HomeMy WebLinkAboutBrzozowski application '8060
FORM NO, 3 RECEIVED
TOWN OF SOUTHOLD AUG 2 7 2025
BUILDING DEPARTMENT
SOUTHOLD. N.Y.
NOTICE OF DISAPPROVAL
ZONIIVo D®I�R®OF APPEALS
DATE: Julv 31. 2025
TO: Nathan Brzozowski
-165 [anion Ave
Belleville. NJ, 07109
Please take notice that your application dated July 7. 2025:
For permit to: construct an accessory barn to a sin ale-farnily dwelling at:
Location of property: 3 460 Route 25. Cutc:ho r.rc:NY
County Tax Map No. 1000— Section 97 Block 2 Lot 991
Is returned herewith and disapproved on the following grounds:
Tlae ro osed ottsttMuctiorx.ott tlxis 2 �1.93 s .ft. arcol buildable aria 277,63 s .It. 'itt
th+ Rc sidetatial R� O, is Trot ertnitted ursuattt to article Ill :Swion 280-15, which states
accessrrr ° buildings and stauctures shall be located in tlae rec trued scar yard.
The.p used construction places.t1he access•rry burn in the front yard.
At ized Signature 0
Note to Applicant: Any change or deviation to the above referenced application may
require further revieNv by the Southold Town Building Department.
CC: file, ZBA
Fee: $— Filed By: _w _ ssignnient No. 9y�o
RECEIVED
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
AREA VARIANCE AUG 2 7 2025
House No. 34460 Street Main Read. Hamlet Cutchogue ZONINU CAIaO OF APPEALS
SCTM 1000 Section 97 Block 2 Lot(s) 9.1 Lot Size 6.5423 Acres Zone R-80
I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED July 31, 2025 BASED ON SURVEY/SITE PLAN DATED April 18, 2025
Owner(s): Nathan Brzozowski
Mailing Address: PO Box 1270 Cutchogue, NY 11935
Telephone: 631-381-5613 Fax: Email: nbrzozowski@savills.us
NOTE: In addition to the above,please complete below if application is signed by applicant's attorney,agent,architect,
builder,contract vendee,etc.and name of person who agent represents:
Name of Representative: Lisa Poyer, Twin Forks Permits for( ) Owner(X)Other: Agent
Address: 288 E. Montauk Highway, Hampton Bays, NY 11946
Telephone: 631-644-5998 Fax: Email: lisa@twinforkspermits.com
Please check to specify who you wish correspondence to be mailed to,from the above names:
( )Applicant/Owner(s), (X)Authorized Representative, ( ) Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED and DENIED AN APPLICATION DATED FOR:
(X)Building Permit
( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy
( ) Change of Use
( )Permit for As-Built Construction
( ) Other:
Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by
numbers.Do not quote the code.)
Article: III Section: 280 Subsection: 15
Type of Appeal. An Appeal is made for:
(X) A Variance to the Zoning Code or Zoning Map.
( ) A Variance due to lack of access required by New York Town Law- Section 280-A.
( ) Interpretation of the Town Code,Article Section
O Reversal orer
Xhas
A prior appeal has, not been matte at any time with respect to this ro er ,UNDER
Appeal No(s). Year(s). . (Please be sure to research before
completing this question or call our office for assistance)
Name of Owner: ZBA File#
None identified to date.
i
REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's
signature notarized):
1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby
properties if granted,because:
The proposed detached barn will be located on a conforming lot size at 6.54 acres located within a R-80 zone. The
proposed barn meets the front yard setback requirement from Main Road at 60'. Given the shape and size of the lot
and the presence of wetlands on the property the propose barn will not cause a detriment to the neighborhood.
2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,
other than an area variance,because:
The owners are looking to construct an accessory detached barn for the under construction
residence on the property which is impacted by extensive wetlands. The placement of the residence
and existing wetland limits on the property promotes the placement of the detached barn in the front
yard of the residence (not within the required front yard).
3. The amount of relief requested is not substantial because:
The proposed relief is for an accessory structure located in a typical location for a detached barn in relation to the
existing residence. The proposed detached barn does not require zoning structural setback, GFA,coverage or sky
plane relief. As such the applicant believes the proposed project has been designed to the minimum relief
necessary.
4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the
neighborhood or district because:
The proposed accessory structure with its location within the side yard of the primary residence will not have an
adverse effect on the existing residence or surrounding residential neighborhood. The proposed accessory
structure is a common structure on private property and is a permitted use within the R-80 zoning district.
5.Has the alleged difficulty been self-created? { } Yes,or{(J No Why:
The owner believes that the requested minor variance is not a self created hardship due to the fact that the property
contains extensive wetlands.
Are there any Covenants or Restrictions concerning this land? {X} No { } Yes(please furnish a copy)
This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the
neighborhood and the health,safety and welfare of the community.
a ure of Appl i an r uthor ze-d Agent
y (Agent must submit written wt t i ization from Owner) ,
sw r to before m this °,day U
o .2 MCEIVED
11A
AUG 2 7 2025
NOTA BLIC;,STATE OF NEW YORK
Registration No.OIRY6216402 ZONING BOARD OF APPEALS
Qualified in Suffolk County Commission Expires Jan.19,2 ,
APPLICANT'S PROJECT DESCRIPTION
APPLICANT: Nathan Brzozowski DATE PREPARED: August 19, 2025
1.For Demolition of Existing Building Areas
Please describe areas being removed: NSA
H.New Construction Areas (New Dwelling or New Additions/Extensions): AUG 2 7 2025
Dimensions of first floor extension: detached barn 2400 sq.ft., LS
Dimensions of new second floor: N/A
Dimensions of floor above second level: N/A
Height(from finished ground to top of ridge): 21'4"
Is basement or lowest floor area being constructed? If yes, please provide height(above ground)
measured from natural existing grade to first floor: N/A
M.Proposed Construction Description (Alterations or Structural Changes)
(Attach extra sheet if necessary). Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations:
N/A no changes to the residence.
Number of Floors and Changes WITH Alterations:
N/A no changes to the residence.
IV. Calculations of building areas and lot coverage(from surveyor):
Existing square footage of buildings on your property: existin 15,724 s .ft.,(5.66%
Proposed increase of building coverage: Barn: 2400 s .ft. 0.86% Total 18,124 s .ft. 6.52%
Square footage of your lot: 83 s_g fr.46 4�-Acre ), buildable area:2
Percentage of coverage of your lot by building area: existin 5.66%� ra cased tY.86%raevaa Natal 6.52'%
V.Purpose of New Construction:
The purpgse of the ro o ed construction is to construct an accessory structure on the R-80 zone
property.
VI.Please describe the land contours (flat,slope %,heavily wooded, marsh area,etc.) on your land
and how it relates to the difficulty in meeting the code requirement(s):
The property has a gentle slope on the property from the road towards the wetland area. The site contains extensive
wetlands and wetland buffer areas.
Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners
for new construction,and photos of building area to be altered with yard view.
4/2012
I
QUESTIONNAIRE RECEIVED
FOR FILING WITH YOUR ZBA APPLICATION 00
A. Is the subject premises listed on the real estate market for sale? AUG 2 7 2025
Yes X No
ZONING BOARD OF APPEALS
B. Are there any proposals to change or alter land contours?
No X Yes please explain on attached sheet. Under construction residence.
Minimum necessary to construct the accessory structure.
C. 1.) Are there areas that contain sand or wetland grasses? yes„see attached plan.
y application? Yes
2. Are those areas shown on the survey submitted with this a lication.
3.) Is the property bulk headed between the wetlands area and the upland building
area? No, on site wetlands only.
4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town
trustees for its determination of jurisdiction? Please confirm status of your inquiry or
application with the Trustees: Yes,Town Trustee ermit issued and if issued,please attach
copies of permit with conditions and approved survey.
D. Is there a depression or sloping elevation near the area of proposed construction at or
below five feet above mean sea level? No
E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown
on the survey that you are submitting? No ,Please show area of the structures on a diagram
if any exist or state none on the above line.
F. Do you have any construction taking place at this time concerning your
premises? Yes If yes, please submit a copy of your building permit and survey as approved
by the Building Department and please
describe: Demolish existing foundation and construct a new sinqle-faMily delling with breezeway, attached garage,
outdoor shower and HVAC.
G. Please attach all pre-certificates of occupancy and certificates of occupancy for the
subject premises. If any are lacking, please apply to the Building Department to either obtain
them or to obtain an Amended Notice of Disapproval.
H. Do you or any co-owner also own other land adjoining or close to this parcel? No If
yes, please label the proximity of your lands on your survey.
I. Please list present use or operations conducted at this parcel Single Family Residence
and the proposed use
_Single Family Residence with new accessory structures (ex: existing single family, proposed: same
with garage, pool or other)
1 $ b
A t oried signature and Da e
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use
permit, site plan approval, use variance, area variance or subdivision approval on property within
an agricultural district OR within 500 feet of a farm operation located in an agricultural district.
All applications requiring an agricultural data statement must be referred to the Suffolk County �
Department of Planning in accordance with Section 2 9m and 2 9n of the General Municipal
Law. RECEIVED
1. Name of Applicant: Nathan Brzozowski
2. Address of Applicant: PO Box 1270 Cutchogue, NY 11935 7 2025
3. Name of Land Owner(if other than Applicant): Same as the applicant
4. Address of Land Owner: NINE BOARD OF APPEALS
5. Description of Proposed Project: Pro osed residential accessory structure,. barn.
6. Location of Property: (road and Tax map
number) 34460 Main Road, Cutchogue (SCTM No. 1000-97-2-9.1)
7. Is the parcel within 500 feet of a farm operation? {x} Yes { } No
8. Is this parcel actively farmed? {x} Yes { } No
9. Name and addresses of any owner(s) of land within the agricultural district containing
active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning
Board Staff, it is your responsibility to obtain the current names and mailing addresses from the
Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead.
NAME and ADDRESS
1. 97.-1-11.2, 34955 Main Road Cutch LLC, c/o Solow Realty&Dev., 9 W. 57th St., Ste 4500, New York, NY 10019
2. 97,-1-11.4, 34955 Main Road Cutch LLC, 34955 Main Road, Cutchogue, NY 11935
3. 97.-2-3,James R. Wysocki, PO BOX 29, Cutcho ue, NY 11935
4.
5.
6.
(P`leas use the back of this page if there are additional property owners)
S a ire of A " nt Date
Note:
1. The local Board will solicit comments from the owners of land identified above in order to
consider the effect of the proposed action on their farm operation. Solicitations will be made by
supplying a copy of this statement.
2. Comments returned to the local Board will be taken into consideration as part as the overall
review of this application.
3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property
owners identified above. The cost for mailing shall be paid by the Applicant at the time the
application is submitted for review.
I
RECEIVED PAO
AUG 2 7 2025
Board of Zoning Appeals ApOieim ZONING BOARD OF APPEALS
AUTHORIZATION
(Where the Applicant is not the Owner)
ki B h Natan rzozows PQ Sex 1 utohv tee,DIY 11935
I residing at .... _ ._...... ....
(Print property owner's name) (Mailing Address)
do hereby authorize Lisa P oyer,Twin Forks Permits
..� _._._._....._�
(Agent)
to apply for variance(s) on my behalf from the
Southold Zoning Board of Appeals.
t are)
(Print Owner's Name)
RECEIVED
AUG 2 7 2025 gCbO
APPLICANT/OWNER
TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officer and em to ces.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 : Nathan Brzozowski
(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.If so,indicate the other person's or company's name.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance X Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer
or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
Q an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this day of 202
Signature
Print Name N41141Y q
AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of aouthold's Code of Ethica p Mhjbits conflicts of int 2rest on the part of town officers and emolovees.'The pur rase
,
of this form is t roe ide information which can alert the to An of possible conflicts of in_tergst and allow it to tal(e whatcygr
action is necessary Ig avoid same.
YOUR NAME : Lisa Poyer,Twin Forks Permits, Principal Planner
(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.) RECEIVED 00
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance X Trustee Permit AUG 2 7 2025
Change of Zone Coastal Erosion
Approval of Plat Mooring D OF APPEALS
Other(activity) Planning Zot4INGBOAR
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer
or employee of the Town of Southold? "Relationship" includes by blood, marriage,or business interest."Business
interest" means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
YES NO X
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
Q an officer,director,partner,or employee of the applicant; or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this LR^ 20�
Signature( Zhl^
Print Name 70tiv A^
I
F SOUTHOLD OL%O
of so TOWN O RECEIVED
BUILDING DEPARTMENT
2. TOWN CLERK'S OFFICE AUG 2 7 2025
SOUTHOLD, NY
ZONING BOARD OF APPEALS
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52139 Date:07/31/2025
Permission is hereby granted to:
Nathan Brzozowski
265 Union Ave `
Belleville, NJ 07109
To:
Demolish existing foundation and construct-a new single-family dwelling with a breezeway,attached
garage,outdoor shower and HVAC system as applied for per Trustees, DEC,and SCHD approvals_
Premises Located at:
34460 Route 25,Cutchogue,NY 11935
SCTM#97:2-9.1
Pursuant to application dated 05/22/2025 and approved by the Building Inspector.
To expire on 07/31/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling-NEW 3,780.-00
CO Single Family Dwelling-New $100.00
Total _ '
�19 2)
Building Inspector
RECEIVED
AUG 2 7 2025
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
WILDING DEPARTMENT
TOWN HALL
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
W! 20183 Z Date . ..»... ».... .,,». »............. ... 19zp—
Pennisslon is he
rrs4ly IA
MZ. .�5'�. ....................
w
.. ».,..
premises Ioeated ,.
.............................. � .,..,,.. » , ,...........,,.. .. , .,...».. ......
^ »County Tax Map Ncx 1000*Seaton ......Y_2...... Block ..... ........... Lot NO........R1......
Nµ
x w
pursuant to gpplleatlon dated ......,� .».....»...............„»...,......,, 19„2?-and approved by the
Bulidinp Inspectar.
Fee .
I
v
Rev. 6130180
617.20 RECEIVED t
Appendix B 4�l%
Short Environmental Assessment Form AUG 2 7 2025
Instructions for Co lefin ZONING BOARD OF APPEALS
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 1 based on information currently available. If additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agency;attach additional pages as necessary to supplement any item.
Part 1 -Project and Sponsor Information gent: isa oyer,Tw1in ors ermits
288 E. Montauk Highway
Hampton Bays, NY 11946
Name of Action or Project: 631-644-5998
Nathan Brzozowski residence with accessory strucdtures lisa@twinforkspermits.com
Project Location(describe,and attach a location map):
34460 Main Road, Cutchogue (SCTM No. 1000-97-2-9.1)
Brief Description of Proposed Action:
Proposed construction of a new pole barn at 2400 sq.ft. located within the front yard of the under construction residence. All
work will be completed landward of a silt fence and project limiting fence. The project will include the establishment of a
proposed 15'wide non-turf, no fertilization vegetated buffer which is landward of the edge of lawn pursuant to the Trustee
permit.
Name of Applicant or Sponsor: Telephone: 631-381-5613
Nathan Brzozowski E-Mail:
nbrzozowski@ mail.com
Address:
PO Box 1270, Cutchogue, NY 11935
City/PO: State: Zip Code:
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 X
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: X
NYSDEC permit, Southold Trustee Permit and Southold Town building permit, SCDHS permit
3.a. Total acreage of the site of the proposed action? 6.5 _acres
b.Total acreage to be physically disturbed? —0 6 _acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 6•5 _acres
4. Check all land uses that occur on,adjoining and near the proposed action,
❑ Urban X Rural(non-agriculture) ❑ Industrial ❑Commercial ❑Residential(suburban)
❑ Forest ❑Agriculture ❑Aquatic ❑ Other(specify).
❑Parkland
Page 1 of 4
RECEIVED
permitted regulations?
5. Is the proposed action, AUG 2 7 2025 NO YES N/A
a.A use under the zoning
g X
b. Consistent with the adopted comprehensive plan? PPEALS X
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? X
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify X
8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES
X
b.Are public transportation service(s)available at or near the site of the proposed action? X
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
X
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: _ .................................................... X
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No, describe method for providing wastewater treatment: on-site private I/A septic system X
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? X
b. Is the proposed action located in an archeological sensitive area?
Existing developed site, cleared and disturbed 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? Northern long-eared bat X
16.Is the project site located in the 100 year flood plain? NO YES
Proposed activities located within the"X"flood zone. X
17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes,
a.Will storm water discharges flow to adjacent properties? ®NO ❑YES X
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO®YES
... ..... .....��
Gutters and leaders to on-site drywelIs.
Page 2 of 4
18. Does the proposed action include const,action or other activities that result iREGElYffilAndment 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 tZ1do5LQJv 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?
IfYes,describe:_...-._ .. ......... ........_ _ ........ X
.w-.-.............. ........ ..... ..... ........-
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applic.ant/spons r name: Agent: Lisa Poyer,Twin Forks Permits, Principal Planner Date: August 20, 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 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?"
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 energ 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
fteEIVED-
No,or Moderate
small to large
AUG 2 7 2025 f�Wimpact impact
may may
occur occur
10. Will the proposed action result in an increase in the po2WQA9A n, oo ing 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 3.
Part 3 should, in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts.
❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
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
Town of Southold RECEIVED
LWRP CONSISTENCY ASSESSMENT FORM AUG 2 7 2025
A. INSTRUCTIONS ZONING BOARD OF APPEALS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its si�
laeneficial and adverse effects tt on the coastal area which includes all of Southold Town).
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 caclll answer must be a laincd in detail listing both supporting and non-
sul2portins #"acts. if an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be widertaken.
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# 1000-97-2-9.1
PROJECT NAME Nathan Brzozowski
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. E Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g.capital El
construction,planning activity,agency regulation,land transaction)
(b) Financial assistance(e.g. grant,loan, subsidy)
(c) Permit,approval,license,certification: X
Nature and extent of action:
Proposed construction of a new pole barn at 2400 sq. ft. located within the front yard of the under construction
residence. All work will be completed landward of a silt fence and project limiting fence. The project will include the
establishment of a proposed 15'wide non-turf, no fertilization vegetated buffer which is landward of the edge of
lawn pursuant to the Trustee permit.
Location of action: 34460 Main Road, Cutchogue(SCTM No. 1000-97-2-9.1)
Site acreage: 6.5 Acres AUG 2,7 25
Present land Use: under construction residence and other accessory structures.
ZONING BOARD OF APPEALS
Present zoning classification:_ R-80
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: Nathan Brzozowski
(b) Mailing address: PO Box 1270, Cutchogue, NY 11935
(c) Telephone number:Area Code( ) 631-381-5613
(d) Application number,if any:_NIA
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes No 1 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.
0 Yes [:] No FL] Not Applicable
Proposed accessory structure on a privately held residential parcel.
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LNW Section III—Policies Pages 3 through 6 for evaluation criteria
Yes No I Al Not Applicable
,f
Under construction single family residence witn accessory structures on a privately held residential arcelREC fV D
Attach additional sheets if necessary ZONING BOAR PPEAL
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LW"Section III—Policies Pages 6 through 7 for evaluation criteria
Yes [:] No Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
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
11 Yes El No M Not Applicable
N/A
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
L J Yes El No X Not Applicable
Under construction single family residence with accessor? tructur on a rlvat 1 e d resi lent l p reel. The wroiect incl rde the
installation of gutters and leaders to drywells.and the installation of an VA sept"icy system. The project includes a t 'wide buffer
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.
0 11
Yes No Not Applicab.,a
u tion singig jgmilvresidence with accessory structures on LELvately held residential parcel. The project includes the
installation of gutters and leaders to drywells and the installation of an I/A septicy system. The project includes a 15'wide buffer.
Attach additional sheets if necessary ZONING BOARD OF APPEALS
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
11 Yes [:] No[�] Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
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.
El Yes 1:1No El Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
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.
El YeF-1 No 0 Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria.
L, Yes No 0 Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
Attach additional sheets if necessary
ZONING BOARD OF APPEALS
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.
F] Yes 1:1No lil Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
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 evaluationcriteria.
�-
1�:1 Yes 1:1No EA Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
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.
11 Yes No 0 Not Applicable
Under construction single family residence with accessory structures on a privately held residential parcel.
PREPARED BY Lisa Poyer,Twin Forks Permits TITLE Principal Planner DATE August 20,2025
Nathan Brzozowski
34460 Main Road,Cutchogue
SCTM No. 1000-97-2-9.1
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Photograph 1. View looking west towards the area of the proposed barn. Photograph 2. View looking west towards the area of the proposed barn
in the area closer to Main Road.
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BOARD OF SOUTHOLD TOWN TRUSTEES
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PERMIT NO. 10763 DATE: APRI'L 162 2025
�! s ISSUED TO: NATHAN B1qZ+C ZOWSI I RECEIVED
r t t �+
I'"ROI'"E .`I" '; RE 34460 ROI.l"I'E CUTCHOGUE AUG2 7
SC T #� 1000-97-2-9.1 ZONING BOARD O AN�N� �, A.
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of"the Town Code of"the Town of Southold and in I,; � il„
accordance with the Resolution of the Board o Trustees adopted t the a sru held aim.A ril. I6 0 ,an in t�W'
consideration of application fee In the sure of$1,250.00 paid b:Y lATHA BRZOZO�'+SKI and subject to the '°�
r � a Terms and Conditions as stated in the Resolution„the Southold Town board ofTrustees authorizes and permits
the following: ..,
Wetland Permit to demolish existing foundation and stair remains construct a new two-story,
Ja f a�f 1 single-family dwelling with attached garage(2,422.9,sgwfft. footprint)with an 86sq.fft. northwest ig, °
landing with stairs,a 1 sq.fft. northwest landing with stars,a 12 q.fft, northeast landing with
p .
�+ stairs,an 80sq.ft. breezeway; a 234.7s+ft.second floor balcony;a 16sq,f't.outdoor shower;a
560 3s+ft. raised patio with 30.2s,q.fft.stairs;42.2sq.fft. bilco cellar entrance; 2 sq.fft.A/C unit
area; an .18106" pool;on-grade 3,6S9sq.fft, pool patio surround with 3+6sq.fft, outdoor kitchen l Jy� � Ty
i'W f r fr; and 100s fft,s alhot tub,install pool enclosure fencingwith gates, pool equipment area,pool ! $�' FA -°
k � i drywelll install an I/A septic system, install an b.000sq.fft. driveway for the dwelling, install a Q
" 60' 40w pole barn with a 3, OOsq,f"t.driveway existing 498sq.ft, concrete pad to remain; Install
Imp � y
utters to leaders to el ells to contain roof runoff; a rortti. 1,64 cubic aids of excavation
and 1,165 cubic bards of fill ffoi-the project,the excess fill will be removed from the site; remove
three(3) trees and the replace with six(6)3'caliper native hardwood trees; and to establish
and perpetually maintain a 1 "wide non-turf. non-ff rdli atlon vegetated buffer along the
landward edge of wti;with the condition to establish and perpetually maintain a non- � +r
disturbance buffer seaward of the line than was drawn 15' from the ed a off lawn, and a one-ttm
one replacement for an trees removed with native;hardwoods of a,21%3"caliper; all as � �I�
depicted on the site plan prepared by Mark Schwartz&Associates,received on April 21,2025,
and stamped approved on April 2�1 202 �.
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m;ae l-i `ITN WHEREOF,the said Board of Trustees hereby causes its Corp -ate Seal to be affixed,
~Pars
�1" and these presents to be subscribed by a majority of the said hoard;as of the day,and year written above.
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Department of KATHY HOCHUL
Governor
Environmental
Conservation RECEIVED
MAHAR
RECEIVED interim Commissioner
May 7, 2025 AUG 2 7 2025
Nathan Brzozowski ZONING BOARD OF APPEALS
PO Box 1270
Cutchogue, NY 11935
Re: Application #1-4738-04650/00002
Facility: 34460 Main Rd, Cutchogue
SCTM# 1000-97-2-9.1
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act (Article 70,
ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your
permit for the referenced activity. Please carefully read all permit conditions and special
permit conditions contained in the permit to ensure compliance during the term of the
permit. If you are unable to comply with any conditions, please contact us at the below
address.
Enclosed is a permit sign which is to be conspicuously posted at the project site and
protected from the weather and a Notice of Commencement/Completion of
Construction.
Sincerely,
Xk
Victoria Reed
Environmental Analyst
Cc: Twin Forks Permits, BEH, BMHP, File
Division of Environmental Permits, Region 1
50 Circle Road, Stony Brook, NY 117901 dec.ny.gov I dep.rl @dec.ny.gov 1 (631)444-0365
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04650
PERMIT
Under the Environmental Conservation Law CL
Permittee and Facility Information
Permit Issued To: Facility:
NATHAN BRZOZOWSKI BRZOZOWSKI PROPERTY
265 UNION AVE 34460 MAIN RDJ1000-97-2-9.1
BELLEVILLE,NJ 07109 CUTCHOGUE,NY 11935
RECEIVED
Facility Application Contact:
TWIN FORKS PERMITS LLC AUG 2 7 2025
288 E MONTAUK HWY
HAMPTON BAYS,NY 11946 ZONING BOARD OF APPEALS
(631) 644-59900
Facility Location: in SOUTHOLD in SUFFOLK COUNTY
Facility Principal Reference Point: NYTM-E: 712.44 NYTM-N: 4544.58
Latitude: 41'01'29.1" Longitude: 72°28'23.4"
Project Location: 34460 Main Rd, Cutchogue SCTM# 1000-97-2-9.1 Waterbody SO-7
Authorized Activity: Construction of a single family dwelling and appurtenances, installation of an I/A
OWTS. All work to be done according to the plans prepared by Jason Alan Pontieri, last revised
4/1/2025 and stamped NYSDEC approved on 5/7/2025. (VAR)
Permit Authorizations
Freshwater Wetlands-Under Article 24
Permit ID 1-4738-04650/00002
New Permit Effective Date: 5/7/2025 Expiration Date: 5/6/2030
Tidal Wetlands-Under Article 25
Permit ID 1-4738-04650/00003
New Permit Effective Date: 5/7/2025 Expiration Date: 5/6/2030
Page I of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION low
Facility DEC ID 1-4738-04650 RECEIVED
NYSDEC Approval
C 2 2025
ZONING BOARD QF APPEALS
By acceptance of this permit, the permittee agrees that the permit is contingent upoa strict
compliance with the ECL,all applicable regulations, and all conditions included as part of this
permit.
Permit Administrator:MARY A MACKINNON,DEPUTY REGIONAL PERMIT ADMINISTRATOR
Address: NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY 11790 - 409
Authorized Signature: " Date-/ / w
Distribution List
TWIN FORKS PERMITS LLC
Bureau of Marine Habitat Protection
Habitat
Wildlife
File
Permit Components
NATURAL RESOURCE PER-NUT CONDITIONS
GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following
Permits: FRESHWATER WETLAANDSt TIDAL WETLANDS
1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
2. Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by Jason Alan Pontieri,last revised 4/l/2025 and stamped NYSDEC
approved 5/7/2025.
Page 2 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATTON �
Facility DEC ID 1-4738-04650
3. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are firlly aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project, the bottom portion of the form must also be signed and returned, along with photographs of
the completed work.
4. Tree Clearing Prohibition for Long-eared Bats Due to the proximity of a known northern long-
eared bat summer occurrence,tree clearing is prohibited between March 1 and November 30, inclusive, of
any calendar year.
5. Work Area Limits Any work, disturbance, and or storage of construction materials shall be
confined to within the limit of clearing and ground disturbance shown on the approved plan.
6. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or
excess excavated materials shall be immediately and completely disposed of on an approved upland site
more than 100 feet from any regulated freshwater wetland. These materials shall be suitably stabilized
so as not to re-enter any water body,wetland, or wetland adjacent area.
7. Equipment Storage 100'from Wetland,Water Body All equipment and machinery shall be
stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the
end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the
regulated area.
s. Silt Screen Prior to commencement of any construction activities, a continuous line of silt screen
(maximum opening size of U.S. Sieve#20)shall be staked along the LCGD line as shown on the
approved plans.
9. Silt Screen to Be Recessed Silt screen shall be recessed six inches into the ground.
10. Maintain Silt Screen The screen shall be maintained,repaired and replaced as often as necessary
to ensure proper function, until all disturbed areas are permanently vegetated. Sediments trapped by the
screen shall be removed to an approved upland location before the screen is removed.
11. Runoff and Discharges Directed to Drywells All roof runoff and/or pool discharges shall be
directed to drywells located as shown on the approved plans.
12. Driveway of Permeable Material The driveway must be surfaced with a permeable material.
13. No Pool Discharges to Wetland or Buffer There shall be no draining of swimming pool water
directly or indirectly into wetlands or protected buffer areas.
14. Seed,Mulch Disturbed Areas All areas of soil disturbance resulting from this project shall be
seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the
project,within two days of final grading, or by the expiration of the permit,whichever is first.
15. Temporary Mulch,Final Seeding If seeding is impracticable due to the time of year,a temporary
mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather
conditions favor germination and growth but not more than six months after project completion.
RECEIVED
bo Page 3 of 6
AUG 2 7 2025
ZONING @OAR0 OF APPEALS
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 14738-44650
16. Minimum %Vegetative Cover Suitable vegetative cover is defined as a minimum of 85 %area
vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size.
17. Notice Covenant The permittee shall incorporate the attached Covenant(or similar Department-
approved language)to the deed for the property where the project will be conducted and file it with the
Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed covenant shall
run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record,
along with the number assigned to this permit, shall be submitted within 90 days of the effective date of
this permit to
Regional Habitat Manager
NYSDEC Region 1 Headquarters
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY11790-3409
18. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination of any wetland or waterway by suspended solids, sediments,fuels, solvents,
lubricants, epoxy coatings,paints,concrete, leachate or any other environmentally deleterious materials
associated with the project.
19. State May Order Removal or Alteration of Work If future operations by the State of New York
require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the
Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation
of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause
loss or destruction of the natural resources of the State,the owner may be ordered by the Department to
remove or alter the structural work,obstructions, or hazards caused thereby without expense to the State,
and if,upon the expiration or revocation of this permit,the structure,fill, excavation, or other
modification of the watercourse hereby authorized shall not be completed,the owners,shall, without
expense to the State, and to such extent and in such time and manner as the Department of
Environmental Conservation may require,remove all or any portion of'the uncompleted structure or fill
and restore to its former condition the navigable and flood capacity of the watercourse, No claim shall
be made against the State of New York on account of any such removal or alteration.
20. State May Require Site Restoration if upon the expiration or revocation of this permit,the
project hereby authorized has not been completed,the applicant shall,without expense to the State, and
to such extent and in such time and manner as the Department of Environmental Conservation may
lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its
former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
21. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
RECEIVED 0&o
'AUG 2 7 201--,
Page 4 of 6
Z("`nklr' n.nA,RD OF APPEALS
NEW YORK STATE i1FPARTMFNT OF FNVTRONMENTAL CONSERVATION �
Facility DEC ID 1-4738-04650
GENERAL CONDITIONS -Apply to ALL Authorized Permits:
1. Facility Inspection by The Department The permitted site or facility,including relevant records,is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental Conservation(the Department)to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301
and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
A copy of this permit,including all referenced maps, drawings and special conditions,must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation_of this permit.
2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly
provided for by the Department, issuance of this permit does not modify, supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a
separate written application to the Department for permit renewal,modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires.
Any renewal,modification or transfer granted by the Department must be in writing. Submission of
applications for permit renewal,modification or transfer are to be submitted to:
FtECE1VED
Regional.Permit Adtninistrator WV
NYSDEC Region 1 Headquarters AUG 2 7 2925
SUNY @ Stony BrookJ50 Circle Rd
Stony Brook,NY11790 -3409 gGAR®®F pppEALS
ZONING
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
days before permit expiration for the following permit authorizations: Freshwater Wetlands,Tidal
Wetlands.
S. Permit Modifications,Suspensions and Revocations by the Department The Department
reserves the right to exercise all available authority to modify, suspend or revoke this permit. The
grounds for modification, suspension or revocation include:
a. materially false or inaccurate statements in the permit application or supporting papers;
b. failure by the permittee to comply with any terms or conditions of the permit;
c. exceeding the scope of the project as described in the permit application;
Page 5 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-04650
d. newly discovered material information or a material.change in environmental conditions,relevant
technology or applicable law or regulations since the issuance of the existing permit;
e. noncompliance with previously issued permit conditions,orders of the commissioner, any
provisions of the Environmental Conservation Law or regulations of the Department related to
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership.
NOTIFICATION OF OTHER PERMIT TEE OBLIGATIONS
Item A:Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee,excepting state or federal agencies,expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York,its representatives,employees,
and agents("DEC")for all claims,suits,actions,and damages,to the extent attributable to the>
perrnittee's"acts or omissions in connection with the permittee"s undertaking of activities in connection
with,or operation and maintenance of, the facility or facilities authorized by the permit whether in.
compliance or not in compliance with the terms and conditions of the permit. This indemnification does
not extend to any claims, suits,actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision
under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the
pernuttee's agent with respect to the permitted activities, and such persons shall be subject to the same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item.C:Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals,lands,easements and rights-of-
way that may be required to carry out the activities that are authorized by this permit.
Item D:No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the
riparian rights of others in order to perform the permitted work nor does it authorize the impairment of
any rights,title, or interest in real or personal property held or vested in a person not a party to the
permit. RECENED
AUG 2 7 2025
ZONING BOARD OF APPEALS
Page 6 of 6
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a Department of o
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The Department of Environmental Conservation (DEC) has issued permit(s) pursuant
to the Environmental Conservation Law for work being conducted at this site. For further
information regarding the nature and extent of work approved and any Departmental
conditions on it, contact the Regional Permit Administrator listed below. Please
refer to the permit number shown when contacting the DEC.
Regional Permit Administrator
SHERRI AICHER
Permit Number: 1-4738-04650/00002 NYSDEC Region 1 Environmental Permits
50 Circle Road
Stony Brook, NY 11790-3409
Expiration Date: 5/6/2030 Email: dep.rl@dec.ny.gov
Note: This notice is NOT a permit
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TOWN OF SOUTHOLD PROPERTY RECO
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FORMER OWNER N
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August 22,2025 VOW
RECEIVED
-Via Hand Delivery-
Leslie Kanes Weisman,Chairperson AUG 2 7 2025
Southold Town Zoning Board of Appeals
54375 Main Road
PO Box 1179
Southold,NY 11971 ZONING BOARD OF APPEALS
RE: Zoning Board of Appeals Application
Owner:Nathan Brzozowski
Situate: 34460 Main Road, Cutchogue,NY
SCTM No. 1000-97-2-9.1
Dear Chairperson Weisman:
Please find the enclosed ZBA Application for the proposed detached barn construction to the residential property located at
34460 Main Road,Cutchogue,NY(SCTM No. 1000-97-2-9.1). Pursuant to the notice of disapproval,the proposed detached
barn will be located within the side yard of the under construction residence. The property is impacted by a large area of
wetlands and has obtained a Trustee and NYSDEC wetland permit for the proposed barn.
In support of this application,please find the following:
1. Application fee in the amount of$750.00 paid by Nathan Brzozowski check no.2102 dated 8/11/25;
Nine copies of the following:
2. Application to the Southold Town Board of Appeals Area Variance,Applicant's Project Description,Questionnaire,
Agricultural Data Statement,Authorization and Transactional Disclosure Form from the owner and the agent;
3. Notice of Disapproval dated July 31,2025;
4. Property Record Card;
5. Property open building permit and prior building permit(no prior ZBA approvals);
6. Short Environmental Assessment Form;
7. LWRP Form;
8. Photographs of the property where the proposed barn will be located;
9. Copy of the Board of Trustees Wetland Permit No. 10763 dated April 16,2025 and NYSDEC freshwater wetland permit no.
1-4738-04560/00002 dated May 7,2025 and tidal wetland permit no. 1-4738-04560/00003 dated May 7,2025;
1 O.Existing condition property survey as prepared by Kenneth M.Woychuk Land Surveying,PLLC,dated November 8,2024;
and
11.Proposed site plan,floor plan and elevation sheets S-1,A-1,A-2 and A-3 as prepared by Mark Schwartz&Associates,dated
August 21,2025.
Please review the enclosed materials for the proposed detached barn to be constructed on the residential property. If you have
additional questions regarding the overall project,do not hesitate to contact this office. Thank you.
Sincerely,
Lisa Poyer
Principal Planner
631.644.5998 1 lisa@twinforkspermits.com 1 288 East Montauk Highway,Hampton Bays,NY 11946
�,o � SITE DATA
ado PROPERTY: 204983 SF 65423 ec
�F PROPERTY WETLANDS: 7>300 SF
IA d4 4} aT^.. BUILDABLE PROPERTY: 277-683 SF 6.37 ec
ESTIMATED AREA OF 12.000 SF
>6'y {,. GROUND DISTURBANCE:
Az Y
Cy s HOUSE PERMIT(APPROVED) AREA LOT COVERAGE: cc
IST.FL HOUSE ENVELOPE: 1,01.4 SF 0.59% O
S ' 2ND FL OUTSIDE ENVELOPE: 47A SF 002°b
0
C. - • GARAGE: 760.0 SF 029% W
NORTH-WEST WDG I: 40.05F 0,01°b O
NORTH WEST WDG 2: ISO SF 0-01% O
NORTHEAST LNDG: 1205F 001%
BREEZEWAY: BDO SF 0.03
y
2ND,FL BALCONY: 2347 SF 0.08
OUTDOOR SHOWER: ISO SF 0.01
E Y
�* 4SA0= ; • RAISED PATIO: 560.3 SF 020
STAIR: SF
$ � CHIMNEY 11 I1.5 SF
BILCOCELURENTRANCE: 422 SF
PERSPECTIVE VIEW AC MECHANICAL UNITS 250 SF
PATID ON GRADE: 3:36T6 SF - j Q
O.D.KITCHEN: 360 SF > 00
36•MINIMUM 2x2 S 04 FENCE POSE POOL: 648.0 SF 023% .y
ffiy �G
c£� - WOVEN WIRE FENCE SPATUB. 1000 SF 009% 3Wj
(6.6.10/10 WWF) HOUSE DRIVEWAY, 8.000 SF - 0
cU0
\� CONCRETE TO REMAIN: 498 0 SF 0�V
FILTER CLOTH NG'
3 _ TOTAL: 19,9771 SF 151% F
d We 7
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t if PROPOSED
EMBED FILTER CLOTH
MIN.W INTO GROUND _ BARN: 2.400 SF 0 06%
COMBINED TOTAL 22.371.1 SF 237%
MA I
` m MAXMUM DRAINAGE AREA F}{>L E
I/2 ACRE/100 LINEAR FEET METES AND BOUNDS: SURVEYOR: KFN VJOYCHUCK � F xx�
• DATE SURVEYED:NOVEMBER B,2029 p �E��
' SECTION DETAIL 7
SCTM: 1D00-97-029.1 y
a• 7_E
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AUG 2 7 2025
ZONING BOARD OF APPEALS
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'AUG 2 7 2025
ZONING BOARD OF APPEALS
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ZONING BOARD OF APPEALS
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