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HomeMy WebLinkAboutTR-10093 Glenn Goldsmith,President W, sou - Town Hall Annex A.Nicholas Krupski,Vice President ® ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski e�i Southold,New York 11971 Liz Gillooly Elizabeth Peeples � ® � � Telephone(631) 765-1892 a Fax(631) 765-6641 004NT`6,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2016C Date: April 2, 2023 THIS CERTIFIES that the demolition and removal of existing_two-story 1 444sq.ft. single-family dwelling and brick patio; construct a two-story, 2 578sq ft single-family dwelling with attached garage, with a 178sq ft covered front porch and a 520sq ft covered rear porch; construct a 15'x37' swimming pool(with saltwater filtration) and a 1,3 1 Osq.ftgrade-level masonry patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install a new I/A sanitary system; install a stormwater drainage system; and for the existing+93 If. wood bulkhead with 13' and 14.5' returns; 74 11 wood retaining wall; 43 If. wood groin; 14 11. concrete groin; embankment stair, consisting of a 3.5' x 3.5' wood landing and 3.5' x 20' wood steps; 3.5' x 8.5' wood walk; 3' x 10',wood stems to beach; and 603 sf on-grade wood deck; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top of the bank; At 2000 Park Avenue, Mattituck Suffolk County Tax Map#1000-123-8-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 1, 2022 pursuant to which Trustees Wetland Permit#10093 Dated March 16, 2022,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition and removal of existing two-story, 1,444sq.ft. single-family dwelling and brick patio; construct a two-story,2 578sq ft single-family dwelling with attached garage with a 178sq ft covered front porch and a 520sq.ft. covered rear porch; construct a 15'x37' swimming pool(with saltwater filtration) and a 1,3 1 Osqft grade-level mason!Y patio; install 4' high pool-enclosure fencing; remove and replace portion of existingLdriveway• remove existing conventional septic system and install a new I/A sanitary system; install a stormwater drainage system; and for the existing+93 11 wood bulkhead with 13' and 14.5' returns; 74 l.f. wood retaining wall; 43 l.f. wood groin; 14 11 concrete groin; embankment stair, consisting of a 3.5' x 3.5' wood landing and 3.5' x 20' wood steps; 3.5' x 8.5' wood walk; 3' x 10' wood steps to beach; and 603 sf on-grade wood deck; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top of the bank; The certificate is issued to HAS Holdings LLC c/o Sean Peters Member owner of the aforesaid property. EN-CONSULTANTS March 16, 2023 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Attn.: Diane DiSalvo Re: HSA Holdings,LLC- Wetland Permit# 10093 Dear Ms. DiSalvo: In satisfaction of the Special Conditions of the above captioned permit, the required Declaration of Covenant was recorded in the Office of the Suffolk County Clerk on March 16, 2023. A copy of the recorded document is enclosed for your file. Zteje fully yours, Enclosure cc: HSA Holdings, LLC; c/o,Sean Peters, Member 1319 North Sea Road Southampton,New York 11968 1 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting CC# : C23-9261 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK The Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 03/16/2023 under Liber D00013193 and Page 510 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 03/16/2023 SUFFOLK COUNTY CLERK VINCENT PULEO SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 03/16/2023 Number of Pages: 10 At: 10 : 44 :22 AM Receipt Number : 23-0036475 LIBER: D00013193 PAGE : 510 District: Section: Block: Lot: 1000 123. 00 08 . 00 007 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $50 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15. 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $6. 50 NO RPT $200 . 00 NO Fees Paid $296. 50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County 511F21 RECORDED �10`17 Male 16 10g4A,-22 RM i:J i CuW C1 t. 0 lo Number of pages CLERK OF :=UFFOLK i_OL!'t1 E Y L f.>i iOW 319 This document will be public P 510 record. Please remove all Social Security Numbers prior to recording. -T Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 150 - Mortgage Amt, 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total T V Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held'for Appointment Comm.of Ed. 5. . 00 Transfer Tax Affidavit Mansion Tax Certified,Co ��� The'property covered by this mortgage is. 1?Y or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES - or NO Other ���� . Grand Total `-o If NO,see appropriate tax clause on page#-_,of this instrw,nent. f'' g'3. 4 13ist.100 5038091 1000 12300 0800 007000 5 Community Preservation Fund Real Property P T S Consideration Amount $ Tax Service R VITA IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Agency 16-MAR-2 CPF Tax Due $ Verification 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved RECORD & RETURN TO: Vacant Land En-Consultants TD 1319 North Sea Road TD Southampton, NY 11968 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Compawy Information 310 Center Drive, Riverhead, NY 11901 Co. a e www.suffolkcountyny.gov/clerk Title# 8 Suffolk Counly Recording & Endorsement Pa e This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) HSA Holdings, LLC The premises herein is situated in SUFFOLK COUNTY,NEW YORK, TO In the TOWN of Southold Town of Southold In the VILLAGE Board of Trustees or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12.0104..101001,k (over) IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact your local Town Tax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10th and on or before May 31 St. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst, N.Y. 11757 Riverhead, N.Y. 11901 (631) 957-3004 (631) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville, N.Y. 11738 Shelter Island, N.Y. 11964 (631) 451-9009 (631) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town.Receiver of Taxes 300 Pantigo Place '99 West Main Street East Hampton, N.Y. 11937 Smithtown, N.Y. 11787 (631) 324-2770 (631) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington, N.Y. 11743 Southampton, N.Y. 11968 (631) 351-3217 (631) 283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip, N.Y. 11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 Sincerely, Vincent Puleo Suffolk County Clerk 12-0104.. 12/22kk DECLARATION OF COVENANTS THIS DECLARATION made this �Aday of 2023,by HSA Holdings,LLC whose mailing address is c/o Sean Peters,Member, 108 Remington Road,Manhasset,NY 11030,hereinafter referred to as"DECLARANT": WITNESSETH: WHEREAS,DECLARANT is the owner of certain real property located at 2000 Park Avenue, Mattituck,Town of Southold,County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 123,Block 8,Lot 7,which is more particularly bounded and described as set forth in Schedule"A"annexed hereto,hereinafter referred to as the Property;and WHEREAS,the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the"Trustees")pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor,and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted;and WHEREAS,the DECLARANT therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities;and WHEREAS,on March 16,2022,the Trustees approved the application and issued a permit with terms and conditions;and WHEREAS,the issued permit,terms and conditions of the permit,as well as the site plan prepared by Jeffrey Sands Architect,dated July 19,2021,and stamped approved on March 16,2022,upon which the permit is based,an original of which is filed in the office of the Town of Southold Board of Trustees as the approved plan for Permit No. 10093,and annexed hereto as Schedule`B;"and WHEREAS,as a condition of the granting of a Wetlands Permit to undertake such regulated activities,the Trustees required that a ten-foot wide"non-turf buffer"be established and maintained along the landward edge of the top of the bank; and WHEREAS,the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW,THEREFORE,the DECLARANT does hereby covenant and-agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained along the landward edge of the top of the bank,a ten-foot wide"non-turf buffer"as defined by Chapter 275 of the Town Code,as depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021,and stamped approved on March 16,2022. 2) The DECLARANT shall at all times comply with the Terms and Conditions of the permit, a copy of which is attached hereto in Schedule`B"annexed hereto. 3) These covenants shall run with the land and shall be binding on the DECLARANT,its heirs,assigns,purchasers,or successors in interest and may be modified only upon resolution of the Board of Trustees. (THIS SPACE LEFT BLANK INTENTIONALY) 2 IN WITNESS WHEREOF,the owners have duly executed this instrument this 2tday of L' C " ,2023. HSA Holdings,LLC By Sean Peters,Member STATE OF � C` ss' COUNTY OF On the —7 ft-day of ' '0-c5r� , in the year 2023, before me the undersigned, a Notary Public in and for said State,personally appeared,Sean Peters personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual or the person on behalf of hich the individual acted,executed the instrument. Notary Public RAGHUNATH TIBREWALA NOTARY PUBLIC-STATE OF NEW YORK No.01 TI6348952 Qualified in New York oS 1 of n t,/ 2024 MY Commission Exp 3 SCHEDULE A ALL that certain plot,piece or parcel of land, situate,lying and being in Hamlet of Mattituck, Southold Town, Suffolk County, State of New York,bounded and described as follows: BEGINNING at a concrete monument located on the southerly line side of Park Avenue at the northwesterly comer of the premises about-to be described,which monument is 823 feet easterly from the comer formed by the intersection of the easterly line of Marratooka Road and the southerly line of Park Avenue; Running thence from said point or place of beginning along the southerly line of Park Avenue the following two courses and distances: 1. North 86 degrees 57 minutes 00 seconds East, 66.25 feet; 2. North 72 degrees 50 minutes 00 seconds East, 6.75 feet to a concrete monument and land now or formerly of Peter Swahn and Barbara Swahn; RUNNING THENCE along said last mentioned land South 11 degrees 13 minutes 00 seconds East, 577.72'to the high water mark along a wood bulkhead of the Great Peconic Bay; RUNNING THENCE along the said high water mark and wood bulkhead the following three courses: 1. South 68 degrees 21 minutes 04 seconds West, 66.52 feet; 2. South 00 degrees 55 minutes 25 seconds West,24 feet; 3. North 88 degrees 32 minutes 10 seconds West, 1.87 feet; RUNNING THENCE North 11 degrees 13 minutes 00 seconds West, 621.53 feet to the southerly side of Park Avenue the point or place of BEGINNING. 9 SGEDULE B •Al+, 4., �s seaa�!.a+R^+ _ ram.- :.aan^rs:,t+�v:ccuv�ssxxuxu�smscae r..::: •, ._ ash ern. i t I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK P f PERMIT NO. 10093 DATE: MARCH-16,2022 ISSUED TO: _IRSA ROLDINGS;LLC c/o SEAN'PETERS.MEMBER MI PROPERTY ADDRESS: 2000 PARK.AVENUE.MATTITUCIG SCTM#: 1000-123-8-7 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the ;Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 16.2022,and in ; ! consideration of application fee in the sum of$500.00 paid by HSA Holdings, LLC and subject to the Terms j and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish and remove existing two-story,1,444sq.ft,single-family dwelling + s and brick patio;construct a two-story,2,578sq.ft.single- family dwelling with attached garage, �4 l with a 178sq.ft. covered front porch and a 520sq.ft.covered rear porch; construct a 15'x37' swimming pool(with saltwater filtration),and a 1,310sq.ft.grade-level masonry patio;install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install a new UA sanitary system; install a stormwater drainage system; and for the existing+93 i.f.wood bulkhead with 13' and 14.5' returns; 74 Lf.wood retaining wall; 43 Lf.wood groin; 141.f,concrete groin; embankment stair,consisting of a 3.5'x + 3.5'wood landing and 3.5' x 20'wood steps;3.5'x 8.5'wood walk; 3' x 10'wood steps to t beach;and 603 sf on-grade wood deck; and to establish and perpetually maintain a 10'wide flt ' I non-turf buffer along the landward edge of the top of the bank; and as depicted on the site plan I prepared by Jeffrey Sands Architect,dated July 19,2021,and stamped approved on March 16, ` 2022; and the survey prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated ' I March 15,2022 and stamped approved on March 16,2022. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these ; presents to be subscribed by a majority of the said Board as of the l 6th day of March,2022. F I15r. .� Ca- tl d' / { y , i TERMS AND CONDITIONS 2 of 5 The Permittee HSA Holdings LLC c/o Sean Peters—Member;residing.at 2000 Park Avenue ,Mgtttituck. Nsw.York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: i. 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'tvork 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. IL. 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 perm it. i iHOLDUSTEES SOUTI No. 10 .. TR. Issued To, Date 3_ AleAddr ?Aftc ,. �tA�itrirG,Cl�c THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD 50UTHOLD, N.Y. 11971 w TEL.:' 765.1892 0 • = 4of5 *Filed in the Office of the Town of Southold Board of Trustees, as the approved survey for Permit No. 10093 S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 0 M,v.n w wa evr w ' —__------ ' — «PARK AVENU �, 1 2D 6aa.a0• � / � 1 1 o ° 1+ R-O 1 , + 1 - 1 1 1 1 1 + 1 i 1 1 1 1 4 + 1 � 1 ttNf��w 1 APPROVED BY 11 0 1 BOARD OF 1RUSTEES 1 1 1 TOWN OF SOUTHOLD 1 r 1 DATE MAW16,2ayZ 1 _ 7-- 1 1 1 1 1 OL OR BROWN LWM Ss (aJs»si��.ar awn 5+3 SM IA�1'E01'�9RN '6 S6� 1 i i/eesnartuwc/m�,vm —fi.0• P � \ 1 MEN s-1 1 SP swD T��oa� I 1 1. 16M I I 1 _ xownrER :I�T�—.�� — a&i,e+uu' Nov.20,2020 u FEMA—#3610WN82H M.0—GEOS—CE ARE-2.60337 SO.M.1_0.98 ACRES u NAVD88 •�- I � ppa0'�J✓6y t,' w;Y a �"M�" yMaw�a'w" �M�Ame. a wRwro � gyp( O��G uo�xswvna�� nu�nemv oeo�v uweeroaa�a�o°@)wa[rroia Rev �i mt aas A�� ,J� ��0y3 ew WDESCRIBEO PROPERTY CERRFIEDNTO:HSA HOLDINGS)LLCw M ) a,p X �4 P`G MN .T.MATNTUCK wSOUT—. KENNETH M NOYCHUE 1 ND SUM I Np SU YRn� PW,C REVISED 03-15-22 g SUFFOLK CWNTY.NEW YORK i v 4 d.......e.0 nA SUvftY,-1S OMvsil3'.A°vAD�w�s o.ee.gas aw•e i�.,xe.Yaei�uu�, —1221-25—1'=30' —EB 25,2021'NYS nz IMsKss-sea ru(wN ese-sees An�)Ai�iRgs an¢ a NOTE: LOCATIONS OF EXISTING SANITARY AND SANITARY PLAN DERIVED FROM SURVEY BY 2 WELLS PER WOYCHUK SURVEY. PERMIT I KENNETH M. WOYCHUK LAND SURVEYING PLLC, PO =m_ 0 W PROPERTY AND NEIGHBORS WERE INITIALLY BOX 153,AOUEBOGUE,NY 2/25/2021 3 a o DESIGNED BY ED ARMUS ENGINEERING o 3 DEVELOPED IN THE 1950'S a w >o b C? w y n ax �mw rc �=O •i Ln `� M w 2 W ---------------------- 3 1n xw QQW 20]p N wm �QW O_~.r O 2 3w30 p X00 cv�� 9 O 3 ^ M fu a o oz No additional/imported ® a w 0 fill required. ZI rt iCD z w I yNI° a " - ---------'-.------------------' W°�S CHAIN LINK FENCE FECHAIN LINK FENCE 11°13'00 E 57772 qV, EVERGREN GE ALONG LINE( , .'J 3 firA (fl ra - 3;,off^�„u"� - _ _-----i;- Wz`P1 �,T SRN .S M—— "W IomYi �� -• q-r , WFC P__. I �'�" PROP WATER SERMCE UK 4 ----Q-"HEA >,s 4E1 ----Du- WARES_ cw�_ ---- Lam=:= I '€q '3 F N 3 �V•G'0 6 j AU UW �s ` Gi 1p QI h•yW, :naa " 'p !I ! I o°N °o°° y n n ��J WgBC 3. m° i Ii _i `U bio mA ;i O d s 0 ee zz.a 5 I I oxa i M„ d! 9l E, 9s'g J• CL EiECTWC ro___-'______ ° TOQ'��S o00s {"t cl gi >< I O j SERMCE Z.y- - ' r wi L 20 ,D�.1�.t- _-:s+:t___. I '3H.V]nB oo N'o 0 ` O 'Al '11411013'0 11 W HEDGE ALONG LINE 621.53' HEDGE ALO G LINE Z om >o a N 88°32'10"W a`- w O 'a GOo Q vo �m =4 a mo zTw Q1 j Z Q W m iz Tu W a o L"~ L`'1 0 �>C 02 DJ w W m C0 3 4 O. f_- - _ - 02 w aw mxo om °��4�� Qom' CoQ O MARRATOOKA ROAD w zzo Q� we U Oy JO J a V�Zo LuO 3'k J 1 ��/ rtM M Q-I Q o JEFFREY SANDS oa ow 02 g AcRvracn6�TECiw hPItOl9E6l°�NY�119a2 DL OR BRaRN FAX 315:46918 OM 4 1 i4�N5n.NY.t0.6f rt T SM LWE°YWiaN .,9<n (Y —`° PETERS mo RESIDENCE y��0)..rr SP SAND TOWN o OF SOURTiHGOLD 2000 PARK AVENUE 10 MATTITUCK (BUILDABLE AREA 42,603.37 S.F.) DRY WELL,VOLUMES FOR 2'RAINFALL - NEW YORK O ROOFED AREA=5858 S.F, J EXISP.NG LOT COVERAGE DATA PROPOSED L07 COVERAGE DATA ak 2 STY.DWELLING W/COVE.RED STOOP: 1404 S.F. EXISTING SECONDARY DWELLING TO REMAIALL N:865 S.F. R 'VOLUME<85B SF=810 OF SITEPLAN _ No WATER 1 1/2 STY.DWELLING W/COVERED PORCHES:913 S.F. EXISTING DETACHED GARAGE 70 REMAIN:a08 S F. '2-1(12-11')l W Ip DETACHED GARAGE:408 S.F. -RCPOSED DWELLING WITH GARAGE:2578 S.F. LEACHING RING VOLUME APPROVED BY Nov.20.2132a PROPOSED FRONT COVERED PORCH: 176 S.F. FOR 8'DIA.C.D.x V DEPTH BOARD OF I RUSTEES N RcOonu°c[asaENCE TOTAL:2765 S.F.or 6.5% PROPOSED REAR COVERED PORCH:520 S.F. PI• 7.33'-2• 1/4- I' =42.24 CFH. TOWN OF SOUTHOLD PROPOSED SWIMMING POOL:555 S.F. REOUIP.ED DEPTH OF 8'DIA.RINGS= r" a[v.rox ww NAVDBB DATE P E Ci F I V E _ ' --- TOTAL'5150 S F.or T29, E 10 OF/42.24 CF/Fi= T9 2 FT µAR4F IG Zo2Y 7� � I"-20' 7-19-2021 DEPTH OF DW 3'DEPTH EA. L//_'8�g RINGPRGV:OED=6 FT y�,,,,d FEB_1 � ( x A o 0 S.C.T.n4.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 2 -8• ----- - 42,603.37 SQ.FT. or 0.98 ACRES In * Glenn Goldsmith,President ®F SO* Town Hall Annex A. Nicholas Krupski,Vice President ®� �I® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly rPa ae G � Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UNT'1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: oy, - zz. J ;�� ;r o,ccovJomac u�,` � Dza�►;+ 122°13 a„J p_A ns daA�1+ CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President SOI/jZ, Town Hall Annex A. Nicholas Krupski,Vice President ,`O� Ol0 54375 Route P.O. Box 11799 Eric'Sepenoski i y: Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �O O � 'Fax(631),765=664.1 COUMI BOARF.TOWN TRUST_ EES TOWN OF SOUTHOLD . . .SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HGUARS;PRIOR TO,COMMENCEMENT OF:THE ACTIVITIES'CHECKED:OFF EELQ-W; INSPECTfON SCHEDULE Pre construction, hay bale line/silt boom%silt curtain :. 1 St day.of construction ✓ Z constructed . When project complete,.call.for corrlpllance inspection, ro oaeo rse° - o0o erep°s •,eio 00° '-:..: ,ao'a've ,o ♦rr '-1�• - liil 9/Id , 111 Ipl/ - Ilf //°0 r _ 11P 1/°jir ,�o•PP 1/°i /p'p ' ?.I•e . A >. .. 2wn .� �fk1pr. d 2 1, BOARD OF SOUTHOLD TOWN TRUSTEES r ` SOUTHOLD, NEW YORK i0y0/1 IPO,•0i PERMIT NO. 10093 DATE: MARCH 16,2022 } ISSUED TO: HSA HOLDINGS,LLC c/o SEAN PETERS,MEMBER r y PROPERTY ADDRESS: 2000 PARK AVENUE,MATTITUCK SCTM#: 1000-123-8-7 01•' t AUTHORIZATION f E Pursuant to theprovisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 16, 2022,and in s 5t consideration of application fee in the sum of$500.00 paid by HSA Holdings, LLC and subject to the Terms b and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: ``'°f•P Wetland Permit to demolish and remove existing two-story, 1,444sq.ft.single-family dwelling r ` and brick patio; construct a two-story,2,578sq.ft. single-family dwelling with attached garage, . r with a 178sq.ft. covered front porch and a 520sq.ft. covered rear porch; construct a 15'x37' swimming pool (with saltwater filtration),and a 1,310sq.ft. grade-level masonry patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing ,°•"°� conventional septic system and install a new UA sanitary system; install a stormwater drainage doff > system; and for the existing+93 l.f. wood bulkhead with 13' and 14.5' returns; 741.f.wood retaining wall; 43 11 wood groin; 14 l.f. concrete groin; embankment stair, consisting of a 3.5' x { 3.5'wood landing and 3.5' x 20' wood steps; 3.5' x 8.5' wood walk; 3' x 10' wood steps to beach; and 603 sf on-grade wood deck; and to establish and perpetually maintain a 10' wide c s//i4 non-turf buffer along the landward edge of the top of the bank; and as depicted on the site plan 11„9• 'i prepared by Jeffrey Sands Architect, dated July 19,2021,and stamped approved on March 16, 20229 and the survey prepared by Kenneth M. Wo chuk Land Surveying,PLLClast dated 4/pp�r /o March 15,2022 and stamped approved on March 16,2022. ; IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these presents to be subscribed by a majority of the said Board as of the 16th day of March,2022. n gE1FF01 Ir } - ti i a s �f v°:e:dl 1186,,e - _ .•.aedd °IC'+* • _ e:a4/Af IHae.r : ,..� /// aaoae :.`..a>-:;:;Z,/ 4.`r3a e r- ....eiel4 Plee;e�. \� ..\ a/a{• +opl `� TERMS AND CONDITIONS The Permittee, HSA Holdings, LLC c/o Sean Peters,Member, residing at 2000 Park Avenue, Mattituck, 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. 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. 11. 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 pen-nit. Glenn Goldsmith,President __``�6rjF Sy Town Hall Annex OV" �� A.Nicholas Krupski,Vice President O 54375 Route 25 . Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G Q Telephone.(631) 765-1892 Elizabeth Peeples �O • O � Fax(631) 765-6641 �y4PUfifl`L, . BOARD OF.TOWN TRUSTEES TOWN OF.SOUTHOLD March 18, 2022 Robert E. Herrmann En-Consultants 1319 North Sea,Road Southampton, NY 11,968 RE: HSA HOLDINGS, LLC c/o SEAN PETERS, MEMBER 2000.PARK AVENUE, MATTITUCK SCTM# 1000-123-8-7 Dear Mr. Herrmann: The Board of Town.Trustees.took the following action during,its regular meeting held on Wednesday, March 16, 2022 regarding the above matter: WHEREAS, En-Consultants on behalf of HSA HOLDINGS, LLC c/o SEAN PETERS; MEMBER' applied to the Southold-Town Trustees fora permit under the provisions.of Chapter 275 of the Southold Town:Code, the Wetland Ordinance of the Town of Southold, application dated February.1, 2022, and, .WHEREAS, said application'was referred to-the Southold Town Conservation Advisory.Council and to the:Local Waterfront Revitalization Program.Coordinator.for their.fndMgs and: = recommendations, and,. WHEREAS, the L.WRP Coordinator issued a recommendafion that the applicatioh. 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 March 16,.2022, 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, 2 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; thafthe Board of Trustees have found the:applicatidn' ,to.be Consistent:with the -Local Waterfront-Revitalizatibn-Program, RESOLVED, that the Board of Trustees approve the application of HSA HOLDINGS, LLC,c/o SEAN PETERS, MEMBER to demolish and temove'existing two=story, 1,444sq.ft. single=family dwelling and brick patio, construct a two-story, 2,578sqft single-far milydwelling:with attached garage, with a 178sq.ft. covered front.porch.and a,5208q.ft. covered rear porch; construct a 15'x37' swimming pool (with saltwater filtration),and.a 1,310sq.ft. grade=level masonry'patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install.a new I/A sanitary system; install a stormwater drainage system; and for the existing +93 I.f. wood bulkhead with•13' and 14.5' returns; 74 11. wood retaining wall; 43 I.f. wood groin; 14,1.f. concrete groin;:embankment stair, consisting-.of a 3.5' x 3.5'wood landing and 3.5' X 20'wood steps;.3.5' x 8.5'wood walk; 3' x 10'wood steps to beach; and 603 sf on=grade wood deck; and to establish.and perpetually.maintain a'10' wide non-turf buffer along the landward.edge.of the top of the bank; and as depicted on the site plan prepared by Jeffrey Sands Architect, dated July. 19, 2021, and stamped approved on March 16, . 2022; and the survey prepared by Kenneth M. Woychuk Land Surveying; PLLC, last dated -March 15, 2022'and stamped approved on,Marc- 16, 2022. Permit to construct and complete project.Will expire two years fromthe date the,-permit is.signed: Fees must be paid, if applicable, and permit issued within-six'months of the date of this. notification. Inspections are required at a fee of'$50.00 per inspection. (See attached schedule.) Fees: $50.00- Very 50.00Very truly yours; Glenn Goldsmith President, Board of Trustees GG/dd- S.C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 LP LP LAND N/F OF LAND N/F OF MARK & JEFFERY WADE ANTHONY STUBELEK SCTMJ 1000-123-2-34 SCTMI 1)00-123-2-35 MEII DWEWNG W/WELL WATER DWEWNG W/WELL WATER / rA6wG.WAT R MAIN. PARK AVENU CL 21.3 6 N 8605700" P 1 P. 20 `SO• 823.00' 0 2Nw +�to2� % 1 o °p, If 1 0 LP 1 ' EXISTING i SEPTIC LP o 1 � o I Cs1 1t 30' \� COVERED z :•1 1/2 Sy.,*.""':: W` COVERED s� 1 STOOP h� 1 O � � ' PAS 1 LP 1 / 1 EL 19.8 1 ASPKALT �+ DRIVEWAY .. 1 C� X2.4' 1 1 1 EL 19.8 1 1 / 1 1 MON. 1 1 � 1 1 � 1 1 ` --.� 1 N "' 1 1 O .Jj N 1 1 LAND N/F OF 1 PETER & BARBARA SWANN 1 LAND N/F OF SCTMj 1000-123-8-8.3 1 1 CUBBON FAMILY TRUST SCTM/ 1000-123-8-6 U.P. OVERNEW WIRES _ 1 DWEWNG 1 \1 U.P. - - DWELLING W/PUBLIC WATER- W/WELL WATER 1 � IDD' LP 1 1 LP N t APPROVED BY 1 u' 1 LP 1 EL 19.5 BOARD OF 1 TRUSTEES 1 TOWN OF SOUTHOLD N O L 1 1 DME ►�H,Q�r. ,G , �zzr 1 Srpm1 , —_vl� ---- DWEWNG LP L — — -- W/WEU. WATER ASPHALT 1 1 130' DRIVEWAY 1 1 1 LP 20 4' r �. EL 19.4 ' 1 ELEV. 19.4 ` ,., .. OL DR BROWN 1 LP �+ : :z.sru° LOAM .':=.` DWELLM.;y.. Co ED 1 TOWN OF SOUTHOLD 1.0 1 ry ;N`. `.:;:;::. LOT COVERAGE BROWN 1 ' COVER ..... : ?' (BUILDABLE AREA 42,603.37 S.F.) $M LAYS SAN p STOOP 1'.... 36.2 2 STY. DWELLING W/COVERED STOOP: 1444 S.F. 6.0' il.�;: :: ::::`• \ 1 MICK 1 1/2 STY DWELLING W/COVERED PORCHES: 913 S.F. 7 6' N:::: :::: ::o P _ DETACHED GARAGE: 408 S.F. PALE ::'•• TOTAL: 2765 S.F. or 6.5% BROWN '� 1 FINE SP SAND I 1 1 1a CidQ ,SEo r MON.1*91 16 2M WOOD I � 0 30 60 90 ... �. .,�-,n � — J LANDING �� � !1G 1 0 Ztk ONVE� B)Ovµ 1 NO WATER 6vutltcalcf,�r�ti rt 3.5x3.5' ISD Rj2'�fpEN£ 17' Board of TrustcesLA NOV. 20, 2020 6 Nf WP 6 FEMA MAP#36103CO482H McDONALD GEOSCIENCE NAVD88 �,�� 5 5 F �- AREA:42,603.37 SQ.FT. or 0.98 ACRES ELEVA770M DATUM, r o gvvcN�° ebb 52 �$o UNAU7HOR12ED AL7ERA770N OR ADD17701V TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN �o S ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION WOOD ,�SP LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING 1NS777U770N, GUARANTEES ARE NOT TRANSFERABLE. 35 THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE � g5x \ NOTA TENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD17701VAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS �R� 2 LF. 4J cry O� AND OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY NO tk �g G SURVEY of:DESCRIBED PROPERTY CERTIFIED T0: HSA HOLDINGS LLC og MAP OF: 1.87' FILED: N 88032'10"W � 2�f r SITUATED AT:MATTITUCK G TOWN OF.SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC REVISED 03-15-22 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design THE WATER SUPPLY. WELLS; DRYWELLS AND CESSPOOL ' P.O. Box 153 Aquebogue, New York 11931 LOCA7701VS SHOWN ARE FROM FIELD OBSERVATIONS FILE #221-25 SCALE:1"=30' DATE:FEB 25, 2021 N.YS. USC. N0. 050882 PHONE (631)298-1588 FAX (631) 298-1588 AND OR DATA OBTAINED FROM OTHERS. 1 I 1 1 I I I I NOTE: LOCATIONS OF EXISTING SANITARY AND SANITARY PLAN DERIVED FROM SURVEY BY z �, I� WELLS PER WOYCHUK SURVEY. PERMIT KENNETH M. WOYCHUK LAND SURVEYING PLLC, PO PROPERTY AND NEIGHBORS WERE INITIALLY BOX 153, AQUEBOGUE, NY 2/25/2021 I DESIGNED BY ED ARMUS ENGINEERING o DEVELOPED IN THE 1950'S I I I �! 1 I L,Lj J ^ cd 'I -,J L,J (lz�� Q �`- o Z x m I F— W � 0 0 0 N Ozz � o o 4::) f— Iw cc o o No additional/imported ° �, N� ( ' I ►— 0 I I O 'II � Z �L c� � fill required. ; Q (r , ; XQi1:) o � Lu o ry 'I ' ' ; Z ; i L-------- --------------------------------------� 0 0 EP OC,-)o �p0� � � �o � cL O °� S 11 ° 13 '00 " E � c�i iiI ► FENCE LONG LINE � � N,L �,HAIN LINK FENCE CHAIN LINK FENCE �,; I .577. 72 0.4 W EVERGREEN HE GEA � �, EXISTING � � _ N (' I i • W W W ASPHALT EXISTING ASPHALT I �s�_ 4' HIGH POOI. I EXISTING ASPHAL PROPOSED `� - — I� r , 1 �J DRIVEWAY DRIVEWAY TO r DRIVEWAY TO ASPHALT p N%t§URE 'n 'J �� �c ' i Y' . • + f-� ►s• `� ! i REMAIN I DRIVEWAY PR P. BASEMEN L `�p 1 i W W W REMAIN ,� S CI�IMN . O ' I ENCLOSURE j W-�Q W W W W W W—� 40 W I # W I W- r PROP. TEP ELEV 19.5 PROP WATER SERVICE z 5 I W 42.75' 12.0 FENCING O w w �u LING W �i !i �� , Mr ts.75' - 1 7 3 _z I �l i �� ELEV * PROPOSED 2-STY, i �i�y` J�.4. �� i5 ^ r --' 15'X37' z N EXISTING O Q �] it `s 9.5' 6-BEDROOM WOOD -- '� I v rT`r i O ti z I LU ~ i 5.0 FRAMED DWELLING I � d'9 v �\ p ASPHALT w • o Z ( . K, _SWIMMING o Z m DRIVEWA I ! z FF ELEV i ,i M P60L �I' i z m � 0 0 w c� I 1--. i I PROP. S 21.5' i t _ SALTWATER I F wc� o z • z9.75 1-- ( r I g ty ti o 0 0 `00^ I - -.----------- H v !�/O F ' 1 I l5 `- i f— ---Lt rt---- �f�'1RA�lON) , 3 10 � r ®- ��;._.-._. OVER- EAD W E � � .��•.•• � O � I I I 25.92' ELEV 21.25' --,-�,- �----L� L �c'-.� PROP. 10 d op Q W - - �R_S---- :: �, O� - W • : :: : -� �c ;r, I 520SF NON TURF O z o C9 a•. N': s :::::::; v O i ! 525 SQ FT 178SF COVERED I I COVERED -�= L- BUFFER G\� N - J: f-- I ELEV 19.5' PORCH + r I i Q ` G' 2 In ::;::::: p :. U • 0] 2Q ATTACHED I i I PORCH R . STEP i I a GR (/ , f i M POOL DRY I I I � � • :' :� � , I ► k � o ; �N ,� E � GARAGE ON 16.0' I I i ELEV 21.25' PROP. ELE 19.5' 1+ Op a 000 r v a O � : `.�. i SLAB (ECFV 20.0') i W CL ; 3 N 1 I ; 131 I `� O D S P ti .Q �: W �0 i P W a >- : :': Q Q :: :22.4 :: I POOL I I GRADEI ^A j EQUIP. 16'-0' 1 I ' LEVEL i I `r l u Q ::: ::C�:::• OCA I ----- ----- 25.92'.- -- o - 37.75' I I ' - -- 12.0' PATIO SZiS,So�Q S O J r 4 t - --- I------- I 0 • - ,:::: �. I a II ELECTRIC N _ 0 I j I PR TEP 1 N -L----K' -- i J �7 O i Z- � �•� �•�� � • � � � 'j SERVICE .�-- ,�� , - , � �i�------ ROPE s T----- 2 I 2 0 --------- -- 1�---- 4' HIGH POOL ng 000 L N� L. M N� opo oNo 0 r HEDGE ALONG LINE ' ° ► i i i ! 621 . 53 ' ENCLOSURE FENCING HEDGE ALO G LINE oZ �`9 !o 9 o �, 11 13 0 W II �. z z z z o CC Lu 7 z N 88 °32 '10 " W w o �c o O 2 �c > �I z � W W Q < 00z o o m j=y �m m o v.+ � o Q � � Q o � � S -� U, z m O C1Jj O J �Q C m Q Q_ ;"--- LLJQ:) � X � � , �LU o � � o � r � o o � Of= om }' Z N� � J ' o � � �-, Lel 1L R lT u C) ZF XKA Q - _ —) r�-LJ �^L. J - O (^ Q � I % SEAL Ct R 0"' AD ".'� � [� � � ~' CJS G-•,. o Q• � �rJ Q � -tel m �� � ~ O i �l i � �' t.�,/ ` , . •C°� CO L-6c) -,Ji .. C/) � U >- J 0 Q0a- izL .�J Lij ARCHITECT o Q o Q � JEFFREY SANDS o �, J z ARCHITECT 6 EVERGREEN ELEV. 19.4 � Q O \ U EAST QUOGUE, NY 111942 OL DR BROWN � � �N PHONE 631.576 89 67 LOAM EMAIL:JEFF@JSA-NY.COM SM BROWN LAYEY SAN PROJECT 6.0' PALE PETERS BROWN RESIDENCE FINE SP SAND TOWN OF SOUTHOLD LOT COVERAGE 2000 PARK AVENUE (BUILDABLE AREA 42,603.37 S.F.) DRY WELL VOLUMES FOR 2" RAINFALL MATTITUCK NEW YORK ROOFED AREA = 4858 S.F. EXISTING LOT COVERAGE DATA PROPOSED LOT COVERAGE DATA DRAWING TITLE 2 STY. DWELLING W/COVERED STOOP: 1444 S.F. EXISTING SECONDARY DWELLING TO REMAIN: 865 S.F. RAINFALL VOLUME _ NO WATER 1 112 STY. DWELLING W/COVERr=D PORCHES: 913 S.F. EXISTING DETACHED GARAGE TO REMAIN: 408 S.F. [2"1(12"11 ')j * 4858 SF = 810 CF SITEPLAN ,17' DETACHED GARAGE: 408 S.F. PROPOSED DWELLING WITH GARAGE: 2578 S.F. LEACHING RING VOLUME APPROVED BY NOV. 20, 2020 PROPOSED FRONT COVERED PORCH: 178 S.F. FOR 8' DIA. O.D. x 1 ' DEPTH BOARD OF RUSTEES McDONALD GEOSCIENCE TOTAL: 2765 S.F. or 6.5% PROPOSED REAR COVERED PORCH: 520 S.F. PI * 7.33'-2 * 1/4 * I ' = 42.24 CF TOWN OF SOUTHOLD PROPOSED SWIMMING POOL: 555 S.F. REQUIRED DEPTH OF 8' DIA. RINGS = - NAVD88 DATE r t(� „- , ELEVATION DATUM.• ------------------------- TOTAL: 5150 S.F. or 12% 810 CF / 42.24 CF/FT - 19.2 FT Al2�-t(' l(r Zt�Z2y 1�-�. � �� 1 -20 7-19-2021 r-; DRAWING NUMBER DEPTH OF RINGS PROVIDED = 6 FT , FEB - 1 2022 2 S.C.T.M. DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 ( - 8 DIA. x 3 DEPTH EA. ) SOtIfh0ld Town B aru Of TrJstoes 42 , 603 . 37 SQ .FT. or 0 . 08 ACRES tit t.t 4-4 :- �✓ YM4 kk m lift,oft! AN Ok' „'r :l;�o `Jtyy;'vrci�t�Lt�-,-i��},�A'� -',a:�-•— -..�..._ T -f.T ........... Cantrell, Elizabeth From: Robert Herrmann <rherrmann@enconsultants.com> Sent: Wednesday, March 16, 2022 7:45 AM To: Cantrell, Elizabeth Subject: HSA Holdings Attachments: 221-25.pdf Elizabeth, Pursuant to our conversation yesterday,please find attached an updated survey documenting the dimensions of all existing shoreline structures. Adding these structures to the project description would result in the following passage at the end of the existing description: "...;and for the existing+931.f.wood bulkhead with 13' and 14.5'returns;74 I.f.wood retaining wall;431.f. wood groin, 141.f. concrete groin;embankment stair,consisting of a 3.5' x 3.5' wood landing and 3.5' x 20' wood steps;3.5' x 8.5' wood walk;3' x 10' wood steps to beach;and 603 sf on-grade wood deck,all as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying,PLLC,last dated March 15,2022. 1 will bring three(3)hard copies of the updated survey and a check for$250 to the public hearing tonight. Regards, Rob Robert E.Herrmann,MEM Coastal Management Specialist En-Consultants 1319 North Sea Road Southampton,NY 11968 Phone: 631-283-6360 Fax: 631-283-6136 Email: rherrn-tann@enconsultants.com www.enconsultants.com ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Glenn Go] th, Presidents Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly Southold NY 11971 Elizabeth Peeples ° Telephone(631)765-1892 ..__ Fax(631 1)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD { Date/Time: 19 22_2,-30 Completed in field by: En-Consultants on behalf of HSA HOLDINGS, LLC, c/o SEAN PETERS, MEMBER requests a Wetland Permit to demolish and remove existing two-story, 1,444sq.ft. single-family dwelling and brick patio; construct a two-story, 2,578sq.ft. single-family dwelling with attached garage, with a 178sq.ft. covered front porch and a 520sq.ft. covered rear porch; construct a 15'x37' swimming pool (with saltwater filtration), and a 1,310sq.ft. grade-level masonry patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install a new I/A sanitary system; install a stormwater drainage system; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top of the bank. Located: 2000 Park Avenue, Mattituck. SCTM# 1000-123-8-7 C . 275-3 - SETBACKS TL Y: Actual Footage or =� 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 Amendmenty 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: G Goldsmith �/ N. Krupski ✓ E. Se enoski L. Gil _: p looly -/E. Peeples Other S-C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 LP LP LAND N/F OF LAND N/F OF MARK & JEFFERY WADE ANTHONY STUSELEK SC7M# 1000-123-2-34 SCTMI 1000-123-2-35 DWELLING WELL W/WELL WATER f / / DWELLING W/WELL WATER EMG WATER _MAIN• �� •••� �Q �.. / PARK AVENU / / r CL 21.3 N 8605700"F P /• NAS r 823.00' 0"2'V" UY 0 r 0 1 • I LP 1� r N ri SEPTICC 1 0 1 0 I _ s 31.7' .:i::i:i•r: ! r :: COVERED Z f 1/2 S1Y:;;;y,, T Z ................A.....`. V r O.�.�:..?:,::a!' } .:�.. S r COVERED STOOP _ r ' PAVER PATIO LP r r 1 fi.2: :. / EL 19.6 ASPHALT r r :::•;G' DRIVEWAY b r Z �2.4' r ' i r rEL 19.6 r r / r r MON. r r r . r i r 150, x m r r1 '••-�rpELL r r N r LAND N/F OF r PETER & BARBARA SWAHN TR CUBBON FAMILY TRUST r LAND N/F SCSCTMI1000-123-8-8.3 rSCTMI 1000-123-8-6 rU.P. - OVERHEAD Innes u.P. r DWELLING r 1 DWELUNGWAVBLIC WATER W/WELL WATER r IDD' r LP N r 1 W LP r rI Et 19.5 r I L r r I I� r DWELLING LP L W/WELL WATER ASPMLT r r r130' \ DRIVEWAY C� r ' LP :.20.4'}: :: _ EL 19.4 r ELEV. 19.4 t . ... OL OR BROWN r LOAM r LP � �'•::;•::::•2�s;v::;�:;�2•° O a:ri�iiE DwELLarc. TOWN OF SOUT!-TOLD �,0 � :•.:�::::/2oon :-:.CO ED LOT(BUILDABLE AREA COVERAGE 603.37 S.F.) BROWN r ry N:::::: : :::::::: ::: s r SMcr COVER LAYEY SAN o STOOP �.P.::::•:;•::::•:::;:"•::::u 2 STY. DWELLING W/COVERED STOOP: 1444 S.F. 6.0' :::::::::::;:::::;:;::;::;. 36.2 r 1 1/2 STY. DWELLING W/COVERED PORCHES: 913 S.F. :::: ::::: . \ DETACHED GARAGE: 408 S.F. PALE �::�: :•: ' 7.6' Po TOTAL: 2765 S.F. or 6.5% BROWN :::....FINE � I rGE IV ED] SP SAND M r FEB - 1 20Tti$ r L SeL�'hGld Town r �• o >>6 �°°� iBoard of TrusteesVol f r 30 60 90 tk WELL J uNwo++ C ,�D Z7 1 0 Zottf.� ZEA 8)OLIN oo pill' I NO WATER / ww ��0c vE( NOV. 20, 2020 17 �Niw'-' ""6 FEMA MAP#36103CO482H McDONALD GEOSCIENCE 6 AREA:42,603.37 SQ.FT. or 0.98 ACRES ON ELEVAT7 DATUM. NAVD88 � oI+° " S2' � wpp0 WcK 66. UNAU7HORlZED AL7ERA77ON OR ADD17701V TO THIS SURVEY IS A VIOLA77ON OF SEC77ON 7209 OF THE NEW GUARANTEES INDICATED HEREON SHALL RUN COPIES OF TH/S SURVEY YE COPY STATE EDUCATION LAW. a SOO MAP NOT BEARING 7H£ LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VAUD TRUY. ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LEND/NG INS77TU77ON (1 LISTED HEREON, AND TO 7HE ASSIGNEES OF THE LENDING 1NS71TU770N, GUARANTEES ARE NOT TRANSFERABLE. WOOD r THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY ONES TO THE S7RUCIURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE 2 STEPS NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC71ON OF FENCES, ADD117ONAL S7RUC7URES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARAN7EED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE 77ME OF SURVEY O,v SURVEY OF:DESCRIBED PROPERTY CERTIFIED T0: HSA HOLDINGS LLC Ik ,gam G G MAP OF: FILED: 1.87' �^^ SITUATED AT:MATTITUCK N 88032'10"W TOWN OF:SOUTHOLD SUFFOLK COUNTY, NEW YORK KENNETH M WOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design THE WATER SUPPLY, WELLS; DRYWELLS AND CESSPOOL FILE #221-25 SCAL.E:1"=30' DATE:FEB 25, 2021 * � P.O. Bo (83 3 Q 586 ogure, New York 11931 LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS N.YS L1SC. NO. 050662 1) 298-1588 AND OR DATA OBTAINED FROM OTHERS I I I SANITARY PLAN DERIVED FROM SURVEY BY NOTE: LOCATIONS OF EXISTING SANITARY AND v WELLS PER WOYCHUK SURVEY. PERMIT KENNETH M. WOYCHUK LAND SURVEYING PLLC, PO J m PROPERTY AND NEIGHBORS WERE INITIALLY BOX 153, AQUEBOGUE, NY 2/25/2021 DESIGNED BY ED ARMUS ENGINEERING o , i, DEVELOPED IN THE 1950'S It o ti I I Q Q -.j o -------------------------- � LQ o 0 J o o I Niz:,-o = o LZ I 2Q0 co J W I O O o o w 1.13 00No additional/imported � z J`�W IU7 o w —f, fill required. o � � LJ zx Q ; `�' Q:) Z L 0 4()\ OZQ N N R I , � I , I I J oY Q G i E-------- --------------------------------------J p U �� O I li Z � � 0 0 STEP o o app °- S 11 13 00 E 0 �1 FENCE w o CHAIN LINK FENCE CHAIN LINK FENCE �,; 577. 72 � 0 4'W EVERGREEN HE GE ALONG LINE � mac, I I• W W W ASPHALT CU t . — I� _ N ! DRIVEWAY TO �� EXISTING ASPHAL PROPOSED ' DRIVEWAY c ! /DRIVEWAY TO I ASPHALT ,EXISTING 4' HIGH P00(, W ! ! O NCLOSURE J 3 is i i i REMAIN r REMAIN I DRIVEWAY J PR P. BASEMEN ((� q I _ i W�� w W W W W W W—�—W I W I W E V 19.5' i ENCLOSURE �- W yV W � S FENCING_-I I 4 HI H P -+-I o �_w w I PROP WATER SERVICE W; �,�` W Z 42.75' i__ Z 0 PROP. V P % FENCING + o O AQ_ 3 LINE �I I _ _ �� r PROPOSED 2-STY; I 19.75' • `^ w ^ f I V I �- EXISTING ,j i I � ELEV b 7b\ --- PREP. O U ' _ 'Q o r cr- - 15'X37 N O Z ~ 6-BEDROOM WOOD I � z 11 FRAMED DWELLING I e. r • I ASPHALT O+� iz I i I 9.5 r ` ^ o DRIVEWA v p L� : p VJ �_ 1 1 5.0 I N M .-- -SWIMMING o Z m --------- ` / �'' c� IF:z f� z�i ; Z PROP. S FF ELEV i `a POOL �t , z m Y a ct. t ® _ 0 z r 21.5' i tSALTI�IATER 1 ti o w o W - --ERHEAD O I — ;' 1 l5 9.75 _ - ---I, --- -AL+�"ON) I� ti a C� i WIRES to `� O j ' 25.92' - - !`� 1 I I I r- 'I / r- PROP. 10' o t- i __ __- N W :.::::::::'; V x ELEV 21.25 -r I rl----LJ 520SF I C= . I" NON-TURF ° o a �^- f► \ s : : / 178SF COVERED 'n I I I I r- -- - I O zo Q �C)' ® Z N �:::: O :::::' : F- I ' ! ELEV 19.5' 525 SQ FT I I I COVERED BUFFER o r o 3 \`1 U • ,' 4a ? ' PORCH I \ iiz r �� 1, ATTACHED , I I PORCH RO . STEP i `Y N 4r �` o W I I ELEV 21.25 ELE 19.5' o+ O ( � k r o 1 /�/ �DRY O N GARAGE ON 16.0' I I I i .��' j Q •__: f °f SLAB (ELEV 20.0') I I i PROP. , I P W C� ► Q ; P J W a W�- :,. :':.',0: �� :..22.4 :: I 5 t 3 � I , 131 , ODS o� r Q Q z q POOL i I GRADE I ----- --- 2s.92'. 16'-0 ; I I 12.0' LEVET. I �i S S 1 ) O Q •;::::: -- -- --37.75' - I Zi J ::�::: 4 ' 8 4 o _ _ PATIO r----- s o 0Q O i r : Q I ..r �8 I ELECTRIC •- --- - s ------ --------- --- O S , I I 0 O N I 2 Q i j SERVICE 1 �„ RQPc T ' pb�N f7Z PR TEP iN L. L---- -- I I _ — — — — — — 2 O --------- __1J------- 4' HIGH POOL Ing X00 I � I M NIO�y� ONOO HEDGE ALONG LINE 4' HIGH POOL �� 11013 '00 " 621 . 5 3 ENCLOSURE FENCING HEDGE A L 0 G LINE o \� �!o�p 9 Lu O � ' Q Z o Z �. 7 o CZ mi �� z N 88 °32 '1011 W W z O gz� Q � o � �� a_ v O >c Q N__c m m z z LL_ C/ � Q .� � eco ? Q _" OW `� j MARRATU'0� P- - -� O O --' r OKA Olzt �" I-LJ '�T r �.J Ct X V "_- C c) Lo = Q �Q L 1 SEAL R OAD w � � � � O z QD 21 W � U J C� ti O � C� C�J r _/r oilO ARCHITECT LLj JEFFREY SANDS Lj ti --� z ARCHITECT ELEV. 19.4 Q U EAST 6EVERGREEN GUE NY IAN 4 OL DR BROWN 92 � N PHONE FAX 631.576.89 16 7 LOAM � 1.0' EMAIL:JEFF@JSA-NY.COM SM BROWN LAYEY SAN 6.0' PROJECT PALE PETERS BROWN FINE RESIDENCE RESIDENCE SP SAND TOWN OF SOUTHOLD LOT COVERAGE 2000 PARK AVENUE (BUILDABLE AREA 42,603.37 S.F.) DRY WELL VOLUMES FOR 2" RAINFALL MATTITUCK NEW YORK ROOFED AREA = 4858 S.F. EXISTING LOT COVERAGE DATA PROPOSED LOT COVERAGE DATA DRAWING TITLE 2 STY. DWELLING W/COVERED STOOP: 1444 S.F. EXISTING SECONDARY DWELLING TO REMAIN: 865 S.F. RAINFALL VOLUME _ NO WATER 1 112 STY. DWELLING W/COVERED PORCHES: 913 S.F. EXISTING DETACHED GARAGE TO REMAIN: 408 S.F. [2"1(12"11 ')1 * 4858 SF = 810 CF SITEPLAN 17' DETACHED GARAGE: 408 S.F. PROPOSED DWELLING WITH GARAGE: 2578 S.F. LEACHING RING VOLUME NOV. 20, 2020 PROPOSED FRONT COVERED PORCH: 178 S.F. FOR 8' DIA. 0.D. x 1 ' DEPTH McDONALD GEOSCIENCE TOTAL: 2765 S.F. or 6.5% PROPOSED REAR COVERED PORCH: 520 S.F. PI * 7.33'-2 * 1/4 * I ' = 42.24 CF PROPOSED SWIMMING POOL: 555 S.F. � I� lU ELEVA77ON DATUM: NAVD88----------------- REQUIRED DEPTH OF 8 DIA. RINGS = i TOTAL: 5150 S.F. or 12% 810 CF / 42.24 CF/FT = 19.2 FT FEB 20 SCALE 1"=20' 7-19-2021 DEPTH OF RINGS PROVIDED = 6 FT DRAWING NUMBER ( 2 — 8' DIA. x 3' DEPTH EA. ) Southold Town S. C.T.M.# DISTRICT: 1000 SECTION: 123 BLOCK: 8 LOT: 7 Board of Trustees 42 ) 603 . 37 SQ .FT. or 0 . 08 ACRES 0 0 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Wednesday, February 23, 2022 3:14 PM To: 'charlescuddy@optonline.net' Subject: HSA Holdings, LLC; SCTM# 1000-123-8-7 Mr. Cuddy, The office of the Board of Trustees is in receipt of your letter dated February 11, 2022 regarding the above mentioned property. Please be advised that there is a Wetland Permit application currently being scheduled for our March 16, 2022 public hearings. Also,your clients who own the abutting property will be noticed by a certified return receipt mailing of the proposed project, and as required by Chapter 55 of the Southold Town Code. As an FYI,the March public hearing will not have access via zoom, it will be an in-person meeting only. If you have need any further assistance please do not hesitate to ask. Sincerely, Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov 1 CHARLES R.CUDDY ATTORNEY AT LAW ' 445 GRIFFING AVENUE RIVERUEAD,NEW YORK Mailing Address: TEL: (631)369-8200 P.O.Box 1547 FAX: (631)369-9080 Riverhead,NY 11901 E-mail: charlescuddy@optonline.net February 11, 2022 . Town Trustees 54375 Main Road PO Box 1179 Southold,NY 11971 c 2 3 20 Re HSA Moldings LLC-2000 Park Ave., Mattituek;NY BouthoId To�,� SCTM#1000-123-8-7 Board of Trustees Dear Town Trustees: I represent Peter and Barbara Swahn who reside at 2100 Park Avenue, Mattituek. The owners of property immediately to the west-at 2000 Park Avenue,Mattituek with title in HSA Holdings LLC (SCTM#1000-123-8-7)are applying to install a swimming pool 87 ft.from the Bay;directly opposite the Swahn's front yard. The Swahn's object to the pool at that location. I would appreciate your advising when the Trustees will be considering this application. Very truly yours, Charles R. Cuddy CRC:ik Enclosures `• HSA HOLDINGS LLC,2000 VENUE,MATTITUCK � r_ -Pk S�' i i �.& � • t X11 Par A%ie' �Google Earth Figure]. Aerial view of subject property and dwelling to be removed and replaced with new dwelling(located 25'farther landward), and swimming pool,and surrounding developed shoreline of Great Peconic Bay,in April 2021. Image by Google Earth. �, w is ar��+n�•.F. .� r� •ti� IIIIIIIII � sem. 9. •YY ru, ff Figure 2. Looking north at south/waterside of existing dwelling to be removed and replaced with new dwelling(located 25' farther landward);and at location of proposed swimming pool(within footprint of existing dwelling to be removed). HSA HOLDINGS LLC,2000 EiftVENUE,MATTITUCK r� a • - 1a. A I i d{r { ,[rH�lr�,'' v{,F ' "� , "n +'�.,I i•;, t. }"Y. �tY �KJ�X� ( _Yi r���`3�,• �.K' ��"'t '>�41,�� ��,�,� 3 yt� d�It � .i•.�a47t•s x 1�' �" '�,�'� �•1 Figure 3. Looking east along top of bank(and location ofproposed non-turf buffer)at applicant's dwelling to be demolished and replaced with new dwelling and pool(left);adjacent dwelling to east(center);and developed Great Peconic Bay shoreline to east. w 11N- A tits 1�K.',R ,t 4 Figure 4. Looking west along top of bank(and location of proposed non-turf buffer)at applicant's dwelling to be demolished and replaced with new dwelling and pool(right);and adjacent dwelling to west(center). Mxe�s *2. ,e.w ee g SEE SEC NO tte k1 ,at}W 3 EEE SEC NO tt3 I\ NE BEE SEC.NO.118 M CN 05�1g0i N�•'xn"' -- UNE I J� MATCN �_ N•Tcry ux[ m n.x1m iF --_———— ------ SJ d sii m.rim FOR PCL No SEE SEC No Joao oa � T • E DR. u ¢ . zoos �° 0]-0800 FORPCL NO z ' <x.Mln OION<I uN(<) SEE BEC NO ;Tj - ° zw(q —OF / Y •5 �1 1s'11 � solrtNan - � 3 t.9/ 22 CREEK O � < g ° N ER +e +° tea! nn t _ \.:\EK 126),,, az•,., pym�A ,r! -„w�,... �• ,QQ�/... --__ IM' yem ,',J� eJ T T � PN°L `` `` 1 e?M p,p•'L, n” +o.P', / It Is 16 51 \\.. , • O t z� ;<+iN< a 1opc1, +°�<s m n 'm�j". .%.. k ©, 46 � 7 I IF. O,'iq Y„ .. NIG SAI PECO �REsr d� 3 A E "��� NOTICE fq Cbt�'4 COUNTY OF SUFFOLK © K n BOOTNOLp SECTION NO c —� lz+I Real Property Tax Service Agency r GeunN�.R.rN�N...N.,t«t 123 O„ .. n •.. ",NN. • �� —__— P.+w --r-- owau.--wu-- "^I'•"" r rr. r �aY+u� F �v ,R�ct xP 1000 PROPERTYMM OFFICE LOCATION: � ��� w MAILING ADDRESS: Town Hall Annex ,"w P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631765-1938 Southold, NY 11971 Tele o � P % 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, March 14, 2022 Re: LWRP Coastal Consistency Review for HSA HOLDINGS, LLC, c/o SEAN PETERS, MEMBER SCTM# 1000-123-8-7 En-Consultants on behalf of HSA HOLDINGS, LLC, c/o SEAN PETERS, MEMBER requests a Wetland Permit to demolish and remove existing two-story, 1,444sq.ft. single-family dwelling and brick patio; construct a two-story, 2,578sq.ft. single-family dwelling with attached garage, with a 178sq.ft. covered front porch and a 520sq.ft. covered rear porch; construct a 15'x37' swimming pool (with saltwater filtration), and a 1,310sq.ft. grade-level masonry patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install a new I/A sanitary system; install a stormwater drainage system; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top of the bank. Located: 2000 Park Avenue, Mattituck. SCTM# 1000-123-8-7 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 Policy Standards and therefore is CONSISTENT with the LWRP. This decision is based upon the fact that there is no further seaward projection from the demolished structure. It is recommended that the non-turf buffer be vegetated with native, salt-tolerant species. 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 G.Stein,Chairperson; Town Nall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 ip 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., March 9, 2022 the following recommendation was made: Moved by Caroline Burghardt, seconded by John Stein, it was RESOLVED to SUPPORT the application of HSA HOLDINGS LLC to demolish and remove existing two-story, 1,444 sf. single-family dwelling and brick patio; construct two- story, 2,578 sf. single-family dwelling and attached garage, with 178 covered front porch and 520 sf. covered rear porch; construct 15'X 37' swimming pool with saltwater filtration and 1,310 sf. grade-level masonry patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install new I/A sanitary system; install stormwater drainage system; and establish a 10' wide non-turf buffer along top of bank. Located: 2000 Park Ave., Mattituck. SCTM#123-8-7 Inspected by: Maggie Merrill, Caroline Burghardt The CAC Supports the application using best management practices and/or drywells to contain the run-off from the patio, the installation of a pervious driveway, and the pool is relocated and additional 13' landward to comply with the 100' setback requirement. 'emote of Council: Ayes: All Motion Carried ` BOARD MEMBERS Southold Town Hall Chairperson Leslie Kanes Weisman,Chair ©� ,�UT P �0�� �Spl� 53095 Main Road•P.O. Box 1179 Patricia Acampora Southold,NY 11971-0959 s Eric Dantes office I:ocatioi3: .e - Town Annex/First Floor, Robert Lehnert,Jr. �, IS p 54375 Main Road(at Youngs Avenue) Nicholas Planamento 1. -Y � Southold,NY 11971 ECEIVE http://southoldtownny.gov RECEIVED l 1�AA IZONING BOARD OF APPEALS TOWN OF SOUTHOLD FEB 2 2 2022 Southor0ma Tel.(631),,765-1809•Fax(631)765-9064 Board.of Trustees r� Southold Town Clerk FINDINGS,DELIBERATIONS AND DI;TERMINATION MEETING OF,FEBRUARY 17.,2022 ZBA"FILE:#7589 NAME'OF APPLICANT• JEISA Holdings,LJGC PROPER 7 Y 1,6 C 20,00 Park A,vcnue,,.(Adj. to:Great Pecdiiic-Bay) Mattituck,NY': SCTM: 1000.:123 -7 r . -: Sl✓ RA DI;TERMINEI'IIC7N The Zonrng Bz�ard of Appeals has visitec!'the property under consu erataon itf this applicattan and;determines that this,review falls uzcler,#l�e T ype;:Il category of`the Stafe's 1✓ist of . Actions;wtthou�.furthe�steps ander SEQI;;A: •, . e _ _ '. SUF'I'OLK COUNTY ADMINISTRATIVE.."CODE: This application vias referred"as required un der•the; > ulfnlEt,County Adnziriistrative Code Sections A• 14-14 to"23, and theSuffolk, CaDepartffi n' of Planning-issued`its reply dated October 4,2"021-stating.that this,application is considered:a matter forlocal , determination as they`"e appears:.to be'no a;gmjcanfcou`rity-wade or inter-communityImpact:. LWRP DETERMINATION This app ltc tion was referred fcir rcvi&w under Chapter 26$, VJaterfrorit Consistency review of the Toyriy of Southold Town.Code trod the Local Wiltqtfronf Reyifaltration"Prograrxl, (LWRP) Policy Startda"ids Thd LWRP Coordinator issue r a recommendation .dated.Jattu 25, 2022.. 1Tased upon the inforn atton :.provided op the LWIZP Goi3sistenc. Assessment Form, subii ted t' this dej artment,as well as the records available,itis=reeommetitled that the:proposed action is CONSISTENT With LWRP•poliey stancl'ards.and,therefore is:C0XSISTENT�w' the!,,N PROPER'T'Y' 'FAC'TSIIDESQ-PJpTTON• The subject, conforming,: 42,603.37 square feet, .98 acre, waterfront parcel located in the R40 Zoning,District measures 66,25 feet along Park Avenue, then runs south.577.72 fee t:along.a residentially'devetoped,lot to•the east, then runs west,66.52 feet along the mean high"watermark at a wood bulkhead along Great Peconic Bay and continues southwest 24 feet along the same bulkhead and returns north 621.53-feet along a residentially developed lot to the west, back to Park Avenue. The lot is developed with two, single-family residences: one to the north at Park Avenue and one to the south, overlooking the Peconic Bay. The house- closest to Park Avenue is a one-and-one-half story frame dwelling with two covered stoops, an accessory garage, paver patio, slate walkway and a shared asphalt driveway which pins from Park Avenue, past one residence and south, to the second residence. Subject of this application, the residential structure to the south, close to Great Peconic Bay, a two-story frame dwelling with attached garage, a covered stoop, a slate stoop, brick patio and brick walkway and concrete walks. Allowing access to the waterfront is a wood landing, wood steps crossing over a retaining Page 2,February 17,2022 #7589,HSA Holdings, LLC SCTM No. 1000-123-8-7 1 1 i 3 wall spanning the width of the lot(o-an on-grade'Wood,deck and=,sand `terraces immediately in front of ale wnod bulkhead. Wood steps allow access to the beach below the bulkhead: l w.o evood groins are-also illustrated running,perpendicular to the lot line into the waterltain-link.fe1ictng riius thy'length,of the western lot line,ail as shown on the survey by Kenneth-ll 1. Wo he ck,Licensed X-and Surveyor and,,dated February 25,;2021. I3ASIS .Or APPLICATION Request for Variances from Article IV, Section -2 18, and,!he Building In August 24,2021 Notice"of D�aapproval based on an application for a permit to demolish and "reconstruct a.srigle:faiiiit 1)located`less Shan the code requued'inininium side}%ard setback of 15 feet, 2)Iocated`less than the code required minimum combined'sitle yard'setback,of3Sfeet; located 4t."2000*Parr Avenue,;{Ada to GreatPecoaac Bay)1Vlattituek,NY SGTNJ No.`100q.123 8. 7.. ItfiLIEEREQUESTEW Tlie applicant requests;variances,to demolish and remove the residential structure- to tlae south of the subject parcel}an exi4f iij two story, I,4.44 square feeC stn Ie,famil y dwelIjng and. tick ,.. pato whit an existing„.non cgnlorming singl%e sjde:.;yard setback cif 7 4 feet and.an extsfiang corrib2nex3 sed' yard setback af.36 2 feet acid to coustrtict'.a new-{relocated wirtl of ewisting structure) two�stvey,,2;5� square,-flet single-faiiiily dweihng.and attac..hed garage, with I78 square feet of covered frorit,porcli.:ariti` 520 squat e feet:of revel ed rear(waterside)poi ch with a proposed single side yai d setback oi'1;Z feetvvhere. the Cod&requires a Iipihi'um setback of l5 feet:And a;combined side yard setback of 27 feet.vvhere the ” Code requires a'mmimum of 35 ;~eet �ddtionaliy, the applicant proposes the removal of#lee existing sanitary System ttnd will instatl'a riew UA sanitary system, install stormwater drai iags system Arid astab tsh a ,10 feet wide, non turf buffer along the top of Elie bai<k {above exisfmg ping'.waTland wooden bulkhead), Not subject.to this variance request,file applicant also prsaposes the oonsMtetton of a waterside pool{located behind the prapesed residence in a coniphant earyad location)rnesuriligl aetby 37=#eel, d;1s31Q square feet grade-level masonry patio and.4 feet high pooa fencing, all sliown:oii srteplahp{Sheet. A:Ol O ,prepared by Jeffrey tlreliifect dateel July 1'9 702'1; , AI7DYTIONAL INFOTtMATTON The applicant prov�dd preliminary elevations labeled A200.and A2.1Q and a site plan,prepared by Jeffdr -Siinds,Architect;and dated July j 9;2021 y The applicant submitted a LETTER OF NO JURISDICTION—TIDAL WETLANDS ACT from the New; York-State Department of Environmental Conservation;; dated: Sepfemb rT 1; 2021. n' Innovat%ve: Advanced Septic Systems is proposed to be installed on the premises. The subject parcel is covered by the following Certificate of Occupancy: Z-1-4451, dated..May.30, 1986 covering addition to an,accessory building Z-19350 dated September,12, 1990 covering 2, one family dwellings with accessory. garage The applicant provided:examples of prior relief granted for the immediate area including ZBA files:,#6248, #6029, and 47143. The applicant also indicated that the proposed relief will be in keeping with houses located at 2152,2200, 2934, and 3340 Park Avenue,Mattituck,NY; all immediate, bayfront,neighbors. An immediate.neighbor to the east and their attorney spoke against the proposed pool location(not subject of this application) but did not voice an objection to the variance relief requested. No other member of the public spoke in favor of or against this application. Page 3, February 17,2022 #7589, HSA Holdings,LLC SCTIVI No. 1000-123-8-7 FINDINGS OF F.A.—M—REASONS FOR BOARD ACTION: Tile Zoriilljg.,Board OfA a ppe 'ls-held.'a.pli,bJic'hearingon ihis,appjidAti6n,on l . February y"" tice, . lin ewritten and oral.6viderpe-werq:pre presented lsefupor ,aIftestimony,documentation, pergop4 ,lnspecti9nof the,properyandsurrounding libbrhoo �all other finds tl>e,fallowing facts. (0 beArue.tand relevant and makes I. Town La e-L26 tQ-I(b)LI)_-- Grant U,theno produce ,'6-hzinge%16 cean properties" ' :Between— or: Offirildn" nearby' '' character:of the� 61 llb-ojl�66d d ". .� 41, 9 ad tto:.. ; . .f.Jqeastei to the east rly,end rk,A...,v, ' , d Camp: _iqcqA!* "­o;a Q0. west, t­le, surrounding,developed.d .c'O' bayfront s 6r*6 1-1110 IsehafacteHzedby deep lots_with ade lot linelengths" of 500feet-,pr m6reh 6ey 66ijq the roadway" Ncqnlc,84y, irre I flet deep; Aftfi&gfi ti e.magyar l ew' of 60-h.) flian- ­.0.0 feet, many have_muc; h"..#.I..%,r10 . lotwidt}is', s►miIac to that of". Currently,the applicant the cxisti0R S miattire ulsI 7Af6etw A'S part cTth site's redevelopment,'ib capplicant proppies t&makethe naw tiu mare conforming and e establish 4' ''' I - - a' ' ` 11 seeks to 9 e-sidd,yab ci J2 a 66mblh6d; ­17"f�'t--Due... tho the '.fl along witl Karl.- I fl: , ee subs�tahtidl.distance of.' .- ; tfic,subject.aftd. 4ngr'x' Wfitial. ibbri dvisualffip ef �wfll,ndtb-&6 r-va N6 rf 6ila,thel.prPI)p Ties: loqatpd,on the opposite:side of the xoacl or to;pedestrtan.,arid vehicular tiaftxe . .Town Law8267-Wjjku'g . no-61effiie'fit:soughtby flic 4pplIcaritc;�(iih6t,behW"b' ac: iev me in a VAAAhm e'.,appica; iing'W­replace, -1 ant t Th �i6e feasible for t}ie Vic' narrow; ldss....tfian k�ifqei ef-CM& outdated, argeq cied Ao rhbderfi'J2ed, eneity. efficient_dw6*hIIIg_.'- While the plQ_ P` wel J#g will Act, P 41OR"', conform i*',Of floe existing um side.ya* narrower than pqny,.ff.flJo.located.on othern6igliW hg- 6ts . AlIR72feet Ofthe, e!!tY ,s .-PQ liccitIeo6k.­ . ' Lazv 2.67 3,, T ownbf1)(b)(3)i The variances-granted herein are mathematically substantial,representing 201/o relief 6 lftheco&i6_ ' PI to the side yard.setback and 22.9% relief from the code relative to the combined side yard setback.H,owever,the,applicant proposes to construct,the'-proppsed residence in a more conforming manner than currently exists, and has provided evidence-of similar relief granted in the immediate area for comparable bayfront residences with narrow, but deep, lot size." .4. Town Law 5267 (,4).--N6e'v-fdb*fi66.hb§.,�eens ge I . I�7 .1 .� Pb_ to sug, stthat a variance in this residential community will have" an-'adverse impa t,_ &nt, Jqa or:environmental-11 qnthqp4y.g* I ns iii the 'flie applicantmu9t comply !s`St6i;lh Water-14anagem"entCo, d e. 5. Town Law 1267-W)(b)(5),..-The difficulty h s been self=crcated. Tbc.applicant purchased the parcel after the.Zoning Code was in,e; t'-an& it is ftb�c presumed that the applicant had actual or constructive knowledge of the limitations on the bse-of tbiparcel tinder the Zoning Code in effect prior to or at the time of purchase'. p 6.Town Law§267-b. Grant of the requested relief is the minimum;action necessary and ad6quatc to enable the applicant to enjoy,the benefit of the di=olition and removal of the existing residential structure; ocated on the South of t'he subject parcel,with a non-conforming single side yard setback.o * f 7,4 feet and an-existing combined side yard setback of 36.2 feet' and to construct a new (relocated north of pr6posed demolished structure), two-story, single-family dwelling and attached garage,with 178 square feet of covered front' f, Page 4, February 17,2022 #7589,HSA Holdings, LLC SCTM No. 1000-123-8-7 i E i porch and 520 square feet of covered rear(waterside)porch with a single side yard setback of 12 feet where the Code requires a minimum setback of 15 feet and a combined side yard setback of 27 feet where the Code°requires a:rniniffi to of35 feet;while preserving and protecting the character of the neighborhood and the 1>ealth,:safety and.welfare of the:community, g RESOLUTION=OP THE BdARD:-Iii-cidnsidertiig:all ofthe above;factors and applyih-9 the'balancing:test t under New `k ork Town Law;267 B;;.motion was;;offered by lvletnber Planamento, seconded-by Member Weisman(Chairperson), and duly carried,to GRANT the variances as applied for, and shown on the Site Plan (Sheet A010) and Architectural Plans (Preliminary Elevations Sheets A200 and E1210),prepared by Jeffrey Sands,Architect,dated July 19' 2021. S.UBirEGT T_0-TfW1 FOLLOMIN[ .CONDITi6m: j 1. Subject to T6Wof Southold Trustees apprpyal. 2," The second residence;on thesubjeci property(located.closest to the road)is not to be altered in anyway relative to this approval. 3.. The applicant shall install an Innovative Advanced (UA)Sanitary System approved by the Suffolk County Department of Health. This approval shall not be deemed effective.,undlthe requ ed conditions have been mei At the discretion of the.Boar&ofAppeals,failure to comply withthe above conditions may,render this decision null and void That the above conditions be written`into the Buldatg Inspector's Certificate.of Occupancy, when issued The Board reserves the right to substitute a-similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Any deviation from-the survey, site plan"andor architectural-drawings°cited in this.decision'willresult in. delays and%r a possible:denial•by the Building;Department of a building.permit, and may require a new application.6hd public rhearhlk before the Zoning Board of 1ppe'als.` Any deviation from the variance(s)granted herein as shown on the architectural drawings,site plan and/or survey cited above, such as alterations, extensions, or demolitions; are not authorized under this application when involving nonconforrnities under. the zoning code. This'action does not authorize,or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. In the event that this is an approval subject to conditions, the approval shall'n ot`he deemed effective until such time that the foregoing conditions are met;'andfailure to complylherewith will render this'approvdl null acid vo'id., Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk, within three (3) years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not 3 I Page 5,February 17,2022 #7589,HSA Holdings,LLC SCTM No. 1000-123-8-7 to exceed three (3) consecutive one (1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Failure to comply in a timely manner may result in the denial by the Building Aepiirtment of a Certificate of Occupancy; nziil fy the:apprQved_ variance rebel',anil require a new variance=applicatiowwitlipubIic hear ng'belrore the Boat d of Al�`eals . Vote of the Board: Ayes: Members Weisman(Chairperson)Dantes, Acampora,and Planamenio. This Resolution.was duly adopted(4-0). (Member Lehnerf'absent) lze Kanes VPerszn' , Chai Orson Approved for-filing /2022 v r OTE: LOCATIONS OF AISTING SANITARY AND snr:ra6'r clAra r RIVED moat s R':GY eY WELLS PER 1 OYrH!1K SURVEY. °G?FdiT K Nn n td.worau✓,LnND�urrrvc Puc,Pa - p_ 60X 53,ADIB UE,f`Y 2/5J 02' _ PROPERTY AND N,IG 80RS WERE INITIALLY DESIGNED BY ED AHAfUS-EtJm 9EERIh., F)\ j DEVELOPED IN THE IESu'S 4� C) Li. • �c 5 a ti rt �,i o o No adcitioncI/imported r_ al I x required.red. o ;3 c , a s 1 0v 3 a�.,.r., Nk FENb^",S II°13'00".ES77.72', �EF .5 0„ UI r Ni+1' _ ^HAif LINEr. Fuuk:E 1 4i� ,E ERGRE� HE t 4_ *,., „wW 3 _ter .--� — ^—.—»— — -— �L a�- r� mcP wA' ti ."�_�• _ y t 1 5y5/'y mE C(f { `\. 1 �✓1� ` 11 2 r. 1 N .'\• 1� / r4 ✓ b J \ �'. r rR!1 AL1 J ' ,t��f i3 .>r,.l ...,/ �� 1 �3 a�11/ O Htio(L�� 4;. �J-W _ -�"• ,.( ..�.� 4� ,L` N O P' \\'/• nv C: - � 'h lF' <y \. �i (,5°� ' b5r. `g �. r•v��! x_ .s• '{ X U i .�ia.iui1�15 It s nl SZ<5� s I 5._•c.;c II; SE3,5CE UU�Z _ 1 o I F ,.., I 621.53' -w '� 5 y r1J61,.,I`hr_ -A� ��;y� ..,� I�I 1I 13`03' R p �; 17" QW z° Jti 880:32'10"W get >j Q O 'It'1RRATOOKA ROr,llJ i.;� C L � U� y � � ' C ' 7�a 2 r f s �( F 1 r T.FFRF.Y S ANDS A 4r � ARLfIITCCT —In' v 1 '�-- PETER> Su tENAyOf au RESIDENCE: r S F�-•E�� LOT e <',AU YAFK AY hJk 1. �'r AR,;.;. 5.,i IAl TTiNCK 'I' _ L.^'"ELL.'.". ....:.vF<" FAIL , .._.:._._ .:. ..:._ -..__. NEW YCIRK ................._..__.................. , 7 tt .i t / Nf' ( 4 '"F,. SC ONC?Y 5 L 1 TO 4. N 965 F. C�mCn Al ..un ritrrt '' :.1 Y .,.i. Y ,,:1. f S 5 t,Y f i,I L/7f iJ F h 4 3 S F t / 1/1),, 4 E F.-3+J C� SITEPLO 1 .. —1.> C l,t 4,1�. ,F R f Q u ELLIt• IY.h i 516 !. stt`-.9iRMC JG� W:20,zOZC k Fk T Cr L?ED I /F3.S.-' 'JtA. ) ) te u:CCNMO emsGF�_C :.JiFI'7,6. -f n•6 SS� r{„fC:S .,'+., T R� a✓EF�v-_2 .54G SF, i1 .5,,33'"'2 s/.�' :"t?.74 Cr Nk(i'SE 5 l..N .'Y -5 5 F f aE GC Th CI;,,k NGS /y2.44_l�T ..i. � ti.t'.'f.X1.J/ DISTRICT. 1000 SECTION: l23 BLOCK: 0 LO'1':..7 -Sr�� 3 ._k;Ha; AOM 112,6003.37 SQ.F'T. or O.98 ACRE1,S _............................................. ......... AREA OF EXPOSED FOUNDATION = 236 sq.fl AREA OF BURIED FOUNDATION = 2037 sq.ft (.LOLL AREA OF FOUNDATION = 2273 sq.ftj � I ),STAND 1C S ci.,METAL P T A, 11H, LI 'LL i' I E C k a NATURAL GRADE nr . ,., ��,. v_. .. TURAL. GRADE i , > SOUTH ELEVATION�"_1 l - ATER SIDE; Rus ML -_- - .:i .a...l�i 1 i ea E tE tt �,o��� ,� t Tt��� �°z '^^�,.,,,..,, f :�• a a x4 rP LLL""" z - I I F.1` A i ( ,=) JCFFRbY SANDS � 1 € AftC1lITFC"I' i r Epi' p. T a n c T Iz ii T �\' PAINTED .. t� H .-..E. a,=�...c. s• ir i x xi n,t T r '�is.j-mg�rs -t � — d�,�, t is�i�i}E x r.�� �.2 PETERS .. �I TRIM LLLi RESIDENCE t ..:;.R^ IF-' - lm, ean Pr MT.NUE nralmueK I ! � � —J Is, �*`'"'"' j r �-� --•hs...t ,.-,r�._. 'I ,t,.t ii e usraac �t t i r z 1 , s �i I I t " r cw u K ;NATURAL GRA 3 r - - y=- - --- _. k t*i . -+s,Rr _....... kit, �r; IRE„ PRF.1,1.411NARl' F00L rt ,icy sa I I ; ELEVATION tA.5? ELL JA!10 1 2 is rl a . A200 k F a. t i .. { - 1 '��''... A. EVV- ocl, 1 `JATURAL GRADE t' _ E E -�--'—{�.Y �- hAIURAL GRADE NORTH I ............ELEV TIO 13 'FRONf SIDE) w I - - > 5 , 2 r, 3 r s 11 ! i Y i t_. 1 1 _..1. = JEFb RFY.SANDSr ARCH]EEC 1 T PETERS RESIDENCE'; P—ALUM: nnTMOK :NVR RA.l�GRADE FI ESA L[TORY �;..... PRELIM ESEl EVATION 4 r, JW1 6 i j pp 1 w+�w... 01 I Gv vA w.A IA//l 171 a1(/�,I' k I i l 2 1�/ ................. _ :. :: Glenn Goldsmith,P -,.lent � 4�So, y� Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III ! Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application ® E C E I V E- 0 _X_Wetland Permit Application Administrative Permit Amendment/Transfer/Extension FED . 120 X Received Application: Z•1•ZZ -Received Fee: $_29040 Completed Application: 2-�•2Z- Southold Town . Incomplete: Board of Trustees SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ___,Coordination:(date sent): �LWRP Consistency Assessment Form Sent: a' _!TXAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: •��e- Resolution: Name of Applicant HSA Holdings LLC c/o Sean Peters,Member Address 108 Remington Road,Manhasset,NY 11030 Phone Number: M 292-0540 Suffolk County Tax Map.Number: 1000 - 123-8-7 Property Location: 2000 Park Avenue,Mattituck (property located on south side of Park Avenue, 823'east of Marratooka Road) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Phone:631-283-6360 5'ejX C-� #fzz' Board of Trustees A _ kation GENERAL DATA Land Area(in square feet): 42,603 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: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals X Yes 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#311 4-8-86(transferred 11-14-12) Southold Trustees#8294 9-18-03 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 and remove existing 2-story, 1,444 sf single-family dwelling and brick patio;construct 2-story,2,578 sf single-family dwelling and attached garage,with 178 sf covered front porch and 520 sf covered rear porch;construct 15'x 37'swimming pool(with saltwater filtration)and 1,310 sf grade-level masonry patio;install 4 high pool-enclosure fencing;remove and replace portion of existing driveway;remove existing conventional septic system and install new VA sanitary system;install stormwater drainage system;and establish and 10'wide non-turf buffer along top of bank,all as depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021. Board of Trustees Applic; 'ton WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To replace and relocate a narrow, 17 to 20-foot wide,aging dwelling that was constructed prior to 1957(see Pre C/O No. 19350)with a new,larger,modernized,energy efficient dwelling with attached garage and accessory swimming pool. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 oio Closest distance between nearest existing structure and upland edge of wetlands: +/-87 feet (existing dwelling) Closest distance between nearest proposed structure and upland edge of wetlands: +/-87 feet (proposed pool patio) Does the project involve excavation or filling? No X Yes (as required for replacement of dwelling and sanitary If yes, how much material will be excavated? TBD cubic yards system;proposed stormwater drainage system) How much material will be filled? N/A cubic yards Depth of which material will be removed & f&'f%d: +/- 11 feet 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. i STATEMENT OF EFFECT AND LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR HSA HOLDINGS LLC 2000 PARK AVENUE MATTITUCK,NY SCTM#1000-123-8-7 The proposed project, which seeks to replace and relocate a narrow, 17 to 20-foot wide, aging dwelling that was constructed prior to 1957 with a new,larger,modernized, energy efficient dwelling with attached garage and accessory swimming pool, will further the goals of Chapter 275 and LWRP Policies 5 and 6 by protecting and improving water quality and the quality and function of the surrounding Great Peconic Bay tidal wetland ecosystem. Specifically; the below described design elements and additionally incorporated environmental mitigation measures would serve to increase wetland setbacks to the dwelling and maintained turf lawn; reduce the quantity and improve the quality of potential stormwater runoff through improved site drainage and increased buffers; and improve groundwater and surface water quality through improved septic treatment. 1) As a result of the landward relocation of the dwelling, the dwelling's setback from the bulkhead and adjacent surface waters of Great Peconic Bay will be increased by approximately 25 feet, from 87 to 112 feet. 2) The existing conventional septic system will be removed and replaced with a low-nitrogen, UA sanitary system consisting of an UA OWTS located more than 225 feet from the bulkhead and surface waters of Great Peconic Bay. Unlike conventional systems, which are not designed or equipped to treat nutrients such as nitrogen, UA systems are designed to significantly reduce nitrogen loading into the groundwater and ultimately surface waters. 3) A proposed stormwater drainage system is designed to capture and recharge roof runoff from the renovated dwelling; surface runoff from the driveway; and backwash from the proposed swimming pool. 4) The proposed swimming pool will a)be set back from wetlands the same distance as the existing dwelling; b) exceed by 37 feet the 50-foot wetlands setback required for pools and related structures pursuant to Section 275-3(D)(1)(a)(5) of the Town; and c)be equipped with a saltwater filtration system,thus avoiding use of a traditional,high-chlorination treatment system. 5) A 10' wide non-turf buffer area would be established and permanently maintained in place of existing lawn adjacent to the top of bank, thus increasing the overall depth of the buffer area landward of the bulkhead to more than 25 feet. 6) A project limiting fence would be installed to contain site disturbance and potential surface runoff during construction. 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 investigatiorf 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: HSA Holdings LLC Residence Project Location(describe,and attach a location map): 2000 Park Avenue,Mattituck,Town of Southold,SCTM#1000-123-8-7;property located on s/s of Park Avenue, 823' east of Marratooka Rd(map attached). Brief Description of Proposed Action: Demolish and remove existing 2-story, 1,444 sf single-family dwelling and brick patio;construct 2-story,2,578 sf single-family dwelling and attached garage,with 178 sf covered front porch and 520 sf covered rear porch; construct 15'x 37'swimming pool(with saltwater filtration)and 1,310 sf grade-level masonry patio;install 4 high pool-enclosure fencing;remove and replace portion of existing driveway;remove existing conventional septic system and install new I/A sanitary system;install stormwater drainage system;and establish and 10'wide non-turf buffer along top of bank, all as depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021. Name of Applicant or Sponsor: Telephone: 917-292-0540 HSA Holdings LLC E-Mail: cavounis@yahoo.com Address: c/o Sean Peters,Member, 108 Remington 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? 42,603 sf b.Total acreage to be physically disturbed? +/-19,900 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 42,603 sf 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-Deep Hole Creek&Beach;Peconic Bay&Environs,Reasons-Significant coastal fish&wildlife habitat; protect public health,water,vegetation&secenic beauty,Agencies-Southold Town,County of Suffolk;Dates:3-9-90,7-12-88 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: A new connection to the public water X supply is proposed. 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? X 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. ® 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 I NO YES completed)for hazardous waste? If Yes.describe, X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IST AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Robert E.Herrmann,Coastal Mgmt. Specialist Date: January 24,2022� 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? F3.�Will the proposed action­impair the character or­quality of the�existing 4. Will the proposed action have an impact on the environmental characteristics that caused the -Z 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 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 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? 7e 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. 0 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. M/ 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. Of Name of Lead Agency Date Print cipjType Name of R.esponsi b le Officer in Lead Agency Title of Responsible Officer- Y Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible-Officer) Page 4 of 4 Buff®hk Co. Joins Map 45 • 1 S ...... �z ei3 n aoss ` E3 7z 30°° 7232.15y30 N POIIUpTOM K MITUCK All pJEN 9G�em WA�ENUE 3 �� o a l /I'�� l o m �( a o m 13 Mattituck SZ Marratooka Pt lily 'o e Ce c k" S Airport cEa to j i AV C0 Q n C\ 9GF Q° � 2 1 OHO M,E°lA \ Cs 2 rTgT / CAMP 9u Park \ �r-` �E•Ext 1y. - oy`POh qL 51te kCe55 Via Subject Property) Mattituck District 90 O °0 Park °J�J Tow\ m$4 �el ParkaLeo C: / s ' MCttituck 5uf ik Courtly Hm5trrom Map 146 2,000' D' e rs g O a off Amen men��aV\\ 01 1 OF gij �i P ?if �9 S1 O U9 09 Ir , �i000 Q~� o9oyh I �O �9o9Q�o0 O9� � \ap 0 p 90p�\ 090 69.,m ) 0P W i i �I GREAT PECONIC BAY I Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Q� 1000 123 ' 8 7 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN iD sFr cf Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within Acres))42,603 sf Generated by a Two(2")Inch Rainfall on Site? Elthe Scope of work for Proposed Construction) (SF./ (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 +/-19,900 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 X ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Demolish and remove existing 2-story, 1,444 sf single-family Slopes Controlling Surface Water Flow, dwelling and brick patio;construct 2-story,2,578 sf 3 Does the Site Plan and/or Survey describe the erosion XF]single-family dwelling and attached garage,with 178 sf covered and sediment control practices that will be used to front porch and 520 sf covered rear porch;construct 15'x 37' control site erosion and storm water discharger.This swimming pool(with saltwater filtration)and 1,310 sf Item must be maintained throughout the Entire Construction Period. grade-level masonry patio; install 4 high pool-enclosure fencing; remove and replace portion of existing driveway;remove 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural existing conventional septic system and install new UA sanitary Existing Grade involving more than 200 Cubic Yards ix system;install stormwater drainage system;and establish and 10' of Material within any Parcel? wide non-turf buffer along top of bank,all as depicted on the site 5 Will this Application Require Land Disturbing Activities plan prepared by Jeffrey Sands Architect,dated July 19,2021. Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres:including disturbances of less than one acre that `J 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, Q (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1:1X 1.The SWPPP shall be prepared prior to the submittal of the NOL 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, 1:1required,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.) 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 Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. that is knowledgeable in the principles and practices of Storm Water Management. (NOTE:A Check Mark(X)and/or Answer for each Question is Re uired for a Completed Application). STATE OF NEW YORK, -Suffolk COUNTY OF -Suffol--- ------------------------ SS That I, Robert E.Herrmann being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of lndrvldual slgning 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 the st 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; 21 - ----------- d y, f January................... -2o22--- Notary 022Notary P __-- -- - -- '------------K1M--H-=--S T E P H E_N S------------ - ---------- ---- N O T A R Y PUBLIC (sign pure of Applicant) FORM - 06/10 STATE OF NEW YUXK COMMISSION N0 . 5015931 QUALIFIED IN SUFFOLK CTTY EXPIRES AUGUST 2 , 20__ Board of Trustees Applic _ ton AUTHORIZATION (Where the applicant is not the owner) I/We, Sean Peters,Member,HSA Holdings LLC owners of the property identified as SCTM# 1000- 123-8-7 _ 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 'property Owner's Signature Property Owner's Signature Sean Peters,Member,HSA Holdings LLC SWORN TO BEFORE ME THIS _ °Z O DAY OF i)-P(LC - ;.20_�_ -ary Public JOSEPH DIPAOLO Notary Public,State of New York 7` No.01D14937148 Qualified in Kings County My commission Expires July 11, Z a2 Board of Trustees Applic�`,on -AFFIDAVIT Sean Peters,Member,HSA Holdings LLC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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. N/A_ Signature of Property Owner Signature of Property Owner Sean Peters,Member,HSA Holdings LLC SWORN TO BEFORE ME THIS Z© _DAY OF . Pr'P2(L 20�_ ••J "Notary Public JOSEPH DIPAOLO :Nary Public,State of New York No.01 D14937148 Oualified in mngs County my.commission Expires July 11, "2v APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Tom of Southold's Code of Ethics_prohibits conflicts of interest on the part of town officefs and employees.The purnose of this form is to Drovide information which can alert the town of Dossible conflicts of mterestand allow it to take whatever action is riecessary to avoid same. Sean Peters,Member YOUR NAME: HSA Holdings LLC (Last name,first name,qiiddle 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,pareni 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 employce has even a partial ownership of(or employment by)a corporation in which the t6wit of iceroe employe'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 interestin a non-corporate entity(when the applicant:is nota corporation); Cj an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 20 day of AW 20 Z/ Signator t Print Name, Sean Peters,Mpmber Form TS l HSA Holdings LLC 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 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. i YOUR NAME: HPrttnann, 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. e YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant(agent(representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer;director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2 of January 20 .22 Signature Print Name o E. Herrmann Form TS 1 ANUTILt: U I i Ht: A 'KING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: HSA HOLDINGS, LLC, c/o SEAN PETERS, MEMBER SUBJECT OF PUBLIC HEARING : For a Wetland Permit to demolish and remove existing two-story, 1,444sq.ft. single-family dwelling and brick patio; construct a two-story, 2,578sq.ft. single-family dwelling with attached garage, with a 178sq.ft. covered front porch and a 520sq.ft. covered rear porch; construct a 15'x37' swimming pool (with saltwater filtration), and a 1,310sq.ft. grade-level masonry patio; install 4' high pool-enclosure fencing; remove and replace portion of existing driveway; remove existing conventional septic system and install a new I/A sanitary system; install a stormwater drainage system; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top of the bank. Located: 2000 Park Avenue, Mattituck. SCTM# 1000-123-8-7 TIME & DATE OF PUBLIC HEARING: Wednesday, March 16, 2022 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 "c7�xc2�� '��FFO( Glenn Goldsmith,President Town Hall Annex r"OS �C A.Nicholas Krupski,Vice President u�0� CGy� 54375 Route 25 Eric Sepenoski {o z P.O.Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples - �O�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 HSA HOLDINGS, LLC, c/o SEAN PETERS, MEMBER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING rOPWRE �► s � ��r7'5i if ]� `IRI � - I, Robert E. Herr , residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the 8th day of March , 20 22, I personally posted the property known as 2000 Park Avenue, Mattituck; .SCIM #1000-123-8-7 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, March 16, 2022. Dated: (signature) Sworn to before me this f(� day of& 20Z2.- KIM H . STEPHENS NOTARY PUBLIC otarublic STATE OF NEW YORK COMMISSION N0 . 5015931 0 U A L I F I E 0 IN SUFFOLK COUNTY EXP I RES AUGUST 2., 2-02-6 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: HSA Holdings LLC SCTM#1000-123-8-7 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 and remove existing 2-story, 1,444 sf single-family dwelling and brick patio;construct 2-story, 2,578 sf single-family dwelling and attached garage,with 178 sf covered front porch and 520 sf covered rear porch;construct 15'x 37'swimming pool(with saltwater filtration)and 1,310 sf grade-level masonry patio; install 4 high pool-enclosure fencing;remove and replace portion of existing driveway;remove existing conventional septic system and install new UA sanitary system;install stormwater drainage system;and establish and 10'wide non-turf buffer along top of bank,all as depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 2000 Park Avenue,Mattituck 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,March 16,2022 @ 5:30 pm;Town Hall Meeting Room,53095 Main Rd, 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. HSA Holdings LLC Sean Peters,Member PROPERTY OWNERS NAME: 108 Remington Road MAILING ADDRESS: Manhasset,NY 11030 PHONE #: 917-292-0540 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. } r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 1000-123-8-6 1900 Park Avenue Cubbon Family Trust Mattituck,NY 11952 1000-123-8-8.3 P.O.Box 729 Peter&Barbara Swahn Mattituck,NY 11952 1000-123-3-35 Attn: EWI Brian Stubelek 274 Mill Road Riverhead,NY 11901 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 8th day of March '2022 , 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 Southampton , that said Notices were i ed to each of said persons by (certified)(r isoe oce mail. Robert E.Herne Coastal Managment Specialist Sworn to before me this 8th day of Ihr'ch ,2022 K 'IM fl . STEPH !NfOTARY PUBLICC SLATE Of NEW YORK COMM'ISSIION N0 . 5015931 Notary lic OtALIFIEO IN SUFFOLK COUNTY EXPIRES AV611ST 7 . 2OZ C J l Post�i Service CERTIFIED , rl_f Domestic Mail Only ru `51. Certl ie_d Mail Fee . Er `0 LRe ces&Fees(check box,add fee as appropriate)/ eceipt(hardcoRA $ �. rlJ f� Postma eceipt(electronic) $.T-- © Mail Restricted Delivery $ Q p9 0gnature Required $,gnaturs Restricted Delivery$ B"'� Postage " I NTotal Pot I $ Brian Stubelek a Pitro i Attn: EWI f r treat an 274 Mill Road I_-_- ;iy stat Riverhead,NY 11901 I r•, - Postal,Service �' , © • • Ln CE^ MAIL M Domestic • only I 'u • • • • ,�/('��s a Certified Mail Fee $ r { Services&Fees(check box,ad$d.fee asappropnateT 0 Retum Recelpt(hardcoP� I - rU in Postmad(�t15 ❑Retur^Receipt(electronic) $ Here Certified Mail Restricted Delivery $ �•� 0 ❑Adult Signature Required $ Adult Signature Restricted belWery$' Q Postageru F ru Total F 1 I ' N sent,il Peter&Barbara Swahn Stree"i' PO Box 729 { Mattituck,NY 11952. -------- 's Postal CERTIFIED MAILO RECEIPT. 4ruDomestic mail only fru MI-qOFF + A y. I / + .0 Certified Mail Fee SIir $ L Extra Services&Fees(checkbox,add fee as appropriate) `+nJ. ❑Return Receipt(hardcopy) $ 'nZ`� vP ostmark s ❑Return Receipt(electronic) $- �+ Here 0 ❑Certified Mail Restricted Delivery $ .� C3 []Adult Signature Required Adult Signature Restricted DelWery$ _- Q Postage rU $ N (1J Total Posta I• I serer TO Cubbon Family Trust ru - - siFeeiandA 1900 Park Avenue SII city,-"I Mattituck,NY 11952 r rrr•r. - 5 . SECTION ON[)ELIVERY'COMPLETE THIS . .. • A. Si nature ❑Agent .�L+✓omplete i#ems 1,2,and 3. ❑Addressee, -..■e . -Print your name and address on the reverse .Date f�Delivery / I - so that we can return the card to you. a eived b nted N ■ Attach this card to the back of the mailpiece, Q or on the front if space permits. D. Is delivery address different from item 1? ❑Yes o Y 1, Article Addressed to: if YES,enter delivery address below: D Ne a •i E cc d 0 O N ox'mm ccd Q Q O }Z Uoc 3 `� ❑❑ ❑❑ add 228 1 T gN7CC.'. a) E O ti QCQo rn Ntr Brian Stubelek E °' ❑❑❑ El El a Attn:EVVI 3. Service Type ❑Priority Mail Express® P N ❑Adult Signature [3Registered MaiITm 274 Mill Road ❑ t signature Restricted Delivery L]Registered Mail Restricted) y Delivery • Z ro o Riverhead,N Restricted Delivery 119 1 Certified Maii@ El Signature confirmation7M 1 d e o ❑Certified Mail ❑Signature Confirmation -n t '❑❑Collect .on Delivery: Restrwted Delivery oleton Delivery Restrcted Depvery I a v v N .:t �EMail� ro N 7�I i 7 0-21- 2 7 0 '130 2= b 9 61 2 4 2 d Mail ResVictt d,Delivefyt �,_�i500) % > m m'g't°o❑• . o i Flo :DoriSgft� 'etrA:Receipt c v rn d w July 2020 PSN 7530-0 H- 2-000-9053 IoPs Form 3811, — --- d X o�oo[ co w ru j; . - i r1.1 m co A Si rem r E3 Agent c)� d ■ Complete items 1,2,and 3, X ❑Addressee C.Date of Delivery It Q Ir"D o ■ Print your name and address on the reverse by(Printed N e) a) '� f so that we can return the card to you. E o ■ Attach this card to the back of the mailpiece, ❑Yes m o permits. ifferent from item 1? o N ru n or on the front if space p p, Is delivery ad ress below: ❑No 0.0 o A:! N 0 If YES, 'J `) C3 Z 1, Article Addressed to: m U)d -0 0 c0oo 2 0 r � o N" N U �+ ;1' C3 N i= L U r--: ru H 04 �" i; co `z"02 w xy U ti ' U 00 Peter&Barbara Swahn ❑P......y Mail Expresso 3: y a0 C3 M 3. Service 19� ❑Registered Ma11TM o T O PO BOX 729 ❑Adult signature ❑Registered Mail Restricted fti E 11952 ❑A Signature Restricted Delivery Delivery o V:5 L g i� r+ . Mattituck,NY ertified Mail@ ❑Signature ConfrmationT"' . 0 ❑Certified Mail Restricted Delivery ❑Signature Confirmation U p` N Q O d ❑Collect on Delivery Restricted Delivery Restricted Delivery ■ ■ ■ r .. -....- ��•_r,.,,,_,___,_�_=-�J_ Rr_,.::.....�-slivery 2 iv;2;pv 1 2722 22;22 !6961 i 2; 51 q aestnctedDeltvery ` ( Ir l _ ,I r .rr itrrtr rr rl tover$a00) r ' r Domestic Return Receipt PS Form 3811,duly 2020 PSR 7530-02-000-9053 IIkIgL;JI)CgkJrcAJuuabc,c-w Oro pixels) cups:rruwc.wcuniau.clxuuwu.ucuauacwuiia�c.1lxb:aiu .uu u� . t � r 1 � t r r i i pp ��I I 1/30/2013 1:04; 1 i Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si nim 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# 123 - 8 - 7 PROJECT NAME HSA Holdings LLC 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 and remove existing 2-story, 1,444 sf single-family dwelling and brick patio;construct 2-story,2,578 sf single-family dwelling and attached garage,with 178 sf covered front porch and 520 sf covered rear porch;construct 15'x 37'swimming pool(with saltwater filtration)and 1,310 sf grade-level masonry patio;install 4 high pool-enclosure fencing;remove and replace portion of existing driveway;remove existing conventional septic system and install new UA sanitary system;install stormwater drainage system;and establish and 10'wide non-turf buffer along top of bank,all as depicted on the site plan prepared by Jeffrey Sands Architect,dated July 19,2021. l Location of action: 2000 Park Avenue,Mattituck Site acreage: 42,603 sf Present land USC:Residential,1-family dwelling w/detached garage;1-family dwelling w/attached garage,porches,patio&swimmng pool. 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: HSA Holdings,LLC (b) Mailing address: c/o Sean Peters,Member; 108 Remington Road Manhasset,NY 11030 (c) Telephone number: Area Code 917-292-0540 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No ® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary .Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ❑Yes ❑ No ® Not Applicable 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 S through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable As a result of the project,the dwelling will be set back approximately 25 feet farther from Great Peconic Bay,well within FEMA Flood Zone X,and almost 5 feet farther from the westerly side lot line,thus decreasing the potential for the dwelling to suffer flood and erosion damage and to impact adjacent structures should such damage occur. 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 HSA HOLDINGS LLC 2000 PARK AVENUE MATTITUCK,NY SCTM#1000-123-5-7 The proposed project, which seeks to replace and relocate a narrow, 17 to 20-foot wide, aging dwelling that was constructed prior to 1957 with a new, larger,modernized, energy efficient dwelling with attached garage and accessory swimming pool, will further the goals of Chapter 275 and LWRP Policies 5 and 6 by protecting and improving water quality and the quality and function of the surrounding Great Peconic Bay tidal wetland ecosystem. Specifically, the below described design elements and additionally incorporated environmental mitigation measures would serve to increase wetland setbacks to the dwelling and maintained turf lawn; reduce the quantity and improve the quality of potential stormwater runoff through improved site drainage and increased buffers; and improve groundwater and surface water quality through improved septic treatment. 1) As a result of the landward relocation of the dwelling, the dwelling's setback from the bulkhead and adjacent surface waters of Great Peconic Bay will be increased by approximately 25 feet, from 87 to 112 feet. 2) The existing conventional septic system will be removed and replaced with a low-nitrogen, UA sanitary system consisting of an UA OWTS located more than 225 feet from the bulkhead and surface waters of Great Peconic Bay. Unlike conventional systems, which are not designed or equipped to treat nutrients such as nitrogen, UA systems are designed to significantly reduce nitrogen loading into the groundwater and ultimately surface waters. 3) A proposed stormwater drainage system is designed to capture and recharge roof runoff from the renovated dwelling; surface runoff from the driveway; and backwash from the proposed swimming pool. 4) The proposed swimming pool will a)be set back from wetlands the same distance as the existing dwelling; b) exceed by 37 feet the 50-foot wetlands setback required for pools and related structures pursuant to Section 275-3(D)(1)(a)(5) of the Town; and c)be equipped with a saltwater filtration system, thus avoiding use of a traditional,high-chlorination treatment system. 5) A 10' wide non-turf buffer area would be established and permanently maintained in place of existing lawn adjacent to the top of bank, thus increasing the overall depth of the buffer area landward of the bulkhead to more than 25 feet. 6) A project limiting fence would be installed to contain site disturbance and potential surface runoff during construction. 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 FIN o® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southol,u water-de endent uses and promotiGµn ting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 5 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes 1:1 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 TITLECoastai Management specialist DATE 1/21/22 Robert E. e Amended on 811105 EN-CONSULTANTS January 21,2022 Town of Southold ,. E, Board of Trustees 54375 Main Road FEB — 2022 Post Office Box 1179 Southold,New York 11971 Southold roan : Beard of T•usLes Re: HSA Holdings LLC 2000 Park Avenue,Mattituck SCTM#1000-123-8-7 Dear Board of Trustees: In regard to the above referenced property, enclosed are four(4) sets of the following for the Board of Trustees review: 1. Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP'Consistency Assessment Form. 2. One(1)copy of Nork Fork Project LLC Operating Agreement. 3. Two(2) Sets of Photographs. 4. Site plan prepared by Jeffrey Sands Architect,dated July 19, 2021. 5. Survey prepared by Kenneth M. Woychuk, L.C., dated February 2,2021. 6. Application fee of$250.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sinc rely, Robert . errmann Coastal Management Specialist /khs Enc. a 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting