HomeMy WebLinkAboutVictor, Jeffrey & Hsia, Lisa Glenn Goldsmith,President ����. OG�� Town Hall Annex
A.Nicholas Krupski,Vice President e 54375 Route 25
o '
Eric Sepenoski W P.O.Box 1179
Liz Gillooly �y • o! Southold,NY 11971
Elizabeth Peeples �Ol �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: ��'�zS Completed in field by: L""k---
En-Consultants on behalf of JEFFREY VICTOR & LISA HSIA requests a Wetland
Permit to construct a two-story, single-family dwelling with.attached first and second
floor porches, steps, hot tub, swimming pool, pool deck with pool enclosure fencing, and
outdoor shower piped to drywell; install an I/A sanitary system; install stormwater
drainage system; install paver/masonry paths; maintain existing metal storage rack;
remove various existing wood decks/platforms/walks; clear specified areas within
Trustee jurisdiction resulting in removal of 14 trees; to allow for construction access, the
installation of a pervious gravel driveway, and filling/grading of approx. 134sq.ft. area
within Trustee jurisdiction (using portion of 185 cubic yards of clean fill to be trucked in
from an approved upland source), temporarily clear specified areas within Trustee
jurisdiction to be restored using native vegetation, including 14 native hardwood trees
(1:1 replacement of trees to be removed); and to establish and perpetually maintain a
50 to 100 foot wide, 1.8 acre Non-Disturbance Buffer adjacent to the landward edge of
the tidal wetlands boundary. Located: 1185 Kerwin Boulevard, Greenport. SCTM#
1000-53-3-6
Type of area to be impacted:
�altwater Wetland Freshwater Wetland Sound -10 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 n e ed/Modifications Conditio s/Etc.:
Present Were: G. Goldsmith N. Kru ski V E. Sepenoski
—fbL. Gillooly Peeples
S
It° SURVEY OF PROPERTY
61, SI T UA TED A T
s�0'�J U ARSHAMOMO UE
Q � ,,:
AL s s ° TOWN OF SOUTHOLD
s8 3',4>> SUFFOLK COUNTY, NEW YORK DEC 1 8 2p2�
Southold Town
2 - \ 99� S.C. TAX No. 1000-53-03-06 BoardofTrustces °
FLAG 49 S.C. .._
3\ RAG 46x SCALE 1 "=30'
\\ SEPTEMBER 119 2003
l�• ems_\ \\ \ \\ \ G 47 AS� ,� NOVEMBER 1 , 2004 UPDATE SURVEY
JANUARY 4, ADDED AREA TO BE REMOVED FROM
\\� \ \ \ \\ MARCH 23, 20054REVISED AREA TO BE REMOVED FROM FLOOOD ZONE AE ( EL 8)
9 8\\ \ \ \\ \\\ \\\\ AL
1i_3x °+� ''FGy� JUNE 1, 2005 ADDED PROPOSED HOUSE
MARCH 15, 2012 REVISED PROPOSED HOUSE
OCTOBER 9, 2019 LOCATED WETLANDS AS FLAGGED & TREE FLAGGING
��'�' \\ \ \ \ \ FLA 4s_ _ APRIL 3 2024 UPDATE SURVEY
y \\ \ \\ \\ x \\ \\\• _ �c 17 s Q��y AREA = 224,070.14 sq. ft.
oy (TO TIE LINE) 5.144 cc.
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�� o �,e�a� // 1�x� / x�e1. \ �` 1. LOT NUMBERS SHOWN THUS: LOT 10 REFER TO
G a ,� / �� 8 _ / a ` \ \ _ - \ �rO� c 41 \ 2.0 AMENDED MAP A PECONIC BAY ESTATES
°a �' x .6 x q,0iay �a \ \ \ \ '?�F9 \ FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY
ON MAY 19, 1933 AS FILE No. 1124
0 6 \ _ 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
op 'e J/ / / o` �� 0�6 S.sx\ \ \ \ \ p P MFM \ c \ 1° EXISTING ELEVATIONS ARE SHOWN THUS: x
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\ \ \ t/1 EXISTING CONTOUR LINES ARE SHOWN THUS: - - - - -5 - - - - -
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ri FJ1 / x R� 4lLh.MG�NN R�Be x 8. \ 8 \ \ e T.W.G.FL - TOP GARAGE
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p O / IC LINE \ D DECK \
,y \ \ x�7 \\' wo°P \ is ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
TEST HOLE 64 \ \ \ \ \
470 -. 1 \ \ \ ww° \ Fuc a\ I ZONE X AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD
8.8 ► � 8. \ \ WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
/ oa \ \ \ x /V \ _ \ \ I 1 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD.
�`e� x .aGP \ \ 6.9
��/ \\ \ GI 4. COASTAL BARRIER IDENTIFIED 11-16-90
r \�°c�,�� \ \ x N/ / \ \\ \ i FLOOD INSURANCE NOT AVAILABLE FOR NEW CONSTRUCTION
of '* °Rvvcf \\ ti \ \ X TEST HOLE B3 /'� x 6.s \ \ i OR SUBSTANTIALLY IMPROVED STRUCTURES ON OR AFTER
/ / �,` Ts• �R/BgON \� \ \ -01 /yam 1 x 6. \ \ I ► O 00 NOVEMBER 16, 1990, IN DESIGNATED COASTAL BARRIERS.
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19 / - \� 5 1 / \ ! �BOpT _ _ ) (TEST Y SLACKE TEST BORING ON JANUARY 10, 2023)
\ 1 1 EL 8.0' EL 7.8'
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79 ovdry// G 10 e�\\ // I o' o.
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FLAG11 1\ / \\ ` / - - - / // G/34 BROWN FINE SILTY SAME SIZE SANDS WITH
TRACE FINE TO SMALL GRAVEL (SM)
x I v'-'q", aQ�� /``� �x / // / / ?yJ / 1 11 1 / \ COASTAL BAR E,R �ENTIFIED 1 1 - 16-9 0 / //• ��` PALE BROWN FINE SILTY SAME SIZE SANDS WITH 5•
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PALE BROWN FINE SILTY SAME SIZE SANDS WITH
FLAG B 1 1�^\ 6.2 \\ / , i G 33 / M BRBOWr1 FINE TO COARSE MIX SIZE SANDS WITH TRACE SILTS TRACE FINE TO SMALL GRAVEL (SM)
// // �L 1_8 11 \ \ \\ \ / / / MID SPOON (SW)
AND SOME FINE TO LARGE CRUSHED GRAVEL, LARGE ROCK 7•
° // // FLAG 7 I \ \ \\ // / / PALE AIL
BGREOW��TVOLLC(OAR;E MIX SIZE SANDS WITH SOME FINETO PALE BROWN FINE TO COARSE MIX SIZE SANDS WITH
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/32 PALE BROWN AND RUST SAND WITH SOME FINE TO BROWN
MALL GRAVEL COARSE MIX SIZE
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I \ O Q FLAG 27 �G� WATER LEVEL• 5.7' BELOW GROUND SURFACE AT 9:15AM WATER LEVEL* 5.7' BELOW GROUND SURFACE AT 10:52AM
\\ \\ \\ \ \\\\\ FLAGV\\_2
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� 1 �x / PREPARED IN ACCORDANCE WITH THE MINIMUM
\ FLAG \ �e�� / / / STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
x BY THE LI.A.LS. AND APPROVED AND ADOPTED
lJ� / / LL / FOR SUCH USE BY THE NEW YORK STATE LAND
s� \ 0� \ / / IL / 25 � TITLE ASSOCIATION.
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3 Nathan Taft Corwin III
` 19 /// /j j UL18 FOE UNAUTHORIZED ALTERATION OR ADDITION ■
FLAG 20 - - FLAG � / � / ` -+ / SECTION 720TO THIS 9 OFSTHE�NEW��ORK STATE �
_ _ _ _ EDUCATION LAW. Land Surveyor
i - FLAG 21 �16 / 33 /
/ POLE / / 4 / COPIES OF THIS SURVEY MAP NOT BEARING
Out
x J.5 // �// / �M // THE LAND SURVEYOR'S INKED SEAL OR
gsys / HID \ 1 6` - - - G F Pp x� EMBOSSED SEAL SHALL NOT BE CONSIDERED
6 3 , 4.7 , ++ �- - / // TO BE A VAUD TRUE COPY. Successor To: Stanley J. Ingegn , Jr. L.S.
\ ? �9.54 00 / / / O ND
Joseph A. Ingegno L.S.
a `� Una PO1 7 S // / E �'[. ONLY TO THE SP RSON�FOR WHOM TD HEREON HE SURVEY Title Surveys - Subdivisions - Site Plans - Construction Layout
LL RUN
�7x 11 "
\ - OLD UL15 - - - - - _ _ 'x / O IS PREPARED• AND ON HIS BEHALF TO THE Fax 631 727-1727
TITLE COMPANY, GOVERNMENTAL AGENCY AND PHONE 631 727-2090 ( )
\ - 6/ LENDING n V S TO THE ASSIGNEES OF THE LENDINGON LISTED ,IN AND
- OFFICES LOCATED AT MAILING ADDRESS
x4 x 5,5 N y TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
LLL �ii 1586 Main Road P.O. Box 16
THE EXISTENCE OF RIGHT OF WAYS Jamesport, New York 11947 Jamesport, New York 11947
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. E-Mail: NCorwin3Caol.com
12 OVERHANG DIMENSION (*)
7 ROOF PITCH HOUSE WIDTH
24'-0" 26'-0" 30'-0" 27'-8" 31'-8" NOTICE
5 12 16" 11" 16" please review these Preliminary
7 12 16" 11" 16"
SEE CHART plans carefully. Your order can not
OVERHANG . 9 12 12)' 11" 12" 0 be processed any further until
12 12 8 3 4" 8 3 4" 1 8 3 4" Z Westchester Modular Homes Order.
Department receives a
0 Processing
7 — — — — — — — — Q signed and dated set returned from
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JR 31 2023 Z _____. Approved for construction as
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5 FRONT ELEVATION --� —
1. ALL EXTERIOR STAIRS, LANDINGS, RAILS, & GUARDS TO BE DESIGNED,
SUPPLIED, AND INSTALLED ON SITE BY B/P PER R311.7, 312.1, Sc R303.8
2. ALL STAIRWAY ILLUMINATION AT EXTERIOR DOORS TO BE PROVIDED BY -
WMH PER R303.8
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39'-11" 21'-6"oo I
15'-10 1/4" 24'-0 3/4" _ i I Please review these Preliminary
JAN 3 1 2025 (/) }- Plans carefully. Your order can not
J Z be processed any further until
---------------------------- ----------------------------------------- Q W Westchester Modular Homes Order.
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1) THE FOUNDATION PLAN IS PROVIDED FOR FOUNDATION DESIGN PARAMETERS ONLY. C- a Lr)COMPLETE FOUNDATION ENGINEERING BASED ON SPECIFIC SITE CONDITIONS, APPLICABLE
LOCAL AND STATE CODES, TO BE REVIEWED AND APPROVED BY A REGISTERED ARCHITECT (7) 0 00
�O�Q j I OR ENGINEER IN THE STATE OF HOUSE DESIGNATION. L11
2) THE BUILDER/PURCHASER SHALL BE RESPONSIBLE FOR DESIGN, CONSTRUCTION AND CODE >
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1 PLUMBING, ELECTRICAL, HEATING, ENERGY CONSERVATION AND FIRE SEPARATION. (n
1 I I j 3) LALLY COLUMN SHALL BE MINIMUM 3 1/2"0 STEEL PIPE WITH 8"x8" TOP PLATE. J Z Q
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7) FOUNDATION ANCHOR BOLTS TO BE 1/2"0 MINIMUM AND SHALL BE EMBEDDED A MINIMUM
19'-9 1/2" OF 7" INTO CONCRETE OR GROUTED CELLS OF CONCRETE FOUNDATION, LOCATED WITHIN 6" �Z d' p
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D ,, MICRO HDR MICRO HDR JAN 3 1 2025 '/ ' 0 be processed any further until
0B'HDR HT 08'HDR HT Q Z Westchester Modular Homes Order.
CXW16-P5060-CXW16 CXW16-P5060-CXW16 �__. W
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i— Westchester Modular Homes Order.
DECK BY H LJ Q Processing Department receives a
2x10 CEILING JOISTS ON BOX BELO W/ 3/4" PLYWO 0 signed and dated set returned from
BY WMH. BLD IS RESPONSIB FOR WEATHER
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Dirtworks
EXISTING LOT COVERAGE OF NYSDEC ADJACENT AREA LANDSCAPE ARCHITECTURE
Total Lot Area (224,070SF lot area - 94,635SF 315 West 39th Street,Studio 910
Tidal wetland Area) 1291435 SF New York, NY10018
212.529.2263
Existing shed 184 SF 184 SF
Total Existing Coverage 184 SF 0.14% D ECEI V E
PROPOSED LOT COVERAGE OF NYSDEC ADJACENT AREA DEC 1 8 2024
Southold Town
Total Lot Area (224,070SF lot area - 94,635SF Board of Trustees
Tidal wetland Area) 1293435 SF
� T
2 Story House 37068 SF
9$. 5
Pool 1 241 SF CLIENTS
WOOD WALK TO BE REMOVED ,� -�
�..� ',
EXISTING PLATFORMS TO BE /- / �o N Hot Tub 42.25 SF LISA HSIA & JEFF VICTOR
17
REMOVED 1185 KERWIN BLVD.
a; Covered Decks / Porches 747 SF GREEENPORT, NY 11944
,;•ojr
Deck 1 ,558 SF 7,516.25 SF
MOOD WALK TO BE REMOVED '� � � —�� A1'F'I=7UX
--""""' .50`TO 100'
s WIDE, 78,795 SF AREA WITHIN
��� — 1 00'OF WETLANDS TO BE MAINTAINED Steppers Pavers 675 SF
EXISTING GRADES, d� / � eoe �--- AS NON DISTURBANCE BUFFER, ALLOWING FOR
TYP
. °�� x ,, ��� / MAINTENANCE OF 4 WIDE MAX. WALKING PATHS Stairs 169 SF
a
Pool Equipment 16 SF
EXISTING METAL STORAGE RACK TO REMAIN
PROPOSED 6'6"X 6'6" HOT TUB ` Total Proposed Coverage 7,516.25 SF 5.81 /o
PROPOSED 135 SF, 18'X
DECK TO BE ENCLOSED WITH FENCING
a � Y
/ 7'6", PORCH ON 2ND FLOOR �' TO PROVIDE POOL ENCLOSURE AND 4' ' , .
DROP ON SOUTH SIDE POOL WALL ZONE AE \ "00
. PROPOSED �, , �. BASE FLOOD ELEVATIONS C 1 _
10� � ' STEPS r' ` WOOD WALK TO BE REMOVED
PROPOSED /` EXISTING SHED z° PROPOSED LOT COVERAGE OF TOWN OF SOUTHOLD
WOOD WALK TO BE REMOVED, TYP. °s w -�
TO ENTIR SITE �� PLANTER -
TO � ti o
Total Buildable Land Area (224,070SF lot area -
z
1,656 SF OF VEGETATION (IN( DIN , �# " ; ZONE X � � "` 94,635SF Tidal wetland Area)
129,435 SF
y ry #
2 TREES)WITHIN 100'OF WE. ? ` FLOOD ZONE LIMIT «1 "
41,
PROPOSED 2 STORY 3 `X x PROPOSED GRAVEL PATH 100'WETLANDS SETBACK N
�� ,� n 2 Story House 3,068 SF
BEDROOM SINGLE FAMILY 21'-11" �= ,
\ s
DWELLING(±13.00) �� � o ' 21'-T _-�-- PROPOSED 1,558 SF RAISED DECK 4 � �x
�� Pool 1 241 SF
14'-2' 1 N
e 0 _- — PROPOSED 65'x 18', 1,170 \ � "�" ;, r''""` '
°? — SF RAISED SALTWATER
PROPOSED IfASANiTAF2YSl`SIEM, SE FFE:A 8.0 N -+ g POOL Hot Tub 42.25 SF 6,656.25 SF
e
PROPOSED 22 X 15 ROOFED OVER DECK ` p Covered Decks Porches 747 SF
PLANS PREPARED BY DILANDRO o �13.00 - _ N
ANDREWS ENGINEERING, LAST DATED o .� 27-g POOL EQUIPMENT_ \ \ b PROJECT NAMES
10/08/2024, FOR DETAILS N „ 134 SF OF NATURAL VEGETATION WITHIN 100'OF WETLANDS TO BE ` m Deck 1 ,558 SF
EXISTING SEPTIC SYSTEM TEMPORARILY CLEARED FOR CONSTRUCTION ACCESS AND #,� ^ - N
:.,; .cam
TO BE REMOVED/ � . ;.- :.'•• ' GRADING AND SUBSEQUENTLY RESTORED
ABANDONED PURSUANT TO '� w �� ®ry H S I A RESIDENCE
a
SCDHS REGULATIONS � �20� PROPOSED 8'x 8', 64 SF � �� �
00 OUTDOOR SHOWER-TO BE PIPED TO DRY WELL "20 Total Proposed Coverage 6,656.25 SF 5. 14 /0
PROPOSED BLUESTONE STEPPERS x32 6 '` k �^
PROPOSED 210 SF, 14'X 14', SCREENED IN PORCH � � •
SET IN GRASS, 5'WIDTH � � W .` x .� v � - � �"� � � °'"
1185 KERWIN BLVD.
- �` a- GREENPORT, NY11944
PROPOSED DRY STACK o
PROPOSED BLUESTONE PATH,WIDTH VARIES BETWEEN±3'-0"&±6'-0" °' LEGEND
y SUFFOLK COUNTY TAX LOT#:
STONE WALL,4' HT.
PROPOSED CULTEC DRAINAGE ' 8 �r'S , ,`" " `V APPROXIMATE LIMIT OF EXISTING
EXISTING TREE 1000-53-03-06
SYSTEM, SEE PLANS PREPARED BY , ' PROPOSED 72 SF, 17 9 X 4', PORCH +� /
�� CLEARING (EDGE OF EXISTING' � �, 70 , � � ---�,��,-% TO REMAIN
DILANDROANDREWS ENGINEERING, , , PROPOSED ST/S WOODS PER LAND SURVEY I
LAST DATED 10/08/2024, FOR DETAILS : PROPOSED PERVIOUS
EXISTING TREES TO BE :.." — GRAVEL DRIVEWAY �o APPROXIMATE EDGE OF EXISTING EXISTING TREE TO BE
REMOVED, TYP. _ —.X, NATURALLY VEGETATED AREA) REMOVED AND
REPLACED IN KIND
1,008 SF OF VEGETATION ' A� 6p;0„
'� � , �, .� � LIMIT OF PROPOSED
(INCLUDING 9 TREES)TO BE
I � �, � -- COASTAL BARRIER LIMIT 4��� °' � ,� CLEARING GRADING &
CLEARED WITHIN 100'of I �t AREA OF NATURAL VEGETATION
r
WETLANDS I y �` GROUND DISTRUBANCE
' 1,638 SF OF NATURAL .° PROJECT#: 2204
2,218 SF OF VEGETATION I 0 VEGETATION (INCLUDING 1 TREE) TO BE TEMPORARILY CLEARED
(INCLUDING 2 TREES)TO BE I ,,:'�� °y, TO BE TEMPORARILY CLEARED
FOR CONSTRUCTION ACCESS
I �: � � COASTAL BARRIER REVISIONS
CLEARED WITHIN 1010'OF �o�� FOR CONSTRUCTION AND o AND SUBSEQUENTLY RESTORED
WETLANDS �; �� SUBSEQUENTLY RESTORED WITH NATIVE PLANTINGS
#ISSUED FOR DATE
EDGE OF WOODS, TYP. 1• °� ��
LIMIT OF CLEARING, GRADING,a NOTE:1 00' WETLANDS SETBACK -- - - - - '--"-- - 14 NATIVE HARDWOOD TREES TO BE PLANTED THROUGHOUT
AND GROUND DISTURBANCE, /�- TEMPORARY CLEAR4NG AREAS TO BE RESTORED(TO REPLACE 14
TYP.,APPROX. 32,340 SF / eel TREES TO BE REMOVED FROM PROPOSED CLEARING AREAS)
TIDAL WETLAND BOUNDARY
47
PROPOSED PERVIOUS GRAVEL DRIVEWAY IN � - - - - AREA OF PERMANENT TIDAL WETLAND BOUNDARY - -
`,� . \PLACE OF EXISTING GRAVEL TRAVELED CLEARING
rv' NOTE: �\ .�o a PATH .. .
APPROX. 185 CY OF CLEAN FILL TO
i���
BE TRUCKED IN FROM AN \_ U _.J TEMPORARY CONSTRUCTION o 6
APPROVED UPLAND SOURCE TO �, ' � ` }y'
FENCE
ACHIEVE PROPOSED GRADING
9
EXISTING CONTOUR 9 DRAWN BY:SR
CHECKED BY:AH
a
PROPOSED CONTOUR ,, ,6.00
SCALE: DATE ISSUED:
11,=40'-0" 2024.12.09
SHEET TITLE
DEC CALCULATIONS
1 pNC7";CgpR
SHEET NUMBER
DEC COVERAGE q9
y ALEXANDER HART
Oh
0 40' 80'
1 a
�1fi2995
OFF
NE`�
�• t �'` ice.
TOWN OF SOUTHOLD
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD;NEW YORK
i WETLANDS.PERMIT
This Wetlands Permit No. ....2199 , has been granted by the. Town Trustees according to
information furnished in Application No...AU.........:.filed by axwia
.......................................... on ........AP=U.24,....:19...AL A map of the proposed work will be kept
on file in the Trustee Office under the application number given.
:Permit granted to do the following work...construct.a s RFale,.fMU _AnUial.2m..............
associated sanitary system andwell..................................................................................
I
:............................................................................:....................................................................................
'Location of property on which work to be done.......................................S Bayshare..Rd...............port
.................................................................................................................................................................
.............................................................................................................................................._.................
Creek,Bay or Harbor fronting property .......Pipes.Creek.................................. ...........................
.................................................................................................................................................................
65
Size of work: Length.....................+...................................................................................................
Width .......45 1±....................................................................................... .........
HeightAbove High Water .................1:.........................................................................
DepthBelow Low Water.................... ..........................................................a.................
Yardsto be Excavated................................................. . ...............................................
Yardsto be Filled .........................................................................................................
Mannerin which material is to be removed or deposited .........................................................................
.............................................................................................................................................................
:...
:Intended use of property Residential
.................................................................................................................................................................
Conditionsif any.......................................................................... ......................................................
„...............................................................................................................................................................
iExpiration Date .... .................July..31:..1987..................................... ......................................
Numberof Inspections Required..�.inspections:..Trustees to be notified.upon,completion,
.... .... ....
of work
InspectionFees ..................................................................................................................................... -
LiabilityPolicies in the Amount of ............................ .................... ................................................
the.validity of this permit is or may be subject to the approval of other governmental or municipal
.authorities. The.Town•accepts no responsibility in applying for or obtaining such approval._In the
gvent that such approval-is necessary, the holder of this permit shall not.commence operations here-
under until such approval has been obtained in writing::The failure to obtain such other approval when
jequired shall subject this permit to immediate revocation'by'the, Trustees upon receipt by the
Trustees- of written notice from such other governmental or municipal authorities of its refusal or
disapproval.
i
-
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>3 w •
np� Y s q5>q E.
OfyP�\O 09�• /�NHUUSE
O � os•: � \ `� n 5
60. A
stk0 T \\ o
SURVEY FOR
F� °0,2 I a DIMITRIOS SARIYIANNIS a
CHRISTINA SARIYIANNIS
AT SOUTHOLD
° TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 53 - 03 - 06
SCALEII'-60'
dt`� r JAN. 7, 1966
00. s a / Y �s v \ ro MAR. 18, 1986
01A —5 2
/ aFk A'•Ga° CERTIFIED TO 1
pp, iICOR TITLE GUARANTEE
SUFF= rUNT+I F.NT OF HEALTII SESVICES s!t!, j49.11 TITLE NO. T 1285-6452
FCR At.Lt./l. CNSTCUCLCN CKIY !6>a S, 79°Sq W. tST DtMITR1OS SARIYIANNIS
TEST HOLE a ,
(50 videl
CHRISTINA SARIYIANNIS
DA7 HS REF.NO._-----
94Y SHORE
APPROVED LOT a PARCEL NOS. REFER TO
lW AMENDED MAP A, PECONIC BAY ESTATES
( VACANT 1 FILED
MAP THEO. 1124F O KM ACOUN�TYIC 3RKS OFFICE
�ANOS dhpmd rre- sanoE
6{'O S.NE1 0,L 1M weer-"Iy 6 w.Wa
w=o,�a r�F eA pm.la Ihs wuJuww.m AREA = 5.2257 ACRES
amdwds d me sun°�ca°Nr uew^• yro
.1Hwllhsnw... we. A �wm to tie line
• acmldurc°wilb Ih°
r p,elwred`icr I11.wr.eys°s ml°blished by
N.Y.S.LIC.NO.4961e + sle I.LA.LS.ood°pp,..d°^d adops°d CCN FOUR LINES — TEST HOLE B FLOOD ZONES
9• far suds uw by Ib°N°•H Yoh SIN°Wnd BY OTHERS.
PECONIC SU 6Y a ENGINEERS.;P.' Tde fo 4-11°°.
(516) 765- 5020 mnle�
P.O.BOX 909
MAIN SOUTHOLD ROAD
N.Y 11971 �r map 22f 9TifJ J7��
c•'u-x///DJ—(7/873/-Ji1' 65 - 441
7/✓boy/_/p7J
10
• ��1 OAF. \.so -god°�, �A o - \ \ '\\ ,A }•�
AK
0
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Al OVEC
°r09, /•• Y" I.taPAOVED AS PER TERMS .
f 1 AND CO*PJITIONS"Op
( @ t
/
pp, •.,\ 1 fit' PERMIT NO,OP
-y73B-0,37L8�aoaa-
��
\ `� � ' o c� 4 � Site Plans for..
Jeffrey Victor
a Q Application Id.1�473&03168/00002
i IN Q \ \ . t a z " Owner Id 1500126
\` —� Prepared by Owner-kffrey'V.ictor on Dec.31,2003 2 . ._ .
S.t
_TAX�._60.'---•---753-03-06
0 ..__.. . ... ......_..
. 'No:100
`• e` \ // r loa o \. Property Address;
lick n$EI85'Ke{wilvd.(lreenpog.N:Y.11444
Wetland Delineator was Jeffrey:Seaman
s N `S
o ` Project Review;
s 3 Pre Td.temove preexcistng con eiete foundation
a3
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C ROAD atoudd foundatidn not to 60'.ft.outwards
i' RAY
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OFFICE LOCATION: MAILING ADDRESS:
Town Hall Annex P.O.Sox 1179
54375 State Route 25 Southold,NY 11971
(cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938
Southold, NY 11971
LOCAL WATERFRONT RE'V''ITLIZATION PROGRAM
TOWN OF SOUTHOLD
To: Glenn Goldsmith, President
Town of Southold Board of Trustees
From: Mark Terry, AICP
LWRP Coordinator
Date: February 10, 2025
Re: LWRP Coastal Consistency Review for JEFFREY VICTOR& LISA HSIA
SCTM#1000-53-3-6
En-Consultants on behalf of JEFFREY VICTOR&LISA HSIA requests a Wetland Permit to construct a two-
story, single-family dwelling with attached first and second floor porches, steps, hot tub, swimming pool, pool
deck with pool enclosure fencing, and outdoor shower piped to drywell; install an I/A sanitary system; install
stormwater drainage system; install paver/masonry paths; maintain existing metal storage rack; remove
various existing wood decks/platforms/walks; clear specified areas within Trustee jurisdiction resulting in
removal of 14 trees; to allow for construction access, the installation of a pervious gravel driveway, and
filling/grading of approx. 134sq.ft. area within Trustee jurisdiction (using portion of 185 cubic yards of clean fill
to be trucked in from an approved upland source), temporarily clear specified areas within Trustee jurisdiction
to be restored using native vegetation, including 14 native hardwood trees (1:1 replacement of trees to be
removed); and to establish and perpetually maintain a 50 to 100 foot wide, 1.8 acre Non-Disturbance Buffer
adjacent to the landward edge of the tidal wetlands boundary. Located: 1185 Kerwin Boulevard, Greenport.
SCTM# 1000-53-3-6
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of
Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based
upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as
well as the records available to me, it is my recommendation that the action is INCONSISTENT with LWRP.
1. The clearing of natural vegetation is inconsistent with Policy 6.3 Protect and restore tidal and
freshwater wetlands. Wetlands and their benefits are dependent upon the condition of adjacent lands
which provide buffers between wetlands and surrounding uses.
E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are
avoided.
2. The expansion of the structure is inconsistent with policy 4; located within a FEMA Flood Zones with
a 0.2%Annual Chance Flood Hazard and a 1%Annual Chance Flood Hazard. Structures
constructed within these hazard areas should be minimized. A Board of Trustees permit was issued
in 1986 for a more modest structure.
i
I,
1. FEMA Flood Zones.
4 J ,
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SURVEY FOR
DIMI TRIOS
SARIYIANNIS
CHRISTINA SARIYIANNIS
AT SOUTHOLD
TOWN OF SOUTHOLD
�F ^v „, """'-„w,✓'` a. " a SUFFOLK COUNTY, N.Y.
I000 - 63 - 03 - 06
SCALE I I'•60'
JAN.T. 1986
MAR. 18, 1986
ot
dx
CERTIFIED TO
TITL TITLE 6UARANi 2
eM of HFAUH sfrv¢f3 EOry' ry li ryA6.,p1' TITLE N0. T Y-6462
r.'AW-
CHRISINOIMiTR SARIYIANNIS3= 50 vId-) CHRI371NA SARIYIANNI3
TEST IIOLE OBO ® 1MS REP.NO. �� r1 f�
2. 1986 Approved Structure on Lot.
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 �() Soup Town Hall Annex
�o _ ,
A.Nicholas Krupski,Vice President `J 54375 Route 25
P.O.Box 1179
Eric Sepenoski it Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples Fax(631)765-6641
couffm
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only H
E C E I Y E
Coastal Erosion Permit Application a
Wetland Permit Application DEC 9 2024
Administrative Permit
Amendment/Transfer/Extensio ,L
Received Application: IQ) y Southold Town
Received Fee: $ O- Board of Trustees
Completed Application:
Incomplete:
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent):
LWRP Consistency Asses ment Form Sent: 113 1
CAC Referral Sent:
Date of Inspection:
—
Receipt of CAC Report:
Technical Review:
_Public Hearing Held:_ a
Resolution:
Name of Applicant Jeffrey Victor&Lisa Hsia
15 West 84th Street,Apt.4B
Address New York,NY 10024
Phone Number: 212 595-6690
Suffolk County Tax Map Number: 1000 - 53 -3 -6
Property Location: 1185 Kerwin Boulevard,Greenport
(located on northwest corner of Kerwin Blvd and Bay Shore 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 Applicl- ,Dri
GENERAL DATA
Land Area(in square feet): 224,070
Area Zoning: R-80
Previous use of property: Unimproved-residential
Intended use of property: Single-family dwelling with appurtenances
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 Yes N/A No
Prior permits/approvals for site improvements:
Agency Date
Southold Trustees Permit No.2199 August 28, 1987
Southold Trustees Letter of Non-Jurisdiction November 14,2003
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 a 2-story single-family dwelling with attached 1st and 2nd floor porches,steps,hot tub,swimming pool,pool deck with
pool enclosure fencing,and outdoor shower piped to drywell,all located 100 feet or more from tidal wetlands; install I/A sanitary
system located more than 100 feet from wetlands;install stormwater drainage system and paver/masonry paths;maintain existing
metal storage rack,and remove various existing wood decks/platforms/walks;clear specified areas within 100 feet of wetlands,
resulting in removal of 14 trees;to allow for construction access,installation of pervious gravel driveway,and filling/grading of
approx. 134 sf area within 100 feet of wetlands(using portion of 185 cy of clean fill to be trucked in from an approved upland
source),temporarily clear specified areas within 100 feet of wetlands to be restored with native vegetation, including 14 native
hardwood trees(1:1 replacement of trees to be removed);and permanently maintain a 50 to 100-foot wide, 1.8-acre,non-disturbance
buffer adjacent to wetlands boundary,all as depicted the site plan prepared by DirtWorks Landscape Architecture,dated November
18,2024.
ard of Trustees Applicatis�
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
To improve vacant 5.1-acre parcel with single-family dwelling,swimming pool and other appurtenances.
Area of wetlands on lot: 94,635 square feet
Percent coverage of lot: +/-42 %
Closest distance between nearest existing structure and upland
edge of wetlands: N/A feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 100 feet
Does the project involve excavation or filling?
No X Yes
(as required for installation of dwelling/structures,
If yes, how much material will be excavated? (TBD) cubic yards sanitary system and stormwater drainage system)
How much material will be filled? +/- 185 cubic yards
Depth of which material will be rernerved--ordeposited: +/-2 feet (proposed grading around dwelling and pool)
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited:
Standard construction practices.
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):
--SEE ATTACHED ADDENDUM--
WETLANDS PERMIT APPLICATION
ADDENDUM FOR
JEFFREY VICTOR& LISA HSIA
1185 KERWIN BOULEVARD
GREENPORT,NY
SCTM#1000-53-3-6
STATEMENT OF EFFECT
The subject property was originally approved for developed pursuant to Town Trustees and Building
Department approvals issued in the 1980s.After site clearing, construction of a dwelling foundation, and
installation of a septic system by the prior owners,however,the project was abandoned, and the current
owners removed the foundation after issuance of a wetlands letter of non jurisdiction by the Trustees in
2003. Although the property is more than 5 acres in size, over 2 acres are tidal wetlands,whose boundary
meanders around both the east and south sides of the buildable area of the 3-plus acre upland.
Great care and consideration has therefore been invested in the development of the site design to meet or
exceed required wetland setbacks and maximize to the greatest reasonable and practicable extent the
maintenance of open space and preserved vegetated buffer areas adjacent to wetlands. In addition to the
proposed construction being situated in the cleared/disturbed portion of the property where the dwelling
foundation was previously located, all elements of the project have been designed to comply with the
wetland setbacks required by Town Code Section 275-3(13)(3), including 100 feet to the proposed
residence(including the attached deck); 50 feet to the proposed driveway; 100 feet to the proposed
sanitary system; and 50 feet to proposed clearing.Newly proposed permanent clearing within wetlands
jurisdiction would occur no closer than 50 feet from wetlands and is limited to areas to be disturbed and
maintained in close proximity to the proposed construction.Almost 1,800 sf of jurisdictional clearing to
allow for construction access, driveway installation,and a small grading area would be temporary in
nature and restored with native vegetation, including 14 hardwood trees to provide 1:1 replacement of the
14 trees that would be removed by the proposed permanent clearing.And a 50 to 100-foot wide,
approximately 1.8-acre non-disturbance buffer would be permanently maintained adjacent to the wetlands
boundary.
To further mitigate the proposed site development, 1)an I/A sanitary system is proposed more than 100
feet from wetlands and outside Chapter 275 jurisdiction; 2)a stormwater drainage system is proposed to
collect and recharge potential runoff associated with the proposed dwelling structure and driveway, and
provide storage for proposed pool backwash and drainage from the outdoor shower; 3)the proposed pool
would use saltwater filtration; and 4)a project limiting fence would be installed to contain site
disturbance and contain potential runoff during construction.
Therefore,the project design, inclusive of the above noted mitigation measures and extensive
preservation of vegetated wetland buffers,will ensure compliance with the standards for issuance of a
wetlands permit set forth by Section 275-12; and will protect groundwater quality and not adversely
impact the quality or function of the surrounding tidal wetlands ecosystem and surface waters associated
with Pipes Creek, consistent with the objectives of LWRP Policies 5 and 6.
r
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:
Victor&Hsia Residence
Project Location(describe, and attach a location map):
1185 Kerwin Boulevard,Greenport, SCTM#1000-53-3-6;property is located on northwest corner of Kerwin Blvd and
Bay Shore Road(map provided).
Brief Description of Proposed Action:
Construct a 2-story single-family dwelling with attached 1st and 2nd floor porches,steps,hot tub,swimming pool,pool deck with pool enclosure
fencing,and outdoor shower piped to drywell,all located 100 feet or more from tidal wetlands;install I/A sanitary system located more than 100 feet
from wetlands;install stormwater drainage system and paver/masonry paths;maintain existing metal storage rack,and remove various existing wood
decks/platforms/walks;clear specified areas within 100 feet of wetlands,resulting in removal of 14 trees;to allow for construction access,installation
of pervious gravel driveway,and filling/grading of approx. 134 sf area within 100 feet of wetlands(using portion of 185 cy of clean fill to be trucked
in from an approved upland source),temporarily clear specified areas within 100 feet of wetlands to be restored with native vegetation,including 14
native hardwood trees(1:1 replacement of trees to be removed);and permanently maintain a 50 to 100-foot wide,1.8-acre,non-disturbance buffer
adjacent to wetlands boundary,all as depicted the site plan prepared by DirtWorks Landscape Architecture,dated November 18,2024.
Name of Applicant or Sponsor: Telephone: 212-595-6690
Jeffrey Victor&Lisa Hsia E-Mail: jrvictor33@gmail.com
Address:
15 West 84th Street,Apt.4B
City/PO: State: Zip Code:
New York NY 10024
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:
NYS DEC,SCDEH X
3.a.Total acreage of the site of the proposed action? 5.144 acres
b. Total acreage to be physically disturbed? +/-32,340 sf
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 5.144 acres
4. Check all land uses that occur on, adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban)
❑Forest ❑Agriculture ®Aquatic ❑ Other(specify):
❑Parkland
Page 1 of 4
I
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: Names:Pipes Cove Creek&Peconic Bay and Environs,Reasons:Significant coastal fish and wildlife habitat
&Protect public health,water,vegetation&scenic beauty,Agencies:Southold Town&Suffolk County,Dates:3-9-90&7-12-88 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:
X
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: X
11. Will the proposed action connect to existing wastewater utilities? NO YES
If No, describe method for providing wastewater treatment: A new I/A OWTS sanitary system X
is proposed.
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
r —
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 INFO ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: Hemnann,Coastal Mgmt. Specialist Date: November 12,2024
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
}
f"
No,or Moderate
small to large
impact impact
may may
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 I
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.
Name of Lead Agency Date
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)
Page 4 of 4
Fieo� � Town of Southold
N-I Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
1000 83 1 7 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN
iU sFiRT 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 (S.F./Acres)) X
5.144 Generated by a Two(T)Inch Rainfall on Site? ❑
the Scope of work for Proposed Construction) (This item will include all run-off created by site
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 +/-32,340 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 X
PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This
item shall include all proposed Grade Changes and
Construct a 2-story single-family dwelling with attached 1st and 2nd Floor porches,steps,hot tub, Slopes Controlling Surface Water Flow,
swimming pool,pool deck with pool enclosure fencing,and outdoor shower piped to drywell,all located 3 Does the Site Plan and/or Survey describe the erosion X
100 feet or more from tidal wetlands;install I/A sanitary system located more than 100 feet from wetlands; and sediment control practices that will be used to
install storrnwater drainage system and paver/masonry paths;maintain existing metal storage rack,and control site erosion and storm water discharger.This
remove various existing wood decks/platforms/walks;clear specified areas within 100 fee[of wetlands, Item must be maintained throughout the EntireConstruction Period.
resulting in removal of 14 trees;to allow for construction access,installation of pervious gravel driveway,
and filling/grading of approx.134 sf area within 100 feet of wetlands(using portion of 185 cy of clean fill to 4 Will this Project Require any Land Filling,Grading or ❑
Excavation where ere is a change to the Natural there
be trucked in from an approved upland source),temporarily clear specified areas within 100 feet of wetlands Existing Grade involving more than 200 Cubic Yards
to be restored with native vegetation,including 14 native hardwood trees(1:1 replacement of trees to be of Material within any Parcel?
removed);and permanently maintain a 50 to 100-foot wide,1.8-acre,non-disturbance buffer adjacent to 5 Will this Application Require Land Disturbing Activities
wetlands boundary,all as depicted the site plan 8prepared by DirtWorks Landscape Architecture,dated Encompassing an Area in Excess of Five Thousand
November 1,2024. (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
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 Mill there be Site preparation on Existing Grade Slopes
are 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? El X
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.)
identify 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.&1 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 Require for a Completed Application).
STATE OF NEW YORK,COUNTY OF -Suffolk SS
---------------------------------
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 for-the- -O---wner
- - -- - --------------- -----------------------------------------------------------------------------------------------------
(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 the 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;
12t November -- ,20 24
-------------------------- ---------daY f, ; --- -------
Notary P _
- -- -------
------- ---------------------
KIM H. STEPHENS (signature of Applicant)
ollake of NeW TOM
FORM - 06/10 No.OIST5015931
Qualified in Suffolk County
My Commission Expires August 02,20
:�Ioard of Trustees
AUTHORIZATION
(Where the applicant is not the owner)
I/We,,._ Jeffrey Victor
owners of the property identified as SCTM# 1 OUQ-..53-3-6 ......._... ,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 permit(s) from the Southold Town
Board of Trustees for this property.
------____ N/A
�rZe* wner's Signature Property Owner's Signature
y ictor
SWORN TO BEFORE ME THIS,. DAY OF�._ ^2�`. ,A20.
N y Public
F
ARGARET M ENLOE PUBLIC,STATE OF NEW YORK
istration No.02EN4912870
alified in]7-0
Yo k Conn y
Expires
�aoardof Trustees Applicat-_,
i
5
AUTHORIZATION
(Where the applicant is not the owner)
I/We;r^ Lisa Hsia
owners of the property identified as SCTM# I000 ..53-3-6., in the town of -
Southold
New York,hereby authorizes;.
En-Consultants to act as my agent and handle all
i
necessary work involved with the application process for permit(s) from the Southold Town
Board of Trustees for this property.
i
N/A j
Property Owner's Signature Property Owner's Signature
Lisa Hsia
SWO'RIv TO BEFORE ME THIS. DAY OF1,
N :.y Public
MARGARET M ENLOE
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.02EN4912870
Qualified is New Yo k County
My Commission Expires /�
Zoard of Trustees Applicat_�
.:AFFIDAVIT; .
Jeffrey Victor BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HISlI-IER 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(§),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.
N/A
e of Property Owner _. Signature of Property:Owner
Jeffrey Victor
SWORN TO BEFORE ME THIS; .DAY:OF_ b 20 0
AIR."
.T, _..
N ary:Public
MARGARET M ENLOE
MEM MTBUG STATE OF NEW PORK
Registration No.02EN4912870
Qualified in Now York County
My Commission Expi 2 2D S'r i
� �3oard of Trustees Applicat-_�
x AFFIDAVIT
Lisa Hsia . ......_ ............. BEING DULY SWORN -
DEPOSES AND AFFIRMS THAT'HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED"PERMIT(S)-AND THAT ALL;STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AN! BELIEF,AND THAT
ALL WORK WILL BE DONE IN THE Mf'MiER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. F
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.
N/A
Signature of. Prop erty.Owner' Signature of Property::Owner
Lisa i-lsia
44t
SWORN TO BEFORE ME THIS... . ( DAY°OF
N ry Public
MARGARET M ENLOE
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.02EN4912870
Qualified in New York Countv
My Commission Expires
APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
he A- il� ;I-- .1,The Cie
1h st
n4l—out go', Varl2.Low.n,6mi,L,e,o,aftd',,emnovees�', posg
o"Ai
YOUR NAJ,%IE.- Victor Jeffrey.
hameopiddI6,ifiWar,Wesyou� aieipplying,16,,th;name of
someone else or other entity,such as a company:If so,indiciii*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.),
Do you Ociididflor-through.yourcompany,spouse,S1 ing,:paii`rt aMel' —h W h'�arycjcerqr_#employee of the Town oFSouthold.. 'R6Idt!dnifiip"incu , s ,.y po_ym
,#rnqge
hi"' hi part 9 o Rtn "'ye, coloration
including partners, which the,4644fficerbi� P. employment
or," oyele� t am
in which th���*. empi p �)wU�46 'sh s.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated
Name of person employed by the Town of Southold,-
Title,br 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 proAded.
The town offlicer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
_nA)the owner of greater,than 0"of;h"'share s of the cotjxtrate:stock ottheo
_n (whenthe apjj ion);
B)the legal or beneficini owner of any interest in a non-colTorit6-lenti e
applicant is not a corporation);
—R
C)an officer,.director,partner,or employee of the applicant;or
IDI )the actual applicant
DESCRIPTION OF RELATIONSHIP
Submftted this 1 day 0 fz el 20 2—
Print l4arne_ 7,TeftreyM;ctor
Form TS I
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURR WRM
lief o
".he Tow w o th'ld C „Eth"' y " bit �"a` f►n'te the. `" " n o ce and a "to TheS of
.t " •onn' '-to _ viF e;i'°xfn.., ,.c
i.."p ^.-:::x:. ":.;•.:::,. - ... Yam. ......
necessaryto awl same:;
YOUR NAME:.-Hsia Lisa "...x
(Last;name,firstiname, idil uiifial,unless you are'applying ir%the name of
someone else or other entity,such as a company.If so,indicate ttie 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.)
Do you.personally(or through.your company,spousesilihng,parent,or child)have a relationship w►th an-,p.pcer or employee "
of the Town of Soutliold? "Relationship"includes by:blood,marriage,yr l us►ngss rt teresty" us►ness interest"means a tit►s►ness,
including apartnership ►n which the town officer oc employee hasl.even a,partial ownersh►p of(oremploymenc ty)a.corpomtion
in which the town oflieer ors employee,owns',mo a than�5"lo of 11ie shares.
YES nNO
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,of child is(check all that apply):
f1A)the owner of greater than g%of the'shares of the cq..poeatC stock of the applteant
(when the apoheant is a corporation);
B)the legal or beeneficial owner of any interest in a non-cozporate`ent►ty(when,t e
applicant is not a corporation);
—R
C)an officer,.director,partnei,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this _q_dqy of OAC 2 0-
Signature; L
Print Name Lisa dSla ...
Form TS I
APPLICANT/OWNER --�
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose 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: Herrmann,Robert ,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.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance Trustee Permit XXX
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
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 that 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 12t ay of Novemb.e.>2024
Signature
Print Name Robert E. Herrmann
NOTILI. OF
HtAlItING
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: JEFFREY VICTOR & LISA HSIA
SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a two-story, single-family dwelling';, !,
with attached first and second floor porches, steps, hot tub, swimming pool, pool deck with pool enclosure
fencing, and outdoor shower piped to drywell; install an I/A sanitary system; install stormwater drainage
system; install paver/masonry paths; maintain existing metal storage rack; remove various existing wood
decks/platforms/walks; clear specified areas within Trustee jurisdiction resulting in removal of 14 trees; to
allow for construction access, the installation of a pervious gravel driveway, and filling/grading of approx.
134sq.ft. area within Trustee jurisdiction (using portion of 185 cubic yards of clean fill to be trucked in from
an approved upland source), temporarily clear specified areas within Trustee jurisdiction to be restored
using native vegetation, including 14 native hardwood trees (1:1 replacement of trees to be removed); and
to establish and perpetually maintain a 50 to 100 foot wide, 1.8 acre Non-Disturbance Buffer adjacent to they
landward edge of the tidal wetlands boundary. Located: 1185 Kerwin Boulevard, Greenport. SCTM# 1000-
53-3-6
TIME & DATE OF PUBLIC HEARING: Wednesday, February 12, 2025 — 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
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# 53 - 3 6
PROJECT NAME Jeffrey Victor&Lisa Hsia
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:
Construct a 2-story single-family dwelling with attached 1st and 2nd floor porches,steps,hot tub,swimming pool,pool deck with pool
enclosure fencing,and outdoor shower piped to drywell, all located 100 feet or more from tidal wetlands;install I/A sanitary system
located more than 100 feet from wetlands;install stormwater drainage system and paver/masonry paths;maintain existing metal storage
rack,and remove various existing wood decks/platforms/walks;clear specified areas within 100 feet of wetlands,resulting in removal of
14 trees;to allow for construction access,installation of pervious gravel driveway,and filling/grading of approx. 134 sf area within 100
feet of wetlands(using portion of 185 cy of clean fill to be trucked in from an approved upland source),temporarily clear specified areas
within 100 feet of wetlands to be restored with native vegetation,including 14 native hardwood trees(1:1 replacement of trees to be
removed);and permanently maintain a 50 to 100-foot wide, 1.8-acre,non-disturbance buffer adjacent to wetlands boundary,all as
depicted the site plan prepared by DirtWorks Landscape Architecture,dated November 18,2024.
Location of action: 1185 Kerwin Boulevard,Greenport
Site acreage: 5.144 acres
Present land use: Unimproved-residential
Present zoning classification: R-80
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: Jeffrey Victor&Lisa Hsia
(b) Mailing address: 15 West 84th Street,Apt.4B
New York,NY 10024
(c) Telephone number: Area Code 212-595-6690
(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? NYSDEC
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
Through the porposed site design and mitigation,the proposed development plan maximizes to the greatest extent reasonable and
practicable the maintenance of open space and preserved vegetated buffe areas adjacent to wetlands.
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
-SEE ATTACHED ADDENDUM-
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
LWRP CONSISTENCY ASSESSMENT FORM
ADDENDUM FOR
JEFFREY VICTOR& LISA HSIA
1185 KERWIN BOULEVARD
GREENPORT, NY
SCTM#1000-53-3-6
LWRP Policies 5& 6
The subject property was originally approved for developed pursuant to Town Trustees and Building
Department approvals issued in the 1980s.After site clearing, construction of a dwelling foundation, and
installation of a septic system by the prior owners,however,the project was abandoned, and the current
owners removed the foundation after issuance of a wetlands letter of non jurisdiction by the Trustees in
2003. Although the property is more than 5 acres.in size, over 2 acres are tidal wetlands,whose boundary
meanders around both the east and south sides of the buildable area of the 3-plus acre upland.
Great care and consideration has therefore been invested in the development of the site design to meet or
exceed required wetland setbacks and maximize to the greatest reasonable and practicable extent the
maintenance of open space and preserved vegetated buffer areas adjacent to wetlands. In addition to the
proposed construction being situated in the cleared/disturbed portion of the property where the dwelling
foundation was previously located, all elements of the project have been designed to comply with the
wetland setbacks required by Town Code Section 275-3(D)(3), including 100 feet to the proposed
residence(including the attached deck); 50 feet to the proposed driveway; 100 feet to the proposed
sanitary system; and 50 feet to proposed clearing.Newly proposed permanent clearing within wetlands
jurisdiction would occur no closer than 50 feet from wetlands and is limited to areas to be disturbed and
maintained in close proximity to the proposed construction.Almost 1,800 sf of jurisdictional clearing to
allow for construction access,driveway installation, and a small grading area would be temporary in
nature and restored with native vegetation, including 14 hardwood trees to provide 1:1 replacement of the
14 trees that would be removed by the proposed permanent clearing. And a 50 to 100-foot wide,
approximately 1.8-acre non-disturbance buffer would be permanently maintained adjacent to the wetlands
boundary.
To further mitigate the proposed site development, 1)an I/A sanitary system is proposed more than 100
feet from wetlands and outside Chapter 275 jurisdiction;2)a stormwater drainage system is proposed to
collect and recharge potential runoff associated with the proposed dwelling structure and driveway, and
provide storage for proposed pool backwash and drainage from the outdoor shower; 3)the proposed pool
would use saltwater filtration; and 4)a project limiting fence would be installed to contain site
disturbance and contain potential runoff during construction.
Therefore,the project design, inclusive of the above noted mitigation measures and extensive
preservation of vegetated wetland buffers,will ensure compliance with the standards for issuance of a
wetlands permit set forth by Section 275-12; and will protect groundwater quality and not adversely
impact the quality or function of the surrounding tidal wetlands ecosystem and surface waters associated
with Pipes Creek, consistent with the objectives of LWRP Policies 5 and 6.
-SEE ATTACHED ADDENDUM-
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'si, _' ter-dependent uses and promote s� 1.'y of new water-dependent uses in
suitable locations. See LWRP Section III - Policies; Pages 47 through 59 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.
❑ Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
PREPARED BY TITLECoastal Management Specialist DATENovember 12,2024
Robert E. He
Amended on 811105
EN-CONSULTANTS
i � ECEIVE
November 20, 2024
DEC 9 2024
Town of Southold
Board of Trustees
54375 Main Road Soufhol0mm
Post Office Box 1179 BoaidofTrustm
Southold,New York 11971
Re: Jeffrey Victor&Lisa Hsia
1185 Kerwin Boulevard, Greenport
SCTM#1000-53-3-6
Dear Board of Trustees:
In regard to the above referenced property, enclosed are the following for the Board of Trustees review:
1. Photographs.
2. Four(4)Wetland Permit Applications including:
a) . Authorization&Disclosure Forms;
b) Short Environmental Assessment Form;
c) LWRP Consistency Assessment Form.
3. Four(4)site plans prepared by DirtWorks Landscape Architecture, dated November 18,2024
4. Four(4) surveys prepared by Nathan Taft Corwin III Land Surveyor, last dated April 3,2024.
5. Application fee of$1,250.00.
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.
Sin R Herrmann
Coastal Management Specialist
/khs
Enc.
1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com
environmental consulting