0.wooD \ 6%6 00 2g� �sTEPs S MON. c FND. ro ® ECCE VE N5� SEP - 7 2021 •°°O�y MON. ��. FR 2 FND. / a� \ \ 1Ar9O UTILITY ;n`\ Southold Town POLE oS Board of Trustees o CERTIFIED TO: F ROBERT KRUEGER MON. F� s LYNNETTE KRUEGER FND' °$ CHICAGO TITLE INSURANCE SERVICES, LLC. M.S. 6' , '� - •J [ --�--- TO -h4AP OF PROPERTY, 1 --- BERS REFER CLERK'S _ LOT NUI p IN THE SUFFOLK COUNTY HANDFILE 1 1930 AS FILE N0. 730. OF E ON SEPT. 8, Is A VIOLATION ------ - -------- ---------- -- ---- -- ',? - -/V,Y S. LIC. NO. -49618 RATION OR ADDITION TO THIS SURVEY 'P CONI � ; •L~YORS, P.C. NEW ALL CERTIFICATIONS - __-___ ARE, - ----1-763, a s (631) 76`5-5020 FAX (631) 765-1797 ANY L N 7209�C�N 7209YSUBDIVISIONATE . ALLEDUCATION LAW. __.----- - - - -- OF AS PERS P.O. BOX 909 EXCEPT ARE VALID FOR THIS GAAP AND COPIES THEREOF ONLY ! !r� TIE LINE 1230 TRA V/ELER STREET HEREON P pR COPIES BEAR THE IMPRESSED- SEAL OF THS-SURVEYOR--- - I�--SIGNATURE-APPEARS-HEREON. _ SOUTHOLD, N. Y. 11971114-144 I 4.-0 _ I (W rEW Ir ELLAII r —3-11,' �._0. ._1j1.. . d -ta. _Il_ -0.. ! i I , ......... ..... , Q I TT I { n r.,r PO F! FrIT II ,,r wnl„ w lI T1— E,JS: CELLAII ! E f 3 1 I I , i E _ I ,�r .0 U71-7 fI!i:EiI;piIIlE,:r;ii1j.i'::IIiI Ii.E�I,iIFG • JII!EEi,i w�w-1I - YtLCII6t.`_I,,.. 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L LVSI VI:I PC;I LeISI. \ TEX \LW ADUIIIO'd dL"ONU -'(ISH O O\O Hnl :G \ / - W L i I IOP OI 1 LOOH ',LW WOOD SIDING CLW N,OfI SIU Z, 1011 OF SUBFLOOR L*.IST E LtISI L/ISI L',I.SiI::G LXISI=1 El. El ElF� ill © LIE] ......... 0L 10 11OI-SUBN.. I LOO — . [w ISI L,16 INI L`LI.K ^lW CL -�H D00H I SOUTH ELEVATION EAST ELEVATION 1/8" = 1'-0" 3.31.21 1/8" = V-0" 3.31.21 4375 STILLWATER LLC CUTCHOGUE NY SINGLE FAMILY RESIDENCE SCTM# 1000- 137-03-3. 1 ZONE R-40 .36 ACRES oop ,• . Y6 n Ail T s ,r I r f IF 14 ♦ ,„ -,y .. d�w.ti. , .,j, ice' 4,� _%['�` -%y,��. r 8/10/2021 4375 Stillwater Ave-Google Maps Google Maps 4375 Stillwater Ave People's United Bank PeconicBay Vineyards APA Auto Parts /!1 irtin Automotive..`�' `T G " - TuckerElectricStarMechanical Braun Seafood Co 9 it 9 CA) � N� J W r �q.P `s tiowoad� C4n Ll nas Q Lille NwkRd9 Broadwat �- rto Body p �' nb�,ad r sir gy s a� 6 A Blooms By Design 3 � vn1Rd `sVllµ�terq� 8aldvnn FI 4:7gnAYP �S Sri IP, azo* r�A 43�75Stlllw ter" ZWickham's Fruit Farm C ogue, 11` 35 3 I :ountry Cal s° Gaggle r«wyodrru -,. Iftk Mud Creek. Map data @2021 500 ft, .J .A https://www.google.com/maps/place/4375+Stillwater+Ave,+Cutchog ue,+NY+11935/@41.0134244,-72.4680552,16z/data=!4m5!3m4i 1 sOx89e89Of76cf968cd:Ox4Ofe715c91 e85274!8m2!3d41.012202!4d-... 1/3 u nes I♦w / /`. a$'' // $.. ow 3 14 / Ta M t, 4v 3 r �♦ > mel rs. '- pr IWO ww _ r . P' \ l f e- +1 9 / d, RD O`��/ a ° �I` \\ \ \ \ax \ 'may _M.. .y�;`r 2.1 i \ Ni ................... ._ — — ,.w.,_ -. COUNTY OF SUFFOLK© nonce K - a��.r loco seC*aaw Real Nro t 1..Servicer rm soun�olo 137 ...� ,!I w. P<r y gency W E m�arrrno�.cam or n4 E w..,. Y,, —_—_ "" —_ "r or. . ,xr r;rdar 6nr.Arerbl.lY IMII SlsPolx cAlrrlx rutwPB weSn1EP M � --_.__ ——�•—— ...raw ——.•„—— -'r.. ____ w.rr u.. (71) a..... .n e+nr]inrt+e,�.rou� p rr OFFICE LOCATION: �� � MAILING ADDRESS: Town Hall Annex �� �� pro P.O. Box 1179 54375 State Route 25 N Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) y Southold, NY 11971 4�� �� 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: November 15, 2021 Re: LWRP Coastal Consistency Review for LYNETTE & ROBERT KRUEGER SCTM# 1000-137-3-3.1 Bill Gorman on behalf of LYNETTE & ROBERT KRUEGER requests a Wetland Permit for the existing one and one-half story dwelling with an existing 734sq.ft. footprint and existing 525sq.ft. second story; existing first floor deck is 416sq.ft. with additional 100sq.ft. partially covered front entry porch; propose to construct a 576sq.ft. first floor addition on the north side with a 576sq.ft. second story addition; existing first and second floors will be renovated to include new windows and siding; 78sq.ft. of existing deck on north-east corner will be replaced with new deck; new deck on north side will total 202sq.ft. including the 78sq.ft. of existing; the remaining 338sq.ft. of existing deck on east and south side will be re-surfaced; existing front entry deck will be re- surfaced; existing cellar entry on north side will be removed; new Bilco entry will be added on south side of dwelling. Located: 4375 Stillwater Avenue, Cutchogue. SCTM# 1000-137-3-3.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP and therefore CONSISTENT with the LWRP. 1. Due to the close proximity of the structure to the waterbody, a vegetated non-turf buffer is recommended to further policy 6. 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 John Stein,Chairperson 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., November 10, 2021 the following recommendation was made: Moved by John Chandler, seconded by John Stein, it was RESOLVED to SUPPORT the application of LYNETTE & ROBERT KRUEGER to construct additions to the existing dwelling and decks. Located: 4375 Stillwater Ave., Cutchogue. SCTM137-3-3.1 Inspected by: John Chandler, Carol Brown, John Stein The CAC Supports the application with an I/A septic system and recommends the two (2) large trees remain. Vete of Council: Ayes: All Motion Carried Glenn Goldsmith,President Town Hall Annex ski;Vice President x K r 54375 Route 25 A.Nicholas Kru F P.O.Box 1179 John M.Bredemeyer M ^'� ,.- �„��� ��' Southold,New York 11971 Michael J.Domino `{z - Telephone(631)765-I892 ,- <., Greg Williams Fax(631) 765-6641 Cooff ; BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erasion Permit Application ® E C E 0 V E �WetIand Permit Application Administrative Permit SEP - 7 2021 Amendment/Transfer/Extensi,T,71 Received Application: `lh 2� _ eceived Pee: $ �• Southold Town Completed Application: Z��Z�� Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Data: Coordination:(date sent): a PD ate of Inspection: !i� Receipt of CAC Report: Technical Review:, Public Hearing Held:_�1 Resolution: Owner(s) Legal Name of Property(as shown on Deed): Mailing Address: S'f(t-1-..W1ttTJEJ� AVE . Phone Number: 631 Suffolk County Tax Map Number: 1000 - 37 ^ 03 P 3 Property Location: 4:3-75— Jr1 LLV JA-Tz, AUE. CQ-rC tt&&C )E, (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): `E't C Q(q-M A S Mailing Address: TO Box 144 7 M&IDIUCK- NV If JFZ Phone Number:- 44!; Email f12 WI'VIG�La n� Lens C, Q,O . Cowl �d��x Board ok Trustees Appiic tion GENERAL DATA Land Area(in square feet):,- Area Zoning: Previous use of property: SInd Gi..l✓ tAxn L U` RCS Lo e N CE, Intended use of property: S I N G-L.( fF c,`Q or cS l P �� W f�-�D,I'T�®^� i Covenants and Restrictions on property? Yes _ °�No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? , ✓ Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. ` Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No s F Does the structure(s) on property have a valid Certificate of Occupancy? ✓ Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓ No Yes If yes,provide explanation: EXt S'TiN G Is r FLbotz- 115 -7 34- 611 Project Description (use attachments if necessary): Ext (S L k\5T�n1G 13r- C>Ecicw Is 4 I&1,9,-<-+-W/okDotTI0a1 sr loo cif PkRXU\t CO V E(LRED l`•f-t rJT �nn'R Po H Pos�a Ta15 -57h A\PDtT 70M ON -IN30k7h S(vim w/ Nc ,.2�4 FL.Uor�. E?�l5"C. lst 2"'� FL. �t LLI.kLkSo 8E ENb Lr_ O\Jlk tNC- N eW win1 Oo�LaS s 101 p- 6- - F (✓2�Ls . Decv- ort 0D RTbt-EAS'`( CoGZNak Wu-L.. Se V.-ePLAPED w l NEMA/ vec-r-�, N UL L 2 02_ - INct T�{E ?� O� �cIST, 0 t,e,y\PaPjv,1Cr 338 Y OF ey(6T: •Pecv— oN EAST 4. SOUTh SWU- wtuL.BE f-E-S'URFNC�-D e)C Gr. FRprJT e:NT y >�t� w LL. E7c l6rC' CEUL-klz eWTF�'t t,0 0004'M S(Pe w I L 4- Re T2,6-A'Mb UW• Naj I�I L_CZ w LLQ ?iff- kD,V4E)2 ori! sa U-r+A 00 Board of Trusteeslica�ion SPP WETLAND/TRUSTEE LANDS APPILICATION DATA Purpose of the proposed operations:, 0 IT( Q tel, cl s T' . SING 1=A7yl((�`d 11 or.S DCC.IST• . L Area of wetlands on lot:: , square feet a Percent coverage of lot: •- % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: Z•2 feet Does the project involve excavation or filling? Noy/ Yes t(03 co•.lots if yes,how much material will be excavated?._P c e l(g r cubic yards How much material will be filled? 0 , cubic yards Depth of which material will be removed or deposited: 8'-0' feet ? Proposed slope throughout the area of operations: NO c t cE Manner in which material will be removed or deposited:, !~ A ora FQ N Etat - J CeLLk&. RE-Mou E5 UN®U S nth Pc LL- A-FM591_ ,$kttL- LL t S GD me 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): Twp rAeLAt �QD LT7()r� yOF� NOT baouC C(,fG(Egl -b n±t- .'C l E UNE n1 s-C iJ CT `STIRv cTU tZ� S o rJo �tE $ hrlPsl.L l "A � 0 r W E[l_ArN DS" 0 f, Tt D& -- W kT!S - 3 00 617.20 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 1 based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: KtLv�G E� Res LDCN) ,S 5T-1 c.L w A-T, I-L-c . Project Location(describe,and attach a location map): X3"15 srll�w� �U�• COTCt-to6-Ue tW f l lq 3S Brief Description of Proposed Action: ; 57(a �l 2 s-Mv� A-VVMOr-�, OSS N0RTl-t SI VG of EXtsT_. t7tOUsE 9 y , N�aS ' U4- 6N) N O RTI•t S I D e '�5 UR.��rC.'E r✓k1.5T'• .DECKS• NZW NoolUs cSt�tN�— N L-W Ce UUA-9, SN 7" Or-� s o UTt( S lDE Name of Applicant or Sponsor: 43-T5 s-n"VJA 1Z_ Telephone: (p 1 _ $lL-L G-oR.nnAiJ 'b(z KRL)55LLC E-Mail:, eriq lan b (:AS @.ci l •cor►a Address: +3-15 City/PO: State: Zip Code- - S Tctm&Uti`� t 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. 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: S OVT1-OL,b —tD VJM Su tL.Dtr,3 y F0-;,M(,T D N bTkJ-,t! E>EC FE(; M c r 3.a.Total acreage of the site of the proposed action? ® ( acres b.Total acreage to be physically disturbed? _� O I acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 3- . -acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban El Rural(non-agriculture) ❑Industrial ❑Commercial ;KResidential(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? ("1 ` b.Consistent with the adopted comprehensive plan? L❑J L71 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES ` landscape? (-j 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? tNO YES If Yes,identify: _ ❑ i 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ®I ( b.Are public transportation service(s)available at or near the site of the proposed action? ® ❑ e.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? :❑ 9.Does the proposed action meet or exceed the'state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ s 10. Will the proposed action connect-to an existing public/private water supply? NO YES, t If No,describe method for providing potable water: ❑ r__7j 4q ""11 4 11.Will the proposed action connect to existing wastewater utilities? " NO 'YES If No,describe method for providing wastewater treatment:� S_c�� - �TIY�� ❑, 12, a.Does the site'contain a structure that is listed on eithe_r'the State or National Register of Historic NO YES Places? �1� b. Is the proposed action located in an archeological sensitive area? i(—`'�J ® '_J 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? iu7l ; 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: 14. Identify the typical habitat types that occur on,or are likely to be found-on the project site. Check all that apply;{ J.Shoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland ❑Urban MSuburban 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? ❑ 16.is the project site located in the 100 year flood plain? NO YES WTT 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES ®; ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: / NO DYES Page 2 of 4 108,Does the:proposed actor mem e ctrnstri ction or other actio_ S Mat result the in-poundment of gater or other liquids te,g.tet it-on porid,waste l o; .air)? es,exr_ant ot,r'pose and size: - — — - - - — - - LJ ._-as the Sat of proposed_ t -_or an a tningy Dron _ is 1 the_o°a,-on o` active�� cloned �� YES so!.d'este management facility if es describe; Lj — - - -- e _ -action f sub'- � t site ii: re i=aa. °i '�-a.'4 �,n -._ n..-_ _ _.. _, to v -,- .; �: ar or NO E p zed b hazwdous waste; - �- t Yes,des;rite- j i AFF M THAT HE IN - PROVIDED ABOVE _ AND ACC—RATEHE BEST £ aMY W plic t/s ins . tea e: — _ L-L_ Date: &P® i ,2 Srg atom Part 2-=upset Assessment the Laza Agency s responsible for the completion f Par 2, Answer all o"the s ,log irr§ quznsti i s in Part he inibrination contained in Part l and other r . ,s s = Blie 1 v t- ect sponsor or y r . - rye vzt=lr_l _O to Wet. When nsw nR the questions the reviewer shot Mire zur s by the c ceDT`Have responses beet re -r ---b-e cons i ere g_ C side and context o the proposed action'" No 0.- Moderate Mpact may _ occur occur Will the P, vused action crests a material con ,ct with an and use Dian or zoning regulations' Vv,; I Will l - e proposed action reit:_=it a change t tire g=e or itt ns ty ofuse of nd? _ 1 _ =tWig I the fro s cl a---,;on have on he nviroi ,n `rta characteristics _e-fit caLiSed the ' i I --est bf shore t ofa Crifica_Environmenta Area(CEA)? 5 Wil the D-Uposed action reRflf in an adverse h e in mz ex sting:ev- ftraffic or T cxistin.:in6 structure omass t =rt,bikini-or wa kway? Will e nroposee action..cause an increase-in the ase orenergy and it fia:'s'o mco- 0-laW 1 Will the O Oaction impg t exist ng: a,Duo ic Drivate water supplies? u'r *private wastewatCrtreatment wtinea' 8� Will t"e- n� cfiont a a ate. 'd aracteaz or ua, np - tt, — _t�iS, terc=av is cal, . a a=. , ; I CU—.'Or aesthetic riz-SCME-0 the.pr O c o ° resultn anadverse natural resources(e= t ands, Page 3 o a o W to pac_ impact MRV -nay occur occur i the proposed=Aim renhin--'_ increase in the po-ential -oa erosion.flooding or da,np e 1 oblcros- i. . .ampowd moon cmae a hard.o enrusa :_tal resources or- urnan health? — T Part 3-.-Determination...of significance, e Lead Agency is responsiblefC me r}`dlps: un of Pan 3. For LT - 3. ems.e.__:t of_ta€.ppopnscd 3,nP_n may or ills.ut resull in a significant adverse environmentai imp pit—ase coinplae Pan Pas ,Sh €s l 3n€suiiicrero de-tail- identid, the°€` pa- including any memums or&s _n _.est?.sus da We Wn.F d &d by _3e pmrimi swnsm to avoid or mduce impwb. Pan shOUld also explain r it la li deo rni nee rtiai theimpeact may or _.iH not be. �n it-ircant,Taa p_ 't_E i Frij-,acE sfiot2I be a-sscssed corsidering its sertinqprobabi€ity-of 0ecti`t n - t a � ,s$` I _, _ I_.=h -� _�3'%.and e. `sa to _ _ a .-a og-��. a f e o to long-term „'_ cumulative imuss. _C have determined,--- the;nfbrmWficn and analysis � above, supporting i ocu"llenucalm � _e 1 -- � e - __ ��sed actioa � .-esu one or more ro_e-n ,y large or significant adverse impacts and an - Dac-'staternen!is required. environm 1Check s A _�.yyou have to - eb ud on de infbrrnation and arm- s above,and any supporting documentation. }� that the proposed acs on will not ter h: [i any significant adverse environmental impacts. --fin ef SnutholdBoard of—ru3tees i -_ fiXn,45 Lw id,. � _ -- Agency gg o- _ � "�- Responsible c b � . ead _ Officer in Uad Agency Signature of Prepami (if diflef-eya ftni Responsible Officer) FP FUI Pj T € _ m 7 Board of Trustees Appon AFFIDAVIT BEING DULY SWORN DEPOSES'AND AFFIRMS THAT HENHE IS,THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL,STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY 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. r� - Signa ure of Propert Own Signature of Property O bid I — SWORN TO BEFORE ME THIS _ DAY OF. S n� t ;20 Notary P is HARUTYUH BERBERYAN Notary Public-State of New Jersey My Commission Expires Nov 24;2024 Board of Trustees Appy on AUTHORIZATION (Where the applicant is not the owner) owners of the property identified as SCTM# I OM- in the town of New York,hereby authorizes \d 1 w am �� ��mrz�n 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. Prope Owner's Si atur Property Owner's Sign tur SWORN TO BEFORE ME THIS, 1 DAY OF ' 20 Z Notary Public HARUTYUN BERBERYAN Notary Public-State of New Jersey My Commission Expires Nov 24, 2024 APPLICANT/AGENTARE-PRESENTATIVE TRANSACTIONAL DISCLOSE FORM e'lb of Souihold's C e of E •cs mbibi confli `'of intei" i the• o tanvn ofli d ginouees.TheMWOse o this form'is to provide igforkiiiioii which'can alertthe town ofgQssibleconflict'of interest and allow it-to tale vrhntever action is rie�tn avoid=saiitB. " ' YOURNAME• 1,nF eakh krot Waz {Last name,first name,'jpWdIc initial,`unless you are applying la 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 ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map - Planning Other' (if"Other=,name the activity.) Do youper-s9naliy.(ar throughyour company,spouse:sibling,parent;-or child)have a tolationsliip,with,any',oM-calor emptoyee of the To Southold? "Relationship"includes by blood;_marriage,or business interest"Business'interest"means a Business, including a partnership;in-which the•town pIf icer or employee has even-a partial, hip of(or employment by),a ownerscorporation in which the•town officer or employee,owns more than 5%of-the shares. YES NO ✓! If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or-employee or his or her spouse,sibling,parent,or child is(check all`that apply): A)the owner.of greater than 3%of the-sbdr0s of the corporate stock of the-appligmt (when theapplicant is a corporation) B)the 1egp1_or lienefioial owner of any.interest in a non-corporate entity(whenfthe' applitanUs not a corporation); C)an officer,director,partner,or employee of the applicant;or ' D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this V day ol. &m 20 2 ff Signature - Print Name_ cx Fornt TS 1 ` Board of Trustees Applicai�L;,J:an AUTHORIZATION (Where the applicant is not the owner) I/We, Y1 ;, VVe-- 2- owners of the property identified as SCTM# 1000- l 3 3 —in the town of C- U TCRQ 6U E .New York,hereby authorizes _ t B (LL , G O F,ry l/$ij to act as my agent and handle all f necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. 4 3 } l Property Owner's Property Owner's Signature Signature SWORN TO BEFORE ME THIS . . DAY OF 20 Notary Public CHRIS MEIMARIS rNotary Public-State of New Jersey ; Commission Expires Feb 12, 2026 5 APPLICANT/AGENUREPRESENTATWE TRANSACTI®NAL DISCLOSURE FORM e Too `ofSout of'§C e f 'cs iohih"ns confiiCts of'ir erest 4ritho `rt o; a d ,res and a ees- e, se ci t`'r oisto rovide' " tiriatiiin ihi cawale'rt`tw to'-" of - 'ble Lon i n `nte t dal ow ittn e` atever ' 66tlo s necessiiry to.avoid samd,_ ''rr '/ - d YOURNAME: (Last name,first name,-Middle initial4 less you are applying in the name of someone else orother 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 Coastal Erosion ' Change of Zone --- ' Approval of plat Mooring Exemption from plat or official map'.d. - Planning Other F (if"Other,name the activity.) Do you„personaliy(br through'your,company,spouse,sibling,,paren4 or child)have a relaponship-withi,any officer or employFe of the Town of Southold? "Relationship"include§By=blood;;ii?afritige,orbu Thiess'interest "Busipess'hitieresfb'rn'eans a Business, including a pn-'r1i6rship,in which the lown,officeror employeeaum even a paitiai'ownershipof(or�employraEenlby)',a corpozatinn,, in which the town officer.or employee owns snore than•"5°Y.ohh&ihares.' YES NO ,if you answered"YES",complete the balance of this-form and date and sign where indicated. i Name of person employed by the Town of Southold Title or position of that person i Describe the relationship between yourself(the applicantlagentfrepresentative)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,oi,child is(check all that apply): A)the owner of greater than 5%of the shark of the cbrporatgls ock of the applicant' (wben the;applicant is a corporation),, " B)the legal or beneficial owner of anyJpteii&st in a non-corporate entity(wheu tw applicant is not a corporation); C)an officer-director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this S day of 20„ , 3 9J&natUre Print Name_ Form TS 1 APPLICANTIAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM of a 6kticsp°and empWmej, e• rise of° -&nn;iso VMV-j4 YOUR NAME: PM At,) (Last name,first name,ipiddle initial.'unless you are applying in the name of someone else or other entity,such as a,company.If so,indicate the other persores 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.'Oetsbnally(brthrough,your.company,spo.use, With any ofetcer.oremplo'yep of the Town,of§6uthold? "Relationship"includdt by;bloo'd,'matdaje,orbdiftss,interest;4BUiinTlnterestr�m O'q'n§a'66sme-,s's, including a partnership; 41owieiih (bietriplo t,by)"a6iporati 'ish* in the tow6,,,d�fficeiorqmployqqhztsev�p,i�parti ip of 01-9 in which the'tbwn officer or employee,owns more than,51%6ftlfe'sharcs. 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 orposition 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,oi`child is(check all that apply): the owner otgreater than Slkofthd-A6res-of the corporate sfockdf the,appr"R�' (when the applicant is a corporation),- 13)the legatoibendkil owner of anywjntire4,'ifi a non-66rodrate,entity(whdw6e app,IG4 is not a-corp6rdtion); an of,rice,r,,director,partner,or employee of the applicant;or the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 10 day of PrintName.— Form TS I so Glenn Goldsmith,President , mos FF�I'�COG Town Hall Annex A.Nicholas Krupski, Vice President a y� 54375 Route 25 John M.Bredemeyer III R.O.Box 1179 Michael J.Domino 01 Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 29, 2021 Bill Gorman P.O. Box 1447 Mattituck, NY 11952 Re: Board of Trustees Application of Lynette & Robert Krueger 4375 Stillwater Avenue, Cutchogue SCTM# 1000-137-3-3.1 - To Whom It May Concern: You are receiving this letter as notice that 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, November 17, 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. Truly Y urs, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President O�oSt�fFQ( Town Hall Annex, A.Nicholas Krupski,Vice President a� y 54375 Route 25 John M.Bredemeyer III y ,? P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams 'h0( �`a� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, NOVEMBER 17, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA ZOOM ONLINE PLATFORM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, November 17. 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 required for those who are not vaccinated at all times when inside any of the Town Buildings. 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 cbrisiderbd'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 happening via Zoom. If you do-not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune-,in'to the meeting are on the Town's website at ff https://www.southoldtownny.gov/ alendar or call the Board of Trustees oice 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: 864 6066 8183 Password: 470704 • 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. i Glenn Goldsmith,PresidentSUFFO( �0 `CTown Hall Annex A.Nicholas Krupski,Vice President ,�� Gy�l 54375 Route 25 John M. Bredemeyer III w P.O.Box 1179 Michael J.Domino r Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC ,HEARINGS ` Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: ' • All original white & green certified return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. Board of Trustees Aption PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & NAME: 1-3 ?- 3 - 1 'Y 3 ' L/ i• - -- - ---- ;p{ a O - Iresi49=at , Being'-duly sworn,-deposes and, ays,thai-on the day of , 20 , 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 located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this --- - -Day of 720 - Notary Public Glenn Goldsmith,President rnW> Town Hall Annex A.Nicholas Krupski,Vice Presidento�S�FFO�kC54375 Route 25 John M.Bredemeyer III P.O. Box 1179 Michael J.Domino y �{ Southold,NY 11971 Greg Williams oy ® l��r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of LYNETTE & ROBERT KRUEGER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLA CE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ONEIGTHDAY OR LATER IAL,.Aln& &,9kr9MJ , residing at/dba 741Sb37415- being eing duly sworn, depose and say: That on the kay of�U , 20 Z( , I personally posted the property known as 43-7s (vtctlto6vE4 ,Ajy by placing the Board of Trustees official noticing"poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,November 17, 2021. Dated: C 1 (Z1Z r gn re) Sworn to before me this day ofQ0%) 20 Z� JE4KY RIE ODD©N ar ublic Notary pLbllc,State of New York No.010Do251238 Clualified in Suffolk County2 commission Expires November 14,20z—m�) SEN DER: • •N COMPLETE THIS SECTION ON DELIVERY ■ Compfeto.prin$1,2,and 3. A. Signature ❑Agent ■ Print your,, a and address on the reverse X9 so that we cart'feturn the card to you. ❑Addressee B. Received by(Print d Name) C. Date o Delivery I ■ Attach this canto the back of the mailpiece,, l` co ro 1 ■ ■ ■ or on the front if space permits. d -n y ° 1& o n 1. Article Addressed to: D. Is delivery address different from dem 1? ❑Yes 3 - - o 0 5 If YES,enter delivery address below: ❑No CO) Z C31 ® (7 � Z7 D tea. ^ O m o? C)0 v, o a `_° 55 m Joseph& Rosemarie Mantione ' j Cr co ® o cn - 00 w 'w • I 4275 Stillwater Avenue 1 `- o ® c = Q° C- CL C) ai Cutchogue, NY 11935 I N CD N X o uJ o :: :+ N 1 1 _ - 01 Na y �_ m Er o �' - 3. Service Type ❑Priority Mau Express® o W < a I I I II�III IIIA SII I II ILII I� II I��III I IIII I�I ISI m ❑Adult Signature ❑Registered Mailrr" Z ® M 0, � w 1 ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted, Z to W e r.O a ❑Certified Mail® Delivery w m rn ® cn m fn rt , 9590 9402 3253 7196 9039 23 ❑Certified Mail Restricted Delivery ❑Return Receipt for ca s O ,. ❑Collect on Delivery Merchandise o p� _ _-_ _--- m `� i ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- 5 ca 2. Article Number(Transfer from service label)__ ❑Signature Confirmation ® ❑Insured Mal o (fl _ _ 3 018 ( Restricted Delivery ID " ❑over$pall Restricted Delivery Q iDomestic Return Receipt i ca PS Form 3811,JUly 2015 PSN 7530-02-000-9053 COMPLETE THIS SECTION ON DELIVERY C C CD GO SENDER: COMPLETE THIS SECTION K A.Sin Lure � EO 0 C r w w m �2' �c p» , ■ Ud Vpplet&items 1,2,and 3. t�. 9 v �. c Y,.-,�, �'' . Agent <<z @ 5-2 =w �� is ; ■-)?rint-' name and address on the reverse. :ryf X ❑Addressee N �Soltli- a can return-the card to you: „ . ; a a B. Received y(Pnnte e) C. Date of Delivery m � : ■ Attach this card to the back of the mailpiece, l I o n or on the front if space permits. 1 l Z g a 1. Article Addressed to: D. Is eliverydd aress diffe nt from dem 1? ❑Ye m W Z • o e m a' _ Robert P.Annabel&Joann If YES,enter delivery address below: o i Prince 1 o 1311 ❑ 11 El 11m 3 i 4300 Stillwater Avenue 3 xmm��o.BSB o o m a i Cutchogue, NY 11935 I Cal�3QM M� 1 � [1 1213 5 - 3. Service Priority Mail Express@ ( w " I I I I I I I II I I II I II I I I II II I I III I I I I I ❑Adult Signature eRestneted Delivery ❑Re it7d Mal Restricted l s J I ❑Certified MailO Delivery I 9590 9402 3253 7196 9039 30 ❑Certified Mall Restricted Delivery ❑Retum Recelptfor ` ❑Collect on Delivery Merchandise i_2.-Article Number_(Transfer from service label) ❑-Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM j red Mail E3Signature Confirmation 7 018 3090 2200 4703 3225 suver 0)l Restricted Delivery Restricted Delivery i; PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 't ' Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS J APPLICATION NAME & SCTM#: b , NAME: ADDRESS: Joseph&Rosemarie Mantione Lynette&Robert Krueger 4275 Stillwater Avenue 90 Homewood Avenue Cutchogue, NY 11935 Allendale, NJ 07401 Robert P.Annabel&Joann i- Prince 4300 Stillwater Avenue Cutchogue, NY 11935 • ' Robert&Rita Pelligrini 4515 Stillwater Avenue = Cutchogue, NY 11935 , "STATE'OF NEW YORK, ., ,.COUNTY,OF,.S.UFFOLK, 'j'8( residing at 94A(AJ P-b 0R1Q)T% /l) l • being duly sworn, deposes-and says,that on the��day of 1�o C� � �C,l'� , 20 Z, �, 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 located at 0k . `-C can &� ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/7ignature Sworn to before me this i U`� ------ ` Day of N OJ ew\bey , 20 Z Notary Publi No public,state of 54 ° No.01GE6245154 Qualified in SSS July 18 20 Commission Ftp ,� a o ru o. vC3 E3 ° ! Cut do I I cNY°1fi93•� {� � - - ,cii�c>�r�� ° (�- �t-a� to C� U Cutth�sti , rt Y i '93` r, � , m M c�N �- � 1 ( c3 Certified Mad Fee $3.75 _ '- L r Jl 0 Certified Mall Fee l 7c I✓ e�� S�4`� -I $ s3-- C, r� e f��� )' I Extra Services&Fees(check box,;odd7] $ 4B,,rr((�� ❑Return Receipt(hardcopy)6ttra Services&Fees(check box,add fee p pate) ( j O r ❑Retum Receipt(hardcopy) $ • 1 �- _'�10 pp r3 ❑Retum Receipt(elactronle) / t ark�, g.� f 8 Certfied Mall Restricted Delivery If �0 A❑Return Receipt(electronic) $ fil •fll POstptarRt,t I � ❑ it C3 ❑Certified Mall Restricted Delivery $$0 0 l � ' Here ®/� — " ; CJ ❑Adult Signature Required � SO�7Adutt Signature Restricted Delive ',e'`;! 0 ❑Adult Signature Required $--$NSI -- •f,4- Q []Adult Signature Restricted Delivery$ '\;?' .i Postage Postage L1•c$ $ -176 D-' Total Postage and Fees ED $ 11/0 /2021 m - M Total Postage and @g.3$ ✓' ro $ entro Robert( P.Annabel&Joann SentT Robert&Rita Pelligrini Prince E3 untie&fai 4515 Stillwater Avenue r` 4300 Stillwater Avenue c)ty,sra Cutchogue, NY 11935 C3 - Street ah '---'--- U16 sta Cutchogue, NY 11935 r:y�..�-� G�3Cr�fi] :0 e m8©Ir�l , �, •, Q�•- - -� VAo° 0 om ft 2'v �)'�• m L11 I x(,ah„°Y,,v-• 0 e (find 0 O n ,�,�R�`� M M All 604�W �o : 1 F °� m Cutcthsue► YEA 15 WE �r,• It ;S� It®Sr; Certfied Mad Fee - 7� �_ 1957 0 Certified Mail Fee e 0 '+. tit -4• r- $ $3.7 a r` c $ `Li6 L , ' Extra Services&Fees(check box,add ree 1.1 i i ate) f n Extra Services&Fees(check box,add fee p ate)- �W 9 �oAl ❑Return Receipt(hardcopy) $ 1e ❑Return Receipt(hardcopy) $ ':/' t, a _ n .L l >e P,ostma ❑Return Receipt(electronic) $ $t l_fill os ark' ❑Return Receipt(electronic) $ e°�® C3 1 f 0 ❑Certified Mall Restncted Delivery $ tkrl_flfl ! ere ❑Certified Mall Restricted Delivery_ $ E3 []Adult Signature Required $ �t 1-n Q ❑Adult Signature Required $ � ���._n # I t /J []Adult Signature Restricted Delivery$ i, ) --3 r� ✓ F1 Adult Signature Restricted Delivery$ A, ` Postage Qi1.1.5$ tiOrr R i t4p Er $ostage SI�l �� 1 f M Total Postage and Fees 11106/21721 $ i Total Postage and s ��J •��j m $7.3$ M ief.3$ ! $ $ A .- : >:Ji I Sent To - � senrro Lynette&Robert Krueger o Joseph&Rosemarie Mantione r-3SMi&ta 90 Homewood Avenue srreera 4275 Stillwater Avenue Cutcho ue, NY 1135 city,--sit Allendale, NJ 07401 ------ 9 •--------ctty,-�t g _ � —` �.. ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. - Addressee B.Veived by(Printed Name) ate elty■ Attach this card to the back of_the mailpiece, B. by(Printed Name) ate elty or on the front if space permits. 1. Article Addressed to: D. 11 d Ilvery address diffelent from item 17 ❑Yes If YES,enter delivery address below: ❑No Lynette&Robert Krueger .WHomewood Avenue Allendale, NJ 07401 I I IIIIII III IIIIII IIIIII II II IIIII I II IIIII III 3. Service Type ❑Priority Mail Expresso 11 ❑Adult Signature El Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted [I Certified Mall® Delivery 9590 9402 3253 7196 9038 93 ❑Certified Mail Restricted Delivery ❑R eiuchandiselpt for ❑Collect on Delivery ❑Signature ConrirmatlanTM ❑Collect on Delivery Restricted Delivery 9 e.r,,to nli,mber?ransfer from service Label) ❑Signature Confirmation _ ❑insured Mail Restricted Delivery 7 018 3090 0000 4 7 0 3 3 0 3 2 Cl Insured Mail Restricted Delivery (over$500) — �� PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 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: LYNETTE & ROBERT KRUEGER SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing one and one-half story dwelling with an existing 734sq.ft. footprint and existing 525sq.ft. second story; existing first floor deck is 416sq.ft. with additional 100sq.ft. partially covered front entry porch; propose to construct a 576sq.ft. first floor addition on the north side with a 576sq.ft. second story addition; existing first and second floors will be renovated to include new windows and siding; 78sq.ft. of existing deck on north- east corner will be replaced with new deck; new deck on north side will total 202sq.ft. including the 78sq,.ft. of existing; the remaining 338sq.ft. of existing deck on east and south side will be re-surfaced; existing front entry deck will be re-surfaced; existing cellar entry on north side will be removed; new Bilco entry will be added on south side of dwelling. Located: 4375 Stillwater Avenue, Cutchogue. SCTM# 1000-137-3-3.1 TIME & DATE OF PUBLIC HEARING: Wednesday, November 17, 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"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 ,k t 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 12!P sed action-'cwi 1 be, ev�[luat'ed. as Yo ,its,significa�it benefieiatand,,adyerse,ee-ects-uogn,-,the coastal irea,(wluch iiieludles all 6f-South old'Tawril'. 1 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�e exttlained a:daA %gi1ng,f6th.supp®1rtimk and nou- sunp6riimy fasts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall riot be undertWeh. ° 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. j D. DE SCRIPTION OF SITE AND PROPOSED ACTION SCTM# [00 0 _ 03 _ 3• B _ k PROJECT NAME 43]� �Srl L_t_wA'«2 d—L- C- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. a Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital ❑' construction,planning activity,agency regulation,land transaction) ��---{{ tI. (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: 57� 2 s-co _ D Vn aN on1 N Z)KT� s�D E- a f ��cLsr: ��� '2 0 2 t N UVJ D�Cte_ 014 N D P Ttt- s (DE Mew W S Lbu\id�­ N)t`^f C4Eu_ 'rrt Dry 13CIUT11 s LD la ` ` E P Location of action: 43-75- S"r(Lj w_&Tje�1Z ,tel t:, C U 1Ct�C U E Site acreage; 3 f -N3 S Q FT' o(Z_ Present land use: Sl IJCrte , -$AM (2U—�S 1,p:E PJT-t A L Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: a (a) Name of applicant: l LL G-a 2MAIJ Fp K 43-15- �S n LUWAT ;Z f-LO (b) Mailing address: 0 X [ M k-cm TU CIG. N 1I L (52 } (c) Telephone number:Area Code (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes,0 Nog If yes,which state or federal agency?' LI `[ �TG C _ f 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 LNV"Section III-Policies; Page 2 for evaluation criteria. El'Yes .LJ No Q Not Applicable b pt= L-0-rWtt✓t< Not CKAfJG� Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section III-Policies Pages 3 through 6 for evaluation criteria El Yes o No 5n/] Not Applicable f l-�lcS'tDRtG �Q lG I��((� O LDT- 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 s ❑ Yes ❑ No 5 Not Applicable „ ceN LC, R��zo P'CAZ�'.s W t L'L� N D (3,& 1 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 cS tI�G' EA:j f_1.L L. tr W L-L,1 NaL7 S�L�A D b 1T 1 cl�1 D �'�i��3 N a-r= cl,a��2 17D skNK , 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 F-No ®Not Applicable VU [) Ce �&ET IN �Z, SoPPI.`! l e�clsr _ a 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. FT ❑ 13 Yes No Not Applicable k 1 l!�1 i'/-VC-( a �DJ�- C(Z LL 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. Q Yes Q,No'0 Not Applicable L M m - Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVRP Section III-Policies; Pages 34 through 38 for evaluation criteria. Yes =� No Lon Not Applicable _ ktiye.l USS lit7 tic LS-r'.- -�SE"J TT-(Q cS"T(✓Y�1 4 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 4b for evaluation criteria. WE] No SI Not Applicable VlkIUNTS KW 1pFfQb� Attach'additional sheets if necessary J WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. Yes Q No Not Applicable R155 (D&W f f Attach additional sheets if necessary Policy 11, Promote sustainable use of living marine resources in Long island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. Yes F] No R[Not Applicable N o (YA FAC-F DA) ID W�j "U-)A41-E§'Z9 r Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III-PoIicies; Pages 62 through 65 for evaluation criteria. Yes 0 Nog Not Applicable - N o T 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 WD ev8LZP Y)'VEX T_" 0 t= R;E zS!n 2CEs s PREPARED BY-. <<-1- TITLE DATE 8 f 0 s �S