HomeMy WebLinkAboutTR-10286 Glenn Goldsmith,President _..``�®f SO!/�� Town Hall Annex
54375 Route 25
A. Nicholas Krupski,Vice President �OV� ®V®
P.O. Box 1179
Eric Sepenoski J Southold, New York 11971
Liz Gillooly c/a Telephone(631) 765-1892
Elizabeth Peeples • �� Fax(631) 765-6641
coUfVT`1,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 19, 2024
Constantine Rigas
Rigas Co.
22260 Main Road,
Orient, NY 11957
RE: PHYLLIS SOUSA LIVING TRUST
4145 WELLS ROAD, PECONIC
SCTM# 1000-86-2-12.6
Dear Mr. Rigas:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, December 18, 2024:
RESOLVED that the Southold Town Board of Trustees grants a One (1) Year Extension
to Wetland Permit#10286, as issued December 14, 2022, with the condition that a silt
fence is installed for the remainder of construction.
This is not an approval from any other agency.
If you have any questions, please do not hesitate to contact this office.
Sincerely,
Glenn Goldsmith, President
Board of Trustees
kI
C�'O
BUILDING COMPANY + DESIGN STUDIO
11/18/24
RE: 4145 Wells Road Peconic NY
Permit 10286
Enclosed please find a check for$100 to extend permit 10286 for 1 year.
Thank You,
Constantine Rigas
NOV 1 8 2024
Southold Town
Board afTrusees
www.rigasco.com
631 323 8022
22260 main road,orient ny 11957
Building Department Anplieation
I
AUTHORIZATION �
(Where the Applicant is not the Owner)
i
z
I, Phyllis Sousa, as property owner of 4145 Wells Road, Peconic NY 11958'do hereby
authorize Constatitine Rigas to apply on my behalf to the Southold Building Department for
any and all needed permits.
i
1
I
i
/ /,2
(Signature) 0 (Date)
ct",( (i .5
(Print Name)
Glenn Goldsmith,President �V S®01 Town Hall Annex
54375 Route 25
A. Nicholas Krupski,Vice President ®� ��®
P.O. Box 1179
Eric Sepenoski J�BL Southold, New York 11971
Liz Gillooly cos ac Telephone(631) 765-1892
Elizabeth Peeples � �� Fax(631) 765-6641
c®UNTy,�'
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 13, 2024
Robert Herrmann
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: PHYLLIS SOUSA LIVING TRUST
4145 WELLS ROAD, PECONIC
SCTM#: 1000-86-2-12.6
Dear Mr. Herrmann:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, June 12, 2024:
RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative
Amendment to Wetland Permit #10286 to construct a 12'x36' (instead of 14'x38')
swimming pool surrounded by a 58'x23' (instead of 58'x28') stone patio with a 6'x12'
(instead of 8'x8') spa located west (instead of north) of the swimming pool; install two
4'x5' (instead of 4'x4') steps; and to establish and perpetually maintain a 35' wide
(instead of 30' wide) vegetated non-turf buffer running landward of the tidal wetland
boundary; and as depicted on the site plan prepared by Kenneth M Woychuk Land
Surveyor, received on May 15, 2024, and stamped approved on June 12, 2024.
Any other activity within 100' of the wetland boundary requires a permit from this office.
This is not a determination from any other agency.
If you have any questions, please call our office at (631) 765-1892.
Sincerely,
Glenn oldsmith, resident
Board of Trustees
S.C.T.M. N0. DISTRICT: 1000 SECTION: 86 BLOCK: 2 LOT(S): 12.6 DR C E � E 0
MAY 1 5 2T4
— — _8— — Southold Town
APPROVED BY Board of Trust
¢
ees
BOARD OF TRUSTEES
TOWN OF SOUTHOLD W.V. EDGE OF PAVEMENT /
WELLS ROAD
DATE _�Lkrw_ U ao�, I SELG. BLOCK
APRON ,P. 6.4' /
r \ o HEDGE 150.00' E
S 59 45'30"E 8
W i 8
IXING SAfJRARY SYSTEM DRAIN
r LL_G ' `G J `�G J /
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.....`..... .......
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2 STYFRAME:;. .:::�::•:::::::::::::.::::.:: •—••—
/ GARAGE...:.. n /x b LAND N/F OF
::::DWELLING /4145::::;.:;::.•:::•:::• GF ELEV 9.1::•::::cd POOL EOP. ..
...................
...................
LAND N/F OF FFL ELEV it.o:::::::::::: :::: N % REEN L.P. GAS JOHN ARCARA
::::::::::::. XX�� scR LING ° MICHAEL SCOPELLITE
SUSAN HALLOCK / � : .............................. I
7 1-.-.-.--.-.-.-.�.:::::::::::: ::: ::::::: ::: 20 MAN
2ND FLR. :1: ::::: :::::::::::37.1'::::::::::::::: D.W.
/ PROPOSED SLATES X /
,f P ........ n SHOWER 7�r06P
STD $ EXIST. POOL WASTE WATER
4 x5 m WOOD ao
::"""; DRY WELL _
78.8':.:.. DECK 16.9::::. '' DRY WELL �-
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EXIST. STEPS
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'l? c/)-� 'i;�' i MING • i��i��iiaN 70 BE REMOVED
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PROPOSED 4 MM PPOOL—FB/CE—x \ ��-- } y�W } }�. +}} }/O�J� + + A.
+ } 2n \�
+EDGE OF LAWN + + — } + k t 6 h in k '' k + p Q—A- k2�k k + + k Ar , O
Ar
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MON. 7" } } + k k + }� /}h AAA- k �5�. + k } } k�0
A- } } } + + A- } } + � +� } + A- Wyk
——' LANDWARD EDGE OF TIDAL WETLANDS
AS PER SUFFOLK ENVIRONMENTAL CONSULTING, INC.
OCT. 28, 2022
PROPOSED 36 WIDE
VEGETATED NON-DISTURBANCE
" BUFFER TO BE PLANTED WITH
512\� NATIVE VEGETATION
S 8\\A 6� (SEE PLANTINGS PLAN BY OTHERS)
n
oti
a
TIE LINES
ALONG MNW MARK
S ,13;'24 E RICHMOND CREEK
NYSDEC
TOWN OF SOUTHOLD LOT COVERAGE
LOT COVERAGE BASED ON BUILDABLE AREA: 28,435 S.F.
BASED ON BUILDABLE AREA: 28,435 S.F.
DWELLING W/COVERED PORCH: 3515 S.F.
DWELLING W/COVERED PORCH: 3515 S.F. REAR DECK: 301 S.F.
REAR DECK: 301 S.F. REAR DECK STEPS: 65 S.F.
TOTAL EXISTING COVERAGE: 3816 S.F. or 13.4% OUTDOOR SHOWER: 45 S..F.
PROPOSED SWIMMING POOL: 432 S.F STONE STOOP: 8 S.F. REVISED 12-23-23
PROPOSED SPA: 72 S.F. TOTAL EXISTING COVERAGE: 3934 S.F. or 13.87. REVISED 12-08-23
PROPOSED ON GRADE PATIO: N/A PROPOSED SWIMMING POOL: 432 S.F REVISED 05-09-23
PROPOSED TOTAL COVERAGE: 4320 S.F. or 15.2% PROPOSED SPA: 72 S.F.
PROPOSED PATIO: 684 S.F. REVISED 1 1 -28-22
PROP. REAR DECK STEPS: 40 S.F.REAR DECK STEPS: -65 S.F. T.B.R. THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
UPLAND AREA: 28,435 S.F. PROPOSED TOTAL COVERAGE: 5097 S.F. or 17.9% LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
TOTAL LOT AREA: 38,800 S.F. or 0.89 ACRES ELEVATION DATUM: NAVD88------------------
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE T17LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TUT70N
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECT70N OF FENCES, ADDIT70NAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: PHYLLIS SOUSA;
MAP OF:
FILED:
SITUATED AT:PECONIC
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #222-58 SCALE:1 "=30' DATE:3-30-2022 PHONE (631)298-1588 FAX (631) 298-1588
N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woycbuk
1
SOUSA BF5126AICE - #4145 WELLS ROAD. PECONIC,
NATIVE FLORA RESTORATION DRAFTED 13Y MARK T. 13ARAUSKAS OWNER ECOSARRIER LLC / DRAFT DATE 01.16.2024
BASE SUR 1/EY 8Y KENNETH M. WOYCHUK LAND SUR IVEY/Na, PLLC/LATEST RfVIS/ON DATE 12.23,2023
APPROXIMATELY 7750 S.F. TO BE ACTIVELY& NATIVELY RESTORED VIA THE FOLLOWING NATIVE SPECIES•
A. PANICUM VIRGATUM (SWITCH GRASS)/ UPPER SHORELINE ZONE/~*z- CONTAINER CROWN/SPACED @ I.8" ON CENTER/ 650
S. SOLIDAGO SEMPERVIRENS(SEASIDE GOLDENROD)/ UPPER SHORELINE ZONE/#1 CONTAINER GROWN/SPACED @ 19" ON CENTER/ 750
C. CAREX PENSYLVANICA(PENN SEDGE)/LOWER UPLAND ZONE/41- CONTAINER GROWN/SPACED @ 24"ON CENTER/ -550
D. COMPTONIA PEREGRINA(SWEET FERN)/ UPPER UPLAND ZONE/#1 CONTAINER.GROWN/SPACED @ 24"ON CENTER/ - 550
NOTES. NON-NATIVE PROPERTY LINE LOCATION GREEN GIANT(THUJA PLICATA),LEYLAND CYPRESS(CUPRESSUS LEYLANDII),SPRAWLING JUNIPER(JUNIPERUS GENUS),AND HEDGEROWS SHALL
REMAIN IN SITU;ALL MASONRY,BLOCK,FENCING,FIRE PITS,AND STRUCTURES SHALL BE REMOVED FROM THE AREA TO BE NATIVELY RESTORED AND LEGALLY DISPOSED OF OFF SITE;ONE 4'WIDE
RIPARIAN RITES PASSAGEWAY SHALL BE ALLOWED THROUGH THE AREA TO NATIVELY RESTORED;ALL NATIVE SPECIES SHALL BE DISTRIBUTED IN NATURAL CLUMPS,BEING LAYED OUT IN NATURAL
FASHION IN CONTRAST TO A GRID LIKE PATTERN;ALL NATIVE SPECIES SHALL BE INSTALLED IN A MANNER CONSISTENT WITH THE VARIABLE ASSEMBLAGE OF CHARACTERISTIC NATIVE SPECIES AND
GRADIENTS FOUND IN NATURALLY OCCURING COASTAL ECOLOGICAL COMMUNITIES;PER CODE,ABOVE GROUND IRRIGATION ONLY TO BE INSTALLED IN NATIVE AREA TO GUARANTEE PLANT SURVIVAL.
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.
..................
:...:GF ELEV 9.1;.;;•;;.;:•.N #W EEN LP. GAS
...................
.•..........:•:::.:*...::.FFL ELEV 11.0:::::::::::•::•: :::•:::::::•::::::::::::::::.�......... m /
:...::.:.:: ::::::::::.....:.... :::::::::::::::::::::::::: :::::::::: ::: :: 9i9fiiid SCR ING o
NORTH a:::::::. ::::. :::.__.__:::_•::::::. :.. •::::::•:::::::::::::::::::::::::.: :::::.
7 :;::r..-.::. :::::::-::: :;::::::::.....::....:::::::::::: ::;;
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:•:•::•I:•::`.:•:::•BALC.::•::•::•:::•I:•i:::•::•:�:•:::::•: Sl,g7F_l / /
PROPOSED SHOWER�7�BT0 P
Si�P$ EXIST. : ::: r' 1OOL WASTE WATER /
4 x5 a WOOD cd:::.......... DRY WELL =
:•i18.8' :::16.9::::. i'
DECK — � PROPOSED 08.4'DEEP / `r
4'5$ 6
STEPS NON-NA771/EEl/ERgREEN
70 BE REMOVED Ou -I
kO1 ROW 7_0RE/v1A/N/1V5/7U
12'xJ6"'ii,,�i,�ii �o
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ROW, TO RENA//V/N SITU PROPOSED 4'HIGH POOL FENCE k r�k ,/OpJ � k k k
k ' > 4, 4 k
v A-
1 k a
k EDGE OF LAWN k k 1- k k k hiS� k ,� k �' k �m k��' ,_ ,p2 pk�0 k k k k
kkk kk 1 k k k kkk k -Ir IrkAo, k � 'r ' kYk`'bi�' A, 4r AA
k k 1 k k ` k\k kk 1 .p k �i' k k /y ktio A k
k / k cfl k k 5 k k z� .� k
MON. �k kkkk kk A* Al -1, l.k k '!j A+ a 1 k
k k k A k k k�- k k k is r
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k �k4-ik�k �Yk a kk �. A- kk + '' kkkk
LANDWARD EDGE OF TIDAL WETLANDS
AS PER SUFFOLK ENVIRONMENTAL CONSULTING, INC. MAY 1 5 2024
OCT. 28, 2022
Southold Town
Board of Trustees
SCALE: I" = ; 0C
R/CHNOND CREEK
R/CHMOND CREEK
R/CHMOND CREEK .
Gienn Goldsmith,President �p�. �OGy Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
0
Eric Sepenoski P.O.Box 1179
Liz Gillooly W Southold,NY 11971
Elizabeth Peeples l �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time:dynG ld, 202i' Completed in field by: Gli7,466-K Peefp`eS
En-Consultants on behalf of PHYLLIS SOUSA LIVING TRUST requests an
Administrative Amendment to Wetland Permit#10286 to construct a 12'x36' (instead of
14'x38') swimming pool surrounded by a 58'x23' (instead of 58'x28') stone patio with a
6'x12' (instead of 8'x8') spa located west (instead of north) of the swimming pool; install
two 4'x5' (instead of 4'x4') steps; and to establish and perpetually maintain a 35' wide
(instead of 30' wide) vegetated non-turf buffer running landward of the tidal wetland
boundary. Located: 4145 Wells Road, Peconic. SCTM# 1000-86-2-12.6
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.:
Paid has ken pyllcd Pvri6Y e�k F%m +he well .Aae.6yt a more
ex►yilronry►cy��� � � }h,e urontrr�v
Present Were: G. Goldsmith N. Kr}�pski E. Sepenoski
L. Gillooly ✓ E. Peeples
J
' r
EN-CONSULTANTS
REQUEST FOR AN ADMINISRATIVE AMENDMENT
May 14, 2024 E C E V
D
Town of Southold
Board of Trustees SAY 5
Post Office Box 1179
Southold,New York 11971 Southold Town
Board of Trustees
Re: Permit#10286 -- - ----
Phyllis Sousa Living Trust
4145 Wells Road,Peconic
SCTM#1000-86-2-12.6
Dear Board of Trustees:
Please accept this letter and attachments as a request to administratively amend the above
referenced permit as described on the enclosed Letter of Request for Amendment.
Enclosed are three (3) copies of a site plan,prepared by Kenneth M. Woychuk Land Surveying, PLLC,
last dated December 23, 2023, and the buffer revegetation plan prepared by Mark T. Baruaskas,
dated January 16, 2024, and a$100 check payable to the Town of Southold.
Sincer ly,
Robert E. rrmann
Coastal Management Specialist
/khs
Enc.
1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsu[tants.com
environmental consulting
Glenn Goldsmith,President �`�Q� 50�/rh,� Town Hall Annex
A.Nicholas Krupski,Vice President 4 E 54375 Route 25
d P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples �' • ;�O Fax(631) 765 6641
BOARD OF TOWN TRUSTEES D E C flp 2
TOWN OF SOUTHOLD U 15
MAY 1 5 2024
LETTER OF REQUEST FOR AN AMEND EN
May 14, 2024 Southold Town
DATE Board of Trustees
OWNER Phyllis Sousa Living Trust PHONE 917-864-4751
ADDRESS c/o Phyllis Sousa,Trustee, PO Box 26, Southold, NY 11971
AGENT En-Consultants PHONE 631-283-6360
ADDRESS 1319 North Sea Road, Southampton, NY 11968
PROPERTY LOCATION 4145 Wells Road, Peconic
TAX MAP NO. 1000-86-2-12.6
Administrative 10286 to
I/WeEn-Consultants for Phyllis Sousa Living Trustrequest an Amendment to Permit#
authorize construction of a 12' x 36' (instead of 14' x 38')swimming pool (located 59 rather than 54 feet
from wetlands) surrounded by a 58'x 23' (instead of 58' x 28') stone patio (located 55 rather than 50
feet from wetlands), with a 6' x 12' (instead of 8' x 8') spa located west(instead of north) of the
swimming pool; install two 4'x 5' (instead of 4'x 4') steps; establish and perpetually maintain a 35'
wide (instead of 30'widP)vegPtatPd nnn-turf hiiffar ninning landward of the tidal wetland hnimrlarV-
and as depicted on the survey/site plan prepared by Kenneth M. Woychuk Land Surveying, PLLC, last
dated December 23. 2023. and the buffer reveg tae tion plan prepared by Mark T Baruaskas dated
Janwapy 16, 2024.
Signed By:
Robert E. He ,Coastal Management Specialist
Glenn Goldsmith, President � SO(/j�p Town Hall Annex
�� ®0 54375 Route 25
A. Nicholas Krupski,Vice President ® P.O. Box 1179
Eric Sepenoski & B Southold, New York 11971
Liz Gillooly Telephone (631) 765-1892
Elizabeth Peeples ® ��® Fax(631) 765-6641
C®UNTI,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SOUTHOLD TOWN BOARD OF TRUSTEES
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF
BELOW
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1St day of construction
% constructed
X When project complete, call for compliance inspection-,
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BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK ' "
`�=`:ter � eya '�'•,
" qq PERMIT NO. 10286 DATE: DECEMBER 14,2022
ISSUED TO: PHYLLIS SOUSA
PROPERTY ADDRESS: 4145 WELLS ROAD,PECONIC
SCTM# 1000-86-2-12.6
AUTHORIZATION
i Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
sr =. accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 14, 2022, tiu`
't and in consideration of application fee in the sum of$250.00 paid by Phyllis Sousa and subject to the Terms ?_
and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the ''s w
following:
Wetland Permit to install a 14'x38' swimming pool surrounded by a 58'x28' stone patio with an , c
8'x8' spa along the pool's landward side; remove the existing seaward deck stairs and install
two 4'x4'wood stairs along the easterly and westerly sides of the existing deck; establish and
`'
perpetually maintain a 30' wide native vegetated non-turf buffer running landward of the tidal
P P Y g g
wetland boundary; and as depicted on the site plan prepared by Suffolk Environmental
!a ^ Consulting,Inc.,dated December 7,2022 and stamped approved on December 14,2022. ` "
r , 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 day and year first above written. ya,.
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ra%R6 �4e��,,. ..;q,ae 4,4�.e,.. ..aaQ1aA,,44lFF..' „i°.aeaa Fre.. '°aR/rola e4+� _ -..ga4j F�:aF•D ,.,r ..aa,A 9..� .4•'�.
TERMS AND CONDITIONS
The Permittee Phyllis Sousa residing at 4145 Wells Road Peconic New York as part of the
consideration for the issuance of the Permit does understand and prescribe to the following:
1. That the said Board of Trustees and the Town of Southold are released from any and all
damages, or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will, at his or her own
expense, defend any and all such suits initiated by third parties, and the said Permittee
assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees
of the Town of Southold.
2. That this Permit is valid for a period of 24 months,which is considered to be the estimated
time required to complete the work involved, but should circumstances warrant, request for
an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to
maintain the structure or project involved,to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and.approval of the Board or its
agents, and non-compliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work herein
authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations in the
location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work
shall cause unreasonable obstruction to free navigation,the said Permittee will be required,
upon due notice,to remove or alter this work project herein stated without expenses to the
Town of Southold.
8. 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- ..-,.
; .
rV
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 permit.
Glenn Goldsmith, President �®F soU,��� Town Hall Annex
A. Nicholas Krupski,Vice President 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly
G Telephone(631) 765-1892
Elizabeth Peeples �® ® y® Fax(631) 765-6641
coUf�T`r,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 19, 2022
Robert W. Anderson
Suffolk Environmental Consulting, Inc.
P.O. Box 2003
Bridgehampton, NY 11932-2003
RE: PHYLLIS SOUSA
4145 WELLS ROAD, PECONIC
SCTM# 1000-86.-2-12.6
Dear Mr. Anderson:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, December 14, 2022 regarding the above matter:
WHEREAS, Suffolk Environmental on behalf of PHYLLIS SOUSA applied to the
Southold Town Trustees for a permit under the provisions of Chapter 275 of the
Southold Town Code, the Wetland Ordinance of the Town of Southold, application
dated August 10, 2022, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council and to the Local Waterfront Revitalization Program Coordinator for their findings
and recommendations, and,
WHEREAS, the LWRP Coordinator issued a recommendation that the application be
found Consistent with the Local Waterfront Revitalization Program policy standards,
and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on December 14, 2022, at which time all interested persons were given an
opportunity to be heard, and,
2
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent
with the Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees approve the application of PHYLLIS SOUSA to
install a 14'x38' swimming pool surrounded by a 58'x28' stone patio with an 8'x8' spa
along the pool's landward side; remove the existing seaward deck stairs and install two
4'x4' wood stairs along the easterly and westerly sides of the existing deck; establish
and perpetually maintain a 30' wide native vegetated non-turf buffer running landward of
the tidal wetland boundary; and as depicted on the site plan prepared by Suffolk
Environmental Consulting, Inc., dated December 7, 2022 and stamped approved on
December 14, 2022.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of$50.00 per inspection. (See attached schedule.)
Fees: $50.00
Very truly yours,
.02
a
Glenn Goldsmith
President, Board of Trustees
GG/dd
*, •G • r ?
too
IN N
�• `, ••A1 <,'i,.�a. `� ,� •` • M . • 1 . •t`'� \7'`� Y•r '�,A Mr`._.',�. si I� ;iFi y �.�•a
• •�• JI r� �` ak I•! e 3 `�• / w• ,'i4'b-
10
.fir �yPhyllis Sousa .t�t� S v`! I - j .' •te`
145 Wells Road,Peconic
is
Owl
If•i �Y. �;' t�`�i�.�,,r,',"r�_,�,y�y 4�T.�, �C•`� "� = Ij;',fl� ` , '�
y
� � 10/ 12 / 2022 11 : 07
��g1lFFO(,�c0
Glenn Goldsmith, President ��o oy Town Trustees
A Nicholas Krupski, Vice-President y a 54375 Route 25--
Eric Sepenoski P.O. Box 1179
Liz Gillooly. 4,, ao�� Southold, NY 11971
Elizabeth Peeples Ol '�` Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: PHYLLIS SOUSA c/o SUFFOLK ENVIRONMENTAL
Please be advised that your application dated August 10, 2022 has been
reviewed by this Board at the regular meeting of December 14, 2022 and your
application has been approved pending the completion of the following items checked
off below.
Revised Plans for proposed project
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1St Day of Construction ($50.00)
%Constructed ($50.00)
X Final Inspection Fee ($50.00) -
Dock Fees ($3.00 per sq. ft.)
xx The Permittee is required to provide evidence that the non-turf buffer condition of the
Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant
and deed restriction to the deed of the subject parcel. Such evidence shall be provided within
ninety (90) calendar days of issuance of this permit.
Permit fees are now due. Please make check or money order payable to Town of Southold.
The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the
Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be necessary. You will
receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE: $ 50.00 �1•23��
�2
BY: Glenn Goldsmith, President
Board of Trustees
AERIAL VIEW PLANTING NOTES:
Scale: 1:30' The applicant proposes to improve upon the subject parcel in a residential manner by installing a swimming pool and spa, as
well as other hardscaping thereon.In order to mitigate any potential environmental impacts resultant thereof, the applicant
WELLS ROAD proposes to establish and perpetually maintain a 30 foot wide NON-DISTURBANCE/NON-FERTILIZATION NATIVE
VEGETATED BUFFER AREA landward of the edge of tidal wetlands thereon.
K"0CX
a «ax Applicant proposes to establish the proposed buffer by preserving all existing native&hardwood vegetation, and by planting
Wild Ginger,Starved Panic Grass,Northern Sea Oats,Wild Oat Grass,Sweet Fern,Lady Fern, &Pennsylvania Sedge to form an
OPA„„ herbaceous layer thereunder.The applicant also proposes to maintain a four foot(4.0')wide pedestrian path to the existing dock
for access.
n+exw'R
T
See plans for sparing10 Cround cover plant
4�YMM�ix 2"6ark mulch
in planting bed, Imp.
75*
1 f i 1,1! t tt h 1 ///\/ //\//\/ •\//\//
t v
t ' ` ',W 5 S III—
nt �ctv r-p tF f " Place root collar `higher \_ \ \ \ \ \ ,—• -
:; r r1 , f than strrtoulxfing grade I _
1 -2 Finish grade
X t t? C R ! conditioner
n d-nil to
.--.• -f .� - rnndrtioner(typ.)
Plant with dibble or metal
Rte.-- •"� Existing subgrade
bar of.?dlanie to slightly
CK larger than root mass of TYP. GROUNDCOVER PLANTING DETAIL
." t propagule for digging hole
! N.T.S.
y, ....
TYP. PLUG PLANTING DETAIL
N.T.S.
APPROVED BY '
Rootball crown to be
Z slightly above finish grade
Mound or Temporary .
PROP.a'w PATH : BOARD OF i RUSTEES waterb "
sing -3-
: T"min_hark mulch
to" V Lam TOWN OF SOUTHOLD
Finish grade
�
�.� -�. •e �� b — Planting rnlx:
PROP.30'WIDE DATE _ = 413 topsoil&
NATry fEGETAT� 45ollconditioner
BUFFEI� FCi=A _
See Pian,Detail..,),
Remove burlap Planting pits to be II"
t+0�t Rttt�Nq - or container, greater than the rootball.
u.r z«, iurs °"` t "'"` COVU4T04
TYP. SHRUB PLANTING DETAIL
N.T.S.
C E I V E SOUSA Property — Proposed Planting Plan
SCTM#: 1000—086.00—02.00—012.000 Situate:4145 Wells Road • Peconic, NY • 11958
DEC 1 2 2022 Drawn by: R.W.A.
t5
a 12/7/2022 Suffolk Environmental Consulting, Inc.
Southold Towyn Date:
Board of Trust Scale: As Shown
i' Comments: P.O. Box 2003 • Bridgehampton, NY • 11932
RICHMOND CREED � (631) 53.7-5160 1 /2
AERIAL VIEW
Scale: 1:10'
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EC E � U NOTE:
Plant quantities and sizes @ planting are subject to change dependent upon
DEC 1 2 2022 availability and/or site specific conditions. The intent of the native revegetation(i.e.,
SURVIVABILITY NOTE: the naturalization of the area by planting of native plant species) will be preserved.
In order to ensure the establishment of the proposed plant material, temporary Southold Town NATIVE REVEGETATION AREA
protective fencing& above ground irrigation is to remain in place throughout the Board of Trustees CLASS. SYMB. COMMON NAME SCIENTIFIC NAME DESCRIPTION QUANT
proposed buffer,until after a period of two full growing seasons. GRASS CL Northern Sea Oats Chasmanthium lati olium #1 @ 12-18" o/c ±288
DS Wild Oat Grass Danthonia s icata #1 @ 12-18" o/c ±164
,�. DD Starved Panic Grass Dichanthelium depauperatum #1 @ 12-18" o/c ±141
CP Pennsylvania Sedge
Carex pensylvanica #1 @ 12-18" o/c ±176
' G. CVR. AC Wild Ginger Asarum canadense #1 @ 12" o/c ±259
HERB. AF Lady Fern Ath rium •lix-emina #2 @ 24-30" o/c ±102
' SF Sweet Fern Com tonia peregrina #2 @ 24-30" o/c ±69
BA Wild Blue Indio Ba tisia australis #3 @ 24-30" o/c ±71
Wil
SOUSA Property — Proposed Planting Plan Detail
SCTM#: 1000—086.00—02.00—012.000 Situate:4145 Wells Road •Peconic, NY • 11958
e
Drawn by: R.W.A. Suffolk Environmental Consulting, Inc.
r Date: 12/7/2022
Scale: As Shown
Comments: P.O. Box 2003 Bridgehampton, NY 11932
w2/2
r
(631)537—5160
:1
• : e • • nger • •
Suffolk Environmental Consulting, Inc.
Newman Village . Suite E 2310 Main Street PO Box 2003 . Bridgehampton NY 11932-2003
t 631.537.5160 . f 631.537.5291 M
Robert W.Anderson,President E C E � "
23
SENT via REGULAR MAIL 5
�pR r 7 20
April 4th, 2023
Southold Town
Board of Trustees
Board of Trustees
Tow of Southold
P.O. Box 1179
Southold, NY
11971
RE: SOUSA Property—R=emised-Su.-eys
Situate: 4145 Wells Road • Peconic, NY • 11958
SCTM#: 1000—086.00—02.00—012.006
To whom it may concern,
As per the Boards request, please find a check made payable to the Town of Southold in
the amount of fifty dollars ($50.00) in satisfaction of the requisite final inspection fee.
Thank you for your time and consideration regarding this application. Should you have
any questions or concerns pertaining to this matter, please feel free to contact this Office
at any time. In the alternative, Kindly issue the requested permit at your earliest
opportunity.
Yours Truly,
Robert W. Anderson
(enc.)
C.C. P. Sousa
Suffolk Environmental Consulting, Inc.
Newman Village Suite E 2310 Main Street PO Box 2003 Bridgehampton NY 11932-2003
t 631.537.5160 f 631.537.5291
Bruce Anderson,M.S.,President
HAND DELIVERED R
DEC i � D22December 71h, 2022 I„1
ECEJVEO �
Board of Trustees
Town of Southold Southold Town ip
P.O. Box 1179 ward of Twkwm
Southold, NY
11971
RE: SOUSA Property—Revised Survey and Planting Plan
Situate: 4145 Wells Road • Peconic, NY • 11958
SCTM#: 1000—086.00 —02.00—012.006
Dear Members of the Board,
As per the Boards requests, please find the following supplemental documents attached
herewith:
1. Survey prepared by KENNETH WOYCHUK, L.S. last dated November 281h, 2022,
(four [4] sets) and;
2. Planting Plans prepared by SUFFOLK ENVIRONMENTAL CONSULTING, INC.
last dated December Th, 2022, (four [4] sets).
Thank you for your time and consideration regarding this application. Should you have
any questions or concerns please feel free to reach out to this Office at any time.
Yours Truly,
Robert W. Anderson
(enc.)
C.c. P. Sousa
S.C.T.M. N0. DISTRICT: DIST SECTION: 85 BLOCK: 2 LOT(S): 12 C E 0 U E
DEC 1 2 2022
Southold Town
/ -- — 'ward of Trustem
/
HYD. �8
EDGE OF PAVEMENT
W V.
WELLS ROAD /
4 aELG. BLOCK /
APRON ,P•
S 59045'30"E HEDGE 8 I S0,00'
E7ilS]INr9MIiARY SYSTEM DRAIN
O m
\ v I w O
") F- I S.T.
LL.G,J LL. .J L L.GJ GRAVEL m w
ty DRIVEWAY Lo
p w
GRAVEL WALK mLu
CgyE. 12.0' �-9.3' 15.7- iv 17.8' .t
32.2 `ATE
GEN. J
2 STY FRAME -" —
DWELLING #4145 GF ELEVG 9.1 ai Igl ff PCL ET
FFL ELEV 11.0 'L4 WA�fN L.P. GAS Wz
P
,� 9i ii. iFLn G +w W
—7 ——— ————— 4 W
3 2ND C. ,77.1'
I BALC. I
24.9' SLAi,�.— o k
SHOWER �r
EXIST. =- = 7 POOL WASTE WATER a
WOODo
22' 16.8 `d DRY WELL
DECK
m 16.9' 08x4 DEEP �-
;PSA fnRSTEPS I , \
STEPS
o
;; EXIST. STEPS
fs„5 '',* 11;,, e:;` PROPOSED m 70 BE REMOVED �.—
,. PATIO ,
4'z38'r
STK. y. �$ 58.0'
PROPOSED POOL FENCE ` IAWU
P
/
MON. / //� \— / o
Z
``– LANDWARD EDGE OF TIDAL WETLANDS
AS PER SUFFOLK ENVIRONMENTAL CONSULTING, INC.
OCT. 28, 2022
S
0
TIE Ll�yES ALp�iG ��� 00(
S 135621, E
131.24'
RICHMOND CREED
U
LOT COVERAGE
DWELLING W/COVRED PORCH: 3515 S.F.
REAR DECK: 301 S.F.
TOTAL EXISTING COVERAGE: 3816 S.F, or 13.4%
PROPOSED SWIMMING POOL: 532 S.F
PROPOSED SPA: 64 S.F.
PROPOSED PATIO: 928 S.F.
PROPOSED TOTAL COVERAGE: 5340 S.F. or 18.8% REVISED 11 -28-22
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
UPLAND AREA: 28,435 S.F. AND OR DATA OBTAINED FROM OTHERS.
TOTAL LOT AREA: 38,800 S.F. or 0.89 ACRES ELEVATION DATUM: NAVD88 __
UNAUTHORIZED ALTERATION OR ADDITION 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 SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND !_ENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY op NSW CERTIFIED TO: PHYLLIS SOUSA;
MAP OF: �Q M' �0)- 0 - -
FILED:
SITUATED AT:PECONIC
0
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LANI) SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK �, saas2 Jia Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #222-58 SCALE:1"= PHONE (631)298-1588 FAX (631) 298-1588
30' DATE: N Y S I I�r. Nn n inRR2 maintaininv Lha rPrnrric n4 Rnhvr4 3 Hannp—v k KPnnath M Wnvrhnlr
AERIAL VIEWPLANTING NOTES:
Scale: 1:30' A The applicant proposes to improve upon the subject parcel in a residential manner by installing a swimming pool and spa, as
c=°' PAV i well as other hardscaping thereon.In order to mitigate any potential environmental impacts resultant thereof, the applicant
RqY_
WELLS ROAD proposes to establish and perpetually maintain a 30 foot wide NON-DISTURBANCE/NON-FERTILIZATION NATIVE
VEGETATED BUFFER AREA landward of the edge of tidal wetlands thereon.
N eucc• --
ISOM Applicant proposes to establish the proposed buffer by preserving all existing native&hardwood vegetation,and by planting
Wild Ginger,Starved Panic Grass,Northern Sea Oats,Wild Oat Grass,Sweet Fern,Lady Fern, &Pennsylvania Sedge to form an
MR^ herbaceous layer thereunder.The applicant also proposes to maintain a four foot(4.0')wide pedestrian path to the existing dock
for access.
aoarw�.
See plans for sparing Ground Inver plan!
p GRMYCL IM�K in planting herd, typ
7.•' •
r.t►t Cl[Y FA; .... ..........
. ...9s�'e Plae'e nflUt e'ollar "hlgfrt�r i--'
- ii—
J than?s1/tY-maden.9 gelid' I. 1--
tti !:1 J d L
furs de �
,•�{°:. �, "3��R. � - STI /?gra 1\ P/intln0 bed-Ufl in
••. 2"loll conditioner(tYA
m1
Plant with d?bbre or etal Exlsling—bgrade
;s 4 bar of.?A2rnerer slightly
"CX larger than root tr?,iss of
- -- •. - _ .__ ., ,
room
_ ,, .._ - '•,` .,f - 'w'�-CIiC 6 _ propagale Aor dlggrirg hole TTP. GROUNDCOVER PLANTING DETAIL
`•MEPs a N.T.S.
TYP. PLUG PLANTING DETAIL
N.T.S.
ra'r is'
0c-tvivn to be
sS• .A I, 1 Rootbsfightlyabave Frr?ishgrade-
Mound for temp Orary •
PROP.4'W PATH nater basil?2'-3"
�' 7"min_hark mulch
rom 0" Finish grade
PROP.30'WIDE I I I - 'Pj tOnsorl
NATIVE VEGETATED" ^+ ♦ = Y3svff eondltiorter
BUFFER_6REA
(...See Plan Detail...)
Remove burlap planting pits to be l d"
I'" Wf n,WD e0UW►m' or coni Mer. greater than the rootball.
AS ocn ° c. scrr x.r `"Y"a`w`"'"` CONu"""`
SEPT 24. 20I5 TYP. SHRUB PLANTING DETAIL
N.T.S.
SOUSA Property — Proposed Planting Plan
EC 1 2022 SCTM#: 1000—086.00—02.00—012.000 Situate:4145 Wells Road •Peconic,NY • 11958
Drawn by: R.W.A. Suffolk Environmental Consulting, Inc.
Southold Town u Date: 12/7/2022$
Beard of Trustees Tf �° Scale: As Shown
Comments:_ P.O. Box 2003 - Bridgehampton, NY • 11932
RICHMOND CREEK �� (631)53 7-5160
AERIAL VIEW
Scale: 1:10'
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NOTE:
Plant quantities and sizes @ planting are subject to change dependent upon
DEC 1 2 2022 availability and/or site specific conditions. The intent of the native revegetation(i.e.,
the naturalization of the area by planting of native plant species)will be preserved.
SURVIVABILITY NOTE:. Southold Town
In order to ensure the establishment of the proposed plant material,temporary I Bard of Trustees NATIVE REVEGETATION AREA
protective fencing& above ground irrigation is to remain in place throughout the CLASS. SYMB. COMMON NAME SCIENTIFIC NAME DESCRIPTION QUANT
proposed buffer,until after a period of two full growing seasons. GRASS CL Northern Sea Oats Chasmanthium lati olium #1 @ 12-18" o/c ±288
DS Wild Oat Grass Danthonia s icata #1 @ 12-18" o/c ±164
DD Starved Panic Grass Dichanthelium depauperatum #1 @ 12-18" o/c ±141
Y "art r' �2. •. � .: , _, -°, aY,,.rt',
CP Pennsylvania Sedge Carex pensylvanica #1 @ 12-18" o/c ±176
G. CVR. AC Wild Ginger Asarum canadense #1 @ 12" o/c ±259
�R
HERB. AF Lady Fern Ath rium 'lix-emina #2 @ 24-30" o/c ±102
SF Sweet Fern Com tonic ere rina #2 @ 24-30" o/c ±69
`•
BA Wild Blue Indio Baptisia australis #3 @ 24-30" o/c ±71
�f�'1, � .1� 4' * 1,6 1 .' • �
t SOUSA Property — Proposed Planting Plan Detail
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1
C SCTM#: 1000•-086.00—02.00—012.000 Situate:4145 Wells Road -Peconlc,NY• 11958
Nib'
,' A
Drawn by: R.W.A.
,' ; ,• , 4 � a �,. , .' ,. �-, '�`. Date: 12/7/2022 Suffolk Environmental Consulting, Inc.
r
Scale.• As Shown
Comments: P.O. Box 2003 Bridgehampton,NY 11932
sA-4
(631)537—5160 2/2
Glenn Goldsmith,President v% Town Hall Annex
Ss
A.Nicholas Krupski,Vice President ', 54375 Route 25
Eric Sepenoski P.O.Box 1179
Liz Gillooly 'Ie
Southold NY 11971
Elizabeth Peeples Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: 1011111Z 17,0 Completed in field by:
Suffolk Environmental Consulting on behalf of PHYLLIS SOUSA requests a Wetland
Permit to install a 14'x38' swimming pool surrounded by a 58'x28' stone patio with an
8'x8' spa along the pool's landward side; remove the existing seaward deck stairs and
install two 4'x4' wood stairs along the easterly and westerly sides of the existing deck.
Located: 4145 Wells Road, Peconic. SCTM# 1000-86-2-12.6
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code proposed work falls under: hapt.275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion Amendment
Administrative Emergency Pre-Submission Violation
Notice of Hearing card posted on property: Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.;
N , � kJtj AAAAMYS
Present Were: G. Goldsmith V N. Krupski E. Sepenoski
_�Z L. Gillooly ✓E. Peeples
S.C.T.M. NO. DISTRICT: DIST SECTION: 86 BLOCK: 2 LOT(S): 12
—8—
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EDGE OF PAVEMENT /
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— ---5�
-_ TIDAL WETLAND BOUNDARY
AS DETERMINED BY SUFFOLK ENVIRONMENTAL CONSULTING
SEPT. 24, 2015
414 a F.
Sa516,
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TIE LINES ALONG MNW MARK
S 7356 21' E
131.2
RICHMOND CREED
�Q
LOT COVERAGE
DWELLING W/COVRED PORCH: 3515 S.F. , I
REAR DECK: 301 S.F.
TOTAL EXISTING COVERAGE: 3816 S.F. or 13.4%
PROPOSED SWIMMING POOL: 532 S.F
PROPOSED SPA: 64 S.F. 1
PROPOSED TOTAL COVERAGE: 4412 S.F. or 15.5% AUG 1 a 2022 IDI
SoUlhDldTorrtlp THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCA
UPLAND AREA: 28,435 S.F. Board offirste" TIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
TOTAL LOT AREA: 38,800 S.F. or 0.89 ACRES ELEVATION DATUM: NAVD88____________________
UNAUTHORIZED ALTERATION OR ADDITION 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 SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY of NE%, CERTIFIED TO: PHYLLIS SOUSA;
MAP OF: I N M. h,0ry0
FILED: _ �y
SITUATED AT:PECONIC a
O
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK y0 050882 JQ, Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
PHONE (631)298-1588 FAX (631) 298-1588
FILE #222-58 SCALE: "=30' DATE:3-30-2022 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
SOUSA Properi�v
Situate: 4145 Wells Road - Peconic, NY - 11958
SCTM9: 1000 —086.00 —02.00—012.000
(Photographs taken June 29, 2022)
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The photograph above (taken facing Northeast) depicts the staked out locations of the seaward face of the proposed spa
(yellow), swimming pool (blue) and patio (red).
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SOUSA Property
Situate: 4145 Wells Road - Peconic, NY - 11958
SCTM9: 1000—086.00—02.00—012.000
(Photographs taken June 29, 2022)
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The photograph above (taken facing southwest) depicts the proposed locations of the southwest pool (blue) and patio
(red) corners
SOUSA Property
Situate: 4145 Wells Road • Peconic, NY - 11958
SCTM#: 1000—086.00—02.00—012.000
(Photographs taken June 29, 2022)
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The photograph above (taken facing south) depicts the proposed southeast patio corner as well as the existing 30' wide
non-turf buffer and existing docking facility thereon.
SOUSA Property
Situate: 4145 Wells Road " Peconic, NY • 11958
SCTM4: 1000—086.00 —02.00—012.000
(Photographs taken June 29, 2022)
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The photograph above (taken facing west) depicts the staked out locations of the seaward face of the proposed spa
(yellow), swimming pool (blue) and patio (red).
SOUSA Property
Situate: 4145 Wells Road - Peconic, NY • 11958
SCTM#: 1000 — 086.00—02.00—012.000
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OFFICE LOCATION: ` MAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor.Main Rd. &Youngs Ave.)
Telephone: 631 765-1938
Southold, NY 11971
iP;
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: October 17, 2022
Re: LWRP Coastal Consistency Review for PHYLLIS SOUSA
SCTM# 1000-86-2-12.6
Suffolk Environmental Consulting on behalf of PHYLLIS SOUSA requests a Wetland Permit to
install a 14'x38' swimming pool surrounded by a 58'x28' stone patio with an 8'x8' spa along the
pool's landward side; remove the existing seaward deck stairs and install two 4'x4' wood stairs
along the easterly and westerly sides of the existing deck. Located: 4145 Wells Road, Peconic.
SCTM# 1000-86-2-12.6
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 proposal is CONSISTENT with LWRP Policies and with the LWRP.
1. Require drywell for pool.
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: Honorable Lori Hulse, Attorney
John G.Stein,Chairperson Town Hall,53095 Main Rd.
Lauren Standish,Secretary P.O.Box 1179
Southold,NY 11971
y 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., October
12, 2022 the following recommendation was made:
Moved by Inga Van Eysden, seconded by Carol Brown, it was
RESOLVED to SUPPORT the application of PHYLLIS SOUSA to install a 14'X 38'
swimming pool surrounded by a 58'X 28' stone patio with an 8'X8' spa along the landward
side. Remove the existing seaward deck stairs and install two 4'X'4 wood stairs along the
easterly and westerly stairs of the existing deck.
Located: 4145 Wells Rd., Peconic. SCTM#86-2-12.6
Inspected by: Inga Van Eysden, Carol Brown
The CAC Supports the application with a pool enclosure fence, and drywells for the pool
backwash depicted on the site plan.
Vote of Council: Ayes: All
Motion Carried
M
Glenn Goldsmith,President if Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
P.O. Box 1179
John M.Bredemeyer IIJ
Southold,New York 11971
Michael J.Domino
Telephone(631) 765-1892
Greg Williams Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
-Coastal Erosion Pen-nit Application
X -Wetland Permit Application —Administrative Permit
Amendment/Transfer/Extens ion
Received Application:
4Received Fee:$ 2011
C
$ C.
If
Completed Application:
Incomplete: E GE ' V E
SEQRA Classification:
Type l—Type ll Unlisted
oordination:(date sent) AUG 10 2022
XVVRP Consistency Assessme t Form: /0 lZZ
ACeferral Sent:R Z'z-
ate of Inspection:--- — Southold Town
Receipt of CAC Report: 8mrd of Tagees
Lead Agency Determination
Technical Review:
Public Hearing Held:
Resolution:
Name of Applicant Phyllis Sousa
Address P.O. Box 26 - Southold, NY • 11971
Phone Number: (917) 509– 8751
Suffolk County Tax Map Number: 1000–086–02– 12.6
Property Location: 4145 Wells Road - Peconic,NY - 11958
South side of Wells Road,
(provide LILCO Pole#, distance to cross streets, and location)
AGENT: Robert W. Anderson- Suffolk Environmental Consulting, Inc.
(If applicable)
Address: P.O. Box 2003; Bridgehampton,NY 11932
—Phone: (631) 537—5160
Board of Trustees Application
GENERAL DATA
Land Area(in square feet): 38, 595 sq. ft.
Previous use of property: Residential Improved
Intended use of property: Residential Improved with Swimming12ool
Covenants and Restrictions: X Yes No
If"Yes", please provide a copy.
Covenant Establishing 30' Non-Disturbance Buffer"filed 2018" see attached...
Will this project require a Building Permit as per Town Code? X Yes No
If"Yes",be advised this application will be reviewed by the Building Dept prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals Yes X No
If"Yes",please provide a decision
Will this project require any demolition as per Town Code or as determined by the Building Dept.?
Yes X 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 Town Board of Trustees Permit# 8805 (04/19/17), #9713 (10/7/2021) # 9219A
(05/16/20218), #9318A (10/17/2018), #9269A(07/18/18)
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):
Applicant proposes to install a 14'x38' swimming pool surrounded by a 58' x 28' stone
patio with an 8'x8' spa along the pools landward side. Applicant also proposes to remove
the existing seaward deck stairs and install two 4' x4' wood stairs along the easterly and
westerly sides of the existing deck.
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purposes of proposed operations: Provide homeowner with swiunming pool
Area of wetlands on lot: 10,365 square feet
Percent coverage of lot: 26± %
Closest distance between nearest existing structures and upland
edge of wetlands: 0.0 feet (dock)
Closest distance between nearest proposed structures and upland
edge of wetlands: 50 feet
Does the project involve excavation or filling?
No X Yes
If Yes, how much material will be excavated? f 72 cu yds.
How much material will be filled? N/A
Depth of which material will be removed or deposited: 5.0 feet
Proposed slope throughout the area of operations: <5%
Manner in which material will be removed or deposited: Excavation to be
preformed by back-hoe and front end loaders
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):
No further impact to the wetlands and tidal waters of the town, in that applicant proposes
to install adequate stormwater control in the form of drywells to mitigate any potential
overflow resultant from the proposed swimming pool. Further, the proposed swimming
pool will be saltwater. Lastly, no further impact on wetlands is anticipated in that other
homes with swimming pools exist along the same waterbody, with little to no appreciable
impact to Tidal wetlands.
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Robert W.Anderson @ Suffolk Environmental Consulting,Inc.
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- th.l.,—,i I -d-111—I-� - , -i "Oh
fiatqw(.Iqly itivolve the IeLnkwii�iiiih "i Itittki U�4 M Vul S
ifYes;aita6h "a" the lrii&t`bf Me'pWo"pa's4M:ictVri wid-di&ddWtbfihiehta1 fesbaid6ThAt
IM E!
niay
'�i!i Proceed to NM2.
W affected fiflitNe'ibuflibi ty.ifid
I.., Does the,ptop"edrtc&vrequire wpiermit;approvalor fo-ndirjl,-fToi-any-ocher govomnierit-.tlA-gencyl? N0' ' YES
Southikst�f�,b6t:,4E�virbnmenta onservaition,
old',Towi�, 13 El
�Zj..........
3A;Totnhan;t -e-oftheisite"bf-the"pr6pw0 s9,;ed'ittio4l
c.Total acred'ke'(project site'and terrycontiguousPropertk§)'oume4'
or controiledby the,applicant,or project spons6o, -1.,yres
A Oeik all landims'(0moccurom-adi Inirwg,'Otla nem tlteprrapctscd acts�ti�
Otfrbari , El'RurW(nofi-agrwu1tCiro) Elln&stO-id 1� whd EIRbsiden'tial(suburba
nForicst 08iacultum tAi qi4b
EPark and
Pqgia-11 of 4
NO YE.S VA
a,A pBTrrii tred usb undeir tLe zoning regi!llations.j 177-1 F ';A
b.Consistent with the adopted comprehensive plan't, M =
Li LA
0. Is the prop.c�sedaction�.-orLqisttnt*itlthe predominant chAractei of the existing built or natural NO Y
lancseape LLJ F7,-I Ej
7. Is the site of the brijr)6scci actton hmii(ed in, cir d6as it adioin.it state listed Critical Environn' lental Area? NO YES
If yes.icicntii�,:
Lni F 7-v,I M
a'.'Will 1110 PM0090d A,,tioa M,altin a S'0Marifial increaw 4% trhffic iibme prewar NO V
M
LJ r-1
Im,
b, Are I)LIblic trariq2orativit servit;e(ti')avalUile at ur near(ILL:ALC Or the pmpmcd aution?
Lai F--V71,
C.Are any or bkycl�mittesa.vailable,on or propowd aetion?
c I f+"p6t 06s ed a C_t i o r!ffice t or c`u; d-i I id s VAN e rit"rg'y eb"d i�,"rieL'tii�6 iieriWj No- Y E,S
if the r,obosM ucilbnwill qx��ed re ukeOq be des.ign fbaftircs-A,h I d4khfirild
ENF7- r
Lj
EN
NO VES
'p6th 1 17,
h6d- Fr
0
I pmposr J, jal NO VES
If N6,decibribe fi?r Wt:stmatcr trznitfttvnt:
F1 El
b b ming-poo
N/A,Prop
12. n.Doti t4;i site,conthin timmoture that is li6tcd on.cider tho Stuto or Natiorial 0 )'us
Places'l,
X.
El,
b.B,the proposer-,action located in an Archeo cal sensitive Up
IS] EL
13.a.Dbbs'any portion of the site of the pc6jioscd'actiort,:br lands-lidjoining,the propbsbilaktion,'cbtflain NO YES
ivedands orothcr waterb6dles regulated i?y a federal,shite otlo-cill kgcncy',j:
Li
b.Would the Pebposed action physieffly alter,or encro-ciA inter,any existing wtlmqd or witerbody'? M-7
y and 6f�nt of altcr4tit*i" in 5vL14tv fbirbr kac,�,.
sitio bum"t fill'ihcA!Ippfy,
MS,hL)m-Nic 13 romst El Agriculturdigmissia W5 El E.arly mid-succe3sloilal
El WWAM, 0 Urban E]Suburban
15.06*q the site of the pr6ob.;cd aotia'q ctin`Wti aitystvcies of animal_ habitat,listed) .N0 YE'S
by the State orFederat govefifrileatas threaterred,err endangered,
, =77 m
LA _J
j L_
16,Is Che projoct:Alke located In the,100}ear floml plain.j N Q VI-Is
J-7—
j,X.
M Will the pibooseclaction crel.Tie storrr Nvzterdischa&gc,eithee from-point or nou-p6ir tsoumts N 0 v r's
if Ye SWill Ston ,water(lisOiArge511oy toadjaceipr"oppruc ?
ENO DES Lnj rL,J 71
6. Will-etorr.,t wac6r disA";hMgL-j'l5b'diruct6d tu;t_-ta61lNhtM (rimuff md ,tordidn't'jift sy?
If Yes.bristly descriO-_ NO YES
..............
P.-age 2 of 4
15.17acstfie' -.oWc�actbri'#rlclu ecors#�KtciBorY car t�Cli�rt�cti�(Ci��"that"T�Gi�IC"!t[dle.k4lpo rn Ment �Nth' YE8
Ovater.or other-liii aids(e:g:rbtentibn pond;ti AAieAagcaon,-,adaM)j
_
Ii"Yes,e,�plriin ptnpose rind :
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['9:Nas tip 'ilte'ti#`f priigcas c! ctir:n ter'tii'tt'tijriinitt;p is p rty�been,fhe lncsttr(ii a `nri itctiv 'ar,cl .w NOL lr`L
srt#id` � �rng�rtt�;�t fiaci9oiy�:
tf Yos t deserlt�e; M ,,r4,.'x`°;"
.. .'f.'', _;$„y n+;z-;..•..�,...^r°,a'p,,,W^e;,.X"n'"";' ,M;"y?»-v ..,y^sw ra^reYroxwwasw;.^a*r"'E",««n, m+ai^J",',.r., .n�,...
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.�.;:.�.,,,�, .zK.,1�.:......�...r;,,r: .-..,..a.>�^��„�rMa,�.r::»;•',;:�`�a..: �::4ri:.:,..�,.:.>e.'z�.s,:,:�..,..,��...L�;..J',,,�',��,ar,;,".�tt,.:,..�..,.,. �,...�,�.':;,�,..%,si><�i..,�..,,. :,,%p., .,
2 lfits"the`site-tri'tlte'°pita Ipsed agfi -n of'unrrdjiitiitl ptriperty'Cbe ift 'sttt�jd tiff reirierliati a(tin iri;;cir) NL �
cam,j�lcrcci�.fcarltrrtitu.��vastc'i'� .
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,.. .,., :................J..,.i...,t,......,....,,..-. ....,.,....-w,.....-.,...b..... -.LL'P.A^.°l'�".,:."..^::,'m;wG:w,:,"�,'^..:"..M'.�w•:ism"".3:.'."..:^.....3:«^..'.:Y:F.'ys'.�:»,..,..:Y.•d^'.,'Y'°.;Y:.,`.""�_°".......:r`:^�v✓r.:' ..tiv:`'".::�X:�;.:M,;"'.i..
t A�V0j1R1!1`'HATt4 1 1;R( 121IA?�C:Datil i'i2 7� °i�)Fn"+ti3ri"4r i 'Ti tl `aS4.b=AC"c'i1RiT Yiri`rti liksii`C it
RN.0WLrI)�.E"
Kppiicarlt,+soti Rob on-Suffolk Environmental Consulting,Inc. Jtiine,29 h`2022,'X
rt2 -'Irtipflcd r1c r,sttieii't7'l c Lr"ticl. ;geit*is respc)risibie`ft>r tlie'eorliitleti,aif iii Part a. .�ns�verall:taffhe`falliii�ir�g
questions in i'tit'� irsin��tli�infurri�tiati`ccirr�ait[ed in`l'iirt t ;iad cYtfiar rnateiia�ats,�ii�irritie[i bye the prtije�t spy}ttsc�r at
crttlie `i" :akapinhlefo tiie'tetiiver., '� Iieiian.v`ecirig:t}ie qufiiins'tTie'�evae .'®r''stziilii:6eciidec'ky?fiheaitort`�Iiiive'ixiy
reqpm4w,heen ri wmrrrlile cmmdering'th'e.:tale rind i iiittcst ii�ihe pica iati*;ect rir titin'"'
- <Nq,<�r i06,derlite
mutt!, . trilarge,
impillit impact
- t�.cur tJC�Carr
I. Will the prolaos�ed artbn`sreate ai material eoritlict with�rr8'doptc�tl land use'plart'or'ztxtin��5
le ulz�tititrs :yA
EJ
<;
2. 1�'i!#-the pr(;pos�cl action resitit iFs a chaet,�e h the tri or intensity oi'trse cel land_j a
3. 1 i'!11 the'prOpwd action impair the chAhAcier or'.gbality of the exls€liig cointitiiliity'
el. 1Yill theprcptx-W aotion'hwe m impact on.ihe erii%irUnMenta! httrti tar15t9 :tF'.it i aawod th rt.
eataliiishrrtc&pf a C,rifical iV,virarEmental Acert Li
i'i!l itttc`pi li a4 action`"r tdt iii' h tvers 'cl?att iri titc: frlwel iii
a Ct istiRg:iiifrasfcucfiere:p;e mass trdeisit;bfk-iiq `v2ljctt�i ff
6. SVitI tiiepropcptd_ar" bn ca-use aii inerease.lh rlre-use:ot-tterg,artd ir,t ls.t""�iircarpo."rate
rt;�unitlsly avuilaE�c;crier�Y:et�tiser�'atiuei ar:r`cii'ewuEaio�n�r��� .�« artsitriti�a, f z`�"°%�' `,�=„'
7. Will llrepfppu 1 AC6 err inipitCt:r.,xiAtitr
a.. plies?
6.0 k� plrivt�i��ct�iei�tits;ireuttrient trtlfities'. E
$. 1t?i!l Eh p`rc�ptas �3 toren rtnp'irir.the+�hiftair or.,thlity of impar ti tin hl isttrric;:nrdhaeriliis
Srcliitccitrral or a��ili;etic-resiauraais�^ ,wf
SpWf4'
Wiltt#tepropos*d,aiciion result tit an,adverse r;�tsinge tosnatrrr l�resouruestia�:{e.g., find
watt ibodie'.groitndwatee,air,quality, tlpr<tand-taiinaiy
Ng(�3 of 4'
Nti;or ,' lOtlem to
si.b I1 'i„ln.rO
In Sy may
occur occur
1U.'bill tktc proposcd-actiott 'result'in-an- the-potetitial'for etusiun,'flood ing or drainagel
Ia rC►Ea84;tns'�
11. WilI the proposed action cteaie a ha?ard tp.'enAebtiiiiental resources or Itttitian heakhT l 'El
t
N rt3 Dewe« niniIuun,tif`aigrtilic�rtrc � The Lead.n jency is;rev�ion;�itfle'ftia dlte,etinti�th�ditirt,cif�•'�flrt 3. 1'tlr eiri ry
cluestion.in'fart 2 that was ansa brid"mkbr Atte-tb lar,L,6 impact may occur",or ifthe-ftis anted-to explain wl-jv'a Fartictdai
�emarit 6f the proposes aeiitati inay ur %ill nui result inif significftnt adF'eesc envrronmenrid in_pact,pieasti c wiolete N63.,
fiat'i3 sltiiulil,.Bii su�ic,ictte detail,iticntiiy ehep!?tPa
t f,includiag,'an} ntc i�uce5+jr design Ocnieuts that have+ 'beei-t.inc.luded,bj
the project sponsor to avoid of reduce,in'P-acts[ d'art 3 should alsdexplain how the lead agency detertrined that the iPtpadt
tilky or Nvill trot be signilacatrt:Touch i>ot+ewial impact sk o'.ula be msessed cotxsddcring its'setting, protiWlity of-occurring]
diratibn,irreversibility,geogiapiiie sco-peandniagnit ida 'AM cohsiderthe-patentia>'for sliott-terrn,long4ernvand��
cutiiul ittive imparts[
i
(
' , f
f
1
t
i
0 CEieck this box if you have determined, based on the in=oir iation and analysis abwe;.and any supporting documeniati6n,
War the proposed anion may reIt in one or ttiore potentially large or significant adverse itilvaet'ane.lett
enviti-nmentai'9mp<1ct state tient is,required.
Check this box if yoo ha;ie defdrntiried, based on the itvormt tion anti analysis above,and ani sup a ling duarmetitation,
that Cite pnipwcd action Mll not resiilt i«any significant adverse envirc►n.tiiental inipacO.
Nanizof Lead Age�nc y{ Date
Print nrTyra-M�m�-'nf ReVpnsihle Qftic-Ar-in'l'--R, AgenM• :Titie'nfi R`esPnrisihle{lftict�r
Signature oflZeSp"ohsible Of-licer�iri-Le�ad,kQefcy St tatttre f l'repsarar ifiiifl€rent-fram�ltesponsib et cert
PRINT"
Page 4 df 4-
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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.
YOUR NAME: Robert W. Anderson— Suffolk Environmental Consulting, Inc.
(Last name,first name,middle initial,unless you are applying in the name of
someone else of other entity, such as a company.If so, indicate the other
person's or company's name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee X
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other,"name the activity.)
Do you personally(or through your company, spouse,sibling,parent, or child)have a relationship with any officer or employee
of the Town of Southold?"Relationship"includes by blood,marriage, or business interest.`Business interest"means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES NO X
If you answered "YES," complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
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 then 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
Submittedthis it�? a - 2021
Print name Robert W. Anderson
APPLICANT%AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's,Code of Ethics prohibits conflicts of interest on the part of the 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.
YOUR N_A_ ME: Phyllis Sousa
(Last name,first name,:middle initial,unless you are applying in the name of
someone else of other entity,such as a company.If so,indicate the other
person's or company's name.)
NATURE 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"/o of the shares.
YES -N0 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
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 then 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 W7 day of T�_L 2021
Print name_ PhyllN Sousa.
Board of Trustees Application
County of Suffolk
State of New York
Phyllis Sousa BEING DULY SWORN DEPOSES AND AFFIRMS THAT
HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT
ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER
KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE
MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY
THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO
HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND
FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY
VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
TWU6 500 SWORN TO BEFORE ME THIS Z� DAY OF
J �� ,202A
MATTHEW D. IVANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01 IV6053859
Qualified in Suffolk County
My Commission Expires 01-22-20
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the owner)
We, Phyllis Sousa residing at,_P.O. Box 26 • Southold,NY 11971 do hereby
authorize Suffolk Environmental Consulting,Inc.
To apply for permit(s) from the Southold Board of Town Trustees on our behalf.
Ph llis Sousa
Board of Trustees Applica _ _ -)n
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & SCTM#: 22
NAME: ac-cd- 'Plyl�r 'cj
/C
�� - a- � y
STATE OF NEW YORK
COUNTY OF SUFFOLK
, residing at
, being duly sworn, deposes and says that on
the day of , 20 , deponent mailed a true copy of the
Notice set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite their respective names; that the addresses set opposite the
names of said persons are the address of said persons as shown on the current assessment roll of
the Town of Southold; that said Notices were mailed at the United States Post Office located at
, that said Notices were mailed to
each of said persons by CERTIFIED MAIL/RETURN RECEIPT.
Signature
Sworn to before me this
Day of . 20
Notary Public
,NUTILI: Ul� H 'LA '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: PHYLLIS SOUSA
SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 14'x38'
swimming pool surrounded by a 58'x28' stone patio with an 8'x8' spa
along the pool's landward side; remove the existing seaward deck stairs
and install two 4'x4' wood stairs along the easterly and westerly sides
of the existing deck. Located: 4145 Wells Road, Peconic. SCTM# 1000-
86-2-12.6
TIME & DATE OF PUBLIC HEARING: Wednesday, October 19, 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
Glenn Goldsmith,President y';00100141co Town Hall Annex
A.Nicholas Krupski,Vice President ,�� Gym 54375 Route 25
Eric Sepenoski H = P.O.Box 1179
Liz Gillooly p • �� Southold,NY 11971
Elizabeth Peeples y�fj�l �a0� ' 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
PHYLLIS SOUSA
COUNTY OF SUFFOLK
STATE OF NEW YORK
AFFIDAVIT OF POSTING
DO_.N_O�T COMELETE THIS FORM,Z7NTIL�THE P_OST.IN__G_HAS.REIVIAINED
I1V PL�A�CE FOR�rA�TrLwE�ASYT SEVEN�DAYS-PRIOR�Z'O T,HETUBLIC-7
HEARWIN ATS==COMPLETE HIS F'ORM�ON EZGH7'IiDAY OR A=TER
11 Rob.�er+W.hnolemon , residing at/dba SUtf6Ik fnUirQy1VVU _4X1 CMSA � .
r
P.O. 'fox 2003 bCid%eh&fAPkM,,NY • 11932
being duly sworn, depose and say:
t�
That on the I day of 0&�& tr , 20 2Z, I personally posted the property known as
LNs- W&IIS 7Z" • Pecolnic" 1)I • 119 T8
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, October 19,2022.
Dated: i 0/1 E/20la—
(signature)
Sworn to before me this
JVK day:;L�_ No.
MATTHEW b. ]VANS
NOTARY PUBLIC-STATE OF NEW YORK
� 01 IV6053859
Not P blic �- .� Qualified in Suffolk County
My Commission Expires 01-22/*=
aO 2 3
Suffolk Environmental Consulting, Inc.
Newman Village • Suite E . 2310 Main Street PO Box 2003 ® Bridgehampton NY 11932-2003
t 631.537.5160 f 631.537.5291
Bruce Anderson,M.S.,President
HAND DELIVERED
October 18, 2022
Board of Trustees
Town of Southold
P.O. Box 1179
Southold, NY
11971
RE: SOUSA Property—Affidavit of Mailing&Posting
Situate: 4145 Wells Road • Peconic, NY • 11958
SCTM#: 1000—086.00—02.00—012.006
Dear Members of the Board,
As per Southold Town Code X55-1, please find the Affidavit of Mailing &Posting for
the subject parcel attached herewith.
Thank you for your time and consideration regarding this application. Should you have
any questions or concerns please feel free to reach out to this Office at any time.
Yours Truly,
Robert W. Anderson
(enc.)
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
Provence Chez Patrick L.L.C.
173 E. Broadway, Apt. #6B
New York,NY 10002
John Arcara& Michael Scopellite
61-53 Linden Street
Ridgewood,NY 11385
Pellegrini Peconic L.L.C.
23005 Rte. 25
Cutchogue,NY 11935
Susan Hallock
P.O. Box 200
Peconic,NY 11958
STATE OF NEW YORK
COUNTY OF SUFFOLK
Robert W. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003,
'Bridgehampton, NY 11932, being duly sworn, deposes and says that on the 11th day of
October,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 Bridgehampton, that said Notices
were mailed to each of said persons by CERTIFIED MAI /RETURN RECEIPT.
Sworn to before me this �l
Day of ��°P - , 20 �Z
Notary Public
MATTHEW D. IVANS
NOTARY PUBLIC-STATE OF NEW YORK
No.01IV6053859
Qu@lified in Suffolk County
My Commission Expires 01-22- 2 R
■ • _ ■ •
CERTIFIED O . ■ ■ , ■ ■
C3 Domestic Mail Only 117Domestic Mail Only
N Er
C3 For delivery
rmation,visit our vvebsitp�::' -r For delivery information,visit our website at vvwvv.uspsxom
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Town of Southold
LWRP CONSISTENCE'ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C,the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3. 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-
supportina 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# 086 - 02 - 12.6
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees ® ZBA ❑
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
construction,planning activity, agency regulation, land transaction) ❑
(b) Financial assistance (e.g. grant, loan, subsidy) ❑
(c) Permit, approval, license, certification:
Nature and extent of action:
Applicant proposes to install a 14'x38' swimming pool surrounded by a 58' x 28' stone
patio with an 8'x8' spa along the pools landward side. Applicant also proposes to remove
the existing seaward deck stairs and install two 4' x4' wood stairs along the easterly and
westerly sides of the existing deck.
Location of action: 4145 Wells Road • Peconic,NY • 11958
Site acreage: 0.89 acres
i r 1 J
Present land use: Residential
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: Phyllis Sousa
(b) Mailing address: P. O.Box 26 • SOUTHOLD,NY • 11971
(c) Telephone number: Area Code (631)3238022
(d) Application number, if any: N/A
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? NYSDEC
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
This project is consistent with the above policy in that,the surrounding neighborhood consists of parcels improved in a
similar manner to that which is currently proposed
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
This policy is not applicable to the subject project
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 5 through 7 for evaluation criteria
❑ Yes ❑ No ® Not Applicable
This policy is not applicable to the subject project
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages 8 through 16 for evaluation criteria
❑ Yes ❑ No ® Not Applicable
This policy is not applicable to the subject project
Attach additional sheets if necessary
_ 1 -
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 ❑
This project is consistent with this policy in that the proposed swimming pool is to be salt water thereby protecting adjacent
surface waters from hazardous runoff in the form of chlorinated pool water.Consequently,this project is consistent with
the above policy.
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 ❑
This project is consistent with this policy in that it includes drainage for the proposed swimming pool thereby protecting
surface water quality and wetlands.
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
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
Not Applicable.
Attach additional sheets if necessary
PUBLIC COAST POLICIES
Policy 9. Provide for public access to,and recreational use of,coastal waters,public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria
❑ Yes ❑ No ® Not Applicable
Not Applicable.
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in
suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria
❑ Yes ❑ No ® Not Applicable
KI-4-
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
Not Applicable.
Attach additional sheets if necessary
Policy 12
Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages
62 through 65 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
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
-Not Applicable.
Attach additional sheets if necessary
Suffolk Environmental Consulting, Inc.
Newman Village ® Suite E 2310 Main Street a PO Box 2003 Q Bridgehampton NY 11932-2003
t 631.537.5160 o f 631.537.5291
Bruce Anderson,M.S.,President
HAND DELIVERED
August 10, 2022
Board of Trustees
Town of Southold
P.O. Box 1179
Southold, NY
11971
RE: SOUSA Property—Proposed Swimming
Situate: 4145 Wells Road • Peconic, NY • 11958 D E C E V E
SCTM#: 1000—086.00—02.00 —012.000
AUG 1 0 2022
Dear members of the Board,
Southold Town
This Firm represents the owner of the subject property, who is see ees
regulatory approvals to construct a swimming pool, spa and patio thereon.
Consequently, your Boards approval is hereby requested. Attached herewith, please
find the following application materials:
1. Board of Trustees Wetland Permit Application, (one original and three [3]
copies);
2. LWRP Consistency Assessment Form, (one original and three [3] copies);
3. Agents's Open Government Disclosure Form, (one original and three [3]
copies);
4. Owner's Open Government Disclosure Form, (one original and three [3]
copies);
5. Owner Affirmation, (one original and three [3] copies);
6. Agent Authorization Form, (one original and three [3] copies);
7. SEQRA Short Environmental Assessment Form, (one original and three [3]
copies);
8. Location Map, (four [4] sets);
9. Photographs of the subject property and current conditions thereon, (four [4]
sets);
10. Survey prepared by KENNETH M. WOYCHUK last dated March 30th, 2022 (four
[4] sets);
11. Check made payable to the Town of Southold in the amount of two-hundred
fifty dollars ($250.00) in satisfaction of the requisite application fee.
Thank you for your time and consideration regarding this matter. Should you have any
questions or concerns, please feel free to contact this Office at any time.
Yours Truly,
Robert W. Anderson
(enc.)
c.c. P. Sousa