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TR-10817
���� S®jf� n � Town Hail Anex ® Glenn Goldsmith, President 54375 Route 25� 1D.0 Sox 1179 A. Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski Telep''^one (631) 765-1892 Liz GLIlooly . ,�. • �® Fax (631) 765-6641 Elizabeth Peeples UNTi,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CON TACT THE OFFICE OF THE BOARD OF TRUST OFFEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED BE_ INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed When project complete, call for compliance inspection. Glenn Goldsmith,President .019, o Town Hall Annex A.Nicholas Krupski,Vice President �� �y� 54375 Route 25 Eric Sepenoski z P.O.Box 1179 Liz Gillooly W_ • Southold,NY 11971 Elizabeth Peeples ?,ho apl� Telephone(631)765-1892 1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ryan Sidor on behalf of Lucy Wohltman TO: Please be advised that your application dated April 25, 2025 has been reviewed by this Board at the regular meeting of July 16, 2025 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 It Day of Construction ($50.00) % Constructed ($50.00) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-tun`buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 p p TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees i BOARD OF SOUTHOLD TOWN TRUSTEES ' SOUTHOLD,NEW YORK �, -- PERMIT NO. 10817 DATE: JULY 16,2025 ISSUED TO: LUCY WOHLTMAN ,+ PROPERTY ADDRESS: 4955 MOORES LANE, CUTCHOGUE t r SCTM# 1000-116-2-3 = �� AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in � = accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 16,2025, and in s� consideration of application fee in the sum of$1,250.00 paid by Lucy Wohltman and subject to the Terms and _ @ Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the , gym': following: Wetland Permit to remove the existing trellis and a section of existing on-grade brick patio to construct a 302sq.ft. sunroom onto the existing two-story dwelling (f2,525sq.ft. =' , footprint); the remaining f712sq.ft. on-grade brick patio (including covered area) to . remain; all as depicted on the site plan prepared by Robert I. Brown Architect P.C., received on July 3,2025, and stamped approved on July 16,2025. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of.the said Board as of the day and year written above. ,r gpFFO(�. y _C T 4 , 7z .7.i'u.+,51`*i`67.�a "i+'^.vii "it iS, nF tr" UA"�.. °.t•,'�.�'h Su "a"C,S.�,aC"?i2x4k'e?'CTX":Fi+C'i r ae n. f`k"an"& i'.i3dw. e 0W97°"+`ea v,6'rrl (?r.,. fJF"`B.Y`.?mt1'�+ + a .,.-�� , .. � 1 y m \ ,%l ', `—e�'. t� r• ';�a .. mow,, TERMS AND CONDITIONS The Permittee Lucy Wohltman, 4955 Moores Lane, Cutchogue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith, President ®f S0 Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski ! 1 Southold, New York 11971 Liz Gillooly @ Telephone(631) 765-1892 Elizabeth Peeples • �® Fax(631) 765-6641 ®�`7C®UNV,�` BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2025 i I Ryan Sidor Robert I. Brown Architect P.C. 205 Bay Avenue Greenport, NY 11944 RE: LUCY WOHLTMAN 4956 MOORES LANE, CUTCHOGUE SCTM# 1000-116-2-3 Dear Mr. Sidor: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 16, 2025 regarding the above matter: WHEREAS, Robert I. Brown Architect P.C.! on behalf of LUCY WOHLTMAN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town!of Southold, application dated May 14, 2025, and, WHEREAS, the LWRP Coordinator issued,a recommendation that the application be.found . Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 16, 2025, at which time all interested persons were given an opportunity to be heard, and, I WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted ,concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of LUCY WOHLTMAN to remove the existing trellis and a section of existing on-grade brick patio to construct a 302sq.ft. sunroom onto the existing two-story dwelling (t2,525sq.ft. footprint); the remaining t712sq.ft. on-grade brick patio (including covered area) to remain; all as depicted on the site plan prepared by Robert I. Brown Architect P.C., received on July 3, 2025, and stamped approved on July 16, 2025. 1 Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Glenn Goldsmith President, Board of Trustees Dft,O 4I0I yk' v a k� �+ ,'] ' Pg �+ S82°47'10"E LAND N F OF I� NORTH FORK COUNTRY CLUB J U L 3 2025 'Z o 011 `p Southold Town N O� N o Board of Trustees 319.78' gEyG. BLOCK CURB l U,P COVERED STORAGE GRgVE( 140N. ;� 28.5' DRIVEW41 0 r 28.6' GARAGE �2 0 Ntml2 m 6.0, a.@ U DWELLING FRAME APPROVED lA N DWEWNG f 4955 � V 1 m 12.7'�' �E �. t-r D BAY o R;� -,,BOARD OF '!RUSTEES DRAINAGE CALCULATION5 7. ZONE 1: -}°TOWWOF.SOUTHOLD � 32G 5F x 0.17 = 55.4 CF M 3.5' PROVIDE(1)G'DIA.x 3'-G"D.DRYWELL=76.2 CF COVERED O BAY w BRICK DATE o PROPOSED 25.1 4 0 � DRYWELL _ EXISTING BRICK PATIO - TO REMAIN 41 EXISTING FENCE .. J REMOVE EXISTING BRICK o r� H w PATIO AND TRELLI5. « 1NG EXISTING pq Vl PROPOSED 5UNROOM �C VER PATIO ap _N EXISTING r IS z50' MON. n � SW/MM/NC POOL !QS17NG loot 4710"yv EXISTING pOC( FENCE � � a� r •. jy c 1 269.80' D4lID , OF MON Up. RCVOCAeLE RR Y CASE TRUSr a . LOT 1 ' LOT AREA: E: 42,904 5F NEW SiIFFpLK AV WOHLTMAN RESIDENCE EXISTING HOUSE: 2,503 5F E 4955 MOORES LANE CUTCHOGUE, NY 11935 EX15TING POOL: 1 ,323 51 lz MAY, 2025 EX15TING PAT105: 1 ,02G 51' SCALE:i'=30'-0" EXISTING TOTAL: 4,852 5F BOUNDARY OF FORMERLY 4,852 / 42,904 I I .3%D CONNECTED TIDAL WETLANDS AS FLAGGED BY COLE ENVIROMENTAL BASED ON SURVEY BY: 51TE PLAN Robert I. Brown - � ; SERVICES 09-15-23 KENNETH WOYCHUK LAND 5URVERING Architect P.C. EXISTING TOTAL: 4,852 5F SCALE: 1 " = 20-0" DATED: 05 AUGUST 2022 PROPOSED 5UNROOM: +302 5F EXISTING EXCEPT A-9 NOTED zo55 Bay Ave. Greenport NY REMOVE EX15TING PATIO: -302 5F 5CTM: #1000- 1 1 G.-2-3 info@ribrownarchitect.com PROPOSED TOTAL : 4,852 5F ZONED: R-40 631-477-9752 PROPOSED TOTAL: AREA: 42,904 5F (0.9G AC) ITISA VIOLATION OFTHE LAW FOR ANY PERSON. UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON DRAWING IN ANY WAY.ANY 4,852 / 42,904 = 1 1 .3% ALTERATION MUST BE NOTED.SEALED.ANDZED DESCRIBED IN ACCORDANCE WITH TFIE LAW. ' I D% 4T0N. S 82°¢7'10"E LAND NORTH RK/F OF FO z COUNTRy CLUB 0 NLP. cos O`"'U N O 319,78' BELL, BLOCK CURS U.P, COVERED STORAGE G/lq MOry, in 28.5' DRA'EWAY O Y 't 28.6' GARAGE O N 'Tf d g� L J 8 _ 2 STY FRAME 6.0' m DWELLING / 4955 ~ 12.7' W<E 10 r S BAY PAAO ~ Y DRAINAGE CALCULATION5 7.0' ZONE I: 32G SF.x O..I 7 = 55.4 CF u 5.5' Q� PROVIDE(1)G'DIA.x 3'-G"D.DRYWELL=78.2 CF COVEREDO BAY u PATIO ai c PROPOSED 25•1• 1 DRYWELL alk EX15TING BRICK PATIO TO REMAIN ' 0 0 EXISTING FENCE REMOVE EX15TING BRICK w PATIO AND TREWS. EkQR,�NWP�C IXISnNG PAVER pA1T0 W _1 rt _ PROPOSED 5UNROOM 0 E)fISRING = 0) 155r50' . m SW/MA(!N0 POOL 9STTN MON, EOUIgy,fooL 3 N82047'10"W _ Q a EC EIVL EXISTING POOL O FENCE 0 t� F MAY 1 4 2025 269-80' F DA��D NI OF MGN UP Southold Town R�OCABL f T e 'd Board of T-q—LOT Y LOT AR ACOVERAGE: 42,904 5F NEW SUFFpLK AVE WOHLTMAN RESIDENCE EXISTING HOUSE. 2,503 SF 4955 MOORES LANE CUTCHOGUE, NY 11935 EXISTING POOL: 1 ,323 5F EXISTING PATIOS: 1 ,02G SF <z MAY, zoz5 EXISTING TOTAL: 4,852 5F BOUNDARY OF FORMERLY SCALE: 1' =30'-0" 4,852 / 42,904 = 1 1 .3%D CONNECTED TIDAL WETLANDS AS FLAGGED BY COLE ENVIROMENTAL 51TE PLAN BASED ON SURVEY BY: Robert I. Brown SERVICES 09-15-23 KENNETH WOYCHUK LAND 5URVERING Architect, P.C. EXISTING TOTAL: 4,852 SF SCALE: I " = 20'-O" DATED: 05 AUGUST 2022 PROPOSED SUNROOM: +302 SF EXISTING EXCEPT AS NOTED ao5 Ba Ave. Green port NY, ' REMOVE EXISTING PATIO: -302 5F int2owibrownarchitect.con� PROPOSED TOTAL : 4,852 SF SCTM: #1000-1 1 G.-2-3 rP..�:-�" >• ,j;: 631-477-975� f >> % : � ZONED: R-40 k AREA: 42 PROPOSED TOTAL: ,904 5F (0.9G AC) FF ISA VIOLATION OFTHE LAW FORA RSO �+.�' •I;i! I UNLESS ACTING UNDER THE DIRECFIO LICENSED ARCHrrECT•TO ALTER ANY ITE O 4,852 / 42,904 = I I .3% TIi1S DRAWING IN ANY WAY.ANY AUITIORt7E ALTERATION MUST BE NOTED,SEALED,AND I •.'� 'r•� %,• DESCRIBED IN ACCORDANCE WITH THE LAW. s sou THOLD T RUSTEES Issued To. %-nor ��►c� �fo1,�t�nAn Date � �����5 Address `�q 5 5 Moo res LGn¢ , CuYcl.v��e THIS, NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,President ���\O 46'p" Town Hall Annex A.Nicholas Krupski,Vice President a < 54375 Route 25 0 Eric Sepenoski ,a P.O.Box 1179 Liz Gillooly y�ol ��0� Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: �7 z� Completed in field by: Robert Brown Architects on behalf of LUCY WOHLTMAN requests a Wetland Permit to remove the existing trellis and a section of existing on-grade brick patio to construct a 302sq.ft. sunroom onto the existing two-story dwelling (±2,525sq.ft. footprint); the remaining ±712sq.ft. on-grade brick patio (including covered area) to remain. Located: 4955 Moores Lane, Cutchogue. SCTM# 1000-116-2-3 Type of area to be impacted: Saltwater Wetland V/Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: V/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.: 5����^fit �G�ww� 4�,4r&ah'w ' Present Were: G. Goldsmith L--N. Krupgki E. Sepenoski L. Gillooly E. Peeples S 82°47'10"E LANO N NORTH FORK C OF '�- V � B � 1� COUNTRY CLUB �J, JUL 3 2025 rn CP• ° GAS 3 IV 0 , - N 1 0 Southold Town 3/9 78, Board of Trustees CURB , UP COVERED STORAGE BELG. MON GRq OftEW4Y 'r 28.6' GARAGE ® C4 0� r 0 m1 9 2 STY FRAME 6.0' � m ro DWELLING / 4955 r, m Ch STONE �/ 0 12.7' WA(C b 4 p n BAY 8,71 Ci � 1 DRAINAGE CALCULATION5 7.0' 710 �j► ZONE I: �„ q �-1 32G 5F x O.17 = 55.4 CFtri b1 PROVIDE(1)G'DIA.x 3'-G"D.DRYWELL=75.2 CF o COVERED BRICK O HAY u PATIO o PROPOSED - 25•1. Qt /� DRYWELL EXISTING BRICK PATIO � TO P,EMAIN 8 o = O EXISTING FENCE j F� REMOVE EXI5TING BRICK o r^w to w PATIO AND TRELLIS.PR «WNG POOL EXISTING PAVL7� PA OPO5ED 5UNROOM 19 EXISnNG O SW/MA#ING pOOE MOAT O MpyT c �NG N 82047'10"W �� ' �UV DOST►NG POOL O FENCE o " �. "rr i'' •i:f.`o• r7�, "••- FWD 269.80 E ` DA 40 T, N/F OF. MGN U.P. Rry CA ERRY LE C ASE fl � UST a LOT COVERAGE: LOT AREA: 42,904 SF NEW SUFFOLK AVE WOHLTMAN RESI ENCE EXISTING HOUSE: 2,503 SF 4955 MOORES LANE CUTCHOGUE, IVY 11935 EXISTING POOL: 1 ,323 SF EXISTING PATIOS: 1.,02G SF _ la MAY, zoz5 EXISTING TOTAL: 4,852 SF BOUNDARY OF FORMERLY SCALE:lr =30-Orr 4,852 / 42,904 = I I .3% CONNECTED TIDAL WETLANDS AS BY COLE ENVIROMENTAL BASED ON SURVEY BY: SITE PLAN Robert I. Brown '"FLAGGED '� ; EXISTING TOTAL: 4,852 SF SERVICES 09-15-23 SCALE: I 20-0 KENNETH WOYCHUK LAND SURVERING Architect, P.C. � = PROPOSED SUNROOM: +302 SF EXISTING EXCEPT AS NOTED DATED: 05 AUGUST 2022 ao55 Bay Ave. Greenport NY REMOVE EXISTING PATIO: -302 SF SCTM: #1000-1 1 G.-2-3 int?o@rlbrownarchitect.com PROPOSED TOTAL : 4,852 SF ZONED: R-40 631-477-9752 AREA: 42,904 SF (0.9G AC) IT IS A VIOLATION OFTHE LAW FOR ANY PERSON, PROPOSED TOTAL: Q� UNLESSACING UNDER THE DIRECTION OF LICE4,852 / 42,904 = I I .3/ro - THIS DRAWINGSED AN WCTTO Y.ANYER AUTINY fO ON THIS DRAWING IN ANY WAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITII THE LAW. EXISTING DOOR EXISTING DOOR TO REMAIN $ TO REMAIN E3 qp 1 v LEGEND NEW 2870 EXTERIOR DOOR $ LIGHT SWITCH i TO BE SELECTED BY OWNER � V LIGHT FIXTURE w/FAN LIGHT FIXTURE w/FAN I? OUTLET m PROPOSED SUNROOM FIXTURE 4" POURED CONCRETE SLAB w/GxG W-W.M. BLUESTONE PAVERS SELECTED BY OWNER Fig [y // N Fm � � 1 !, O TAPE, SPACKLE, AND PA NT 3 COATS FILING OA l r CATHEDRAL CEILING MAY 1 4 2025 `'/€I EXPOSED DRESSED RAFTERS Southold Town Board ofTruatees_ NEW 8" SQUARE COLUMN O O O O NEW 8" SQUARE COLUMN GxG POST FUR AND CLAD G'-1 1/2" 1 1'-4 1/2" G'-1 1/2" GxG POST FUR AND CLAD NEW MARVIN ELEVATE SERIES WOHLTMAN RESIDENCE ELGLGO50E GLIDER WINDOWS 4955 MOORES LANE CUTCHOGUE, NY 11935 WHITE/WHITE w/SCREENS NEW MARVIN ELEVATE SERIES 12 MAY, 2025 FLO O K PLAN ELAWN2923 STATIONARY AWNING WINDOWS SCALE: i' =30'-0" WH I TE/WH ITE SCALE: 1/4" = 1'-0" ABOVE AND CENTERED Robert I. Brown Architect, P.C. -_ REMOVE EXISTING BRICK PATIO a05 Ba Ave. Green port REMOVE EXISTING PERGOLA into@ribrownar hits�t.co ' L 631-477-9752 r. rr ISAVIOLATIONOFTHELAWFORANYP - +L .. 4nb •4P UNLESS ACTING UNDERTHE DIRECTION OF - LICENSED ARCHMECT.TO ALTER ANY rr TI 115 DRAWING IN ANY WAY.ANY AUTHORIZED' �% 1 ALTERATION MUST BE NOTED.SEALED.AND �- DESCRIBED IN ACCORDANCE Will THE LAW. NEW 2x8 RAFTERS @ I G"O.C. DRESSED I x8 WOOD TONGUE * GROOVE SHEATHING EPDM RUBBERIZED ROOFING MEMBRANE v 2 NO INSULATION EXISTING WALL TO REMAIN 0 2 NEW CRICKET REPAIR AND PATCH A5 NECESSARY SLOPE: 0.2571 2" NEW 2x8 NEW MARVIN ELEVATE SERIES ANCHORED DTOEEXISOT NGD (2) 2x I HEADS ELAWN2923 STATIONARY AWNING WINDOWS STRUCTURE (2) TWICE @ I G"O.C. WHITE/WHITE ABOVE AND CENTERED (2) 2xG HEADER A OC O NEW 287 NEW MARVIN ELEVATE SERIES EXTERIOR ELGLGO80E GLIDER WINDOWS — WHITE/WHITE w/SCREENS 7 IT7 NEW 2x4 STUD WALL PROPOSED 5UNKOOM SQUARE PANEL AZEK CLADDING NOIN5ULATION N EXISTING FLOOR EAST ELEVATION REMOVE EXISTING BRICK PATIO NEW 4" CONCRETE SLAB w/GxG W.W.M. BLUESTONE PAVERS SCALE: 1/4" = 1'-0" TOP OF PAVERS TO BE LEVEL w/ EXISTING FINISHED FLOOR ® ECEIVE ' M AY 44 2025 TE OSouthold Town EH O O O O O O O Board of Trustees WOHLTMAN RESIDENCE A A A A NEW 8" SQUARE COLUMN NEW 8" SQUARE COLUMN 4955 MOORES LANE CUTCHOGUE, NY 11935 QG P05T FUR AND CLAD GxG POST FUR AND CLAD 12 MAY, a025 SCALE: i' =30'4' Robert I. Brown Architect, P.C. ao5 Bay Ave. Greenport NY 5 in o rlbrownarchitect.com "�-" 'k @ ,; .>., AZEK SQUARE PANEL AZEK SQUARE PANEL AZEK SQUARE PANEL F; CLADDING CLADDING CLADDING 631-477-9752 rr IS A VIOLATION OF TFIE LAW FOR ANY PERSON. S O U T h ELEVATION UNLESS ACTING U14DER THE NANYWAY.A ECTIONOFA y ` LICENSED ARCNrrECr.TO ALTER ANY ITEM ON •z � THIS DRAWING IN ANY WAY.ANY AUTI LOBBED �. ALTERATION MUST BE NOTED.SEALED.AND DESCRIBED IN ACCORDANCE WFI I I TILE LAW. SCALE: 1/4" = 1'-0" X�.: • $, '. �,�Y�*.' w,. °.. »', [ ,sue/fir �" :�►. ' .r - � - �' ►i Via` � �-`.�`_'� ! 1nI '��t��� � i( ri � •-I e � -°af is i•P°•aa as " `!L• c:. ��. r 4�t SPRt � 1 '� r �, Ad au MATCM 9EE aEL NO IOB � Ur1E 1MTCn. L N� yt a R: � Fp11fCl.N0. � PoII IOL.MO D� ��w w_».e 'i i. aEesEc.ra. accaEC No 9i toraaom ,�«�9 ,L 12 W W YnM:I •' -D 15 oeJaae Ne,a sw*aoL� Y{O m ol.zs,n ae , ws.v ,I oe cfe+rw�.na�ic•aw ` f eaNq ,3 raw os t �\� •3 „rc ., � �tWpwN at ,f eeNcl pawto�Nri�tWew taan Y I �3V tM '4 •. J3nKj �.A e:� ImfEa,wfoeL'arLvsa�.r<I �'.• t "� YWk) '� -d � f Y9Nc. r Y • �,.• 1iI ..��N _. , SBSr 9S tY\y E3 J<rvcl _ Y i a�e t ir. - -.__-. e t ro.Ntaof so�uTNao a i •-.. a r. IY zaNcl a a�'§�a._�a la tar�h 3Y. 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'••• ••••..•."„"•,•.-�• — ••..^._ _.• „ COUNTY OF SUFFOLK U ranee °' I<t,N, taoo secnc>r ro p _��_ —_ •^^��'d— —_ O "` -z�• Rral 14„p�rtr 1-:+.r,t..1Kcn•) W 06"1°11pHmwrr rn>;fwcautatE M Ct" xN u• N �••—3aaL—— _— ——.—_ "• —__ .. ... � � �v:�,,.: ,v,,..ro...,„„,11 t..,r uf��rlfw 1Va5Yxra M � 9p11TttpSD— I,C r • 91f OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 11, 2025 Re: LWRP Coastal Consistency Review for LUCY WOHLTMAN SCTM# 1000-116-2-3 Robert Brown Architects on behalf of LUCY WOHLTMAN requests a Wetland Permit to remove the existing trellis and a section of existing on-grade brick patio to construct a 302sq.ft. sunroom onto the existing two- story dwelling (±2,525sq.ft. footprint); the remaining ±712sq.ft. on-grade brick patio (including covered area) to remain. Located: 4955 Moores Lane, Cutchogue. SCTM# 1000-116-2-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney f Cantrell, Elizabeth From: Sakarellos, Elizabeth Sent: Wednesday,July 2, 2025 11:55 AM To: Cantrell, Elizabeth Subject: FW:Wohltman sunroom Hi, See below, I think this was meant for you. Thank you, From: Robert Brown<rob@ribrownarchitect.com> Sent:Wednesday,July 2, 2025 11:43-AM To:Sakarellos, Elizabeth<elizabeth.sakarellos@town.southold.ny.us> Subject:Wohltman sunroom Elizabeth, In answer to your questions: The footprint of the existing house is approximately 2,525 square feet. The area of the proposed sunroom is approximately 330 square feet. The area of remaining brick patio (including covered area) is approximately 712 square feet. We will submit the amended Site plan tomorrow. Thanks for your help, Rob Robert I. Brown Architect 205 Bay Avenue, Greenport, NY u944 631-477-9752 rob .ribrownarchitect.corn ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY 0 Stony Brook.50-Circle Road.Stony Brook;NY 11790 - P:(631)444-0365 1 F:(631)444-0360 www.d ec.n y,9ov ,,.LETTER OF_NO-JURISDICTION TIDAL WETLANDS ACT Lucy Wohltman December 27, 2023 98 Crown Terrace San Francisco CA 94114 Re: Application # 1-4738-04979/00001 Wohttman Property —4955 Moores Lane 11935 SCTM#1000-116-2-3 Dear Applicant: Based on the information you submitted the Department of Environmental Conservation (DEC) has determined that the existing roadways (Moores Ln and New Suffolk Ave) were constructed before August 20, 1977 and are more than 100 feet in length, as shown on the Tidal Wetland Map #710-540, infrared imagery#969, and the survey prepared by Kenneth Woychuk Land Surveying, PLLC, last revised on 09/21/2023. Although this survey depicts a "Formerly Connected Tidal Wetland", this area is not designated as a DEC regulated tidal wetland and DEC staff did not find identify a connection to any DEC regulated tidal wetlands. Therefore, the property landward of Moores Ln and New Suffolk Ave is beyond Tidal Wetlands Act (Article 25)jurisdiction and no permit is required for work landward of these structures. Be advised, no construction, sedimentation, or disturbance of any kind may-take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project (i,e. a 15' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. This letter shall remain valid unless site conditions change. In addition, please be advised that DEC has documented,the summer occurrence of the Northern Long Eared Bat (NLEB) (Myotis septentrionalis), a species listed as "endangered" by both New York State and the US Fish &Wildlife Service, within 3 miles of the project location. We have determined that tree cutting at this location between.'- March 1 st and November 30th of any calendar year may result in the "take"of these species within the meaning of Environmental Conservation Law (ECL) §11-535. The term "take" is defined, in part, as the direct killing or injury of individual members of a. protected species, interference with critical breeding, foraging, migratory or other ` - NEW YORK I Department of OCPOA"mr, Environmental Conservation Page 1 of 2 essential behaviors, or the adverse modification of the species' habitat.,,Therefore, to avoid a "take", we recommend that no tree cutting activities be conducted at the project site between the dates of March 1 and November 30 of any calendar year. Please contact the DEC Bureau of Wildlife at 631-444-0310 for additional information regarding NLEB. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Since there is no fee for jurisdictional inquiries, check# 11101 for$300 has been destroyed. Sincerely, Kevin Kispert Permit Administrator cc: Patricia Moore BMHP File Page 2 of 2 Robert Brown From: Info Sent: Wednesday,April 2, 2025 12:29 PM To: Ryan Sidor; Robert Brown Subject: Fwd:4955 moores lane building application for sunroom Sent from my iPhone Begin forwarded message: From: "Dwyer,Tracey"<tracey.dwyer@town.southold.ny.us> Date:April 1, 2025 at 11:49:46 AM EDT To: Info<info@ribrownarchitect.com> Subject:4955 moores lane building application for sunroom Good Morning, The permit application for a sunroom at 4955 Moores Lane is within the Trustees jurisdiction. You will need to apply to the Trustees department for a wetlands permit before the building permit can be issued. Thank you, Tracey Dwyer i S Town Hall Annex Glenn Goldsmith,President � x (( � 54375 Route 25 A.Nicholas Krupski,Vice President ;,,ti0 Qf P.O.Box 1179 Eric $'epenoski Southold,New York 11971 Liz Gillooly cis Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application E �i *, _Wetland Permit Application Administrative Permit Amendment/Transfer/Exte o —� M AY 1 22025 =Received Application: ti aJ �1 _Received Fee: $ Southold Town Completed Application: �. � Board ofTrustees Incomplete:. SEQRA Classification: Type I__ Type II Unlisted Negative Dec.^_ Positive Dec. Lead Agency Determination Date: _ _ Coordination:(date sent): �LWRP Consistency Ass ssment Form Sent: CAC Referral Sent: Date of Inspection: I 9 ZS Receipt of CAC Report:_ Technical Review: _ Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): L'Jcy 1N04LfiMAN Mailing Address:— �c J nc ice' . • Gum o G'uL u Ny �� . .&x ZOO Phone Number: 15'�°I - 51.B 11 Suffolk County Tax Map Number: 1000 Property Location: 4155 (AW12i,S LN CviGhDGvI<y_NY 11�35 N;: cog-SCR Aoo9C-s LN + WZ-j Sj Wow- P'VE (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable):' UVEXT T. h90W ARGNRCE Mailing Address,: 2-6 DAV. AvE Na,�Y Phone Number: 63�- 417' 9757- Email:' IPPO a PBR�o A(Lt.ldTIVT, "M G 5e vy 7/A�aJr Board of Trustees Applic?,_ __�.on GENERAL DATA Land Area(in square feet): .....qZ Wl __5TI - . _ . 0 46 66 Area Zoning::. Previous use of property; 4S&E1,-TIAL Intended use of property: ND BAN Covenants and Restrictions on property? Yes W^No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? 71 Yes _-nNo 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 F>�J_No If"Yes", please provide copy of decision. W' his project reqpiq any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date �SiETi- P50L 91 SEA Zo2�. No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_a No=Yes If yes,provide explanation: _ Project Description(use attachments if necessary); 1UU,.1Qb. A -_ USW 3i7Z Sf SU .O� /mil XIM 00-1 -rb S-) ING ROUSE, VEW 'SU PAMM wluw NAOE A- ECG/. _ bfLy'4ELL Sup�L6M "iv J�c bu►,,T ovfL Aka 114P Is G_Ri►to7m A- i5fLtckt pAm-u wl Wbbb i(LLR .+S 7T,%J_ W6, ?,N710 AND $e� i GrAvlzb, i Board of Trustees Applic,__moon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:._ .AN)_ SUN]LOOM 1b F_W5TING , STIWC ,.�f�F a Area of wetlands on lot: d square feet Percent coverage of lot:, � _, , ._m Closest distance between nearest existing structure and upland edge of wetlands: _19..�.._feet Closest distance between nearest proposed structure and upland edge of wetlands:,_� o ,,..feet } Does the project involve excavation or filling. © No _ ❑-_ Yes s J, If yes, how much material will be excavated? ® cubic yards How much material will be filled?, _ 0 cubic yards Depth of which material will be removed or deposited: , _.� ..feet i Proposed slope throughout the area of operations: _ 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): ftl kUjbvb A PRovEb IS _, Malt . tf-1-dS�`����� � ._........ !�!�r�DS �... 61 Z20 Appendix B Short Environmental Assessment Form Instructions16r:.Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification: Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current 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 DD►--), t _. v All cuilu—) R e. Name of Action or Project: W DkI.TMAP S,iN floom A®QsT11DP Project Location(describe,and attach a Location map): _. /E Goluva of JADD x_:S t..j -r P w 5ufFoL1l; AVC 4455 pt+W ZS LANE CZCNOW '.-/ 111135 poxki fog cow'- i Cuul Brief Description`of'Proposed Action: �Il-o�'�S�D C,mYSTiL�itoi� t'l 3al. ST 5'v�/Q�aoM A1TA6VE% 71- ET15TIM6 HDJsr, aawu- PAMD- ANC -Maus kmb-/eD Alto I'Ew ems✓► M 13�1�T rN �xd�IN6 �vu`T'�tN? a v Name of Applicant or Sponsor. Telephone: 7�� �� 15ER-T - �12-1,jN A4k rr6cr P.C. E Mail:r,F o ¢i IMLowiJAkll(W e 6 Address: ZOO SAW AVE City/PO: T State: 'Zip Code: NY 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, ,N0•_ .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: 3.a.Total acreage of the site of the proposed action? O.qb acres b.Total acreage to be physically disturbed? •acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0,46 acres 4. -Che Hand us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) industrial Commercial ®Residential (suburban) Forest ❑Agriculture Aquatic 520ther(specify):;9 C�r�'�RR1l GW$ Parkland Page 1 of 4 .5. Is the proposed action, NO YES N/A a. 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_. ,YES.'; landscape? TTIK 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: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO TYES 'R 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? 's 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: 10. Will the proposed action connect town existing public/private water supply? NO „YES If No,describe method forproviding potable water: 0(0)1 6 W&L 11. Will the proposed action connect to existing wastewater utilities? NO YES providing P7 IVIN4 If No describe method for rovidin wastewater treatment: S�'�1 1_SY 5►� 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic ? NO YES Places? e 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 JNO. 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. ntify the typicalLabitat types that oc n,or are likely to be found on'tf -project site. Check all that apply,: Shoreline 14 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? �/ �o (.C1N6 �� SiD ti7A1M. /� 16.Is the project site located in the I00year flood plain? NO' YES 17.Will the proposed action createstorm water discharge,either from point or non-point sources? NO If Yes, a. Will stone water discharges flow to adjacent properties? RINO OYES `❑ b.Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes, briefly describe: 10 LeX .YES DRyW�LL. Page 2 of 4 /I 18.Does the proposed action include construction or other activities that result in the iinpotindnierit of NO' '`YES water or other liquids(e.g.retention pond,waste lagoon, dam)? If Yes,explain purpose and size: 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: Rf 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or .NO YES_ completed)f'or hazardous waste? If Yes,describe: F ,❑ i AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY , KNOWLEDGE p Applicant/sponsor name., f-YAN. SIbaSL_, (AGIPT). _ Date:. 2Z. ,44�IL Zo25 Signature:, Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all ofthe,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 action?" a i No,or Moderate i 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 tmpair the character or quality of the existing community? ' 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? ❑ '❑' 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? ❑` ❑ 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? ❑' ❑- 8. Will the proposed action impair the character or quality of important historic,archaeological, El Elarchitectural 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 Moderated; small to large E impact impact I may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? El IL Will the proposed action create a hazard to environmental resources or human health? EJ 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. 1; i 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, E that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name ofLead Agency Date President Print or Type Name of Responsible Officer in Lead'Agency Title of Responsibl 1.e Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 t Board ;of Trustees Applica;�___:`On AUTHORIZATION (Where the applicant is not the owner) I/We, f owners of the property identified as SCTM# 1000-,. ,in the town of �i OGUE ,New York, hereby authorizes,. iP-OVL-gr :F, 1BxowN 1TS Ak:i-715 to act as my agent and handle all , necessary work involved with the application process for permit(s) from the Southold Town s Board of Trustees for this property. t rop rty Owner's gignature Property Owners Signature r SWORN TO BEFORE ME THIS o„_ DAY OF . _ . /', 2Q b� �:, r tary Public SETH G BANK Notary Public-State of New York NO,0 1 BA6427783 Qualified in Suffolk County 1 My Commission Expires Jan 3,2026 Y Board of Trustees Applica:, in ;AFFIDAVIT, 4 x . - _ _ BEING DULY SWORN DEP SES AND AFFIRM9 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 a 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. Y i 1 'gnat e of Prope caner Signature of Property Owner SWORN TO BEFORE ME THISo DAY OF� //1 ,.20 ZS' Notary'Public' SETH G BANK Notary Public-State of New York NO,0 1 BA6427783 Qualified in Suffolk county My commission Expires Jan 3,2026 ip i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code.of Ethics prohibits-conflict's:of interest=on:tha.oart�of town officet's and,errioloyees.The=purpose of this form.is to provide inforinaiion which-canalert the town 6fI ossilile conflicts of interest and allow it to-take whatever actioMs necessary to-avoid same.�p YOUR NAME: AYAtN Sl©t X A&t7j- P-05Zj-T `- IiV-o,—/J VA[(jEj�,-T- P.C . (Last name,first name,ipiddle 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 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.offrcer:or employce.has:evena partial ow,neishiprof(or employment by),a.co rporation in which the'town.officer or-employee,owns,more than,5'/o ofsthe,:shares. 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 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): _nA)the owner of greater than 5%0 of thc.shares of the corporatc,stock of,the app[ictunt � (when the appiieanpis a corporation); B)the legal or beneficial owner of any interest in a norncorporate•entity f 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 1 ay '3uL7 20 25 Signature, Print Name 2 / �- Form TS 1 `� �,- Board of Trustees Applice._,,_.-fon PROOF OF MAILING OF.NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: q 116 -a - 7 / i� -I - �• a 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 [1ECUVE `Board of Trustees Applicr__'on I DU JUL 9 2025 PROOF OF MAILING OF.NOTICE Southold Town ATTACH CERTIFIED MAIL RECEIPTS Board of Trustees A�VIE & SCTM#: k 0 00 l b 7 - _3 W L �TM�N NAME: ADDRESS: ZCEN5, E Du), WoL-)ZI '1z-'6uA 2 5Vt6YVr 'P-GAD eJ(/�IA0Gul2A,,N (193S ACPt b t,24\T t MEGAJ- IbOwLE$ 4 no Mbou5 Q- (,TCI•L6t,VtrIr-�(. 110135 1SA13AU $Erl -1 7-A146-SuATOv,k, 2 50 me WcL 51- Na_.,Y aj-2Ac/>-�y 1 Do► _ 1 1NIk WAI•a7�� ��� j3o2c 786 C,jTC_j(66vE")Q-! 11955 �(�,Z'�1 �o�-1c Co✓ Y G�3 P� �� 25 6A-ITCtW6LIC/N7 1LCNi5 7N\4 VF Sw�N)_44 ?a �D'?c 117`1 5o��1taL-9� NY 1t tom\ STATE OF NEW YORK COUNTY OF SUFFOLK residing at 7.45 5 1 /�y /ate Gk-epP6)zrT , 1►��N , being duly sworn, deposes and says that on the 01 day of SUI.Y , 20 7_-,'�) , 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 Sa--T140L.b , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. -f�, Si re• Sworn to before me this Day of Ju l , 20 2-5 O� bV TRACEY L. DWYEM Notary Pu 1 F�OTARY PUBLIC,STATE OF NEW YORK NO.01 OW63069M OQ6LIFIED IN SUFFOLK COUNTY C.OMIRSSION EXPIRES JUNE 30,2_Qa(p • •stal Service" U.S. Postal CERTIFIED o RECEIPT o RECEIPT CERTIFIED ; i N Domestic Mail Only Domestic MailOnly m M rTl " R7 - ' Sou 1' 1 ' Cut `h MY j 1 3•�( �. r% 1a z ? L S I- Certified.Mail Fee, 4,�ti, r�,%t g7_ Y 7T Certified Mail Fee r J —C? 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UNIT#IL�irT:�E,rPOS+�IN�,rH�S�rRE� ° r t �.��D IN FOR � T L�►EAS>rT,�SE�Y�E�N�'s.A�Y�S�PRrI�O+.R�TD,i1THE�"PTI.,BL�I I, bAIJ S Ibb'X- , residing at/dba Z4S 3AI /AyG l%k7W116Rif , I ✓S being duly sworn, depose and say: That on the 01 day of SQL�I , 207-5 , I personally posted the property known as L S rrtbow Lt' 6vIZ.'K6C.UE 0 11135 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,July 16,2025. Dated: (si a •e) Sworn to before me this L 1 day oqW 20,- S CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2("dl' Notary Public _ ; - -- U 11t 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: LUCY WOHLTMAN SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove the existing trellis and a section of existing on-grade brick patio to construct a 302sq.ft. sunroom onto the existing two-story dwelling (±2.,525sq.ft. footprint); the remaining ±712sq.ft. on-grade brick patio (including covered .area) to remain. Located: 4955 Moores Lane, Cutchogue. SCTM# 1000-116-2-3 TIME & DATE OF PUBLIC HEARING: Wednesday, July 16, 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 f 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. 5 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' bea_evaluated asd_to its. si' " 'cant beneficial and adverse:d;fects;upon'the coastal,area(which includes'all.of Southold Town: j ti 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 a e:espl`amed 'in detail, listing both suppor m' k and.non _ supporting facts: If an action cannot be certified as consistent with the LWRP policy standards and conditions„it=shall,not be;:undertaken. 9 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. t B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 0\bb 2 PROJECT NAME '1 JD)IL PM P 5U 0-DDM �D�lz►o�1 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ® Board of Trustees ,X❑ 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: gv➢t l. ./� - f-�Ew..?3-a— 5- SjP9�oom __ ftbatb)J A-IIAGW4) I D lb,^ ,_6�1�Q—.: . . CXt�ill-�G I9Mb Foy i Location of action: 4 155 (Vd OTLS LANE 4'7(' oGuL Ny (113S Site acreage: ® b AC, _ �, qoH SF.� Present land use:. - �W 6l- .F-A fAu,Y nslbWJ.3 nA1. Present zoning classification: �- o 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'applic'arit, �OreK_w 4�RawN Il- atI A. L, j (b) Mailing address:_ -o5 `P m A,-e 6 1)61F'' Py 11g94 i (c) Telephone number: — 1 2` a 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? x ® _ # k 3. 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. j DEVELOPEDtOAST 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 d _ 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 \ a 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 O 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 14' Yes 0'No ONot Applicable i Attach a itional s eets 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 17No O Not Applicable Attach additional sheeis ifnecessary -- Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. F] Yes No©. Not Applicable 7 Attach additional sfieets 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. i p ':Yes ,0 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. 0 YeLl No® Not Applicable Attach additional'sheeb 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. F]Yes E] No Y1 Not Applicable Attach additional-sheets ifnecessary 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. ❑Yes7 No El Not Applicable Attach additional she6i—s'if necessaryPolicy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. - Yes -E] No Not Applicable Attach additional sheets if necessary 11 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 E] No ❑ Not Applicable PREPARED BY 90P TITLE DATE 22 APPLt Uv; t _ ROBERT I. BROWN, ARCHITECT P.C. 205 BAY AVENUE GREENPORT' NY 11944 631-477-9752 FAX 631-477-0973 info .ribrownarchitect.com Transmittal Date: 13 May, 2025 To: Southold Town Building Dept. E E I V E N� Re: Wohltman Residence MAY 1 4 20 55 4955 Moores lane Cutchogue,NY 11935 Southold TownBoard of Trustees ' SCTM# 1000 - 116. - 2 - 3 Attached please find an application for the above. Application fee ($1250) check#176 (1) Original and (3) copies Wetlands Application Previous trustee certificate of compliance (2023) DEC letter of non jurisdiction LWRP assessment form Short Environmental assessment form Owners Affidavit Owners Authorization Agent transactional disclosure form Site photos Site Plan Floor Plan Sections/Elevations Thank you, Robert I. Brown Architect, PC