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HomeMy WebLinkAbout51950-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51950 Date: 05/28/2025 Permission is hereby granted to: Isle of Cedars LLC PO BOX 455 Orient, NY 11957 To: demolish an existing garage and to construct an accessory garage as applied for per DEC approval& Trustees Non-Jurisdiction letter with flood permit. Premises Located at: 2450 Peters Neck Rd, Orient, NY 11957 SCTM# 32.4-8 Pursuant to application dated 03/21/2025 and approved by the Building Inspector. To expire on 05/28/2027. Contractors: Required Inspections: Fees: Accessory-New Structure $905.00 Flood Permit $150.00 CO Accessory $100.00 DEMOLITION $384.00 Total $1,539.00 Building Inspector i TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hail Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https:'/www.southpidtowniiy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only, PERMIT NO. Building inspectr. 2Ce5, � �r � >' / i' ��,�i/r �%�i�lr��r°4�` G✓rrlr""ff�jl�y/�d�r�/��✓ I rd, r J ( r %1�. �rlv r,//!(rJ ��✓r 1-tlP I�!%r�/ / / '���%!�✓� 4�� y�pry Ir own Of Southold Wlu I ,�,�f � �;'rI�1 !�✓� ,'erdd�r e. ,,�rlF✓�vINnS�l�N;�rrYr�il��l, i�S/,�e,r fr ���G6/// il�, Date:3/21/25 Name Isle of Cedars LLC scTM#s000-473889 32.-1-8 Project Address 2450 Peters Neck Road, Orient,NY 11957 Phone# 631 335.6688 Email:kevinmanglum@gmail.com Mailing Address:PO Box 238, Orient, NY 11957 U , fr 1. ,,^ ,r 1`r, dlrf) br%�`r''Y✓i'.('r r"yf; if+rll"/1k"''✓� r l�,ddd rir✓��r/yr":-"� Ir/ /, ��'%Ir rr i r - ,;' ° i/ „!r) � � jr+,. �r v,r l v I r// �s`r Qf�/r I r�,l/r d�r �➢lY%i� �" / r �rd„„r rr ,^,,,yq � ✓ � r:,. ,ri� r, � ,,.,,, �eZ �.. ..r ,� �� )r %�liol Jf�i1, ,,,/.., ,,, ,�:-.. r/f Sri �e. / ,., r n....�. rrs,>?�.,'�„ �,drr..d�N/,�(&"� ,arl�(!�(/,;,, !r�01�d(�/ir���,�ir�lr� �i�ti�!✓�1/rr( �� N ,Jv, ,��+D/fit ?'� ti i �, '^� Name.-Kevin An glum . .. .._ Mailing Address.PO Box 238, Orient, NY 11957 hone# 631 335 6688 Emai_.l kevinmarnglum@gmail.com i /� �i r 4 �/lli �/�! Jfl✓�liYrr%fr�1j0/r�lr�r7✓r%�r�` r'/ %�%i r �%4✓ r r � r r a ;i r ,d r, ,, r 1°„ dr,,ry ✓i,,rlifar�/��d�1rl ,l,?lre�/r���%�� �f�r��'G�I�dtrRu�d'�/,"��,y,�//�X, �r/�� r !�.:„ r,i,, Name:Mark Schwartz 11 Mailing Address PO I Box 1933, Cautchogue, NY 11935 Phone#•631 734 4185 Email:info@mksarchitect.com `� j f,� o f �!1!i r rfl,/r/ r (i I ✓,r///,( rl/ % "f/✓F% l'jly J/ / yr ,; p a J i, ,r✓� ) �, W y/re r l/�„ rJrri�r,6,� ,���'W,r�i�wl�i�,�,�Varr��l,��ilu�ior'ar�lri✓ti�ir�✓,�,gee+�����lrfrrrrr/;ruralv.�,>s��sG �✓r/dir,r„s„ �;m, or�,,,.r„Name: Mailing Address: Phone#: Email: r r fir, fr 1f:`f/Illfi�Y ��� ✓ jfr; 'r i."r ,` „ „ .,. ✓ i �r �Wr/f %��,i,, of p1/ rJ/ t ✓I„��tl/,IQ r ,. ;,, , . 1d ,.,A,..,r✓;,, .,n rd �Ld r !W'�rl Y,�,�o rW� /�l�l?�mlo��l r�ij�r/a � l�u� ,,,.,,/„ vay I✓ efd �l r iRNew Structure ❑Addition ❑Alteration ❑Repair ❑Derrolition Estimated Cost of Project: [--]Other 250,000M Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo 1 i ,�rd-r: D%%41i/�f/il1ryf//yi Pik rJr%/rrl` drd9rr yr r Existing use of property:residential Intended use of property:residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to r@sldenflal ..... ...,. � � �� � � �� � this property? ❑Yes *No IF YES, PROVIDE A COPY. � ,^. r' h 9 m y (r l' ✓//iJ� ^i/lk��1� ° rd �y,°�U�fa��/ 4e Application Submitted B Kevin Anglum pp y(print ame) RAuthorized Agent ❑Owner Signature of Applicant: Date: 3/21/25 .......... STATE OF NEW YORK) cc COUNTY OF �5 being duly sworn, deposes and says that(s)he is the applicant (Name of individual si ing contract)above named, (S)he is the (Contr or,Agentorparata_ Officer,eta.) of said owner or owners, and is duly authorized tb oral 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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this a�day of Mam� 20 R ary Public TPAICEY L. D 'wr ER NOTARY PUDLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.01OW6.9L-16900 ^'J,.�l IE:0 IN I PFOLK COLIN7Y (Where the applicant is not the owner) COMM1 •5::ON E ,PMESJUNE M,2D2,(P Isle of Cedars LLC(Sarah Latham Anglum,member) residing at 2450 Peters Neck Road, Orient I, o hereby authorize Kevin Anglum to apply on my behalf to the Town of Southold Building Department for approval as described herein. 3/21/25 Owner's Signature Date E Cep tsE LP( O Print Owner's Name MNS LL- 2 C TOWN OF SOUTI�OLD—BUILDING DEPARTMEVn Town Hall Annex 54375 Main Road P. O Box 1179 Southold,NY -0959 Telephone(631) 765�-1802 �: � �,� 0255 �, Ott hldtowntt "� Floodplain Development Permit Appllcatl lwn,of of thold Flood '.�Zone" FIRM Panel: SCTM#1000 ����J � Address , , City: O fv P. k � `S J �.- ..a_._.� ._.m _. .. . 1 Name: Phone#. Mailing Address. z 6 f1Pow" / ,v✓kli,,,1✓i+, lir,�riHrv, ,// / l ,i /,r ! l,'w'�/ r� �!u/1�/i %l /,� %1! � >�1/l I�9"�li��ir,�l F 1 i/ ! %^r!%f UiJ �/'✓f/i/,yr✓/ '"" y�'����� ,'�r.. `����''� Residential G to 4 families) New structure ❑ Residential(more than 4 families) "&7 Demolition of existing structure ❑ Combined use ❑Replacement of existing structure ❑Non-residential ❑Relocation of existing structure ❑ Elevated ❑Addition to existing structure ❑ Flood proofed(attach certification) ❑Alteration to existing structure ❑Manufactured Home ❑ Other: ❑Located on individual lot ❑Located in manufactured home park rrr,v J,vf,4 !H,1' l5"grcfi rl J er, ✓r,qnp,1 / „, r� LNf fy�/%1J ti I / .ij c`/N /m" /v�rPr ❑ m/ t •, Clearing of trees,vegetation or debris ❑ ining Grading ElDrilling ❑ Dredging VConnection to public utilities or services t J Paving ❑ Placement of fill material ❑ Drainage improvement(including culvert work) ❑ Roadway or bridge construction ❑ Fence or wall construction ❑Watercourse alteration (attach description) ❑ Excavation (not related to a structured development) El Other develc+ ment not listed (its ecify); r1 ; it1py, �f/any. //�, 1 �'�/ J u ,7 1l'�H/'firs/A'i/i ��// ��//�'G✓rli ri l�O��r�/ / r , � /� �jlf j7 /"!�/1�6i �/'1%!e, ✓J rr r�/l r//1/./"fi�Hi�/,j/�%� lr r"f b��l f r ,��rf����`��JAlL//k !c%„9%�A✓ ��r��/„%�, Gt i � ,r; rr„/ �i?/,r"�rDi hid �,r r� ,r// r �< Application Submitted By(print name): Signature of Applicant: Date: `�o-• � Scott A. Ru 1 , � PTO RI��IMA�T]E], �� v" X( G]EN C]EI�T ����R�����. �t �� tr � �.rt. .. I��l[A\1�A\G SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town Of Southold CHAffER 236 - STORMWATER MANAGEMENT WFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) � APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other), NAME: A d ,rtr Date: 71 rSw�a,aaa� UW Contact Information: �,e"�""\ ��� (L-�IxilBlekphnnr�umlkr; Pro ert Address / L .P cation of Construction Site: �is 1000" NilS.C.T:M � Disa•�ct ;Secoon Block Lot l TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT ' r - - - - - - -- -. :- - - - - - - - - - - - - - - - - - - _ _ - - - - _ �p Area of Disturbance is less than 1 Acre, No S.P.D.E.S. P rni t is Required ! ') - Project does Not Discharge to Waters of the State. No S.P.D E"S. Permit is Required. g k Ir - Area of Disturbance is Greater than 1 Acre&Storm-water Runoff Discharges Directly k to Waters of the State of New York. THE. APPLICANT MLST OBTAIN a S.P,D.E.S Perris,t u DIRECTLY From N.Y.S D.E.C. Prior to Issuance of a Buildirt Parrish, - Area of Disturbance is Greater than l Acre&Storm-water Runoff Flows Through Southold Towns MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN C a S.P D.E.S.Permit thi°Ou h the Southold TCkwti Etr,tneerin Department Rio Prior to Issuance of a Building Permit. ' a Reviewed By: Date: nnRnn q cnn(-v--rise()rrnhpr qniq D� c�"i4it11G1ent of KATHY HOCHUL YOR Governor sTr�,tE Environmental Conservation AMANDA LEFTON Acting Commissioner April 1, 2025 Cole Environmental Services 425 Montauk Highway East Quogue, NY 11942 Re: Application#1-4738-04089/00005 Isles of Cedar LLC Property: 2450 Peters Neck Road SCTM# 1000-032.00-01.00-008.000 Dear Cole Environmental Services: The Department of Environmental Conservation (DEC) has completed a review of your client's request to construct a driveway and second story addition to the garage and we have the following comments. The department has no objection, in general, to the project. However, technical staff indicate the following changes to the project plans are required prior to permit issuance. 1. The project plans shall delineate a vegetated non-disturbance buffer at a 1:1 ratio corresponding to the area of clearing within 75' of the Tidal Wetland Boundary. Furthermore a 2:1 square footage mitigation ratio shall be applied to any unpermitted impervious coverage, such as the walkway, and incorporated into the plan. Please revise the project plans as indicated above and submit two copies of revised plans to my attention. The Bureau of Marine Habitat Protection does not object to the proposed asphalt driveway, as it is permittable. However, given the flooding concerns prevalent among homeowners across Long Island, as brought to the DEC's attention, a gravel driveway is strongly recommended for improved permeability. Please call Mary Arnold of the Marine Habitat Protection unit at 631-444-0234 with any technical questions. Sincerely, c Andrew Sinchuk Environmental Analyst cc: Sara Anglum BEH BMHP File Division of Environmental Permits, Region 1 50 Circle Road, Stony Brook, NY 11790 1 dec.ny.gov I dep.r1@dec.ny.gov 1 (631)444-0365 ante.'of KATHY HOCHUL Y, Governor E'nviironMentat Conservation AMANDA LEFTON Acting Commissioner May 8, 2025 Isle of Cedars LLC C/O Sara Anglum PO Box 238 Orient, NY 11957 Re: Application #1-4738-04089/00005 Isle of Cedars LLC Property: 2450 Peters Neck Road SCTM# 1000-032.00-01.00-008 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the address below. Enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. Sincerely, - Andrew Sinchuk Environmental Analyst Cc: Cole Environmental Services BEH BMHP File Division of Environmental Permits, Region 1 50 Circle Road, Stony Brook, NY 117901 dec.ny.gov I dep.rl@dec.ny.gov 1 (631)444-0366 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04089 PERMIT Under the Environmental Conservation Law EC:L Permittee and Facility Information Permit Issued To: Facility: , ISLE OF CEDARS LLC ISLE OF CEDARS LLC PROPERTY C/O SARAH ANGLUM 2450 PETERS NECK RDI1000-32-1-8 PO BOX 238 ORIENT,NY 11957 ORIENT,NY 11957-0455 (347)346-2994 Facility Application Contact: COLE ENVIRONMENTAL SERVICES,INC. 425 MONTAUK HWY EAST QUOGUE,NY 11942-0471 (631):369-9445 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 727.815 NYTM-N: 4556.509 Latitude: 41°07'40.6" Longitude: 72°17'09.9" Authorized Activity: Construct a new garage and driveway. Relocate the deck and shed. All authorized activities shall be done in strict conformance with the approved plans prepared by Cole Environmental Services,dated 4/18/25, and stamped NYSDEC Approved on 5/8/2025. k Permit Authorizations Tidal Wetlands- Under Article 25 Permit ID 1-4738-04089/00005 New Permit Effective Date: 5/8/2025 Expiration Date: 5P712030 Freshwater Wetlands- Uniller Article 24 Permit ID 1-4738-04089/00006 New Permit Effective Date: 5/8/2025 Expiration Date: 5/7/2030 Page 1 of 7 Alm louse NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04089 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:ELYSSA E SCOTT,Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790-3409 Authorized Signature: Date ',n 1_)b Distribution List COLE ENVIRONMENTAL SERVICES,INC. Bureau of Marine Habitat Protection Elyssa E Scott File Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS -Apply to the Following Permits: TIDAL WETLANDS- FRESHWATER WETLANDS 1. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes,and no claim or right to compensation shall accrue from any such damage. 2. Post Permit Sign. The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 3. Equipment Storage 100' from Wetland,Water Body All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Page 2 of 7 Am dohno NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 14738-04089 4. Materials Disposed at Upland Site Any demolition debris,excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland. These materials shall be suitably stabilized so as not to re-enter any water body,wetland, or wetland adjacent area. 5. Maintain Silt Screen The screen shall be maintained,repaired and replaced as often as necessary to ensure proper function,until all disturbed areas are permanently vegetated. Sediments trapped by the screen shall be removed to an approved upland location before the screen is removed. 6. SiIt Screen to Be Recessed Silt screen shall be recessed six inches into the ground. 7. Silt Screen Prior to commencement of any construction activities,_a continuous line of silt screen (maximum opening size of U.S. Sieve#20) shall be staked downslope of any ground disturbance,as needed. 8. Minimum % Vegetative Cover Suitable vegetative cover is defined as a minimum of 85 %area vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size. 9. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains(or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 10. Long Term Plant Survival The permittee shall ensure a minimum of 85%survival of plantings by the end of 5 growing seasons. If this goal is not met, the permit holder shall re-evaluate the restoration project to determine how to meet the mitigation goal. The permittee must submit these re=evaluation plans to the department for review along with the annual report for that respective calendar year. The report must be submitted by January 15th of each calendar year and sent to: NYS DEC-Region 1 Bureau of Marine Habitat Protection,Attention Compliance 50 Circle Road Stony Brook,NY 11790 11. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar Department-approved language)to the deed for the property where the project will be conducted and file it with the Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to Marine Habitat Protection NYSDEC Region 1 Headquarters SUNY @ Stony Brook150 Circle Rd Stony Brook,NY11790 -3409 Attn: Compliance 12. Direct Runoff Away from Tidal Wetland and Buffer Roads, driveways, and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. Page 3 of 7 Aim INNr NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04089 13. Runoff Directed to Upland Drywells Roof runoff shall be directed to drywells a minimum of 50 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 14. Install,Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales,silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 15. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 16. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending within two areas extending 750 square feet and 2,185 square feet as per DEC stamp approved plans 5/8/25 linear feet landward of the tidal wetland boundary. 17. Wood Preservatives a. Pressure treated wood used for construction of in-water structures must have undergone a treatment process approved (stamped or otherwise marked as certified)by the American Wood Preservative Association. b. Wood treated with Pentachlorophenol(PCP)must not be used in marine or brackish waters. Wood treated with PCP must be aged in the open air for at least three months prior to in-water use. c. The use of creosote treated wood is prohibited both in the water and upland areas. d. Chromated Copper Arsenate(CCA)pressure treated wood must be clean and free of CCA surface deposits. Wood with surface deposits must be washed for at least 5 minutes under running water, prior to use. The washing must occur greater than 100 feet landward of any regulated wetland and/or water body. (Note "E." below for handling wash water.) e. Any wood debris such as sawdust or wash water must not enter any water body,including wetlands or protected buffer areas. 18. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department(permit,modification, amendment). 19. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses,etc.)immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 20. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 100 linear feet from the tidal wetland boundary. 21. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Page 4 of 7 �r AM NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 14738-04089 22. Materials Disposed at Upland Site Any demolition debris, excess construction materials,and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 23. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas_ 24. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 25. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State,or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit,the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 26. State May Require Site Restoration. If upon the expiration or revocation of this permit,the project hereby authorized has not been completed,the applicant shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 27. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Cole Environmental Services dated 4/18/25. 28. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fiiels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Page 5 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04089 144► GENERAL CONDITIONS _ Apply to ALL Authorized Permits: t. Facility Inspection, by The Department The permitted site or facility, including relevant records, is subjeet to inspection at reasonable hours and intervals by an authorized representative of the Department Of Environmental Conservation (the Department)to determine whether the permittee is complying with this permit and the E L.. Such representative may order the work suspended pursuant to tr b l-030 and SAID 01(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation,of this permit. .. relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department,issuance ofthis permit does,not modify, supersede or rescind any order or determination previously issued y the Department or any of the terms,conditions or requirements contained in such order or determination.. 3. Applications,li+"or Permit Renewals,Modifications or Transfers The permittee roust submit a separate written applications to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms Or supplemental information the Department requires. Any renewal,modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Pen-nit Administrator NYSDEC region l ,Headquarters SUN SUNY @ Stony Brook150 Circle Rd Stony Brook,NYI 1790 -340 4. Submission of renewal Application The perrnittee must Submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Freshwater Wetlands,Tidal Wetlands. s. Permit Modifications, Suspensions and revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; Page 6 of 7, INIEf NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04089 d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York,its representatives,employees, and agents("DEC")for all claims, suits, actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors,employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities,and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits _ The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: 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 parry to the permit. Page 7 of 7 C Department o YORK TA E Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information- regarding the nature and extent of work approved and any Departmental conditions on . it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator SHERRI AICHER Permit Number: 1-4738-04089/00005 NYSDEC Region 1 Environmental Permits 50 Circle Road Stony Brook, NY 11790-3409 Expiration Date: 5/7/2030 Email: dep.rl@dec.ny.gov Note: This notice is NOT a permit COMMEMCgMENT C _ CTI RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail:dec.9m.R1MHP-BEH@dec.ny.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No.1. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut 91909-this line X X F CQMPLETIOK,.Qf C RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mall:dec.9m.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATA THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. . NOTICE F COMMENCEMENT_ CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Bureau of Ecosystem Health E-Mail: dec.sm.RlBEH@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE:, PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS:, TELEPHONE: Dear Sir: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit,permit sign,and approved plans will be available at the site for inspection in accordance with general Condition No. 1.(Both signatures required) PERMITEE: DATE CONTRACTOR: DATE, THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANYASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line X X X X X X Bureau of Ecosystem OF COMPLETION OF CONSTRUCTION Am- RETURN THIS FORM TO:COMPLIANCE or byst y em Health E-Mail:dec.sm.Rl BEH@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE: DATE: CONTRACTOR: DATE: THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Am- Bureau of Ecosystem Health E-Mail:dec.sm.111 BEH@dec.ny.gov abno NYSDEC mow 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear Sir: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign,and approved plans will be available at the site for inspection in accordance with general Condition No. 1.(Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANYASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut @Iona this line X X X X X X X NOTICE OF COMPLETION OF CONSTRIJCTION Am , RETURN THIS FORM TO:COMPLIANCE or by Bureau of Ecosystem Health E-Mail: dec.sm.RIBEH@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE: DATE:. CONTRACTOR: DATE: THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORKAND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. .. o z �ti� � m �mgoi u Zsf sZ m a o �?m a zam�o a owo z° — wzgg � Swop, a =�s o zn � m o ru x o a z 111H U nil d "y �^yy 'jKM Y 'Mw '^ps' • ' M' y�6 w r owl no t is dI� < g / r f t� �Yt -POP"Mft ills z d Glenn Goldsmith,President s Town Hall Annex � 54375 Route 25 A.Nicholas Krupski,Vice President P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 17, 2025 Kate Rummel Cole Environmental Services 425 Montauk Highway East Quogue, NY 11942 RE: ISLE OF CEDARS, LLC 2450 PETERS NECK ROAD, ORIENT SCTM# 1000-32-1-8 Dear Ms. Rummel: The Southold Town Board of Trustees reviewed the site plan prepared by Mark Schwartz& Associates, last dated February 14, 2025, and determined that the proposed construction of a 2- story garage, installation of drywells and gutters, removals of existing impervious driveway and installation of a new asphalt driveway, and extension of existing walkway is out of the 100 foot Wetland jurisdictional area under Chapter 275 of the Town'Wetland'Code and Chapter 111 of the Town Code. Please be advised, however,that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary, or within 100' landward from the edge of vegetated wetlands, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precaution's may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. Sincerely, r Glenn Goldsmith, President DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/21/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'CONTACT NAME. Farm Family Casualty Insurance Company Y Eta; 631-727-7767 N631-727-7941 AIL 18 First Street aDoss• eric.kirk farin family.com Riverhead, NY 11901 INSURER/S)AFFORDING COVERAGE NAIC# ...................... - .. INSURER Farm Family Casualty m Insurance Co any ITITIT IT13803 ..... INSURED INSURERS: United Farm Family Insurance Company _ 29963 Berny Adolfo Sequeira Rodriguez INSURERC: DBA SEQUEIRA HOME CONSTRUCTION - INSURER o 43 Bellows Pond RD ............. ........ ... INSURER E Hampton Bays NY 11946 _.. INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ... _. .. YSR TYPE OF INSURANCE 17L U'BI' POLICYNUMBER M/DD�EFP MWDDY LTR IYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 31031_6420 08/08/202408/08/2025 EACH OCCURRENCE $ 1,000,000 A I. � E"TO RENTED 0 ... CLAIMS-MADE X OCCUR PREMISES(Ea $ 100,00 X Contractual Liability MED_EXP(APY one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE..__ _......... LIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY❑JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITYC,e4?MBANED SINGLE LIMIT $ Eta accideok ANY AUTO BODILY INJURY(Per person) $ ._._._._._----._.._ .................... - OWNED SCHEDULED OWNED ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per aack i'vit ......... UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE' AGGREGATE $ _._ ............... DIED RETENTION$ $ B WORKERS COMPENSATION X 3103W7649 08/08/202408/08/2025 X STATUTE ERH AND EMPLOYERS'LIABILITY ......................... ANYPROPRIETOR/PARTNER/EXECUTI— YIN _ER EACH ACCIDENT $ 100,000 OFFICERIMEMBEREXCLUDED? NIA` "" (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD