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HomeMy WebLinkAboutTR-9092 �Ty Michael J.Domino, President ��ZF solTown Hall Annex � hn M. Bredemeyer III,Vice-President h0 Q 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski • Q Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �y00UPlT'I,N� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1/A /l, '✓ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed X Project complete, compliance inspection. INSPECTED BY: Nf VOLP, COMMENTS: cg E ��a�s' ycce,v-d 96 6, dotc� Gk -fid r-- .,j uP CERTIFICATE OF COMPLIANCE: Michael J.Domino,President ��QF SOUry� Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President O h O P.O.Box 1179 Glenn Goldsmith J�iI Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 cOUM('1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1568C Date: April 13, 2019 THIS CERTIFIES that,partial demolition of a 560 sqft area of existing dwelling and 264sa.ft.front entry stair;construct new two-story addition and screened porch onto remainder of existing dwelling for a total 1,871sa.ft. footprint;install a new 275sq_ft front entry with stairs;install new 43 linear foot at 4' high retaining walls at front entry install an additional 136 ft of decking onto seaward side of dwelling;install a new well; install a new sanitary system landward of dwelling;remove portion of existing driveway and install 743sa.ft. of new gravel driveway with parking area;reconfigure existing pool terrace by removing 1 469sa ft of existing and installing new for a 2 150sq-ft terrace footprint around existing pool,•remove existing fence and install new 48"high pool enclosure fencing with double gates in new location on the east side of the property relocate proposed fencing at screen porch-,and to construct a 4'x4' concrete slab on-grade at east side of property; removal of 8 trees,and install gutters to leaders to drywells to contain roof runoff,and in accordance with Chapter 236 of the Town Code- Stormwater Management: At 9202 Bridge Lane,Cutchog_ue Suffolk County Tax Map#1000-73.-2-3.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 10,2017 pursuant to which Trustees Wetland Permit#9092 Dated September 20,2017,was issued and Amended on March 20,2019 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for partial demolition of a 560sq ft area of existing dwelling and 264sq ft front entry stair;construct new two-story addition and screened porch onto remainder of existing dwelling for a total 1,871 sq ft footprint• install a new 275sq ft front entry with stairs-,install new 43 linear foot at 4'high retaining walls at front entry, install an additional 136sq_ft of decking onto seaward side of dwelling; install a new well,•install a new sanitary system landward of dwelling-,remove portion of existing driveway and install 743sa.ft. of new gravel driveway with parking area;reconfigure existing pool terrace by removing 1 469sa.ft.of existing and installing new for a 2 150sq_ft terrace footprint around existing pool,•remove existing fence and install new 48" high pool enclosure fencing with double gates in new location on the east side of the property relocate proposed fencing at screen porch,• and to construct a 4'x4' concrete slab on-Dade at east side of property; removal of 8 trees; and install gutters to leaders to drywells to contain roof runoff,and in accordance with Chapter 236 of the Town Code-Stormwater Management. The certificate is issued to Patrick&Diane Severson owners of the aforesaid property. -)'-n�j Lnu-- ro Authorized Signature Michael J.Domino,President 0f SOUIyo Town Hall Annex John M.Bredemeyer III,Vice-President �O l0 54375 Route-25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • �Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 � Fax BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 Attn: Nancy Steelman, R.A. RE: PATRICK & DIANE SEVERSON 9202 BRIDGE LANE, CUTCHOGUE SCTM#: 1000-73-2-3.1 Dear Ms. Steelman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 20, 2019: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9092 to remove existing fence and install new 48" high pool enclosure fencing,with double gates in new location on the east side of the property; relocate proposed fencing at screen porch; and to construct a 4'x4' concrete slab on-grade at east side of property; and as depicted on the site plan prepared by Samuels & Steelman Architects revised February 5, 2019 and stamped approved on March 20, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJ D/dd REVISIONS - 2/5/19 PERCENTAGE OF DEMOLITION FENCEEAST FENCE AT ENTRY 0SITE DATA ,egg 5 2.7 S FLOOR EXISTING TO REMAIN DEMOLITION PERCENTAGE CONCRETE SLAB BASEMENT: 0113 sf 353 sf 560 sf 61.54% SCTM # 1000-73-2-3.1 S� 61 � �� EIR5T: 06 sf 555 sf 555 sf 61.04% Ro SEGoND: 524 sf 555 of 4-71 sf 5-7.16% PROPERTY: 9202 Bridge Ln \F` TOTAL: 2,645 sf 1,0561 sf 1,554 sf 561.613% ADDRESS Cutchogue New York 11935 SER / 6 OWNER: Patrick M Severson, Diane S Severson VAP / XISTING t Churchill Downs \AO' XISTING78746-1109 Dr / BULKHEAD / s ';a LOT COVERAGE TABLE Austin, TX 787 6-109 1,0ENS BEACH / / tib '612 22 SITE ARF-A TOTAL.: ��,�� 7 5f SITE. 59,977.49 sq. ft. = 1.377 Acres 226 a _. ZONING: R-80 STRUCTURES EXISTING PERCENTAGE PROPOSED PERCENTAGE` o 361 6113 sf 1.52% LU LOT COVERAGE: Existing 6.69 /o 1815 sf 3.03% Proposed 8.5 % RESIDENCE: -55AOE GO\/ RED TERRACE/ DECKS: 51 sf 0.08% 365 sf 0.61% 20% Max. Allowable z • 6 / 612 EXT. RAISED DECKS/STAIRS: 546 sf 0.55% 546 sf 0.58% FEB - 2 ' E 69��` XF5TING �' / maxis i /i i ii i i i i / / as PERCENTAGE o I N / BULKHEAD / .:. / / / / / / / / / OF DEMOLITION: 59.93/o / / / / "baa EXT. ON GRADE TERRACE/DECKS: 1,6187 sf 3.31% 1,861 sf 3.10% 1 50 SWIMMING POOL: 118 sf 1.20% -115 sf 1.12% TOTAL: 4,015 s 6.661% 5103 sf 5.5% SURVEYOR: Nathan Taft Corwin III -- P.O. Box 1931 z LU 661 322 Roanoke Avenue 6/ T•e.'s 2 / / / / / / / / / // / / / / / i i / i '�/ 6 661 o 49273 York 11901-0965 License # P OF Dated: September 27, 2016BLUFF Q 'Aa ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM Q Uj'ago Lj, / / / / / / // i i i / % % / j j % �j /� oASTAL EROSION HAZARD W z / / / / / // / / / / / / j / / / / LINE AS SCALED FROM COASTAL EROSION HAZARD C IA A4 T 1 %0) 1' M A 0 AREA MAP PHOTO No. .. , \: 58-54q-83 SHEET 5 OF 461 .` M��\��� owl3ED A(0) / / // 1� �, o XIST STAIRS TO a / / / / / / / / / / / / / / l' �..\ _ / / BE REMOVED ISLAND Al a a XISTING RESIDENCE \\; \\,SdUND \\\\,\,. Aro -FrXiS INC / TOP OF �. ;., ::. BLUFF '/ \\ \\ PROJECT Q u' �� TO BE REMOVED \ SITE \ 52 AIRS / �� 1,\N rn \\�..;\\\:; .;:. / .,� 561 X NEW 48" FENCE W/DOUBLE GATES. \�"`\ \\ W Uj 6 ba 6 // /� XISTING g'C��'�g REMovEcK G0� e'Q/ Uj 6 / /� // BEACH o f EXIST. `A ;;s%i;%;% % `` b'� O�� 10 / j / STAIRS G EXIST STO TSS NEW `t / `~ OCG / / RETAINING I N �.LS b r� EOK�, ,i:moi i� �` yi—�` iiii�iii// �6 j x+ ",r EXISTIN NEW ADDITION �a NEA MCK . 4 RE5IDENCE STAIRS otd TO REMAIN ,"� ` REMOVE _-7-7 . O J* EXIST. ��� CO�• ��LOp` / 1 BLUFF , ��_ .� V TOP OF S� �� r FIRST FIN F 4R ELEY N/0/F REMOVE ` �, ' _ Wt. r `� � �Q'Qp-� MALEKAN MANOUCHEHR fag / T EXIST. 'gC/O • i��, f;% BR6EMEN T8 LfZ ELEV r '10 { .(� mss. W~z -p ,\o,�!`' + 4.4 \yA EXIST. RAG ?+ 1 REMOVE 1=XI5T.5TONE' `� /. , NEW p 1 PAVERS, 4 ON CONC.BLAB GRAVEL lo4 41- NEA:..,.``::. DRIVEWAY ST i EXISTING POOL08 z 1 - i TES 1 DfiN LR�� 1 1 I is 2 LOCAFTIION Q• q S HED'TO RE°�MAIN ,/ � O _J 1 � LF Uj ` �fi Fxisr ��yt ,/� p NEW r-rs+ NEW ANITARY l9 T OF W• L o l,� •' PARKING SYS M / 1g6 E RIGYT " yJ LO 0 AREA i.-,z �20� WID APPROVED BY W EXPO , BOARD OF I RUSTEES a ~' c, / 1 i TOWN OF SOUTHOLD N' DATE rk 20 Z0�9 PROPOSED NEW WELL - WELL DEPTH - TOP OF THE L ' SCREEN TO BE INSTALLS MORE THAN 40 FEET BELOWAl 1-0 q THE WATER TABLE. (NOT IN HEDGE CONTRACT) zi/ 3 D� ' , N/0/F \ �s, DONNA L WEXLER A• PROJE -NO: / 1611 DRAWN BY: UT N/0/F d�+s� N & L PROPERTIES, LP CHECKED BY: NS DATE: �. REVISED 2/6/17 \ SCALE: 1" = 20' 0" tea'- SCALE: 1 " = 20'-0" SHEET TITLE: 0_ IT P SITE LAN 06 SHEET NO: Off' �' TRUSTEES AMENDMENT Michael J. Domino,Presi ✓,. O�QS�FFC7��-`►O L Town Hall Annex John M. Brederneyer 111,Vice-f-resident may` GAJ, 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams � �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES l TOWN OF SOUTHOLD Date/Time: �/ Completed infield by: d Samuels & Steelman Architects on behalf of PATRICK & DIANE SEVERSON requests an Administrative Amendment to Wetland Permit #9092 to remove existing fence and install new 48" high pool enclosure fencing with double gates in new location on the east side of the property; relocate proposed fencing at screen porch; and to construct a 4'x4' concrete slab on-grade at east side of property. Located: 9202 Bridge Lane, Cutchogue. SCTM# 1000-73-2-3.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: ,100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: SSD�e Mole I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith ZN. Krupski G. Williams Other f - i f DiSalvo, Diane From: Nancy Steelman <Nancy@samuelsandsteelman.com> Sent: Wednesday,January 30, 2019 3:53 PM To: DiSalvo, Diane Subject: Severson Amendment Attachments: Site Plan Amendment Model (1).pdf Diane, The height of the fences that are shown on our Site Plan Amendment are 48"to meet the pool enclosure code. The concrete slab is 4'x4'. I have attached a partial pdf showing the location of the concrete slab. Get back to me if you have any questions. Nancy Nancy Steelman,RA Samuels&Steelman Architects 1 25235 Main Road, Cutchogue NY 11935 Samuels & Steelman (631) 734 6405 Architects Fax (631) 734 6407 TMM*AVM I IAM. TO: Board of Trustees From NarwyStednwn Addrew: Town of Southold Date: Fdxuarjf 6,2019 Annex-NWn Road cc: Smitholdv NY 11971 Re: Severson Reskkwice Uklent x fir' S EPkme Re* Description: 2 Revised Site Plans SP-1 with concrete pad and fence relocations® E F77 F IL Soul,,Id Tvm Board of jrvsi-rs_ S A M U E L S & S T E E L M A N January 7, 2019 Board of Trustees Town of Southold PO Box 1179 Southold, NY 11971-0959 RE: SEVERSON RESIDENCE 9202 Bridge Lane, Cutchogue, NY 11935 SCTM# 1000-73-2-3.1 Wetlands Permit #9092 Dear Board of Trustees: We are requesting an AMENDMENT to the WETLANDS PERMIT for the above referenced project for the following changes: 1. Removal of an existing fence and construction of a new pool enclosure fence with double gates in a new location on the east side of the property. 2. Relocation of a proposed fence at screen porch. 3. New concrete slab on grade at east side of property. We have attached 4 revised Site Plans and a check for $50. Please get back to us with any questions or concerns. Sincerel , S ris and St a man Architects ancy S lman, R.A. Enclosur s ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 �pE UTy Michael J. Domino, President S® Town Hall Annex�O� ®�® John M. Bredemeyer III,Vice-President 54375 Route 25 jW P.O. Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith �� ® �Q Telephone (631) 765-1892 A. Nicholas Krupski �'00 14 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed - - -- - - -- --:- ------ n-------- - --- ----- - - -- -- Project complete, compliance inspection B()ARD OF SOUTHOLD TOWNICRUSTEESo 4W, SOUTHOLD, NEW YORK g PERMIT NO. 9092 DATE: SEPTEMBER 20, 2017 ISSUED TO: PATRICK& DIANE SEVERSON PROPERTY ADDRESS: 9202 BRIDGE LANE, CUTCHOGUE SCTM# 1000-73-2-3.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 20, 2017, and in consideration of application fee in the sum of$250.00 paid by Patrick& Diane Severson and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and I 9 permits the following: wetiand Permit to partially demolish a 560sq.ft.area of existing dwelling and 264sq.ft. front entry stair; -story addition and screened porch onto remainder of existing dwelling for a total construct new two 1,871sq.ft. footprint; install a new 275sq.ft.front entry with stairs; install new 43 linear foot at 4' high retaining walls at front entry; install an additional 136sq.ft.of decking onto seaward side of dwelling; install a new well; install a new sanitary system landward of dwelling; remove portion of existing driveway and install 743sq.ft.of new gravel driveway with parking area; reconfigure existing pool terrace by removing 1,469sq.ft.of existing and installing new for a 2,150sq.ft.terrace footprint around existing pool; reconfigure existing pool fence for a total of 323 linear feet of fencing; removal of 8 trees; 6 of and install gutters to leaders to drywells to contain roof runoff,and in accordance with Chapter 23 the Town Code-Stormwater Management; and as depicted on the site plan prepared by Samuels& IF Steelman Architects,dated August 10,2017,and stamped approved on September 20,2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Sea]to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Char s J. Sanders C4 'OVW�""V_ Z AW�' �:"Y' ,I TERMS AND CONDITIONS Tr P "� Patrick& Diane Severson residing at 9 2 ane T Cutchogue, New T is eii�iiuce g 2d Br1��,., Larne, York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or'indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President "�'rjf SU(/ji�® Town Hall Annex John M.Bredemeyer III,Vice-President h� 0. 0 54375 Route 25 P.O.Box 1179 Charles J. Sanders Southold,New York 11971 CA Glenn Goldsmith ® Telephone(631) 765-1892 A.Nicholas Kru ski a Fax(631) 765-6641 p Fax BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 20, 2017 Nancy Steelman Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: PATRICK & DIANE SEVERSON 9202 BRIDGE LANE, CUTCHOGUE SCTM# 1000-73-2-3.1 Dear Ms. Steelman: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 20, 2016 regarding the above matter: WHEREAS, Samuels & Steelman Architects, on behalf of PATRICK & DIANE SEVERSON applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 10, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: plans show construction of house landward of Coastal Erosion Hazard Area, and proposed structures are mainly within the existing footprint; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 20, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of PATRICK & DIANE SEVERSON to partially demolish a 560sq.ft. area of existing dwelling and 264sq.ft. front entry stair; construct new two-story addition and screened porch onto remainder of existing dwelling for a total 1,871sq.ft. footprint; install a new 275sq.ft. front entry with stairs; install new 43 linear foot at 4' high retaining walls at front entry; install an additional 136sq.ft. of decking onto seaward side of dwelling; install a new well; install a new sanitary system landward of dwelling; remove portion of existing driveway and install 743sq.ft. of new gravel driveway with parking area; reconfigure existing pool terrace by removing 1,469sq.ft. of existing and installing new for a 2,150sq.ft. terrace footprint around existing pool; reconfigure existing pool fence for a total of 323 linear feet of fencing; removal of 8 trees; and install gutters to leaders to drywelis to contain roof runoff,-and_in-ac-coidance with-Ch-apter_236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by Samuels & Steelman Architects, dated August 10, 2017, and stamped approved on September 20, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, p 6r Michael J. Domino President, Board of Trustees MJD/dd e Michael J. Domino, President , � ~'' -{ ftti gOFFO(��o Town Hall Annex John M. Bredemeyer, III, Vice-President , �o ay,.j 54375 Route 25 Charles J. Sanders 90 V P.O. Box 1179 Glenn Goldsmith 4 Southold, NY 11971 A. Nicholas Krupski �' y • �' Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PAMCK-9014#6-swa ( 40 SA&U-5G -STM-AM Please be advised that your application dated A06O6T )dc 2-01-7 has been reviewed by this Board at the regular meeting of SgPrf, "1.7 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/ Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees($3.00 per sq. ft.) 30- Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: . l� TOTAL FEES DUE: $ "�• pp3•� BY: Michael J. Domino, President Board of Trustees egg• S t.Z 0 2017 De tc / — IroJ. 11\01 w j — ell 56'.i i;l'i�10'7111 0 1� G Qom ' '`'`'Tr"- �s SURVEY OF PROPERTY ANG j / rE�� — .B.� SITUATED AT CUTCHOGUE / BB�'Z 1.7 TOWN OF SOUTHOLD / _ SUFFOLK COUNTY, NEW YORK N 6g 1 — — — w�D S.C. TAX No. 1000-73-02-3. 1 — B B QOOK SCALE 1 "=20' AUGUST 5, 2003 APRIL 4, 2006 ADDED BLUFF TERRACING MAY 18, 2006 REVISED PLANTING DETAIL JUNE 26, 2006 ADDED CROSS SECTION OF THE BLUFF ° SEPTEMBER 27, 2016 ADD CZM LINE B.B JUNE 12, 2017 UPDATE TOPO. ti sr'WED FR°M AREA = 59,977.49 sq. ft. Ttse `,NE "ow A9 (TO TIE LINE) 1.377 ac. iRE 5 OF �� '' / / Jaz /9° COAS(p�EERO;S\ CER SNEE CERTIFIED T0: bopso No• WILLIAM R. HOWELL �L 1'Nc1 MARGARET S. HOWELL / X st.;©�°'� // NOTES: 1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM ry,�o4 "C' EXISTING ELEVATIONS ARE SHOWN THUS:xao.o EXISTING CONTOUR LINES ARE SHOWN THUS: 40 79.4 x 8F.FL. - FIRST FLOOR G.FL. - GARAGE FLOOR y ` �QGF o " • T.B. - TOP OF BULKHEAD •OHO' / �p� a�' FY ' '' B.B. - BOTTOM OF BULKHEAD 00 0 T.W. - TOP OF WALL �O G� x'(v' D� \ e 2� �Q�" 1ko`O' `o B.W. - BOTTOM OF WALL \ �6 ° x \ w —78 cb�G BELGIAN BLOCK x 81.6 °j �� '/ 'VZ &i' CURB / Y�} x 80.9 J; li��t�P y 9 ��ry� � ' �U r� y . �.• N 49 ";,"�'t` �° / \ ' `✓ / X2..4 \ <O� GE p m. i. ti • M2 � 19? Sic. a �� \ 0 \ \ 100 h' 7.7' ev o S XB&,2 F3' \ 0rO CQ e?,k (n% . ' t q fl 4 e :• '• • / 84X ti\� �aG� T �2ROOF °OD 16 tO' (R ���k d 4^' a �C 17"bJ° 'FE \ o k0 �E� `�1��70 :...�., p DECK Gro'Q 3 • : . '¢X tik \\ ry G� � �'� :.':r. WOOD t.CJr" °� °°: ie 4. o e \ \ e Iyl� 89.9 '•::::. B,`7.1� G FOOD DECK B.C.J�" . d �'t e a G Nk�~ �6 . .�';r Nt DR m IVEI�AY 'A +0 BLZ \ \ bF r�� WAe1t: `Xs4 o •e' 'e 74.3 . O 82.g �� 4. d.•e ' '-A , .'a a• . X 14 jo s I' .4.' •: •• q•'A' XBZ$ \ \ H.0 ZZ1 AB.11k4C y d . •V U p � .�- 85.5 � I INGROUND P001 !•�� � � C T. a6 X2.3 F. xBJ.1 ¢ �tg p.10 a. `p��cr / \� "�j �>•i �',O moo. 1' � 'a • .d bo bio I '� �y'a �. ;CL SI4TE PATIO \�. 6 ± G e •A NO • I — —sON°�0°N� 4 GX2 STON �OOO n�pJ BW Y' ° "\ 4a. '?blo, .m - •O`o BARBECUE $ G J \ �Q• I / PC Ifes y y / X 81.6 .01 75.2 G'F / � 4. B' �Q0 �' •a�" �/0 • \ 15 Oto.T"� 13 0/ � 73.2 � / / oV / 2 17�.7.� Q���, �d e 4 e ''•�Q- 12•Otoof \ 5 Oto•�� / / / / a• w 01 7s.s :... l�ro`O 04 G ��ro`O �,grotO ,� 75.1 20 1� ' ."•:.,.: 11,'OtO.'�� :�' '•, •: 76.9 � / i •� EDGE / r N N. ` / ' / N�O�RTIES' L & L tis s iBROK� CA e • 4 . 4; •'atl \ PREPARED STANDARDS IFOR ACCORDANCE SURVEYS AS ESTABLISHED �^f BY THE L.IA.L.S. AND APPROVED AND ADOPTED a FOR SUCH USE BY THE NEW YORK STATE LAND N. o ` �9 �0 \ `�� .fes• c°G N.Y.S. Lic. No. 50467 UNAUTHORIZED THIS RVEY IIIALTERATION ATIONO ADDITION Nathan Taft Corwin III A Fla SECTION 7209 OF THE NEW YORK STATE f(V� GONG EDUCATION LAW. Land S u r ve yo r COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Y TO BE A VIWD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE O TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS O AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 25-429D 5o Is, PERCENTAGE OF DEMOLITION SITE DATA 50 �.�I �R• FLOOR EX I STING TO REMAIN DEMOLITION PERCENTAGE SCTM # 1000-73-2-3.1 / �� BASEMENT: C115 9f 553 sf 560 sf 61.34% FIRST: q06 sf 555 sf 555 sf 61.04% PROPERTY: 9202 Bridge Ln SECOND: 524 sf 355 sf ADDRESS Cutchogue New York 11935 4�1 sf 51.16% SER / 6 TOTAL: 2,645 sf 1,05ci sf 1,584 sf 5Cf A5% OWNER: Patrick M Severson, Diane S Severson P / rEXISTIN& 4306 Churchill Downs Dr East �\\GN X15TING / BULKHEAD a/ B 'ZAustin TX 78746-1109 BEACH / / 16 ' 15 LOT COVERAGE TABLE SITE: 59,977.49 sq. ft. = 1.377 Acres ON / Zo SITE AREA TOTAL: 5� 0177 sf ZONING: R-80 a \� / '� / / / / / / 2 3° / / / / / / / / / / � 32 LOT COVERAGE: Existing 6.69 ;3x36 5TRUGTURES EXI5TING PERCENTAGE PROPOSED PERGENTA6E Proposed 8.5 % n] Lul >- 38x0 ° AUG RESIDENCE: X13 sf 1.52% 1,815 sf 5.05% 20/° Max. Allowable 1 0 �l7 Z a6 363 sf 0.61/o o so,tnc d t,,v, g'��3 XIBTING / / 15` / / / / / / a2aa CO\/ERED TERRACE/ DECKS: 51 sf 0.08% PF CENTAGE 6 ` / / / / / �' / / O DEMOLITION: 59.93/° N BULKHEAD / .`_; / / / / / / / / // / a$ EXT. RAISED DECKS/STA I R5: 346 of 0.55% 346 sf 0.58go Ear .,{ r 50 v, 5$ EXT. ON &RADE TERRACE/DEGK5: 1,C18-7 sf 5.51% 1,861 sf 5.10% a SURVEYOR: Nathan Taft Corwin III a SWIMMING POOL: "718 sf 1.20% X18 sf 1.12% 5 6° P.O. Box 1931 62 TOTAL. 4,015 sf 6.6Cf% 5,105 sf 5.5% 322 Roanoke Avenue / B 8' 66 Riverhead, New York 11901-0965 6 10 P OF License # 49273 1Z & TODated: September 27 2016 0 ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM OA5TAL EROSION HAZARD W LINE A5 SCALED FROM / / / / / / / / / �' / COASTAL EROSION HAZARD LOCAINON MAP` 2g� / / // / / / / / / / / / -� / / / // /i j / / i AREA MAP PHOTO No. 3 / / / / / / / / / / 58-549-83 SHEET 5 OF 49 ': ` -X \ \ \ \ a° / / / / / / / / i / / / /// // , � �, o _,,EXIST STAIRS TO 0 \\\\\\\\\\\ / / / �s` BE REMOVED A,6 / / TOP OF XISTING RESIDENCE \ SOl.1ND as / / .i / / / / / / / // / lr \� \�,.\'���\..� . PROJECT Q tl, NI ;. BLUFF � �, / � CO � TO BE REMOVED \ �\\ \ ;� \ \ \� � SITE LLJ ° Uj 0 X 15TI V \ � EXIST1N�r'�;: �. ... � e 6 66 / / / / BEACH ���� 6� REMOVE 'Q/4% >W O 1 j / // = STAIRS IST 5To X s ,� , Oc ti � ♦ ° RETAINING F . / -78 N,q� tc LuV X16 //�% / WALLS XISTIN ` --_ , , s' NEW / W DECK TO REMAIN NEW AD1r�ITION ` S \ \ STAIRS Ott F � V /b�oe( ' \` EXIST. � COQ, O TOP OF S ;`;"J ' ;; f �~ TRS 5 BLUFF \ ' R O ( \ �' 8 R\ ;;X -', I=IRST PIN �R ELEVQ.0 MALEKAN MANOUCHEHR / X EXIST. / / REMOVE EXIST.--, ;s ;�'sd/ .� +88 QQ` Y O RETAINING 5 BASEMENT 5LP5 ELEV03 AD \ \ �' / ' x • TREES E3 wet prvm7. 0,rt, , � \ NEW COIVC.5LAe , �\ � ST 86 \� l i EXISTING POOL / I 1 v� I 82.6 , L7W, � g„ I 'A ` • ` TEST HOLE , / (/) Q. 1) v 2 LOCATION z I , p �{0 -1 N. X X o a o L W J. Z W as T. /5�/�p.�N NEWS NITARY 9 \ OF wAY W• z LLw � NEW I c. 5Y5TE 1g�° E gIGYt Y�` a N a PARKIN'& -.I\ SID � W• N = M AREA / cn cn DONNA L WEXLER PROPOSED NEA AE:LL - NELL DEPTH - TOP OF THE AE:LL ° SGREE:N TO E3E= INSTALLED MORE: THAN 40 FEET BE:LOA THE AATE=R TABLE=. \ _ HEDGE ��®F �cw yO ex S &A 017 S� A� N & L PROPERTIES", LP � PROJECT--NO: 1611 DRAWN BY: UT CHECKED BY: NS G DATE: X SCALE: 1 " = 20'-0" SCALE: � 1" = 20' - 0" SHEET TITLE: 4-1 \ SITE PLAN APPROVED BY 0 BOARD OF TRUSTEES 9� TOWN OF SOUTHOLD '•o,�s� DATE stpzmeez Zoe SHEET NO: PROGRESS DRAWING 10� DATE: AUGUST 10, 2017 CHAIN LINK � FENCE (PLANTED) UJ >- NEW STONE HALL D" Z UF IF -- - - � O uJ DECORATIVE FENCE MEDIA ROOM — __ � --- -- - - -- -- - - -� Q W uj 06 _ z0 FLANTER I ~ - ---- L - -- ---- -- - -- --, , DECK Qcn ABOVE , > 0 W CLOSET' ' o W Lu 1 SCREEN PORCH I� ABOVEMUD MECHANICAL ooJ ROOM ROOM \ 17 - I I --- STORASE <\ \ iso i to �ET OARAOE `---- Qo --- - --_-_ ' I 06 Z. Lo STAIR I a HALL_ I I W -J• W Z 3LLJ X / I I = a z UQ. W• 0 ,e W o M 7 L--- ---- ---- ----- Q I L I ' W• a N = M UP ------- --------- -------- p I � N co STORA<5rz STORAGE OL05ET OL05ET III L LL�� III ------I III I PROJECT-NO: II r------ / 1611 II I- -- ----) I DRAWN BY: NS CHECKED BY: DRI VEAA)' DATE: X SCALE: 1/4" = 1' - 0" SHEET TITLE: BASEMENT FLOOR PLAN SHEET NO: BASEMENT PLAN SCALE: 1/4" = 1' -0" PROGRESS DRAWING DATE: AUGUST 10, 2017 _ - - UJ >Z 0 DN lu - - - - D- LIYINO Q LU - - ROOM UP Aommk F- LMJQ - - - PLANTER .;,. AC � --- - uj ;;moi Q Z PLANTER K ' z z O Q F- 0 - EXISTINO - _ _ _ _ _ _ 5N I MM I NO - - I I Qvo POOL - 1 I � W LLJ (!) r Q D SCREENED I i Z� � v D I N I NO ROOM 11 wo) MASTER �— fi�ORGH 1 i DN Jo BEDROOM � V II STAIR r = - i l HALL I - - r r PLANTER - - - - - - - - -- - - - - LAUNDRY KITCHEN I %i W_AL_K_-_IN�r w/w/v% CLOSET/ UP BATH NCLOSETr /" PLANTER J CZQ • O M- o Y W J• U 3 z w — \ // �j/ ///, jj G W- N U - 1 cn c)- DN GOY�RED �Y�DR CLOSET BATH PLANTER ENTRY VN 01 STC op,{ 44c PLANTER DR I VEAAY \\ ------------------------J ------------------- SPR JE T NO: - _ - ,,7 1611 _ DRAWN BY: NS GHAIN LINK DN CHECKED BY: STj� NG PLANTER G �.� (i=LANTF-D) DATE: X SCALE: 1/4 ff = 1' - 0" SHEET TITLE: /A�\ FIRST FLOOR PLAN SHEET NO: cleb Flolk 7 FL(m)" OR "PLARIM SCALE: 1/4" = 1 ' -0" PROGRESS DRAWING DATE: AUGUST10, 2017 UJ > Z 5F-DROOM #1 u c Z 0LU_ F- Q CLOSET LIN :0cl) __________ . a Lu uj A -r11 W ROOMY Z O ■ ■ D O n Q N ii I I Oil I I O w 5TA I R j j Z a II HALL I I w O ROOF BELOW Il I I OLu H DN Q V BEDROOM #2 FAMILY ROOM CATHEDRAL CEILING 11 H 11 11 z LL II 0 BEDROOM #5 I° IN. OSE � � � W• w o .O I v � GL CLOSET Q N � W• w S M U r � M Q • U � G I co co- I ROOF BELLOW I I ' 07;"953- 'RC-DA S"hE m' pnmrA PLANE C00" PROJECT NO: 1611 SCALE: 1/4" = V -0" DRAWN BY: NS CHECKED BY: DATE: X SCALE: 1/4" = 1' - 0" SHEET TITLE: SECOND FLOOR PLANS SHEET NO: PROGRESS DRAWING DATE: AUGUST 10, 2017 Z LIJ > oop Z O UJ F- _ _ Qcl) < LLJ uj ZA 8_/ x U) F- � O O < cn O W i V I LU uj _ � V I J b"' 00 U Ill H E L E V A T 10 SCALE: 1/4" l' -O" 08 z in V� Q• M � Of � r � r � r F o< O :� W J• 0, Z WQ Z ti W. N W• N U CO) Q �-• V 50- (n (n (n• is 01j953 �j PROJECT NO: 1611 DRAWN BY: NS CHECKED BY: DATE: X SCALE: ,� , „ 1/4 LL=-=- tam = 1 - 0 SHEET TITLE: _ - -- BUILDING 71 ELEVATIONS SHEET NO: NORTH' ELEVATION- SCALE: 1/4" = V -0" PROGRESS DRAWING DATE: AUGUST10, 2017 Lu >- LL 0 Z cl) Z 0 uJ < Lu ui 08 a: cl) 0 Lj O0 O co 0 w FA > 0 �, -- LSI WEST ELEVATION SCALE: 1/4" = V -0" od Z. cl) <. -j LLJ s zw ;R z LL. LLJ m LLf C4 to Lu w 0 4 Q t:1 a S to M. OF 01 -;'53 D P R PCT NO: 1611 DRAWN BY: NS CHECKED BY: DATE: x SCALE: 1/411 = 11 oil SHEET TITLE: BUILDING ELEVATION% L SHEET NO: rum" EAST ELEVATION SCALE: 1/4" = 1' -0 PROGRESS DRAWING DATE: AUGUST 8, 2017 'Michael J. Domino, Presir QS11FF0(,�C �- Town Hall Annex ' John M. Bredemeyer III,Vice-l`rdsident 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y ® p� Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �' �a 11 Completed in field by: �an;Q�✓a Samuels & Steelman Architects on behalf of PATRICK & DIANE SEVERSON request a Wetland Permit to partially demolish a 560sq.ft. area of existing dwelling and 264sq.ft. front entry stair; construct new two-story addition'and screened porch onto remainder of existing dwelling for a total 1,871sq.ft. footprint; install a new 275sq.ft. front entry with stairs; install new 43 linear foot at 4' high retaining walls at front entry; install an additional 136sq.ft. of decking onto seaward side of dwelling; install a new well; install a new sanitary system landward of dwelling; remove portion of existing driveway and install 743sq.ft. of new gravel driveway with parking area; reconfigure existing pool terrace by removing 1,469sq.ft. of existing and installing new for a 2,150sq.ft. terrace footprint around existing pool; reconfigure existing pool fence for a total of 323 linear feet of fencing; removal of 8 trees; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 9202 Bridge Lane, Cutchogue. SCTM# 1000-73-2-3.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Car"Pted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: -C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: —57Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Pres q' �";Olf j�-CO Town Hall Annex John M. Bredemeyer III,Vice-President �� Gym 54375 Route 25 Charles J. Sanders y = P.O.Box 1179 Glenn Goldsmith r Southold,NY 11971 A'Nicholas Krupski ?' p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Samuels & Steelman Architects on behalf of PATRICK & DIANE SEVERSON request a Wetland Permit to partially demolish a 560sq.ft. area of existing dwelling and 264sq.ft. front entry stair; construct new two-story addition and screened porch onto remainder of existing dwelling for a total 1,871sq.ft. footprint; install a new 275sq.ft. front entry with stairs; install new 43 linear foot at 4' high retaining walls at front entry; install an additional 136sq.ft. of decking onto seaward side of dwelling; install a new well; install a new sanitary system landward of dwelling; remove portion of existing driveway and,install 743sq.ft. of new gravel driveway with parking area; reconfigure existing pool terrace by removing 1,469sq.ft. of existing and installing new for a 2,150sq.ft. terrace footprint around existing pool; reconfigure existing pool fence for a total of 323 linear feet of fencing; removal of 8 trees; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 9202 Bridge Lane, Cutchogue. SCTM# 1000-73-2-3.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion.protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 S w r. a • .. � , F6`,T�Lff3,tr- "f+ '�jp'Ki 1 l - ` � ' `�r '�,T{�� !r t� �'ty:'Y� �4";.� yN+s •fit �Y'�''''�..TYY' � t1� _ - - i 77 lel r NEW YORK STATE DEPART,.aciNT OF ENVIRONMENTAL CONSL..NATION Otviston of Environmental Permiu,Region 9 SUNY 0 Stony Brook,50 Circle Road,Stony Brook,NY 11790 R:(631)444-03651 F:(631)444-0360 www.d@t.ny gav LETTER OF NO JURISDICTION TIDAL WETLANDS ACT March 9, 2017 Mr. Patrick Severson 4306 Churchill Downs Drive Austin, Texas 78746 Re: Application#1-4738-00545/00008 9202 Bridge Lane, Cutchogue SCTM# 1000-73-2-3.1 Dear Mr. Severson: Based on the information you submitted,the Department of Environmental Conservation has determined that the portion of the property as shown on the survey by Nathan Taft Corwin III, last revised 09/27/2016 which is located landward of"Top of Bluff' is beyond Tidal Wetlands Act (Article 25)jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661)no permit is required for work-landward of that boundary. Be advised,no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above,without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or disturbance within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project(i.e. a 15' wide construction area)or erecting a temporary fence,-barrier, or hale bay berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any nece sary ermits or approvals from other agencies or local municipalities. Sin ely, , Ackerman eputy Permit Administrator cc: TW Samuels& Steelman NdWYORK ®gRdrtmontof Ml%myt Envirenmontal Conaom lcn `1 w` • SEVERSON RESIDENCE, 9202 BLn ridge 11: . View East SEVERSON RESIDENCE, 12 Bridge Ln 3/l/17, 10:06 a .. - 0:0. _ - West 1 A 1RT1 ' r � .r�.s4•� .J.-�- �, ... �„? FSI - SEVERSON RESIDENCE, 9202 Bridge Ln 3/l/17, 10.13 am, View South .., SEVERSON RESIDENCE, 9202 Bridge Ln 3/l/17, 1012 am, View North SEVERSON RESIDENCE, 9202 Bridge Ln 3/l/17, 10:13 am, View East SEVERSON RESIDENCE, 9202 Bridge Ln 3/1/17, 10:14 am, View West 1 � 1 SOUND ESEC NO 3 4 bp1`� t Ce g FOR PCL NO ISI 0SEE SEC 50 I` / 3,0,� as / I / FOR PCL NO SEESEC NO N. 074-01037] I'"' 21 a 47A d I / S�yo s ,O,,G / /p Zg B 22 RO 53A FOR PCL NO t EEE SEC NO ' \ Smc) 33�a I m FOR PCL NO SEE SEC NO 'se 074-01-0901 NO I A g Ems I Q , A I $ O m lI' 1 FOR PCL NO O I• 5 S SEESEC NO o I W"It 2 7 o 31 IA ®0 4 134A QO 130A rm PC FOR PCI NO FOR L NO Q G� £r9r7ocirrsl SEE SEC NO SEE SEC NO i N m aGt (GG f \ ® 054412-0W 3 050.R1L041 N a,9a 8 O� UJNE \ MATCH --Z"---NNE 6CATLH —__–Z------- --------------�.------_---____NNE R g SEESEC NO OBC SEESEC NO 054 ,r,tw, COUNTY OF SUFFOLK © N SONTHOID SECTION NO NOTICE PropertyTax ServlceAgency v ,owN 73 77* _ rr _ �nwwrv..ue 7CHr '-m OFFICE LOCATION: S �®0 MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 I (cor. Main Rd. &Youngs Ave.) I_ Southold, NY 11971 �� Telephone: 631765-1938 COU LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: September 19, 2017 Re: LWRP Coastal Consistency Review for PATRICK & DIANE SEVERSON SCTM# 1000-73-2-3.1 Samuels & Steelman Architects on behalf of PATRICK & DIANE SEVERSON request a Wetland Permit to partially demolish a 560sq.ft. area of existing dwelling and 264sq.ft. front entry stair; construct new two-story addition and screened porch onto remainder of existing dwelling for a total 1,871 sq.ft. footprint; install a new 275sq.ft. front entry with stairs; install new 43 linear foot at 4' high retaining walls at front entry; install an additional 136sq.ft. of decking onto seaward side of dwelling; install a new well; install a new sanitary system landward of dwelling; remove portion of existing driveway and install 743sq.ft. of new gravel driveway with parking area; reconfigure existing pool terrace by removing 1,469sq.ft. of existing and installing new for a 2,150sq.ft. terrace footprint around existing pool; reconfigure existing pool fence for a total of 323 linear feet of fencing; removal of 8 trees; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 9202 Bridge Lane, Cutchogue. SCTM# 1000-73-2-3.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action INCONSISTENT with Policies 4 and 6 of LWRP and therefore INCONSISTENT with the LWRP. The first permit issued for this property shows a survey of the single family residence in 1986. A Wetlands Permit for the residence was not found. Four separate files in the record deal with bluff and toe stabilization as result of erosion of the toe and bluff. Due to the fetch and exposure to Long Island Sound, the threat from erosion continues to be high which could result in potential failure of.the bluff. It is recommended that any new structures are located as far from the top of bluff and Coastal Erosion Hazard Area as possible. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Z�OgpFFO��.�dG Peter Young,Chairmanti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 13, 2017 the following recommendation was made: Moved by Greg Williams, seconded by James Abbott, it was RESOLVED to SUPPORT the application of PATRICK & DIANE SEVERSON for the demolition of a portion of the existing residence; demolition of existing entry stair; construction of a new two-story addition and screed porch; new well and sanitary system; reconfiguration of existing driveway; new gravel and parking area; new retaining walls at entry; new entry walkway and stair; new decking on grade; addition and reconfiguration of existing terrace at existing swimming pool; removal of existing terrace; reconfiguration of existing pool enclosure; removal of existing fencing and install new fencing; removal of eight (8)trees; and installation of four (4) drywells as per stormwater management requirements. Located: 9202 Bridge Lane, Cutchogue. SCTM#73-2-3.1 Inspected by: Peter Young, Caroline Burghardt, Greg Williams, James Abbott The CAC Supports the application and although the addition exceeds the code limit, it is proposed within the existing footprint. Vote of Council: Ayes: All Motion Carried BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road e P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Ofltae Lqc,,,1L16&, Eric Dantes cn sc Town Annex/First Floor,Capital One Bank Gerard P.,Goehringer 54375 Main Road(at Youngs Avenue) Nicholas Planamento 6Southold,NY 119710 EC E � V E http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD AUG 10 2017 RECEIVED Tel.(631)765-1809-Fax(031)70:5-9064 7t--- Southold Town F DINGS,DELIBERATIONS'Ali D l)1E`JE"YWYON 7, 20 Board of Trustees MEETING OF AUG-UST,3-%2017 hVLt uthold'rown Clerk ZBA FILE 7062 NAME OF APPLICANT: Patrick and Diane Severson PROPERTY LOCATION: 9202 Bridge Lane,Cutchogue,NY 11935 SCTM No. 1000-73-2-3.1 SE1 RA_DE­1EjjMNATjoN; The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA, SUE VOLK-COUNTY ADmrNISTMrtvE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 30, 2017 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. M0 DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated June 23, 2017. Based upon the information provided on the LWRP Consistency Assessment Form submitted, as well as the records available, it is the coordinator's recommendation that the proposed action is CONSISTENT with the LWRP Policy Standards and therefore is CONSISTENT with the LWRP, provided that the Board consider the establishment of a non-turf, vegetated buffer landward of the top of bluff to further Policy 6. S `bI.A.WUNTY-, SOII, ATION,I)ISTRIC717: This application was referred for an OFF AND WATER CONSE' evaluation and recommendation to the Suffolk County Soil and Water Conservation District. According to a letter from the agency, dated March 23, 2017, an inspection of the property was conducted on March 22, 2017, The agency technician observed the bluff in stable condition with the bluff face well established with mixed vegetation, and the toe of the bluff intact and in good condition. However, without being able to get close enough to confirm, there may be some minor erosion to the west of the stairway, It was recommended that'heavy machinery, equipment or supplies be stored or used a minimum of 25 foot setback from the bluff top edge, as concern is for heavy weight and vibrations from the machines that may cause sloughing of the bluff. Due to the nature of the construction plans and the footprint for the construction, it would be necessary that every alternative other than using heavy machinery be,explored on the north side of-the -construction. Since the increased footprint of the residence will increase stormwater runoff that is discharged t'o the ground surface it was recommended that gutters, downspouts and drywells be included in the new construction, Furthermore, irrigation located at the very top of the bluff face,be should be removed. In addition, the agency stated that they had no apparent resource concerns f6i.the existing shed. Page 2,August 3,2017 #7062,Severson SCTM No.1000-73-2-3.1 TOWN OF SOUTHOLD OFFICE OF .THE ENGTNEER: This application was referred to the Office of the Engineer for review and comments. It is recommended that due to the close proximity of the bluff line that the entire site, both new and existing impervious surfaces (including but not limited to roofs patios, driveways and other substatial impervious areas)comply with Chapter 236 for Stormwater Management. PROPERTY FACTS/DESC`:RIP'I'IUh1:- The subject property is a non-conforming 59;977.49 square foot parcel located in the R=80 Zoning District, The subject,parcel measures 199.50 feet along the northerly property line fronting Long Island Sound at the high water mark, measures 334.,16 feet along the easterly property line,measures 196.79 along the southerly property line with a 20 foot right of way south of the line for other parcel owners access and 331.85 feet along the westerly property line with a bordering 25 foot right of way. The existing home is a ; multiple level single family home with an attached garage; multiple decks, in-ground swimming pool and hot tub, and an"as built shed" located with a front yard setback of 14.5 feet and is 84.7 feet from the top of the bluff. The as built shed" is not shown on the survey dated August, 5, 2003 by Nathan Taft Corwin III, L.S., but included , with all proposed and existing improvements is depicted on the site plan prepared by Nancy Steelman, R.A. dated February 23, 2017. B S4, 0P APPLICATIOW Request for Variances under Article III, Section 280-15F and Article XXII, Section 280-116A and the Building Inspector's March 3,2017, amended March 13, 2017 Notice of Disapproval based on the application for a permit to construct additions and alterations to an existing single family dwelling and to legalize an "as built" shed, at 1) "as built" shed located less than the code required minimum front yard setback of 50 feet; 2) "as built" shed located less than the code required feet from the top of the bluff, 3) additions to the single family dwelling located less than the code required 100 feet from the top of the bluff at :9202 Bridge Lane, (Adj.to the Long Island Sound)Cutchogue,N.Y. SCTM#1000-73-2-3-1. Rlsl Q�UESTE' The applicant requests variances to 1. Approve the demolition of 60% of the existing single family dwelling, retain 40% of the existing dwelling and construct new additions and alterations with an enlarged attached seaward deck at a 31 ft. setback from the top of the bluff, and 2. To legalize the existing 8 ft, x " 14 ft. "as built",accessory shed in a conforming front yard location with a non-conforming front yard setback of 14.5 feet where the code requires a minimum of 50 feet, and a non-conforming set back from the top of the bluff of 84.7 ft. where the code requires a minimum of 100 ft., shown on the a site plan prepared by Nancy Steelman,R:A. dated February 23,2017. ADlliTLON�r L INFORMATION. Public hearing notices were mailed to owners of adjacent parcels as required and no comments were received. The applicant's representative said the "as built" shed was on the property when the current owner's purchased the property. Since a recent town code change may affect the allowable percentage of demolition applied for in this project, the applicant was directed by the Board to contact the Chief Building Inspector to determine whether the project or. the Notice of Disapproval should be amended. The Building Department determined that no further actions were required on the applicant's part and that the Board may proceed in rendering a determination on the application as applied for. In -a prior ZBA decision (46275 dated June 16, 2009) the Board granted a 42 ft. bluff setback for additions and alterations to the single family dwelling. FINDINGS OF 1-'Act/REASONS FOR BOARD,ACTION: The Zoning Board of Appeals held a public hearing on this application on July 6, 2017 at which time written and oral evidence-were presented. Based upon all testimony, documentation,personal inspection of the property and- surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings; f. Page 3,August 3,2017 #7062,Severson SCTM No.1000-73-2-3.1 1. Town C.axv2ii7-b �i)(ta1{1). Grant of the variance will not produce an undesirable change in the character of the neighborhood ora detriment to nearby properties. The neighborhood consists of mostly large waterfront homes similar,to what the applicant proposes. Other homes in the area have non-conforming bluff setbacks. The subject accessory shed is surrounded by mature trees and shrubs and cannot be seen from the private Right of Way which ' provides access to the subject property and to adjacent neighbors, 2. Town Law 267-1a"3 MThe benefit sought by the applicant for the as built shed cannot be achieved by some method, feasible for the applicant to pursue, other than area variances, The shed exists in its current location and given the location of the as,built in ground pool and driveway and the functional need for the storage shed to be close to the pool, it is difficult if not impossible to find any other location on the property in the conforming front yard that would also have confroming front yard and bluff setbacks The proposed expansion of the as built attached deck from it's current non-conforming 34.5 ft. top of the bluff setback will reduce the bluff setback to 31.1 ft., thereby creating more non-confmrity, and is not necessary for the applicants to enjoy the benefit of an attached seaward deck. . 3. 7'6wn'La-*v§267-b(3)(b)(3). The variances granted herein are mathematically substantial, representing 71% relief from the code for the front yard setback of the as built shed in the front yard, and 15%'for the shed distance from the top of bluff. However, the shed cannot be seen from the 25 foot Right of Way and cannot practically be relocated to conform to all code required minimum setbacks, The variance requested herein for the 31.1 ft. top of bluff setback for an enlarged attached deck is mathematically substantial,representing 69%relief from the code, 4. Town Law,3,267-1)(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood,provided that the applicant adhere to all recommendations made by Suffolk County Soil and Water and the Southold Town Engineer as cited above. 5. Towii-Law-W7-10)(6)li a . The difficulty has been self-created, The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. 'town hiv $267-1). Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of 'an "as built" shed, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. DENIAL of the relief requested for the extended deck alteration, is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an attached seaward deck while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Acampora, seconded by Member Planamento, and duly carried,to GRANT the following variances as-applied for: 1) the front yard setback of 14.5 ft. for the as built shed, 2) the bluff setback of 84.7 ft. for the "as built" shed as shown on the the site plan prepared by Nancy Steelman, R.A. dated February 23,2017, DENY, the attached deck expansion to the single family dwelling located less than the existing 34.5 feet from the top of the bluff Page 4,August 3,2017 #7062,.Severson SUM No, 1000-73-2-3.1 SUBJECT TO THE FOLLOWING CONDITIONS: 1. The applicant must adhere to the comments and suggestions of the Suffolk County Soil and Water Conservation District in the continuing protection of the bluff. 2. The applicant-must comply with,all the requirements of Chapter 236 of the Town's Stormwater Management Code 3. The applicant shall not decrease the bluff setback of 41:5 feet for any additions or alterations to the single family residence, as shown on the site plan by Nancy Steelman, R.A. dated February 23,2017 T Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays andlor a possible denial'by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as,are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(13) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision asap has not been filed with the Suffolk County Clerk,within three (3) years from the date such variance was grained. The]Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1) year terms. ` Vote of the Board: Ayes:Members Weisman (Chairperson), Dantes, Planamento and Acampora. (Member Goehringer Absent) This Resolution was duly adopted (4-0). Leslie I4anes Weisman, Chairperson Approved for filing / /2017 r Michael J.Domino,President A, �, Town Hall Annex 54375 Route 25 ' John M.Bredemeyer III,Vice-President l3 P.O.Box 1179 Charles J.Sanders $ ,:; t Southold,New York 11971 Glenn Goldsmith �'�O Q `:` �� Telephone(631) 765-1892 A.Nicholas Krupski +errFax(631) 765-6641 COUNTi f ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Y Coastal Erosion Permit Application Wetland Permit Application Administrative Permit t Amendment/Transfer/Extension 1 11 Received Application: $�/��17 AUG 1 0 2017 =Completed Fee: $ t/ ZSoj ' Completed Application: Incomplete: Softhold Tawn SEQRA Classification: Type I_ Type 11 Unlisted Lead Agency Determination: Coordination:(date sent): V. LWRP Consistency Assessment Form Sent: 7` _ CAC Referral Sent: Date of Inspection: q,12.1 _ Receipt of CAC Report: y Technical Review: Public Hearing Held: ZOO17 Resolution: Legal Name of Property OwnerPatrick and Diane Severson Owner(s): _ _ Mailing Address: 4306 Churchill Downs Drive, Austin, TX 78746 Phone Number: 914 656-0852 Suffolk County Tax Map Number: 1000- 73-02-3.1 Property Location: 9202 Bridge Lane, Cutchogue (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Nancy Steelman, Samuels and Steelman Architects Mailing Address: 25235 Main Road, Cutchogue, NY 11935 Phone Number: 631 734-6405 �� I M_ Town of Southold Board of Trustees Severson Residence Project Description 1. Demolition of a portion of the existing Residence —Total Area: 560 SF* 2. Demolition of existing entry stair—Total Area: 264 SF 3. Construction of a new two story addition and screen porch —Total Area:1871 SF* 4. New Well and Sanitary System 5. Reconfiguration of Existing Driveway — Net Change: - 560 SF Removal of existing Driveway —Total Area:1303 SF New gravel (non rca) driveway and parking area: 743 SF 6. New retaining walls at Entry—43 LF at 4' high 7. New Entry walkway and stair—Total Area: 275 SF 8. New decking on grade —Total Area. 136 SF 9. Addition and reconfiguration of existing Terrace at existing swimming pool: Net Change: +681 SF Removal of existing Terrace —Total Area:1469 SF New Terrace: Total Area —2150 SF 10. Reconfiguration of existing Pool Enclosure (4' high) — Net Change +229 LF Removal of existing fencing —94 LF New fencing: 323 LF 11. Removal of 8 trees 12. Installation of 4 drywells as per Stormwater Management requirements * Footprint area only D C E V, r AUG 3 1 2017 outhold Town JI Town of Southold Board of Trustees Severson Residence Project Description 1. Demolition of a portion of the existing Residence 2. Construction of a new two story addition and screen porch —Total Area:1540 SF (footprint) 3. New Well and Sanitary System 4. New gravel (non rca) driveway and parking area 5. New retaining walls and entry walkway 6. Addition and reconfiguration of existing Terrace at existing swimming pool 7. Removal of existing fencing and construction of new fencing (pool enclosure) 8. Removal of 8 trees 9. Installation of drywells for stormwater as per Stormwater Management requirements Board of Trustees Application GENERAL DATA Land Area(in square feet): 59,977.49 sq. ft. Area Zoning: R-80 Previous use of property: -Residence - Single Family_ Intended use of property: Residence - Single Family Covenants and Restrictions on property? Yes X No If"Yes",please provide a 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? X Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? X -_Yes No ; Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Tnwn pf_Snithnlci 7BA Aug. 7, 2017 DEC- Non Jursdiction March 9, 2017 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): See Attached Hoard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:, Renovations and additions of a single-family residence, sanitary system, well, and drywells. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands:, 173 feet Closest distance between nearest proposed structure and upland edge of wetlands: 180 feet Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? NA cubic yards How much material will be filled?, NA cubic yards Depth of which material will be removed or deposited: NA feet Proposed slope throughout the area of operations: NA - - Manner in which material will be removed or deposited: ____ NA 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): NONE _ c l 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Patrick and Diane Severson Name of Action or Project: Severson Residence Project Location(describe,-and attach a location map): 9202 Bridge Lane, Cutcho ue NY Brief Description of Proposed Action: Demolition of a portion of the existing residence, construction of a new two story addition and screen porch, new well, drywells (for stormwater)and sanitary system, new gravel driveway and parking area, new retaining walls and entry walkway, addition and reconfiguration of existing terrace at existing swimming pool, removal of existing fencing and construction of new fencing (pool enclosure), removal of 8 trees. Name of Applicant or Sponsor: Telephone:, 914 656-0852 Patrick and Diane Severson E-Mail:; dise-verson@yahoo.com Address: 4306 Churchill Drowns Drive City/PO: State: Zip Code: Austin TX 78746 1.Docs 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. 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: Southold Town Building Permit, New York State DEC, Suffolk County Dept. of Health, and Southold Board of Trustees . 3.a,Total acreage of the site of the proposed action? 1.377 acres b.Total acreage to be physically disturbed? _0.299_acres c•Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1_S77 acres 4. Check all land uses t;at occur on,adjoining and near the proposed action. 'K ❑Urban M1 Rural(non-agriculture) ❑industrial [:]CommercialResidential(suburban) ❑Forest []Agriculture El Aquatic ❑Other(specify): - ❑Parkland Page 1 of 4 5. is the proposed action, NO YE N/A a. A permitted use under the zoning regulations? ❑ b.Consistent with the adopted comprehensive plan? El ,❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 4.Does the proposed action meet or exceed the state energy code requirements?' NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: New Well '❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: New Sanitary System ❑ 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? ; 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? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. tify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: VShoreline El Forest Igricultural/grasslands ❑Early mid-successional EDWetland ElUrban 1suburban 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? ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? C!(NO YES ❑' b.Will storm water discharges be directed to established conveyance systems(runoff and st drains)? If Yes,briefly describe: []NOMYES auttens]leadems—to atch basins Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: I� 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: ( '� 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: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spnnsor ame: N nC Steelman,Agent Date:. $/9/1_7 i d;• Signature:�i _ 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 l: Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? El 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 F1 reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur 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 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or wil I 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 environmen I im acts. Town of Southold-Board of Trustees 7 \ N Lead Agency - 'ate President Print or Type arae of Respo Me Officer in Lead Agency Title of Responsible Officer Signature of R ponsi le Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 IFQ Scott A. Russell 0�°Su I STORMWA\T]E R. SUPERVISOR MA NA\cGl]EAKIENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOIL17E ANY OF THE )FOLLOWING: - Yes No (CHECK ALL THAT APPLY) ❑© A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑Q B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. F]E] C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. 00 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑0 E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. E]E] F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) i S.C.T.M. 1000 Date Dutrkt NAME: Narfcv Steel an 73 ,� 3.1 8/9/2017 1��Lme Section Block Lot J ****FOR BUILDING DEPARTMENT USE ONLY**** Contact Infotmatiore 611 734 6405 i, ffekpEorc N—W) Reviewed By: — — — — — — — — — — — — — — — — — — Date_ Property Address/ Location of Construction Work: — — — — — — — — — — — — — 9202 Bridge Lane ❑ Approved for processing Building Permit. Stormwater Management Control Plan Not Required. Cutchogue, NY 11935 Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM n SMCP-TOS MAY 2014 J Board of Trustees Application County of Suffolk State of New York Patrick Severson BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REV EW OF THIS APPLICATION. Sigpature of Property Owner SWORN TO BEFORE ME THIS DAY OF ,20 l LAUREN M MCKISSICK _".. . NOTARY PUBLIC-STATE OF NEW YORK Notary Public No.01MC6342306 Qualified in Suffolk County ,f My Commission Expires:May 23,2020 . Board of Trustees Application County of Suffolk State of New York Diane Severson 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 TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Property Owner SWORN TO BEFORE ME THIS I0 DAY OF X20 LAUREN M MCKISSICK NOTARY PUBLIC-STATE OF NEW YORK No.41 MC6342308 Notary Public Oualified in Suffolk County My Commission Expires May 23, 2020 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Patrick and Diane Severson , owners of the property identified as SCTM# 1000- 73-02-3.1 __ _ _in the town of Cutchogue ,New York,hereby authorizes Nancy Steelman, Samuels & Steelman Architects 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. Prope y Owner's Signature Property O er's Signature SWORN TO BEFORE ME THIS 0, DAY OF _ ,20 LAUREN M MCKISSICK NOTARY PUBLIC-STATE OF NEW YORK Notary Public No.01 MC6342306 Qualified in Suffolk County My Commission Expires May 23,2020 - � I I APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the nart of town officers and emnioyees The numose of this form is to provide informnatiowhich can alertthe town of possible conflicts of interest and allow rt.to take whatever action is necessary to avoid same. YOUR NAME: Patrick Severson I (Last name,first name,.rpiddle initial,unless you are applying in Vic 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 I Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning i 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,muff iage,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(whe.a the applicant is not a corporation); C)ail-offieer,director,partner,or employee of the applicant;or D)the actual applicant.' DESCRIPTION OF RELATIONSHIP i Submitted this d o t)1(7 Signature Print Name a 'c everson Form TS 1 I • I _ s APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code otEthics Pr hlbits conflicts of interest on the part oftown ccers and emnloyees.The nurnose of this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Diane Severson (Last name,first name,giiddle 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 I Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other j (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling, arenor 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 I, 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 I Submitted t ' ZO day of 20� Signature Print Na a lane Severson Form TS l i ii APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soutltold's Code of Ethics prohibits conflicts of interest on the part oftown officers and employees.The purpose of this fort is to provide inforination which can alert the town of Imssible conflicts of interest-and allow it io take whatever action is necessary to avoid same. YOUR NAME: . Nancy Steelman (Last name,first name,qiiddle 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 s Other i (If"Other",name the activity.) I 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,nlarriage,or business interest."Business interest'•means a business, including a,partnership,in which the town officer oc 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 oferson employed by the Town of Southold P P , Title or position of that person j Describe the relationship between yourself(the applicant/ag4nt/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 S%of the shares of the corporate stock of the appliccnt (when the applicant is a corporation); E)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 I Submitte4thl "d ry y' 20orlignaturePrint Namc eelman Form TS l 10 A OU-1 ®. O e I ,n CO •" fi- .Q &1� �A t FL &F/A, s fit" i I1 ' fT 1 Certified Mail Fee /— Certified Mad Fee 3.35 •35 0 $3.35 Extra Services&Fees(checkbox,add fee a��.Qp to � � F— U 5 Extra Services&Fees(check box,add fee Extra r-i EI Return Receipt(hardcopy) $ $V• LI ) ti p �1` ❑Return Receipt(hardcopy) $ y�//�� C3 ❑Return Receipt(electronic) $ $0-00 PO ark ©•- p ❑Return Receipt(electronic) $ t'! /�tmark 0 []Certified Mail Restricted Delivery $ �(�(_ � (7J p ❑Certified Mad Restricted Delivery $ $1 1.fir)17 0, 0 [I Adult Signature Required $ .��r. i O []Adult Signature Required $ G 1_Y l afi1� .t- •�a 0 f ❑Adult Signature Restricted Delivery$ ��•�' �� ❑Adult Signature Restricted Delivery$ r vj� e rr-� Postage $1.4�1 \`�O SrJ / o Postage $1.41 Er $ $ 0g/i 2 �3t 0 $Total Postage and Fees +Y/ Total Postage and Fr Jl� $7.50 $ U1 r- Sent To � Sent To , I(/d' e!!5 '2 ULL L ---------- o /erlf/i'✓ea(1� � ----'--------------------- ---------------- ----- � SVeetan A t No.,orP Box o. Street and Apt No.,or PO Box No. p City State,ZIP+4® City State,ZIP+46- ------------------------------------------------------------- 1 I 1 1 1 111 -1 ■ g � ® ®'Staim ® MAILP RECEIPTm fEIPT ®. I I. OtJ ly •�:� r- �• .� to �,� � �e Certified Mall FeeLn $3 J I '�' �' =C .0 Certified Mad Fee 6.6ti �935 L► $ = � O f^I 5 �t") a "`� Extra Services&Fees(checkbox,add fee a e $ 15 N Ln Extra Services&Fees(check box,add fee a e) �9 r-q ❑Return Receipt(hardcopy) $ gq:rpptyteJ ' <� G1 i ❑Return Receipt(hardcopy) $ s1 ` ❑Return Receipt(electronic) $ t}_tjt j i••i 1 •� a I-1.if , fg stmark ❑Codified Ma l Restricted Delivery =( ,QPostmark C3 ❑RetumReceipt(electronic) $ Qj -d'�' �"' ry $— � jjA�� �V ❑Certified Mail Restricted Delivery $�'=-1} ere i C3 E]Adult Signature Required $ 'r Qty Here AkfY Illi Adult Sl •P4�4— C] ❑Adult Signature Required $—�.. C`a ❑ gnature Restricted Delivery$ []Adult Signature Restricted Delivery$ I� Postage no / C3 Postage $/1.40 / p-. $ $1.40 _ Er $ Total Postage and Fees aft [19/12/2017 C3 Total Postage and i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: STATE OF NEW YORK'-"-.'! COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at - . that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Sworn to before me this Day of 20 Notary Public SEVERS®N RESIDENCE 1000-73-2-3.1 HEARING: � -?1 - �" /84.-2- .3pski Farms LLCridge Ln gue, NY 11935 72.-1-1.6 Kennedy Thomas J Kennedy Laura 261 Dogwood Ln Manhasset, NY 11030 1 73.-2-3.6 Vasvani Ashok / Vasvani Bansic V 37 Sidney Pl Brooklyn, NY 11201 / 73.-2-4 N &L Properties LP / a 1200 N Federal Hwy Ste 411 V Boca Raton, FL 33432-2803 12 -1 - 1, 1 j 10065 Michael J.Domino, President O�QSV¢F©�'�0 Town Hall Annex John M. Bredemeyer III,Vice-President � 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski ?,hod ��p! 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 PATRICK & DIANE SEVERSON COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE 1, A141VC111 SI6_t191f/V , residing at/dba sA•qw k ,,g vd e`dg*Al Zd being duly sworn, depose and say: That on the/z day of SePT. , 201`7 , I personally posted the property known as <e-ile—gsav QcSidevee, /ovv- 7-3- z -3.1 92.0z .61z;dge Leer��% by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 20 2017. Dated: 1//Y// f signature) Sworn to before me this /o day of Sgt 20/'/ LAUREN M MCKISSICK NOTARY PUBUC-STATE OF NEW YORK No.01 MC6342308 otary Public OUaftd in Suffolk-County 'My Commission Expires May 23, 2020 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS i2iCiL' I/e 5i1/E/45dv Name: / det—S/OG✓tJcl'C' Address: ' 9 z o 2 Sc rm Na /oco '73- -2 -3.J STATE OF NEW YORK COUNTY OF SUFFOLK A1f94161 �� , residing at -5'Mue& d- helm w ti2cb;-rng� 25-235 NA",Az lc(, Ccr c�, , being duly sworn, deposes and says that on the /?- day of 5Ce , 20_L7, 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at CznTeAvgcre-- , that said Noti s were ma to each of said persons by CERTIFIED MAIL/RETURN-RECEIPT. Sworn to before me this /9 Day of J"—. , 20—_ LAUREN M MCKISSICK NOTARY PUBUC-STATE OF NEW YORK Notary Public No.01 MC6342306 Ouali6ed in Suffolk County My Commission Expires May 23, 2020 ,NUTILE 01M HL: ARI I 11G 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: PATRICK & DIANE SEVERSON SUBJECT OF PUBLIC HEARING : For a Wetland Permit to partially demolish a 560sq.ft. area of existing dwelling and 264sq.ft. front entry stair; construct new two-story addition and screened porch onto remainder of existing dwelling for a total 1,871sq.ft. footprint; install a new 275sq.ft. front entry with stairs; install new 43 linear foot at 4' high retaining walls at front entry; install an additional 136sq.ft. of decking onto seaward side of dwelling; install a new well; install a new sanitary system landward of dwelling; remove portion of existing driveway and install 743sq.ft. of new gravel driveway with parking area; reconfigure existing pool terrace by removing 1,469sq.ft. of existing and installing new for a 2,150sq.ft. terrace footprint around existing pool; reconfigure existing pool fence for a total of 323 linear feet of fencing; removal of 8 trees; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 9202 Bridge Lane, Cutchogue. SCTM# 1000-73-2-3.1 TIME & DATE OF PUBLIC HEARING : Wednesday, September 20, 2017 — 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 for inspection prior 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 r Waterfront Revitalization Program. A proposed action will be evaluated as to its significant ".•beneficial and-adverse"effects,zon:.the coas't`al:area�Lwjiicli nciudes_alL,of Southold Town). 3;, If any question in Section C on this form is answered "yes" or "no", then the proposed action will y 'affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus: ®ach-answer musf ue:explaineil'iia,•detail:,,lisfiria•iiotlirsupnortin ao&non-- suuaorting 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 s SCTM# 73 _ 02 3.1 PROJECT NAME . SEVERSON RESIDENCE The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑_ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) Ej (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: a Nature and extent of action: Renovations and additions to a single family residence,new sanitary system,new well_ and drywells. -- - - _ _ -- - --- - - Town of Southold Board of Trustees Severson Residence Project Description 1. Demolition of a portion of the existing Residence—Total Area: 560 SF* 2. Demolition of existing entry stair—Total Area: 264 SF 3. Construction of a new two story addition and screen porch —Total Area:1520 SF* 4. New Well and Sanitary System 5. Reconfiguration of Existing Driveway— Net Change- - 560 SF Removal of existing Driveway —Total Area:1303 SF New gravel (non rca) driveway and parking area: 743 SF 6. New retaining walls at Entry—43 LF at 4' high 7. New Entry walkway and stair—Total Area: 275 SF 8. New decking on grade —Total Area: 136 SF 9. Addition and reconfiguration of existing Terrace at existing swimming pool: Net Change: +681 SF Removal of existing Terrace —Total Area:1469 SF New Terrace: Total Area —2150 SF 10. Reconfiguration of existing Pool Enclosure (4' high) — Net Change +229 LF Removal of existing fencing —94 LF New fencing: 323 LF 11. Removal of 8 trees 12. Installation of 4 drywells as per Stormwater Management requirements * Footprint area only P Location of action: 9202 Bridge Lane,Cutchogue,NY Site acreage: 59,977 sf= 1.377 ac Present land use: RESIDENTIAL Present zoning classification: R-80 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:, Patrick and Diane Severson (b) Mailing address: 4306 Churchill Downs Drive, Austin, TX 78746 (c) Telephone number: Area Code( )914 656-0852 (d) Application number,if any:. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes R NoUT If yes,which state or federal.agency? NYS D E C 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 Q No 0 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 M Not Applicable 3 There are no historic or archeological structures on property. 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 0 Yes ❑ No ❑ Not Applicable Building structure is in keeping in style and scale of neighboring structures. 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 ❑ YesF1 No a Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes El No F Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ ❑X not applicable Yes No Not Applicable No development will take place in the"protected"or"natural indiginous environment". 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. X� Yes 0 No F� Not Applicable The development will not add pollutants into the air. 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 '0, No ❑X Not Applicable • f 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. Yen�- No 0 Not Applicable No public land involved. Littoral access unimpeded. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. 0 Yes E:11 No 0 Not Applicable There are no public or commercial activities or uses on site. Historically this property and ; neighboring properties are residential in use and will remain residential. — r 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. ; -X� Yes 0- No ❑ Not Applicable `' } This project will protect and preserve the living marine resources by maintaining all rainwater discharge on site.'- Attach ite: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. E`Yes 0 No 0 Not Applicable There are no agricultural"lands on site. " 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. X� Yes .0 No D Not Applicable The construction will be using equipment approved by the Federal government for energy usage. The project will meet Federal standards for conserving energy tar Pro ram" PREPARED BY Nancy Steelman TITLE Architect DATE /-7 S A M U E L S & S T E E L M A N August 9, 2017 Board of Town Trustees Town of Southold P.O. Box 1179 _ 1 Southold, NY 11971-0959 AUG 1 0 2017 ' RE: Severson Residence L------,,aia "'Wc' ' 9292 Bridge Lane, Cutchogue, NY ca o rd of ustces TAX MAP # 1000-73-02-3.1 Dear Board of Trustees, We are requesting a WETLANDS PERMIT for the above reference property. For your review we are submitting the following documents (original and three(3) copies): 1. Completed application with project description 2. ZBA Town of Southold Determination 3. New York State DEC Letter of No Jurisdiction 4. Short Environmental Assessment Form 5. Storm Water Assessment Form 6. Owner Authorization Form 7. Agent Authorization Form 8. Agent & Owner Transactional Disclosure Forms 9. LWRP Consistency Assessment Form 10. Photographs of subject area 11. Survey of property in current state 12. Site Plan and Floor Plans and Elevations 13. Application Fee - check for $250 Please call us with any questions or concerns. Since ely, ELS & EEL AN ARCHITECTS ancy a man, Principal Architect enclosures ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 4 'e0MPLE-TE,.T'HI§qEQ-T1O`&ON DELIVERY." ■ Complete items 1,2,and 3. A. Signature a Print your name and address on the reverse X c ,e ly,{n yV v r-t.._ ❑Agent so that we can return the card to you. ❑Addressee N 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. ASK()14- N Y#1 sV19 'I 1. Article Addressed to: D. Is delivery address differentfror�item 1? ❑Yes If YES,ente�r-Belivery address'below: ❑No 3 7 PL 1Jreo Y) , , 1) 20 o� C/So S .� Illli illi 111l lIII I I�III II I I II I I I D II I IIS 3. Service Type ❑Priority redd Express® � ❑Adult Signature ❑Registered MailTM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 2341 6225 3370 19 XCertrfied Mail@ Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. ele Number(Transfer from— —," -''I—n-- ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation7m _ -- 1—EJ-Signature Confirmation 16 0 910 D 1; 5 5j Restricted Delivery PS Form 3811,July 2015 Pi /2 0/� gestic Return Receipt I I / v H Complete items 1,2,and ❑Agent i Print your name and addrE so that we can return the i ❑Addressee ® Attach this card to the bac I C. DatDelivery or on the front if space pe *-/F 1. Article Addressed to: _ rn 1V ❑Yes N Pero w:: ❑No N,� ral lq��f�ltiz II t9l�l l I III I I I��I I li / 00— ' �. ( Regpriority Mail Express® Registered Madr'^ Registered Mail Restricted 9590 9402 2341 2 /r�� Delivery �Z � f ReturnRecefptfor Merchandisep/Q 0910 nature Confirmation""' 2. Article Number(Transfer from service label) ❑Collect on ueuNerynes,nc.c,.o...T,—ISI 9 ❑Insured Mail ❑Signature Confirmation 7 016 OW] ODD 1 5567 1450 3 insured Mad Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt v za o s Complete items 1,2,and 3. A. St riat ® Print your name and address on the reverse x ��l ❑Agent so that we can return the card to you. ❑Addressee' ® Attach this card to the back of the mailpiece, c 1 . R ve 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 ;lrys ti If YES,enter delivery address below: b No I'o NCS york NT 160615 II��I�I I��II �I I �II�III �II�I�I I I II D 3. Service Type El❑Adult Sign Signature ❑RegisteredWPMess® � ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 2341 6225 3369 99 6fCtified Mail® Delivery / i�j]�Certified Mail Restricted Delivery '❑Return Receipt for ElCollect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTTM P Insured Mill. A Signature Confirmation ®16 910001 '556? 14 7 4 ❑Insured Mail Restricted Delivery 1 Restricted Delivery (over$500) PS Form 3811;July 2015 PSN 7530-02-000-9053 Domestic Return Receipt j