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Home My WebLink AboutTR-10825A b Town Haii:annex Z� Soo 5437� Route 25 G!enn Gotdsm:th, President �' P p Box 1179 N `® ® t ti:cholas Rruoski, `ice President Southold. ,\Iew. York !197! E-c Sepenoski Te`.e�hone (63i) 765-1392 Liz Gi! ooiy • Fax (631) 763 6641 Eizaoet^ Peepi.es COUNTN,� BOARD OF TOWN "TRUSTEES TOWS` OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CON TACT THE OFFICE OF THE BOARD OF TRUSTEES OFF 72 HOURS PRIOR TO COM STEES MENCEMENT OF THE ACTIVITIES CHECKED BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt bo0m/s1lt curtain 151 day of construction Y2 constructed When project complete. call for compliance inspection, \ i Glenn Goldsmith, President ®r so Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepenoski J�[ J�t Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 C®UfUT1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10825A Date of Receipt of Application: July 16, 2025 Applicant: Nina Alice Brondmo SCTM#: 1000-31-12-1 Project Location: 510 Trumans Path, East Marion Date of ResolutionlIssuance: August 13, 2025 Date of Expiration: August 13, 2028 Reviewed by: Board of Trustees Project Description: As-built 13.3' x 35' tiered wood deck attached to existing 1-story dwelling with accessory garage; as-built 117 sq.ft. of wood walkways and associated steps; and as-built 5.9' x 7.8' shed with sauna heater. 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 July 16, 2025, and stamped approved on August 13, 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 SECTION: 31 BLOCK: 12 LOT(S): 1 MAIN ROAD APPROVED BY -BOARD OF I RUSTEES s ` 'TOWN OF SOUTHOLD l� UP U. LAND N/F OF DATE BETTY BILLMAN j8 310.Op1 �.sl 13, a� PROPOSED : ':.18 10'WIDE VEGETATED ; • :. A, NON-TURF BUFFER 20 16 \ 20 0 p" E 16. \ 16 18 /T'1 82 171 •� HEDGE _ U.P. - \ 1 — 14 20 cf1 �4 �6 810 12--�_ xx 18 ♦ / x SHED WITH 0 G h y_g y�• 16 2 ♦ FRESHWA W DS BO NDAR X X X x1 'S/ ♦ AS DEL. BY X XI •'. 16 O ♦ CONSULT TS SE 13, 024 x X G 2.4'ROOF ••. '•• x xl P WOOD KWAYS �• �365 ♦♦ �i xxxxl �� (1 S.F.) :`; e• GRAVEL DRIVEWAY ♦ s� 14 XXXx� jj x x x x 5.5x4.4' 10 ♦ .OF X x-x� ♦ SlOpx x x � :.... . 0 oQ�. , ` •.. 20 ♦♦♦ xxxXxXx Xx TiF� 14a 5�' ..''.,.• i l� c� x x�� 18 20 x x x 20 ssa 16 r 1 XN 14 18 xXxl 2 :•:'\v o ♦♦♦ 16 �� Xxxi xXx'I WELL : ,ry 20 ��y�°F 10 12 x 14 x x� / ° 8 x x 18 tii o xxxxl 1 �,� �a��l♦ / x xxXxX 18 ., 1614 I y♦ 1O� �♦ XX x x x 16 `•� 12 2 ♦♦ x x x x 14 8 rL6o�� ` \`t� ♦♦ 12 6 �•..` �J \ I $10 6 8 20 101214 6 � 16 / LOT COVERAGE OF TOWN I 4 goo' 18 LAND N/F OF $0 iTNSteeS MARILYN PASIERB 803Wn (� THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL BUILDABLE LAND I LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS UPLAND AREA:47,583 S.F. I 4 AND OR DATA OBTAINED FROM 07HERS. DWELLING:999 S.F. I PLAND AREA: 47,583 S.F. or 1.09 ACRES AREA: 50,510.48 S.F. or 1.16 ACRES ELEVA77ON DATUM: NAVD88 GARAGE. 307 S.F. ( 2 UNAUTHORIZED ALTERAAON OR ADD177ON 70 THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW PORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY TIERED WOOD DECK&STEPS:529 S.F. I MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN SHED WITH ROOF OVERHANG: 59 S.F. 1 r7 ONLY 70 THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU71ON WOOD WALKWAYS:117 S.F. 1 A� ` LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING 1NS777U770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR D/MENWONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE TOTAL:2011 S.F. or 4.2% O NOT INTENDED 70 MONUMENT 7H£PROPERTY LINES OR 70 GUIDE THE EREC77ON OF FEN= ADD177ONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS Z 5 AND/OR SUBSURFACE S7RU07URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY DEC AA COVERAGE ♦♦ S 6(WITHIN 100'WETLAND SETBACK) SURVEY OF.DESCRIBED PROPERTY CERTIFIED T0: NINA BRONDMO;22,579 Sq.Feet ♦` MAP OF: SHED WITH ROOF OVERHANG:59 S.F. FILED: PORTION OF DWELLING:648 S.F. ` SITUATED AT-EAST MARION WOOD WALK 137 S.F. TIERED DECK W/LANDINGS 529 S.F. TOWN OF.SOUTHOLD PORTION OF GARAGE:108 S.F. SUFFOLK COUNTY, NEW YORK KENNETH M WOYCHU% LAND SURVEYING, PLLC 1481 S.F. or 6.6% \ Professional Land Surveying and Design P.O. Boa 153 Aquebogue, New York 11931 FILE#224-138 SCALE:1"=30' DATE:NOV. 7, 2024 N.Y.S. USC. NO. 050882 PHONE (881)298-1588 FAX(881) 298-1588 TEES SOUTH L. T rro. io8�5 P Issu ed T Date 3 /A15 Address Po Sao i��►�G�s Pa`i1� , E�sT Mar : on THIS. NOTICE MUST BE DISPLAYED DURING- CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.:' 765-1892 '�_ . �' St1FfOtk ..• � � Glenn Goldsmith,President ��0 cOGy* Town Hall Annex A.Nicholas Krupski,Vice President a < 54375 Route 25 Eric Sepenoski ? P.O.Box 1179 Liz Gillooly �A d O�� Southold,NY 11971 Elizabeth Peeples ��l � Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field .Inspection Report Date/Time: i4w, 007,S' Completed in field by: En-Consultants on behalf of NINA ALICE BRONDMO requests an Administrative Permit for the as-built 13.3' x 35' tiered wood deck attached to existing 1-story dwelling with accessory garage; as-built 117 sq.ft. of wood walkways and associated steps; and as-built 5.9' x 7.8' shed with sauna heater. Located: 510 Trumans Path, East Marion. SCTM# 1000-31-12-1 Type of area to be impacted: Saltwater Wetland W Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment �G Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 0'k Present Were: G. Goldsmith N. Krupski _ E. Sepenoski L. Gillooly E. Peeples •��}[[ � ..-rip _ �I. y/, �p-. � •'��. ten.� � �� •• .�`4 �.� r.,T. t+Ir�i�}� 'a\ I ! •i� f YSA` �� 5�e� .f!•r � . ?ram +�i,_ _`''-s. r•' r�%'��'-! >�.•✓' r�.! v "�' - ..�„ �` ' ,• -ape-':- s' � n j3AONDMO, 510 TRUMIANS PATH, � +^��'�� ,`�; � f• Y {may r,� . Figure 3. i �h�! yyip,_� +�y,�'�11 Y r'r •._' Looking /uth from tiered wood deck toward Marion Lakeand location / proposed vegetated non-turf bufferi I top I slope. 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M1t 4 4a Q COUNTY OF 5 A oSUFIFOIILK Cc) N rxsl lc.uraraDNrr Y wcTw to sE�,�<nno D „a__�errD_ !Zeal I'-pg NIBMrf YtBNNMtN., NN SLLF —y 1 . y NI uslN atlWu6 Aw Pdv NO t!E vx aE SOUTNOLU _ SSE DN�N Ta M 0 11 aII OFFICE LOCATION: � Oy�x .�0� , 't MAILING ADDRESS: Town Hall Annex i' j° '- ='. ij P.O.Box 1179 54375 State Route 25 >+ Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 _ 'y� : Telephone:631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 7, 2025 Re: LWRP Coastal Consistency Review for NINA ALICE BRONDMO SCTM# 1000-31-12-1 En-Consultants on behalf of NINA ALICE BRONDMO requests an Administrative Permit for the as-built 13.3' x 35' tiered wood deck attached to existing 1-story dwelling with accessory garage; as-built 117 sq.ft. of wood walkways and associated steps; and as-built 5.9' x 7.8' shed with sauna heater. Located: 510 Trumans Path, East Marion. SCTM# 1000-31-12-1 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 INCONSISTENT with Policy 6.3 of 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 Glenn Goldsmith,President �Qo�� 1 ti. Town Hall Annex A.Nicholas Krupski,Vice President hC1 �� 54375 Route 25 P.O.Box 1179 Eric Sepenoski li[ ' Southold,New York 11971 Liz Gillooly va Elizabeth Peeples � �, � Telephone(631)765-1892 Fax(631)765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Eft)arldof rr. Coastal Erosion Permit Application RD C V ' Wetland Permit Application 'y( Administrative PermitAmendment/Transfer/Extension k Received Application: f 1X Received Fee: $ 5 0o a 00 Completed Application: Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec:. Positive Dec. Lead Agency Determination Date: Coordination:(date sent):_ C LWRP Consistency Assessment Form Sent: CV4/! CAC Referral Sent: '_Date of Inspection: �� 5 Receipt of CAC Report: Technical Review: 5( Public Hearing Held:13 aS Resolution: Name of Applicant Nina Alice Brondmo 105 North Sixth Street Address Brooklyn,NY 11249 Phone Number: ala 853-4244 Suffolk County Tax Map Number: 1000 - 31 - 12- 1 Property Location:510 Trumans Path,East Marion (property located on west side of Trumans Path,+/-518'south of Main Road) (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 App-L-,_-itiori GENERAL DATA ' Land Area(in square feet): 50,510 sf Area Zoning: R-40 Previous use of property: Residential,single-family dwelling Intended use of property: No Change 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 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 Yes X No Prior permits/approvals for site improvements: Agency Date X 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): As-built 13.3'x 35'tiered wood deck constructed onto preexisting 1-story single-family dwelling with accessory garage;as-built 117 sf of wood walkways and associated steps;and as-built 5.9'x 7.8 shed with sauna heater,all as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying,PLLC, last dated November 7,2024. hoard of Trustees Applice"" �=,n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To obtain a Town Wetland Permit for an as-built deck,walkways,and accessory shed. Area of wetlands on lot: 2,927 square feet Percent coverage of lot: 5.8 °% Closest distance between nearest existing structure and upland edge of wetlands: 66' feet (as-built deck) Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet 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): A Town Wetlands Permit is sought for an as-built attached deck,wood walkways and accessory shed,which were constructed in association with a preexisting single-family dwelling shortly after the applicant purchased the property in 2020.The deck and walkways are located landward of a well vegetated slope located adjacent to Marion Lake,no closer than 66 feet from the freshwater wetlands boundary;and the shed is located at the rear of the dwelling,85 feet from wetlands.The as-built structures added only 588 sf or 1.2%lot coverage to the Town-defined buildable land area,which totals only 4.2 percent.The applicant has maintained the property in a substantially natural condition,but as a permanent mitigation measure for the additional structural surface,a 10-foot wide vegetated non-turf buffer is proposed along the top of the naturally vegetated,wooded slope adjacent to Marion Lake.Given the locations and limited scope of the as-built structures;the maintenance of trees and other natural vegetation between the structures and Marion Lake;and the addition of a vegetated non-turf buffer along the top of slope,the permitting and maintenance of the as-built structures will not have adverse impacts on the quality or function of the adjacent freshwater wetland ecosystem,consistent both with the objectives of LWRP Policy 5 and the standards for permit issuance set forth in Section 275-12 of the Town Code. \y J 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: Brondmo Deck Project Location(describe, and attach a location map): 510 Trumans Path, East Marion,Town of Southold, SCTM# 1000-31-12-1;property is located on west side of Trumans Path,+/-518'south of Main Road, location map attached. Brief Description of Proposed Action: As-built 13.3'x 35'tiered wood deck constructed onto preexisting I-story single-family dwelling with accessory garage;as-built 117 sf of wood walkways and associated steps;and as-built 5.9'x 7.8 shed with sauna heater,all as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying,PLLC,last dated November 7,2024. Name of Applicant or Sponsor: Telephone: 917-853-4244 Nina Alice Brondmo E-Mail: nina@bakeribrooklyn.com Address: 105 North Sixth Street City/PO: State: Zip Code: Brooklyn NY 11249 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? 1.16 acres b. Total acreage to be physically disturbed? N/A acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.16 acres 4.Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑Commercial Z 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: N/A 10.Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: N/A 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: N/A 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 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 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 E.Herrmann,Coastal Management Specialist Date: July 15,2025 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 Quickly estimate distance: Each-grid box represents approximately 0 65 Mr.horizontally by 0.86 mi.vertically. Scale 1:24,000 0 1,000 2,000 3,000 4,000 5,000 Feet 5C Joins Map 49 0 200 400 600 800 1,000 1,200 1,400 Meters R3 72°2 1'09' S3 72VI5' T3 72.11.30" U3 72°I8'45' V3 72'18'00' PS A" Cem East Marion w Rocky Pt Orient Park, 44 s A, 'A-40q Central A 41 IZZI rCm 'SPAS' all -RC RD & Orient"'Aplk' ce YC Sl y mus. Is ST Sum 4 7— G Z' EAS [ON Ad till 25 43 N, y \ tia�� PS CRQST�. A Site(Access Via Subject Property) Suffolk County Hagstrom Map#50 �ORALA Islands m -4 End Gc a cc 11A _EW�' '\ 40, -D No/\ \'JIK- 42\'N 117 D Cemetery Stirling'' \It 9 Go Pt t 6�1111 ----------------- Long Beach m.PA�pfl L7LA Cloves Pt Pt 0 LH v Ell i Od[IUY Beach Pt. Hay Beach Pt Fgu YOU/79S Pt 41 a Board of Trustees Applach 2 Dn i AIUTHORIZATION (Where the applicant is not the owner) I/We, _ Nina Alice Brondmo owners of the property identified as SCTM# 1000- 31-12-1 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 Board of Trustees for this property. L 4 r� N/A P op y OVn 'sS a re Property Owner's Signature Nina Alicedmo SWORN TO BEFORE ME THIS DAY OF—Apr; , , 20 ZS" Notary Public TIMOTHY RAMOO NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 RA0025482 Qualified in SUFFOLK County Commission Expires 06/03/2028 I--Board of Trustees Applica= „>n AFFIDAVIT Nina Alice Brondmo 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 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. I /I t I'-�-' fi �"A N/A StjaurfBEFORE:METHIS a Signature of Property Owner Niic SWORN DAY OF pre 1 , 20 26- Notary Public TIMOTHY RAM00 NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 RA0025482 Qmlified in SUFFOLK County Commission Expires 06/03/2028 r �r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The numose 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: Brondmo, Nina Alice (Last name,first name,itiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO _F 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): fjA)the owner of greater than 5%of the shares of the corporate stock of the applicant � (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thim—day of AA0 Signature • A Print Name Nina Alice Anprn Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: A rrmann, 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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated_ Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer;director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 15 July 2025 Signature Print Name 0 I>3I1r1 Form TS 1 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTYLOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Q� 1000 31 12 1 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN iI3 s rt ET 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 the Scope of work for Proposed Construction) 1.16 Generated by a Two(2")Inch Rainfall on Site? / ❑ (This item will include all run-off created by site b,What is the Total Area of Land Clearing ES.F./Acres)) clearing and/or construction activities as well as all /X� and/or Ground Disturbance for the proposed 0 Site improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) 2 Does the Site Plan and 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 As-built 13.3'x 35'tiered wood deck constructed onto Slopes Controlling Surface Water Flow, preexisting 1-story single-family dwelling with accessory 3 Does the Site Plan and/or Survey describe the erosion ❑ garage;as-built 117 sf of wood walkways and associated steps; and sediment control practices that will be used to and as-built 5.9'x 7.8 shed with sauna heater,all as depicted on control site erosion and storm water discharger.This the survey prepared by Kenneth M:Woychuk Land Surveying, Item must be maintained throughout the Entire Construction Period. PLLC, last dated November 7,2024. 4 Will this Project Require is Land Filling,Grading or ❑ Excavation where there 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 ❑ 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 Elare 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? the DEC has determined that a SPDES permit is required for storm water discharges,(SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 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 ❑ X 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, 1:1 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. g P P P g (NOTE: A Check Mark(X)and/or Answer for each Question is Required for a Completed Application). STATE OF NEW YORK, COUNTY OF Suffolk -----------------------SS That I, Robert E.Herrmann 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 for the Owner ------------------------------------------------------------------------------------------------------------------------ (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; St -------------- ---- ----- -- --------daY July ,20 25 Notary Pubic ------ -- - - ----- __ __ (Sig atu icant) FORM - 06/10 Notary Public-State of New York No.01 ST6016931 Qualified in Suffolk County My Commission Expires August 02,20� v 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 nifg icant 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# 31 - 12 - 1 PROJECT NAME Nina Alice 13rondmo The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: As-built 13.3'x 35'tiered wood deck constructed onto preexisting 1-story single-family dwelling with accessory garage;as-built 117 sf of wood walkways and associated steps;and as-built 5.9'x 7.8 shed with sauna heater,all as depicted on the survey prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated November 7,2024. Location of action: 510 Trumans Path,East Marion Site acreage: 50,510 sf, Present land use: Residential,one-family dwelling. 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: Nina Alice Brondmo (b) Mailing address: 105 North Sixth Street Brooklyn,NY 11249 (c) Telephone number: Area Code 917-853-4244 (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 The as-built deck and walkways are located lay d of a well vegetated slope located adjacent to Marion 1_ to closer than 66 feet from the freshwater wetlands boundary;and the shed is located at the rear of the dwelling,85 feet from wetlands.The as-built structures added only 588 sf or 1.2%lot coverage to the Town-defined buildable land area,which totals only 4.2 percent.The applicant has maintained the property in a substantially natural condition,but as a permanent mitigation measure for the additional structural surface,a 10-foot wide vegetated non-turf buffer is proposed along the top of the naturally vegetated,wooded slope adjacent to Marion Lake. Given the locations and limited scope of the as-built structures;the maintenance of trees and other natural vegetation between the structures and Marion Lake;and the addition of a vegetated non-turf buffer,the permitting and maintenance of the as-built structures will not have adverse impacts on the quality or function of the adjacent freshwater wetland ecosystem,consistent with the objectives of Policy 5 and the standards for permit issuance set forth in Section 275-12 of the Town Code. 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 Southold",, _.aater-dependent uses and promote,, _ag 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 J PREPARED BY TITLECoastal Management Specialist DATE July 15,2025 Robert E. erhWOn Amended on 811105 1 i �E� At EN-CONSULTANTS July 15,2025 Town of Southold {F!j/�ylM iF iT- Board of Trustees ` 54375 Main Road ' ' Post Office Box 1179 ,Ut 1 6 Southold,New York 11971 Re: Nina Alice Brondm Southold Town o Board of Trustees 510 Trumans Path,East Marion SCTM#1000-31-12-1 Dear Board of Trustees: In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Authorization&Affidavit Forms; b) Applicant/Agent/Representative Transactional Disclosure Forms; c) Short Environmental Assessment Form; d) LWRP Consistency Assessment Form. 2. Site plan/survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, dated November 7,2024. 3. Two(2)sets of site photographs. 4. Application fee of$500.00. 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. Sinc ly, Robert E.Herrmann 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