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Israel, Isaac & Stephanie
Glenn Goldsmith,President `& S®�/,� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®V� ®�® P.O. Box 1179 Eric Sepenoski J�[ Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples en �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES' TOWN OYSOUTHOLD September 15, 2025 Brooke Epperson AMP Architecture PO Box 152 Mattituck, NY 11952 RE: ISAAC & STEPHANIE ISRAEL 300 PRIVATE ROAD #4, LAUREL SCTM# 1000-127-8-17.4 Dear Ms. Epperson: The Southold Town Board of Trustees reviewed the site plan prepared by AMP Architecture, last dated June 11, 2025 and determined that the proposed construction of a detached garage and I/A OWTS system is out of the 100 foot Wetland jurisdictional area under Chapter 275 of the Town Wetland Code. Please be advised, however, that no.construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary, or within 100' landward from the edge of vegetated wetlands, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter` 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate.work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier,or hay bale berm. This determination is not a determination from any other agency. Sincerely, Glenn Goldsmith,.President Glenn Goldsmith,President o�p$�fFO(q�0 Town Hall Annex A.Nicholas Krupski,Vice President �� yam„ 54375 Route 25 Eric Sepenoski co = P.O.Box 1179 Liz Gillooly • 07 Southold,NY 11971 Elizabeth Peeples �L,h� apl Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NON-JURISDICTION INSPECTION DATE OF INSPECTION: 9/I L 4 INSPECTED BY: �.C�a�Asyh, th Ch. 275 Ch. 111 COMMENTS: P�oaOSW °10.C'ag� �S Q'^0T 'rhAn �00 � �tDr, w8;� 0,n.�5 W AGGl55ORY STiRUGTURE R€QUISO.ENTS LOT COVERAGE a SOUTHOLD TOWN GpD! 0-15 (B)(G) SOUTHOLD TOWN GOD! SF-,TNOM 280-4 280-124 m a o DESCRIPTION(FOOTPRINT) AREA ?W 3 PROPOSED COMPLIES €J =ate TOTAL LOT AREA 29,390 S.F. MAXIMUM HEIGHT 18' 1"7.45" YES EXISTING DWELLING 2,9T7 S.F. 10.1% a o a W MINIMUM SIDE YARD 10.0' 15.0' YES PROPOSED DETACHED GARAGE 1200 S.F. 4.1% ym a MINIMUM REAR YARD 10.0' 10.4' YES m 12 o oo.3- TOTAL AREA OF ALL STRUCTURES 4,I-M S.F. 14.2% o=z 5 E z o MAX.SQUARE FOOTAGE 1200 S.F. 1,200 5.F. YES o y MAXIMUM LOT COVERAGE ALLOWED: 20% =a a w O t LLO 01ETlEG W in T/ZONING DATA a o z 3 a�z� 2 W O:::a O 0- Q V TAX MAP# 1000-121-8-1-1.4 Ho 0.0 N O ZONING DISTRICT R-40 NO am W o d Q It 0 LOT AREA h-T ACRES N W CofO -ONE FAMILY DWELLING #ZIb05 ;2/24/1964 U _ a o oo��F WETLANDS DISTRICT NON-JURISDICTION y w§c o ca a z it 532°22'30°E p I DEC DISTRICT PENDING 0 N �� EL.=9.1' --I _--_ SUFFOLK COUNTY HD APPROVAL R-25-0926 4 o'o a coi _ BEDROOMS 210.43 — EL.=9.5'� REAR YARD - 15.0' ----- /' EL.=9.0' O PROPOSED) EL -a 2 I z 10' ACCESSORY I PROP. GRAVEL W -� DETACHED DRIVEWAY YARD SETBACK I GARAGE I p V � oI � mQ< (D m + ----- 2.4' Ln L� REAR LINE OF � --------- ------(E T) i � --- -- � � DWELLING �-�� f- EXISTING SINGLE =8.6 25' JjfN 2 Q .(D FAMILY DWELLING SECOND RY 2025 Q., Q EX. F.F. II.B FRONT PROP. EX. ATTACHED i YARD Southold To DRYWELL I I GARAGE F.L. 10.5 � SETBAG ofT Boa►ti wn Q (TYP.) �� EL.=9!O' J rustees - Zzi I EXIST. WATERLINE � --------------------------- Q -- --------- _—-—- 15' 51DE YARD —- z SETBACK I - _ �� —-R-` EXISTING EARTH AND O I N —- c WETLA_Np5- STONE DRIVEWAY H � 40 PRIMARY --- SETBACK RIGHT OF WA1'., J V FRONT YARD 0 : G ,�' EL.-8.3' (ACCESS ROAD _ _ __ ------- SETBACK �Q N a z ----- ---------—- m �0 -—- z�.--_- =—-— N z F w m I P,NDS �ryry EXIST. V g'co OVERHEAD o M z L�� / \ WIRE5 PROPOSED I/A N32 22 30 W PRIMARY FRONT 150.00' --- / �1 o OATS RIGHT OF WAY YARD EL.=-l.2 / (ACCESS ROAD) EXISTING EARTH AND --------------- -—- STONE DRIVEWAY — �_ - cli IRS {�� ®3 7 f4C�J, � c PROPOSED 51 TE PLAN SCALE: I" = 3O'-O" a o a SURVEY OF PROPERTY SITUA TE LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX; No. 1000- 127-08- 17.4 SCALE 1 "=30' VPGA�� JULYO 29 02023� LOCOATE WETLANDS MAY 16, 2024 ADD UTILITIES AND SPOT ELEVATIONS AREA = 29,390 sq. ft. 0.675 cc. CERTIFIED TO: ISAAC ISRAEL STEPHANIE ISRAEL \ "d SARAH L. LiATHAM THE JUDICIAL TITLE INSURANCE AGENCY LLC FIDELITY NATIONAL TITLE INSURANCE COMPANY • ZZ E i�� rya• �'��, A�� �e- COTES; E'S gyACA u' �yOry `1�le- 1. ELE EX SOTIJ G ER EVATIONSNARE SHOWN WN TO .THUS:9�88 DATUM F.FL.— FIIRST FLOOR G.FL.— CAME FLOOR �iY►'1� \ c �a 3. THERE ARE WITHIN C150�'TOF SUBJECTWPROP PRLS OPERTY TARE CONNECTED)TO PROPERTY. a , _TEST HOLE DATA y (TEST HOLE DUG SY McDONALD GEOSCIENCE ON FEBRUARY 75, 2024 AT 10OPM) \ ` EL_9.0 \\ BROWN SANDY LOAM OL BROWN CLAYEY SAID SC 0 ! w BROWN t PALE BROWN FINE SAID SP " '';, �• `���� GROUNDWATER er � � •'pay ���.. WA RROOWWN I& PALE BROWN FINE SAND SP •.' TEST HOLff k / o 100, le, ON V. •4 / 19 qR ,'a ♦�"� / �i^ .A '7r� p / 4A ASO O.• \ • +' • a , • .., ,b ••: s+• .r•• .. ^ •J�• .\ fir'. � `L 'L�•:`•':i . : ' ' T w .e :a:.Wu.:A::{...r.4.•:.9 tI o 0a;:::::,.::.d • •{ : : RIGH :S :. •:♦ d t�• ::: :. :�:"� ''`` .,, c• (,,� Wig•, �d':... ..4.• '.'•'.• .......• • �. '. �. J' ••rig.'�::�:.. f•0 f.: ; "".` �• •'STONE ORN1;M►.. .... :•: :•:% � ,r,. •••..�. 4. ' . 'S 5 00 �Gd �.� ��- •-.• '��_....•r. '::_ •:L :::::a. :�r�:•,•;�.:: ��• •'•� ✓' 9�ry NON o,� p �''•� .ergq�,, ?� �:�`,•:�:::.�".•'� y `!'crn� ,� �•�. ii `'off Os ' : : ." ✓0 •''�...�.:::.••:.:::•:. .... �� by 010 ....., .. ��d •sue y,�, 19 NV PREPARED IN ACCORDANCE WITH THE MINIMUM ,,.,,. • ,~•,. O STANDARDS FOR TITLE SU AS ESTABLISHED RyEy$ BY THE LI.A.LS. AND PA A O ry" • �...`.! l V FOR SUCH USE NY�k IF �TITLE ASSOCUTIO \ ^, • `i � • .�2tPAI •• •S rrr��•4AND c���''�,�', • s�dd4813,•� ''•:�: •�: O N.Y.S. Lic. No. 50467 :• " Nathan Taft Corwin III UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION of SECTION 7209 OF THE NEW YORK STATE Land Surveyor EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. Successor To: Stanley J. Isaksen, Jr. L.S. CERTIFICATIONS INDICATED HEREON SHALL RUN Joseph A. Ingegno L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys — Subdivisions — Site Plans — Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 FOX (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAKING ADDRESS 1586 Main Road P.O. Box 16 THE EXISTENCE OF RIGHT OF WAYS James port, New York 11947 James port, New York 11947 AND. N EASEMENTS OF RECORD, IF P P ANY, NOT SHOWN ARE NOT GUARANTEED. wtcn T ux \ n.Kn 1 wa rci.no c..o�4 xzxo �.nsm.,as ♦ ,noE.m.� �w y• 1 4,« 4 O , s 2.1 odxsgo15 ? K� • ,9 \ �� `► ✓, \\Ith v, oIpc6l UkE 1� �\ _ i � • 4,0 0� E COUNTY OF SUFFOLK© =1 E K w ucr.a. >oeo CiiCN n< p er___ __ •`"�•-101°d—_ __ �,,,.� ______ .x..ti u1 heal Property"1'az Serv-Agency xteiA�� '" >warrµ �atEp M 127 p vas__.__ ——_..._— •r —__— ...�..1. ktl r,....; .. v o l AMP Architecture Address:102b0 Main Road,Unit 3A,Mattituck NY 11952 Phone:(631)603-9092 Design + Build June 11, 2025 Southold Town Trustees , E C& E 8 V E 54375 Main Road l , Southold, N.Y.11971 JUN 1 2 2025 ; RE: Israel Residence 300 Private Road #4 Southold Town La u re I, N.Y.11948 Board of Trustees SCTM #1000-127-08-17.4 Non-Jurisdiction Application Dear Board Members, Enclosed please find a Site Plan showing proposed work at the above-mentioned property.The property owners wish to construct a new detached garage as well as an Innovative/Alternative Onsite Wastewater Treatment system to replace the existing traditional septic system at the property. Both proposed structures are landward of the 100' setback from Wetlands. Thank you, Brooke Epperson AMP Architecture bepperson@amparchitect.com (631) 603-9092 Page 1 of 1 Board of Trustees Application AFFIDAVIT Isaac and Stephanie Israel BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 'qS1" ture of Property Owner Signature of perty Owner SWORN TO BEFORE ME THIS DAY OF -c VrV— ;20 f5 ry Publiic — DARCEE AUFENANGER NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIA00019644 Qualified in Suffolk County Commission Expires January 9,2028 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) Isaac and Stephanie Israel I/We, owners of the property identified as SCTM# 1000- 127-08-17.4 in the town of Laurel New York,hereby authorizes AMP Architecture to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. 2 Property Owner's Signature PropX1s Signature SWORN TO BEFORE ME THIS DAY OF -5U ,20- 26D uez ary Public DARCEE AUFENANGER NOTARY PUBLIC,STATE OF NEW YORK Registration No. 01A00019644 Qualified in Suffolk County Commission Expires January 9, 2028 APPLICANT/OWNER 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• Isaac and Stephanie Israel .(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit X 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) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted t s day of e. ,20 Z Signatur Print Name APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The'Town-of Southold's Code'of tt—hicsiarobibiis conhicts o)$terest on tiie path or-i6Wri,2iffrcets'aitd ertipiovees.The•putnose of` isfonn-is"to: ve information which can aleit'the_fown of_poss�bltoitl�ets'ofilntetarrd allow rttoake whateveracttonis n -to avdid same. `- YOUR NAME: `rE�X-0- (Last name,first name,ipilldle initial,unless you are applyingiiivthe 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 persooall (ot through your company,.,Vouse',sibling,parent,urch ld)Nava a rplatii tiship•with atty'dfHccr.or emptoy..cie of the To►vn;of Southold? "Relationship"includes by blood,tnarri�ge,orisfisrttess`intrest"Husuiess lnterest't means a biumess; including a partttershipjn which the town offi,o-r employee has,evert a`p;irtlal ownersbip of(or employmeti--by)a.coiporadoa in which the town.otlieer,o%employee OWns more than M 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., Desen`lze'-the_relationship between•yrouiself(the applicant/agept/representative)and the town officer or employee.Either check the appropriate line A)thrbugh.D)ancUor describe':m ttie 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 greaterDian S%of 6shares of the corporate stock of the applicant _ (whenthe applicant is=a corporation}; B}the1Ji; 1 ar nefiotal'.o�vner of MY mtmst,in`a,.nan-corporate entity(when the appltcant isaot a cerp4ratioa�; _=C)an,otficer,diiector,partner,orernploy ae ee ofapplicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day f Q 2025 Signature Print Name Form TS ]