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gUFF0 Glenn Goldsmith, President Town Hall Annex A.Nicholas Krupski, Vice President # <<, 54375 Route 25 Eric Sepenoski -` P.O. Box 1179 Liz Gillooly 4 o Southold,NY 11971 Elizabeth Peeples �� ��u' Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time. 9 9/ 57 Completed in field by: , C�C' IJ En-Consultants on behalf of TENFORTY CENTRAL, LLC requests a Wetland Permit to clear (including nine trees to be replaced 1 to 1), and re-grade area of property between the 50-foot and 100-foot top of bluff setbacks using approximately 227 cubic yards of earthen fill material sourced from proposed on-site construction located more than 100' from the top of bluff, to create a more level rear yard by raising (max. 4ft.) or lowering (max. 2ft.) existing grade elevations; construct at least 100ft. from bluff a two-story, 2,304sq.ft. single-family dwelling with a second-floor balcony, swimming pool with raised patio and outdoor kitchen area, and associated stoop and steps; install an I/A sanitary system; and to establish and perpetually maintain a 50-foot-wide non- disturbance buffer along the landward edge of the top crest of the bluff, and a 25-foot- wide non-turf buffer area between the 50-foot and 75-foot setbacks. Located.. 1940 Central Drive, Mattituck. SCTM# 1000-116-1-27 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: P Present Were: "f G. G �- f'dsmith `-/N. Kr�pski k E. Sepenoski L. Gillooly .° E. Peeples ZONING SUMMARY SITE PLAN NOTES 1. ALL METES & BOUNDS, TOPOGRAPHY, CEHA LINE PRIVATE ADDRESS: 1940 CENTRAL DRIVE HIGH TIDE LINE, FEMA FLOOD ZONE LINES, AND MATTITUCK, NY 11952 ALL OTHER INFORMATION DEPICTING THE 10,'� � � EXISTING CONDITIONS OF THIS SITE WAS RESIDENCE TAX MAP ID: 1000-106.00-01.00-027.000 OBTAINED FROM A SURVEY AS PREPARED BY LENZE LAND SURVEYING WITH THE LATEST 1940 Central DriveTOWNSHIP: SOUTHOLD TOWN UPDATES BEING ADDED ON 10111124. 2. FOR WATERFRONT LOTS ACCESSORY Mattituck, NY 11952 HAMLET: MATTITUCK STRUCTURES MAY BE LOCATED IN THE FRONT YARD PROVIDED THAT THEY MEET THE PRINCIPAL "` . . --- APPRO11 WATER LINE 1011024 �� `�'' = ZONING MAP: TOWN OF SOUTHOLD ZONING MAP FRONT YARD SETBACK REQUIREMENTS AND 5 , ' (MATTITUCK/LAUREL) JUL I �Q ACCESSORY SIDE YARD SETBACK i REQUIREMENTS. 1 �C-i , HIGHWATERMARKIO/1024 - ' ZONING DISTRICT: R-40 VO i' YEAR BUILT: (NIA VACANT LOT) ' TOPOGRAPHY LEGEND LOT AREA: 58,635 SF/ 1.346 ACRES (EXISTING) ARCHITECT 40,000 SF/0.918 ACRES (MIN PER ZONING) ARC RC Architects EXISTING TOPOGRAPHY LINE Madigan / LOT WIDTH: 11 V-10" (EXISTING) TO BE ALTERED MADIGAN 53610 Main Road Architects ' Southold NY 11971 /,' / 150-0 (MIN PER ZONING) EXISTING TOPOGRAPHY +1 (203) 871-1939 , LINE THAT IS TO REMAIN BUILDABLE LAND AREA. 33,244 SF (AREA LANDWARD OF BLUFF) 10, PROPOSED NEW TOPOGRAPHY LINE / � FEMA 445NE AE � � ' / E "51 MAX. TOTAL LOT COVERAGE: 6,649 SF \ i (ALLOWABLE) (20% OF BUILDABLE LAND AREA) / , \ � LOT 33 J.- (PROPOSED) 6,643 SF (19.98% OF BUILDABLE LAND AREA) - ° FEMAZGNEAE CUT & FILL ANALYSIS 0 o (ELEV13) MAX. (EXCLUDING CELLAR) o, ; - , TOTAL FA' 4,593 SF ( {( ' (ALLOWABLE) (4,350 SF + BUILDABLE LAND AREA-30,000) x 7.5%} ' MAIN HOUSE FOUNDATION: -1,763 CY (CUT) EXISTING SANDY BEACH , ' \ , , i ' - - ' - / ' '- /- - / ' (PROPOSED) 4,510 SF ACCESS PANE( / EXISTING GUARDRAIL GARAGE FOUNDATION: -64 C ( U ' ATIO Y C )T AREA OF DISTURBANCE: (PROPOSED) 27,483 SF (AREA WITHIN SILT FENCE BOUNDARY) DRIVEWAY& FRONT YARD: +1,033 CY (FILL) / PRINCIPAL BUILDING 1 EXISTING ASPHALT , , PARKING LOT � � i - � � / - i EAST SIDE YARD. 239 C (CUT) E YCT 1 CH DR►V ' SOVN - r MAX # OF STORIES 2 1/2 STORIES R00 R 25 F (FLAT R00 ) WEST SIDE YARD +145 CY (FILL) MAX HEIGHT: 35 FT (SLOPED F) 0 T(F F MIN FRONT YARD: 50 FT MIN. SEC. FRONT YARD: 35 FT REAR YARD: +227 CY(FILL) (BETWEEN 50FT-10OFT BLUFF SETBACK) MIN. SIDE YARD: 15 FT MIN. TOTAL SIDE YARD: 35 FT V , ; - '� - = (BETWEEN BLUFF LINE AND 50FT SETBACK) _ MIN REAR YARD 50 FT A � (NO DISTURBANCE) BLUFF SETBACK: 100 FT FROM EDGE OF BLUFF (B K) - ' - - - - NON-DISTURBANCE BUFFER: 50 FT FROM EDGE OF BLUFF REAR PATIO 65 C (FILL) + Y i . �MA ZONE AE ' / - ACCESSORY STRUCTURES. POOL 200 CY (CUT) _ FAT ROOF) MIN SETBACK SIDE/REAR 15 F ( SE TOTAL LOT ARE )ONLY) TOTAL CUT. -2,266 CY (CUT) BLUFF SETBACK: 100 FT FROM EDGE OF BLUFF TOTAL FILL: +1,648 C IL LOTS - MAX. ACC BLDG AREA 00 S OR LOTS 2 OOSF TO 6 OOS e - _ — - TAX 1,2 ( 0,0 0,0/ ' 'TH ��OU - - ) NET CUT/FILL 796 CY U 'TH ISPAVLOU - � (CUT) � F F F . SKY PLANE 5° A 10' ABOVE 4 ANGLE STARTING AT 1 BOVE = - - - - / AVERAGE ELEVATION OF NATURAL GRADE(ALL STRUCTURES MUST FIT WITHIN PLANE / Date& iption By Check ' \' COASTALERO 0 PZARDA� E T- ,� - / — Issue 1 Su 10123124 FEASIrBILITY STUDY SQM DECK 3 06130125 ISSUE FOR TRUSTEES SQM 001 POOL LOT COVERAGE LOT COVERAG EOF -- - -- / F LINE QUI _ - MAIN HOUSE - - 2 DEFINITION O�� /� DISTURB CESUFFER �/. BUILDING ARE (LOT COVERAGE): // , / / .: �/ .\_ DWELLINGS / ��o � � a _ �� MAX FOOTPRINT: 2,304 SF ' THE AGGREGATE OF THE MAXIMUM HORIZONTAL CROSS SECTION OF THE BUILDINGS ON 2ND FL BALCONY: 427 SF -- - - --- — -- /// -�IM1 OF P FILLING 8 ANGEOASHEDLIN A LOT, MEASURED BETWEEN THE EXTERIOR FACES OF WALLS. � 60 FT FROM BLUFF \ RC _ - -- - /LIN 'CATCD-EXTEPLT ,, � e GARAGE: 882 SF BOUNDARY.OF THE AREA PROPOSED , \ \ - ------ ------ ---- - THE 4'-T HIGH POOL '`- - ' PROPO D 26'WIDE NON-TURF BUFFER �' INCLUDES: -- --- ------ J C7 LIMITING$ FENCE AND EN FEONCIRE NG �k i'': \ - DRIVEWAY °E' 1 BALCONIES POOL 622 SF i � i � ; '\76 FT F R BLUFF ' 2. TERRACES, PATIOS, DECKS AND OTHER STRUCTURES ABOVE THE POOL PATIO & BBQ: 15386 SF ' ROPOSED 4 0"HIGH POOL o}/ ' T 3 PIER LINE � �� 4 ENCLOSURE O ' - TAX GT26 PROPOSED FINISHED GRADE. - i / I -. �... `�s �+ FENCING -.-.__- / /; \ NIF BAR Y BAR TH \ ANDITH RTH'. ( ' NATIVE EXI STING GRAD � � G�� \�\.../\ PLANTINGS EAST AREAWELL: 166 SF SETBACKS TO BE 60AND •_ 3 SWIMMING POOL TENNIS COURTS AND OTHER SIMILAR STRUCTURES _ 100'.BLUFF SETBACKS TO BE RAISED / p b� \ \ UP TO CHANGE) PROPOSED ELEVATION •y; � /�- PLANTER% \ - 100 FT FROM BLUFF POOLS, CHANGE)TO CREATE LEVEL REAR ------------ ---__--- _— __-__--____ -- YARD USING APPR6XIMATELY22/DY WEST AREAWELL 143 SF � \ - MATERIAL GAINED( / STEPS IN / ROROTMPROPOECONSTRUCTION � �$, GRAVEL PATH S OCCURRING>100 FT n• \\\ PLANTER - BBG - EXCLUDES: IE, i / \U BED ,LO \ SINK / fJ BLUFF,SEE ENL PGA D\ I c \, / � PROPOSED EXCAVATIONS 1. CORNICES, EAVES, GUTTERS, CHIMNEYS AND FIREPLACES, PROJECTING FRONT PATIO/STOOP: 537 SF \ ° i \ DASHED LINE WOODEN ---- - -'-'_--- i EXTENT OF RETAINING WALL/ / BELOW BASEMENT TOW 9s'-°' NOT MORE THAN 28 INCHES FROM EXTERIOR WALLS, FRONT STEPS: 176 SF / i T '3 PATIO P NTE \\ EL O5'-6 HER NE BE . _ - - 2 THAN FIVE FEET ' � ti6 5" ,� U- STEPS AND OPEN PORCHES, PROJECTING NOT MORE APT GENERATOR \ FROM EXTERIOR WALLS AND HAVING AN AREA OF NOT MORE THAN 30 TOTAL: 6,643 SF ECK/ -� / / 3 \ 1S y�\ L-6' DW POOL ENCLOSURE- SQUARE FEET. PROPOSED ff-WHIGH WOOD FENCING DECK / / PR O PLANTER 4-°'NIGH - DFLBALCONY, BED ENCLOS RE Pool 3. FIRST-STORY BAY WINDOWS PROJECTING NOT MORE THAN THREE FEET v ,� � EU�tl5 . I FEN G V Dw 5 d' FROM EXTERIOR WALLS AND EXTERIOR CELLAR DOORS PROJECTING NOT DECK ,� �• OUTDOOR MORE THAN SIX FEET FROM EXTERIOR WALLS. I 2 1 Ua �° \ \ GATE SHOWER 2 STORY /`L.6 1� - - f '• PR OSED 6.0. _ BEDPLA PR18INCIPAL T F EDWELL6ING D� \ ' IGH WOOD VA �S 0O, POOL CLOSURE \ FENCING\ I DW DWELLING 4 AREA WELL SED FRONT S U N PATH DIAGRAM GROSS FLOOR AREA / STOOP gt m STEPS VEWAY - O \r GRAVEL PATH ` _ - i . •,' ,: .. � FOR I '1 / UO . � -. TiaXLOT 45 \ , g9 \ \ \ (VACAN LAND). _ PLANTING KEY _ \\ NIFAG NATSGNTAKIS - eal DW , \ S (Signature - '� � '" � .,�' �v _ _ � � -10' M ,0• DEFINITION: "THE CUMULATIVE AREA, IN SQUARE FEET, OF ALL - ----- PLANTING WITHIN 10OFT OF TOP OF'BLUFF: ' 30• FLOOR LEVELS OF EVERY STORY OF ALL DWELLINGS • -- I \ PERMEABLE \ ,1/2 STORY DRIVEWAY 3 CAR 15 - \ \ - - E 66 `\ - - - ON A LOT, INCLUDING ATTACHED GARAGES, HAVING A �RED AR EXISTING TREE TO BE REMOVED - - �� , �" A UNE CLEAR HEIGHT OF NOT LESS THAN SIX FEET �C MAp i� PROECTLM�„G MEASURED FROM THE EXTERIOR FACES OF EXTERIOR ���C9 � �n I � PROPOSED /\ '..o G EXISTING TREE TO REMAIN - OR GEDABHEDLINE ARE"OF v BOUNDARY OF INDI TESEXTENTOF m� FILL \ �� �� FENCE WALLS OR FROM THE CENTER LINE OF PARTY WALLS '� i, BOUNDARY OF HE AREA 1 PROJ T LIMITING SILT � O OF DISTURBANCE ,' �t�•' NCE AND THE BOUNDO OT THE AR m, \ PROPOSED �. mN,, SEPARATING TWO BUILDINGS, INTERIOR SPACES WITH PROPOSED NEW TREE TO BE PLANTED I Q � �'� SEPTIC mP� 60, j A FLOOR-TO-CEILING HEIGHT IN EXCESS OF 15 FEET �0 TEST H I P Li HOLE SHALL BE COUNTED TWICE FOR GROSS FLOOR AREA. 9 0401 59 \ PROPOSED LANDSCAPE PLANTINGS ; \\ - " , - \��- �'� \ - � =� ` - �'� � �cc - THE CUMULATIVE AREA SHALL NOT INCLUDE ROOF OF NE`N - PROPOSED r OVERHANGS LESS THAN THREE FEET; UNENCLOSED I \ UNDERGROUND PROPANE TANK \ a' \ .\ \ - ** i Project Name A TOTAL NUMBER OF 9 TREES LOCATED WITHIN THE 0 bJ PORCHES, - PATIOS, DECKS, OPEN TERRACES, SOFT AND 10OFT BLUFF SETBACK-ARE TO BE REMOVED _ - \ PERMEABLE ` BALCONIES BASEMENTS AND ATTICS. ACCESSORY PRIVATE RESIDENCE DRIVEWAY \ ' 80, \\ AND REPLACED (1:1). � � - \ BUILDINGS OR STRUCTURES SHALL ALSO BE oo `N ORANGE DASHEDLINE EXCLUDED EXCEPT ANY PORTION THEREOF WHICH INDICATES EXTENT PROJEC�DTRN SILT V FO o' GF< Project Number -� %5��120 BEN "" - F MAY BE CONVERTED TO HABITABLE SPACE. SUCH -_ 1 BOUNDARY of THE AREA A sFR W E OF DISTURBANCE 17 I HABITABLE PORTION SHALL BE INCLUDED IN THE 23009 OPENING IN SILT FENCE R►V ENT OALLOW -1 f� E � _ _ - - - GROSS FLOOR ARE CE p' __ �R --_ 6� AT PROPOSED OR\ E AC DURING N •-�� / _ ... - - - ,t'0• � J � . I CONSTRUCTI 08 o�FLED 14 89 Description MAIN HOUSE. - --- -- — - -- - ---� + 1 I 11. 10 110• PROJECT SITE PLAN I _ _ I FIRST FLOOR: 2,304 SF 20 2ND FLOOR: 2,206 SF Scale TOTAL: 4,510 SF 1" = 301-01' ® 130' 130° 40 (ATTIC & FIRST FLOOR OF GARAGE NOT INCLUDED IN SITE PLAN - TRUSTEES GFA CALCULATIONS, ATTIC TO HAVE COLLAR TIES AT 1 - 30 0 ,�• 1601 5'-10" ABOVE PLYWOOD SUBFLOOR AND IS THEREFOR UNINHABITABLE ATTIC SPACE) 16W 160' -IP°. S 170. T=01 0 © 2018 SEAN MADIGAN II EAMadigan Architects Dropbox\Madigan Arch itects\01_Projects\24021_1940 Central Drive - Maria Goudovitch\01-Model s\24021_1940 Central Drive.rvt f SITE PLAN NOTES 1. THE INTENTION OF THIS SITE PLAN IS TO PROVIDE ' - - - - - - DECK AN ENLARGED VERSION OF THE SITE PLAN PRIVATE SHOWN ON T-010 FOCUSSING ON THE AREA ' WITHIN THE TOP OF BLUFF AND THE 10OFT BLUFF RESIDENCE SETBACK. THIS PLAN IS SHOWN TO PROVIDE GREATER CLARITY ABOUT CUT & FILL WITHIN THIS 1940 Central Drive ZONE AND PROPOSED TOPOGRAPHICAL CHANGES. Mattltuck, NY 11952 2. THERE IS NO REGRADING, CUT OR FILL BEING PROPOSED OUTSIDE OF THE PROPERTY LINE OF _ THE OWNER'S PROPERTY. ? E 1 POOL ' JUL i Sou i01'd TC..,.I Board OfT, TOP OF BLUFF LI E TOPOGRAPHY LEGEND ARCHITECT - `. ' EXISTING TOPOGRAPHY LINE Madigan Architects TO BE ALTERED 53610 Main Road Southold NY 11971 EQUIP '- EXISTING TOPOGRAPHY +1 (203) 871-1939 / \ i LINE THAT IS TO REMAIN 10 PROPTOPOGRAPHY NEW OPOG LINE PROPOSED 50'NON- \ / \ DISTURBANCE BUFFER \ / / / / 31 LIMIT OF PROPOSED GRADING, GRAD50 FT PROM BLUFF 04 dop —————— PROPOSED 25'\VIDE NON-TURF BUFFER PROPOSED / YO'HIGH POOER / / C ✓� n /ENCLOSUR FENCING` ,I` / / A / f \ 75 FT FROM BLUFF tiV/f PIER LINE ORANGE DASHED LINE. INDICATES EXTENT OF / + ROJECT LIMITING SILT / \ ± ` I FENCE AND THE �j/ / _•,I 99 \` OU ARY OF THE AREA, DISTURBANCES I \ / 1 PROPOSED / NATIVE / PROPOSED -T HIGH POOL '/ V \ 1 ` dop ENCLOSURE T Issue Date &Issue Description By Check FENCING/ / 1 10/23124 FEASIBILITY STUDY SQM / 92' GREEN HATCHED / DAREAIN 3 06/30/25 ISSUE FOR TRUSTEES SQM / THIS LOCATION INDICATES \\\ / AREA WHERE EXISTING SOIL IS TO BE CUT IN n� y/ ORDER LEVEL OUT THE \ TOPOGRAPHY OF THE \ BACKYARD. 7� /PINK HATCHED AREA IN THIS LOCATION INDICATES \ \ AREAWHERE FILL IS \\ O E DEPOSITED IN ORDER TO \ / \ LEVEL OUT TOPOGRAPHY / \ OF THE BACK YARD \ / � ._-_. _� 100 FT FROM BLUFF OF PLANTER \ AREA BETWEEN GREEN BED & PINK HATCHES IS A i NEUTRAL ZONE WHERE MINIMAL CUT/FILL IS / PROPOSED,AND EXISTING / TOPOGRAPHY / \ \ y/ ,., APPROXIMATELY EQUALS / \ THE PROPOSEDel / --_---- ----- — � \ / TOPOGRAPHY_ dOp/ ../ /STEPS IN \GRAVEL PATH 00 dop X. O 40 PLANTER �/ \ dop DASHED LINE A / EXTENT OF BASEMENT \ / / BELOW \� �> / �►- EXISTING GRADE BETWEEN STAND 100 BLUFF SETBACKS TO BE RAISED \ UP TO 4(MAX.PROPOSED ELEVATION CO, CHANGE)TO LEVEL OUT REAR YARD \ / BBO \1/1\n, �\I Ir\�1 r r_ USING APPROXIMATELY 227 CY OF V 'V b � A v m v ON-SITE SOIL MATERIAL GAINED FROM PROPOSED CONSTRUCTION _ EXCAVATIONS OCCURRING>100 FT \ \ - i FROM TOP OF BLUFF,SEE INSET / SINK PLAN VIEW) wooD \ — -- \ RETAINI WALL I \ \ \` TOW 98, B_O.W_91' \ PATIO \ EL 95'-6' \ PIER LINE q n� PLANT�� 1 '\ t - BED r / .41 PROPOSED A,-T HIGH POOL ENCLOSURE FENCING \ \\ ED — __ __ ' / / / \ P \ ✓ AREA WELL \ T r \ Y O\ \ �eal/Signature T - - - --- DRYWELL i .� EDA&n / // POOL 9 ��5 N 2ND FL BALCONY EQUIPT 96, MA EL1059 GENERATOR \ y POOLDRYWELL i GATE 9� SA \ \ PROPO 6'-0'HIGH WOOD 40159 P ENCLOSURE FENCING O N T DECK \ \ PLANTER BED / \ / A Project Name y^ \ SHOWER \ jam, PRIVATE RESIDENCE L O TER PRS LWELLING 1TFLEL 95 6" Project Number / \ \ �\ GATEDRYWELL 23009 \ v PROPOSED 6-0" HIGH WOOD V 1 POOL ENCLOSURE 1 FENCING Description ------- -- ----------- ---- DW ENLARGED SITE PLAN ENLARGED SITE PLAN - TRUSTEES 1 Scale 11-011 T=01 1 © 2018 SEAN MADIGAN EAMadigan Architects Dropbox\Madigan Arch itects\01_Projects\24021_1940 Central Drive - Maria Goudovitch\01_Models\24021_1940 Central Drive.rvt SURVEY N0: 24-0103 SURVEY NOTES: SURVEYED: 12-11-23 / - LOCATIONS OF EXISTING DWELLINGS ON ADJACENT LOTS ARE FOR REFERENCE ONLY AND ARE FROM SURVEYS REFERENCED BELOW. IGHEST WATER MARK THEY WERE NOT FIELD VERIFIED DUE TO HEAVY BRUSH AND LACK OF ACCESS-ALL OWNERS FROM ADJACENT LOTS ARE FROM SUFFOLK COUNTY CIS WEBSITE AND ARE AS CURRENT AS THE WEBSITE STAKEOUT: 1-15-24 ON 10/10/24 (LINE OF VEGETATION) - CONTOUR DATA DERIVED FROM GROUND SURVEY SHOTS TAKEN ON THE DATE OF SURVEY AS WELL AS CONTOUR DATA REFERENCED BELOW /i� „p��'� SURVEY REFERENCES INFO ADDED' 2-15-24 / '\,\�,\CJ" I No 1. COASTAL EROSION HAZARD AREA MAP,PHOTO No. 59-533-83,SHEET 2 OF 49 HAZARD LINE ADDED: 3-13-24 //�� 0 2. CONTOUR DATA; https;//gis.ny.gov/nys-contours(SUFFOLK COUNTY) �vJ 3. FEMA INFO FROM MAP&SHAPE FILE DERIVED FROM FEMA FIRM MAP 36103CO139H EFFECTIVE MAY 4th, 1998 REVISED SEPTEMBER 25th, 2009 CONC. MON SET: 6-21-24 TIE LINE 4. TAX LOT 26 SURVEY BY NATHAN TAFT O5. TAX LOT 29 SURVEY BY PECONIC SURVEYORSN III DATED R 0 APPROXIMATE PC DATED JJANUARY9 h,2014(APPROX MATE DWELLI NG LI nOCAT10NONLY)ON LY) J - TOPO ADDED: 10-11-24 L ACREAGE CORR.: 10-23-24 N 57 5'00'E / " 41.6 J1, GdNC. ONSET TACK &'AUB SET I CON. CONC. s ON LINE/ ON. MON SET a, BOO �i I FOUND N A \SET PASANIN GJP� I K NA SET o EP e tPSpNA� g 40, Joao° 01 01 LARGE BOULDERS r" `- t1 :I. WiS \ pH \ °' J •^ +a�/NNW/ ,° z°° 1 `rllllX', � �5730'00"E t \BT'T'OM OF I �1 '-00 CONC. BLUFF\ GC1 NOV"""" ''- �Ve � ON. \ y FOUND COASTAL EROSION HAZARD INE / �N°° L." "; SCALED FROM DEC HAZARD P� P'FOUND (SOUTHOLD 2 OF 44 -) �ti;`600 �,titiAooa,' S 0 5ep0oo+ A6°0�_ o0 �R6 P J�00 S".-. �'c�`'-' GE10 PP A. \•-' bpp o \, y"oti°°o°O 9°p0 �g0�g.°r ro 0 P a' pp1�pG 5 TOP 'OF BLUFF CONC. MON; FOUND q]��.0 92-.00 CONC. MOM ° FOUND` 62 \\ eApO \\ SP GP�j Sso 2 • 92:00 l�P p�P�P j�G1 90.00 \ / g8.00 4- �op�QQ� O'w,AY 5.0 W j , Lea (`=! F F - \ L=187.14 gg \ tea. \� �. 0� N01 ry 64. J U L 2 2025 CONC. 1%0y� 55•,�� �\ LA ON. moo\ FOUND 0.0� ° Southold Town CONC. ;77'26�0% ��h�. P SET Board of Trustees ON, pR1vEW P� a x� FOUNO oo� R CENTRAL D �120.001o„w.�o�w—oHw- - o", TOTAL DEVELOPABLE LOT AREA (SOUTH OF T.O. BLUFF)= 33,244 SQUARE FEET I VERTICAL DIATUM: NAVD88 SCALE: 1"=60' TOPOGRAPHICAL SURVEY s pF NEvy Y1 SITUATE AT � �,ftD D, [,�,��� M ATTI TU CK TOWN OF SOUTHOLD COUNTY OF SUFFOLK 1 LAND SURVEYING STATE OF NEW YORK FILED MAP: CAPTAIN KIDD ESTATES SURVEY PREPARED FOR AND CERTIFIED TO: 05109g FILED: JANUARY 19th, 1949 Otis FILE NO: 1672 LANDSV� MASSAPEQUA ♦ NEW YORK LBOT(S): 4 GERARD D. LENZE L.S. PRESIDENT TAX MAP ID: 1000-106.00-01.00-027.000 PHONE: (51I6)967-3028 NYS LICENSED LAND SURVEYOR EMAIL: LENZELANDSURVEYING@GMAIL.COM PROPERTY AREA (TO TIE LINE)= 1.35 ACRES/ 58,635 SQ. FEET LICENSE NO. 051099 I SURVEY NOTES 1 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW♦COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY♦GUARANTEES OR CERTIFICATIONS INDICATED HERON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY Is PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,LENDING INSTITUTION,AND GOVERNMENT AGENCY LISTED HEREON 4 GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS•ENCROACHMENTS BELOW GRADE AND/OR SUBSURFACE FEATURES,IF ANY,NOT LOCATED OR SHOWN HEREON•OFFSETS SHOWN ARE FOR INFORMATIONAL PUIPOSE ONLY. THEY ARE NOT INTENDED TO ESTASUSH PROPERTY UNES FOR THE ERECTION OF FENCES,STRUCTURES,OR ANY OTHER IMPROVEMENT•SURVEY IS SUBJECT TO ANY STATE OF FACTS WHICH AN UP-TO-DATE TITLE EXAMINATION MAY DISCLOSE♦SURVEY PERFORMED IN ACCORDANCE WITH THE EXISTING'CODE OF PRACTICE FOR LAND SURVEYS• ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS•PROPERTY CORNERS WERE NOT SET AS PART OF THIS SURVEY I 911940 Central Dr :fie t a a' Google Earth I�GII� oM WS t�;; ,.��,..net. ., _ - - --z.,t��t•. t 1 S �i. i I ,;� �14 \ 4t ♦ air eta a' 4�� �+ `5ti �'�• +v.r3 'f]'�A >��i. F,.l� _� i. ,fir ` r•; / '`�.t. ,i�` '. i. i :!'.. ..e..• ,`w:/rat �„ � / �.'' ' � �"^ TENFORTY C FRAL LLC. 1940 CENTRAL DRIVE. TTITUCK A i a .i ' .;.' +lei r r - • '> -- Figure 3. Looking southeast from top of bluff at proposed non-disturbance buffer area to be maintained within 50 feet of bluff,• toward area of proposed construction set back at least 100 feet from top of bluff, and at existing dwellings to west and east • ter { .per.� -��- ; .*-,�„�,�$ •• '� � y11�' _sd' � a • � i ° �. /// /f y y`,I ,1.• } {} ;c: � �.a' � M104 kit ,- ��'�e -7' is _ � �•_ ` v � . a .f �"..} G t ! y , it Figure 4. Looking northwest from location ofproposed construction toward Long Island Sound and over area between 50 ft and 100-ft bluff setbacks to be filled and re-graded to create level and more highly elevated rear yard landward of non-disturbance buffer. SEE SEC NO M ?E SEE SEC NO.O% I24Faa v u,u, -.. ,f °� ic: M.iCn LN f S INTCl1 k!t} a}awi Q Y,4 (2) l71 i i ae zoaz .. - Ia-zlm 0 Fj .;a����G cY ." 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'z.y > " _ -« 80 , _ ..M1 ye \� TOTM`r a � T �jk rPr y T1 ro W A zAM ,,•.+'' I.tk*7 z AI r 7 f .• ,py ',y p .y pR d ' _», ✓,"•, ' dt v t� ;6 wind ua��t 3 fi seAz •z ,]xAtd r«rc TG .e.r � aT •., . s. xWclp 11 e I-f4 a a e.z j h z.ta a �j� x a x �'�'`!a a 4a ? a•tsA a tWd ... r7 a� S°N4 N n � f o aaA 211 �oN ,.. _Ik eMd m' zA r , 1 r.« k 2�0a! w ," m ,� ti•� re u a "M1 ,b 4M1 rr Eon No - E, , bz 'r Sao + ,♦°i q, 9EE SECE« IS JSi"op N •2 , , v.»,.w...a.��....r..r•v. xw,r�n..nn m COUNTYO LK© NOME SUFFO e _ ,ae,w ,000 senaNw E �, �_ •N. F p ""°`—L_—_•°•—_ ,,, _—_ •• .. �— ..,."», KI1 I,,.ri,I lkency rumewaE A,ea,ax sN.c aN y __ __ _� w 1r �..r» 106 W eouTNoto OFFICE LOCATION: ' MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: October 6, 2025 Re: LWRP Coastal Consistency Review TENFORTY CENTRAL LLC Clearing & Regrading SCTM#1000-106.-1-27 This application is to clear (including nine trees to be replaced 1 to 1), and re-grade an area between the 50 ` and 100' from the top of bluff on this currently vacant property. Approximately 227 cubic yards of earthen fill material will be sourced from proposed on- site construction of a new home proposed to be located more than 100' from the top of bluff, to create a more level rear yard by raising (max. 4ft.) or lowering (max. 2ft.) existing grade elevations. Also proposed is a 50-foot-wide non-disturbance buffer along the landward edge of the top crest of the bluff, and a 25-foot-wide non-turf buffer area between the 50-foot and 75-foot setbacks. 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 proposal is INCONSISTENT, based on the following: Policy 6.1 A. Avoid adverse changes to the Long Island Sound and Peconic Bay ecosystems that would result from impairment of ecological quality, as indicated by item 1. Physical loss of ecological components, including the clearing of upland forest. This parcel is currently undeveloped and wooded. The clearing and grading within 100' of the top of bluff is proposed for a use that is not water-dependent (having a level back yard). This is inconsistent with this policy to avoid physical loss of woodlands when possible. The parcel has sufficient depth to avoid having to do any clearing within 100' of the top of bluff, and still have room for a back yard. Policy 4.1 A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 1. Avoid development other than water dependent uses and coastal hazard areas. Locate new development which is not water dependent as far away from coastal hazard areas as practical. The proposal is not a water-dependent use, and should be located as far away from the top of bluff and coastal hazard area as practical. This parcel is currently undeveloped, providing the opportunity to be consistent with this policy by moving the house farther away from the top of bluff, thus allowing for a rear yard that could be cleared and graded without impacting the woodlands that will be stabilizing the bluff for years to come. The R-40 zoning district allows for a front yard setback of as little as 50'. Currently the house is proposed to be set back from the front at 109'. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Glenn Goldsmith,President '*V so Town Hall Annex A.Nicholas Krupski,Vice President ,`O` 54375 Route 25 P.O.Box 1179 Eric Sepenoski l Southold,New York 11971 Liz Gillooly Telephone(631)765-1892 Elizabeth Peeples '�O �.�b Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only ,- 3 Coastal Erosion Permit ApplicationG; Wetland Permit Application Administrative Permit J U L 2 2025 Amendment/Transfer/Exten ion Received Application: 7 a- n Received Fee: $ ! sourt�oldTown Board of Trustees Completed Application: kOYM Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): __LWRP Consistency Assesspient Form Sent: CAC Referral Sent: A) Pr _Date of Inspection: ro a- Receipt of CAC Report: N Technical Review: Public Hearing Held: Resolution: Name of Applicant Tenforty Central LLC c/o Italian Green Design Address 530 West 25th Street,New York,NY 10001 Phone Number: (6jq 895-9430 Suffolk County Tax Map Number: 1000 - 116- 1 -27 Property Location: 1940 Central Drive,Mattituck (property located on north side of Central Drive,+/-200'east of Linda 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 Apr'' ation GENERAL DATA Land Area(in square feet): 58,635 sf Area Zoning: R-40 Previous use of property: Vacant-Residential Intended use of property: Improved with single-family dwelling and appurtenances Covenants and Restrictions: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy N/A Yes 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): Clear(including nine trees to be replaced 1:1)and re-grade area of property between 50-foot and 100-foot top of bluff setbacks,using approximately 227 cy of earthen fill material sourced from proposed on-site construction located more than 100 feet from top of bluff, to create more level rear yard by raising(max.4 feet)or lowering(max.2 feet)existing grade elevations;construct,at least 100 feet from bluff,a 2-story,2,304 sf single-family dwelling(serviced by I/A sanitary system located outside Chapter 275 jurisdicion)with attached 2nd floor balcony,swimming pool and raised patio with BBQ/sink(outdoor kitchen),and associated stoops and steps;and establish and perpetually maintain a 50-foot wide non-disturbance buffer landward of top of bluff,and a 25-foot wide non-turf buffer between the 50-foot and 75-foot bluff setbacks,all as depicted on the site plan prepared by Madigan Architects, last dated June 30, 2025. Board of Trustees Applic `)n. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Improvement of vacant-residential parcel with single-family dwelling and appurtenances. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 o//° Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: > 100 feet Does the project involve excavation or filling? No X yes Excavation and filling/re-grading proposed more than 50 feet from top of bluff If es, how much material will be excavated? TBD cubic yards(as needed for construction of prop.structures and installation of Y Y sanitary and stormwater drainage systems>100 from top of bluff How much material will be filled? +/-227 cubic yards (between 50-ft and 100-ft setbacks from top of bluff) Depth of which material will be removed or deposited: TBD feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Standard construction practices. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed development of the property has been designed to conform to the required 100-foot setback from the top of bluff set forth by Sections 280-116(A)(1)and 275-3(D)(1)(b)of the Town Code,as all structures and sanitary system components will be set back 100 or more feet from the top of bluff.And to mitigate potential impacts associated with the proposed construction,all proposed clearing and re-grading activities would occur no closer than 50 feet from the top of bluff,and the nine trees to be removed from inside the 100-foot setback will be replaced 1 for 1;a 50-foot wide non-disturbance buffer will be perpetually maintained adjacent to the top of bluff,an additional 25-foot wide non-turf buffer will be maintained between the 50-foot and 75-foot bluff setbacks;a low-nitrogen, I/A sanitary system will be located more than 250 feet from the top of bluff;a stormwater drainage system and dedicated pool drywell will be located more than 100 feet from the top of bluff;and a project limiting fence will be installed along the 50-foot bluff setback to control and contain site disturbance and potential runoff during construction.Thus,as designed with the incorporated mitigation,the project will minimize the potential for damage or loss from erosion;protect groundwater quality;and protect the quality and function of the surrounding ecosystem, including the adjacent bluff,beach,and tidal waters of Long Island Sound,consistent with the standards for issuance of a Town Wetlands Permit set forth in Section 275-12 of the Town Code and with the goals of Policies 4, 5 and 6 of the Local Waterfront Revitalization Program. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM (00PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 106 1 27 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN rl Is rf RET 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 Elth(include Total Area of all Parcels located within 58,635 S.F. Generated by a Two(T)Inch Rainfall on(S.F./Acres)) Site? X e Scope of work for Proposed Construction) s F (This item will include all run-off created by siteb,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed 27,483 S.F. Site improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Clear(including nine trees to be replaced 1:1)and re-grade area of property Slopes Controlling Surface Water Flow, between 50-foot and 100-foot top of bluff setbacks,using approximately 227 cy 3 Does the Site Plan and/or Survey describe the erosion F of earthen fill material sourced from proposed on-site construction located more and sediment control practices that will be used to than 100 feet from top of bluff,to create more level rear yard by raising(max.4 control site erosion and storm water discharger.This feet)or lowering(max.2 feet)existing grade elevations;construct,at least 100 Item must be maintained throughout the Entire Construction Period. feet from bluff,a 2-story,2,304 sf single-family dwelling(serviced by I/A sanitary system located outside Chapter 275 jurisdicion)with attached 2nd floor 4 Will this Project Require any Land Filling,GradinI or Excavation where there is a change to the Nat ura balcony,swimming pool and raised patio with BBQ/sink(outdoor kitchen),and Existing Grade involving more than 200 Cubic Yards associated stoops and steps;and establish and perpetually maintain a 50-foot of Material within any Parcel? wide non-disturbance buffer landward of top of bluff,and a 25-foot wide 5 Will this Application Require Land Disturbing Activities non-turf buffer between the 50-foot and 75-foot bluff setbacks,all as depicted on Encompassing an Area in Excess of Five Tousand the site plan prepared by Madigan Architects,last dated June 30,2025. (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_. p fSWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ❑ 1.The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition,the SWPPP shall Area?(this item will NOT include the installation of Driveway Aprons.) 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 Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. that is knowledgeable in the principles and practices of Storm Water Management. (NOTE:A Check Mark(X)and/or Answer for each Question is Require 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_f_o_r__Own__e_r_-------------------------------------------------------------- --------------------------- (Owner,Contractor,Agent,Corporate Officer,etc. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed.in the manners set forth in the application filed herewith. Sworn to before me this; ---------------------1st July 2025 20 25 daY Notary P ---- - - - -- -- ------- --- -- -------------------------- ------- - KIM H. TEPHEN (sig re of Applicant) FORM - 06 10 Notary Public-State of New York No.01 ST5015931 Qualified in Suffolk County My Commission Expires August 02,200 L 617.20 Appendix B Short Environmental Assessment Form Instructions for Completinls 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: Tenforty Central Residence Project Location(describe,and attach a location map): 1940 Central Drive,Mattituck;SCTM#1000-106-1-27;(property located on north side of Central Drive,+/-200'east of Linda Road;location map attached. Brief Description of Proposed Action: Clear(including nine trees to be replaced 1:1)and re-grade area of property between 50-foot and 100-foot top of bluff setbacks, using approximately 227 cy of earthen fill material sourced from proposed on-site construction located more than 100 feet from top of bluff,to create more level rear yard by raising(max.4 feet)or lowering(max.2 feet)existing grade elevations;construct,at least 100 feet from bluff,a 2-story,2,304 sf single-family dwelling(serviced by I/A sanitary system located outside Chapter 275 'urisdicion)with attached 2nd floor balcony,swimming pool and raised patio with BBQ/sink(outdoor kitchen),and associated stoops and steps;and establish and perpetually maintain a 50-foot wide non-disturbance buffer landward of top of bluff,and a 25-foot wide non-turf buffer between the 50-foot and 75-foot bluff setbacks,all as depicted on the site plan prepared by Madigan Architects,last dated June 30,2025. Name of Applicant or Sponsor: Telephone: 646-895-9430 Tenforty Central LLC E-Mail: claudio@italiangreendesign.com Address: c/o Italian Green Design, 530 West 25 Street City/PO: State: Zip Code: New York NY 10001 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 Letter of Non-Jurisdiction,Suffolk County Department of Health Services X 3.a.Total acreage of the site of the proposed action? 58,635 sf ' b.Total acreage to be physically disturbed? 27,483 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 58,635 sf 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑Rural(non-agriculture) ❑Industrial ❑ Commercial ®Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: A new private water supply(well)is X proposed. 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: A new, I/A sanitary X system is proposed. 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 C _ 1 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 T FORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor na ert E.Herrmann,Coastal Mgmt. Specialist Date: July 1,2025 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer.When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an.impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 t 1\ 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 �`4Sd.lr.'i� h�±y�SAy r`h* l,.d h� 1 Y:' �X' hY rC..� �Y !�Mi k4 17� ��k j,� <, r7 4S, MhF73`'{ k •�-d f } _�.L P.S � R" ..Y' Y f" ,1f 3�, aN If2;dlStal>!t"e5:� v3�; fzSY 1"4.a,:s�1y^+� •��} }jam !r '� '3 x`it:� � ��n XC t�f�i,f r7 Sr){._:.F � r�. St'�`P,�,r d �,";,,i it 1�,�./i,� ^L:^ � � PP` � �,'.� .�:.�.. E o a t i�Y Rr•. � r'� P 4 �+ t �Y ,Y f �:.�40 �tsappro)umately'`'z -1�7�. ,,p T,S' .?Rz�� �,�5r,� � :�: yM1�r �+ s +�a>r)„tip+, -��,a � �. '03y�a�, •�000 / "2000 ;3000, �4000 . c 5000Feet Yr , �t.N?� }, , -•�r�x /T, S i st 5 .-ai 1'CYt��: �t �.s�� ,t'._I.�t ',mn-.3'^�m�'S:..,1.t `.k, _,�.�x'f ".:} 40 L..<r.60D a$ 800 t� 1000: 120D :-1400Meters .i. .�, ,'i...�) t�_4-.t. fi <r,s.:k;,��' aF 1:.° " ;;y'y�' .Ar•r"yam Pv 'sr�;;`xr"+"K r'. � '' f. >nr. �'�ni�.. '7 sr -., s' h })x..' r 'er t v '' t, 72 3430 t":4r. Z{� L. � 7�r 3345 i A3 + i,,n•+5�.{•tt' MP.,;: ye 4fa G ttf ' Suffolk County Hagstrom Map #40 `f Bail' each y ' . +2,000 �"� Park Bre water CN. S ? Park Cans p..< Area i Site C Access via us�5 A tr� 5u6jet property) o UR HOSE SOJ�O EPS1 PD� LA JK` s S DR r,Ywr r � GN=�N KIDD 90R � �1U5 flD CA TAIN KIDD90 ESTATES RD G s3fj :i q SEW RAYVIEW C O $.Aaa.im r_7 r r A , q ax (Jl� $4 Pya a tJ `'t O MA ITUCK r r Hnllocks 9c11935 Lieb Family Pond Cellars 90 :o ' Macar pv�NUE r SOUND GF`®Vineyards `boy HallDcksyille ?; 4$ 'a E� t �° c' a `� MDseum` i VENUE ot9�t v arF�3`' + ' f S Farnl' Martha Clara Vineyards , gWi P k; 9c�' OVNO �\NQA ✓mK Laurel s If. 25 P Lake s /J F q _ !q Laurel Lake �9 11901 o �f ..�� Y.S. Park 22 Conserva'n Q• Q S� Laurellake a LAUREL Vineyards R 9y r. �9 �elDtk, PS 25 ty r a 1 sf 2 419 4 &S p 3� ,4 tt'r; G W� 91r 0 T S a O O v�P 9 e C +vrk a'a WI . Nety York Stta ate Depalritnient of lEnvironnaenttl:aai lContservation callow, :E'IEIE���[:9'�9S�t[;V]� By signing this perrni.ssion forra for submission with an application for a permit(s) to the Departnierit of.Environmental Conservation ("I):E�;C"), the signer consent., to inspection by DEC staff of"the:project site or facility for wltiela a her-Mit is sought; and,to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass .through such property :in order to inspect the project site. or facility, without prior notice,between the hours of.7:00 a.m.and 7:00 p.m...Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC; staff will so notify/the applicant.,end will obtain a separate consent for such an :inspection. Inspectio.n:s may take place as part of the ap-plication review prior to a decision to grant or deny the permit(s) sought. By signing;this con.se.tlt forrrt,the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer,applicant or an agent is present at the time(--if the inspection. In the event that the project site or facility is posted with any form of"pasted" or "keep out" notices,or:fenced.in with an unlocked gate, this permission authorize:; DEC staff to disr,,:ga;ard such notices or in-locked gates at the time of inspection. The signer further agrees than during art inspection, DEC staff may, among other things, take nne:asurements, may analyze physical characteristics of the site including, but not limited to, soils and vegetation(taking sarnples ffbr analysis),. and rrnay make drawings and Make photographs. Failure`to grant: consent :for an inspection is grounds for, acid may result in, denial of the perrn:it(s) sought by the application. Permission is granted for inspection of property located at the fbllowinl; address(es): 194.0 Central Drive, Mattituck, 1W 11952 SCTM#1000-106-127 By signir;g'tliis forrrt, .I rr>%�rn,� acrtder penaltY of petjttry that I am authorized to'give consent to entry by DEC stcff'as described above. I understand that false statements matle herein are punishable as a (.'lass A misdemeanor pars-buint t')S'ection 210.45 of the.Penal.Lavv.'k Claudio Coriter, NlElnaging Member TE^NF OR:TY CENIi RAL-LL(:. vv ------ ---- -------- - �-��2 Print Narn.e and'Title 't-ignatu .Date `The signer of this form Waist be an individual or authorized representative of a legal entity that: o owns fee title and is in possession of the property identified above; maintains possessor},interest in the property through a lease-,rental agreement or other legally binding agreement;or is provided permission to act on behalf of an:individual or legal entity possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 �I tx:� ri C,tars � e xal;iP1.11 ;ta oYa, . . Claudio Conter, Managing Member TENI FORTY.CIE NTRAL L Ll G EDIJ14Y WVOFN DEP MSE`►ANDk:AIFTlRMGo 'l[1IA I[ H.E/S:'111, APPLICANT IFOR THE A13OVE DESCRIBED PIEItMIX(S) A2,q }7,'JE A T E!slG[J 1!;7i;'ATI+MENTS CONTAINED]HEREIN Jq .T JR1JE 7[O Tl[l[E BLEST;�[)IF II ISIHEII IELLmI�C1 L EDGE iI''(l) BELIEF,L�IN][D 'TI ►7[' �►►I�L�'+CJI 'VV[I.;l:.lEl]E�1�ICi'ro[IE;11rl,'I�]Ll[E l'!�;[,"�I�],PdIEF'.6�E' '1a1�&I:T:�I l€l��'][`IHL[�>�:P]PLI�;�,TgC1N , EhI'�iI) S AN Y [3Id;: ►[' DIEI,iCIZJ I+F)ID'S ,71]EII+; (�"tl�J'[`ICI C►1f,ID�'I!C) ?6rN[ IId�►A.1EtID,Cff T kUSTEE.S., AND ']I J E "]CIIl1. 'I�L�CAP�,'C` A,f�Ii; +lE�i 'l`tL) �[[!► LIJ�_ 7E'IfII' 't`+CD'���1�1'Q!:E'°S�)1[7TI)[�l►]C;` ► I1iOli:E3l) OF TIP' Cb ALL 1[ ,01AGUES MO)CLAIMS AR"I'SI[1 OG UNIIEDEIi:'•011 II V'67I PUE OIF'SAID PE.0a,k�B7['I i(S),.]:F' (3rIZA(NTIM..'IN COD4PLE:TJrNG:- "MIS�i][�]E"Ll(('A'Cl;!D�1,,I ]LI:IE1Fd:EI3'4� �.IT'L':E3[t)l:t[;ZII� ,7CH`L+ 7i' tIJt�T'E)E;Sq TI[IFIIlI: E�:G]EI�17L( ) Q�►R,R ElPBE'�SIE NTATI['Vl{;5 1(1�J�1 l;� gr�oC�'i['EI T'Ot E1Nr.CER ON'TO lalJ:Y ]FIR.01 'ERICY '>+O ,i�:(�'.,, IINC'I:;>U DI.I�T A A►IL y1lv[S]['>f�1Q✓'l[`I ➢C�Iv iC 1Ft�C1l"I'I'IfIIt,[L' .�IT=lrl[ ®►IC�ICZ i' THF,•13;47��,:M 0l�. 7'ItiJ;�'I'IEI; TIC,IE�P TTIEFt'6C91hT C CI a ►9.`4 PTd.4 lE'(Elul'[' i:I°�i1[� �I�( .l€�I+IQ�lC71 P"I�+;W T4� G"'I)]VI:FIG,l��1�t�C;[ 'I'V.l(7'lf�[.t!i:Pd Y �( �PI��(II)' 'FI[(:I� [1)1[a'. A►r �r'�r'E�ri�1'LAND 0,11;!COAS'I''AIa". EROISICDrr PIEI�'I'VJ' ']C '[S; f[7El) i ?t' '1']l E E6` ,�� I EI Q)I`'I']Ei J,d�'I'IE]ES I7►1LT�d:[l®d4 : T'HI '1('I ItIO�I 3. OiT THE 1F'E1C M1€T. '77- Sigx�a IaP�� Pi .. QtAnerI ,IlcltUlt9 of"Pxo) eaty. 'CDavYier'� C'.IauCli �° ,onter,"'IMEI �l<ging Member TENFORTY CBgTRAL LLC. 0101tPJ 10 20 Ivotnry];ut�[i PIYUSH B SONI Notary Public,State of New York No. 01 SO6038647 Qualifiod in Kings county commission Expires March 20,2026 AUTHORIZATION ('�' liera-Vie appl'teaht.;;is nc�t the 2>wrAer) Claudia Con-ter, NA'anagir,g Mernbor I/We - ti oMme:rs,of the pr6 (� :j-ty idenl:ifie, l as'SCTNh`�'I,aOQ-,1000-106-1 27 —,tin the town of Sodthc►ld ; New. Y6;rk, here-.b,v authorizes, En Consultants, 1 t as nyacap � �ont andlza1d1a all rieces;sai.y ivork in,Volv,ed vvilih i:l1le ap plr¢:ation l>re<:ess for permit(s) :from the Southold.Town Baird of Trustees for this hH atyy: Prope ;r, a i;g atare ` ~ ;Property Owne.r's Signature 'Caaudr :onter, Ma Paging Mernbbi TENF.ORTYCENTf���i_ VJO:(�lJ'I Ci 13EI.OR Ylotciry l9ubl;cry PIYUSH B :SO.NI. Notary Public,State of,New Yore: N9"OIS06038647 Qualified in Kings county h 20,202b cgrnqjissign Expires Marc ., >L.ciior 'tz!� 'IFPI'ylE1S]EroT$'; '�'�� J - ..; , '[°Fi:,.���l�A.►e "ICI+CBP����: �i]a�CILa�D� Z:l�IC:�IIt]ar1: _ . is e- E Sw`.^•.iGGf� �b�wlwT.:'Yu FG IIiea, [li-�.-.Jtilkl W4CiM— iJ tLC6JCaf�STiia,mS1uAG JLuuWx G����,4 LI i"uhE tl foJr zi i i r vidr;'u srinat r tivh-Ah hi n t t the tgwrtl tZ€•lsn �til'EekcatiriflZcd 3 i1 t ansl ,rrw��(t �a trace wl-i tcveea itton i§: a1 �acY,l i� aE r,. le(udio.`i. ont -, 10all I�agia Mern Ear YOUR rra,Mlr t'EP�IFC)IFz:T*( C;l=�'110.i)I�L LIMC (Last riamc iiml narr4 j.ph 311e,,hTMal,wpt ss pou,aie i ppjym„un tiv name of „son;eene else or othiltr entity,'su.ch as a'ci:"nnpaur`,y:;If so,indicane the other . permn'so company',snaxna,,) , NAME OFr APPL:ICATIONI: (Check Wl tl ait;apply') Tax gricivapc: Variance 7friastev: . .X —.. Chenge of WiD 'Coat`tail'Erosion _---- Approval of plat, ---.._—._. . mooring. Exemption fi»in plat oa ofEicial majpr. - 'I'leinning. . o ,p Other (lf"Gather,naape the aicti<<ity) _ , Do, u,persoataally(oi tliirou;zh yotar contpan3,,:st�iiii;1.ei:;ibirng;is,aren ehalel)fiaive a::relaYaansluip�tiitl�awry of6il eor empfc►ya oftheTownc,fSoutholcl�,"ReEiitioi� lags"inc:ltac >lsyblood,irijrii7aits orbu<<`an ssi'ti'ec€lst N13sasihe. ~atn><eec! ';ineansatiusirr ss, inclading aiair�netship in e!thu'fi thcae��artucshcxr an�arnrlogrc� !has E�w�ln a pa,u4iaE;o�gnerslip of(cn employment liyi_acorlioration in which it± tarrvaa offictrr rrr'empl�ay�;e avtiasrrraor, thaart 5°faEr r ;flhte slt,uv:s. YE'� -_ i� Nt 'if yciu:ans%irured"YES",ec iinplete the bills ic'e o fthis form earnd dke'tand sign iwhe're indicated, Name of'pe rsiin employed by the'Ta,wn of Sotithold Ti,1c or;position ofthatlperson' Describe the relationship 6ettiwet:nyourself ithe applacani/agi:nq'i pp i.se:ntativ'e)and tie town o�ce:r or arnsployee,Either check the appropriate line A)4-irough D)anO, r in the sri ace 1pirt ilded. ; The toriva officer or empichrev or his or her!sp0use;sibling;parent,ar,clhild is(cfaedc all`tl at;i,ppl)r): f►)the owner of, ?plioint -1 (when the apphna tt is a 0gpoira►taid), Ft)the legal or bcmeficial owner of a p'y ante r st in�a non-c ggaeite entity(vwhdn'ti(; ' 3, applicant not rorpoiraUorr); ari officer,director,p irtax:r,oa'employec oftlhe ap;pCicaant;orr — .I:i)the actual applicant DESCRUP7TION1 OF WELA.T1OhlsHT saa4trnitted thiis ay of 20 Print.Nwne Claudio Gonter, Mana�i�ng.Member Foni i'TS I SO c PIYUE H B Nt Notary Public,State of New York No:OI S06038647 Qualified in Kings County ,.`Commission Expires.March 20,2026 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: HPrninn, Robert R (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 thi da of 20 25- Signature Print Name o E. Herrmann Form TS I � k NOTICE TO ADJACENT PROPERTY OWNER .. BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Tenforty Central LLC SCTM#1000-106-1-27 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Clear(including nine trees to be replaced 1:1)and re-grade area of property between 50-foot and 100-foot top of bluff setbacks, using approximately 227 cy of earthen fill material sourced from proposed on-site construction located more than 100 feet from top of bluff, to create more level rear yard by raising(max.4 feet)or lowering(max.2 feet)existing grade elevations;construct, at least 100 feet from bluff,a 2-story, 2,304 sf single-family dwelling(serviced by I/A sanitary system located outside Chapter 275 jurisdicion) with attached 2nd floor balcony, swimming pool and raised patio with BBQ/sink(outdoor kitchen),and associated stoops and steps;and establish and perpetually maintain a 50-foot wide non-disturbance buffer landward of top of bluff,and a 25-foot wide non-turf buffer between the 50-foot and 75-foot bluff setbacks,all as depicted on the site plan prepared by Madigan Architects, last dated June 30,2025. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1940 Central Drive, Mattituck 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wed., Sept. 17,2025 @5:30pm;Town Hall Meeting Rm,53095 Main Road,Southold You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Tenforty Central LLC c/o Italian Green Design PROPERTY OWNERS NAME: 530 West 25th Street MAILING ADDRESS: New York,NY 10001 PHONE #: 646-895-9430 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road, Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-106-1-26 2040 Central Drive Barry&Judith Barth Mattituck,NY 11952 SCTM#1000-106-1-29 166-25 Powells Cove Boulevard ;Andreas Pavlou QPRI Trust; George Pavlou Beechhurst,NY 11357 SCTM#1000-106-1-31.1 4 Eastwood Drive Raymond Olsen& Susan Calderbank Greenville, PA 16125 SCTM#1000-106-1-45 PO Box 1588 Aglaia Tsontakis Mattituck,NY 11952 SCTM#1000-106-2-34 1845 Central Drive James Stavrinos Mattituck,NY 11952 SCTM#1000-106-2-35 7 Wildwood Road Peter& Lucy Caviris East Chester,NY 10709 SCTM#1000-106-2-36 130 Pleasant Street Peter Frangiskou Haworth,NJ 07641 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E. Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 being duly sworn, deposes and says that on the 8th day of September 2025 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices w mailed at the United States Post Office at Southampton that said Notices were a ed to each of said persons by (certified)(registm mail. Robert E. Herrmann Coastal Managment Specialist Sworn to before me this 9th day of September 20 25 KIM H. STEPHENSNotary Public-State of New York / No.01 ST5015931 Qualified in Suffolk County --j-- My Commission Expires August 02,20_L. No ar�-'P is r- PEREMEN"M 1-1 ru rr7 M ru rq ra 41`11� Lily :! - �:Ln .., :sr Certified Mail Fee �+- Certified777 N Extra Services&Fees(check box,add fee as appropriate) r Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(hardcopy) $ ❑Return Receipt(hardcopy) $ ra ❑Return Receipt(electronic) $ Postmar g ❑Return Receipt(electronic) $ Postmark C3 ❑Certified Mail Restricted Delivery $ SE 2 re �® � K ❑Certified Mail Restricted Delivery $ Q ❑Adult Signature Required $ El Adult Signature Required. $ � . []Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ - ® Postage C3 Postage —0 .A $ r 9 Total P rq Total Pc m m (p SentT( Barry&Judith Barth o Sent To Peter&Lucy Caviris pru Stieefi 2040 Central Drive o Siieelal 7 Wildwood Road Mattituck,NY 11952 ------- city, ta East Chester,NY 10709 ------ ---------- city,sr. --------- ® ®s ! co ®® ru M m ru m ® _ Z r- Certified Mail Fee ram,,, Certified Mail Fee D- Extra Services&Fees(checkbox,add fee as approp ate) r� Extra Services&Fees(checkbox,add fee as approp ate) T ❑Return Receipt(hardcopy) $ r-I ❑Return Receipt(electronic) $ El Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ POStrt)8FP., � ❑Certified Mail Restricted Delivery $ �'N.,t 'lere O - (� ❑Adult Signature Required $ ❑Certified Mail Restricted Delivery $ 8-lere'�'` U []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ E3 ❑Adult Signature Restricted Delivery$ 1=3 Postage Q Postage I '.-0 $ r0 $ I r-q Total P--.--- m $ m $ores Pos j o Sent Andreas Pavlou QPRI Trust $ i ru Street George Pavlou _-__---- o [sent To James Stavrinos r'ar` 166-25 Powells Cove Boulevard ® treetani 1845 Central Drive ---------- r` Mattituck,NY 11952 city,` Beechhurst,NY 113 57 city srati o a M m Certified Ma] Certified Mail Fee I Fee N Extra Services&Fees(check box,add fee as appropriate) r` Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(hardcopy) $ ❑Return Receipt(hardcopy) $ r-q Return Receipt electronic $ '✓P tmark ❑ il(electronic) a,, r-I ❑ReturnReceipt(electronic) $ IY'_ O 3a ,. ❑Certified Mail Restricted Delivery $ O ❑Certified Mail Restricted Delivery $ ere ❑Adult Signature Required $ y� C:3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ ��-5 ED ❑Adult Signature Restricted Delivery$ ® Postage a Postage 11 $ 9 $ ra Total Post r-q Total P M $ m $ Raymond Olsen p Sent To Aglaia Tsontakis ® sent? PO Box 1588 Susan Calderbank p Sliest and Street 4 Eastwood Drive r. City, .... Mattituck,NY 11952 ------' r`�- C;.;-s Greenville, PA 16125 r� ru ra N r`- Certified Mail Fee Lr) $ Extra Services&Fees(check box,add fee as appropriate) _ ❑Return Receipt(hardcopy) $ a ❑Return Receipt(electronic) $ Postmark Q ❑Certified Mail Restricted Delivery $. ro Z� laerp, []Adult Signature Required $ -' ❑Adult Signature Restricted Delivery$ p Postage 0 $ Total P __. i-R r O Sent Ti --- Peter Frangiskou I ...._.-__. ® Slieel 130 Pleasant Street Haworth,NJ 07641 City,-Sti .- - SENTER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ 66mplete items 1,2,and 3. A.Signature i ■ Print your name and address on the reverse X 0 Agent so that we can return the card to you. El Addressee ■ Attach this card to the back of the mailpiece, B. Rec'ived by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No r James Stavrinos 1845 Central Drive 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MallTM Mattituck,NY 11952 ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted El-Certilled MaTD Delivery ❑Certified Mail Restricted Delivery ❑Signature Confirmation*M ❑Collect on Delivery ❑Signature Confirmation Delivery Restricted Delivery Restricted Delivery 7020 3160 0001 7575 1177 ail ,ail Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3. A. Sig;ature ■ Print your name and address on the reverse X 0 Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: p No dF Aglaia Tsontakis P�BOX 1588 3. Service Type El Priority Mail Expresso ❑Adult Signature ❑Registered MaiITM. Mattituck,NY 11952 ❑Adult Signature Restricted Delivery ❑Regisfered Mail Restricted ertffied WHO Delivery ❑Certified Mail Restricted Delivery ❑SignatuYe"ConfirmationrM ❑Collect on Delivery ❑Signeture Confirmation r` ' ;t on Delivery Restricted Delivery Restricted Delivery 7020 316 0 0001 7575 118 4 )d Mail Restricted Delivery' tover$500) a - PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt SENDER: COMPLETE THIS SECTIOA' 0.fAPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. rB.SR1'eceiv6d ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, y(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D.Is delivery address different from item 1? 17 Yes If YES,enter delivery address below: [p No Barry&Judith Barth i. Service Type ❑Priority Mail Expresso 2040 Central Drive J Adult Signature ❑Registered MaiITM Mattituck NY 11952 ]Adult Signature Restricted Delivery ❑Registered Mail Restricted 3-Certified MaH(D Delivery ]Certified Mail Restricted Delivery ❑Signature Confirmation*M t❑Collect on Delivery ❑Signature Confirmation P11—t—fr'—r ra.,.,,—4—ror,on -- ❑rnllert nn Delivery Restricted Delivery Restricted Delivery 7020 3160 0001 7 5 7 5 1146 ail Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic fleturn Receipt I. r Glenn Goldsmith, President �coffotq'�;'„� Town Hall Annex �� ' 54375 Route 25 A.Nicholas Krupski,Vice President Eric Sepenoski is C) P.O. Box 1179 Liz Gillooly e"p ® ;` Southold,NY 11971 Elizabeth Peeples ;���1 �,��� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of TENFORTY CENTRAL, LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DA Y OR LATER I Robert E. Herrinam , residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11%8 being duly sworn, depose and say: That on the loth day of z September , 2025 , I personally posted the property known as 1940 Central Drive, Southold: SCIM #1000-106-1-27 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date.of hearing noted thereon to be held Wednesday, September 17, 2025. Dated: September 17, 2025 (signature) Sworn to before me this 17th day of Sept 20 25 , klM .H, 'TEPHENS f �, Notary Publid=Staite.of New York No.01 ST5015031 �/� ...:. _: Qualified in Suffolk County Notary ublic My Commission Expires August 02,20 NOTIL 1.' OF H 'LAIIING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: TENFORTY CENTRAL, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to clear (including nine trees to be replaced 1 to 1), and re-grade area of property between the 50-foot and 100-foot top of bluff setbacks using approximately 227 cubic yards of earthen fill material sourced from proposed on- site construction located more than 100' from the top of bluff, to create a more level rear yard by raising (max. 4ft.) or lowering (max. 2ft.) existing grade elevations; construct at least 100ft. from bluff a two-story, 2,304sq.ft. single-family dwelling with a second-floor balcony, swimming pool with raised patio and outdoor kitchen area, and associated stoop and steps; install an I/A sanitary system; and to establish and perpetually maintain a 50-foot-wide non-disturbance buffer along the landward edge of the top crest of the bluff, and a 25-foot-wide non-turf buffer area between the 50-foot and 75-foot setbacks. Located: 1940 Central Drive, Mattituck. SCTM# 1000-116-1-27 TIME & DATE OF PUBLIC HEARING: Wednesday, September 17, 2025 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoIdtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1 , All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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 nig ficant 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- supportin 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# 116 - 1 - 27 PROJECT NAME Tenforty Central LLC 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: Clear(including nine trees to be replaced 1:1)and re-grade area of property between 50-foot and 100-foot top of bluff setbacks,using approximately 227 cy of earthen fill material sourced from proposed on-site construction located more than 100 feet from top of bluff, to create more level rear yard by raising(max.4 feet)or lowering(max.2 feet)existing grade elevations;construct,at least Ioo feet from bluff,a 2-story,2,304 sf single-family dwelling(serviced by I/A sanitary system located outside Chapter 275 jurisdicion)with attached 2nd floor balcony,swimming pool and raised patio with BBQ/sink(outdoor kitchen),and associated stoops and steps;and establish and perpetually maintain a 50-foot wide non-disturbance buffer landward of top of bluff,and a 25-foot wide non-turf buffer between the 50-foot and 75-foot bluff setbacks,all as depicted on the site plan prepared by Madigan Architects,last dated June 30, 2025. Location of action: 1940 Central Drive,Mattituck Site acreage: 1.35 Present land use: vacant-Residential 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: Tenforty Central LLC (b) Mailing address: c/o Italian Green Design 530 West 25th Street,New York,NY 10001 (c) Telephone number: Area Code 646-895-9430 (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 As designed,the project is consistent with Policy 3 to the extent that all proposed construction will occur at least 100 feet from the top of bluff,and a 50'wide non-disturbance buffer will be maintained between the top of bluff and the area of the property to be developed, thus maintaining an undisturbed visual buffer between the proposed development and Long Island Sound and adjacent beach. 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 See attached narrative addressing Policies 4,5,and 6. 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 See attached narrative addressing Policies 4,5,and 6. 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 LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR TENFORTY CENTRAL LLC 1940 CENTRAL AVENUE MATTITUCK, NY SCTM#1000-106-1-27 LWRP Policies 4, 5 & 6 The proposed development of the property has been designed to conform to the required 100-foot setback from the top of bluff set forth by Sections 280-116(A)(1) and 275-3(D)(1)(b) of the Town Code, as all structures and sanitary system components will be set back 100 or more feet from the top of bluff. And to mitigate potential impacts associated with the proposed construction, all proposed clearing and re-grading activities would occur no closer than 50 feet from the top of bluff, and the nine trees to be removed from inside the 100-foot setback will be replaced 1 for 1; a 50-foot wide non-disturbance buffer will be perpetually maintained adjacent to the top of bluff; an additional 25-foot wide non-turf buffer will be maintained between the 50-foot and 75-foot bluff setbacks; a low-nitrogen, I/A sanitary system will be located more than 250 feet from the top of bluff; a stormwater drainage system and dedicated pool drywell will be located more than 100 feet from the top of bluff; and a project limiting fence will be installed along the 50-foot bluff setback to control and contain site disturbance and potential runoff during construction. Thus, as designed with the incorporated mitigation, the project will minimize the potential for damage or loss from erosion; protect groundwater quality; and protect the quality and function of the surrounding ecosystem, including the adjacent bluff, beach, and tidal waters of Long Island Sound, consistent with the standards for issuance of a Town Wetlands Permit set forth in Section 275-12 of the Town Code and with the goals of Policies 4, 5 and 6 of the Local Waterfront Revitalization Program. See attached narrative addressing Policies 4,5,and 6. 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 ❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southoldf, .-.'ater-dependent uses and promote__,ng of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLECoastal Management Specialist DATE1uly 1,2025 Robert E. a ann Amended on 811105 EN-CONSULTANTS July 1, 2025 �>fi�--_.' `' fF Town of Southold LJ, Board of Trustees x J U L 2 2025 54375 Main Road Post Office Box 1179 Southold Town Southold,New York 11971 Board of Trustees Re: Tenforty Central LLC 1940 Central'Drive, Mattituck SCTM#1000-106-1-27 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. One(1)copy of Operating Agreement for Tenforty Central LLC. 2. 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. 3. Site plan prepared by Madigan Architects, last dated June 26,2025. 4. Survey prepared by Lenze land Surveying, last dated October 23,2024. 5. Two(2)sets of site photographs. 6. Application fee of$1,250.00. 1 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. SincereN robeREerrmann Coastal Management Specialist /khs Enc. V 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting