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TR-10444
J Glenn Goldsmith, President �'19 SO(/� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UNTV,� 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; MUM ................ -H-1 01 ---------------- BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10444 DATE: AUGUST 16,2023 ISSUED TO: JENNIFER RUSSELL PROPERTY ADDRESS: 1562 NORTH HILL ROAD,FISHERS ISLAND SCTM# 1000-6-1-19 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 16, 202-3 and1 . in consideration of application fee in the sum of$1250.00 paid by Jennifer Russell-arid subject to the Terms and :5 Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and. permits the following: Wetland Permit for the existing 2,312sq.ft. dwelling.that,includes 868s ft.of existing decks and porches; construct a 22.75'x20' one-story addition which includes a 5'x12' covered porch construct a 6'x8' porch; total new size of dwelling to be 2,708sq.ft.,and decks and porches to be 887sq.ft; install gutters to leaders to two(2) 8'x4P,drywells to containroof runoff, and to establish and perpetually maintain a 25' wide No Mow Buffer area along the top of the bank; and as depicted on the site plan prepared by Peter M.Parrent,LPE,last dated June 16,2023, and stamped approved on August 16,,2023. hereby causes its Corporate.Seal to,be affixed,and IN WITNESS WHEREOF,the said Board of Trustees h these presents to be subscribed by a majority of the said Board as of the day and year first above written. r LV/ 2 at TERMS AND CONDITIONS The Permittee Jennifer Russell residing at 1562 North Hill Road Fishers Island, 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 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. Town Hall Annex Glenn Goldsmith,President ®��®� `�®��/y® 54375 Route 25 A.Nicholas Krupski,Vice President `® P.O. Box 1179 Eric Sepenoski D Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 COUMV,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 21, 2023 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: JENNIFER RUSSELL 1562 NORTH HILL ROAD, FISHERS ISLAND SCTM# 1000-6-1-19 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2023 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of JENNIFER RUSSELL 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 July 7, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: issuing a permit for the structures, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 16, 2023, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board.of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JENNIFER RUSSELL for the existing 2,312sq.ft. dwelling that includes 868sq.ft. of existing decks and porches; construct a 22.75'x20' one-story addition which includes a 5'x12' covered porch construct a 6'x8' porch; total new size of dwelling to be 2,708sq.ft., and decks and porches to be 887sq.ft; install gutters to leaders to two (2) 8'x4' drywells to contain roof runoff; and to establish and perpetually maintain a 25' wide No Mow Buffer area along the top of the bank; and as depicted on the site plan prepared by Peter M. Parrent, LPE, last dated June 16, 2023, and stamped approved on August 16, 2023. Permit to construct and complete project will expire three 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 my yours, 4' GI n Golds President, Board of Trustees GG:dd \ Drawing Copyright®2015 COASTAL EROSION HAZARD LINE N SHEET 48-Fl OF 49 N/F 1 S ` PC-4 I / BRYAN N. DANFORTH , R 5 ca N E 33 Wilbur Cross Way,Mansfield,CT 06268 F 101 East River Drive,1 st Floor N 5486.10 East Hartford,CT 06108 /> W 3534.86 860-885-1055 1 www.chacompanies.com I— -- -- -- -- -- -- -- -- -- -- -- N 15'39'55" W I181.76' U O� jl to \ Q+ N JUL 2023 '3 1 \ �'ds14 LO Southold Town \ \ W HAY Z Board of Trustees \ \ \ o HARBOR I \ \ • �,�' PREPARED FOR: I~ \ \ D JENNIFER RUSSELL \ \ LIMITS A of LAN TIDAL WETLANDS � � 1562 NORTH \ \ o � \ HILL ROAD, N \ --2 gR FISHERS ISLAND, FNp BOUNDARY IS THE » > NEW YORK \ \ _ \ �/ •\\ APPARENT HIGH WATER LOCATION MAP SCALE 1 =1000 \ \--k OF `��C \ 0 2NC ��_ \� 4`_ \\\ o• IN 4- APPROVED BY \ \ \ 20' SETBACK \_ _ \ \ lOERRY ��\\�\ 4, BOARD OF 1 RUSTEES EXISTING 25 MON. C �� �•\ \�\ TOWN OF SOUTHOLD WIDE RIGHT (FOUND) _ _ o OF WAY TO a /' �, �.. __ \ \ �\ \�`\•\ o+ DATE \ O \ NORTH HILL ROAD _ = '�6 `` CH RY zo F NE PROPOSED ONE STORY ADI�ION M. Pq O PGRAVELARKIN (SEE ARCHITECTURAL PLANS)AR 6, \ GFLPJ �-n ELECTRIC \ O \� _ \ \ \ r LU A. HAND HOLE WOOD FENCE \ �� \ \ \ n V w AROUND _ PROPANE \ \ \ \ \ - �-� AOPOSED o 1h TANK 1 \ \ \\ I I ��p 0995 g1 �� COVERED ,p PORCH I �� � � I I I ROFESS01 z o I I ^ 3ULKI ' \ / CHERRY HEAD \ . . ` 4„\ J I I O IT IS A VIaATNIN OF LAW FOR ANY PERSON,UNLESS THEY ARE \ \ C YI ACTING110EG UNDER THE DIRECTION OF A M PROFESSIONAL F (\ 6" / / I SURVEYOR TOA TER AN ITDA It Y /W IITTEM BEARMG THE 54.3• /� l�:l /� CHERRY / / / RING EN ARCHITECT iANI)SCAAPPE�A ALTERED,GOR i \\ SURVEYOR SHALL STAMP THE DOCUMENT AND INCLIAE THE PROPOSED `ROOF LEADER 3 / \ 8 NOTATION'ALTERED BY'FOLLOWED BY THEIR SIGNATURE,THE RESIDENCE PORCH -\— /CHER 4" `\ 1 ` I DATE a suC11 ALTERATION, IER A SPECIFIC DESCRIPTION DRAINAGE CALCULATIONS o APPR XIMATE F FF /• — / I N N S PET-IAC 18.1 4 / / ?/ 6„ CHERRY OF ME ALtERATwN 1 04 / EXISTING ROOF AREA = 1,665 SF 6' PVC WYE �GGF, /• I ROCK (TYP.) / \ ,� CHERRY NEW ROOF AREA = 461 SF OVERFLOW y �� 8" // CO O 17.96 , —� CHERRY TOTAL ROOF AREA = 2,126 SF �v / 1 6" PVC CU TO LENGTHT MIN. 6' SOIL COVER 51.1' REQUIRED = 2,126 SF X 2 IN/12 IN/FT = 354 CFf°`ER DRYWEZL- 17.35 • / 2 coNCRETE COVER ,� � 5 DRY WELLS FILTER FABRIC / 354 CF / 50.26 CF/VF = 7 VF REQUIRED PORCH WITH /. Qp CHERRY a USE TWO (2) 8'0 X 4' DEEP DRY WELLS. ° LIVING AREA , so'BEND—/ m ® o o m Go ABOVE s• SDR 35 PVC ° ® � MAP REFERENCES SLOPE AS REQUIRED O @ ® ® O a MON. 17.84 •/ G / / N j/ /�6 1. "SITE PLAN PREPARED FOR JENNIFER RUSSELL BLOCK 1 FISHERS PROJECT LOCATION: o 0 ® ® o ° (FOUND) / / / ISLAND, NEW YORK", DATE: MAY 6, 1990, SCALE: 1"=30', BY / / // / / /•/ 1562 NORTH HILL ROAD I* STONE OR ° ° ° ° ° i' "oo� // / j/ �/ // /j/ / CHANDLER, PALMER & KING 8' ,' �/C FISHERS ISLAND, 10. \ �� ��� /x 'PROPOSED 25 FOOT / 2. "SURVEY PLAN PREPARED FOR JENNIFER RUSSELL BLOCK 1 NEW YORK S MWA NOT TO SCALE w ,' / ,NO MOW BUFFER ZONE / FISHERS ISLAND, NEW YORK", SATE: JANUARY 26, 1994, SCALE: PROVIDE j 16� \ /) / �/ / / `••• 1"=30', BY CHANDLER, PALMER & KING 8'0 X 4' DRY WELLFOR /oe. // / — .Ir (IPPR SEE DETOOF Ai' i 1 ,moo / / / 3. "SURVEY MAP PROPERTY TO BE CONVEYED TO BRYAN N. N F \ ��-� ��� 1 / / / �� DANFORTH CRESCENT AVENUE FISHERS ISLAND, NEW YORK, DATE. � 02/21/2005, SCALE: 1"=40', PROJECT: 2004856, BY CME / MARK DAVID EICHORN & ASSOCIATES JANE DEDOLIETE KIDD EICHORN / O COASTAL EROSION HAZARD LINE // / /\OQ�. QJ 4. "SURVEY MAP PROPERTY TO BE CONVEYED TO MARK DAVID ,de 48-FI OF 49 / / / /'• EICHORN & JANE DEDOLIETE KIDD EICHORN CRESCENT AVENUE �, e � FISHERS ISLAND, NEW YORK", DATE: 09/26/2005, SCALE: 1"=30', �. / � � � PROJECT: 2005846, BY CME ASSOCIATES f�Cp �+ No. Submittal/Revision App'd, By Date \� / --_ ��/ ��j, \� 5. FIRM - FLOOD INSURANCE RATE MAP, COMMUNITY. TOWN OF o �,P �� / C2/ Gj SOUTHOLD. No. 360813, PANEL 16 OF 1026 MAP NUMBER 1 ADDITIONS CB CB 6/16/23 _� �Q` 36103CO19H EFFECTIVE MAY 4, 1998 REVISED SEPTEMBER 25, 2009 A� ELECTRIC UTILITY BORS / / / / �� / / / / / ��� / � 6. "SURVEY MAP PROPERTY TO BE CONVEYED TO BRYAN N. DANFORTH CRESCENT AVENUE FISHERS ISLAND, NEW YORK", DATE: • 07/28/2015, SCALE: 1"=40', PROJECT. 2015815, BY CME ASSOCIATES \ //� // /// Oo�o 5 m //// // / / RIGHT OF WAY / ' / / / / / t ,o NOTES LO / / / / MON. \ / / ,� 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE / / / . � /// / INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE / / / / / / / / / EXISTING N/F (FOUND) �� / PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR j / / // / // // //// / WIDE RIGHT , BRYAN N. DANFORTH _ / BOUNDARY IS THE / / / / / / OF WAY TO N P :__� '�\� i�6/ // // APPARENT HIGH WATER EXCEEDS THE SCOPE OF THE ENGAGEMENT. U) / / / / NORTH HILL ROAD ' STONE STEPS �� i ` / ,i _�/ /� /� �� 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY N / /� / / / / / ��__�` / / PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED / �� LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. N 5960.73 —�_ , �/ /�" // / 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND W 3667.96 m� �� I SURVEYORS SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL \ 1 �-- _ -� ! LEGEND �� EXISTING GRAVEL DRIVE ARE THE PRODUCT OF THE LAND SURVEYOR. i PROPERTY LINE Lo G --��' �'� :� i 137 ABUTTERS LINE -- 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND w `P -- \ L .��' �// EDGE OF PAVEMENT GEODETIC SURVEY TRIANGULATION STATION "PROS" Designed By: Drawn By: Checked By: _ _ --�— \ g•50. EDGE OF GRAVEL ------------------- NBC CB S EXISTING CONTOUR ———XXX——— 5. SITE IS IN THE TOWN OF SOUTHOLD, NEW YORK TAX MAP 1000, - > SECTION 6, BLOCK 1, LOT 19. Issue Date: Project No: Scale: z F I _ NOW OR FORMERLY NIF < i I z BOUNDARY POINT O 2-28-2023 080555 1"=20' DRILL U) t I N/F 6. TOTAL AREA = 1.4± ACRES (61,334± SF) AREA IS TO MEAN I– N/F I v I MARK DAVID EICHORN HIGH WATER HOLE DRILL HOLE DH O THOMAS MCCANCE, JR. I i & JANE DEDOLIETE (FOUND) MONUMENT ® Drawing No.: o LOT #2 i I KIDD EICHORN = 7. SITE IS LOCATED IN ZONING DISTRICT R-80. 20 10 0 20 t �I GRAPHIC SCALE IN FEET 8. VERTICAL DATUM IS BASED ON THE NORTH AMERICAN VERTICAL SHEET 1 DATUM OF 1988 (NAVD88) i� �QS�FFO(,rc0 Glenn Goldsmith, President ��o oy Town Trustees A Nicholas Krupski, Vice-President CO z 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly 'y�j oo�� Southold, NY 11971 Elizabeth Peeples '�` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JENNIFER RUSSELL c/o J.M.O. ENVIRONMENTAL Please be advised that your application dated July 7, 2023 has been reviewed by this Board at the regular meeting of August 16, 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) 1 st Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) 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: 23�y� TOTAL FEES DUE: $ 50.00 4A g,$.4 4�6� BY: Glenn Goldsmith, President Board of Trustees ti 1 e<'Su FFFF 0(,� Glenn Goldsmith,President � 00, Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly 4,- • o�� Southold,NY 11971 Elizabeth Peeples �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: eA&XejE Zl 4 Completed infield by: t<. jrd6..c,.,...•/�r� J.M.O. Environmental Consulting on behalf of JENNIFER RUSSELL requests a Wetland Permit for the existing 2,312sq.ft. dwelling that includes 868sq.ft. of existing decks and porches; construct a 22.75'x20' one-story addition which includes a 5'x12' covered porch construct a 6'x8' porch; total new size of dwelling to be 2,708sq.ft., and decks and porches to be 887sq.ft; install gutters to leaders to two (2) 8'x4' drywells to contain roof runoff; and to establish and perpetually maintain a 25' wide No Mow Buffer area along the top of the bank. Located: 1562 North Hill Road, Fishers Island. SCTM# 1000-6-1-19 Type f area to be impacted: Saltwater Wetland Freshwater Wetland Sound _.A5'ay Part of Town Code proposed w k 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/Mo ificati ns/Conditions/Etc.: Present Were: smith � N. Krups i �E. Sepenoski e(G Gillooly Peeples i You are currently running an experimental version of Learn more Send feedback Earth. X °"kyr . : -, 0 Aow , 'Y. ., v�. • .tom,-I.V mob.: •� >. - ' • ,, � .•f• pi i. 'l Com . M Google Earth Imagery date: 2/23/... 60m Camera: 337 m 41°16'15"N 72°01'... \ Drawing Copyright©2015 COASTAL EROSION HAZARD LINE N o SHEET 48-Fl OF 49 C-4, SLA BRYAN N./DANFORTH /> R S / CJ N 33 Wilbur Cross Way,Mansfield,CT 06268 fr 101 East River Drive,1st Floor I 548610 East Hartford,CT 06108 N . 860-885 I W 5486.10 -1055 1 www.chacompanies.com I N 15'39'55* W -- --- -- -- -- -- -- -- -- -- -- 181.76' P E0EIVE � oma' 1 �\ .,�\ • \ < 1 �°' JUL I w 7 2023 Qs14 a SOIJtho!l Town Beard of Tnlstees Q+' +� HAY IHARBOR LO \ \ N \ �.\ co PREPARED FOR: JENNIFER RUSSELL LIMITS OF\ \ 1562 NORTH TIDAL WETLANDS HILL ROAD, 0 \ \ FISHERS ISLAND, \ \ ���\,\ •' 9�FNT BOUNDARY IS THE LOCATION MAP SCALE 1 "=1000' NEW YORK \ \ \ APPARENT HIGH WATER OF \ \ \ \ \ -POpp`f \ \\ \ 20' SETBACK \ \ \ EXISTING 25' MON. � _ CHERRYNx\ OFD WAYGHT (FOUND) o l_NORTH HILL ROAD �� o \ /` t C RY _�— = \ \CH zo \ \ NF NEF PROPOSED ONE STORY ADDI ON GRAVEL (SEE ARCHITECTURAL PLANS PARKING \ ELECTRIC AR WOOD FENCE \ C \\ \ \ )11 rWHAND HOLEAROUNDPROPANE°` ROPOSED �01ro TANK '` 1009953 COVERED '� ;, 1 \ \ I 90FES sIONP� PORCH O \>` \ 42.7 U 5" \ O \ _ BULK CHERRY ) I I cv \ __ HEAD 4" I 4i tr Is A VIOLATION E LAM FOR ANY PERSOKLENS DWESSPROF SSIO ARE � . ACING UIDETt THE DIREC110N OF A LICENSED PROFESSIONAL C Y ' I ENGINEER,ARCHITECT,LANDSCAPE ARCHITECT OR LAND 6" SUR%EYOR TO ALTER AN nEM N ANY MAY.IF AN nEN BEARING THE / / o / ' I STAMP OF A LICENSED PROFESSIONAL IS ALTERED,THE AUERNG 1, CHERRY ENGNIM4 ARCHITECT,LANDSCAPE ARCHITECT OR LAND 54.3' SURVEYOR SHALL STAMP 1HE DOC111ENT AND NCWE THE \ 8" \ I NOTATION'ALTERED BY Fd1AMED BY TFE]R SIGNATURE,THE PROPOSED ROOF LEADER 3 PORCH / CHER 4" PROPOSEDRESIDENCE AP XIMATE F �`FF /• /j_ CHERRY\� 1 I DATE a SUCH ALTERATION AND A SPECIFIC DESCRIPTION OF THE ALTERATION. DRAINAGE C6=11-ATIa� 41 S PTHC 18.:4 4 � G /• I ROCK (TYP.) /� ,� CHERRY 1/ EXISTING ROOF AREA - 1,665 SF s' Pvc WYE 00 n �c, NEW ROOF AREA = 461 SF ° 2OW �G Fl / 8,. o TOTAL ROOF AREA = 2,126 SF Fj���0�`' 17.96 // 1 -� �� CHERRY / / l � 6' PVC CUT 51.1' �� TO LENGTH MIN. s' SOIL COVER REQUIRED = 2,126 SF X 2 IN/12 IN/FT = 354 CF �� DRYMELL 17.35 ) / 5' l DRY WELLS FILTER FABRIC ONCRETE COVER CHERRY 354 CF / 50.26 CF/VF = 7 VF REQUIREDPORCH WITH USE TWO (2) 8'0 X 4' DEEP DRY WELLS. LIVING AREA / so•BENo m ® ® o m � ABOVE / ��F� � // / /% // / / MAP REFERENCES s• SDR 35 PVC17.34 / / / / // / 1. "SITE PLAN PREPARED FOR JENNIFER RUSSELL BLOCK 1 FISHERS PROJECT LOCATION: SLOPE AS REQUIRED O ® O MON. �.1 /°° m ® ® @ m (FOUND) / ISLAND, NEW YORK", DATE: MAY 6, 1990, SCALE: 1"=30', BY O / / / / / i% / / / /'� T' STONE OR o ® ® m m e I• i `oo� / / ���' / �/ / /j/ CHANDLER, PALMER & KING 1562 NORTH HILL ROAD, scREENLro GRAVEL / ,/� FISHERS ISLAND, ' s' '• _ � 'PROPOSED 25 FOOT / 2. "SURVEY PLAN PREPARED FOR JENNIFER RUSSELL BLOCK 1 NEW YORK STORMWATER DRYYIELL_DETAIL 10' .� /' ,NO MOW BUFFER ZONE / FISHERS ISLAND, NEW YORK", SATE: JANUARY 26, 1994, SCALE: NOT To SCALE z �!-16 • / i / / " / / 1"=30', BY CHANDLER, PALMER & KING PROVIDE � / 8'0 X 4' DRY WELL • _ / / I(� / / ( FOR RUNOFF—ETAIL) �,�.00, _ 4�/ / I ^o / / /� / 3. "SURVEY MAP PROPERTY TO BE CONVEYED TO BRYAN N. co DANFORTH CRESCENT AVENUE FISHERS ISLAND, NEW YORK, DATE: N/F _ /�2 1 / / / / �� 'S� 02/21/2005, SCALE: 1"=40', PROJECT: 2004856, BY CME MARK DAVID EICHORN & \ j/ �1g / / // / / �h • �O ASSOCIATES / JANE DEDOLIETE KIDD EICHORN = COASTAL EROSION HAZARD LINE / • �a- // �\p��. �\, 4. "SURVEY MAP PROPERTY TO BE CONVEYED TO MARK DAVID / Q SHEET 48-R OF 49 ,gyp i / C-3EICHORN & JANE DEDOLIETE KIDD EICHORN CRESCENT AVENUE / Al FISHERS ISLAND, NEW YORK", DATE: 09/26/2005, SCALE: 1"=30', �' PROJECT. 2005846, BY CME ASSOCIATES No. Submittal/Revision /,per ('� � App'd By Date 5. FIRM - FLOOD INSURANCE RATE MAP, COMMUNITY: TOWN OF G) SOUTHOLD. No. 360813, PANEL 16 OF 1026 MAP NUMBER 1 ADDITIONS CB CB 6/16/23 �QL 36103CO19H EFFECTIVE MAY 4, 1998 REVISED SEPTEMBER 25, 2009 �XZ' ELECTRIC UTILITY BOXS / / / ������ / ,�P� 6. "SURVEY MAP PROPERTY TO BE CONVEYED TO BRYAN N. / / �C DANFORTH CRESCENT AVENUE FISHERS ISLAND, NEW YORK", DATE: 07/28/2015, SCALE: 1"=40', PROJECT: 2015815, BY CME Q // ------- EL-46 // ° JPP ASSOCIATES 0 m RIGHT OF WAY \i �� // // /// �� NOTES / o / Ln MON. ��Q / // �/ f 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE / / // // // / // N F (POLAND) \ `• � // /� INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE 00 1-1 / PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXISTING 25' BRYAN N. DANFORTH �/ / / BOUNDARY IS THE EXCEEDS THE SCOPE OF THE ENGAGEMENT. / / / / / // // / WD WAY TO i—! ----- �/ �6/ // // APPARENT HIGH WATER U) / / / / / / / / / NORTH HILL ROAD STONE STEPS =i ` �/ / / // �� 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY _ /� / / PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED / / / / / / _ —— — —— —— _— —— - �/ /�- / y / �� LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. Li of i/ _ —f // / 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND o N 5960.73 _ — - -_�_ , moi/ /� �/ // �� SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK; SEAL o W 3667.96 �� �!_ \\ I LEGEND ARE THE PRODUCT OF THE LAND SURVEYOR. y ` .�/ PROPERTY LINE LO G� EXISTING GRAVEL DRNE - 0' ABUTTERS UNE -- 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND In 06 GEODETIC SURVEY TRIANGULATION STATION "PROS" Designed By: Drawn By: Checked By: s O EDGE OF PAVEMENT 00 EDGE OF GRAVEL NBC CB �342lO EXISTING CONTOUR ---XXX--- 5. SITE IS SECTION 6, IN THE TOWN OF19. SOUTHOLD, NEW YORK TAX MAP' 1000, Issue Date: Project No: Scale: I I NOW OR FORMERLY N/F >- t ® 2-28-2023 0805 55 1"_ 20' Q DRILL BOUNDARY POINT ® 6. TOTAL AREA = 1.4± ACRES (61,334± SF) AREA IS TO MIEAN iIn it DHO N/F HOLE DRILL HOLE Drawing No.:N F MARK DAVID EICHORN Z w THOMAS MCCANCE, JR. I i & JANE DEDOUETE (FOUND) MONUMENT o 20 10 0 20 LOT #2 i i KIDD EICHORN I t 7. SITE IS LOCATED IN ZONING DISTRICT R-80. I = MOW 8. VERTICAL DATUM IS BASED ON THE NORTH AMERICAN VERTICAL SHEET 1 i i t I iI GRAPHIC SCALE IN FEET DATUM OF 1988 (NAVD88) � I ter ur u-xwe r trios rtom no°` FRS as mtow /H um m +D ntsn /p' /s • x9A tr �\, ,S/qNo N Z\� mE scc No tm j 11(w N �w 12 / la 311 �� m GSA CRESCENT \_— f4 IJ 4 tl TM A x1A S1 1 yVµct o •�- .o ].sA • O 1M J r� . 61 1M 0 mag sV . _a w __ 4 �� �HNN.aI to uvIA a t 13, a 04 O \+ 110 ]. 112 K l0A 4 ff, t7A 119 ' �'x 1.xA • 9 O 3.r3 le) ^'11 z wEsctEitT AVE. a'�/. C Fsa l]OJ ? 5 21- wE / /= z.a u to 11. u ms t/t] tMkt 1x xaA v s 99] 1qA ON rv\•`t;' 15 �u �M Z tet r 5 sr a 1A(c) mus, �c' 119 ms _ 2- 0 �sA t 1: 0yq is]. O ¢ "A �,� r, tt ttss• E T1Ak1, t� 2 2A(.) m� 1 E _ _ �..... 1 — — 2 -- �'— _ _ �u _ _ �,,,,• NOTICE daa7!.� COUNTY OF SUFFOLK © e ff a SECTION NO x' Real Property Tax Sernce Agenq V E 006B__ —_—_ _ CNNI2CMNMrNNr,N111M ppg of U.rr_ �i . a�HNw 1x�A u..w. --.-- r.�--�-- yew. r Jyf�Y✓ A rover ra 1000 P pRpPERTY MAP 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: August 10, 2023 Re: LWRP Coastal Consistency Review for JENNIFER RUSSELL SCTM# 1000-6-1-19 J.M.O. Environmental Consulting on behalf of JENNIFER RUSSELL requests a Wetland Permit for the existing 2,312sq.ft. dwelling that includes 868sq.ft. of existing decks and porches; construct a 22.75'x20' one-story addition which includes a 5'x12' covered porch construct a 6'x8' porch; total new size of dwelling to be 2,708sq.ft., and decks and porches to be 887sq.ft; install gutters to leaders to two (2) 8'x4' drywells to contain roof runoff; and to establish and perpetually maintain a 25' wide No Mow Buffer area along the top of the bank. Located: 1562 North Hill Road, Fishers Island. SCTM# 1000-6-1-19 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 INCONSISTENT with Policy 6.3 of the LWRP. The as-built structures were constructed without Board review. 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 FDJ/( 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., August 9, 2023, the following recommendation was made: Moved by John Stein, seconded by Carol Brown, it was RESOLVED to SUPPORT the application of JENNIFER RUSSELL to construct a one- story addition to the existing dwelling and a covered porch. Located: 1562 North Hill Rd., Fishers Island. SCTM#6-1-19 Inspected by: John Stein Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: AOL MAIL <gjust10215@aol.com> Sent: Wednesday,July 19, 2023 1:47 PM To: Cantrell, Elizabeth Subject: Re:Jennifer Russell application Existing house is 2312 sq ft. Existing decks and porches are 868 sq ft Proposed addition 396 sq ft proposed porch 63 sq ft Please note that the existing front porch (44 sq ft) will become part of the addition Final total areas Final house 2708 sq ft Final decks and porches 887 sq ft Best- Glenn On Tuesday, July 18, 2023 at 03:25:59 PM EDT, Cantrell, Elizabeth <elizabethc@town.southold.ny.us>wrote: Hi Glenn, I received your applications recently and started looking at them quickly so as to try to add them to the F.I. trip. Regarding the house addition, can you please email me the square footage of the footprint of the existing house and square footage of existing covered patio area for the application. When you propose an addition, we have to permit the house too. Elizabeth Cantrell Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov 1 z�? F � Town Hall Annex Glenn Goldsmith,President f Uj *�_ A.Nicholas Kru � �� �•, 54375 Route 25 ski,Vice President {{4, r p Y -' P.O.Box 1179 Eric Sepenoski - H Southold,New York 11971 Liz Gillooly ` Q �� Telephone(631) 765-1892 Elizabeth Peeples `1yQ �y Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application X Wetland Permit Application J U L - 7 2023 Administrative Permit --Amendment/Transfer/Extension X Received Application: 7.1IJ Southold Town x Received Fee: Imo. Board of Trustees �-Completed Application: 7 - Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): X LWRP Consistency Asses men Form Sent: X CAC Referral Sent: -77-NO/C43 X Date of Inspection: Receipt of CAC Report: _Technical Review: _ _L_Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Jennifer Russell _ Mailing Address: 8 East 83rd Street, New York, NY 10028 Phone Number: 631-788-5556 Suffolk County Tax Map Number: 1000- 6-1-19 — Property Location: 1562 North Hill Road, Fishers Island (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): JMO Environmental Consulting/Glenn E. Just Mailing Address: P.O. Box 447, Quogue, NY 11959-0447 Phone Number: 631-653-0607 Email: nifer929@gmail.com ��'�1a3 Board of Trustees Applic."__on GENERAL DATA: . Land Area(in square feet): 61;344 _ R Area Zoning:: 80 Previous use of.property, Existing single family dwelling Intended use of property::Single family dwelling 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 _nNo. If"Yes",be.advised this application will be reviewed by 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 eopy of decision. his project re any demolition as per.Town Code or as determined by the.Building Dept.? Yes ✓6 No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date, N.Y.S.D.E.C. 12/16/91 Town Trustees ..... . .. .:..:.... : ... .....::.. . 1991'. .:. ...:, .. . ..... ...:.: ❑ No prior permits/approvals for.site`improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?�NoFy Yes, If yes, provide explanation'.— . AOp6®nt poponea to wnsWcl23.75Y2P Ona V.,y addlan onto an exMng tingle family dx Uing;which inclddes a Sk1Y roved porch;Install lea Project Description (use:attachments if necessar Y). Board of Trustees. Ai*iica'�46`on. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:.Addition to an existingsingle familky dwelling. Area of wetlands on lot: 5:,000 square feet ,Percent coverage of lot: .n/a % . Closest distance between nearest existing structure and upland.edge of wetlands: 00. feet Closest distance between nearest:proposed structure and upland,edge of wetlands:,.9 �$ feet Does the project.involve excavation or filling?, No �_Yes If yes, how much material will be excavated?. 10 cubic yards How much material will be filled?.1 0 cubic:yards Depth of which.matetW will be removed or deposited: 6. ..`.: . . ...: feet Proposed slope throughout the area of operations::1 :1 Manner in which material will be removed or deposited: Backhoe 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): The proposed project should have no negative impacts upon the wetlands:or the tidal waters of the Town. 617.20 Appendix B'. Short Environmental Assessment Form, Instructions:for Completing' Part l -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 informationcurrently 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 I.. 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: Parti =Project and Sponsor Information Name of Action or Project: Proposed addition.to an existi_ngsingle family dwelling . Project Location(describe;and attach a location map): 1562 North Hill Road, Fishers Island. Location map enclosed. Brief Description of Proposed_Action:' Applicant.proposes to construct a 20.75'x20' one story addition onto an existing single Tamil Name of Applicant or.Sponsor: . . Telephone:631-788 rj JreJ6 Jennife Russell E-Mail'nifer92,9@gmaii.com Address".. 8 East 83rd Street CitylPO. State:: Zip.Code: New York i NY 10028 1:Does the proposed'actiori'only involve the legislative adoption of a plan,local law,,ordinance; KQ YEs' administrative rule,.or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental'resources that may 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:othergovermental,Agency? N0' YES If Yes;list agency(s)name and permit or approval: Southold-Town Trustees, Southold Town Building Department & N.Y.S.D.E.C. 3.a.Total acreage of the site of the proposed action? 1.4 acres b.Total acreage to be physically disturbed? Q 01 ..acres c.Total acreage(project site and,any contiguous.properties)owned or controlled by the applicant or project sponsor? 1 4` acres 4. Che I land us at occur on,adjoining A60-apt the propqsrA action. Urban- L!JRural.(non-agriculture) Industrial Commercial ❑Residential(suburban) . Forest ❑Agriculture. Aquatic _ Other(specify): Parkland Page 1 of 4. 5. Is the proposedaction; NO YES: N/A 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 YES. ,. 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:'.Fishers Island.Sound Fv 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 ofthe proposed action? 9.Does the proposed,action,meet or ezceed'the state energy code requirements? NO..; ::YES'. If the proposed action will exceed requirements,describe design features and technologies:. 1.0:'Will the proposed action connect to an existing public/private water supply? NO YES. If No,describe method for providing potable water: 11:Will ihe.proposed actionconnect to existing.wastewater utilities? NO YES If No,describe method for providing wastewater treatment:_.. 12. .a.Does the site contain a siructure'ihat 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 proposedaction,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.? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:_ 14.9Wetland ntify the typic kat types that oc n,or are likely to be found on t roject site.. Check all that app y: Shoreline . Forest Agricultural/grasslands .Early mid-successional Urban Suburban .. B.Does the site of the proposed aciion.coniain 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;actioncreate storm wafer,discharge,eitherfrom point or non=point sources? PNO If Yes;' a. Will storm water discharges flow to adjacent properties? O ES .� ❑.: .. b. Will storm water discharges be directed.to established conveyance systems ff an m.drains)? If Yes,briefly describe: N0 YES Page 2 of 4 18._Does,the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(p.g.,retention pond,waste.lagoon,dam)? If Yes,explain purpose and.size: 19.Has.the,site ofthe proposed action or an adjoining,property been the location of an active or closed NO' YES' solid waste management facility? If Yes,describe: oa 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:_ IAFFIRM THAT.THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE . name: ,Glen uSt. Applicant/sponsor Date: Signature: Part 2-Impact Assessment. Lead Agency is responsible for the completion of Part 2. Answer all of the;following questions in Part 2 using thein mation contained in Part I and other materials submitted.by the project sponsoror otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact. : impact .::may may occur occur 1: Wi11 the proposed action create a material conflictwith an adopted land use plan or zoning regulations? ii 2. Will.the proposed action result in.a change in the use or.intensity of use of land? Q .3. .Will.the proposed action impair the character or quality of the existing community? 4.1 Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in.an adverse change in the existing level oftraffic or affect existing infrastructure for mass transit, biking or walkway? a: 6. W ill,the proposed action cause an-increase in the use of energy and it fails to incorporate reasonably availableenergy conservation.or renewable energy op ortunities?: a 7. Will the proposed action.impact existing: a. public/private water.supplies? b.public/private,wastewater treatment utilities? a 8. Will the proposed action impair the character or quality of important historic,archaeological, a. architectural or aesthetic resources? El 11 . J. 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, a Q waterbodies* groundwater,air quality,flora and fauna)? Page'3 of 4 No,or Moderate. small to large impact impact may may _ occur occur 10. Will the proposed action result in an increase in the pofentW for erosion,flooding or drainage problems? 0. EI 11. Will the proposed action create a hazard to environmental resources or humari health? a,... EJ Part Part 3-Determination of significance. The Lead Agency is responsible for the completion'of Parti. 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 inforrriation 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 Southold-Board of.Trustees Name of Lead Agency Date President Print.or Type Naive of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Prepares(if different from ResponsibleOfficer) . PRINT Page 4 of 4 APPLICANT/AGENUREPRESENTATIVE . TRANSACTIONAL DISCLOSURE FORM - The Town of southol6 Code of tihics niohibits_conflicts'b interest:on the part Qf town;offcers and employees:The niuvose of this fbrTn`is toprovide information which canalert:ihe tawn`ofpossible conflicts of.irlterest soli allow it to take:whatever action is necessary fo avoid:same:: . YOURNAME: Just,::Glenn. E. (Last.name first name,ipiddle initial;unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) . NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee ✓ Change of Zone` Coastal Erosion Approval of plat Mooring. Exemption from plat or official map Planning Other (lf"Other",name the activity.) Do you pe.rsonally(or,thtough;your:company,spouse,sibling;parent,.orchild).hoe a relationship::withi arty.otficer or:employee : of the Tow n.of Southold?. "Relationship'.'includes 6:blooa marriage,or business interest."Business interest"means a business, including, partnersliip;in which the:iown officer or.employce:has:even a.partiial ownership of(or employment by)a corporation in which the employee owns more thbn 5°/o dt.ihe shares. YES n . : NO n 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.br position of that person Describe,the relationship between yourself(the applicant/agenttrepresentative)and the,town officer.or employee.Either check the appropriate line A)through D)and/or describe in space provided. The town officer or employee or his or her spouse,sibling,,parent,'or child is(check all that apply): _ELA)the owner of greater than-31/4+0f the,shares of the corporatc stock ofthe appiictuit. f1 (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 ay of 20, 3 Signature. Print Nam Just' —... . :— Form TS 169k .. • ---- — Board of Trustees Applic on . AUTHORIZATION (Where the applicant is not the owner) I/We, Jennifer Russell , owners of the property identified as SCTM# 1000-6-1-19 in the town of Fishers Island --,New York,hereby authorizes JMO Environmental Consulting 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. Pr eo Owne 's Signature Property Owner's Signature SWORN TO BEFORE ME THIS , DAY OF l"! , 20 ?/3 Notary Public JOHNATHAN URUCHIK4A NOTARY PUBLIC STATE OF NEW YORK No.01 UR6381271 Qualified In the County of New York Commisslon Expires October 1,2D26 Board of Trustees Applic�- on AFFIDAVIT Jennifer Russell BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK.WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF.TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I.FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. �t Si at a of:P4 er.y Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF / ,.20 79 Notary Public ,,OH�THM URUCHiMA NOTARY PUBUb STATE OF NEW YORK No:01 URM1271 Qualified In the county of New York Commission Expires October 1,2026 i Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: 'r+A J��f`� Prd 2�T1� 6 i 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 ,NOTICE OF HEARIN 'G 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: JENNIFER RUSSELL SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 2,312sq.ft. dwelling that includes 868sq.ft. of existing decks and porches; construct a 22.75'x20' one-story addition which includes a 5'x12' covered porch construct a 6'x8' porch; total new size of dwelling to be 2,708sq.ft., and decks and porches to be 887sq.ft; install gutters to leaders to two (2) 8'x4' drywells to contain roof runoff; and to establish and perpetually maintain a 25' wide No Mow Buffer area along the top of the bank. Located: 1562 North Hill Road, Fishers Island. SCTM# 1000-6-1-19 TIME & DATE OF PUBLIC HEARING: Wednesday, August 16, 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 Glenn Goldsmith,President ��SvSfFDco Town Hall Annex A.Nicholas Krupski,Vice President „�� Gym 54375 Route 25 Eric Sepenoskiti ` P.O.Box 1179 Liz Gillooly o Southold,NY 11971 Elizabeth Peeples 'y��l �aO Telephone(631)765-1892 4 �yr Fax(631)765-6641 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JENNIFER RUSSELL 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 ON EIGHTH DAY OR LATER I, J LS-�- , residing at/dba2.(T���p��n(`�l1 l being duly's-worA, depose and say: That on the:2r% , day of V\u uu , 2*3 , I personally posted the property known as ��v�w�✓ �uss�l� 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,August 16,2023. Dated: igna e) Sworn to before me this f0 day ofAtW 2023 Al Atli —OL -0£ ludN soildx3 uolsslwwo0 tialDIANE DISALVO RlunoO Blo)InS ul pellllone NOTARY PUBLIC-STATE OF NEW YORK pwv £69901010 'oN No. O1 D1475593 Notary Public )jdOA MBN iO 31vis-onand AMON Qualified In Suffolk County 99��� OA1dS10 3N`d10 My Commilslon Expires April 30. 20 10- Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: Z&6t6 P'I,SSiAa NAME: ADDRESS: s ac0a N3C '1 S7, rs Tsl � GP STATE OF NEW YORK COUNTY OF SUFFOLK Gena residing at P i�(�. �\1ejys&&&I c`( , being duly sworn, deposes and says that on the day of , 20 3-3 , deponent mailed a true copy of the Notice set forth in the Board of rustees 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 RECEI .1 - Sworn to before me this Signutre Day of , 20 DIANE DISAL NOTARY PUBLIC-STATE OFF NEW YORK 1475593 Notary Public Qualified in Suffolk County My Commission Expires April 30, 20?_� Postal • ServiceTM PostalCERTIFIED e O RECEIPT e tJ r Er Fr3 i � O CO ,- L _ :9• t ,i _ n Ith a�u'9 JI l-l�.r �'• 1 •{i II n •,,.1•�, t ' '' r y ~f; i I 1• .. 's��,c-:af - „ .:.r � .€"' \�W�'- .,a=;) ,,✓�:'-*;'' 'w f. "ccr Ln Ln `' _ "'' Certified Mail Fee Certified Mail Fee, y, _, /85 0:199'� I I $4.35 X d 5 COc0 $ 13.55 \ ; ED t=, $ $3.55 1 Extra Services&Fees(check box,add les a/�edat '� ;•�', Extra Services&Fees(check box,addle. ate) {�; 1 E]Return Receipt(harcicopy) $ P� ❑Return Receipt(hardcopy) $ -r,--rn-r—I `( U ( . C7 ❑Return Receipt(electronic) $ 'p tr•r1�r f P O El Return Receipt(electronic) $ AVPostmark C3 ry 11' { 07 p �, 0 ❑Certified Mail Restricted Delivery $ t 1•111 I �� Here �t%? ❑Certified Mall Restricted Delive $ _ [IIJ ` 6 l �4 t' C3 ❑Adult Signature Required $ � �� 0 E]Adult Signature Required $ [:]Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ `� J C3 '•.,, S( �, i rW $1.66 `L6� �� ra Postage $0.tiffs __, •. Postage 0-. $ 1y��pt try Q' $ 1;1?:31/2(123* O Total Postage an sr I I '���'*'2 }+� I C3 Total Postage and fgest . rq $ r�9 Sent To , � Sent To 1�' G� c ���_1�` _b__ asd,_ 1 _ �-3_ t, (iv1 N_ �_ Q`11.�i�__ �C ------ Streetand o.,or O Box o. e and Apt.No.,or P Box No. tt,:--- - vim --=�'-I--------------- �, stele. �� - - e LI 4 v • • • ■'Complete items 1,2,and 3. A. a r 0' Print your name and address on the reverse '+. t`¢; ❑Agent so that we can return the card to you. Xr y,: ❑Addressee ■ Attach this card to the back of the mailpiece, . Rec b'(P`n d amej C. D to of slivery or on the front if space permits. I. Article Addressed to: D. Is delivery address different from item 1? Yes Zctka". (� �C � If YES,enter delivery address below: p No j MG(1Cd,k Wc� 3. II I IIIIII IIII III I II II III II I I Illli II I I I III II III 11❑Adult Service Signature R ridte'd Delivery ❑Registeredgs ered Mai[TT1:1 Priority Mall -ss® eult Si nate v Mall Restricted 9590 9402 3797 8032 4500 82 Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for❑Collect on Delivery' Merchandise - 9_ Article Numberr(rransfer from service label) ❑Collect on Delivery Restricted Delivery 11 Signature ConfirmationTm. 7016 091 L ❑Insured Mail ❑Signature Confirmation 0 0 01 8 5 51 8 0 91 `ured Mail Restricted Delivery Restricted Delivery er$500)'.. PS Form 381,1,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt JMO ENVIRONMENTAL CONSULTING P.O.Box 447 Q,UOGUE,NY 11959 631.653-0607 August 4, 2023 D E C [ W E AUG - 7 2023 Diane DiSalvo Board of Town Trustees Southold Town Town of Southold Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Application for Jennifer Russell 1562 North Hill Road, Fishers Island S.C.T.M.No. 1000-6-1-19 Dear Diane- Enclosed please find the Proof Of Mailing Of Notice as well as the certified mail receipts for this application. ft G .AJust Town of Southold . . LWRP CONSISTENCY ASSESSMENT F.ORM. 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.inform tion.used.by a :Town of:Southold agency in making.a determinationof consistency. *Except minor, exempt.actions including Building Permits and.other.ministerial permits not located within the;Coastal Erosion Ha;ard.Area.:. 2: Before answering the questions.in Section C; the prepares of this foam should:review the:exempt minor action list; policies'and explanations:of eachpoliey contained'in the Town of Southold Local Waterfront.:Revitalization Program: A`proposed` action.:will.:be ev aluated. as to its significant beneficial and adyerse'efFects~upanihe coastal area(which.includes all of Southo[d Tawn1 . :3.:, If 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 :eacii`answer'must:be ex lained in:`detail.:`listin bdth 5u ` artiin "and.none suptior ma facts. If an action cannot be certified as consistent with the LWRP.policy standards and conditions,i shall not b'e undertaken:' A copy:of the LWRP is available the following'places: online at the Town of Southold.,s website'(southoldtown.northfork.net), the Board of Trustees`Off ce,the Planning_Department, all local libraries;and the Town Clerk's`office. B. DESCRIPTION OF SITE.AND PROPOSED.ACTION SCTM# 6 PROJECT NAME..Proposed addition to an existing single family.dwelling The Application has,been submittedtp (check appropriate response): Town Board Planning Boards ..Building Dept. rustees ✓ ❑.. iDBoardpf T. .. 1. Category:of Town of Southold.agency action(check appropriateresponse): (a). Actionundertaken directly,by.Town agency(e.g.capital ci construction,planning activity,agency regulation; land karisaction)' (b) Financral assistance.(e.g..,grant,loan;subsidy) (c). Pemut,approval,license,certification:' . `/ Nature and extent of action: AppOcant propaosea to epnsW ct a 20.76k20'one story add'Non which Iniludea 8 Sk1Y eoyerad po h;a 6'[8'poieh;install Ieedere and gudem leading to two(2)Wx V Cry weIN and to establish 8 26 wide tro mow buftermne Location of action: 1562 North Hill Road, Fishers Island Site acreage: 1.4 Present land use:. Existing single family.dwelling Present'zoning classification: R-80 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: Jennifer Russell._ (b) Mailing address: 8East 83rd Street New York, NY 10028 631-788-5666: (c) .Telephone number: _ Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No.7 If yes,which state or federal agency? N.Ys:D.E.C. C. Evaluate the project to the following policies by analyzing how the project will further support or not support.the policies. Provide allproposed Best Management Practices that will further:each policy. . Incomplete`,answers will require that the form be returned for completion. DEVELOPED:..COAST POLICY Policy L.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. No D Not Applicable �✓ Yes The project will have no impact upon the character of the.community. 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 a No 0 Not Applicable 1 There shall be no impact upon any known historic or archaeoloical resources. Attach additional sheets' necessary' Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑✓ Yes ❑ No❑ Not Applicable THere will be no impact upon scenic resources or the visual quality of the Town. 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 FV] Yes ❑ No ❑ Not Applicable The project will not impact structures or natural resources by 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 FvlYes ❑ No Dot Applicable There will be no impact upon the quality or supply of water. Attach additional sheets i 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. 0 Yes []NO ❑ Not Applicable Thm.mL be no ftxA upmf the gwEW mWNnelon of Ao Tema aweW"wafalctlf of SgnNaenf Caaaal Flan aM W 9W Hatlnm.7n.kovIdOw of a naNml um6mav buffwunnwwM.id as wn9. 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. a Yes ❑No❑ Not Applicable There will be no impact on the quality of the air 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 W Not Applicable The project does not involve solid waste or hazardous substances and wastes. 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. nn R] YeLl No❑ Not Applicable There will be no impact upon the public access to, or the receational use of, coastal waters, public Ian( 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 Thero'ec ill av im ac u I ' - s,'llirg of new r- rn 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 The ro'ect will have no impact upon the sustainable uses of living.manne resouces.. . Attach additionaTsheets.ifnecessary Policy 12.. Protect-agricultural lands in the Town of.Southold. See LWRP Section III -Policies;Pages 62_through 65 for evaluation criteria. E]Yes :No 0 Not Applicable The.project does.not involve agricultural lands. It felt that this policy is not applicable to_this project 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 The' ro'ect does not involve the use or develo ment.of energy or mineral resorces. It+is..:felt that,tis pol. PREPARED BY Glenn E. Just TITLE Agent DATE.7/5/2023