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Home My WebLink AboutTR-10650 ��.� so�� Town Hall Annex Glenn Goldsmith, President 54375 Route 25 A. Nicholas Krupski, Vice President �� P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Fax (631) /65 6641 Elizabeth Peeples UNV, � 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 BELOW INSPECTION SCHEDULE Pre-construction, hay bale Fine/silt boom/silt curtain,_' , ` 1st day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President so Town Hall Annex A. Nicholas Krupski,Vice President ®�v ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski l Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � �O Fax(631) 765-6641 c®U ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 4, 2024 Bridget Leigh Petersen & Nicholas Andrew Coutts 380 Deer Drive Mattituck, NY 11952 RE: 380 DEER DRIVE, MATTITUCK SCTM# 1000-114-10-3 Dear Ms. Petersen & Mr. Coutts: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 17, 2024 regarding the above matter: WHEREAS, BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS 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 April 12, 2024, 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 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: to establish and perpetually maintain a 10' wide non-turf buffer landward of the fence and a non-disturbance buffer seaward of the fence; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 17, 2024, 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 project 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 BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS to construct an in-ground swimming pool with pool patio surround, pool enclosure fencing with gates, pool drywell, and pool equipment area; relocate existing shed 10' off of side yard property line; and to establish and perpetually maintain a 10' wide non-turf buffer landward of the fence and a non- disturbance buffer area seaward of the fence; with the condition that the pool be on grade; and as depicted on the site plan prepared by Nathan Taft Corwin III, Land Surveyor, last updated on August 22, 2024, and stamped approved on October 4, 2024. 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, '41c_ pox Glenn Goldsmith President, Board of Trustees GG/ec fir,"i.' .".4. ;r ,,iii:1r�j, '`ip .;. r r s� }."ii•Jr ..,''F. '•�,fir, 7J'�,'r' •f SAS - .T yd� rrPr'S7•.C. I h"`L� ^; �,�•..ul:.�' i,^1t �' •f,�:� 1: fC� �H ..ya'� ��,' ,:Pt:'y--� ;'r;,�'l� ri'`�;y'' �i�1 ••'I ' BOARD OF SOUTHOLD TOWN TRUSTEES ' SOUTHOLD,NEW YORK PERMIT NO. 10650 DATE: JULY 17,2024 1 ISSUED TO: BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS ' • ' PROPERTY ADDRESS: 380 DEER DRIVE,MATTITUCK r SCTM# 1000-114-10-3 p AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in K.q �x ' accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 17,2024,and in consideration of application fee in the sum of$1,250.00 paid by BRIDGET LEIGH PETERSEN& NICHOLAS ANDREW COUTTS 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 to construct an in-ground swimming pool with pool patio surround, 4 pool enclosure fencing with gates, pool drywell, and pool equipment area; relocate 4 = existing shed 10' off of side yard property line; and to establish and perpetually ' maintain a 10' wide non-turf buffer landward of the fence and a non-disturbance buffer area seaward of the fence; with the condition that the pool be on grade; and as depicted on the site plan prepared by Nathan Taft Corwin III, Land Surveyor, last updated on August 22, 2024, and stamped approved on October 4;2024. y, # 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 written above. y f 1 g5cszrm'x.�r_rs�vsaze r�s�ns .z'••'°:;awa��.r.�uatz�ss;w ,.Sst_ c�s,:. rs�t;��_ �^.a�tiscas;rk;� .� � y �v�f ;.,",- ��'�-^ -' tom..i. ;:��`^- �'. lVJ -w•.I` -��' k .��. -i: , �,`��r P� ``�...�'P�s7RtR'''r�'r �gr '�:°• I ',t. , r . '' 't..�A .y,�"' •a I TERMS AND CONDITIONS The Permittee BRIDGET LEIGH PETERSEN&NICHOLAS ANDREW COUTTS 380 Deer Drive,Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at.his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 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. SURVEY OF I r: LOT 17 bo MAP OF S E P 2 72024 DEER PARK FILE No. 3204 FILED JULY 25, 1960 SITUATE MATTITUCK AL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 1 14- 10-03 le 72 00�� / SCALE 1 "=209 �A x �� °��/ S FEBRUARY 9, 2024 �1Ir T/��'71 AUGUST 22, 2024 ADD NON—TURF BUFFER _ s rp 0 10.4 ti° / / �� y IIAL'A AREA = 20,735 sq. ft. F , . �•', (TO TIE LINE) 0.476 OC. x IV U /x 10. / / / G / NOTES: �a 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM '� / y q�s 3 EXISTING ELEVATIONS ARE SHOWN THUS:xx.x 49 �,4. -.o EXISTING CONTOUR LINES ARE SHOWN THUS: x — — — — x -op Q4 / / 7 Si HOLE / x �a 1 `� d 1 O F.FL. - F1RST FLOOR 8.8x�� 10.6 / �c� �14.1/ / o�Y d�r� h if G.FL. - GARAGE FLOOR ��o j J��% //OJF��' /�o y'�v / / r�Q"°�� ,► �� do ^�' BW - BOTTOM of WALL x 12.7 / / /tiro Ftic ov O �rf� x144.7 / x `O ti ALs.2 � / / / / / i / �� EXISTING LOT COVERAGE OVER TOWN x 12du DEFINED BUILDABLE LAND (20,735 sq. ft.) o DESCRIPTION AREA % LOT COVERAGE .........:.:.' / 185 °��i 'sQ : ::: :.:.. 19.1 p� \ 18 Sq/ Q........:.... ,�3�°F HOUSE INC. R/0 STOOP 1,571 sq. ft. 7.6% .01 x O i y O WOOD DECK 400 sq. ft. 1.9% M :.:.:.: :''... ••",y�.:, o .x �� a aj 1• SHED 119 sq. ft. 0.6% / \e• V°�� s' 6 441 __20 .0 TOTAL 2,090 sq. ft. 10.1% I 0, ' yPF ;�0._.:: I I•a X 20.2 �°� PROPOSED LOT COVERAGE OVER TOWN DEFINED BUILDABLE LAND (20,735 sq. ft.) ,/� �/ /.:: ::::::: \ +' ` m� �'� Q2• ,tp Fvryti ," �` ;. DESCRIPTION AREA % LOT COVERAGE Al Tt 12. : ��c}' \ c�o�o ?o -: op :' °► , �pA a°p�"'', Dy.: HOUSE INC. R/O STOOP 1,571 sq. ft. 7.6% Ssr / ��,°� �o.� / ► '° •' �� F �o/ •D. WOOD DECK 400 sq. ft. 1.9% /y " .. 17.1 O'' �� / o?, ��•k"� �£o��j� \ ''. B(G ,• B� '�� D ►; SHED 119 sq. ft. 0.6% o �� of Gd /ry6k �sJ, �sF D �F��' ' ' ° c� PROPOSED POOL 504 sq. ft. 2.4% �yis.2 �bc CO �g \ • ► �B /�Z� p' ' v'D 0` �� `'J / ♦ / ��a'cPe l ►usoN Wow �`2�* ' �t ► ' , /g�` ►° ► TOTAL 2,594 sq. ft. 12.5% D o� ° + �' D • ► r r 1 • eo ► : ► per' . '' ► AVcr- APPROVED BY k ► .... ' ' : ' : � BOARD OF TRUSTEES o/ TOWN OF SOUTHOLD Is, (r��,o ►'' ' 19 UNAUTHORIZED ALTERATION OR ADDITION °O//• ►° f. TO THIS SURVEY► IS A•► DATE ON OF SECTION 720 OF THEN EWnYORK STATE EDUCATION LAW. N {n� P ly ►'. i : '° p"�/ 0- COPIES OF THIS SURVEY MAP NOT BEARING TEST HOLE DATA THE LAND SURVEYOR'S INKED SEAL OR Qo EMBOSSED SEAL SHALL NOT BE CONSIDERED JS ►: (TEST HOLE DUG BY A&DONALD GEOSCIENCE ON JANUARY 7, 2019) TO BE A VAUD TRUE COPY. �G D •yO,YO / CERTIFlCATIONS INDICATED HEREON SHALL RUN •O - ►• ° , D' ONLY TO THE PERSON FOR WHOM THE SURVEY ° MIXED SAND LOAM IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY,O' CY do l Y P• LENDING INSTITUTION LISTED HEREONMENIAL N, AND 0 777 2'5, TO THE ASSIGNEES OF THE LENDING INSn- : ►°' TUnON. CERnnCAnONS ARE NOT TRANSFERABLE. / •k :. THE EXISTENCE OF RIGHT OF WAYS • PALE BROWN FINE SAND SP AND/OR EASEMENTS OF RECORD, IF D' ►° • ►..T ANY, NOT SHOWN ARE NOT GUARANTEED. '• . P ♦ F PREPARED Offg lbw THE IN Nathan Taft Corwin III F e p s • :; GROUNDWATER 9.6' BY Tff �WD ADOPTED �' N `o ESTATE LAND Land Surveyor ► i WATER IN ►.' PALE BROWN FINE SAND SP = co hP t�_/ * Successor To: Stanley J. Isaksen, Jr. L.S. * z 2 CL = Joseph A. Ingegno LS. Title Surveys — Subdivisions — Site Plans — Construction Layout <�C� 6'�•;' J� PHONE (631)727-2090 Fax (631)727-1727 �ti•��''0 ��' AILING ADDRESS 17' OFFlCES LOCATED AT M 1586 Main d 16 Jamesport, New York11947 Jamesport, New wYork 11947 I i N.Y.S. Lic. No. 50467 E—Mail: NCorwin30aol.com — 1 SOU.THOLe.D TRUSTEES No. 10450 r(;c�.olas Issued To.%- c:agz ?c%&w4r ' CoA:N\5Date Address. 3%0 beer ' bc'.�'e � Aalt CK THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,President �o��SOFFU(,��OGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski W ? P.O.Box 1179 Liz Gillooly �y • O�� Southold,NY 11971 Elizabeth Peeples �O! �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS request a Wetland Permit to construct an in-ground swimming pool with pool patio surround, pool enclosure fencing with gates, pool drywell, and pool equipment area; relocate existing shed 10' off of side yard property line; and to establish and perpetually maintain a 10' wide non-fertilization/non-disturbance buffer area along the landward edge of the wetlands. Located: 380 Deer Drive, Mattituck. SCTM# 1000-114-10-3 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 SURVEY OF LOT 17 MAP OF DEER PARK FILE No. 3204 FILED JULY 25, 1960 SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 1 14- 10-03 / SCALE 1 "=209 FEBRUARY 9, 2024 Ir0ryoryk (TO Ve TIE ARE LINE) 0.476 5acq. ft. / � LEA x � ,a 2 U-C ALL / / t2. NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM d 3 EXISTING ELEVATIONS ARE SHOWN THUS:xx.x 49 �� / �� / /y / cy ,6 �y �—o EXISTING CONTOUR LINES ARE SHOWN THUS: x — — — — x p�p4 0P / �� T1SST HOLE / x f / O p EFL. — FIRST FLOOR 1 .6/ J� / 15.6 O M " G.FL. — GARAGE FLOOR / o �, dt��'f" h tom TW — TOP OF WALL AIL rv°�o�' / /0 / / p / / r GFi11 O co e>' BW — BOTTOM OF WALL x7/ As A ' <v /�` ��/ 1 / / / i EXISTING LOT COVERAGE OVER TOWN AL DEFINED BUILDABLE LAND (20,735 sq. ft.) rx •� ts.z ::.:'✓�::.. Y� / DESCRIPTION AREA % LOT COVERAGE �. / So lx s.... OO tx s °� 9 19.1, HOUSE INC. R/O STOOP 1,571 sq. 0. 7.6% �,. :::: :;: :" o. �OGP WOOD DECK 400 sq. ft. 1.9% / 12 2 O� .• ....Oh �G� CIO J •O� �O t�� h 1 SHED 119 sq. ft. 0.6% 141 1 �� / Vie• �' ,;. �F-' .day ,0& ss j, � __20 ,O � TOTAL 2,090 sq. ft. 10.1% .4 I I �GI zo2 PROPOSED LOT COVERAGE OVER TOWN 11.5 � o FF� �Q_P01 ^� *01 7I 4� DEFINED BUILDABLE LAND (20,735 sq. ft.) �� DESCRIPTION AREA % LOT COVERAGE 12. eo o°°o�, Dl.:' HOUSE INC. R/O STOOP 1,571 sq. ft. 7.6% SSI+ 1 / �cP°o"'� ' \ Fv ,r•Zp , a '.• a �� QQ J D WOOD DECK 400 sq. ft. 1.9% 14. 0 tom., �' Del ��/ .. SHED 119 sq. ft. 0.6% ° yo F. ? •.. 4� �b PROPOSED POOL �b of f ti6k ?sJ• Ge D �Y�: C+G ► ► �y 4o �,�g \ ► '► ,pm /� D 504 sq. ft. 2.4% 14bd' E MAsoN WnLK AQo p�p ► ' � '% ' TOTAL 2,594 . ft. 12.5% D �� y/ G� / A� BLS s A Y2. • ! . • sq �6 G v PB , ' • ► P • r '° ��' ' 41 / :. ;• D �. • 4. ► ' UNAUTHORIZED ALTERATION TI ADDITION N OQ A ; AP R 1 2'_4?� TO THIS SURVEY IS A VIOLATION OF :: /' 2 SECTION 7209 OF THE NEW YORK STATE �0 /�Q • EDUCATION LAW. MAP NOT S �p�v` D• ► • ' THEI S OF THIS SORRS INKED SEAL GEARING TEST HOLE DATA �OIrtllotd7own EMBOSSED SEAL SHALL NOT BE CONSIDERED JS .�� •/ D ►. �T HOLE DUG BY MCDONALD GEOSCIENCE ON JANUARY 7, 2019) . TO BE A VALID TRUE COPY. yOYO / ,• 0' CERTIFICATIONS INDICATED HEREON SHALL RUN .O • ONLY TO THE PERSON FOR WHOM THE SURVEY • ///''�� MIXED SAND do LOAM IS PREPARED, AND ON HIS BEHALF TO THE �+ p►. \ TITLE COMPANY, GOVERNMENTAL AGENCY AND Y 2.5' LENDING INSTITUTION LISTED HEREON, AND . • ►• TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. / '�� • ►,• THE EXISTENCE OF RIGHT OF WAYS 4 • PALE BROWN FINE SAND SP AND/OR EASEMENTS OF RECORD, IF •'D' ,•. '•• • ,.,t ANY, NOT SHOWN ARE NOT GUARANTEED. 98 PREPARED N ACORDANCE WITH THE MINIMUM STANDARDSI FORC TITLE SURVEYS AS ESTABLISHED Nathan Taft Corwin III 5.� D • GROUNDWATER BY THE LIALS. AND APPROVED AND ADOPTED �q. • '. '. '. . .. ' TFoORESUCH USE B`, ETVVjj rpVj rATE LAND X. ,,�� OF NFw Land Surveyor ► a Dr WATER IN •.., PALE BROWN FINE SAND SP ��`�P�%'�A T C ••y ��' • ►. � Gj �•Pt, F 0,9�.� 'Q � Successor To: Stanley J. Isaksen, Jr. L.S. ��. = Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout r •. ^1 PHONE (631)727-2090 Fax (631)727-1727 17' ��'• `Cy V ` OFFICES LOCATED AT MAIUNG ADDRESS ?i �•.�Q r �,/' 1586 Main Road P.O. Box 16 �o S O46� 0 Jamesport, New York 11947 Jamesport, New York 11947 <ey N V ` �^ N.Y.S. Lic. No. 50467 E—Mail: NConwin30aol.com ��`.��rr.� , ,11.E�J � .�. I s .�; ;+.� i � ,4►11�" P k��61 �: *.'�1l`• ��.�I�i.f i/p-) r �y'v � �� t.✓ �'�� li'Si�� 1:�i i ' s'r..I. 1 April 6, 2024 April 6, 2024 9:49 AM '9:49 AM April 5,2024 April 5,4024 6:06 PM 6:06 PM ,• WM!r April 5,2024 PM 380 Deer Or-Googls Maps 4/6/24,9:47 AM GOt:lgle Maps 380 Deer Dr Wld,."Y..,s O e ° o. �eda9 r- A Ao 03,"0 %d �o �e� WestphaUagd r As �ryr� e a A °7a w <� aa�pyapaRy a 0 d Chabad of North Fork heyeRol a jr7 wSar�� Ry Vol A y di O p North Fork luxury GoOgle Transporters A' Psr ' North Fork J Church of Christ Map date 020M 200 h https://www.google.com/maps/place/380+Deer+Dr,+Mattituck,+NY+119...b!8m2!3d40.9933167!4d-72.5466631!16s%2Fg%2F11c4vgkvfl?entry=ttu Page 1 of 2 t A Town of Southold I,,4W 10/21/2022 I?A P.O.Box 1179 $3095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43498 Date: 10/21/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 380 Deer Dr.,Mattituck SCTM 4: 473889 gee/Block/Lot.- 114.-10-3 Subdivision: Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/24/2022 pursuant to which Building Permit No. 47462 dated 2/16/2022 was issued,and conforms to all of the requirements of the applicable provisions of the law. 'the occupancy for which this certificate is issued is: alterations including finished basement and"as built"finished second floor, existing single-family dwelling as A - applied for. The certificate is issued to Insourea East Properties Inc of the aforesaid building. SUFFOLIK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTYYICATE NO. 47462 8/9/2022 pLUMBr,,RS CERTIFICATION DATED 10118/2022 N4r)q East p9dies iz Signature I /T a Nxsualacl Ha to:Vo ZZOVIZ-400 Q " Glenn Goldsmith,President o�� S ��Ol� Town Hall Annex. 54376 Route 25 A,Nicholas Krupski,Vice President p ' P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly en Elizabeth Peeples � f Q Telephone(631)766-1$92 Fax(631)765.6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 19 7C Date: October 18, 2022 THIS CERTIFIES that the existing deck At 380 Deer Drive,Mattituck Suffolk County Tax Map#1000-114-10-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 14,2004 pursuant to which Trustees Wetland Permit#5_8C0 Dated February 25,2004,was issued and conforms to all the requirements and conditions of the applicable provisions'of law. The project for which this certificate is being issued is for the existing deck. The certificate is issued to Dennis&Linda O'Connor owner of the aforesaid property. utRoWiWgignature FOP.M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30270 Date: 06/28/04 TRIS CERTIFIES that the building A.DDITION Location of Property: 380 DEER DR KATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 10 Lot 3 Subdivision Filed Map No, Lot No- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13, 2004 pursuant to which Building Permit No. 30239-Z dated APRIL 14, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL G WALOSKI & ANO (OWNER) of the aforesaid building. SVFFOLK COU*= DSPARTMENT OF H]?ALTK APPROVAL N/A ELECTRICAL CERTIFICATE NO. g[A PLUMBERS CERTIFICATION DATED t ri d Signature Rev. 1/81 I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . .Z13861. . , . . , . Date September . 17 . , gg . . . . . . 19 THIS CERTIFIES that the building . ... , . , Pool, ,( &. Pence .) . . .. . _ . , .. . . . . . . . . . Location of Property 380 , . , . . . . . . , Deer Dr. . , , , . , . . . . Mattituck House No. Street � � � � Hem%t County Tax Map No. 1000 Section . . . . . . . .. . Mlock . .. . . . . ..Lot , 0 0 3. , .. , . . .. . Subdivision . ,Deer.Park, ,, , , , , , , , ,, , , , , ,,Filed Map No. , 3204. .Lot No. .. ?.. .. . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .. . . ARTW A. . . . . . 19 $5 pursuant to which Building Permit No. . . .14 27q.Z . . . .. . . . . . . . dated . . . .0ptgm}Per ,16, , , , , , , _ , , 19 .85,was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is ... . . . . . . 77 . . . . . . . . . . .. .. . .. . . . The certificate is issued to . . .. . . . . . . ...O tCONNOR,, ,DENIS & LINDA �o►v»er,lessee or eeiianll . . . . • .. . . .. . • . . . . . • . of the aforesaid building. Suffolk County Department of Health Approval . . . . . .. . . . NSA. . . . . . . .. .. . . . . . . . .. . . . . . . . , . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .. . . Pe�nda nc� . . . .. . . . . . .. . . . . . . . . . . .. . . . . . . : G. . . .. .�.—. . . ..-. . . . . Building Inspector Rev.1/81 Caroline Burghardt,Chairperson Town Hall,53095Main Rd. Lauren Standish,Secretary Pt P.O.Box 1179 " Southold,NY 11971 Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., July 10, 2024, the following recommendation was made: Moved by Maggie Merrill, seconded by John Chandler, it was RESOLVED to NOT SUPPORT the application of BRIDGET PETERSEN & NICHOLAS COUTTS for a 14'X 36' inground swimming pool with patio, proposed drywell and pool equipment area, and existing 5' high pool enclosure fencing with locking gates. Relocate existing shed 10' off side yard. Located: 380 Deer Drive, Mattituck. SCTM#114-10-3 Inspected by: John Chandler The CAC does Not Support the application due to the proximity to the wetlands, the patio is not in compliance, and there is a concern with the depth of groundwater. Vote of Council: Ayes: All Motion Carried OFFICE LOCATION: �� "'t, MAILING ADDRESS: Town Hall Annex 1k P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) hone: 631 765-1938 Telephone:Southold, NY 11971 �r P LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 10, 2024 Re: LWRP Coastal Consistency Review for BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS SCTM# 1000-114-10-3 BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS request a Wetland Permit to construct an in-ground swimming pool with pool patio surround, pool enclosure fencing with gates, pool drywell, and pool equipment area; relocate existing shed 10' off of side yard property line; and to establish and perpetually maintain a 10' wide non-fertilization/non-disturbance buffer area along the landward edge of the wetlands. Located: 380 Deer Drive, Mattituck. SCTM# 1000-114-10-3 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 of the LWRP. The pool (50' setback) and drywell dewatering well are too close to a poorly flushed marine water body. It is recommended that the distance from the wetland to the drywell are maximized. 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 Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President % `�/, 54375 Route 25 P.O.Box 1179 p Eric Se enoski Southold,New York 11971 Liz Gillooly cA Telephone(631) 765-1892 Elizabeth Peeples D� 1W BOARD OF TOWN TRUSTEES . APR 12 2024 TOWN OF SOUTHOLD c w This Section For Office Use Only Board of Trustees Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _ Amendment/Transfer/Extens'on Received Application: Received Fee: $. Completed Application: 1 a4 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Load Agency Determination Date: - Coordination:(date sent): t LWRP Consistency Assessment�orm Sent: CAC Referral Sent: �2 Date of Inspection: Receipt of CAC Report: Technical Review:7!� _ Public He Held: 7113 Resolution: Owner(s)Legal Named Property (as shown on Deed): 66 dG Q,l' 0/1 AS "VQU Mailing Address: 3eo M A it 1 We_ Phone Number: (D 3 'Cie, `'� I 0 Zb UY (p3 '34-v ' Ll5-1 1-, Suffolk County Tax Map Number: 1000- �L4 ' l 0 03 Property Location: ND _DU V 11015 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number: Email:. �I�la- Board of Trustees Applica' on GENERAL DATA Land Area(in square feet): t 13 Sq Area Zoning:. Previous use of property: 16(gAA11A.t Intended use of property: VAS I d emwa l J IYI 1/11 i A z-, /V1M OU 00 d Covenants and Restrictions on property? _aYes1 No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes _allo 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. W"is project re" i any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Igt a d/VA eop QS Agency LL 4A�� ' Date r Town QF ►Id -?JXU05 AU/IM�� (D -1 1wo- - h1m*a 6W1VV %k 4-`QS wjl� 7.hA RW 5Xl Otd 'COVA AyVSVWS 10 JK I VIA. - ex+ShM j Ae C. —' ( 2 �ZS� Zoay� '('" of Su>JNno ld Q,vi Id�� 1 l�-I t�t�S ' tlnA Y wed Sl�i hnv�ni u� Pool %4 �GA cQ• 9 No prior permits/approvals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency?_Ef No_a Yes If yes,provide explanation: Project Description(use attachments if necessary): Ste'MM MA 19061 (14 , X ao) I`bl�y1 v� Set, SINV t- 00902A d M, MAI t dAkAaVKtV,5t CtV'P—r J,r Q16b RA QAA(AosurtUVIA W1- JS _oard of Trustees Applica': a WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �(2�I�QGI f1U/lGt Area of wetlands on lot: b square feet Percent coverage of lot: b Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and-upland edge of wetlands: _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? 3b cubic yards Depth of which material will be removed or deposited: A - 4 feet Proposed slope throughout the area of operations: qD 0 Manner in which material will be removed or deposited: 1Ci c&y&kvV' r ky% y- 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): 617.Z0 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: Project Lbcation(describe,and attach ahocation map): Of �0 1)eelrpr. a�FI`iv qr>ti Brief Descrfption of Proposed Action:� l Ivinv�in�1 l x ` 00 C Gth'a'VlSl�u�\ (1n Sw � � Q Name of Applicant or Sponsor: l Telephone:&7 _ell Cr 0pL b U►1 (�JC� �' {N 1'W�� V� E-Mail: COV 1 0 D C JM9d . O& , Addres . S-'-6D Wi �VuC- 2 City/PO: State: Zip Code: M Q Iry N�4 [LaSz- 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ® ❑ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? ,b(K acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Chq& 11 land us at occur on,adjoining an ar the prop9sr4 action. Urban LJRuraI(non-agriculture) Industrial L.JCommercial Residential(suburban) Forest Agriculture HAquatic QOther(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 1,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:- S. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? At 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: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO ,.Y.EESS If No,describe method for providing wastewater treatment: _____ __ ❑ ��/� 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO _ YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain 'NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland.or waterbody and extent of alterations in square feet or acres: 14. 1d ntify the typical-habitat types that oc ]Suburban n,or are likely to be found on tlucly ct site. Check all that apply: Shoreline Forest Agricultural/grasslands mid-successional Wetland Urban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO Jul If Yes, � DYES ( tJ a.Will storm water discharges flow to adjacent properties? 0 U b.Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: 10 YES Page 2 of 4 IS.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: 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/sponsor name:rv�L l_-''r-J"+ f Date: I Signature:_ Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the_following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large . impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ ❑ 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 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 ❑ ❑. establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate D ❑ 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? S. 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? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of 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 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's-Code of Ethics gmhibits conflicts of interest on the r@rt of Qwn 6Mcers and-mplg=s,The nurnosr of this form is to provide information which can interest and allow trto take whateveraction is nei*wary to avoid sannmel YOUR NAME: Yf 5W t (Last name;first name,ipfililld 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 (If"Other",name the activity.) W�Q�W pQ,Vmi k Do you personally(or through.your.company,spouse,sitiling,parent or child)have a-mlationship with any officer or employee of the Town of-Southold? "Relationship"includes1y.blood,,rhWage,or business interest."Business,interest*meens.a1uslrress, including a partnership,.in which the town officer-or employee-has even a partial ownership of(or employment by a corporation in which the town officer_or employee Doris more than.5°/.of the shares. YES _�_LT NO If you answered"YES",complete the balance ofthis form and date and sign where indicated.Name of person employed by the Town of Southold N(W d 1 OA v (\Aus av%G) Title or position of that person L" 4 l t'- S Describe the relationship between yourself(the applicant/agenthepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or descAbe in the space provided. The town officer or employee or his or her spouse,sibling,parent,of child Is(check all that apply): _nA)the owner of greater than 3%of the shares of the corporate stock of the applicant _ EL (when the applicant is a corporation); B)the legal or beneficial owner of any Interest in a non-corporate entity(whenthe applicant is not a corporation); C)an officer,director,parfnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP . NUS1aav�al (�Qp�e-� Submitted this Aj, day of ri k 20, t' Signature Print Name Form IS 1 t Board of Trustees Applic ,.on . AFFIDAVIT !7►ri G( AS (X U �'I�s BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS,-G� DAY OF , 20 ZW Notary Public =�;��,'�pIARYy ' N ti PUe�-�G� •'.�A�0R63h'X,.r,•'0r EMBER :�. 40181161 Fl+N+ ,,,, —jard of Trustees Applicatj> PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: QnnRFSS: �lLy-/0 - ,;1, 10 - 1 ,3, d �-(rn d 4 Le�c t NU.N, r^'�ov nJo a-&-ireSS es CA HV- a��t� 5a � �Assess�rs C( Tic— on G�'r "3 CxAJ LC t 15-S Gl&I-- o"\ LgLO 4 ens awe -- ►06s 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 720 Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED n MAIL RECEIPTS APPLICATION NAME & SCTM#: gyj4Aa fGW%m t' Witt "S (N^ I�� '' I '•3 NAME: ADDRESS: (�) 114 -IQ-1• 2kn per'' Dr. PILv1 LWk 2Sa�k�S Atti hvc.�, ivy I1�S� �3) 114 - to - Ile HMI S• Dtt v D,r. 101AV\ WOWLAt STATE OF NEW YORK COUNTY OF SUFFOLK Ijl(i(Aga kt6V%,kA .. , residing at Sq0 DQ.('X' D Mal N(*11 being duly sworn, deposes and says that on the 3 r(a day of yJkA , 201M , 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 Igo Love, L.rAhc, t4wity(h Ny l l°IS ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. I e,- - i1ir'—"v- Signature Sworn to before me this it, -W ,,,rrrrmlrrrhrp Day of (�c.� , 20 _ .�`' N ..O� .• r��38w� •. s - N ary P Alic ';2eed� "0c '��05`.' _; Postal • Postal Service'" Q CERTIFIED MAIL' . ■ Q, CERTIFIED O . ■ Dgmestiq Mail,Only Domestiq&Iail Only .....a ..... c • - , �. ..n ilat•;�i t; >..�;� '�!lip 1 Certified Mail Fee ". „ Certified Mail Fee9�y;) 0 $ $4.lhil .;c � p•..' jIj � � i 0 $ �>i•tll'��,e�f "� Extra Services&Fee s(checkbox,add fea -pl'o Bata)_`•✓''-C,h�)'ati`� '�u Q Extra Services&Fees(checkbaw®tld fee amspr�+�riatelr ,� ni ❑Return Receipt(hardoop� $- di I::-I I t`/�' 6�, ru ❑Return Receipt(hardcopY) �,,-$ ❑Return Receipt(electronic) $ Postmark w/' ❑Return Receipt(electronic) "''��..$'�- t�+l I r (S( w 2�' ostmark Q ❑Certified Mail Restricted Delivery $ ✓Uj Here ;j4 Q '❑Certified Mail Restricted Delivery' $�`'�'q iti i i I 1 C Hete h ❑Adult Signature Required $ 11 CC J p. (` []Adult Signature Required $ 'F Pr rl_I ❑Adult Signature Restricted Delivery$_�° V V) ru ❑Adult'Signature Restricted DeliveryLr) $ ' Postage * ��. 7 Lt') Postage .?.1 - `n` ) �r�j /2024 r_q Total Postage and Fees " 1 I7/�I{,/2I I2 rQ-i Total Postage and Fees t`- $ 1 i t• t5 ;. ° �_�s.�'Sh+ r- $ .t Q•1 t� Q Sent To Q Sent T orPO ox No. t-- - �P5 - kos( ^- - - - - a� ------------- St ' - - - fi ( ,vet Sn Ereet d A t.No. or PO Box o. Stree rI t. Udew' �w.�1t------------------ ----- -------------------- City, a Tl}� J Z Er City t te,ZI OL i Postal m o RECEIPT .. -0 fR r Certified Mail Fee ,: N1 y� Q 4.. ry .tt W Extra Services&Fees(checkbox,edd teg" r-� ❑Retum'Receipt(hardcopY) �$"`4. >L fir ❑Return Recelpt(eleotronic) '.Postmark Q ❑Certified Mail Restricted Delivery, ❑Adult Signature Required `'�$"'�- -r ru ❑Adult Signature Restricted Delivvery•,$,�" 1 Postage 3 a94 � r-q Total Postage and Fees ✓ 07/[I,;,/• Q r Er Sent To .z s d Bo -- . --'------oPoea t � ------U-) nn ------ --� ' i Z .� :.r January 20 0-6-000-9047 f Glenn Goldsmith,President �4g%SFF014-Co Town Hall Annex A.Nicholas Krupski,Vice President ,�� Gy 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES _ TOWN OF SOUTHOLD ng. V E BOARD OF TRUSTEES: TOWN OF SOUTHOLD I� jut 16 224 In the Matter of the Application of Southold Town BRIDGET LEIGH PETERSEN& NICHOLAS ANDREW COUTTS Board of Trustees COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING �'0�1�OT�-COMPLETE THIS FO�NI IJNT�!l�I3E4P�.S.T,ING HA;S�REIVIA�NED IN P -4--CE FOR AT L A:S SEVEN DAYS PRIOR TO-'T IE P TBL ( Ay.TE�- COlVIPL�ETEv`THIS�ORM O1�EIGHTH�-DAY=OR LA�TER� I, QjY1dA2k �Q�'iXSQiI/1 , residing at/dba 'LAD Par DfJI being duly sworn, depose and say: That on the I Wday of 5M , 20 L�, I personally posted the property known as #A- 0 blaw W. t WMaH-i vyk• l M, ?i by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,July 17,2024. Dated: ( 1,4 Sworn to before me this C,, -;SONExA day of IWO 20 Z4 c • aJ�ko\k cou'yF�;�2 :0 IS NOTARY001 _ •N�o PUBU� ..r •-o�CR634�� ti. �� 6ER 0 N ary P blic %sTq� . . y �,.= ''/j1l1l 111111111111`' . , NOTICE OF HEARING 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: BRIDGET LEIGH PETERSEN & NICHOLAS ANDREW COUTTS SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct an in- ground swimming pool with pool patio surround, pool enclosure fencing with gates, pool drywell, and pool equipment area; relocate existing shed 10' off of side yard property line; and to establish and perpetually maintain a 10' wide non-fertilization/non-disturbance buffer area along the landward edge of the wetlands. Located: 380 Deer Drive, Mattituck. SCTM#.1000-114-10-3 TIME & DATE OF PUBLIC HEARING: Wednesday, July 17, 2024 — 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 � I Town of Southold J 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 nronosed action will be evaluated as to its significant beneficial and.adverse effects-Mon-the coastalarea(whichIncludes.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-detai4-listing both supporting-and non supporting facts::If an action cannot be certified as consistent with the LWRP policy standards and conditionsAt shall not be.undertaken. A copy of the LWRP is available in the following places:online at the Town of Southold I 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 SCTAW �u� ItH -. In —d3 PROJECT NAME WAS l�001>Q,A DI A 17MOV" '514Myy I" P001 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) l (c) Permit,approval,license,certification: Q Nature and extent of action: L!06Wk aAA ISIA4 00 1 t- POL,�,0 kA)- 4-- 1 (�� `Ott" Oum k- VAO � 1as6m Sln(w 10 K OAF Si& �are . Location of action:M 6 W AC Dr. Ma N—H l Site acreage: 0 O YD j Q,( - I S 6 01 (� Present land use: �(0,6f&AHAl. Present zoning classification: R6i AW hA I. 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: (b) Mailing address:_ (c) Telephone mamber: Will the action —be.directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No LJ 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 iNot 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 . ❑ Yea ❑ No L:1 Not Applicable Attach doml 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 Attach onal sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRJ? Section-III—Policies P ges 8 through 16 for evaluation criteria Ei Yes ❑ No Not Applicable Atfacfi-additional sheets.�aecassary-- - Policy S. 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 ZNot Applicable Attach ton 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 r 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. ❑ Yea ❑No Not Applicable Attach additional sheets if necessary Policy S. 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 evaluatiop criteria. ❑Yes ❑ No u 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. ❑ Yell No gNotApplicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages,57 through 62 for evaluation criteria. ❑Yes ❑ Noll 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 VNot 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 ❑ Nod Not Applicable PREPARED BY �V1 dD�,Q �QV TITLE DATE ql