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HomeMy WebLinkAboutTR-10723 ��®� S®�j�, Town Hall Annex Glenn Goldsmith, President ® 54375 Route 25 A. Nicholas Krupski, Vice President �® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly C Telephone(631) 765-1892 Elizabeth Peeples �® Fax (631) 765-6641 COUNTi,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD F OKED OFF 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHE BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 sc day of construction % constructed When project complete, call for compliance inspection; Glenn Goldsmith,President O�QSQfFU(�`'OG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski H P.O.Box 1179 Liz Gillooly T Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 265 Arshamomaque LLC TO: Please be-advised that your application dated - December 13. 2024 has been reviewed by this Board at the regular meeting of February 12, 2025 and your application has been approved pending the completion of the following items checked off below. X Revised Plans for proposed project (Showing a 25' vegetated non-turf buffer landward of Top of Bank and non-disturbance buffer seaward of Top of Bank) Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) % Constructed ($50.00) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) X The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 �c, 3l�3 TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President ®F s®�/�y Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepenoski J�f Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples i a® Fax(631) 765-6641 270 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 24, 2025 David Roberts 265 Arshamomaque LLC 3 Sandie Lane Manorville, NY 11949 RE: 265 ARSHAMOMAQUE, LLC 265 ARSHAMOMAQUE AVENUE, SOUTHOLD SCTM# 1000-56-2-14 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 12, 2025 regarding the above matter: WHEREAS, 265 ARSHAMOMAQUE, LLC applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 13, 2024, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 12, 2025, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of 265 ARSHAMOMAQUE, LLC to construct a 16'x32' inground swimming pool with 12"wide coping; install 4' high pool enclosure fencing with gates; install a drywell for pool backwash and install a pool equipment area; with the condition to establish and perpetually maintain a 25' vegetated non-turf buffer landward from the top of bank; and establish and perpetually maintain a non-disturbance buffer seaward of the top of bank; all as depicted on the site plan prepared by Peconic Surveyors, P.C., received on March 13, 2025, and stamped approved on March 21, 2025. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, /1L 441.'�A Glenn Goldsmith President, Board of Trustees '�� ,,s�,as��:�a'ti�z����.e�. .. m,.;„ ,.,. � �,t •:�a:s t;��; ::"..au�.�.;assmu�z;+�e�.,�„y, t,�sr+w�:a�fr��n�;4�xs�a��'�a: '^�c�;S�; I d•�t 16 YyPI I, BOARD OF SOUTHOLD TOWN TRUSTEES >x SOUTHOLD,NEW YORK ,r PERMIT NO. 10723 DATE: FEBRUARY 12,2025 s ys ISSUED TO: 265 ARSHAMOMAQUE,LLC fi. PROPERTY ADDRESS: 265 ARSHAMOMAQUE AVENUE, SOUTHOLD SCTM# 1000-56-2-14 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 12,2025,and in consideration of application fee in the sum of$1,250.00 paid by 265 Arshamomaque,LLC and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: , F Wetland Permit to construct a 16'x32' inground swimming pool with 12" wide coping; �i install 41 high pool enclosure fencing with gates; install a drywell for pool backwash 1 � g P g g � �r and install a pool equipment area; with the condition to establish and perpetually y ; asp maintain a 25' vegetated non-turf buffer landward from the top of bank; and establish 1. ~ and perpetually maintain a non-disturbance buffer seaward of the top of bank; all as depicted on the site plan prepared by Peconic Surveyors,P.C., received on March 13, 2025, and stamped approved on March 21, 2025. ,�, IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the,day and year written above. . r 1;. ate .7'�Zi S'Yr vk�.+.idP.ds�J33�."e�/.8.�'73Lu'eS`+`tu+'°e°'s"�u$"•'i''".L�ieut+'iti".a':A5�4�aYti'�e5`�'�"�i IFS\�"dEEP.J"dn'.L'�E#L�:k7n1;F:i"%"kfa"!fia`iu�„:�`i'' .1.t�7o'�`u' 6'?�7d�+u"i7uu"��u`R:c ai�r'i'f�,"id"ecirdSA "e�'7n'�S' m n�.'�� � .. 1, • S � - `����, � S�F-'• � � � \ r'�r i� � ,�- ref .. �. -..:.P_:�«� "�.S sppg„. $ 'a,.'* e_ '� .Ac.:4i, ,S.G4... :,-.`"p.. P° .<• n-. :d:.� "�`" TERMS AND CONDITIONS The Permittee 265 Arshamomaque,LLC,265 Arshamomaque Avenue, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Post�g Fasteners-Pil.Na 10 Gage ,r Wm Or 50 Lb Raft Zp nee "m 3 Per Post -I .....---------------- SURVEY OF PROPERTY Filter 1 Fabric ;_ A T SO UTHOLD C TOWN OF SO UTHOLD ELEVATION 1Postr m ° SUFFOLK COUNTY, -Filter Falxic .__ote ROW 1000-56-0,2-14 ,�, Grauld ► SCALE.- 1 "-30' F FEBRUAR Y 8, 2024 ,I<-- s• r,h Fxter MARCH 13, 2024 (REVISIONS) Fabric Embedment �- ------ APRIL 1, 2024 PROPOSED SEPTIC SYSTEM ADDED Compacted BaMt ( ) 60-} MA Y 23, 2024 (CONTOUR LINES ADDED) Min FABRIC ANCFIOR DETAL SEPTEMBER 28, 2024 (REVISIONS) ,9 SLT FENCE PETAL OC TOBER 7, 2024 (revisions) 0 NO VEMBER 18, 2024 (BUFFER & PROPOSED POOL ADDED) g MARCH 10, 2025 (25' Buffer Added) TEST HOLE DATA 01 -- McDONJ1412 24CIENCE APPROVED BY EL. 21.9' DARK BROWN LOAM OL FBOARD OF I tzUSTEES 0.5' TOWN OF SOUTHOLD BROWN SILT ML DATE M �b 3' PALE BROWN FINE SAND SP N Flag#4 PROPOSED 8'0 DRYWELL VACANT LOT FOR POOL BACKWASH rn i r 17' EL16.9' NOTE.• NO WATER ENCOUNTERED W PROPOSED 8'0 \� Flag#3 •��+ DRYWELL (TYP. OF 2) 04 �2p'1 p„E m Zo \�l Q� � z O , N83POOL ­PbOZ t I l = Q rn EOPMNT. QL g Z �y� 2i Q I t II I 1 I I La 1 3 FJ- I Dw,110. /'/ EL21.T _--WS 1��/ HVAC �! GATE \\ ZO t3�- O� I t t 10 I I I O�O Q a EL 22.Q' —WS �, , GATE �Vv/// // �-�- ; i I l - _K �L s� V a� E---E-�EE � 43.5 \ x o / �jG1� 6��Z0 �i iJ w it 11 �i m�nW (O O _ PE�OUS o ro v �� I o �/// �.y v2 F ` i i li ` � O \ (� PROPOS AY o v z �p Q GRAVEL DRNEW 17.5 PROPOSED �c y O op0 L4 `` x o Lp 5 //�6G � �G �� \ tt Flag 2 �� \ Q' to 40,8' 10.5 FR. $ -a T �(/ O V p W 2 STY. o 8 O N Q �/10 � i �� - i t\� \t_tt �tt\ Q Z HOUSE & a x �! zLA 4al' GARAGE 2.0' 9 �� I �� r 1 ) 1I Q ►_ FF=24.5' �, a 4 I — _ I � Y o 31 a DB 1 O w oo 0.7 I ` .+� EL17.9' , 1 a 59.0' 4 to , 3d�'�'h 2Q EDGE OF LAWN t 1 I 1 00 _ PROP: o „' ell f I I I I Z_ 22-- +� b '\ R BLOWER OUTSIDE �j , 7 t I I 10 " f j tea, t/2.81-OWER AIR LINE /�-,SHOWER (GATE �,,,���'� X X 2.1'S. 347.3 tl ! I I la 1 O Z � t o_ NiS 5' LP-1 e' LP-2 To OWIS l , x _ 1 _ � t p � 3 nS 3 r�T^�j C) All ( ELECM SERVICE UNE EL20.2' SHED �' j I� I I I g 1I ^ ? KEY Z (/� 3 1 Z ++ - {1���— Landward edge of Fresh Water Wetlands as delineated ± I by Peconic Surveyors March 6, 2024. I Sauttraf�Tartu I _ T - �_ = REBAR w +nl nnw 583�2 +1 p"YY 100' TOP OF BANK U CC 3 1 �I U O !?a8r Of TRlS!C?S�+ l� E OF LAWN SETBACK LINE LOT 6 ® = WELL z Ni 3 Z E 22.1' 21 e' TEST HOLE WA TER ® = STAKE � Z ? ��— ``'-22 WELLING WITH PUBLIC p Certif ied To: = TEST HOLE o CC a 265 Arshamomaque, LLC ® = PIPE Z American Dream Abstract, Inc. 0 = MONUMENT = First American Title Insurance Company ° r h��.QCID 0404; , = WETLAND FLAG ,� / �•'�, rQ, = UTILITY POLE = WETLANDS — y . V0 0515 AREA=26,361 SO. FT. N. Y.S. LIC. NO. 49618 CONTOUR LINES AND ELEVATIONS REFERENCED TO NAVD 88 �Jai�E— N. Y.S. LIC. NO. 051132-01 NOTE PROPOSED SEPTIC SYSTEM DESIGNED BY OTHERS. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PEC IC FLOOD CERTIFICATE SOLUTIONS OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 ,(631) 989-9174 LOT NUMBERS REFER TO " MAP OF BEIXEDON ESTATES" EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS Email: peconicsurvey®optonline.net BLOCK 2 FILED /N THE SUFFOLK COUNTY CLERK'S OFFICE ON HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF peconicfcs®gmoil.com SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR P.O. BOX 909 0(]_�O� MARCH 76, 1946 AS FILE NO. 1472. WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y 11971 �/ U S EES SOUTHO'L.D .TR� No. Issued To. a�5 Xts%ttainaoiakme - pate Address.., .CIO J��S�,� Xie . sou � . THIS NOTICE MUST BE DISPLAYED DURING , CONSTRUCTION .TOWN TRUSTEES OFFICE TOWN. OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,President ����S�F [��,OGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski W ,x P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 2''5—Z Completed in field by: L , 265 ARSHAMOMAQUE, LLC requests a Wetland Permit to construct a 16'x32' inground swimming pool with 12" wide coping; install 4' high pool enclosure fencing with gates; install a drywell for pool backwash and install a pool equipment area. Located: 265 Arshamomaque Avenue, Southold. SCTM# 1000-56-2-14 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code propose work falls under: �hapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: w. ( IrC✓`P-�`-� CA f" (A 20 f V 5cC CK Present Were: /G. G9dsmith ✓ N. Kr ups E. Sepenoski ✓ L. Gillooly Peeples 6 max Pod Spocing ---- Fixtann-1`11%Na 10 Gage Who Or 50 Lb Raft 27p Ties It, 3 Per Post I11L .... --- DEC 1 3 024 L! SURVEY OF PROPERTY Filter Ou oldTown Trustees soaoidTown Fabric A T SOL TTHOLD Board of Trus'012 ----- TO WN OF .30 UTHOLD Ir th D*en ELEVATIQN SUFFOLK COUNTY, N. Y Fiter Fd* 1000-56-02-14 --Weaw of Row U&Aed &wnd LV* SCALE.- 1 —3 FEBRUAR," 8, 2024 1k------------------------ 6* Kn Rter MARCH 13, 2024 (REVISIONS) Fdxt Effbednerit ------------- ------ 6' ;aWted BxkAt APRIL 2024 (PROPOSED SEPTIC SYSTEM ADDED) Min MA Y 23, 2024 (CONTOUR LINES ADDED) FABRIC ANCHOR ETAL SEPTEMBER 28, Z-024 (REVISIONS) SLT FENCE DETAL OCTOBER 7, 2024 (revisions) ON9 NOVEMBER 18, 2024 (BUFFER & PROPOSED POOL ADDED) IECEMBER 2, 2024 (BUFFER ADDED) TEST HOLE DATA McDONALD GEOSCIENCE J1412024 EL. 21.9' DARK BROWN LOAM OL — 0.5, BROWN SILT ML PALE BROW FINE SAND SP Flag#4 PROPOSED 8'0 DRYWELL VACANT FOR POOL BACKWASH LOT 4 17' uk. EL 16.9 1348-83\' \` ' I .............. Flag of 41 PROPOSED 8'0 F 2) 00 .......... > I �L 'CA NOTE. NO WATER ENCOUNTERED 3r (-A. DRYWELL (TYP. 0 V Ln -0 PlE 0 Q1 Q) 103*2010 M t'UUL -P-0 L ILI- 3: 1?� EQPMNT. DW 6 0/ 0 LU C14 r Z_ 0- -A Ll- LU (0 01j: GATE A� 0 ?E :5- �0-C 0- EL21.7' HVAC 0 0 V E 13 1 a L72.Q' GATE 1:1 0-1�- - UO 0- --------E------—E >e 0, ro- 43.5 0 �A CD ------- V111. (n \ (/) 01 rn -V- Q) -0-0 LQ x PROPOSED Ous LLI 7.5 0 M Flag#2 G Djj=Ay -0 a I PROPOSED go 0 \\\ z 0- 0 L11 LOT 5 0 40.8' 2 STY- 0 0 0- & -a V --LQ�� 40 1' GE 2.0' 3-; o- >e N, HOUSE o 0 Fuji I CF ' N-7 0 _ LO C) D 0 0.7 EL 17.9' 1 1 1 1 \\"--EDGE OF LAWN,---." I 4 �t all 59. 4' 1 2Q L 22- PROO. x — h SLOWER 10 ROWER (GATE 9,,o I NI M /2-SLOWER AJR LINE , OW 347.37 1 1 1 T (� 8 0 D 5 Lp-1 I I�ag#i 0- TO OWTS DW MIN) EL20.2' C) ELECTRIC SERVICE LINE SHED I Landward edge of Fresh Water Wetlands as delim-ated KEY z It % 109W by Peconic Surveyors March 6, 2024. 0 110 REBAR -83*20 100' TOP OF BANK of GE OF LAWN SETBACK LINE WELL Z) LIJ 0 21.8' TEST HOLE LOT 6 CD z E11-22.11 z � !3�E.- ITH pUBLIC WATER A = STAKE zi z -22 Certif ied To: -1 0 0 [)WELLING W LIJ 0 Zi S = TEST HOLE 3: 1 265 Arshamomaque, LLC American Dream Abstract, Inc. 0 = PIPE z First Ame-ican Title Insurance Company ® = MONUMENT WETLAND FLAG OF NEVl UTILITY POLE WETLANDS A .051'% CONTOUR LINES AND ELEVA77ONS REFERENCED TO NAVD 88 AREA=26,361 S0. FT. t. —- N. Y S. LIC. NO. 49618 NOTE.• PROPOSED SEP77C SYSTEM DESIGNED BY OTHERS. ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION PECO%l JR VEYORS, P. C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW (6J1) 76-5-5020 FAX (6J1) 765- 1797 L 0 T NUMBERS REFER TO " MAP OF BEIXED ON ES TA TES EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. O. E Ox 909 BLOCK 2 FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 12JO 7-RAVELER STREET MARCH 16, 1946 AS FILE NO. 1472. WHOSE SIGNATURE APPEARS HEREON. SOU Th OLD, N. Y 11971 %-e f*%-,09-2np �Affiqi4L, 1 �' 4'�V' J L<?G `�'•�YTM r 9 1�i� R7 :�]�hs�i i�^r > 1, a i' ! +" 4.r a i �v��/y tt.!.:�. 1l 1 �Y �. ,i -. F>� } _Y��X� l ,r� J�r ,.�Y�"'" 1.'. 1 �f ♦ �rT¢,.rJi , r ifu5: '`1. :� A_J. I.�r Y . b.y4•l"''-'Fta- � I �^ r- � : 'l yj�".`+. �c r�t rj,. . �,.i �.'1 •y f � a�•�,� n r :..n .fir �., } (.'+ ....9� .1'� �in+�,-d .:��t � f��� t;,r'•�Vl�.�tl�iR+w �.ryl�?, :��-. ,,��..�� y VS'fyx V �rSi:{. , r y -.lf�ti k. 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A,-"'y \ v i •�" s� r� ,ta� P d� y: .a`. °°M ^'a'••r Y� \�� �� � ��� �� � �t � �� sue. Ron"., \4 \ e :, ',d.,"'°.a.a-,.,. ....,......,.,...,�....� - ...�.°... �.. COUNTY OFSUFFOLKi, 056 p „`� -- ••"••�Jr"�—_ -- ` O ,,. ..r ,, Red f'ruperiy ilx�mice.lKrnc1 Nwrew.E uea+ r ��— _ yr Gimenlw ,ICn aF neE Fa•w EOUTNOtD OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION 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 265 ARSHAMOMAQUE, LLC SCTM# 1000-56-2-14 265 ARSHAMOMAQUE, LLC requests a Wetland Permit to construct a 16'x32' inground swimming pool with 12"wide coping; install 4' high pool enclosure fencing with gates; install a drywell for pool backwash and install a pool equipment area. Located: 265 Arshamomaque Avenue, Southold. SCTM# 1000-56-2-14 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 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 Goldsrnith,.President -0ag 300.jef, -.Town Hall Annex A.Nicholas Krupski,Vice President ,`V. { 54375 Route 25 Eric$epenoski � � P.O.Box 1179 Liz Giilooly . . Southold,New York 11971 Elizabeth Peeples fi 1 Telephone(631) 765-1892 QI elY.r Fax.(631) 765-6641 ycatlNTt;��� BOARD OF TOWN,TRUST ES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application . ,._Wetland Permit Application Administrative Permit LJ __Amendment/Transfer/Exte sio DEC. 1 3 .2024 Received Application: a 13 Vq IC Received Fee: $ go�tholdTown ompleted Application: 1 a.�. 2 gaardofT es Incomplete: SEQRA Classification: Type I Type.II. Unlisted. Nigative Dec. Positive,Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Asses ment Form Sent: '311 aS CAC-Referral Sent: w A Date of Inspection:.' c1 Receipt of CAC;Report: Technical Review: _ Public Hearing Held:__a11TX Resolution: Owners)Legal'Name of Property (as shown on Deed): 265 Arsharnornaqtue LLC Mailing Address: 3 Sandie Lane Manorville NY 11949 . 'Phone Number: 631-905-4789 Suffolk County Tax Map Number: I000- 56-2-14. Property Location: 265 Arshamomaque Avenue Southold NY 1197 (If necessary,provide LILCO Pole#, distance to cross streets, and locati n) AGENT(If applicable): Mailing Address: Phone Number: Email:david@djcu tomhomes.com w _ Board of Trustees Applic�� GENERAL DATA Land Area(in square feet): 26361. Area Zoning:R-40 Previous use of property:Vacant land Intended use of property: Residential home Covenants and Restrictions on property? . Yes _Z_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? ✓ es n 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 _C�__Yes _ No If"Yes", please provide copy of decision. his project re any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No . Does the structure(s) on property have a valid Certificate of Occupanc ? Yes=No �r /v Prior permits/approvals for site improvements: Agency Date No prior permits/approvals.for.site improvements. Has any permit/approval ever been revoked or suspended by a governm ntal agency?-n No_z_Yes If yes,provide explanation: Project Description(use attachments if necessary): Construct a 16' x 3 '.i aground pool, surround by- Pool.comliant fencing, also landing pad for pool equipment and dr ell for pool i�. N�� L1119L` V-v Board .of Trustees Applic� ion .WET1LAND/TRUSTEE LANDS.APPLICATION DATA Purpose of the proposed operations: Use of inground swimrni ig pool Area of wetlands on lot: 1.881_ square feet- Percent coverage of lot: 7 %- Closest distance between nearest existing structure and upland edge of wetlands: 107 feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet . . .. . . . . Does the project involve excavation or filling? No Yes 0 If yes, how much material will be excavated? 100 - ubic yards How much material.will be filled? 0 cubic yards Depth of which.material-will be removed or deposited 6 - feet Proposed slope,throughout.the area of operations 0 Manner in which material will be removed or.deposited: Exca for and trucking Statement of the effect,if any, on the wetlands and tidal waters o F the town that may result by reason,of such proposed operations (use attachments'if appropria e); NA r 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Comnletin'g Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses. become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 in rmation. Complete all items in Part]. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information_ 265 Arshmomaque LLC Name of Action or Project: 265 Arshamomaque Project Location(describe,and attach a location map): 265 Arshamomaque Avenue Southold NY 1-1971 Brief Description of Proposed Action: Construct:a 16' x,32' Ingorund Pool with pool comliant fencing, a 4' x 6' pad.for Pool equipment and drywell for pool only Name of Applicant or Sponsor: Tel phone:631--905-4789 265 Arshamomaque LLC David Roberts, Member E- ail:davidQa djcustomhomes.com Address: 3 Sandie Lane City/PO: State: Zip Code: Manorville NY 11949 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO ' YES administrative rule,or regulation? If.Yes,attach a narrative description of the intent of the proposed action and the environmental resources that � ❑ may be affected in the municipality and proceed to Part 2. if no,continue to question 2. 2.. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Southold Town Buildinhg Department 0 Z✓ 3..a.Total acreage of the site of the proposed action? .65 acres b.Total acreage to be physically disturbed? W acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .65 acres 4. Che . . I land us". at occur on,adjoining an IL9ar the prop action. Urban u Rural(non-agriculture) lndustrial Commercial QResidential(suburban) Forest [:]Agriculture ❑Aquatic QOther(speci y): i Parkland Page 1 of 4 i 5. Is the proposed action, a. A permitted use under the zoning regulations? NO . ( YES N/A b.Consistent with the adopted comprehensive plan? 6. is the proposed action consistent with the predominant landscape?. character of the existi g built or natural NO. YES 7. Is the site of the proposed action located in,or does it adjoin,a state listed_Cr itical Environmental Area? NO I YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above pri NO YES b.Are public transportation service(s)available at or nearthe site of the proposed action? ✓ c.Are an �y pedestrian accommodations or bicycle routes available on or near site of the proposed action? e/ 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 tec nologies: 11 Rl 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: El Z 1 I.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Seperatd dryWell 12. a.Does the site contain a structure that is listed on either the State or Nation—a I Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? I 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ✓ 14.rldf ntify the typicE ibitat types that oc n,or are likely to be found on t roject site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional . Wetland .Urban BSluburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed N® YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? ✓ NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? N® If Yes, a. Will storm water discharges flow to adjacent properties? NO DES ❑✓ b.Will storm water discharges be directed to established conveyance systems ff an If Yes,briefly describe: NO �m drains)? f'ES Page 2 of 4 i 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 Iagoon, dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the locatior i of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject f remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 265 Sh oma ue LLC Date:11/21/2024 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the complel ion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions.the reviewer hould be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed acti n?" No,or Moderate small to large impact impact may may occur , occur L Will the proposed action create a material conflict with an adopted land use plan or zoning El ❑ regulations? 2. Will the proposed action result i n a change in the use or intensity of use of lard? ❑ ❑ 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, El ❑ 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 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage a Elproblems? 1]. 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 i there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse ern ironmental impact,please complete Part.3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,. duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analys s above,and any supporting documentation, that the proposed action may result in one or more potentially large or sigiiificant 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 environme tal impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible.Officer Signature of Responsible Officer in Lead Agency Signature of Prep rer(if different from Responsible Officer) PRINT I Page 4 of 4 Board of Trustees Appllc,� ,on 4y AFFIDAVIT David Roberts . BE NG DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMEN S CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE ND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FO TH IN THIS APPLICATION AND AS MAY BE APPROVED-BY THE SOUTHOLD TO - . BOARD OF TRUSTEES.. THE APPLICANT AGREES.TO HOLD THE TOWN OF S UTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM NY AND ALL DAMAGES AND-CLAIMS ARISING UNDER OR BY VIRTUE OF SA. D 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 O TO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH T IS APPLICATION; INCLUDING A FINAL(INSPECTION. I FURTHER AUT ORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS Q.UIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETIL AND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. ignatur of Property O Signature of Property.Owner . sf SWORN TO BEFORE ME THIS / DAY OF lVa zp?/s er ,20 Z �� C/ TODD HEUSEL Lliaublic-State of Mew York o.01HE0009168 Notary Public fled in Suffolk County fission Expires Jun 6,2027 APPLICANT/AGENT'/RIEPRESEN ATI TRANSACTIONAL DISCLOSURE FOIE The Town of Southold' Code of Ethics prohibits conflicts of interest on the art :toivn officers and erniployees.The ip mmse of this form is to provide information which can alert the t wn of possible.conflicts of int rest and allow it to take'whateveraction is necessary to avoid same YOURNAME: 265 Arshamoma ue LLC David Roberts Mem er (Last name,first name,.jpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate I he 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.otficial map. Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse;.sibling,parent,or child)have art lationship with any officer or employee, of the Town of Southold? "Relationship"includes by blood,marriage,.or business niter st "Business interesf'means a business; including a partnership,in which the town officer or employee has even a partial owner.hip of(or employment by)a corporation in which the town officer or employee owns more than.5%o of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indic ated. 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 tc wn 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 t atapply): A)the owner of greater than 5"/6 of the shares of the corporate stock of the applicant _E (when the applicant is a corporation); B)the legal or beneficial owner of any interest in anon-corporate entity(when th 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 21 of Nov tuber 20 24 Signature Print Name Dc O of tS Form TS ] Board of Trustees Applic'�,_ on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: .r.r.nnoo. NAME: frogs s6 - a - 13 _(p — /'iv M04 lt�Jt?h�vc� � - STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 I I Notary Public Board.of Trustees Appli ati'on PROOF OF MAILING OF NO ICE ATTACK CERT FIED MAIL RE EIPTS APPLICATION NAME & SCTM#: - NAME: ADDRES f fah LU r -el sox. 'Pb ;fib r � 1J�vi.c�Z 1 ��k___ . - (,1�C, ► bib fNl '. 'Coll_ o < <� F E 8 .1 0 2025 STATE OF NEW YORK southold.Town Board of Trustees COUNTY-OF SUFFOLK �""` CII��L�i✓ residing at. 179ioG14 A* ��'f1 ,being dulys sworn, deposes and says that on the 5` day of., J 13 , 20_dS, depo rient mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of-the above-named persons at the addresses set opposite their respective names;.that the addresses set opposite.the names of said persons are the address of said persons as shown on the current.assessmerit ro11 of the Town of Southold- that said Notices were mailed at the Unit d States Post Office located at thAl said Notices were mailed to. each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Si ature Sworn to before me this 1 Day.of(F 20 c � C 3NNIE D.BUNCH Notary F lublic,"State of New York f� /JN o.0BU Quali ied,In Suffolkffolk 0 C County: Notary Public Commissl n Expires April14, U.S-Postal Serviceim V.S. 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C. �_1 Fr9 Street,Apt No.;- ----- �- -^------------ -----•-------- 0 or PO Box No. - a I-` -------------------------------1 --— City,S ate,ZIPir9 Q PS ForM :rr JAugust 2006, Glenn Goldsmith,President %%oF814, Town Hall Annex A.Nicholas Krupski,Vice President ,�� Gy 54375 Route 25 Eric Sepenoski y x P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples 4 �j01 �a Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ❑ E C V tE ------------------------ Z In the Matter of the Application of F E B 1 0 "� 2025 265 ARSHAMOMAQUE,LLC COUNTY OF SUFFOLK Southold Town STATE OF NEW YORK 13oardofTrustees AFFIDAVIT OF POSTING DMT©T Cl WJPM T'I ' EDR�VI ATrT TTHE P-STI WP ' N ' RE ' r IN�IzZ,�4rCE 4� ,,����'�[�5''���E�T�E+ ' !AEI'�Si►P�R�I-OR�Ti�iTHE�PI>�fBL�I�>� I?�E�R���`�D.�1rTE>�G01�IPL�E+�F�I.-7JS�F�R{11�I[ON�L.�►I G�H�IIIDArY�(�R���7rE�Z� I, /`�% .�✓ , residing at/dba %(S 0grl .01 being duly sworn, depose and say: That on the 3 day of /':-L`FB , 20X5, I personally posted the property known as o s r2s d xi.o -1 A 9r/e, A'4' by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,February 12,2025. Dated: (signat e) Sworn to before me this p,W) day oft - 20 a,- t CONNIE D.BUNCH fyw � l�Z��t`�1 � Notary Public.State of New York 4 Notary Public No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2_?k �.. c'� �' ,�,, �, _t •� � :�, � r Imo_ .�-'n � ��" %i �, _ e r .. I ;:' : It NZ 621 • 1 , • , NOTICE OF HEARING t_y ,de BUILDING PERMIT "a�.`s. 6.' ,'�'iPy-'��`�, T.�Y�_��i►-;1� NN �Fu"b �,rr« «n.'�!s •w i�e_�ti, �►� � � � cc�E as `�. >yy4°-.�• � � I Y �� � _ `,�''��'+i t}' '♦Ij�� �� !�`r'�a� '1/ ��':t j F ",�-:r. \''�"Ili ,; - !I 1; rtKf4�/ 2e h ~ �./, a �,�'^ 1 � ate• ,� �i �� i 7:� `� �� .. � �i ! �, ++,_-t '� �.� .r yi, v �$�p! '�ra. x,f�!,' ,� � �! ,�•�,` �.+.;�It � _=x, `+�`+ y s �• te, t SM @wY' \'.�k� 'M- r► w� ,� �1 S'; ,c.� s _ X".. ...r-..ray' �► . o..+„ s7. _.: ' 6l' ������.�:"1 i►�l� ����a��4��- _ ._;'�lds�.c-+'���. f -: s�•�'e$'';'�� �4a Z`+`..s �7 ��fir^ �a . `"'"�.'y , , NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: 265 ARSHAMOMAQUE, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 16'x32' inground swimming pool with 12" wide coping; install 4' high pool enclosure fencing with gates; install a drywell for pool backwash and install a pool equipment area. Located: 265 Arshamomaque Avenue, Southold. SCTM# 1000-56-2-14 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 ASSESS ME T FORM A.. INSTRUCTIONS L. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to.the Town of Southold I Vaterfront 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 a cempt actions including-Building Permits . and other ministerial permits.not located within the Coasta I Erosion Hazard Area. 2.. Before answering the questions in Section C, the prepay r 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 siukjficant _. beneficial and adverse effects u on the coastal area which ncludes all of Southold Town . 3. If any:question in Section C on this "y s" or "no",.then the proposed action will form is answered affect the achievement.of the LWRP policy standards ani conditions contained in the.consistency review law.'. Thus each answer must be explained in,i letaiLlisting both su ortin and non- supporting facts. If an action cannot be certified as consi tent with the LWRP policy standards and conditions,it shall not be.undertaken. A copy of the LWRP is available in the following places: 0mine at the Town.of Southold Is website (southoldtown.northfork.net), the Board of Truste s Office, the Planning Department all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#56 -2 J 4 PROJECT NAME.265 Arshamomaque The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate r sponse): (a) Action undertaken directly by Town agency(e.g.capital ❑. construction,planning activity,agency regulation,land trar isaction) El (b): Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Construct a 16' x 32' In round Pool, Pool Compliant fencinij,.Pool Equipment, Dr well for pool Location of action: 265 Arshamomaque Southold NY11971 Site acreage: .65(26,361 sq. ft.) Present land use: Vacant land 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:.265 Arshamomaque LLC, David Roberts Member (b) Mailing address: 3 Sandie lane Manorville NY 11949 (c) Telephone number: 631-905-4789 Will the action be directly undertaken,require funding,or approv 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.F ractices that will further each policy. .Incomplete answers will require that the form be returned for-con pletion. DEVELOPED COAST POLICY Policy L Foster a pattern of development in the Town of Southold at 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 IIIPolicies* Page 2 for evaluation. criteria. ❑Yes ❑ No'No 'Z 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 J through 6 for evaluation criteri ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 1. Enhance visual quality and protect scenic resources throughout the Town 'of Southoldo 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 HI—Policies Pages 8 through 16 for evaluation criteria Yes ❑ El -No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Toi vn of.Southold. See LNVRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑.No Not Applicable ttac 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 F—INo r�j Not Applicable Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. a Yes F-1 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. 0 Yes 0 No Z.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 LRP Section III—Policies; Pages 38 through.46 for evaluation criteria. 0 YeLl No Z.Not Applicable Attach additional sheets if necessary WORKING.COAST POLO, , Policy 10. Protect_Southold's water-dependent uses and promote siting of new.water-dependent uses in suitable locations. See LNVRP 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 resource i� Long Island Sound, the Peconic Estuary and Town'waters. See LWRP Section.III.—.•Policies;Pages 57 through 62 for evaluation criteria. ❑.Yes 0 No❑ Not Applicable Attach additional sheets if necessary . Policy 12. Protect agricultural lands in the Town of Southold:S e LWRP Section III=Policies; Pages ' .62 through 65 for evaluation criteria.- ❑Yes 0 .No 0 Not Applicable Attach additional sheets if necessary. Po➢icy.13.. Promote,appropriate use and development of cnerg3 and mineral resources.-See LWRP. Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No Not Applicable PREPARED BY David Roberts TIME Owner DATE 11/21/2024