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HomeMy WebLinkAboutTR-10495 Glenn Goldsmith, President � 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®UNTI,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; ' ,o" l�tii'a:,,.r..� t.w"'j°1..�.»S",�'+'a�"�YC�S#;!5G�7s.:,v'r ..caa:R8:6'2 .2.1tL�k:"1X'• "Td".�' ,�r.;;7t+�2'�H'..T`"�'if3S_""..x83.''A'9iA.`.9L''4'..S�`r:Y4,�.+�' '?.t�fi"a"��.�hfi�`.'�C`:➢ .7°..:°�".&Lt � r y, A BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK k , t • ; PERMIT NO. 10495 DATE: NOVEMBER 15.2023 k-- ISSUED TO: DONNA M.WEXLER REVOCABLE TRUST G. PROPERTY ADDRESS: 1175 HILL ROAD WEST.SOUTHOLD =1 w SCTM# 1000-70-4-23.1 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 November 15, 2023, ; and in consideration of application fee in the sum of$2500.00 paid by Donna M. Wexler Revocable Trust. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the existing 2,080sq.ft. dwelling; construct a 10'x14.8' addition in place of ; t existing deck section on southeast corner of dwelling; on landward side of dwelling construct a s 3'x9.1' one-story entry addition; a proposed 3'x6' porch addition; a proposed 19.7'x22.7' roofed over car port; and.existing±42.6'x10' seaward side deck;with the condition to establish and perpetually maintain a non-turf buffer seaward of the house,between the house and the bulkhead; and as depicted on the revised site plan prepared by James J.Deerkoski,LPE,dated November 29,2023,and stamped approved on November 29,2023. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year first above written. r s ca �h TERMS AND CONDITIONS The Permittee Donna M Wexler Revocable Trust residing at 1175 Hill Road West, Southold, 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. Glenn Goldsmith,President ®� so Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ,�®� ®�® P.O. Box 1179 Eric Sepenoski jr Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® y® Fax(631) 765-6641 cou 'N' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 29, 2023 Tom Quarty P.O. Box 1949 Southold, NY 11971 RE: DONNA M. WEXLER REVOCABLE TRUST 1175 HILL ROAD WEST, SOUTHOLD SCTM# 1000-70-4-23.1 Dear Mr. Quarty: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 15, 2023 regarding the above matter: WHEREAS, Tom Quarty, on behalf of DONNA M. WEXLER REVOCABLE TRUST 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 October 10, 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 November 15, 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, 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, 2 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 DONNA M. WEXLER REVOCABLE TRUST for the existing 2,080sq.ft. dwelling; construct a 10'x14.8' addition in place of existing deck section on southeast corner of dwelling; on landward side of dwelling construct a 3'x9.1' one-story entry addition; a proposed 3'x6' porch addition; a proposed 19.7'x22.7' roofed over car port; and existing ±42.6'x10' seaward side deck; with the condition to establish and perpetually maintain a non-turf buffer seaward of the house, between the house and the bulkhead; and as depicted on the revised site plan prepared by James J. Deerkoski, LPE, dated November 29, 2023, and stamped approved on November 29, 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 truly yours, Glenn Goldsmi h President, Board of Trustees GG/dd SITE DATA: SCTM# 1000-70-4-23.1 DESCRIPTION: SQ FT.AREA: LOT COVERAGE: EXCAVATE: FILL: r /• PROPERTY 431%8 S0.FT. ' c"_� �'��^I:."~ - /• PPOPERTYWETIANDS: 3363.054IT. /• BUILDABLE PROPERTY: 418358 S4 FT. (' /• ESTIMADA OF O i /• GROUNDDISISTUABANCE A/-u.0005Q Fi ` NOV 29 2 _ I /• EXISTING HOUSE: 308054 FL SA% - - 144.1 / I i 1 \ ]]2054 FT. L]% _ 6tLUN�, EXISTING PORCH/DECK: 00- ��R�. p� (Co,ERTTOFINISHEDSPACE) [�] EXISnNGACCE550RY BIDG. 748850,FT. 1.0% OCKFy /. PROPOSED ADDITION! 1J.054PT. 0.1% ssCU.YD. BN.YD. �j 0J i PROPOSEDPORCH: Ie 0S4 FT. 0.1% 8w,YD. 4CU.YD. 1L/�J, O 'Z. _•� •� y\ 7� PROPOSED CAR PORT: 44].254 FC 1.1% 75NYD I IO N.YD. W A Q�Js O0J4T,i •_y `y\ ------------ ZONE E XF1 PROPOSED DRYWELLS: 6-Bala 4'deep - 30 CO.YD. 15 w.YD. ^ O YY YNF/E� _•sf'1oN.TURf+y `�4',j,''•� __ZON8J IO ToiAt: 0 BUFFEfl- -�...y y--r : �l NE Ala 4043.0 SQ R. 9.8% 88 CU.YD. 37 CU, _� y !� / i i ARFlL - `i1 /•/ •� �' :i --� ZONE METES AND BOUNDS BY:YOUNG AND YOUNG 10/18/2017 a /• '., �.4`z.s: � BBT � 1�) /•/• 9 •EXISTING DECK• i.y UL ) GROSS FLOOR AREA GFA C�f �/ /. `•339 I - W NAME AREA /• I G EXISTING IST.FLOOR FINISHED SPACE 23fi0 sq ft. yJ /• :ti G PROPOSED—N FLOOR 412 sq FL 4�O ' „ .RaZ;�;; :.]8�� I J� TOTAL 2772 sq � � A ..io:o�... /• EXISTING I STY HOOSE 2NO SLYLn 1 /SI Fe O Ok k1CP B : rR4 :............iI:r........... , /li O rT7 Frl `t NEwRaoPARFA:ssBBs4 • 1 AT 100%WATERx :IP1.3CU.FT 3RO%6.0 SILT FENCE PROYIDE(1)4'DI —EEPDRYIYPILB PORCH 1 TOP 1--TPICAL) O •SOIL -z7.• L DW • • TOTALtlRYNELLSCAPACRM I6BW R I. •It I !1 V J NO CONCRETE Y Y D(;FF C.flTFR•STAND RD c^ WASHOUT A 227' \` I � �14 � � L)Fl�.u1NN:Lw BafulAnOR WsrtsRflvaT6luvE effN VROOFnlY mE9Km. PROPOSED Q T6 A— SILT FENCEa14EAN 511RPA�TNOROD3R.YPRRXIro fHSTAWnON (TYPICAL) CAR PORT B}PAdA�51IRFA65 D5Bq:METIXIDSRHAW41WmBYTXE HWIIFACNREiDA AM1BdNGTHE EESTREMTS WHINE ARSTWTBUNDRn@ PNDIYLCRIDIfIG6 L1 PAINfm1.LFAID HETAL EUu AOAIPHo3pro11TALTWRN OIm'0ai 14TAI5 W RH PROlEC1IYE MO9G PARR. _ 3.INRALIAnON: Q/6 \ /.).PDWIH WORItN A¢GR¢i1KFVRIN O>AWNDBOO(AHOMEDMWp6 EXISTIN(T-- IL G1111FRroef PrtORDTpYARDS LFADDI I•rorN]REYEMgRPWM ACCESSOR/ �----� 31sRrr NEIALXIDV IENbT6W1M WA0lRGMRBNIS ).<DRFA/lFAO:IusNANR WInERurtrBum DovmdwrsA•m BUILDING AC<]�'OR16 \ BL AOABMRI:RNETAfm WAKWIMAOrtn YAIANTSW 33B1I /�f�P..�//y�.//1�OIVLLPI�.���/{ 11msnAU15EWFASISI@1 ASAmXAlF4.SFAI. WN'hGT10NwaTDR1IXf. O m No N DRY WELLS TO BE 30'MIN. hM AWAY FROM HOUSE B4�.m A1RORRFAAEDV�RiOgK'1588LNEA�TAMLl Ly • O EXISTING RAPE DRIVEWAY DRAWN BY: MH 0.1 590, 00%o" 11/29/2023 F 4Eo OF NE /smop WY lfaa� �� �9•j��r 1 pk °u, ). DEfR�O'S'i SCALE: SEE PLAN �lJ ` TESTHO E L1 S r 00/ 590R o ;' .POSE® BY ? '. ��� 0 o°,P E n E>V T'f . La .B ARD.OF I RUSTEES :, % N SHEET NO: SITE PLAN ATS TO N CSF SOUTHOLD o "o �oti ��`' A SCALE: 1" =40'-0" � � � A - ��FESSi NPS '� -3 45 b1,�MQ6�2 ZQ.�ZOZ�j ZSI5°00' OC Glenn Goldsmith,President DY�, O Town Hall Annex A.Nicholas Krupski,Vice President �� y< 54375 Route 25 Eric Sepenoski y ,?S P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol & Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time:NoveK e!' 11,2wZCompleted infield by: amr6kAA Pg&41 , Tom Quarty on behalf of DONNA M. WEXLER REVOCABLE TRUST requests a Wetland Permit for the existing 2,080sq.ft. dwelling;.construct a 10'x14.8' addition in place of existing deck section on southeast corner of dwelling; on landward side of dwelling construct a 3'x9.1' one-story entry addition; a proposed 3'x6' porch addition; a proposed 19.7'x22.7' roofed over car port; and existing ±42.6'x10' seaward side deck. Located: 1175 Hill Road West, Southold. SCTM# 1000-70-4-23.1 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: V 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.: oueAm ; AAS Me" aQtM cede, de,Rnkhbn Ck JMMA;h-48 7 TriAQeX I UU �e v yew 7rt r e v s Present Were: V'G. Goldsmith Krupb*i _\,L"'E. Sepenoski L. Gillooly V E. Peeples Glenn Goldsmith, President Town Trustees A Nicholas Krupski, Vice-President CO z 54375 Route 25 Eric Sepenoskio P.O. Box 1179 Liz Gillooly �.!j ao�� Southold, NY 11971 Elizabeth Peeples ' �l "�` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DONNA M. WEXLER REV. TRUST c/o TOM QUARTY Please be advised that your application dated October 10, 2023 has been reviewed by this Board at the regular meeting of November 15, 2023 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project— SILT FENCEMAYBALE Inspection Fee ($50.00) 1St Day of Construction ($50.00) Y2 Constructed ($50.00) x Final Inspection Fee ($50.00) - paid 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: $ -0- BY: Glenn Goldsmith, President Board of Trustees i t i Donna M.Wexler Revocable Trust 1175 Hill Road West,Southold SCTM#: 1000-70-4-23.1 11/8/23 r i •4 ' — �. Ab - � I 1 .�� -�"'ilk.:,'t✓. y 1 ► rdW Of At T > •AIL '. r • , �'- 11 / : / 223 12 : 54 r ,s IkL 1 Donna M.Wexler Revocable Trust 1175 Hill Road West,Southold ' SCTM#: 1000-70-4-23.1 r 11/8/23 • ' �i lift ,+ �' �.•♦ *�.,, '`, • Glenn Goldsmith,President �,OG Town Hall Annex A.Nicholas Krupski,Vice President � 54375 Route 25 Eric Sepenoski 1.2 ,? P.O.Box 1179 Liz Gillooly o�41�r Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Tom Quarty on behalf of DONNA M. WEXLER REVOCABLE TRUST requests a Wetland Permit for the existing 2,080sq.ft. dwelling;.construct a 10'x14.8' addition in place of existing deck section on southeast corner of dwelling; on landward side of dwelling construct a 3'x9.1' one-story entry addition; a proposed 3'x6' porch addition; a proposed 19.7'x22.7' roofed over car port; and existing ±42.6'x10' seaward side deck. Located: 1175 Hill Road West, Southold. SCTM# 1000-70-4-23.1 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 (I)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EMSTINO STRUCTURES ARE FOR A SPECIRC PIRPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY UNITS OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. 4 CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LEWING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)8 CESSPOOLS(CP)SHOWN HEREON ARE FROM nELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS 400 Ostrander Avenue, Riverhead, New York IIg01 to I. 651.727.2303 fax. 651."127.0144 Nadmin®youngengineering.com Howard N. Young, Land Surveyor Thomas G. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer e Robert G. Tast, Architect W E I. 51 TE DATA S TOTAL AREA = 45,Ig1 50. FT. +16.89 �/�� G� HIL +4"ROAD +12.95 _ I" MAIN � 5UBDIVI510N - "MAP OF GALvE5 NECK" FILED IN THE OFFICE 16.41 588°5240E /13.74` 256\ O' r _ ' - - - OF THE CLERK OF SUFFOLK COUNTY ON FE5. 15, 10172 AS FILE cMF �,E PJALL '" o uL Is \\ co 12.52 NO. 5675. v O \ YTV 14.03 13.74 GMF 13.92 13.77 15.68+ 14.79 PK NAIL VERTICAL DATUM = NAV DATUM (Ig88) q� I 6.00 ; %, \ I 1 � \ 100.00 1 \5ET IN 61 rj I ' Lot I "Calves Neck" o 15.09 I 4� + 01-� +4.37 ' rn +16.25 14.29+M Lot 2 I + "Calves Neck" I 14.71 oO I I �I PROPOSED GAR PORT i_ PROPOSED LINE OF ROOF OVER I y yTo� 14.63 _ _w5 I I PROP05ED 5' x 6' PORCH v, $ 16.82 14.25 I 14.361 �o 14.48 1a3 FFL - 13�s\ I pO1O + I PROPOSED 5' x g' I STORY ADDITION aO n O , � SURVEYOR'SMuGy A�yEm QR TIFIGATION4.96du _ 414.27�) o 14.21 14�-113.52 -OC14 ��---5 - ---- + / y , 9r NE HEREBY CERTIFY TO DONNA WEXLER THAT T H15 SURVEY . 4 10 pDSI & NA5 PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE .43"I 1 ,/" N (1 � � FOR 1.-AND 5URVEY5 .ADOPTED BY THE NEW YORK STATE / 44.71' fl K. cr A550CIATION OF PROFE55IONAL LAND SURVEYORS. 113.76 - +12.8 N o +'13.06 1 9.77 + I 5RIGK WAL LCc`�+13.26 oi I 10.10 *�5 12.gg5 I j w N 3 \\ , r\ j 14-b 15.E7 \ 10.24- �12�P I I yb. FFL v �k I O13.57 ri!\ 7.75 � +8.4 0�15 7.82 9.97 9.96 7�1.07 o +9.98 / '10123 tPROPOSED CONDI ONDITIONEDto.t4 _SPACE OVER EXISTING DECK 0.04 ,et9i� 'o 10.22 _ - ttr ) �QQ Q� X0.00 6� 8.30+ 1 Sao' 0 2� BFI L.04 8.79 .95 Vol .90 1 �`_ c�b�' Ldp6 I ' f 1p \ 1 k2 6.83 kid' s HOWARD W. YOUNG, N:Y.5. L.5. NO. 45883 � 1 -9) \SGP / / O _8/ H I P P�6.41 N Sir .�.`✓ �T � O i � / N 7.04 't, 6.66 I +6.49 /g�g 7 �P Y` g' PROPOSED bb ; �P "'"{ 5LJR\/F-Y FOR 2nd STORY ADDITION ;:' RCF p----__ ; f 8_75_ MA6 NAIL_ DONNA �(I FRAME uk 1 100.00' +5.03 JOCKEY GREEK 2'3 SFfED i 588°52'4OIE 111) "DRED6ED CANAL' �e A 6.05 }7.54 (y LOTS 1 $ "MAP MAP OE CALVES NECK"'SlSPIKE 1 ry i E 5PT i o �6� �; - LL� ° at Southold, Town of Southold 6.52 62 \ -!' 4.88+ �o Suffolk County, New York U o to 5.so+N86°5('20"W `Lr 128.32 MA6 NAIL - - - � m I AIL BUILDING PERMIT 5UR1/EY N Meb nON or formerly �,/ ualified Personal County Tax Map District 1000 Section 70 Block 04 Lot 25.1 Residence Trust # II - now or formerly _ Patrick H. Maloney FIELD 5URVEY COMPLETED MAR. 02, 2022 a LEGEND � Carol Lynn Maloney MAP PREPARED MAR. 05, :202:2 CC =CONCRETE CURB Record of Revisions CIC =CAST IRON COVER REV 15I ON DATE CLF =CHAIN LINK FENCE AMENDED SUILDING PERMIT DATA OGT. 26, 2022 CMF =CONCRETE MONUMENT FOUND AMENDED BUILDING PERMIT DATA NOV. I8, 2022 CMS =CONCRETE MONUMENT SET GENERAL AMENDMENTS AUG. 2g, 2025 DI =DRAINAGE INLET (ti OL =ON PROPERTY LINE g PVCF =PVC FENCE f WSF =WOOD STAKE FOUND 5ANITA►RY MEAt5UREMENTS o W55 =WOOD STAKE SET A B `` OCT 1 0 [ '_3 CO WMR = WATER METER ' 30 O 15 50 60 g0 WV =WATER VALVE 5T 20.5' 32' =UTILITY POLE LPI 30' 45.5' S^11t`i^.! G:ar Scale: 1" = 50' D ^arc c1T!1s*^ --�05-NO, 2022-0035 I • =END OF DIRECTION/DISTANCE R LP2 35' 38' 7r�.c'-- DWG. 2015_0064_2022-0035J:�p-rl OF I 1 SITE DATA: SCTM # 1000-70-4-23.1 / DESCRIPTION: SQ,FT.AREA: LOT COVERAGE: EXCAVATE: FILL: OCT 1 0 " PROPERLY'. .3196E SQ FT \/ !_`�23 / /• PROPERTY WETLW D5: 13630 SQ FT. /• BUILDABIF PROPERTY: a1835E5Q FT. Z /• ESTIMAEEDARG OF 100D5Q Ff. O /. GROUND dSTURBANCE: 'I. /• EXISTING HOUSE: 2060 SQ FT. 5.o% W p /• _ 8,o P�\N/• EXISTRLG PORCH/MCI(: 722OSQ R. LY% r1vry S8, /• (CONYERE TO FINISHED SPACE) - - f]OSTING ACCESSORr BIW. )AB.BSO,FIE. 1E% h / ° / o'�. C Fclq / / C� RFFK 1�° / PROPOSED ADDITION )10 SO.FT 0.1% 15CU YD. 6w.M Jy / z 6 PROPOSED PoPCN: 18.05 FT / a o.i% Bw.r4 acu.M. (O /• PRDPOSEDGRPORT. 041.2 S0,FT I.1% 25wro IU CU.YD Ww q 9 / A o, / 0'T� --- _ZONE OE EEL e) PROPOSED piYWELLS: 6 8'AI1A'08lp - NCULYD, "CU.YJ. 1 F Y - ------ Z E 8 TOTM: o63.oso.FE 9.8% ZONE 4uw.rD. 3Ta.rD - ZONE X Q5' METES AND BOUNDS BY:YOUNG AND YOUNG 10/18/2017 / E%GTING DECK A V J• ul GROSS FLOOR AREA(dFA) i ./• . - NAME Ex STING M..FLOOR FINISHED SPACEPPOPOSED2ND.FLOd1JBTOTAL q /• 1py... /• EwsrING i sEr NousE n 2no m ` x 6 NEwROOFARFA%F190.FT. r�'1 ' ' AT,W%wNER RUNOFF:W.3WR ` ' ffRNN NR.I vnovosE 3.0'%6.0' ,- ,_, SILT FENCE moFw6lUPaN Xr DFcv DRY3rauy Pons \SOIL F i DW: i Q T%DRYAELLS GMaGntw to Fi ] con NOCONOIETE\ II� �,II WIFE GUTTER-STANDARD 5" � WASHOUT �� Q 22. PROPOSED \ - "INq.Frrox:am DSTNuna tFmL smTPAr[s ruvF N�He7<euv w>PucD. SILT FENCE GR PORT Q ` O'At 06rx WarnpwlX Lr pwgt rp utsiµurpN. ITrNGL) �' ,' �sr a"�""m,Lrs win rReRu.�Fw�ie Lwe'�i>.9 Pa mxomaa. Q °3n vwnrn�anA oa5uc w�mmaavosumNrcr wrm Dlmnv.w •}39YOM%pu MNI0RD3x¢wm�m4 wHDFODF..w EHLDw.wu¢s. E%IST0C0-_ _ 4pOn91 rO aF Prtoen iwawm urom,�rorrac Prtngav Rix. ACCESSORY --_-_ A .mlPaILGDGFGw un SdOFn RrNrtOL5 ro8pOxtawursup BUILDING R NURNM:RM1Ei NOGMK w'Dn•Mn PNMT wP IOPrt WMY 3}LLS TO BE VY IIAY FROM HOUSE 13RRraT RrsTN+E � EXISTING G-1 DRP E AY o- DRAWN BY: MH S 90.00,00°000°F E-111 10/4/2023 1 ,pRpP ERGEO Iy�I�°-elj � 99.1 �rY z°_zzl NsiA 1000 00 ���FQE, yo SCALE: SEE PLAN guT-iMFR S 90 R00 00,3 SITE PLAN 1�� 2( ^,. I Q�� 4 "� fZ SHEET NO: 00 SCALE: 1 40'-0" Xso.Fr 1S6° �ESSI N 'Y 00' S�I U ------ OCT 1 0 2023 __- IILLEL, a � V � Z as W Ai1:4x W P4 0 PROPOSED NORTH ELEVATION ° w SCALE: 1/8" = V-0" a Q z X , o 0 wv, x �- o Q DRAWN BY: MH F1110/4/2023 OF NFw OSCALE: SEE PLAN r ,A co C 4 F PROPOSED 4 . WEST S ELEVATION ON z . w fi w _ - z SCALE: � 1/8 1 0 SHEET N . s At`Q tia 5p`L � AROF NP�� JJ. re i.�G� .� MOM MM." 10 �_ oolm�s _ - am ����NONE M � LTJ• awl■ • • • 1�1'Ik1141'I` I'I I I I II II.I I III'I I I, I I I cSam 0 III I I I I,I' I;I I I'I II 1 I i • 1'Milli 1'11 { II111 I,I I I I ..L._Idil 9�I�■^B® • 9Eo�i.r� Ln CA i- MENNINIM MIMMMEe _- MENE DRAWN - • MMIN -_ {ISI I I I I'I 1 Itl 11111'= MEM •. ' SHEET NO.-' Ll ' 0 CT 1 0 2023 � 7 L SOL�itiO�n iC�l`+�� Beard c ,2stnas 0 .r Q V z W wAx �-- A O o J � a �-4 < pq ....................................................................................................._............... H z f ........................................................ aA a� Z Ln o O wax X ................................................. — .. ........................ �-- o Qo = _._._._._._._._._._._._._._ _._._._._._._._._._._._._._._ o EXISTING FOUNDATION DRAWN BY: MH EXISTING FLOOR PLAN SCALE: 1/16" = 1'-0" SCALE: 1/16" = 1'-0" ` 10/4/2023 OF NEH,Y ��P� )• DEFR��pSCALE: SEE PLAN SHEET NO: A�3A�aFESSI NPv - 0 CT 1 0 2023 Z EXISTING DECK 1+� )� r OVER EX.DECX Sa Ttold loran P%1611R PS81611R PS8D611 P580611 (I)1-314X I-1/4)L 11 (2)1-3/4X11-U4 ML (2)13/4X11-1/4ML RW 11 (REPLACE FXW..) (REPLACE MST.) MASTER BEDROOM WALK-I� 11 CATHEDRAL CEILING do _ it v'� G'7GaGari-� v� 1 1 1 A CEEX.KITCHEN x 1 1312X8 HDR BEARING WALL (2) HO O EX.DI I ING ROOM VVn H1 CATHE IALIDNG LINEN r O 6L5TER OTOIXRAs ALTER7" J N - _ _ --_- 1 OCH WALL I I; � MATCH]X6s I I - `MASTER BATH __——— J E {r x w UNEN a� 4 w A CAM(OPE)WL I '�y 1 EXALTER I� � I ALTER rK � O LSI BEARINGWALL -6I O LA 2 ' 1-6' 2.6" ' (219-U2 ML HDR 12)BU2 Ml NDRI I I EX,LIVING ROOM EXIPL i O CATHEDRAL CEILING FIDREPLADE SISTEROBL2X10TOEX RRi �I i $OLID BLOCKING UNDER I r^ (COLLAR 11E6THROUGHOUT) EXTERIOR WALLA80VE V J EX.BEDROOM EX.BEDROOM Q Q 'v (2)2X8 HDR (2)2XEHDR (2)1-3/4X -1/4 ML I (2)2X8 HDR i12Xe HOR CW16 CW 36 CW16 L1V36 S f r , ..................... DRAWN BY: MH i Wil----------------- EWOLMANIZE6;kAaZ GIRD-cR.....-_- i 14'K14"COLUMNd�� OF NEI, 10/4/2023 6 114TUSE STEEL L COLUMN O DEFR.f-o'p'f' `s 41 SCALE: SEE PLAN r,. Ld C) LLJ 3 CARPORT A �Q �° SHEET N O: A ' PROPOSED 1ST. FLOOR PLAN SCALE: 1/811 _ 11.011 T%16 WO MAN2EO PAgACAM GIRDE0. �1 : A�5--------------------------------------------------:__::_FJ y EQ • e::T-6- .. : ...............:7:........... .............. :rr• :. :i 1i� f ." ... ,-.•• >-_ ---- .... >;...._... :::::It7.__—ce:".,,,:gym: 't fi i AW151 1 '4 X' 0C 1 0 2023 AW151 AW25] '' S AWL51 . i za'aX^ �� 3Ga;r16i Tmustees F am--" 8'-2Y" 12'-7Y." 7'-10X" aIX14 ( 14 a}tr IX14 t. v f - (3)1-3/4X]-I/0 Ml .......... W �T 1 A Q p� �• a. ------------- CATHEDRAL ING _ .___._..<.._..._ARiT6STU.D.6IO� ef• (',S "• �1 OPEN TO BELOWr; � FJ op •{27 Fii eD r STO AGE (3)-14V-114 ML! 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Q� S PIME NECK 1 a 3 ' 6 6+ b > y � yea i apl ' ,rte 13 ,S +5 m r II 1Wc1 eS ]la y 0 \. i!' r ,a+ '@ � ,e ,u eiA �.� q 1•}y� +�w s ka a +�.,+ s, • � .y m' 4 °' ^',p 6^ ,�" 'p+.�� � \ non is+J motes so'ITN°I° x n ze : a�y 'r m u^'-` n� u t +•y H w p r �` z5 +, ^` � .y wp ' � os c+]s1rER s u -m., e m � m "� tiE'w .5 '"e � � ��\I,• M1y'� 1 3ww 1 j° p epa �" �'a pyo ,:u ^ IA @ .e to n., .. �.� .e w �., pp i. � 35,.°,d mpT ,a `^1, ,•• w �".i ° Jnf J Ne QFNMEW y m b in y, 9 r £ �• 'A • - alAp y p! p .i wt 8 a a:, m M'E, w J2X S : P`+ ',e 70 NO Ja u aEARuew 3 Aec I., 5a st so .e A - _ 50+ _ • i� swrltDED '° . ) -'ll t wTCN � 4 mW,�W n�{SZ6 I ^'w'^ ^� '�' "- O-- — ——"^—— ^^'^ ——^—— • NOTICE a",,e COUNTY OF SUFFOLK © E ml souTuoEn 'c""' (21) p _..� --•-- °"°'^ --"-- w .� y w �• Real Property Tax SernCe Agency v ��0701P1, 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 nn � LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: November 14, 2023 Re: LWRP Coastal Consistency Review for DONNA M. WEXLER REVOCABLE TRUST SCTM# 1000-70-4-23.1 Tom Quarty on behalf of'DONNA M. WE ,LER REVOCABLE TRUST requests a Wetland Permit for the existing 2,080sq.ft. dwelling; construct a 10'x14.8° addition in place of existing deck section on southeast corner of dwelling; on landward side of dwelling construct a 3'x9.1" one-story entry addition; a proposed 3'x6' porch addition; a proposed 19.7'x22.7' roofed over car port; and existing ±42.6'x10' seaward side deck. Located: 1175 Hill Road West, Southold. SCTM# 1000-70-4-23.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the 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 ,04SV F014.Ira John G.Stein,Chairperson c 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., November 8, 2023, the following recommendation was made: Moved by John Stein, seconded by Inga Van Eysden, it was RESOLVED to SUPPORT the application of DONNA M. WEXLER REVOCABLE TRUST to construct additions and alterations to existing house. Addition proposed over existing deck on easterly side. Proposed 9'X T addition on landward north side with 3'X T-1.5 porch and 19.7'X 22.7' carport. Located: 1175 Hill Road West, Southold. SCTM#70-4-23.1 Inspected by: John Stein, Caroline Burghardt, Maggie Merrill, Inga Van Eysden Vote of Council: Ayes: All Motion Carried Glenn Goldsmith, President ®��®F SoU, Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski JS Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 MUm�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Y Wetland Permit Application Administrative Permit Amendment/Transfer/Extens ion X Received Application: 1�•lO.ZJ Received Fee: $ I�• Completed Application: Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: , E s=�;�,-� l f " S, Coordination:(date sent): X LWRP Consistency AS6 sm nt Form Sent:. —ECAC Referral Sent: cG a 1 0 ' --- C�Date of Inspection: ( -OCT- : 2023 Receipt of CAC Report: ^_ Technical Review: Public Hearing Held: •!S'� Bcardcfrr�sie Resolution: Owner(s) Legal Name of Property (as shown on Deed): �h z, AA Mailing Address: 1175.,, // �nu� �✓eSJ L�al� ��� Phone Number: _e3l qnS /Ong Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: &75 /Ad iV,�� V (If necessary, provide LIL,COO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: �i,+ /9'4/q ��>�`i�a�.� Ao-w 7 Phone Number: . /4 (3s 3/76 Email: 61Xa%Z. &k't, . er'� Board of Trustees Applica%-Lon GENERAL DATA Land Area(in square feet): 4/3 RV, s' Area Zoning: j� 4�y Previous use of property: y Intended use of property: �� n tiles ;�� �re/o//6 4� Covenants and Restrictions on property? Yes _)� _No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? 4 Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _'�t—No Does the structure (s) on property have a valid Certificate of Occupancy? K Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): ha&&11 nf 12.7d ��%e✓�Td�fy 61/1 CL rt tz `ia4"-y , �i✓ 944ek r ,y opved 2�f r S%.z 6! All AV �.ltS- �//���1�(!"c/c�,�D f.�� �fC.? � Cp���,�i��.r� �yt o�Gt��.�a✓ccy� /�%ly S'L�.e, ftJL L 1C 1' l ��� 1� cl✓��G'l t� 19. 7022 e L"!t✓ Od� Board of Trustees ApplicL__on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: im&14- ,.ems��/ //oa aur s� a-24L .?� ,S'� aN� r✓ �I n/9ih G2't�� l�i�����rJsn- Area of wetlands on lot: - square feet Percent coverage of lot: 3 t / ! % Closest distance between nearest existing structure and upland edge of wetlands: , .ZS feet Closest distance between nearest proposed structure and upland edge of wetlands: / ys�feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? �� cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ^/�2 0"1 4d6!✓ice Jcrlv 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): Iry �►/, // �r� Ale) r/�eE�Gn L►1 e l 4�,,,46 Gl U `%y /�OJQ�G I/yD�✓� /S �Lt�r1�� G✓C��c�l'i OY /h,� G✓e/ �cc.��iC��S Clri� �orvice ��h a�✓gar drr �/QC✓ ���� a ✓d 64- ga i- /Y e% �v�✓ 4e a;, dr'i' _/Ze APO 4e.- Board of Trustees Applica�.�,.on COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ` ; �✓ off' !� ./ ✓e✓ t �` V.'Wft ��t6+=c6 c G�I/ CLLO 4✓ /�JK fi Cldl�� /.&,I z��1dN'L� Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? !tl (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: i/ "Z elo /a A✓�s Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) Glenn Goldsmith,President ®f sot��� Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski !�3 Southold, New York 11971 Liz Gillooly Elizabeth Peeples � ® � Telephone(631) 765-1892 Fax(631) 765-6641 COUNTI,, T® D6 eo*Pc,&TeTD gy nPusrar ctGAK BOARD OF TOWN TRUSTEES hFTri2 'Pea-9• RFSWMW TOWN OF SOUTHOLD .4 PftRTD W" -©1UN6R S�CiNA�R6 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES. CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE 1 (We) �ohrlc� R/I, 41ecG`e� mss_ The owners of record of property at: 1173"' 16n� in the town of JeaV-z"'a New York, SCTM#: 1000- 70��`" a 3_ in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: 4a �akar,� 1�,=� �rdaJ•� �t/e✓ Q•�Gs✓! �"/ !'7.��`1 id � h �u� �"d✓ �i hs� Gc�-sGL as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Signature of owner of record Signature of owner of record VICKI`%'.BERRY <. j p y f a3 Notary Public:-State of Nevi York Notary Public J N0.-:01.BE607008,1 Qualified;in,.Suffolk County This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. 617.20 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: We l ✓ �� 6l� � Project Location(describe,and attach a location map): i 7 G Brief Description of Proposed Action: (�✓O�O,I� Cll�G�c �a✓� �Cr� CL/7✓G1�sem, d �}L fs✓s a� 11 olG�'.�1.� ��t/�`✓� �i'o�d.�,er,� UVB �Gcsr', N� GQ.ce_/i!eGh �as�✓� ��c.�.c �i���o�� GC�uel%d P, Jon IC a�eE�ra�id� �Id �s cz..e o lc ✓ 3 r Po%l a-l6? 1 tel, 2 2.7` 1-1-e-1 117 Name of Applicant or Sponsor: Ile / Telephone: h G!/ Z ICS/ d0 / E-M '1:a✓J d/�t i '. ,/•�p`+t Address: / //`// City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan, local law,ordi nce, 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. 171 1 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: ® ❑ 3.a.Total acreage of the site of the proposed action? 01 17T acres b.Total acreage to be physically disturbed? a 6,q' acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial [Residential(suburban) El Forest ❑Agriculture ❑Aquatic [:]Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? © ❑ ❑ 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? ❑ M 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: F;z;9 ❑ LdM 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES E 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 proposed action will exceed requirements,describe design features and technologies: V El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: R ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES ` If No,describe method for providing wastewater treatment..-o �j�iO t �cC��j//pays ❑ h/e/ o� ✓ � GSI '�.t✓ 12. a. Does the site contain'a structure that is listed on either the State or National Register of Historic NO YES Places? ® 0 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? ® ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: *Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? © 0 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 YES If Yes, ❑ a. Will storm water discharges flow to adjacent properties? [Z NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO [BYES 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: L!� ❑ 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: © ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponso me: Date: Signature: oe 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 El 1:1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. 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 El 1:1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect 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, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ® ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? FI 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. EICheck 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 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 Applica__on AFFIDAVIT Wexl-ey— 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. ,, 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS t"I DAY OF dib , 20� VICKI t BERRY . . NotaryPublic-State of New York Not ublic _ No Q1 BE6070081 `Quali i6d:.in-Suffolk toun:ty Commission"fipgp -1 --o 1, Board of Trustees Applica__.Dn AUTHORIZATION (Where the applicant is not the owner) I/We, ��- owners of the property identified as SCTM# 1000- in the town of New York, hereby authorizes 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS L� DAY OF C'i , 20 VA Notary PublicVI.CKJ} 'BERRY' , . Notary.Pubfld State of New York No =Q1656070081 „ Qualiti,ed,jn•;S,uffolk'Count C:omrhi ion_expires I Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: 70 - L-1 70 �v - 3---/ 3 STATE OI (g COUNTY(WJE,L�t.� OJN!o�d3cvii�n�/i°�jaV�9�,v`. ��flh'L W n A55 ;poses and says that on wiled a true copy of the the Notice set fc -f the above named persons at tl' ^n n c�✓''i�r, C)(der tresses set opposite the f)golb names of sai J G irrent assessment roll of the Town of a�` � 3 Post Office located at Dtices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to bcforc me this Day of , ?0 a Notary Public KING , NUTILIt Uli --- HtA 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: DONNA M. WEXLER REVOCABLE TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 2,080sq.ft. dwelling; construct a 10'x14.8' addition in place of existing deck section on southeast corner of dwelling; on landward side of dwelling construct a 3'x9.1' one-story entry addition; a proposed 3'x6' porch addition; a proposed 19.7'x22.7' roofed over car port; and existing ±42.6'x10' seaward side deck. Located: 1175 Hill Road West, Southold. SCTM# 1000-70-4-23.1 TIME & DATE OF- PUBLIC HEARING: Wednesday, November 15, 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 �Oqgff j/r Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski o ` P.O.Box 1179 Liz Gillooly o Southold,NY 11971 Elizabeth Peeples 41- �aTelephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DONNA M.WEXLER REVOCABLE TRUST 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 SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER I, ,residing at/dba e being duly sworn, depos and say: That on the j�7 day of A1,4t1e0be► -, 20Z , I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, November 15,2023. Dated: I l I 1 1- ( I a (signature) V�C7 Sworn to before me this day of NCN- 20-01,3 LVICKI I BERRY Notary Public-State of New York No. 01 BE6070081 Notary Public Qualified in Suffolk Co t Commission Expires Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: re. eve 3•� Cct►�� f�Je NicL(et- L Ilt+ c�64 Chi ecAL , Gv J� 0.10( a C,kl v b A r-j j k,)4 P- v'l S f A-ip} aLq l� , rckVl5 Qd� bwprj kc. i0 13o. ()3 K ld �).y L S�Cct Je(q �d d �Yl.d (cl , 1 1670 W 2.d S 1 \/e 5 6 1it�a1 d tUy It 171 STATE OF NEW YORK COUNTY OF SUFFOLK C- �"ZV�' C- ,residing ati r�0 U-�c lC�� Cwt dy , being duly sworn, deposes and says that on the day of r)Q Vf-t-,,h P_g== , 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 y CERTIFIED MAIL/RETURN RECEIPT. 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Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No 35 6-rem-F ljvL'. 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Ye N Y o y!, O' z_ 1. Article Addressed � � D. Is delivery address different from item 1.. \ If YES,enter delivery address below: ❑No M o o C A M E � si •—L���� lX L C3 -i2 Oto o N `L°i R1 O. ii v ❑Priori Mail Expresso F +�``� Lo- Z M 3. Service Type Priority TM F k , ak'.�, *. O s C•k IIIIIIIII'II III ❑Adult Signature ❑Registered Mail O:- 0 0 ��. LL II Iilllll Iill I'I IIIIIII�III IIII ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted, c O y <• r �5- 7 Q �, ❑ Delivery p• to Q ❑Certified Mail Restricted DelivO T ery ❑Signature ConfirmationT'" 1 0 ■ N Certified Mail® a ❑Signature Confirmation 1 ■ �"'_• _ 9590 9402 8180 3030 5648 17 ❑Collect on Delivery ❑Collect on Delivery Restricted Delivery Restricted Delivery 2..Article Number(Transfer from service label)i 4T:, IrLcu�adlvlail 7 0.2 2 2 410 0 0 1 `b538 1637 +p�I Restrioit d oeiivery Domestic Return Receipt PS Form 3811,July 2020 PSN 7530 02-000-9053_ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- 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# %7 0 PROJECT NAME W ��J �o�" e, The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board Building Dept. 0 Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: ❑ Nature and exte t of action: / ✓O�dSQ Q � Jrd h Qsz I '" ` � I ' P Location of action: Site acreage: O. R Present land use: �inl� a ?e1`h o r✓P `f n Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ���e�✓ (b) Mailing address: (c) Telephone number: Area Code (d) Application number, if any: /V I/ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 11No� If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. [—]Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III=Policies Pages 3 through 6 for evaluation criteria ❑ Yes 154 No ❑ Not Applicable r Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No [A Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ElYes F1No ® Not Applicable 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 15INot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No� Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No t-l-J Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes[] No 14 Not Applicable Attach additional sheets if necessary a 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 1:1 No � Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No �4 Not Applicable PREPARED BY TITLE DATE