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Home My WebLink AboutTR-10792A 1 zf so Town Hall Annex Glenn Goldsmith, President �� ®� 54375 Route 25 ® P.O. Box 1179 A. Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski Liz Gillooly CA Telephone (631) 765-1892 Fax (631) 765-6641 Elizabeth Peeples UNty,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OFT H T ES BOARD OF TRUSTEES OFF 72 HOURS PRIOR TO COMMENCEMENT OF THE AC BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain is' day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President Qf S0 Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � �� Fax(631) 765-6641 C®Uld�l,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10792A Date of Receipt of Application: May 5, 2025 Applicant: Louis Potters & Lenore Brancato SCTM#: 1000-70-4-29 Project Location: 575 Hill Road, Southold Date of Resolution/Issuance: June 11, 2025 Date of Expiration: June 11, 2028 Reviewed by: Board of Trustees Project Description: Construct a 14.5' x 16.3' addition to existing 546 sq.ft. attached waterside deck; remove existing outdoor shower and steps from footprint of proposed deck addition. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Kenneth M. Woychuk Land Surveying, PLLC, received on May 5, 2025, and stamped approved on June 11, 2025. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees S.C.T.M. NO. DISTRICT. 1000 LOCK- ?-LOT{6)a-29 APPROVED BY � E GC E i v F !,BOARD OF 'I RUSTEES 'TOWN-OF SOUTHOLD Uj _ MAY 5 2025 DATE 7J \k ' Southold Town Board of Trustees EpGE 0"pgt/ FMFNT U.P. L 782.95' RoA Q M.H. Q {(� S68o M.H. �! r 3S0 rF CATCH tp BERG BASIN r� Ap pN a ti j0S 00, 2" RAIN FALL CALCULATION r PROP. GARAGE: 686 S.F. 686 x 0.166 = 114cf REQ. h \ (1) 8'Ox3'DEEP DRY WELL = 133 cf PROVIDED PyQ�`c�Py �3 a INOT�RROwRt 4 N'/NDOH 11VG86N g' RIOR NS1 Rl O CYq[[ lq PROVIDFORy400 SUBDIVISION MAP OF 6 1q CALVES NECK CI)U e'ApRo �� LOT 7 ,?43:::::N. S Ri J FILED FEB.15,1972 No.5673 4, qRA� BRIOK TooP /� m............ ...... STOOP :::... �Q N..................'... .....�.... :::'::. . . . h 8 sw J ?4,3::i:;. :::: ::: C:::::::::: :::: 2STYFRAME ............ ... C ........... (V n li ::::::DWELLING#575::•:•:::..... 2 PROP ail m':::::::::FFL=15.8:::: ::r �u ADO?%K oo�0 164LAND NIF OF 2 1qs°Nl// wpOo�FCk :: : : : : : : ::ao; �� JEANMAR E BAY (u EXIST.STEPS 10 O BOUTDOORSHOWER "' 196.• TO BE REMOVED GRApNCDSU4qR ANOETFFNOF 10 _ 1�osP f 12 MON. 8 UPLAND/BUILDABLE LAND AREA: 23,883 S.F. � ZONE - 10 EXISTING COVERAGE BAR FL DZONEBO�NDARY DWELLING: 2205 S.F. --- 6 ZONE LOOD 6 REAR DECK: 546 S.F. F(00p2pNFB T1.'"WOERA o 2751 S.F. or 11.5% PROP. DECK: 236 S.F. $. 20 b "70s'pn�e 2 4 NFAFF[s � o Myw ce;q�e - 6 PROP. COVERAGE: 2987 S.F. or 12.5% Tj ?ggsq 79900 p E�1N�sv gsg8 2 �Ry a� AS E NFa oeNose pUN MAX. GROSS FLOOR AREA Myl 1, FFe z4 zo scoysu[Ass 3350 S.F. + 10%x3883 - 3738 S.F. N�'936.04. MON. FEMA MAP #36103CO166H JOCky F[OgT � EFFECTIVE 09/25/2009 C � j�l THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL REVISED 04-28-25 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS [� AND OR DATA OBTAINED FROM OTHERS. AREA:24903.86 Sq. Feet or 0.57 ACRES ELEVATION DATUM. _NAVD88 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING 774E LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE NOT TRANSFERABLE. 774E OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 7HE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT 774E PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUfURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: LENORE BRANCATO; MAP OF: LOUIS POTTERS; FILED: SITUATED AT:SOUTHOLD TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Bog 153 Aquebogue, New York 11931 FILE #225-1 1 SCALE:1 "=30' DATE: MARCH 7, 2025 N.Y.S. LISC. N0. 050882 PHONE (631)298-1588 FAX (631) 298-1588 SOUTH LD TRUSTEE No. _ � Q�'� r - you:S Pot+ct rS} 1' T - -ssued gcar%ceRo 1Date�(. Add.ress .' I" .THIS.NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, t+t.Y. 11971 TEL.: 765.1892 c,�FFQj,� Glenn Goldsmith,President �pp�0 COGy.. -- Town Hall Annex A.Nicholas Krupski,Vice President .4 54375 Route 25 Eric Sepenoski y ,? P.O.Box 1179 r Liz Gillooly �y ® p!`�` Southold,NY 11971 Elizabeth PeeplesC Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report r�N� Date/Time: Completed in field by: I�lUv En-Consultants on behalf of LOUIS POTTERS & LENORE BRANCATO requests an Administrative Permit to construct a 14.5' x 16.3' addition to existing 546 sq.ft. attached waterside deck; remove existing outdoor shower and steps from footprint of proposed deck addition. Located: 575 Hill Road, Southold. SCTM# 1000-70-4-29 Typeg area to be impacted: �S�altwater Wetland Freshwater Wetland Sound --/ Bay Part of Town Code proposed work falls under: ✓Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. oldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples yy� ' I .1 ry lfk 1 \ I a •�+ � '+r r � r I , 1, MR y � t: � ; � 11 i,'. � k ,�, f� ;,,, •, ,!h f t 1, x� � f � fl' ,� 1 I� I I ,�-1 �' :, � i°�..y,,�s.. �. '�•.• .�.• � � SKY 1 , ' 6 'nf t LOUIS POTTERS1 ' 1,575 HILL R�,,�.),SOUTHOLD _E Figure3. Looking soutliftom existing f ,.. ... .... .. try deck I be expanded toward 10-foot elevationcontour and Jockey w :l ay1{I L. 7• �L e aeai , ia. da] , 'i,`. 4_. .° .q a zl, n �•<. 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A.i ze a � 4 �g d •'-y. .yam �at?eo k � � ,,; I...�..-.d rt,�c,-.. e .<.,, � .,...1.-.' \ *�A�u j `'� � @ „Y •, y ♦ i, eur:,N Inc 'a e , ..•..... _•_p u — „+ COUNTY OF SUFFOLK C� rarrce E �,w toe. secrx�ro n -- — W.1 N.prr,T I- ar,�r...1Ken.T +nwv,w sa.ra° Y w n .�_—_•_— _—_ _ ___ ..�.,. an ,.,,..., w...,".,o,,.uHs°�.iPo q "'°' wunwtn �70 OFFICE LOCATION: MAILING ADDRESS: 0 Town Hall Annex '-'` '' P.O.Box 1179 'd 54375 State Route 25 ;� ' I Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 r �: p ',' Telephone: 631 765-1938 r d .r /n LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 3, 2025 Re: LWRP Coastal Consistency Review for LOUIS POTTERS & LENORE BRANCATO SCTM# 1000-70-4-29 En-Consultants on behalf of LOUIS POTTERS & LENORE BRANCATO requests an Administrative Permit to construct a 14.5' x 16.3' addition to existing 546 sq.ft. attached waterside deck; remove existing outdoor shower and steps from footprint of proposed deck addition. Located: 575 Hill Road, Southold. SCTM# 1000-70-4-29 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 EXEMPT from the LWRP CCR. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney Glenn Goldsmith,President cat Town Hall Annex S�(��/% A.Nicholas Krupski,Vice President �'d` �� 54375 Route 25 P.O.Box 1179 Eric Sepenoski 11 Southold,New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Elizabeth Peeples Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only C EE V `: Coastal Erosion Permit Application D�) Wetland Permit Application Administrative Permit 'i� MAY Amendment/Transfer/Extension 5 2025 Received Application: Received Fee: $ Southold Town Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Name of Applicant Louis Potters and Lenore Brancato Address 575 Hill Road Southold,NY 11971 Phone Number: (Ha 457-9286 Suffolk County Tax Map Number: 1000 - 70-4-29 Property Location: 575 Hill Road,Southold (located on south side of Hill Road,+/-783 east of Wells Avenue) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 Board of Trustees Ay 'cation GENERAL DATA Land Area(in square feet): 26,376 sf Area Zoning: R-40 Previous use of property: Residential,single-family dwelling with attached waterside deck Intended use of property: Same,with deck addition Covenants and Restrictions: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Trustees Permit No.2049 8/28/1985 Southold Trustees Permit No.6710A 8/24/2007 Southold Trustees Permit No. 8481A 7/25/2014 Southold Trustees Permit No. 8707 11/18/2015 Southold Trustees Permit No.9687 8/19/2020 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct a 14.5'x 16.3'addition to existing 546 sf attached waterside deck,with removal of existing outdoor shower and steps from footprint of proposed deck addition,as depicted on the survey/site plan prepared by Kenneth M. Woychuk land Surveying,PLLC, last dated April 28,2025. , Board of Trustees kpplir' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Lateral extension of existing deck attached to waterside of existing single-family dwelling. Area of wetlands on lot: 1,020 square feet Percent coverage of lot: 4.1 Closest distance between nearest existing structure and upland edge of wetlands: 80 feet (deck) Closest distance between nearest proposed structure and upland edge of wetlands: 80 feet (deck addition) Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The application proposes a 236 sf addition to an existing 546 sf attached waterside deck. The existing deck,which is set back 80 feet from the tidal wetland boundary associated with Jockey Creek,pre-dates 2001 and was thus constructed prior to the adoption of Chapter 275 and the required 100-ft wetlands setback for structures. The proposed addition will extend only laterally toward the west property line,thus maintaining the same 80-ft wetlands setback,with no additional ' encroachment toward Jockey Creek.Due to its location landward of the 10-foot elevation contour,the proposed work is situated outside the tidal wetlands permitting jurisdiction of the New York State Dept.of Environmental Conservation; and with a wetlands setback greater than 75 feet and an area less than 25 percent of the existing dwellling structure,the deck addition meets the definition of a"minor action"that is exempt from LWRP waterfront consistency review.Also eligible for administrative permit review pursuant to Section 275-5(B)(2)(1),the deck addition will have no adverse impacts on the quality or function of the adjacent tidal wetlands or surface waters of Jockey Creek. Pursuant to Section 2754(A)(1)0),the proposed windows noted on the site plan are excepted from Chapter 275 permitting requirements. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available.If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Potters&Lenore Brancato Addition Project Location(describe, and attach a location map): 575 Hill Road, Souhold,Town of Southold, Suffolk County,NY, SCTM# 1000-70-4-29;property is located on south side of Hill Road,+/-783 east of Wells Avenue, location map attached. Brief Description of Proposed Action: Construct a 14.5'x 16.3'addition to existing 546 sf attached waterside deck,with removal of existing outdoor shower and steps from footprint of proposed deck addition,as depicted on the survey/site plan prepared by Kenneth M. Woychuk land Surveying,PLLC,last dated April 28,2025. Name of Applicant or Sponsor: Telephone: 516-457-9286 Louis Potters&Lenore Brancato E-Mail: LPotters@northwell.edu Address: 575 Hill 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. X 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: NYS DEC X 3.a.Total acreage of the site of the proposed action? 24,907 sf b.Total acreage to be physically disturbed? <3,000 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 24,903 sf 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5.Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO- YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: X 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: X 12.a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? X X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO I YES wetlands or other waterbodies regulated by a federal, state or local agency? X b.Would the proposed action physically alter, or encroach into,any existing wetland or waterbody? X If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ® Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO❑YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes, briefly describe: ❑NO❑YES Page 2 of 4 r 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Ro .Herrmann,Coastal Management Specialist Date: May 1,2025 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b. public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality, flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part I Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude.Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 '4 000 5 000 Feet Odr�;"l;200".-�', .,1-,4.00.Meters 72-23'tBP .............................. 48 Inn 25 0000urk 25 oN� R: In ao 1119 1-1ashainoinuck Pond Ay. INAY C Do DR ark N" POA, CREEK iLONG o Budds Pond (F.VINECOTt MOCKINGBIRD Camp Quinipel (Methodist) 'eld Vipp ney 9O Jet nings Pt OCKY POINT IRK 48 O 25 Hippodroine AF19 1c, SoutholdPoo Pond St, B1 EDON Park SOUTHOLD Founders ig.'U7NS RD Landing Harper Pt eeivy BAY JOCKEY CREEK Dfl Site(Acces via Suffolk County Hagstrom Map#44, LAN Subject property) +2,000, 'a So thold YC SO L bid 0 JgL�EANJ 9y N.MR11 Institute UM7 Ansoa I . Custer Indian Mu Institute & AV Py SLEE J SGIJBONER Paradise % 1 Lo" DR Point 0� GLENN 1000-�- 3 Cyley LAKE OR ',Z, C/ a `�� o ROBIry R� MAT HOG RIGGER LAI NECK Yv ,A g f 'N10 tI Vl� 71 VY Board of Trustees Applic-:� n s AUTHORIZATION (Where the applicant is not the owner) I/We, Louis Potters - owners of the property identified as SCTM# 1000 70-4-29 in the town of Southold .New York,hereby authorizes- En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town r Board of Trustees for this property. N/A Property Owner's Signature Property Owner's Signature Louis Potters STATE OF TEXAS,COUNTY OF TARRANT SWORN TO BEFORE ME THIS 17th _ . DAY OF. January 9.2025 by louis potters. _ Notary Public,State of Texas &e/�i John C Clark Notary Pu llc * € •= ID NUMBER 13240917-9 i��j9rF OF tw+P�\ COMMISSION EXPIRES Electronically signed and notarized online using the Proof platform. �O"rr�ll��lm>>�`�" March18,2028 I ` Board of Trustees Applic--;:-on AUTHORIZATION (Where the applicant is not the owner) I/We,. Lenore Brancato owners of the property identified as SCTM# 1000-.70-4-29 in the town of Southold ' New York,hereby authorizes F En-Consultants to act as my agent and handle all F necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. t �¢ivah.� t�ha�r,Ca�a N/A Property Owner's Signature Property Owner's Signature Lenore Brancato SWORN TO BEFORE ME THIS,_ - 17th DAY OF January 20 25 Sworn to(or affirmed)and subscribed before me by means of online notarization, State of Florida this 01/17/2025 by Lenore Brancato. County of Palm Beach a� _e4ov. Notary Public aY'IP&ii DENNISHA PLUMMER Notary Public-State of Florida :a commission a HH5272U _Personally Known OR_4toduced Identification Explreson Mayt4,zoze DRIVER LICENSE Type of Identification Produced Notarized remotely online using communication technology via Proof. Online Notary Board of Trustees Applic�----",on AFFIDAVIT Louis Potters BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE 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 3 CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES'IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINALINSPECTION. I FURTHER AUTHORIZE THE BOARD OF t 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. t 3 1 i N/A Signature,of Property Owner Signature of Property Owner Louis Potters STATE OF TEXAS,COUNTY OF TARRANT SWORN TO BEFORE ME THIS 17th DAY OF January 2025 by louis potters. N tary Public,State of Texas - RYII?4e�Gj� John DClark 2 NotaryI' blic '� °' • � � *= ID NUMBER NA' 'p 13240917-9 Electronically signed and notarized online using the Proof platform. '�9i °iF��+��`\ CO MISSION EXPIRES Marchi Board of Trustees Appli__:ion AFFIDAVIT Lenore Brancato BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN i ARE TRUE TO THE BEST OF-HIS/HER 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. 1 S Y �ZP./ta4.¢. ,�karr,Ca�a 1 N/A Signature of Property Owner Signature of Property Owner Lenore Brancato SWORN TO BEFORE ME THIS 17th DAY OF January „20 25 Sworn to(or affirmed)and subscribed before me by means of online notarization, State of Florida this 01/17/2025 by Lenore Brancato. County of Palm Beach Notary Public _Personally Known OR_Ofoduced Identification t11YI11P& ' DENNISHA PLUMMER Type of Identification Produced DRIVER LICENSE Notary Public-State of Florida m; Q= Commission#HH527234 Notarized remote) online using communication technology via Proof. Y 9 9Y %i�9 •OF Pv�p��\ Expires on May 14,2028 - /q�l Online Notary APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of§outhold's Code of-Ethics prohibits conflicts of interestdri the oarfiiftown officers•and employees.The yumose:of -this foim.isto,nrovide-inforination ivhich cari alert the town ofnossible conflicts of ifinierest•and allow:itto`take whateveraction is necessary to avoid same:: YOUR NAME: Potters,Louis -(Last name,fustname,:diddle 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'persogally.(or through your;, ompany,spouse;sibling,parent;or child)have a i-lationship'with any officer or e,mployep of the Town of Southold? "Relationship"includes by blood;.marriage,or business interest."Business interest"-means a business, including a;partnership,in-which the-townof ices or eniployeb.has even a partial:ownership of(oremployment by)a corporation in which the town officer or employee-owns more than S%o oftlie shares. YES F NO n 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 applicantlagent/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): f1A)the owner of greater than 5%of the shares of the corporate stock of the applicturt _n (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 17th days January 2025 Signatury fiy'uC Print Name Louia'Potters. Form IS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's£ode ofEthic pro conflicts of interest on the riart'of Town officers and'emoyees The nurvose of thisform is to 062ide informatiortwhicti can'.alert the town.of oosstble ii(iAPicts.of irzter+cst and allow it to take,whateveraction is necessasyao avid"same: YOUR NAME: Brancato,Lenore (Last name,first name,ajriddle initial,unless you are applying.inthe 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.) a 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? "Relaf ionship"includes by blood;,marriage,,ortiusmessinterest;"Business interest"means.a busiNss, including a;parinershijijn which the)town officer or employee„has even,a partial�ownership"of(or emp(oyment•by)a corporation in which the town•officer or employee:owns more than:3 A of ihes'hares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. r The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): _nA)the owner of greater than 3vki of thc.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 2 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 7th day Janua 2025 Signature Print Name. Lenore.Brancato . Form TS 1 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em lovees.The purpose of this form is to Provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : Herrmann, Robert E (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit XXX Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child) have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 1st y of May ,20 25 Signature Print Name Robert E. Herrmann t� �% Town of Southold I iErosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM _$ PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Qt �D 1000 70 4 29 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN iIT�icF Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within 24,903 S.F. Generated by a Two(2")Inch Rainfall on Site? Elthe Scope of work for Proposed Construction) (S.F./Acres)) (This item will include all run-off created by site b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed <3,000 S.F. Site improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Construct a 14.5'x 16.3'addition to existing 546 sf attached Slopes Controlling Surface Water Flow, waterside deck,with removal of existing outdoor shower and 3 Does the Site Plan and/or Survey describe the erosion F steps from footprint of proposed deck addition,as depicted on and sediment control practices that will be used to the survey/site plan prepared by Kenneth M. Woychuk land control site erosion and storm water discharger.This Surveying,PLLC,last dated April 28,2025. Item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or ❑ X Excavation where(here is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities X ❑ Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres:including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of lands; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? El X the DEC has determined that a SPDES permit is required for storm water discharges, p (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ❑ 1.The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this.Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition,the SWPPP shall Area?(This item will NOT include the installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE:If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE:A Check Mark(X)and/or Answer for each Question is Re aired for a Completed Application). STATE OF NEW YORK, COUNTY OF Suffolk SS That I, Robert E. He=ann being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the Agent - ------------------------------------------------------ ---------------------------------------- (Owner,Contractor,Agent,Corporate Officer,etc. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed.in the manners set forth in the application filed herewith. Sworn to before me this; -------------------1st- - -- -----------cla!_.of- May---------------------- ,20 25 Notary P is ___ ST KIM H, EPHENS (signature o l'ant) FORM 06/10 No.01ST5015931 w or Qualified in Suffolk County My Commission Expires August 02,20� Town of Southold - LWRP CONSISTENCY ASSESSMENT 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 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 si nib beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 70 - 4 29 PROJECT NAME Louis Potters and Lenore Brancato The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees VN Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: Construct a 14.5'x 16.3'addition to existing 546 sf attached waterside deck,with removal of existing outdoor shower and steps from footprint of proposed deck addition,as depicted on the survey/site plan prepared by Kenneth M.Woychuk land Surveying,PLLC,last dated April 28,2025. Pursuant to Southold Town Code§268-5 ("Review of Actions")and the corresponding definitions of"actions"and"minor actions"by §286-3 ("Definitions"),the proposed work meets the following definition of a minor action and should thus be determined to be exempt from waterfront consistency review: "BB.Additions to an existing dwelling constituting less than 25%of the existing structure where the addition is greater than 75 feet from a natural protective feature,except where the parcel is located in a coastal erosion hazard area." Location of action: 575 Hill Road, Southold Site acreage: 26,376 sf Present land use: Residential,single-family dwelling with attached waterside deck 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: Louis Potters and Lenore Brancato (b) Mailing address: 575 Hill Road Southold,NY 11971 (c) Telephone number: Area Code 516-457-9286 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [—] Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes FIN o® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect South> °s water-dependent uses and prom',,_,'siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLECoastal Management Specialist DATEMay 1,2025 Robert E. Hemn n Amended on 811105 �F� At EN-CONSULTANTS May 1, 2025 Town of Southold E 9 V E .� Board of Trustees .54375 Main Road Post Office Box 1179 MAY A2025 Southold,New York 11971 Re: Louis Potters and Lenore Brancato Southold Town , 575 Hill Road, Southold Board of Trustees SCTM#1000-70-4-29 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Photographs. 2. Four(4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP Consistency Assessment Form. 3. Four(4) surveys prepared by Kenneth M. Woychuk Land Surveying, PLLC, dated March 7, 2025. 4. Two(2)sets of site photographs. 5. Application fee of$1,250.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Since ely, RoE errmann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting