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TR-10601A
vtl Glenn Goldsmith, President q SO Town Hall Annex\1° ® 54375 Route 25 A. Nicholas Krupski, Vice President s�� �� P.O. Box 1179 Eric Sepenoski i Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples ® a� Fax (631) 765-6641 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 '/z constructed When project complete, call for compliance inspection; Glenn Goldsmith,President OOF SOU� Town Hall Annex V` 54375 Route 25 A. Nicholas Krupski,Vice President e` ® P.O. Box 1179 Eric Sepenoski J Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples • a® Fax.(631) 765-6641 coum,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10601A Date of Receipt of Application: June 18, 2024 Applicant: Tracy Heller & Matthew Glassman SCTM#: 1000-111-9-11 Project Location: 4995 Nassau Point Road, Cutchogue Date of Resolution/Issuance: July 17, 2024 Date of Expiration: July 17, 2027 Reviewed by: Board of Trustees Project Description: Construct pool-enclosure fencing located less than 100 feet from the top of bluff; with the condition that any trees removed during construction be replaced on a 1 to 1 basis. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Artemis Landscape Architects, received on July 15, 2024, and stamped approved on July 17, 2024. Special Conditions: Any trees removed during construction be replaced on a 1 to 1 basis. Inspections: Final Inspection. If the proposed activities do not meet the requirements-for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees r n (61 a EXISTING TREES AND SHRUBS PROPOSED MASONRY POOL PROPOSED 4' HT. POOL CODE CEDAR TO REMAIN ARTEMIS landscape architects, Inc. PATIO AT GRADE POST AND WIRE MESH FENCE 4 Washington Avenue, Floor 2 761 SF PROPOSED SILT FENCE Sandy Hook,CT 06482 PROPOSED POOL BACKWASH SEDIMENTATION AND Tel. 203.683.1808 • Fax 203.683.1818 DRYWELL LOCATION EROSION BARRIER I I I I I I ITIM13 I LEGEND LIMITS OF CONSTRUCTIbN � ( IIII ' l I I I I I I E LOT 31 DISTURbANCE ' III 1 1 1 1 I I I I W I I I 1 N 1 I I WAL 1 (+10)- Existing Spot Elevation EXISTING TREE TO REMAIN `. I I U11 I 1 Ip�l / 1(5 / ' I I W +10 - Proposed Spot Elevation 61 � I O l -10-- Existing Contour tSS S S Q ` I 1 1 I Proposed Contour tS O 2 \ \ l I I / I ' I I 1 I f r I p \ o ----------------- ---------------------- PROPOSED POOL EQUIPMENT ♦ 6) , ♦ \ ♦ 1 j I I ( I I I I I I I I I I \ c0 1 BC-Bottom of Curb 11 '1 ; \ ♦ ♦ W 54.8 I I I I 11 I I I I I I BM-Benchmark I ^ 1 LOCATION \ ♦ CONC WALL I I Iv \ I ' I I I 1 1 1 1 1 ! I I 1 1 1 BS-Bottom of Step 1 \\ 1 U. \ 1 6 0 1 1 1 1 III ( �I �-�•---"'T••T�I• � �p BW-Bottom of Wall .tr1• Y P `�W .8 cn b I 70'-0" I 1� I'}r\ 1 I� 1 1 1 I (�'1 EJ-Expansion Joint ` b; �; FF-Finished Floor ♦ PIPE �� (r / b°� I - g�,F,% IN9-UM162IFENCE POST-TOP OF BLUFF •�1 1 1� l I I 1 I 1 \ 1 \ \ \ \ \ � I• S+. \ \ Q '� ✓ ... -+ PO BACKW S _,•_.._-..-•• ...�-• I \ \ \ \I 1 \ 1 ;il //(( TIC-Top of Coping RYWEL\ � ♦ � ••---••• \ 1 I \ \ \ I \ I \ 1 1 JUL � 5 2024 TOC Top of Curb ` I TS-To of Ste CS\ ;1 d 105'-5" I I' I I 171 'I\I 1 i 1 11 111 1 1 1 ; I P P \ I TW-To of Wall '9 26'-4" •�••—•� I j } _ INSIDE POOL WALL-TOP OF BLUFF 1 I I I I I I I / 1 I i I/ J I ! 1 1 1 ► 1 Southold Town P • / \ 1 Baard of Trustel•s ---------------------------------------- \ WELL I �� I \ �I II 11 .1 A I , 1 > 1 If I 1 1 1 1 I J _ ° - _ i 1 , I I I ' I 11 I ( I CC-Carpentry Contractor \ TW I I 1 1 l ° _ _ ` BW�4. 1 \ TOP OF BLUFF I I x I EXI&T REE REMAIN I I / EC- Electrical Contractor PROPOSED 117-I i / I I 1 1 I 1 7` `\\ \♦\ \ \ 1 I 1 1 \ rn FC-Fence Contractor \ O \ I PROPOSED PROPOSED 4 1 ` 1 Dw•A• I TWO-STORY I! !-;, 0 105-2" I I � I I 1 ` \ ` \ 1 � I I I I I r 1 N GC-General Contractor 772 SF: . POOL \ \ \ I 1 I LA-Landscape Architect ! I INSIDE P L WALL 2EST POINT TO TOP OF BLUFF 1 \ 1 PRO SED D\RYWELL I GARAGE (GRADE j 42'x 18' I ' I 1 \ \ I I I ( ( v' �'�' I I \ � 1 1 1 1 I I 1 I � LC-Landscape Contractor OCA�I0NS I \ I 38'X30' j.LEVEL�_ I PROPOSED 4' HT. POOL CODE CEDAR I \ I I I I 11 I I I I I O MC- Mason Contractor \ 1 \ \ \ 1 I FIFE MASONRY I I POST AND MESH FENCE CJ7 1 1 1 1 1 1 1 1 I I ! I ' I I 1 l I O PC-Pool Contractor \ I I I-PATIO(! 1 1 1 1 1 I I I I I I 1O 1 0 \ G \ ! I '-PATIO" I 106'-11 n IN I I I I I I I 1 R' p C �"_ ---------------------------------------- _. I \ \ ` i I T-11 ' I I',. I I I 11 1 1 1 I I I I I 1 1 1 -n I W I' TBD-To Be Determined \ I ,INSIDE POOL WALL-TOP OF BLUFF I i I I 1 C �TI o II 1 II 1 1 II 11 I I I I , i 1 I Y r- ( _ = TYP-Typical Z (S \ \ 'Q/!� \ ♦ O IN 1.f t I 63'-0" O l I ' I I I I I I l ' 1 I I I I I ( C -n I 03 T EQ-Equal \\ \ \ Fty \ \\ \ 4 { I FENCE POST-TOP OF BLUFF / I i I I I I ( i I I I 1 I I I I I I I I % I T P.O.B.-Point of Beginning Y ° \ '91- oW•B I I I I I 1 1 1 11 ( I I 1 c , ' , P.C.O P.O.E. Point Point of Curve mg FILTER CLOTH AGAINST WOVEN WIRE FENCE W/ I \ I XISTING THE TO REMAI I I I I \ \ \ \ \ \\ ° Im 1 I ( I 101 I I I I I I ' I ( I I I I � \ I 10 I I I 1 ( O P.T,-Point of Tangency 2"X2"X36" STAKES, 12' O.C. i ` ♦ ♦ PROPOSED T. POOL =CEDAR O ► I I I I I 1 I I I I 1 Op \ \ ♦ ♦ . \ Irn I 1 I 1 I I O.C.-On Center DRIVEN 16" MIN. INTO GRADE, EMBED FILTER ` r ` %50'-0" \ % m T,QND M FENCE LO EL 52.5 I I I I I W I 1 \ rr O \ 1 � 1 1 1 11 I I 1 i 101 I I 1 1 'I II ` i ; I = Max.-Maximum CLOTH b INTO GROUND 6' \ ♦ \ LL; o I� \ IIII I I Ili I I N ' I O l� ' 1 1 I III 1 1 ' O 1 I I 1 Min.-Minimum \ O \ _,_:�• - -_'_ _ _ _ _ �Z 1 I I 1 I 1 I I I I I I I 1 1 p l I BME-Bottom of Metal Edge \ O Q N \ ISTINIG EETO REM ` ' I1 I I ' ' I ' ' 1 1 I I 1 I I 11 I I THE-Top of Metal Edge \ _+ +-++-_.+—I►—+—+J—+ + i \ 1 1 1 1 1 1 1 1 1 I I l l l i l l l I 1 fy. +I + I \ L � \ I ( I 1 ' I I I ! 1 I 1 I ► 1 � V.I.F.-Verify In Field Z U.P. GPy r �* 0 1 I C�h1 PR�I POSE` NITARY SYSTEM LOCATION �' I �` / O I I I ► I ' 1 1 1 \ 1 \ t ao Z F /� D LINES 61 0111 I I 111 1 1 > 11 I 1 *ter Qtv - - �, aol I I I I I I I I , 1 1 ' I I I I I I TI'S X_ EXISTING / cl l l l 1 i 1 1 1 1 1 1 1 I I I I rT1-m U O FLOW O ' I I , / / I, r m� *�*t�� \ 1 1/2 STY I -n 1 1 , 1 I 1 I I I ! I I I ' I i I I I C-�I 0 Y / �; �C r — *�* FRAME I 1 1 I TOP OF BLUFF 1 1 Z o I , DRAIN G) m DWELLING \ I I I I I I I I I I p SLOPE I I I ( � / / I � �� I 1* + \ \ I I I I I l I 1 1 11 1 1 1 I 1 Z � I / - / ° �, N \ #4995 11 I ► I 11 n- `D I p I - / ) o ELEC. \ 11 I I I I I I I 1 1 1� 1 1 ni i. / I I 'P�, 1��G U. METER Ill I 1 ' 1 1 1 1 zt 0 Z 1 \ \ 1 I I I I ( ♦ 1 �� 1 _I 1 1 r 1 1 1 1 O �- \ I I \ \♦ ♦ - \ 1 �02 g \I x \ S W \IIII 1 1 11 I I I 11 1 1 I I 1 WOO ',};� 1 1 1 \\ \� \ \ ♦ ♦ f �p 1 oz cf) ozx �/� ♦ '� I III\IIII I I I I I I I 11 I I EL15 z -Di�u'i \ I I Inc I I 1 1 I 1 I 1 I 1 V I I \ • ♦ \� `,�N / o o °o ♦ III 1! I I 1 1 1 i 1 1 1 1 l l '1 I Q O 1 \ \ . ♦ P-�ER 9,c o m� 1 I 1 / I 1 �.r...l—�••I--•� ''"T_ 1 _J N .0 ♦\ rn \ \ ` \ ` \ \ , \I p�aultblac's�T .._---•• v 1/ i i i I I I I I I I 1 I t 11 001 U ♦ ` \` ` ` ♦ ) ..e• .. EL 52.3 n NII I ' ' I I I I I N 1 I I -Al `a U � U 1 Silt Fence Cross Section Dell II Scale: 1 " = 1'-0" � . ♦ ♦ ♦.. _ o I, ZI P. I 1 6I ! 1 O ! I I ► OI ` .N ♦ ♦ ` . ♦ .i (�o1Lbas sQ \\ I` �� p { G� I p 1 I I l 1 1 , I ' I• I ' �i m L,L_ tY o O ( 1 1 I I b1 o W ♦ � _ � _ _ \ ` r \ W.M. � `, ♦ ♦ \\ \ 1�� 1 III , , , r O % CL \ \ \ ` / (v U.� I ! 1 ° \ \ \ 34 LO l✓ 1 \ O*_ d. W O 41/2' T-71/2" 1/2 T-71/2" 1/2", O 4'-0"O.C. 4'-0"O.C. 5 x 5 SQUARE CLEAR CEDAR POS ) I .. - 1/8"STAINLESS STEEL CABLE TENSION WIRE 11 v 14 GAUGE 1"x 2"SOAURE GALVANIZED WIRE MESH STAPLED TO CEDAR A P P ROV C D BY POST(TYR) MAGNA-LATCH VERTICAL PULL LATCH BOARD OF 1 rZUSTEES PLAN VIEW 1 x 5 CEDAR FASCIA BOARD(TYR) 5'-101/2'O.C. 5 x 5 SQUARE CLEAR CEDAR POST 41/2', 5'-6'(INSIDE POST) 41/2', (SEE DTL 1 THIS SHEET FOR POST DETAIL) TOWN OF SOUTHOLD 1/2' 1/2' 1/2' (1)1 x 3 HORIZONTAL CLEAR CEDAR BOARD AND(1)2 x 4 HORIZONTAL CLEAR CEDAR 4 1/2 3'-7 1/2" 1/2' 3'-7 1/2" 4 1/2", 6'-0"HT 5 x 5 SQUARE CLEAR CEDAR POST 2'-81/4' T-81/4' BACK BOARD CUT TO MATCH 1 x 3 BOARD(TYR) ^ LPN D v 4'-0"O.C. 4'-0"O.C. (TYR) 21/2'(TYP.) 21/2'(TYR) 1 x 5 CLEAR CEDAR FASCIA BOARD 2 /2"(rYP,)3/4'(TYP.) 2'31/4'(TYP,) 1/8"STAINLESS STEEL CABLE TENSION WIRE DATE 1 a o a,y O�Pti10 N (TYR) :I IIII ,I II 1, .t., ;! ;l" i{', i iI I' ',I 'I!I Ji+l,i Ilir t+ I! 'li tll{Ij4 .11 '! 114i1 I-I'ri _ III! I''Il',I' ili I _ 4C •' _ I: I I� II 1. itl 1:,11 1 I i r } , II I,,�4,('' � l,�,I I ; '1/8'STAINLESS STEEL CABLE TENSION WIRE .t!+I ] ;rI } i ij r} I}, } I� ;i TRU-CLOSESERIES3SELF-CLOSING HINGE T' rn � I;. I,rl } { ;t , I'+}I C7 1' (TYR) w c: I III l I ri I I: '� it t 11 i,,l I '1 �III:;11 I I } ii , i' t I! 1'' i �•f 1 1 x 3 VERTICAL CLEAR CEDAR BOARD AND 1 2 x 4 VERTICAL CLEAR I- f: is :I; ' i ., 1 I1 I - � •,' t I. ;{ :I i �J E' {, .,I 'I I-f, lllllt it �''1' i CEDAR BACK BOARD CUT TO P, * � (1Y ) . . 0 1 3.1 � 0 00 Q� GAUGE SQUARE GALVANIZED WIRE MESH STAPLED BETWEEN 9 Q 14 A E1"x2" �. _ 'I 'I I f 1 r 'r I �, Ir •1 •N 1 n BOARDS C (fYP) Q r� I. tf, I� -1� �' I �' f 11. .I Il 1 ,O I.I 'Il, I 1 .11�1 ,17 ;{i .I. i;l i�l.i �• 11 I vo I-' I;:,, l ,,! ;I, - , ,;,' ! II ,I�•;I', JI r J� I� I iI i,1 {-I' �; ',} � r ; ,•,' I 1 r ; jj'1, ji I (7)2x4DIAGONALCLEARCEDARBOARDBEHINDWIREMESHCUTTOMATCH1x3 I t+ }I,tl �I j!1 I , ;.i. ( _ t � 'I, r I �, I f• i' , ,f � l: 1 I I; I I 1 1 x 3 H RIZ NTA LEAR AR O O L C CED BOARD AND 1 2 x 4 HORIZONTAL CLEAR 4 tll� „ I aa, i+i I () _ I 1�' I�, I tl }I 1 1 REVISIONS I , I I l t I I I I I� 'i 1 I I CEDAR BACK BOARD CUT TO MATCH 1 x 3 BOARD r �i}1, ,1:I�I I f� � �) I+ ;l 1 #- } J I• II I �' Il: { ;It Illi j ii! -I It 'flllll_, II I, Il" !!'k IMF I M NOTES• I i S-. .•. 2"SQAURE GALVANIZED WIRE � r�." FOR SURVEY, REFER TO A MAP ENTITLED I } 74 GAUGE 1 x MESH STAPLED TO CEDAR POST AMENDED MAP OF NASSAU POINT OF PROPERTY AT I - C -- - 16 III OPSIC I'W400 ONCRETEBASESET N 4995 NASSAU POINT RD, SOUTHOLD, NEW YORK 3"BELOW GRADE BY KENNETH M.WOYCHUK LAND SURVEYING, PLLC �edal F�ame & Wire Mesh Gate Detail P.O. BOX 153 AQUEBOGUE, NEW YORK 11931 e: 1/2 '-0" ( ) I TE L: 631 298-1588 I I 12"AGGREGATE(BASE ; a AND DATED D T D JUNE 3 2023 I n S.C.T.M#DISTRICT 1000-SECTION 111-BLOCK 9-LOT 11 JOB # 1032 1a cTVP.) - LOTS 32&33 INCL. DRAWN BY SD Tom` i ' II I III I' ' III - I III IIII I . I I ' E ATE 6/17/24 FRONT VIEW ISSUE D 0 10 20FT NORTH SHEET 2 )�edar Post & Wire Mesh Fence Detail � ' e: 1/2" = 1'-0" SCALE : 1 " = 20'-011 S-1 This drawing and the details on it, as an instrument of service, is the property of the landscape architect, and may be used only for this specific project and shall not be loaned, copied or reproduced without the written consent ofARTEMIS LANDSCAPE ARCHITECTS,INC. No. _ , lobo Issued Tod` �►k� � 1�tt G��s��p�t'- .I. e Address `ya�5 Nass��. �Pd:�� Roma ; Cu►��.okw�, THIS NOTICE MUST BE DISPI.�IYED DURING CdNSTRUCTION SouTH;o,LD TRUSTEES T�VIIN TRUST��S OFFICE,'�OWN OF SO�iTHOLD ' SOUTHOLD, N,Y. 119�11 TEL.: T65-1892 0" . x"Glenn Goldsmith Presiii �S�FF�I � KTown Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 Eric Sepenoski y ? P.O.Box 1179 Liz Gillooly ��y�• aO� Southold,NY 11971 Elizabeth Peeples W ac '�`� Telephone(631)765-1892 rraztca` Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report / Date/Time: (v &a a1 Completed in field by: N, ��rsb.: En-Consultants on behalf of TRACY HELLER'& MATTHEW GLASSMAN requests an Administrative Permit to construct pool-enclosure fencing located less than 100 feet from the top of bluff, as depicted and described on the site plan prepared by Artemis Landscape Architects, dated May 17, 2024. Located: 4995 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-11- Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: '✓ Cndhapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Vi lation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/ odifications/Conditions/Etc.: 0- r S�I( too( w G/e lavl ,c airR Dr.t-�c{ o / +ktA 1-0 P W -cl a to ce,..., ak ,4 ,A 4v J r Ip Q. /l. - c)f a l . ol Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples S.C.T.M.# DISTRICT 1000 SECTION 111__B,LOCK 9 LOT 11 1 1 1 � i � 1 1 1 1 1 r i 1 1 1 1 C-1 2 STY FRM- 1 1 DWELLING 1 I�U, Q 1 1 mJ i 1 ZONE XI Ili ZONE VE(EL 11) 1 I1 ' 1 1 MBER 1 WALL o C t O ,\ 11�1j M N 1 DWELLINGS WITH �'INN. \� 0 41 l01 I to PUBLIC WATERr t 150' 3 50 �� III � i�1�1111 I l j j c LOT 17. I1 � �Iitl � ll � � 1I11 � ti w �� 1 It 54.5 78 36 „ BW 54 8 gW ` 1 1 1 1 I 1 1 I` \1 i N t I1 f ` 10"oAK 62 U. . ti�1 f' 1 1 `, 54 A _ ® �1 — _ BW 5 11 j lil \ `1\ \` 1 j ; - 16.OAK 18"MAPLE / 54 1 1 1 1 1 t 1 \\ 14 MAPLE 12"MAPLE t \�` 1 1\I I `\1,, 11 1 1 1 , ` WELL ( 12"MAPLE Lin 11, t 1 1 1 t I I 1 I ao tz"oAK Q ( f�" `tl N l 1 i 1 i 1 ► 1 II 1 1 1 1 sA ►,� 12"OAK 16"oAK is"oAK , 1 I V 1 i 1 111 t 1, 1� 1 i00 (D 11 1 I I 1 N 12"OAKWOAK it 1,11 1 I I 1 12OAK 64 DRAIN 12'PINE ; 1 , ;IS tl 1 ;1`t I I ; I (7A ® ZONE X I ' I 1 1 , '\\W&1 \ l l i ; 1 n 0. LOT 32 e° ` 1 1 1 1 OI t S I I o -� 12"PINE i l l I l l t 1\ t j 1 1 p �-, 1 t 1 1 1 1 1 1 \ I I IV, 1 1 / , EL 52.5 45 39, ! 1 , ;1 , 1, 1 ,, ,�O 1 1 o i $ 1� 111 tS \ qy EL 52.9 1i \ ll , t { Illi' \11 1 9 _ m I l l t 1 1 1 11 1 1 1 1 1 1 i 1 5,5' S.` �; t6'OAK 9.1'' '.!`, 1 ► 1 l'� 1 1 { , 1 , \ t :118.8.'•' �' 12-OAK \ ` \ \ A 41.5 A 16 1 con 1 832.5' 816-2 :i;:::::::•::':'':•: �� v, 11 11 11�`� \ I�1 \�`� : .:.kl. 00 \ I `� 1 UTILITY CONNECTIONS 6.5' \X 1\ t 1 TO COTTAGE HAVE --SANITARY "s 1 `-52^' �'•':l .f BEEN DISCONNECTED d01 e LOT 33 DWELLINGS WITH ` E- __ 1 F PUBLIC WATER E �¢— E't E�E-L _ 1 _�� 1 112 STY..'. / , It It, j ', i ( I I I 1 I l , .� C. ram. 1 1 � 150' GV1Y I i' 1� 1 ESE FIRM ti U.P. I 1 /12"OAK ►-] / e �E �Q :i #4995'.;:."` 1,► 1 1 1 ; 1 I 1 i 1 , t V1 4 z 10"O �� �' CSC `-..E�E_E-►. A \ ' I;t I t ` 1 1 1 1 , 1 \` 1 •'•••••�11�11 �' i , VEGK I;zo f j i fJt 1 ELEC.: t t 1 I ' 1 1 i t l t t 1 1 N EL15.111 1 /12"OAK/ DRAIN .P PG FMETER ',:::'•:::�:.:'::.:::::•:. ONC. ' 1 \ 1 1 24 -"�- .3 - 1 ,S�+sg PB �E b.l :.'; 14.6' •�.� ,� ! AKI/ co 112.O ! M.H. m 30"OAK sr t o 1 ,rn i ;1 I 1 1 I I I 11 1 P_ ALK ': .:•:..:••..:• a j ' ; 1 ii l � \ � --• �':•::.:..i:�:;..::._::'•. N 10 0 co EL 52.3 w m` 1 , 1 t 1 ` ZONE VE(EL 11) tN 1 .:`•20.4''' o c� 11 i i `o t i \ 1 O i o EL 52.3 _ l w"' �ti i01 i 11 {1� ) I 1 ► ' o ItALONE \ X �� .\ �.�/�`\ ;+'' t FEMA FLOOD ZONE BOUNDARY 12• `\~�.\\\�\. s6, �,L 320.00'60 o 11"OAK 1 -�- 6'tp \ \ ` '\ �\ LOr 34 30"OAK t S 78°3b�2014 t `4+d ` ACCESSORY STRUCTURE NO SEPTIC/NOWATER` \ 1z-oAK 100' U.P. ' \ 12"OAK 12"OAK DNELLINGS WITH PUBLIC WATER 150' LOT COVERAGE BUILDABLE LAND(LANDWARD OF TOP OF BLUFF):49,441 S.F.or 1.14 ACRES DWELLING: 1882 S.F. COVERED STOOP: 135 S.F. E „ V DECK: 81 S.F. ELEV. 52.0 ENCLOSED PATIO: 312 S.F. I y DECK' BLUFF DECK: 165 S.F. 2 STY FIRM. 1 — J ��� 18 �, MIXED SAND COTTAGE: 788 S.F. GARAGE �' ll & LOAM 2, COTTAGE DECK: 644 S.F. , twtiOd TOM TOTAL: 4007 S.F. or 8.1% L_-- _ SP PALE BROWN FINE SAND NO WATER 7 7' 1 AUG. 15, 2023 1 �, McDONALD GEOSERVICES z STY FRM• i DECK' ' DWELLING r- -- 1 1 _ — FEMA MAP#36103CO164H THE WATER SUPPLY, WELLS, DRYWELtS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS BUILDABLE LAND(LANDWARD OF TOP OF BLUFF):49,441 S.F.or 1.14 ACRES AND OR DATA OBTAINED FROM OTHERS AREA: 63,621.2 SQ.FT.or 1.46ACRES cLEVA770N DATUM: NAVD88 UNAUTHORIZED ALTERA7701V OR ADDITION TO THIS SURVEY IS A WOLA7701V OF SFC770N 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING 7HE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY 77 THE PERSON FOR WHOM THE SURVEY/S PREPARED AND ON HIS BEHALF 70 THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777UPON LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING INS77TU7701V, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS CR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFlC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL S7RUC7URES OR AND 07HER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF:LOTS 32&33 INCL. CERTIFIED TO: MATTHEW GLASSMAN; MAP OF:AMENDED MAP OF NASSAU POINT TRACEY HELLER; EMINENT ABSTRACT, INC.; FILED:AUGUST 16, 1922 No.156 WESTCOR LAND TITLE INSURANCE COMPANY, SITUATED AT. NASSAU POINT CITIBANK, N.A. ISAOA,ATIMA; TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boa 153 Aquebogue, New York 11931 FILE # 223-84 SCALE:1"=30' DATE:JUNE 3,2023 LISC O. 050882 PHONE (831)298-1588 FAX (631) 298-1588 r f ;.i rr ,�> `�� � of �• rR rl. ,�^� .. -01 .1 Now r+ r, 'f I I Aux LIP SLY�`4 x, .-��. n•n" ::" �i,•. �.�,�f[, rt ��j • �:'` _ A e /.0�; R' I lit a M� y� i� 1641 s s r' •y ao-ozse"--. 'T za1 y ,. x.a-y '° ,,, 3 - , "♦ '1 r � . tsNH s \, a m z.ae l' t "� fv � ♦ � a sj � � oxaemoo /:`._ ♦ � [� ar� ., � -�a., e r M i S r, taNH •r caoxm Z.^•:y I R y a s a n•0 9 ,p 9 •y r K. r' " o,aaa. �•+«�� !d--•'^Ow uNH"- 3 �-� - ♦ ,o-ze� _ \ s.=" • v 'w �- - _ �'♦ a ,e a xd � ,p ,p P s• —21 21 Iko ix zz-o9 ZM� _�__- ,� ®' p � N rA �zx z,� �'♦ OlD F p � s` •! ✓ 4� ta,au '� s � " ! .. p...wtan a � e• ' a � r, r.S° !' a• osn-za z� � � asvH M ► r � > �' � I 2t 2x axs,=w CGS t. a I r E t,�d�"' �' ri • ' -,� ,"" * °p sy'' •\ n cG' � Jam. .w ,s � r• • -i»�U t fa � +° w' l �\ M �p ,Eekl cbkv e5 ssIJA JJ]^' a jga 1Z two fasNH • >G, \1\ .�,... ter,_,m �N% .-_'rF "`t'wr7- - "' z,� 'er%F° � r' 1f1✓'rf m O�,r +" - -:'',.t �A• '^ "xo '� r;^ .. as a �', o- 4,'A' 1eP s., • ,„o .� �\ \ ✓ +' t M w s � ,;� s • __ ` `�" • ,aHH tea• ° 'Pi ��� r t t�to • a• ,t p vs� r„ ° t �' .b72 �x .P 4 a• '� •. ' ARP a.+ t syr' `r t'"1`I �' , n �a Ja . � tzald � l t-� l�Pr�\A t Wc� at t, �"-- � • twE •"•.M'� a.,w,. ••'�°••••°"'��•""°' '� — .",•. " COUNTY OF SUFFOLK O u,Na.,v. p .00a�___ __ w..a.__•zzp__._— O2 �� —.�— `�.� f Real Property Taa Service Agency wa.,ew.sareww sue w � .y, E perm m.vme e1 WIIa1101D ,.�, wneareo qs p .w_Ja___•_— ——.r—— __� r... 1211 m�� m mnur vaanB� 9ea•�oxnc¢ p I .1 �F� A EN-CONSULTANTS July 12, 2024 Glenn Goldsmith, President Board of Trustees Town of Southold P.O. Box 1179 Southold,NY 11971 Re: Heller and Glassman, 4995 Nassau Point Road, Cutchogue (SCTM 1000-111-9-11) Dear Mr. Goldsmith: In response to a request relayed to my office by Elizabeth Cantrell,please find enclosed three (3) copies of a site plan prepared by Artemis Landscape Architects, which has been revised to depict top of bluff setbacks to the closest points of the proposed pool enclosure fencing at both its northerly and southerly ends. Should you require any additional information prior to Wednesday's meeting,please let me know at your earliest convenience. Resp YY a'tfull ours, Rob rrmann Coastal Management Specialist Enclosures .. .. JUL 1 5 2024 2 e 3 Board Of n stm 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting S Y r �o��OF SO OFFICE LOCATION: �ol MAILING ADDRESS: Town Hall Annex O P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) va G • Q Telephone: 631765-1938 Southold, NY 11971 �4UNTY,� 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 TRACY HELLER& MATTHEW GLASSMAN SCTM# 1000-111-9-11 En-Consultants on behalf of TRACY HELLER & MATTHEW GLASSMAN requests an Administrative Permit to construct pool-enclosure fencing located less than 100 feet from the top of bluff, as depicted and described on the site plan prepared by Artemis Landscape Architects, dated May 17, 2024. Located: 4995 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-11 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 Glenn Goldsmith,President Vr S Town Hall Annex A.Nicholas Krupski,Vice President ,4eJ 54375 Route 25 P.O.Box 1179 Eric Sepenoski eY Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �► Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 7 This Section For Office Use Only Coastal Erosion Permit Application Q � Wetland Permit Application juN 8 M24 _Administrative Permit Amendment/Transfer/Extension Received Application: �OholdYowA 7T Received Fee: 2_ d Completed Application: G ZH Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): r^ X LWRP Consistency Assessment Form Sent: / •1 CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: q f fl Resolution: Name of Applicant Tracy Heller and Matthew Glassman 18 Vanderbilt Avenue Address Brooklyn,NY 11205 Phone Number: QL41 536-1375 Suffolk County Tax Map Number: 1000 - 111 -9- 11 Property Location: 4995 Nassau Point Road,Cutchogue (located on east side of Nassau Point Road,+/-1328'north of Wunneweta Road) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 Board of Trustees Applicai•_ °ri GENERAL DATA Land Area(in square feet): 63,621 Area Zoning: R-40 Previous use of property: Residential, 1.5-story,single-family dwelling with bulkhead Intended use of property: No change Covenants and Restrictions: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Trustees Permit#6519 1-24-2007,amended 7-24-2007 Southold Trustees Permit#10532A 2-14-2024 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct pool-enclosure fencing located less than 100 feet from the top of bluff,as depicted and described on the site plan prepared by Artemis Landscape Architects,dated May 17,2024. F, Ord of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA 'Purpose of the proposed operations: Provide pool code enclosure of proposed swimming pool. Area of wetlands on lot: -0- square feet Percent coverage of lot: -0- oio Closest distance between nearest existing structure and upland edge of wetlands: >100 feet Closest distance between nearest proposed structure and upland edge of wetlands: <100 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The project consists only of the construction of code compliant pool-enclosure fencing. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available.If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Heller&Glassman Pool Fence Project Location(describe, and attach a location map): 4995 Nassau Point Road,Cutchogue;SCTM#1000-111-9-11; located on east side of Nassau Point Road,+/- 1328' north of Wunneweta Road(map provided). Brief Description of Proposed Action: Construct pool-enclosure fencing located less than 100 feet from the top of bluff,as depicted and described on the site plan prepared by Artemis Landscape Architects,dated May 17,2024. Name of Applicant or Sponsor: Telephone: 214-536-1375 Tracy Heller&Matthew Glassman E-Mail: tracyheller3@gmail.com Address: 18 Vanderbilt Avenue City/PO: State: Zip Code: Brooklyn NY 11205 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. X 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: X 3.a.Total acreage of the site of the proposed action? 1.46 acres b.Total acreage to be physically disturbed? <5,000 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.46 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial N Residential(suburban) ❑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? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: Name:Peconic Bay&Environs;Reasons: Protect public heath,water,vegetation& scenic beauty;Agency: Suffolk County;Date:7-1 -8 X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: N/A 10.Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 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? X X 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? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X 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? X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 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: X 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: X I AFFIRM THAT THE I RMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: o E.Herrmann,Coastal Mgmt. Specialist Date: June 6,2024 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 I 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 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 I 1 1 id 5 OPI��t9 \,M1a•_ :�a'3 _ Wes c 7005p, .Crel. 25 a r Jgv'q P Nlgv A[w,r[C+ �f Q -GREA I SPRIN LA [DO� 0 u LA o Z 1 L CC•h yp7(p s RKr72 F R W� y p�c�L•'v m� V�WWQ B,�Y RD h[•r O e(iRFR 01,j IGa hZWD4>B�N SI ChPCY p�Q ^L�F ly oCO oJFo��F2X CqQv� P A S�I�BA- OGUEI CUTCH NErK 3 N..E_.a my C'•AN Nr <P I a DMDOSE Tq p Y�Q�N `tCjr � yyV 1 02 j•�C w (CAE—r1�c� 1P 4r PF� aq�� FA N LA 20? 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C ©H gstrom Map C mpany,Inc. � i 40 70 41 :d of Trustees Application__ AUTHORIZATION (Where the applicant is not the owner) UWe, Matthew J_ Glassman owners of the property identified as SCTM# 1000- 111 A-11 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. 4 NIA 'Property Owner's-Signature Property Owner's Signature Matthew J. Glassman SWORN TO BEFORE ME THIS 3y DAY OF—�'Y' ,20 o��i� stATYORK�%� � aP N� Notary Public ►VOTARY PUBIC i QuaMadm� I C_ 01CH6414253 �c /���tl/ss(oNam;VVV `\�� S, :d of Trustees Application:__ Ail'I' [ORIZATION (Where the applicant is not the owner) DWe, Tracy Heller owners of the property identified as SCTM# 1000- 111 _ 9-1 in the'town of Southold. New York,hereby authorizes En-Consultants to act as my agent and handle all nemssary work involved with the application process for permits)from the Southold Town Board of Trustees for this property_ NIA Proopertyy f Wmeei Signature Property Owner's Signature Tracy Heller SWORN TO BEFORE ME THIS 3� DAY OF Q r I ,X 2 Notary Public �� STATE y OF NEVI YORK i NOTARY-PUBLIC i aualwintlewUCW4 ��- OICH6414253 N ���IiSS�OAl EXP,R�`,�`�� B` 'd of Trustees Applicatiol ' AFFIDAVIT. Matthew J. Glassman BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERM[IT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WELL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY 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. NIA Signature-of Property Owner_ _.. .. Signature of Property Owner Matthew J. Glassman SWORN TO BEFORE ME THIS DAY OF - Pr l ,20 Notary Public o gam; STATE OF NEW YORK X(P NOTARY PUBLIC CO);aual fled N6414253 \a` I- �iss��N"EXpIREs��` 8; ;rd of Trustees Application_, AFFIDAVIT Tracy "oiler BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIMR 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.J 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 PERIIZT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. NIA Si of Property Owner Signature of Property Owner Tracy Heller SWORN TO BEFORE ME THIS �� DAY OF � p�i. � ,20 2W s S �cQ�. Notary Public TATE. q y of,tol YORK NOTAK �� ION EX0V APPLICANTIAGENTIREPRESENtAIIW TRANSAMONAL DISCLOSURE FORM The Town ofSouthold's Code of Ethics prohibits conflicts of interest on the part oftown offuers and empftees.The ounnge of this form is to provide infoinration which can akrt.the town of poggble conflicts of interest and allow it to take whatever action is newsmy to avoid same. YOURNAmm Glassman,.Matthew J. (Last name,Best mmne,4aiddle inrtial,unless you ate applying in fhe name of someone else or other entity,such as a csompaay.Ifso,indicate the other petson's or company's name.) NAME OF"FUCATION: (Check AM that apply.) Tax grievance Building Variance Thwice Change ofZone Coastal Erosion X Approval ofplat Mooting Exemption from plat or official map Planning Other (if`Y3thec,name the activity.) Do you personally for Mmugh your company,spouse,stMing,parent.or child)have a relationship with any officer or employee ofthe Town of Southold? "Relationships includes by blood,marriage,or business interest."Business hftesf means a business, including a partnership,in which the town o0':ow or employee has even a partial owr cddp of(or employment by)a corporation in which the town officer ur employee owns mote than 5%ofthe shares. YES � NO - - M If you answemd"YW complete the balence of iris foam and demand sign where imdirated. Name of person employed by the Town of Southold Title or position of that person Describe the mlationship between yourself(the apgtiicamtfagenthepresEntarive)and ftre town otficeror employee.Either check the appmpriAe line A)through D)andbr dcsmibe in the space provided. The town officur or employee or his or her spouse,srblin&parent;,oir child is(dieck all tbet apply): f1A)the owner of gmaterthan 3%ofthe shares ofthe corporate stock of the applicant � (when the applicant is a corporation) B)the legal or beneficial owner of any interest in a nowvogwm c entity(when the applicant isnota corporation); —R C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELAMONSEV II �� 1 Submitted this-,V &Y of f';l 20 0'L Sil;nattue� PrintName Mafthe +J_Glassman Form TS I APPLICANVAGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits' conflicts of ingest on the cart oftown officers and emQloyees.The um-pose of this fmn is to inovide infoiination which can alert the town of oossible conflicts of interest and allow It to take whateveraciion is necessary to avoid same. youaNAME:,.Heller, Tracy (1-ast natae,frrstnartie,�iddle;nidal,nnh�syou are ap�y;ngin the turQe of someone else or other entity,such as a company.If soy indicate tice other person's crcongm s name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Chmrge of Zone Coastal Erosion X Approval of plat Mooting Exemption from.plat orofficial map Planning Other (If"Other*,name the activity.) Do you personally(orthraugh your company,spouse,sibling,patent,or child)have a relationship with any officer or employee ofthe Town of Southold? "ItelationsfipT includes by blood,marriage,or business intro o."Business imuesf means a business, including a pinumshiX in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares YES n NO Ifyou answered"YES",complete the balance of this form and date and sign where indicated. Name ofperson employed by the Town of Southold Title br position of that person Dessn'be the relationship between yourself(the end the town officer or employee.Either check the appropriate line A)trough D)mrdAN describe in the space provided. The town officer or employee or his or her spouse,sibling,pa:art,a child is(check all9W apply): f1A)the owner of greater than A of the shares of the corporate stock of the applicant E (when the applicant is a cogmation); B)the legal or beneficial owner ofany interest in a non-corpnratc entity(when the applicant isnot a corporation); C an officer,dreclor,partner,or employee of the applicant;or D)the actual applicant DESCRt1MON OF RELA71ONSW Sib]Wgxed*TH 20g SignaturePrintwamr APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The numose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: HPT-r7rgrm� n%pT-- F. E, (Last name,first name,middle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person_ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer;director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this"Of2024 Signature Print Name Form TS 1 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). 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# 111 - 9 _ 11 PROJECT NAME Tracy Heller&Matthew Glassman The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: Install 4-foot high pool-enclosure fencing within 100 feet of the top of bluff for a swimming pool proposed more than 100 feet from the top of bluff,as depicted on the site plan prepared by Artemis Landscape Architects,dated May 17,2024. Pursuant to Southold Town Code§268-5 ("Review of Actions")and the corresponding definitions of"actions"and"minor actions"by §286-3 ("Definitions"),the proposed work meets the following definition of a minor action and should thus be determined to be exempt from waterfront consistency review: "Z. Split rail fences or fences used to control nuisance wildlife that do not interfere with the public's rights of passage along the foreshore." Therefore,all policy responses herein are noted as"N/A." Location of action: 4995 Nassau Point Road,Cutchogue Site acreage: 1.46 acres Present land use: Residential, 1.5-sty,one-family dwelling and accessory frame building Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Tracy Heller&Matthew Glassman (b) Mailing address: 18 Vanderbilt Avenue Brooklyn,NY 11205 (c) Telephone number: Area Code 214-536-1375 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No ® If yes, which state or federal agency? 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 ❑ No ® Not Applicable 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 ® 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 ❑ Yes ❑ No ® 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 ® Not 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 ® 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® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting-of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ® 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. ElYes ElNo ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLECoastal Management Specialist DATEJune 5,2024 Robert iann Amended on 811105 1 ZZINo� � Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM � PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A S*� 1000 111 9 11 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN iU sfricT Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within 1.46 acres Generated by a Two(2")Inch Rainfall on Site? ❑ the Scope of work for Proposed Construction) (S.F./Acres)) (This item will include all run-off created by site N/A b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed 0 Sf Site improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This N/A item shall include all proposed Grade Changes and Construct pool-enclosure fencing located less than 100 feet from Slopes Controlling Surface Water Flow, the top of bluff,as depicted and described on the site plan 3 Does the Site Plan and/or Survey describe the erosion N/A F prepared by Artemis Landscape Architects,dated May 17,2024. and sediment control practices that will be used to control site erosion and storm water discharger.This Item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Gradin or ❑ X Excavation where(here is a change to the Natura� Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ X Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Ix Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres:including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes Elare part of a larger common plan that will ultimately disturb one or more acres of lands; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges, p (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ❑ 1.The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition,the SWPPP shall Area?(This item will NOT include the installation of Driveway Aprons.) potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE:If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&I Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. that is knowledgeable in the principles and practices of Storm Water Management. (NOTE: A Check Mark(X)and/or Answer for each Question is Required for a Completed Application). STATE OF NEW YORK, Suffolk SS COUNTY OF --- --------------------- That I, Robert E.Herrmann ----being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the Agent - ---------------------------- --------------------------------------------------------------------------------------------------- (Owner,Contractor,Agent,Corporate Officer,etc. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to OX best of his knowledge and belief;and that the work will be performed.in the manners set forth in the application filed herewith. Sworn to before me this; ----------------6th-- ----- June--------------------------- 12024 NotaryPu - - - ------------- - --- ------------------------------------ i at re of Applicant) FORM - 06/10 Notary Public-State of New York No.01 ST5015931 Qualified in Suffolk County My Commission Expires August 02,20E gg 4 f A ii- t F� I EN-CONSULTANTS June 5, 2024 Glenn Goldsmith, Chairman JUN 1 M2d Board of Trustees, Town of Southold Southold Town P.O Box 1179 Board of Trustees Southold,NY 11971 Re: Heller and Glassman, 4995 Nassau Point Road, Cutchogue (SCTM 1000-111-9-11) Dear Mr. Goldsmith: Please find enclosed the following two applications for work proposed on the subject property pursuant to the site plan prepared by Artemis Landscape Architects, dated May 17, 2024, which we would like the Board to process concurrently: 1) Letter of Wetland Non-Jurisdiction for proposed swimming pool, patio and accessory garage located more than 100 feet from the top of bluff and landward of project-limiting fencing proposed along the 100-foot bluff setback. 2) Administrative Wetland Permit for proposed pool-enclosure fencing located less than 100 feet from the top of bluff. Please note that for purposes of your inspection,the locations of the 100-foot bluff setback/project- limiting fencing and seaward corners of the proposed swimming pool and patio will be lathed out. Should you have any questions or require any additional information in support of our applications, please let me know. Respe tfully yours, Robert en=ann Coastal Management Specialist Enclosures 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting I EN-CONSULTANTS k C W E JUN 18 2024 June 6,2024 Southold Town OR AN ADMINISTRATWE IN Board of T ees Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold,New York 11971 Re: Tracy Heller&Matthew Glassman 4995 Nassau Point Road, Cutchogue SCTM#1000-111-9-11 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; 2. Four(4)LWRP Consistency Assessment Form. 3. Four(4) site plans prepared by Artemis Landscape Architects, dated May 17, 2024. 4. Four(4)surveys prepared by Kenneth M. Woychuk Land Surveying,PLLC, dated June 3,2023. 5. Two(2)sets of site photographs. 6. Application fee of$250.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sinc el , Robert E. errmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.ericonsultants.com environmerital consulting