HomeMy WebLinkAboutTR-10722 Glenn Goldsmith,Pre dent ��o�OSOFFQ(,�caGy Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
0
Eric Sepenoski , 1 P.O.Box 1179
Liz Gillooly �A • o�41� Southold,NY 11971
Elizabeth Peeples01 'r �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: 2,'5-26 Completed infield by: L" Z '(
Patricia Moore, Esq. on behalf of JANET & GREGG GUNZBURG requests a Wetland
Permit to construct a 16'x36' vinyl pool with an 850sq.ft. on grade patio surround; install
a 73' long by 28",high stone retaining wall and ±266 linear feet of pool enclosure fencing
with gates; install a drywell for pool backwash and a pool equipment area; and to
establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of
the top crest of the bank. Located: 2200 Glenn Road, Southold. SCTM# 1000-78-2-39
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland Sound Bay
Part of Town Code propose 'work falls under: /Chapt. 275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion Amendment
Administrative Emergency Pre- 1ibmission Violation
Notice of Hearing card posted on property: Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.: 16 aw b jf ky 41 1 '
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Present Were. G. Goosmith __LZN. Krups ( _LZE. Sepenoski
__,, L• Gillooly Peeples
GLENN RGAD
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DEAR YARD TOM A5 PER: NATHAN TAFT CORWIN III
5URVEY DATE: NOV. 12, 2024
1000-78�-02-39 2200 G 5OUT
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11971
Revision Scale: an,
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Landscanpe
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SURVEY OF
LOT 22
MAP OF
WEST CREEK ESTATES
FILE No. 3848 FILED AUGUST 19, 1963
SIT UA TED A T
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-78-02-39
SCALE 1 "=20'
AUGUST 16, 1999
AUGUST 24, 2000 ADDED TOPOGRAPHICAL SURVEY & PROPOSED HOUSE
OCTOBER 30, 2000 REVISED SEPTIC SYSTEM LOCATION
FEBRUARY 1, 2001 ADDED CESSPOOLS ON THE NORTH SIDE OF GLENN ROAD
MAY 16, 2001 REVISED WATER SERVICES
AUGUST 29, 2001 FOUNDATION LOCATION
APRIL 27, 2002 FINAL SURVEY
SEPTEMBER 18, 2024 UPDATE SURVEY
AREA = 23,479 sq. ft.
GLENN ROAD 0.539 ac.
S.C.D.H.S. REFERENCE No. R10-00-0231
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77°A n$ PILE E THIS SURVEY 9 FOLATION OF
SECTION 720STHEN NEW YORK STATE
5 1 G EDUCATION LAW.
56.�V MRN1P FLOATING
WOOD DOCK COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VAUD TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
E ONLY TO THE PERSON FOR WHOM THE SURVEY
CIS PREPARED, AND ON HIS BEHALF TO THE
RTIRE COMPANY, GOVERNMENTAL AGENCY AND
S LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
\tl'\VI THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM Nathan Taft Corwin
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE LI.A.LS. AND APPROVED AND AADDOPJEq (��
III
FOR SUCH USE BY THE NEW YORK ST `LMO 1 Land Surveyor
TITLE ASSOCIATION. � pF.NF� �i�
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Successor To: Stanley J. Isaksen, Jr. L.S.
;�7 ? Joseph A. Ingegno L.S.
r t ^ _ Title Surveys — Subdivisions — Site Plans — Construction Layout
C)�` PHONE (631)727-2090 Fax (631)727-1727
%S�•• .••046�•.•����\�� OFFICES LOCATED AT MAILING ADDRESS
1586 Main Road P.O. 16
I 1+D NN ,, Jamesport, New York 11947 Jamesport, NewxYork 11947
N.Y.S. Lic. No. 50467 E—Mail: NCorwin30aol.com
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Glenn Goldsmith. residentOF SQU,y Town Hall Annex
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0 54375 Route 25
A.Nicholas Krupski,Vice President4 l0.
P.O.Box 1179
Eric Sepenoski , Southold,New York 11971
Liz Gillooly cry
Elizabeth Peeples . _ Telephone(631)765-1892
Y Fax(631)765-6641
D_
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only D L
Coastal Erosion Permit Application
Wetland Permit Application
_._Administrative Permit DEC
Amendment/Transfer/Extension
Received Application: la. a Southold Town
Received Fee: S I i a Board of Trustees
Completed Application: 57
Incomplete:
SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent):
_LWRP Consistency Assess nt Form Sent: 131 ;
CAC Referral Sent:
Date of Inspection: s a)
Receipt of CAC Report:
Technical Review:
_
Public Hearing Held: T a�
Resolution:
Owner(s)Legal.Name of Property (as shown on Deed): Janet Gunzburg (;ynz6QL,4
Mailing Address: 2200 Glen Road,Southold
Phone Number: 516-448-0574
Suffolk County Tax Map Number: 1000- 78-2-39.
Property Location: 2200 Glen Road, Southold
(If necessary,provide LILCO Pole#, distance to cross streets,and location)
AGENT(If applicable): Patricia C. Moore
Mailing Address: 51020 Main Road, Southold NY 11971
Phone Number: 631-765-4330 Email pcmoore@mooreagtttys.com
�e1�7
3oard of Trustees Applicat
GENERAL DATA
Land Area(in square feet): 23,479
Area Zoning:r-40
Previous use of property:
existing house
Intended use of property: proposed pool and patio
Covenants and Restrictions on property? Yes No
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? ✓-Yes._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? =Yes Z✓ _No
If"Yes",please provide copy of decision.
nes
roject re any demolition as per Town Code or as determined by the Building Dept.?.No
Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No
Prior permits/approvals for site improvements:
AgencyOU ��� � Date
,272-
O/
Trustrees-dock
SZ�s� 20.0� 2 .9
DEC- pending
❑ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?_Z_No_a Yes
If yes, provide explanation:.
Project Description(use attachments if necessary): all activity landward of 50'from top of bank:on grade patio(850$F)
16'x 36'vinyl pool, proposed 73'x 28" height stone retaining wall and to code pool fence
all landward of West Creek. Dry well for pool backwash and proposed 10' non-turf buffer
landward of top of bank; length of fence approx. 266 LF around rear yard
_ 3oard of Trustees Applicatr_
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed.operations: proposed pool & patio
Area of wetlands on lot: 1,000 square feet
t
Percent coverage of lot: less than 20
Closest distance between nearest existing structure and upland edge of wetlands: @90 feet
Closest distance between nearest proposed structure and upland edge of wetlands: 50. feet
Does the project involve excavation or filling? ElNo ✓ Yes
If yes,how much material will be excavated? pool area cubic yards
How much material will be filled'? degrade cubic yards
Depth of which material will be removed or deposited: 0 . feet
F
Proposed slope throughout the area of operations: gradual
Manner in which material will.be-removed or deposited: small equipment
and by hand
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):
all activity is landward of 50' from top of bank & @65' to toe of bank
617.20
Appendix B
Short Environmental Assessment Form
Instructions for.CompletinQ
Part l -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 1-Project and Sponsor Information
Janet Gunzburg
Name of Action or Project:
Trustees permits
Project Location(describe,and attach a location map):
2200 Glenn Road, Southold
Brief Description of Proposed Action:
proposed pool and patio
Name of Applicant or Sponsor: Telephone: 5516-448-0574
Janet Gunzburgh E-mail: pcmoore@mooreagtttys.cog
Address:
2200 Glenn Road
City/PO: State: Zip Code:
Southold NY 11971
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:
Building Department
3.a.Total acreage of the site of the proposed action? .5 acres
b.Total acreage to be physically disturbed? .uo acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? •5 acres
4. Che I land us at occur on,adjoining an-plar the propqsr4 action.
Urban Rural(non-agriculture) Industrial Commercial ❑✓ Residential(suburban)
Forest [:]Agriculture Aquatic ❑Other(specify):
Parkland
Page 1 of 4
� f
5. Is the proposed action, NO YES aN/Aa.A permitted use under the zoning regulations?
b.Consistent with the adopted comprehensive plan?
6. Is the proposed action consistent with the-predominant character of the existing built or natural NO
landscape? ✓
7. Is the site of the proposed action located in,or does it adjoin,a state-listed Critical Environmental Area? NO "YES
If Yes,identify: West Creek
0 '0✓
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NU INES,
b.Are public transportation service(s)available at or near the site of the proposed action? y
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 1/✓
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:
El 10
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: P $
11.Will the proposed action-connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment:_ ❑
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO 'YES
Places? i
b. Is the proposed action located in an archeological sensitive area?
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency?
1/
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. ntify the typic bitat types that oc n,or are likely to be found on tl�-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?
16.Is the project site located in the 1.00 year flood plain? NO YES
17.Will the proposed action.create storm water discharge,either from point or non-point sources? NO
If Yes, ZIN ^ ❑ ❑
a.Will storm water discharges flow to adjacent properties? O ES. �.
b.Will storm water discharges be directed to established conveyance systems ff an drains)?
If Yes,briefly describe: ZO ES
Page 2 of 4
IS.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g,retention pond,waste lagoon,dam)? .
If Yes,explain purpose and size:
17
19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES.
solid waste management facility?
If Yes,describe:
20.Has the site of the proposed action or an adjoining property been the subject of remediation.(ongoing or NO . .YES.
completed)for hazardous waste?
If Yes,describe:
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name:_Patricia C. Moore Esq. _ Date:12-6-24
Signature:
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following .
questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed actionT' r
a
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? [7
4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ a
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: Li
a.public/private water supplies?
b.public/private wastewater treatment utilities? EJ EL
S. Will the proposed action impair the character or quality of important historic,archaeological, ❑ a
architectural or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? El
Page 3 of 4
No,or Moderate
small to large
impact impact
may . may.
occur occur
.16. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems? .
1 I.. W ill the proposed action create a hazard to environmental resources or human health? '
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why-a particular +
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should;in sufficient detail,identify the impact,including any measures or design elements that have been included.by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how.the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Town of Southold-Board of Trustees
Name of Lead Agency Date
President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible.Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
PRINT Page 4 of
Board of Trustees Applica, n
AFFIDAVIT
JANET GUNZBURG, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE
IS THE APPLICANT FOR THE ABOVE-DESCRIBED PERMITS) AND THAT ALL
STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISMER
KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE
MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY
THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO
HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS
AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR
BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,
TO ENTER ONTO MY PROPERTY TO,INSPECT THE PREMISES,IN CONJUNCTION. .
WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER
AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND
AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY
WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF
TRUSTEES DURING THE TERM OF THE PERMIT.
nature of Property Owner
R€GC. v�.s4i�r
Sworn to before me this
day of 2024
pATRICIA C MOORE
NOTARY PUBLIC,STATE OF NEW YORK
Registration No:01M04861668
Notary Public Qualified in Suffolk Coun�j (
my Commission Expires June 16,
CONSENT TO INSPECT
JANET GUNZBURG, as owner of premises located at 2200 Glen Road, Southold
(sctm: 1000-78-02-39) do hereby authorize and consent the Southold Town
Trustees to inspect our property.
r
JaiWGunzburg
dj2r-6G
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The 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: Janet Gunzburg
(Last name,first name,middle initial,unless you are applying in the name of someone else or
other entity,such as a company.If so,indicate the other person's or company's name)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee _X
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other",name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer
or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
YES NO X
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity
(when the applicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this day of 2024
Signature
Print name et G zb
%Board of Trustees Applica'l;,_o2n
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & n"
NAME:
3K
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
Notary Public
LA OOP IC`� ® "A wICL C:. �IOO
51020-MAIN ROAD
SOUTHOLD NY 11971
631.765.4330
O Trustees
PATRICIA C.MOORE(BY:MM)
EC Mailing Affidavit- Gunzburg
February. , 2025
CC
COMMENT: Enclosed please find:
L Affidavit of MailingV ER_y
1. .
u u
2. Postal Receipts FEB 4 2025 .
3. Mailing List Southold To
Board of Trustees
BOARD OF TRUSTEES
TOWN OF SOUTHOLD: NEW YORK
---------------------------------------------------------------x
In the Matter of the Application of
AFFIDAVIT
OF
JANET AND GREGG GUNZBURG MAILING
Applicant's Land Identified as 2 C E I V E
1000-78:2-39 ® 15 L�---------------------------------------------------------------x
=B4
COUNTY OF SUFFOLK)
1 bb,
STATE OF NEW YORK) Southold Town
Board of Trustees
I, MADISON MESSINA, residing at Peconic, New York,being duly sworn,
depose and say that:
On the 41h Day of February 2025, deponent mailed a true copy of the Notice set
forth in the Board of Trustees Application, directed to each of the persons listed on the
attached list at the addresses set below their respective names; that the addresses set
below 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 at Southold, New York, that said Notices were mailed to each
of said persons by CERTIFIED MAIL/RETURN RECEIPT.
Attached hereto is the white receipt post-marked by the Southold Post Office on
said date.
MADISON MESSINA
Sworn to before me
's k1th of Feb ary, 2025
wal_uAt�D.tMoo�
Notary Public"Stgte of New Y01k
No.02MO4832728
(Notary Public) oualified in.Suffolk County
Commissidn Expires Maraik 10.0
Gunzburg Neighbor List
78.-2-38
Scott Mehling
Scott Mehling 9589 0710 5270 0290 2336 28
Dorie145 Meadows St
Garden City, NY 11530
78.-2-40
Bruce W Oster
Gina M Maxwell 9589 0710 5270 0290 2336 35
2300 Glenn Rd
Southold, NY 11971
78.-1-31
Steven Papesca 9589 0710 5270 0290 2336 42
18 Cobb Ln
Commack, NY 11725
D EC E I Vff
F E B d 20?5
Southold Town
Board of Trustees
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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: JANET & GREGG GUNZBURG
SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a
16'x36' vinyl pool with an 850sq.ft. on grade patio surround; install a
73' long by 28" high stone retaining wall and ±266 linear feet of pool
enclosure fencing with gates; install a drywell for pool backwash and a
pool equipment area; and to establish and perpetually maintain a 10'
wide non-turf buffer along the landward edge of the top crest of the
bank. Located: 2200 Glenn Road, Southold. SCTM# 1000-78-2-39
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).- a
3. If any question in Section C on this form.is,answered '.'yes" or "no then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each:answer. must be, explained.in detailt_.listin 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# 78 _02. _39
PROJECT NAME Janet Gunzburgh
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 0
1. Category of Town of Southold agency action(check appropriate'response):
:(a) Action undertaken directly by Town agency(e.g.capital ❑
construction,planning activity,agency regulation,land transaction) . ❑
(b) Financial assistance(e.g.grant,loan,subsidy)
(c). Permit,approval,license,certification:
Nature and extent of action:
proposed inground pool 16 x 36 and patio 850SF
all activity.landward of 50' (at closest point)from top of bank from West Creek
pool fence and 73'x 28"stone retaining wall
Location of action: 2200 Glenn Road,Southold
Site acreage: 23,479 SF
Present land use: house and deck
Present zoning classification: r40
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: Janet Gunzburgh
(b) Mailing address:—2200 Glenn.Road,Southold
(c) Telephone number: 516-448-0574
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes 0 No❑ If yes,which state or federal agency?
C. Evaluate the project to the following.policies by analyzing how the project will further support or
not.support the policies. Provide all proposed Best Management Practices that will further each policy.
,Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation
criteria.
❑✓ Yes ❑ No ❑ Not Applicable
residential in ground pool more than 50'from top of bank of West Creek
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
residential accessoy structure
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
greater than 50'from top of bank(West Creek)
i
Attach additenal sheets if necessary `----�--^-- - 77
-_-_
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 1 Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and-function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III-Policies; Pages_22
through 32 for evaluation criteria. .
❑ Yes ❑No [7 Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
❑ Yes ❑No❑✓ Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize
environmental degradation in Town of Southold from solid waste and hazardous
j substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
f
❑.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. n
❑ Y No❑✓ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria.
❑Yes ❑ No ❑✓ Not Applicable
Attach additional sheets if necessary
Policy 11. Promote.sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No 0 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.
a
❑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 Pat Moore TITLE Attorney . DATE 12-6-24