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Town Hall Annex Glenn Goldsmith, President ®� ®� s®U��®� 54375 Route 25 A. Nicholas Krupski, Vice President P.O. Box 1179 Eric Sepenoski4 Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 &U NVI 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 When project complete, call for compliance inspection; TERMS AND CONDITIONS The Permittee, Paul Tanck,residing at 16705 Route 25 East Marion 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 36 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 interfcrc 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 �Q� s®V,� Town Hall Annex ® 54375 Route 25 A.Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski l Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples COW � Fax(631) 765-6641 COUR1V BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 25, 2023 Joan Chambers P.O. Box 49 Southold, NY 11971 RE: PAUL TANCK 16705 ROUTE 25, EAST MARION SCTM# 1000-23-1-14.6 Dear Ms. Chambers: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 19, 2023 regarding the above matter: WHEREAS, Joan Chambers on behalf of PAUL TANCK 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 May 12, 2023, 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 July 19, 2023, 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, 2 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 PAUL TANCK to remove existing 16'x34' in-ground swimming pool with adjoining 762sq.ft. of existing brick paver patio and pool enclosure fencing, and replace it with a new 47'x18' in- ground swimming pool with a 1,326sq.ft. of new masonry patio finished with stone pavers; install a new pool fence enclosure and gate at outer edge of new patio; install a pool drywell and pool equipment area; with the condition to establish and perpetually maintain the area seaward of existing tennis court and fence as a non-disturbance buffer area; and as depicted on the site plan prepared by Joan Chambers, received�on July 19, 2023, and stamped approved on July 19, 2023. 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 V truly you s, 0 Glenn G4dm4ith '" President, Board of Trustees GG:dd 159 p0 SITE PLAN 65 TANCK RESIDENCE - 16705 MAIN RD. / DECK \ EAST MARION NY HED \ 1000-23- 1 - 14.6 \\ \ JUNE 29, 2023 \ \ \ 1 "=40.0` PROPERTY LINE DATA TAKEN \ \ \ \ FROM SURVEY BY JOHN EHLERS \ ` \ DRIVEWAY EXIST. \ DATED 10.12.2022 \ \ HOUSE \ \ \ DECK \ 0 \ \ Q 1\ \ \ 0 O \ PATIO (�, c�i �••� Dr • o \P O 2� \\ \ \\ 2'l\ POOL \ 2 ILP � \ CO :''r O.0 U1u�lu GA \ \Lp EXIST. \ TENNIS COURT do v \ P z APPROVED,.BY \ O e',-tOARD OF f RUSTEES TOWN'"OF SOU T HOL® DATE Suu f if,zao \ LP o 2 PG� JUL 1 9 2023 LIP / o�- 63 A\� N Southold Town / S. Board of Trustees G 0 �ogVFFO(/(co Glenn Goldsmith, President ��o Gy Town Trustees A Nicholas Krupski, Vice-President H 54375 Route 25 Eric Sepenoskio P.O. Box 1179 Liz Gillooly A ® aol� Southold, NY 11971 Elizabeth Peeples �' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PAUL TANCK c/o JOAN CHAMBERS Please be advised that your application dated May 12, 2023 has been reviewed by this Board at the regular meeting of July 19, 2023 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project— SILT FENCE Inspection Fee ($50.00) 11 Day of Construction ($50.00) 'h 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 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,PresidentYo��{" Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly �y • oV, Southold,NY 11971 Elizabeth Peeples ��� �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed infield by: Joan Chambers on behalf of PAUL TANCK requests,a Wetland Permit to remove existing 16'x34' in-ground swimming pool with adjoining 762sq.ft. of existing brick paver patio and pool enclosure fencing, and replace it with a new 47'x18' in-ground swimming pool with a 1,326sq.ft. of new masonry patio finished with stone pavers; install a new pool fence enclosure and gate at outer edge of new patio; install a pool drywell and pool equipment area. Located: 16705 Route 25, East Marion. SCTM# 1000-23-1-14.6 Type of area to be impacted: saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: thapt. 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/ odificat ns/Conditions/Etc.: S Present Were: G. G yfdsmith /IV. Krupski E. Sepenoski 1 L. Gillooly ._-E. Peeples .. ............................. .................................................................................. SITE PLAN TANCK RESIDENCE DECK 16705 MAIN RD. HED EAST MARION NY 1000-23-1-14.6 JUNE 29, 2023 1"=40.0' PROPERTY LINE DATA TAKEN FROM SURVEY BY JOHN EHLERS EXIST. DATED 10.12.2022 DRIVEWAY HOUSE DECK PATIO 1\1 ?001 Eg A 03 EXIST. TENNIS COURT Q3 7A (j) 0, 0 O�N JUL 1 9 2023 Southold Town yO, Board of Trustees ro .................................. ...................... Glenn Goldsmith,President ;YOV �rI OG Town Hall Annex A.Nicholas Krupski,Vice President �� y< 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly �A • �� Southold,NY 11971 Elizabeth Peeples a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Joan Chambers on behalf of PAUL TANCK requests,a Wetland Permit to remove existing 16'x34' in-ground swimming pool with adjoining 762sq.ft. of existing brick paver patio and pool enclosure fencing, and replace it with a new 47'x18' in-ground swimming pool with a 1,326sq.ft. of new masonry patio finished with stone pavers; install a new pool fence enclosure and gate at outer edge of new patio; install a pool drywell and pool equipment area. Located: 16705 Route 25, East Marion. SCTM# 1000-23-1-14.6 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.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples f - /- SITE PLAN 55 3 /-� TANCK RESIDENCE rob / /' DECK 16705 MAIN RD. GHED \� EAST MARION NY 1000-23- 1 - 14.6 \\ \ JUNE 29, 2023 \ \ 1 "=40.0' PROPERTY LINE DATA TAKEN \ \ \ FROM SURVEY BY JOHN EHLERS DRIVEWAY EXIST. \ DATED 10.12.2022 \ \ HOUSE \ \ \ DECK O D \\ \\ 6, JUL - 6 2023 O oov0 z° ° Southold l"own \\ \ \\ QO°`- o � �`� Board of Trustees p, -0 O \\ \ \\ ATLpIQ O \ EXIST. /\��. \ \ TENNIS COURT �A4 \ do .0 \\ \ \\ NEW /A c? J 77006 p'�OFESSIONA� \ ' 23- j cp -/ °2 \A 01�� � MAY 1 2 2023 Board0"�� oez 10.5" 12„ Coping Pavers Mortar 4" Compacted Sand 6" Tile 12" Bond Beam O #" Marble Dust Concrete #4 rebar (4) #4 rebar 10" o.c. throughout cont. through verticals 5" o.c. where bond beam water depth exceeds 5' O O 12" TO 36" Rodius Compacted Soil O /O Minimum specifications; Shotcrete Gunite 4,000psi minimum /O Grade 40 rebar (conf to ASTM A615) All work to be in compliance with ACI-318 $4- \ 9S=4:c• 4" min. thick�f •�Rt "ue� J �•Jn " Gravel base i s .. r G: . h DNALITNORIZED ALTERATION OR ADDITION TO IMS DRAWING AND RELATED DOCUMOO IS A WOLAIION OF SEC. 1209 OF THE N.Y.S.EDUrADON LAW JOB#: binder SR A DATE: 4.29.22 Typ P o o ISHERlvltuv" NGINEERING SCALE' AS NOTED ^, �® &CONSULTING P.A. DRAWING NUMBER Cross Section � ►�J' ti ST AUGUSITNE,FAL 32084 631.831.3872 A�H0 & CQ� D E C F BUILD SET MAY 1 2 2023 A 6 'It. 14 ft 4. 2" 17 ft. ft, 14 ft. ---------------- 18' x 46' Gunite Pool With auto cover Side view Binder Pools, Inc. Designed by: Phone:631-749-2110 PO Box 1960 Judy Card Designed TANCK Shelter Island NY 11964 Fax: 631-749-3529 12/10/2021 for: HOUSE AREA ;- �BUILD SET 3 skimmers MAY 1 2 2023 I Patio haunch 12" coping 1 autofill 9 ft. 14 ft. 14 ft. -- - - - U W z ASA eft. � ,f 36" Q zz J 11. 7k�gIt 6 5 LED lights 6'x18" bench 2'x3' top step, 5 returns with step (4) 12 Is stairs 30" Autocover box 46 ft. � 18' x 46' Gunite Pool With automatic Binder Pools, Inc. Designed by: ' PO Sox 1960 Phone: 631-749®2110 i Designed� � Judy Card TANCK Shelter Island NY 11964 Fax: 631-749-3529 } 12/10/2021 ; for: 5 U RVEY Of LOT 3 A5 SHOWN ON A CERTAIN SUBDIVISION MAP ENTITLED "BRIONNGLOID-BY-THE-SEA' I ,i' - ' '' FILED IN THE OFFICE OF THE CLERK OF THE COUNTY OF SUFFOLK ON if AUGUST 22, 1975 A5 MAP NO. 671 I e 51 T U AT E: E AST MARION ` MAY 1 2 2023 �•sa w E TOWN : 50UTHOLD 5U FFOLK COUNTY, NY SURVEYED 12-29-2014, UPDATE 10- 1 2-2022 LOT COVERAGE: SUFFOLK COUNTY TAX # HOUSE ABD DECK 5,757 S.F. 1000 - 23 - I - 14.6 SHEDS 244 S.F. 1000 - 23 - 2 - 5.5 TENNIS COURT 6046 S.F. EXISTING POOL 510 S.F. CERTIFIED T0: GAZEBO 121 S.F PAUL TANCK VOA 9 0 TOTAL EXISTING 12,678 S.F. OR 21.29 % WELLS FARGO BANK N.A. \� w SPANO ABSTRACT SERVICE CORP. s PROPOSED LOT COVERAGE: \ \ 6�0� HOUSE ABD DECK 5,757 S.F. SHEDS 244 S.F. °s� >p TENNIS COURT 6046 S.F. 5v Q PROPOSED POOL 846 S.F. \ \ s W TOTAL PROPOSED 12,893 S.F. OR 21.64 % 7.0 G'�G� a' � 3 \ � v 19.0°». G�•�2 ME��''\G• \ 696" .�FPZA59 O� 0 \ \ OVER G '• \ O \ syvy o O'C I \ \ TON yc vim` V QQQ\- �Trl \16 400 ooN 0\ -\0 \ �� \ EBO ✓ \J ' \ \ \ \ AOG�� \0\ 2 \\ \\ 000.23 •F••••.•. \ Ob r/ 25�\ \l'L� "V QOR 4 hs r °O�h� -V \,03.2 . \000 N ps, �i o \� 02; \ �i 0 2 / dopcOrr o \,O� `' f E NOTES: ` C. E� '•unauthorized alteration or addition to a survey MONUMENT FOUND Q+ �\ o map bearing o licensed land surveyor's seal is a JOHN C. E H LE RS LAND SURVEYOR `� ,� i w violation of section 7209, sub t division io of the REBAR FOUND ?� S� New York Stale Education Law." --•—�—� CHAIN LINK FENCE 1 r• �,'� ,��t• "Only copies from the original of this survey �✓I `�, marked with an original of the land surveyor's y stamped seal shall be considered to be valid true copies" 1000-7_3-I - 14.6 G EAST MAIN STREET N.Y.S. LIC. NO. 50202 ! A '��l Area =59,553 5q.Ft. �r t'• "Certifications indicated hereon signify that this Area - 1.3G71 ACfe9 � � ® survey was prepared in accordance with the e.— C -23.2.5.5 RIVERHEAD N.Y. 1 1901 3G9-8288 Fax 3G9-8287 -i isting Code of Practice for Land Surveys adopted Area 15,317 Sq.Ft. ' �j 5020 ai �(/ by the New York State Association of Professional Area m 0.351 6 Ades tr� Land Surveyors. Said certifications shall run only A GRAPHIC SCALE 1 11 0' lon6J151andland5urveyor.com ®CAND.�V to the person for whom the survey is prepared, and on his behalf to the title company. overnmen— tal agency and lending institution listed hereon. cnd o the assignees of the lending institution. Certifica- 14-215 tions are nal the to additional institutions ve gJia� a n r � be 1 ,� ru } F - t i ^ _ , J � WA-I n9 G Rom g h !e Ek�ST TOOL gip^ IWVO(S cour-T L.poj�j&)f- NOKTrf CP lI �v w t i f I ? ?066 L 76DS('tfE Souk J8 . '(�Nnlss eOUte' As vtEwi�() (a F601. otg�-A L,)oKcnJ& d'ou7bF aa,o �L ,x-xaax m-nsx � oxa,ax maeaz `w —. ,aus 1M 12 O,.MU ta0•N p-0x,6 %aycl 1axL1• TI,E g1EMEABT WRIOR ^ PARx owmcT '� M.DoGO PD.65 L.D.gyp• s� Ile logCe , y .• , pow ��o. Qy J .PpR • �' P ry� i L x. y x ].3 E, ,M 1g �' �r 31Y M.D. �I 31 F � E�—+�� _�_ �• _ R �— — — �� --a-- �y --.-- WTicE �,^"'"` COUNTY OF SUFFOLK © E 1 mt T•r.ro� p sECTaMra _ O2 Reel Property Tax Service Agency r E W� ------ � ...,_ --•-- ..-"'--.r--_ ° 4 c..�n,e..ra..u...a.,,., Y on a 023 U -....a `nr w Y. �— —_ o..� --•-- ��ru.--�-- ..r r � A Oa b ,a ranw Np P PROPERTY YAP OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 �� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 12, 2023 Re: LWRP Coastal Consistency Review for PAUL TANCK SCTM#: 1000-23-1-14.6 Joan Chambers on behalf of PAUL TANCK requests a Wetland Permit to remove existing 16'x34" in-ground swimming pool with adjoining 762sq,ft, of existing brick paver patio and pool enclosure fencing, and replace it with a new 47"x18" in-ground swimming pool with a 1,326 q.ft. of new masonry patio finished with stone pavers; install a new pool fence enclosure and gate at outer edge of new patio; install a pool drywell and pool equipment area. Located: 16705 Route 25, East Marion. SCTM# 1000-23-1-14.6 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 action is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., July 12, 2023, the following recommendation was made: Moved by John Chandler, seconded by John Stein, it was RESOLVED to SUPPORT the application of PAUL TANCK to remove existing 16'X 34' in-ground swimming pool with adjoining 762 sf. of existing brick paver patio and pool enclosure fence and replace it with a new 47'X 18' in-ground swimming pool with 1,326 sf. of new masonry patio finished with stone pavers and new fence enclosure and gate out outer edge of new patio. Located: 16705 Main Rd., East Marion. SCTM#23-1-14.6&23.-2-5.5 Inspected by: John Chandler Vote of Council: Ayes: All Motion Carried Concerning Tanck Property 16705 Main Rd. East Marion NY 1000-23-1-14.6 July 6, 2023 Attached are four copies of an updated and certified Site Plan that contain the additional information that you requested, E C EE E Thank-you, Joan Chambers JUL _ 6 2023 Southold Town Board of Trustees A ' -72 Glenn Goldsmith,Presidentp ,j;:' 'tNp� �0(lrf Town Hall Annex �� A.Nicholas Kru ski,Vice President tr' Q ��1 T fi 54375 Route 25 ,',' P.O.Box 1179 Eric Sepenoski t ,1 Southold,New York 11971 Liz Gillooly s Elizabeth Peeples ® i; Telephone(631) 765-1892 tit' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES MAY 12 2023 TOWN OF SOUTHOLD This Section For Office Use Only Southold Town Board of Trustees Coastal Erosion Permit Application —1 _Wetland Permit Application Administrative Permit —� Amendment/Transfer/Extension Received Application: -T12.2-4 Received Fee: $ 124. ,Completed Application: S-3523V Incomplete:, _ SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): ���,�� WRP Consistency Assessment Form Sent: � — ►� CAC Referral Sent: � Date of Inspection: Receipt of CAC Report:_ _ Technical Review: Public Hearing Held-- 7. �• — Resolution: Owner(s)Legal Name of Property (as shown on Deed): Paul Tanck Mailing Address: 16705 Main Rd. East Marion NY 11939 Phone Number: 646-469-2213 Suffolk County Tax Map Number: 1000- 23-1-14.6 1000-23-2-5.5 Property Location: 16705 Main Rd. East marion NY 11939 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT Of applicable): Joan Chambers Mailing Address: PO Box 49 Southold NY Phone Number: 631-294-4241 Email:Joanchambers10@gmail.com ___� Board of Trustees Appli ;ion GENERAL DATA Land Area(in square feet): -59,553 sq ft 1.36.71 acres & 15,317 sq ft 0.3516 acres Area Zoning: R-80 Previous use of property: single family residence with swimming pool and tennis court Intended use of property:.single family residence with swimming pool and tennis court Covenants and Restrictions on property? Yes _ ✓�No If"Yes", please provide a copy. Will this project.require a Building Permit as per Town Code? Yes �No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee_ review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? _Yes =No If"Yes", please provide copy of decision. his project re any demolition as per Town Code or as determined by the Building Dept.? ✓ Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date ZBA #3892(1990) #3810(1989) #7741(2023) Trustees 3-1-89-23-1-14.6. (1989) No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_Z_No_a Yes If yes, provide explanation: Project Description(use attachments if necessary): See attachment #1 t ' Concerning: Applicant Project Description Tanck Residence 16705 Main Rd. East marion SCTM# 1000-23-1-14.6 5.11 .23 Applicant proposes to remove existing 16'-0 x 34"-0" in-ground swimming pool with adjoining 762 sq.ft. of existing brick paver patio and pool enclosure fencing and replace it with a new 47'-0" x 18'-0" in ground swimming pool with 1326 sq.ft. of new masonry patio finished with stone pavers and new fence enclosure and gate at outer edge of new patio. There is no new work proposed for the residence or the adjacent existing tennis court. Board of Trustees Applii ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To replace existing swimming pool and patio. Area of wetlands on lot: 9583 square feet Percent coverage of lot: .12.7 Closest distance between nearest existing structure and upland edge of wetlands: 1400 feet Closest distance between nearest proposed structure and upland edge of wetlands: 218.0 feet Does the project involve excavation or filling? ❑ No ✓ Yes If yes, how much material will be excavated? 94 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 4 to 6 feet Proposed slope throughout the area of operations: flat Manner in which material will be removed or deposited: Existing in-ground pool of approx.same size will be removed. Hole will be dug by machine for new pool and fill stored on property and used to fill'the hole from the existing. swimming pool. 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): There will be no impact on the wetlands and tidal waters because State Rd, Rte. 25 is between the proposed work area and the wetlands/beach which are,on the other side of the road. r 61 Z20 Appendix B Short Environmental Assessment Form _Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Tanck Residence Swimming Pool Replacement Name of Action.or.Project: 16705 .Main Rd. East Marion NY Project Location(describe,and attach a location map). North side of Rte 25 East of Dam Pond on Orient Causeway. Brief Description of Proposed Action: Replace existing in ground swimming pool with new swimming pool in same location. Name of Applicant or Sponsor: Telephone:631-294-4241 Joan Chambers for Paul Tanck E-Mail:joanchambers10@gmail.corr Address: PO Box 49 City/PO: I State: Zip Code: Southold NY 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO, YES administrative rule,or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the.proposed action require a.permit,'approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ZBA # 7741 Building Permit not yet issued. D FV 3.a.Total acreage of the site of the proposed action? 1.7187 acres b.Total acreage to be physically disturbed? . .W 26 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor?' 1.7187 acres 4. Che I land us at occur on,adjoining an ar the propq=4 action. Urban, Rural(non-agriculture) Industrial Commercial ❑✓ Residential(suburban) Forest ❑Agriculture Aquatic .QOther(specify):--________ _ Parkland Page l of 4 ti r � 5. Is the proposed action, NO YES NIA a. A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO RYES landscape? ( ✓ 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: � ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO .YES If the NA proposed action will exceed requirements,describe design features'and technologies ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: NA ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES' If No,describe method for providing wastewater treatment: NA ❑ F-1 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b. Is the proposed action located in an archeological sensitive area? 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? ✓ b. Would the proposed action physically alter,or encroach into, any existing wetland or waterbody? y `/ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on tl�-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? ✓ 16.Is the project site located.in the 100 year flood plain? NO YES 17.Will the proposed.action create storm water discharge,either from point or non-point sources? NO If Yes, a. Will storm water discharges flow to adjacent properties? ❑✓ NO DES b. Will storm water discharges be directed to established conveyance systemsff an¢-agfm drains)? If.Yes,briefly describe: ✓ O ES 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: _ �� �,______�� �_ ❑ ❑ 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: . _ M ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe:_ Fv� ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE' Applicant/sponsor name:.JOall Chambers. DatO.15.23 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 1 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 I. 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? ❑ ❑ >. Will the proposed action impair the character or quality of the existing community.? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the L1 1:1establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? ❑= ❑ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water.supplies? _ b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, El 1:1architectural 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 S No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? El ❑ 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 3. Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based'on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southofd-Board of-Trustees Name of Lead Agency Date .- President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applii ,ion . -AFFIDAVIT BEING.DULY.SWORN DEPOS S AND AFFIRMS THAT T.HE/SHE`IS THE APPLICANT FOR THE ABOVE DESCRIBEDYERMIT(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 OFTRUSTEES 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.OWCOASTAL EROSION PERMIT:ISSUED BY THE.BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT.__. Signature of Property Owner . Signature of Property Owner .. SWORN TO BEFORE ME THIS I DAY OF W\_0L"-j „20 ?3 Ny P. Notary Public `'DONALD'P.RO�ARID`' . . Notar oubk.State of New York. No.:01R06422237. . Quel'ified in Kings County commission Expires September 20,2026 : Board of- Trustees Appli :ion AUTHORIZATION (Where the applicant is not the owner) I/We, Paul Tanck owners of the property identified as SCTM# 1000-23-1-14.6 and 23-2-5.5 in the town of Southold ;New.York,hereby authorizes. Joan Chambers 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. Caw Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS.__DAY OF 20 S-I-c�-f e o-(/ NY CO,4,q-�y cit' IJY. P Notary Public DONALD P.ROSARIO Notary Public,State of New York No.01 R06422237 Qualified in Kings County Commission Expires September 20,2026 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town-of Southolil's Code"of Ethics arohibirs conflicts.of interest on the pariof iownoffrcers and enroloyees:The nuivose-of :this form is to.nrovide information which can"alert the town of oossi6le conf]icis otimenst and allow it to take whatever action is necessary to avoid same. YOURNAME: Paul Tanck (Last name;first nameopiddle.initial,unless you are applying in the name_.of someone else or other entity,such as a company.If so,ind_irate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance. Building Variance Trustee Change of Zone Coastal Erosion Approval ofpla.t 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 officecor employee of the Town of Southold? "Relationship"includes.by blood,"marriage;or business interest:."Business interest'means:a;business, including a partnership:' which'the town officer or employce.has even,a partial ownership of(or employment by)a.coiporation in which the.town'offiicer or employee owns more than 5%of the shares. YES �^ NO . If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title.or position of that person Describe the relationship between yourself(the applicanVagent/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 of her spouse,sibling,parent,or child is(check all that apply): L[A)the owner of greatcf than 5%of the,shares of the corporate stock of the applicriut (when the applicant is.a coiporation); . B)the legal or beneficial owner of any interest in a non-corporate entity(when the Eapplicant,is not a corporation); . C)an officer,director,partnei or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this d of . Hcty 20 a-3 Signature � f��G� Print Name �ctM l a V►C Fonn TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM` The Town of Souihoiii-s Code of Ethics prohibits conflicts of interest on the part of town officers and emolovees;The.tSurvose of.. this fortn Js to provide inforination which can alert the town.of bttssible confIkts.ofihten:st and allow'irto take-whatever action is, beecessary to avoid same: YOUR NAME: Joan Chambers (Last name,first name,Middle initial.unless you are applyingin 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 VarianceTrustee - ✓ Change of Zone Coastal Erosion. Approval of plat Mooring Exemption from plat or official mapPlanning Other (If"Other',name the activity.) Do you perstimlly(or through,your,company,spouse,sibling,parent;or child)have;a relationship with:nyoffiecror employee. of thc.Town of Southoclu Southold? "Relationship"indcs•by:blood.,milrnage,or business ifittetest."Business interest"means a business, including a partnership.in which the town officer or employee has'even a,partial'ownership of(or employment by)9 corporation in,which the town officeror:employee owns more than 5%%of the shares: YES n NO. If you answered"YES",complete the balance of this forth and date and sign where indicated.` Nanie of person employed by the Town of Southold Title nr.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): )the owner of greater than.3%oftho shares of the corporate stock of the applic t =B)(when the applicant is a corporation); . 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 11th day of May 2o23 Signature Print Name -joantChambers Form IS 1 1 Board -of Trustees Appl ration PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NP � � �eNAME: P J - a3J � - ) L-lnl � 93 N- 13 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- NOTILEL. OF Ht:AIIING 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: PAUL TANK ' SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing 16'x34' in-ground swimming pool with adjoining 762sq.ft. of existing brick paver patio and pool enclosure fencing, and replace it with-a new 47'x18' in-ground swimming pool with a 1,326sq.ft. of new masonry patio finished with stone pavers; install a new pool fence enclosure and gate at outer edge of new patio; install a pool drywell and pool equipment area. Located: 16705 Route 25, East Marion. SCTM# 1000- 23-1-14.6 TIME & DATE OF PUBLIC HEARING: Wednesday, July 19, 2023 — 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 auzr Glenn Goldsmith,President S�FF0L4 Town Hall Annex A.Nicholas Krupski,Vice PresidentGym 54375 Route 25 Eric Sepenoski o `v P.O.Box 1179 Liz Gillooly o • Southold,NY 11971 Elizabeth Peeples y�j�� �a4�;' Telephone(631)765-1892 .� Fax(631)765-6641 BOARD OF,TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------: the Matter of the Application of PAUL TANK COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ONEIGHTH DAY OR LATER Cr H-7140k(BE siding at/dba �� $0}c �S0UTMLJO N`� being duly sworn, depose and say: TIF That on the [d day of J L/L� , 20 �3, I personally posted the property known as t 0-7(9 5 &Te- 2.5 6- &S-C M/4 R cy IJ 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,July 19,2023. Dated: (signature) Sworn to before me this CONNIE D.BUNCH 16j4Aday o0y, 20 3 Notary Public,State of New York �I No.01 BU6185050 t Qualified in Suffolk County Commission Expires April 14,20'�v Notary Public � � s I • Y Er 0 ' a rs 1'.f�..�.1-{s \�+;'r4',;:,1'i_u;b - yq S .'. ? '`a i.,. Certified Mail Fee r `„•, r: i! Certified Mail Fee t c add feeas;'R�6cpphte) 9 m ;-t•,:'.' c c ,.”'-` "'v I!{ I 0 Extra Services&Fees(check box, M1 r F $ - 1 ❑ill Recelpt(hardcopy) $ ,�„. y .}y Pos mark ( 1 i fir""'°"-"^�•„v,F' $ r'� ❑Return Receipt(electronic) $ ®„•,�yy�a Bfe 0 Extra.Services&Fees check box,add fee as te)o �� ;t []Return Receipt(hardcopy) $—rr---! 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I� ACO ----------- : ® r, rr,.•• N [[�D�o THIS SECTION ON DELIVERY SENDER- COMPLETETHIS SECTION COMPLETE ■ Complete items 1,2, 3: A. Signature Agent ■ Print your name altd�tl •, st on the reverse X Addressee so that we can---- n'f and to you. ■ Attach this card to the back of the mailpiece, B. eive by(Printed NamAL C.Date f peJjvery or on the front if space permits. l 1. Article Addressed to: D. Is delivery address different from item 1? LI Yes C kU S ky E-MT LLC If YES,enter delivery address below: ❑No FC) .B v/N-' 13A BS=c (M&f-t 0^J 3 Service Type13Priority Mail Express® IIIIIIIIIJill III III IIIIIIIII Iilll111111lll illi ❑Adult Signature ❑Registered MW ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted certified MW10 Delivery 9590 9402 6831 1074 9289 57 ❑Certified Mail Restricted Delivery ❑Signature Confirmation''" ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery - ❑Insured Mail 2 2 2 412; 11001 0 5 3,7 0655, ; ;! °%eooaltl Restricted Delivery PS Form 381,1,July 2020 PSN 7530-02-000-9053 _ Domestic Return Receipt 7 COMPLETE •N COMPLETE THIS SECT16NON DELIVERY ■ Complete items 1,2,and 3. A ignature ■ Print your name and address on the reverse X G0 Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece. B. Received by(Printed Name) C.Date f elivery or on the front if space permits. Iv- 1. Article Addressed to: D. is delivery address different from Rem 17 ILI Yes :"1 ' Sewky� E�— �C+ . If YES,enter delivery address below: [3 No 11310 Ehs'� �P�IRt ot\1 3. Service Type ❑Priority Mall Express® Il�Illlfl Illi 111Ill IIII II�Il IIII'I'll III III III ❑Adult Signature ❑Registered Mail7°" ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted y�Geetified Mail® Delivery 9590 9402 6831 1074 9290 08 Certified Mail Restricted Delivery ❑Signature Confinnation7m ❑Collect on Delivery E3 Signature Confirmation �[tic10S1UmbeY(Transfer frOmserviCe l)_ El Collect on Delivery Restricted Delivery Restricted Delivery 2. f +, , .;i s 01—ab ;f a ;Ired Mail , i 7 215" d6401 -0001 `5425, 319 5 1' oor)1 Restricted peitvery PS Form 3811,July 2020-PSN 7530-02-000-9053 i Domestic Return Receipt /til R Board -of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: STATE OF NEW YORK COUNTY OF SUFFOLK DA-rd C RS , residing at ?O 9 o c SOtnktpuv NJ , being duly sworn, deposes and says that on the_o day of cJ UL4 , 2013 , 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 SDUTC+bL_D ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day ofJ , 20 CONNIE D.BUNCH Notary Public,State of New York No.01BU0 Qualified in Suffffolkolkcounty Commission Expires April 14,2ya Notary Public A r T CIL. M.A-t Lt AJ6,-S. PO Sax aE,7T V-KkP L o n1 N l l 3 b g Dec Cl L-or J G- Cs L40yvr,> C iou A . AD LAJ AY y!`S G t g LAr f O Ct Ty L-01\1 Cr lS 1. D CCt,T- TAUS 2`5- 41E1 M? L!J t-t- CVs v L LLF N �� ga ,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 detertrination .of'consistency. *Exceptminor 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 adverseeffects.uyon 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 detain listing both suopo!ft,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# 1000 —.21-1-14.6 PROJECT NAME Paul-Tanck Swimming Pool Replacement The Application.has been submitted to(check appropriate response): Town.Board ❑ .Planning Board❑ Building Dept. ✓❑, Board of Trustees ❑✓ 1.. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken.directly.by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b). Financial assistance(e.g.grant,loan,subsidy) (c) Permit,.approval,license,certification: FV 'Nature and extent of action: Remove an existing 1.6'-0"X34'-0".in-ground,swimming pool.with adjoining 762 sq.ft. of brick pavers Replace,with 4T-0"X18'-0"in ground swimming pool with 1326 sq.ft.of stone pavers and new pool fence enclosure and gate: Location of action: 16705'Main Rd. (CR 25) Site acreage, 13671, acres (59,553 sq.ft.):and.3516 acres (15,317 sq.ft.) Present land user single family residence w/swimming pool, patio&tennis court Present zoning classification: R-80 2. If an application.for the proposed action has been filed with the Town of Southold:agency;ahe following information, shall,be provided: (a) Name of applicant: Joan Chambers (agent)for owner, Paul Tanck. (b) Mailing address: PO,Box 49 Southold NY 11971 (c) Telephone number: 631-294-4241: Will the action be directly undertaken,require funding,or approval,by a state or federal agency? Yes ❑ No: 1/❑ 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 willfurther each policy. Incomplete answers will require that the formbe returned for completion. DEVELOPED COAST POLICY Policy L Foster a.pattern of development in the Town of Southold that enhances community.cliaracter,. - preserves open space, makes efficient use of infrastructure,,makes.beneficial.use of a coastal location,and minimizes adverse effects of development. See LWMP Section III-Policies.; Page 2 for evaluation criteria. . ❑✓ Yes ❑ No ❑ Not Applicable The proposed swimming pool is screened from Rte 25 with landscaping.that will be retained and improved for the new replacement swimming pool. There are;several other homes in that area with swimming pools so,this project will adhere to.community character: . The existing an proposed swimming pools and patios are north(landward)of Rte.25:which effectively separates the structures on the property from_the Wetlands:and waterways of Orient harbor. Attach additional sheets if necessary Policy ,2.. Protect and,preservehistoric and archaeological. resources .of the Town of Southold. See LMW. Section III Policies Pages 3 through 6 for'evaluation criteria ❑ Yes D.No 0.Not Applicable The existm swimmin ool will be removed and re laced b the new 'pool. There will be minimal new disturbance to the lot. The existing residence and accessory structures are not deemed historic, Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH'—Policies Pages 6 through 7 for evaluation criteria ❑✓ Yes ❑ No❑ Not Applicable The swimming pool will be screened from the public view on Rte.25 by natural landscaping similar to what is already in place. Attach adaitional 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 R Yes ❑ No ❑ Not Applicable ro'osed re lacement swimmm oohwill be located in the same area.._. � .,.,' g pool which has-been in _._. .,...,' ry Thep p - p g p as the existing swimming place since 1989 with no adverse effects on flooding or erosion. 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 ❑I✓Not Applicable There will be no change to the current method of supplying the residence with water. The swimming pool will not have any affect on the water quality. Attach idd-itional 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 F&/] Not Applicable The swimming pool is separated from Orient Harbor by Rte 25 and we anticipate no impact on coastline or wetland ecosystems. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ,F] Yes F1 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 R1 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. . YeEl No Not Applicable The swimming pool is entirely on provate property and is seperated from Orient harbor by Rte. 25 and therefore does not impact-access or use of Orient harbor. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III--Policies; Pages 47 through.56 for evaluation criteria. ❑Yes ❑ No ❑✓ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III_Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No R1 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 There are no adjacent agricultural lands. 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 Joan Chambers TITLE DATE 5.11.23