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TR-9106
Glenn Goldsmith,President ��F so�jy Town Hall Annex Michael J.Domino,Vice-President ,`O� 0l0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l l�t Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1732C Date: July 20, 2020 THIS CERTIFIES that the construction of a 16'x32' in-ground swimming-pool with a 4' wide on grade paver walk around pool;(excluding waterside portion of pool),• construct a 349sq.ft. on-grade pater patio with 83'x30' platform and steps,• install an 8'x8' pool drywell to contain'pool°backwash: _ _insfalf-a 6'x8' pool equipment area,• and install 4' high pool enclosure fencing: At 470 Goose Creek Lane, Southold Suffolk County Tax Map#1000-79-1-5 Conforms to the application for a Trustees.Permit lieretofore filed in this office Dated August 21, 2017 pursuant to which Trustees Wetland Permit#9106 Dated October 18,2017,was issued and Amended on March 23,2018 and Amended again on February-12,2020 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 the construction of a 16'x32' in-ground swimming pool With-a 4' wide on-grade paver walk around pool-,(not including waterside portion of pool)' construct a 349sq ft on-grade paver patio with 83'x30'platform and steps install an 8'x8' pool drywell to contain pool backwash install a 6'x8' pool equipment area-, and install 4' high pool enclosure fencin . The certificate is issued to Richard&Alice Rubinstein owners,of - e'afor d perty� ••-• - - r Authorized Signature Glenn Goldsmith,President Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III #I Southold,New York 11971 A.Nicholas Krupski GTelephone(631) 765-1892 Greg WilliamsFax(631) 765-6641 NVI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: IN81PECTED"13-Y"' 4 JI) �•CK-�2775:,.%e !_!! Ch. 111 ill"' IJ INSPECTION SCHEDULE Pre-corrstt,t-totion4haYbate`-,Iin-e/,silt,-b.o'DM/-Silt curtain 1t day of construction % constructed Project complete,lete, compliancea inspection COMMENTS: CERTIFICATE OF COMPLIANCE: f Glenn Goldsmith,President �QE S0!/rTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York.11971 A.Nicholas Krupski G 4 Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 13, 2020 Jennifer DelVaglio P.O.-Box 369 Peconic, NY 11958 RE: 'RICHARD'&ALICE RUBINSTEIN 470 GOOSE CREEK LANE, SOUTHOLD SCTM#: 1000-79-1-5 Dear Ms. DelVaglio: The following action was taken by the.Southold Town Board of Trustees at their Regular Meeting held on Wednesday,`Feb�uary 12, 2020. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative ` Amendment to Wetland Permit#9106 to eliminate 128sq.ft. waterside portion of the previously approved 4' wide on-grade walk and to use pavers in lieu of brick on remainder; to construct a 349sq.ft. on-grade paver patio in lieu of previously approved 15'x29'deck with 83'x30''platform and steps; and as depicted on the project plan prepared by Jennifer DelVaglio, received on December 31, 2019 and stamped approved on February 12, 2020. 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, Glenn Goldsmith President, Board of Trustees GG/dd i4 � 1- jl ' i 2019 ----, -;-;-------- f 3 _ l i' J TI --------------------ate ------------_._.-___ __--------------- ----- -s--- ---- ,�' ------------ _V --- ---- -BOARD OF-T-RUST-EES------------ - --- — --�= ------ ---- - TOWN OF SOUTHOLD ®ATE FhvAW_-� - ------------------------- -- ----------------------- - �I l� I . Michael J Domino. R'—�'ident o�pS�FFOL Town Hall Annex John M- Bredemeyer� .: Vice-President o� 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A Nicholas Krupski y Southold, NY 11971 Greg Williams l , Telephone (631) 765-1892 Fax (631) 765-6641 S 0(fTE10 LD TO WN B OARD O F TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE. VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS -7 q-1 SCTM#: f : �-� JAN e 8 2!'='Q Property Owner Name: R�B�NS��IJ Date Sent to B[dg. Dept-- The ept:The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? —Z 1zWill the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Derrmolifion as described under Town Code? COMMENTS: 0 °� � 1 d - et de- Date ZSignature of R viewer i 141 r �i�-� b c l , ons -l-o ?)L?*,PM r a'oo L {-bUse- i5 4-1j JAN 72020 ;' Michael J.Domino,President �`� SOUTy� Town Hall Annex John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G.�` • Telephone(631)765-1892 Greg Williamsy00UM`{N� O Fax(631) 765-6641 � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ' # JAN 7 2020 APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT ---- DATE /d1311a0/9 OWNER ,� b e n S�� PHONE MAILING ADDRESS 'F-0-60K 3 Co 9 "PfGon(c .Nt/ 11252 AGENT 7 ; �2� `'� PHONE &3/- ?3 y-?4?00 ADDRESS #(05-Z0 44-e_ PROPERTY LOCATION 7' U TAX MAP NO. /000 S_ UWe nnx.b2n �V crsli c� request an Amendment to Permit# 0 G to Qf'Yl2e?,J 4,p- aoA-oved deck- �b be re�/aZc e-J w4h 0- -400p 4 a� ia/ e z�sed deems oof „ d a4-4 3S D as O�';�)na-P deur Pro�sc�Q o %hz b2. 92"X 32" 4-tA .k knclJ_" S_e� �t o.�i c (Zs� Zs aL4 �u.v2Q Clo1� ti1rL eve csiz, -f 0_%:eM CA-)o 10'Ar C W r 'C ',ck-� Vse w s�st C2Yx�oVe �� q4 WCt_W_ 6-foune� a!1 o- `SOS 04") qoo\ Signed By: W,L'e„',- -vvll_ \S>c Zq &ems A-0 �.o 0'_� dra,w� d- o`flac�a.�, g 3' c,1A Board Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, ' owners of the property identified as SCTM# 1000- in the town of New York, hereby authorizes 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF , 20 Notary Public AUTHORIZATION (Where the applicant is not the owner) AL)'Ct, owners of the property identified as SCTM# 1000- 7q 91 OS in the town of C-P ,New York, hereby authorizesP-W lam, Me,j to act aspay agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature Jf SWORN TO BEFORE ME THIS 'r DAY OFd Ll a V , 20__ SUNITA SEWSANKAR l Notary Public.State of Now York N Public NO.01SE6396022 Qualified in Bronx County My Commission Expires Aug 12,2023 1 o2f�Z10 Michael J. Domino, Pres t �QSOFF©tKC � Town Hall Annex John M. Bredemeyer III,Vice4rdsideiit ��� G�J,� 54375 Route 25 Glenn Goldsmith ro P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 110! Telephone(631)765-1892 Fax(631)765-6641 ZA�p BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ' � Completed in field by: Jennifer DelVaglio on behalf of RICHARD & ALICE RUBINSTEIN requests an Administrative Amendment to Wetland Permit #9106 to eliminate 128sq.ft. waterside portion of the previously approved 4' wide on-grade walk and to use pavers in lieu of brick on remainder; to construct a 349sq.ft. on grade paver patio in lieu of previously approved 15'x29'deck with 83'x30' platform and steps. Located: 470 Goose Creek Lane, Southold. SCTM#: 1000-79-1-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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 V Ch. 111 SEQRA Type: I 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: l-ilL '— ��0�/+�1,✓. �S�y oni►low GhGtin4�_ I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SO UTHOLD DEC 3 1 20i9 {`� SUFFOLK COUNTY, MY �j 1 Y .p i Q ,� _ _ I I 1000--79-01-05 (5Q \ �� ��___._ SCALE 1' 30' �+ �� •N1`y�' Fes, �_____a_______._Boar�f c_i 1_,�,n�_ I - f' 015 ---- - -- MAY 21, 1999 •'F, Y PLANTEDFRWlTHTH NA JUNE 4, 1999 (PROP. DOCK) VEGETATION DECEMBER 12, 2017 N��`� . h IGATE MAY 17, 2018 (PROPOSED DECK/POOL) \ OCTOBER 18, 2018 (NGVD 29 10 CONTOUR) NOVEMBER 7, 2018 (LOT COVERAGE) i Fw "' saA DECEMBER 9, 2019 (REV/S/ON) o EXISTING NGVD 29 � -y a• e��i '' PR y -�? DEC LOT COVERAGE �2os�o �� S��O W AREA SEAWARD OF NGVD-29 9 �• } _ � o o 10' CONTOUR TO 71E UNE _ SOUTHOLD TOWN 2oN��6 ��° �'�" eR°e �" q�\ ���� 8,952 SQ.FT. D'/cRA GE ` HOUSE = 1784 SQ.FT. L 0 T C V C / T7 SQ.FT Q STEP ��(. gym. \ C� DECK 32 Yff $Q.FT X4 UP lS77NG: O �� Fes. 16Ou °• 2111/8952 = 23.6.` AREA TO 77E UNE = 16,310 SQ.FT. ��<<� \ �` ,� A" EX. HOUSE, GARAGE 2,425 SQ.FT, �>`s O Fw�\-:$ `�� ��� 4 GATE i�ocoNTouR PROPOSED NGVD 29 EX. DECK = 327 sQ.Fr �� ° \�,° DEC LOT COVERAGE 2,-M SO.FT TOTAL EXlS71NG y Fy'�" ,� �� ,a 2,752/16,310 = 16.8 qj, 3qh AREA SEAWARD OF NGM-29 8 GATE o 10' CONTOUR TO 77E UNE _ PROPOSED: y�-� 2� OGS• \ 8,952 SQ.FT. AREA TO 77E UNE = 16,310 SQ.FT. PROP. POOL• 1 EX. HOUSE, GARAGE = 2,425 SO-FT EQUIP. HOUSE = 1784 SQ.FT,g� � � ��'W/FENCE 6'X8' POOL = 512 SO.FT. PROP. PA 770 = 314 SQ.FT. PROP. \ O G � G o� PROP. POOL = 512 SQ.FT. �� POOL her ` \°� 'P�P� ` � i PA 770 = 314 SQ.FT. 3,-M SQ.FT. TOTAL W/PROPOSED DRYWELL L \ Qom Q� �0P NV SO.FT. 71 3,251/16,310 = 19.9.8 a�9 � i i \ ®res eF °\�` P�IGV 2610/8952 = 29.21G 11 CERTIFIED TO' �yiY RICHARD KUf5IN5TEIN •�OJ� ALICE KU61N5TEIN FIDELITY NATIONAL TITLE IN5URANCE 5EKVICE5, LLC • = PIPE i• �o� Q ELEVA770NS REFERENCED TO NAVD 88 0� FLOOD ZONE FROM FIRM 36103C0166H MAP EFFECTIVE DATE 5EPTEMf3EK 25, 2009 h 2O ANY ALTERATION OR ADDITION TO TH 15 SURVEY 15 A N.Y.5. LIG. NO. 49616 0 PD �" VIOLATION OF 5ECTION 7209OF THE NEW YORK STATE PEGONIG SURVEYORS, P.G. EDUCATION LAW. EXCEPT A5 PER 5ECT ION 7209-5U61)IV1510N 2. ALL CEKTIFICATION5 HEREON ARE ���' (631) 765 -5020 FAX (631) 765 -1797 VALID FOR TH15 MAP AND GOPIE5 THEREOF ONLY THE SAID 0�P P.O. 60X 909 MAP OR COPIE5 GEAR THE IMPKE55ED 5EAL OF THE AREA = 16,310 SO. FT. 1230 TRAVELER STREET '�f(a 5UKVEYOR 98-2 WH05E 51GNATURE APPEARS HEREON, CJ / eJ t0 tie line 5OUTHOLD, N.Y. 11`171 Michael J.Domino,President sorry Town Hall Annex John M.Bredemeyer III,Vice-President ,`O ��� 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 Own BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2019 Thomas J. McCarthy McCarthy Management, Inc. 46520 C.R. 48 Southold, NY 11971 RE: RICHARD & ALICE RUBINSTEIN 470 GOOSE CREEK LANE, SOUTHOLD SCTM# 1000-79-1-5 Dear Mr. McCarthy: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2019: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#9106, as issued on October 18, 2017. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, v Michael J. Domino President, Board of Trustees MJD:dd McCarthy Management, Inc. October 1,2019 Town of Southold, Trustees P.O. Box 1179 Southold,NY 11971 RE: Request for 1-year extension Permit#9106 To Whom It May Concern: Please let this letter serve as written request for a one-year extension on Permit#9106, 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5. (see attached) If you should have any questions or concerns,please feel free to contact me. cerely, U-1-4 Ruthie Love F �a E iC' E �r OCT 1 2019 Southold Tonin o r of TrnStreS 46520 Route 48 Tel. 631.765.5815 Southold, NY 11971 Fax.631.765.5816 office@ thomasjmccarthy.com McCARTHY MAUL MIF�1UT, INC. B 46520 COUNTY ROAD 48 SOUTHOLD, NY 119710 ., . ,Cp DATE / "JOB NO., (01) 765-5815 FAX (63 ) 766-6816 ATTENTION TO RE tj 44:n loco f INI l WE-ARE SENDING:YOU ❑, Attached ❑Under:separate cover via . the following items:", ❑ Shop drawings 0 Prints 0 Plans• ❑ -Samples E] Specifications ❑-Copy of letter, T� Change-order" ,- ❑ - COPIES DATE Nomo • e r ru.�L THESE ARE TRANSMITTED as checked below: _ ❑ For approval ❑ Approved as submitted ' ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑. For review and comment- ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. Michael J Domino, Presid �r� co � }E Town Hall Annex John M. Bredemeyer III, Vice-Presiaent i��© Gy,,e� 54375 Route 25 Glenn Goldsmith M x P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams A& ! Telephone(631)765-1892 r Fax-(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD /7 ' Date/Time: /0/0, A 'y e Completed in field by: �-e�- McCarthy Management, Inc., on behalf of RICHARD & ALICE RUBINSTEIN requests'a One-Year Extension to Wetland Permit#9106, as issued on October 18, 2017. Located: '470 Goose Creek Lane, Southold. SCTM#: 1000-79-1-5 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: 1 00feet 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 mod ifications/conditions%need for outside review/consultant/application completeness/comments/standards: ✓e have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were- J. Bred emeyer M. Domino G. Goldsmith N. Krupski Williams Other t' 9 /2019 11 : 45 ••1 '•` Str dk,1.�• ;•� S • ,.. �► 'frit:">��Ili�� (�' V •`� 111 • b. 1 . ,�yy' � � � `� � 1• >:•.` . .��Z- 4L1�`'_; S, ., ,A. fit. - ,. � ! •�Y',_ •1�. �_- ' - .l..• .r _ .+�,. t. .-. �.' �V-`..- _ ♦_-- r y� F ,'� •r. ,tits. rt ;ice t L R low— . _ ;:� �: �, mak'� '_ _ �1 v r„�\- � .{.'- ���� •� ♦ --_ �rf. _ • - ,.fes* t•�f``� •� �� �. 10/ 9/2019 11 : 45 -� &Alice Rubinstein 70 Goose Creek Lane,Southold 79-1-5 v. , ;,r 1 k - _. _ems. _fib•.. a • �' . . Iry r � � Richard ' Goose Alice Rubinstein , 000 0 �. IR it Al ti ., ; ..• , i Richard&Alice Rubinstein N- $ 470 Goose Creek Lane,Southold SCTM#: 1000-79-1-5 10/9/19 I � 11 Y ` t Ilk -17 j jj • ++ ` a s .,.• �4 �a�la' s .1t r•i 'r�Y�, I itiw� �'.�` i. +"" �oJ'`". � �`91► 9rr Michael J.Domino,President rg S0UTy0 Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 P.O. Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski Q Telephone(631) 765-1892 Greg Williams �� COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2018 Elizabeth Thompson P.O. Box 464 Orient, NY 11957 RE: ALICE AND RICHARD RUBINSTEIN 470 GOOSE CREEK LANE, SOUTHOLD SCTM#: 1000-79-1-5 Dear Ms. Thompson: The following action was taken by the Southold Town Board of Trustees at their Special Meeting held on Friday, March 23, 2018: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9106 to replace the existing 15'x24' deck with new 15'x29' deck; and as depicted on the site plan prepared by Elizabeth Thompson, Architect, dated February 16, 2018, and stamped approved on March 23, 2018. 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, 1 Michael J. Domino President, Board of Trustees MJD:dd f i Michael J. Domino, President �*Of SjyO Town Hall Annex John M. Bredemeyer III,Vice-President �O 1p 54375 Route 25 ' P.O. Box 11 Glenn Goldsmith 1 Southold,New York 11971 A.Nicholas Krupski i5 Q Telephone (631) 765-1892 Greg Williams OINA UNTi, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD To: Southold Town Building Department MAR 1 2 2018 DD Re: Verification of Building Department Permit Requirements n P,.Cj qG Dj ,r, TOWN OF SOUrHOLD SCTM#: Property Owner Name: rd RLQ' Ir.ASTK f1 Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of Reviewer Dat �f SUuly Michael J.Domino, President �QF Town Hall Annex� Ol0 John M. Bredemeyer III,Vice-President 54375 Route 25 l�SL P.O. Box 1179 Charles J. Sanders C102 41C Southold,New York 11971 Glenn Goldsmith ® �O� Telephone (631) 765-1892 A. Nicholas Krupski �li,'COU0 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE �4S OWNER GG 1&Caft, P-U61PaW PHONE 7$q " 6704 MAILING ADDRESS 2"j Ll sT #7J N y, Y l r AGENT PHONE °�('7-S*g g4 ADDRESS PROPERTY LOCATION 47o 6.0 S ClfO� �A-0 . �500TP TAX MAP NO. 1000 UWe �U7.bkfZIi4 �l e^r,� request an Amendment to Permit# 0 to ff• F b 4-Cz W rr4 N(3-0 Is-X z1 Signed By: n I 2018 3 2 FEB � B aryl I--- 1 ` Richard & Alice Rubinstein 27 W55th Street (Apt. 71) New York, NY 10019 D � � � � `l9 � DEC 2 1 fly December 21, 2017 Southold Town Board Southold Town Board of Trustees P.O. Box 1179 Southold,NY 11971 RE: Transfer of permit#4008,5049& 9106 SCTM# 1000-79-1-5 LOCATION: 470 Goose Creek Lane, Southold,NY 11971 Dear Board of Trustees: Please let this letter serve as written request to transfer permit#'s 4008 & 5049 certified to Virginia Rumpler, and permit# 9106 certified to John Rumpler to Richard&Alice Rubinstein, new owners of 470 Goose Creek Lane, Southold,NY 11971. SCTM# 1000-79-1-5. Enclosed is a copy of the signed deed as proof of ownership along with a check in the amount of $150.00 representing $50 for each transfer. I give the Southold Town Board of Trustees permission to enter the property to do the necessary site inspection in order to transfer permit#4008, 5049 & 9106. Sincerely, i Richard Rubinstein Owner Alice Rubinstein Owner f GOOSE , -� -� CREEK s 0 IRA,- wow N6404'39"E 75.11'� Residence Remodeling WVM ALONE cors eu.KrE„p 02'W TIE LINE ALS Ao I = 470 Goose Creek Lane I FE L005E STONE O.8'E Southold, NY TIIBER EOCZE Z Lot: 1000-79-01-05 N PIPE ZONE AE o��W. 101 �� rn ZONE X7:T-- List of Drawings:. abs 1 Site Plan & List of Drawings " 2 Pool & Deck Plan-Site Plan FE FR./2 5TY. HOUSE ' 3 Deck Construction Plan Pant, 5QUIP" , ,,#i 4 Deck Framing Plan & Details W - 24.2 A/C FE >- U.J n O.qE, m o w ,Y ; tvPfZoP 221 n ,— - t - N O = -.-- r.... a g �= Q .�,� oc Q 0 - FEB 2 3 2018LO 711 �co ELEC. FE Q SCI:i:IL;r I"'.ill ►ErErc osE y Board of Tru:A',,n 9 017' x0� UTILITY = - ® POLE FE, WATER PVC, PICKET O.`M. IE15C FENCE -- - — - -- - PIPE 0.7E PIPE 3k/O.fE Elizabeth Thompson Architect Job 470 4� ,g� 44U6oat I r/� 56t47'2 750-W 00 h�UTi�DVD �•.�`( ROAD 2O� RIGHT OF WAY ! 250 Mercer St.'8806 917-848-1541 Title Scale New York, NY 10012 41TE FLAP I►1�3o I www.elizabeththompsonarchitect.com L� I _ I -O Q I '97 - C � P f, 4, t I L FEB 23 2018 :_ ' 9 -OAk ; OF IdE U-PPIl�. D- P ' t� r i t ! \VW,1 U00M F-Y�S�Al i,GDM Job Date ` '� W� Elizabeth Thompson Architect 470 (,eo�E 6Wr, � . 250 Mercer St B806 917-848-1541 Title Scale Q � New York, NY 10012 ,I , ,l j - " - - —� www.elizabeththompsonarchitect.com PSL P �IrE P�� ��� %I 'o Poop .4;-AU,Itf A- P6 1"050 1-5;" ViF� fo E�6 �LL)6,�7foWg POOL., 40-00 Al .49A.DL \v eowVzIT 101 F Lt. too Lif FEB 2 3 2018 7= S Am4w Vq�4 r u P to" �k 0! AR j%A T A 6 Elizabeth Thompson Architect Job A10 400% Wky--LAO 6 Date ?M7fRC)L,fl 250 Mercer St. B806 917-848-1541 Title Scale New York, NY 10012 lizabeththompsonarchitect.com pt56,y— wrtw.e �.4 r� r' 14 — A41111 -Tb 06d' D14- Go uc tr1 I�I,�c 40U&TL)� Palo — A44., Ftrl.U4 Oro Pyr gat _ I 43 FEB 2 3 2018 w D N ' O 017 yOQ� y 4F NE� Job Date Elizabeth Thompson Architect - X70 660'56 ? I uE j 250 Mercer St. B806 917-848-1541 Title Scale New York, NY 10012 www.eIizabeththompsonarchitect.com bE ��`�'� �� .� N ��� �l' eoll Michael J Domino, Presie �0 C� Town Hall Annex John M Bredemeyer 111, Vice-Presi6ent h�0 GyJ, 1 54375 Route,25 Glenn Goldsmith cm ti 2 P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'y • p� Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time H/IS 1Z'So Completed in field by: G Go Us-,/ Elizabeth Thompson on behalf of ALICE AND RICHARD RUBINSTEIN requests an Administrative Amendment to Wetland Permit #9106 to replace the existing 15'x24' deck with new 15'x29' deck. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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 Noticeof Hearing Card Posted: Y / N Ch. 275 c// 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: I have read & acknowledged the foregoing Trustees comments- Agent/Owner: / Present were: ✓ J. Bredemeyery M. Domino G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J Domino, Presid, ry O��SUFFO(�CO er Town Hall Annex John M. Bredemeyer I11, Vice-President Gym 54375 Route 25 Glenn Goldsmith N z P.O. Box 1179 A Nicholas Krupski — Southold,NY 11971 Greg Williams 'y ® p� Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Elizabeth Thompson on behalf of ALICE AND RICHARD RUBINSTEIN requests an Administrative Amendment to Wetland Permit #9106 to replace the existing 15'x24' deck with new 15'x29' deck. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 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 G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 T SURVEY OF PROPERTY A T SOUTHOLD o TOWN OF SOUTHOLD SUFFOLK COUNTY 005'l �- y 1000-79-01-05 v NY t".0 I SCALE.• ls= 30' 01b MA Y 21, 1999 YAFlo JUNE 4, 1999 (PROP. DOCK) CXMINO DECEMBER 12, 2017 �k -7 .00, Itlo kc-\ kSl �i 0 0 bk, -7- 00 < FEB 2 3 2018 Jlk- 3;1 If- So utl lol�d Tovin CERTIFIED TO' ---Q29 rd of 15 u s Lu R__j Kl(-HAKC) KUf5IN5TEIN ALICE KUDIN5TEIN F I DEL I TY' NATIONAL TITLE IN5UKANCE SERV IGE5, -LLC OF NE.pV PIPE of FLOOD ZONE FROM FIRM 36103CO166H C)b, MAP EFFECTIVE DATE, 5EPTEM15EP, 25, 2009 Y5 LIC, NO 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A (40 1 VIOLATION OF 5ECTION 7209OF THE NEW YORK STATE EDUCATION LAW EXCEPT A5 PER 5EGTIONW&& EYOR5, P G. 7209-5UDDIV15I0N 2. ALL CEKTIFICATION5 HEREON ARE 20 FAX (631) 765 - 179-7 VALID FOR TH15 MAP AND GOPIE5 THEREOF ONLY IF 5AID MAP OK GOPIE5 DEAR THE: IMPRESSED SEAL OF THE AREA = 16310 SO. FT SURVEYOR WH05E 51&NATUKE APPEARS HEREON. 1230 TRAVELER STREET to tie line 5OUTHOLD, N.Y 11971 98-279 Michael J.Domino,President rjf SOUIy� Town Hall Annex John M. Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Telephone(631) 765-1892 Greg Williams �CDU O Fax(631) 765-6641 NTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2018 Richard & Alice Rubinstein 27 W 55th Street, Apt. 71 New York, NY 10019 RE: 470 GOOSE CREEK LANE, SOUTHOLD SCTM# 1000-79-1-5 Dear Mr. and Mrs. Rubinstein: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 14, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #9106 from John Rumpler to Richard & Alice Rubinstein, as issued on October 18, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 D E C E CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNE ELLER AND I PURCHASER BEFORE SIGNING. 1.. THIS INDENTURE,made the a DEC 2 7 2017 day of ere�1Je n , 2017 I t� between Town JOHN EUGENE RUMPLER III,residing at 1060 Leeward Dr.,Southold,NY and of Southold TofTo CYNTHIA R SWISKEY,residing at 630 Nakomis Road,Southold,NY 11971,as tenants in common. party of the first part,and RICHARD RUBINSTEIN and ALICE RUBINSTEIN,husband and wife, residing at 27 W 55'Street,Apt.71,New York,NY 10019 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful consideration,lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being at Bayview,near Southold,in the Town of Southold,County of Suffolk and State of New York. SEE SCHEDULE`A'ATTACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises as described in deed made by Virginia L.Rumpler,recorded 01-16- 2004,Liber 12295 Page 771. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVEAND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. i IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. JOHN EUGE RUMPL C R S �KEY* NYSBA Residential Real Estate Forms on HotDocs°(9/00) Copyright Capsoe Development -l- a l STATE OF NEW YORK ) ss.- COUNTY OF SUFFOLK ) On the cO'/'day of in the year 2017,before me,the undersigned personally appeared John Eugene Rumpler III,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. D«CL4�G NO Y PUBLIC - LORRAINE KLOPFER Notary Put4ic,Stare of New York No.4920,373 Qualifmd in S!woll;County Commission Expires Nov.30, STATE OF NEW YORK ) )ss: COUNTY OF SUFFOLK ) On the a/ day of 3--ce1nAfr,in the year 2017,before me,the undersigned personally appeared Cynthia R Swiskey,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. tilil 9?40T Y PUBLIC LORR.AINEE KLOPFER Notary Put-lic.State of New York P1u.4926373 Qualifiec in surfolk County D DEED Commission Expires tday.30, E C E 9 m E,�p,'�� Title No. Section 079.00 Block 01.00 DEC 2 7 2017 RUMPLER AND SWISKEY Lot 005.000 County or Town SUFFOLK To i Southold Town a of Trustees RUBINSTEIN Return By Mail To: Daniel Ross,Esq. 315 Westphalia Rd. Mattituck,NY 11952 Reserve This Space For Use Of Recording Office NYSBA Residential Real Estate Forms on HotDocsO(9/00) Copyright Capsoe Development .2- Fidelity National Title Insurance Company TITLE NO.F17-7404-105965-SUFF SCHEDULE A-1(Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Bayview, near Southold, in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at an iron pipe set on the Northerly line of a 20 foot right of way leading westerly from North Bayview Road,at the Southeasterly corner of land heretofore conveyed by F.Harold Sayre and Ray I.Young to Robert Malgraff, said pipe being 150.0 feet Westerly along said Northerly line from a monument at the Southwesterly corner of land of Charles McNeilly;and RUNNING THENCE along said land of MalgratY and passing thru an Iron pipe,North 29 degrees 12 minutes 40 seconds West,a distance of 235 feet,more or less,to ordinary high water mark of Goose Creek; THENCE Easterly along said high water mark,75 feet,more or less; THENCE along other land of the parties of the first part and parallel with the Easterly boundary line of Malgraff,South 29 degrees 12 minutes 40 seconds East,a distance of 225 feet,more or less,to said Northerly line of said 20 foot right of way; THENCE along said Northerly line,South 61 degrees 47 minutes 20 seconds West,a distance of 75.0 feet.to-the point or place of BEGINNING. TOGETHER with the right to the use of a 20 foot right of way to be used in common with others immediately adjoining said premises on the south and running from the southwesterly corner of said premises easterly about 475 feet to North Bayview Road. ,1j E C E H E DEC 2 7 2017 I .-nW THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and Improvements on the premises which by law constitute real property. FOR.CONVEYANCINC ONLY-Togeiher with all the right,title and interest of the parry of the first part,of in and to the land lying in the street in front of and adjoining said premises. SCHEDULE A-1(Description) '—" Rcv.(03/04) J Richard & Alice Rubinstein 27 W55th Street (Apt. 71) New York, NY 10019 F`9 DEC 2 7 2011 December 21, 2017 Southold Town Board Southold Town Board of Trustees P.O. Box 1179 Southold,NY 11971 RE: Transfer of permit# 4008,5049 & 9106 SCTM# 1000-79-1-5 LOCATION: 470 Goose Creek Lane, Southold,NY 11971 Dear Board of Trustees: Please let this letter serve as written request to transfer permit#'s 4008 & 5049 certified to Virginia Rumpler, and permit# 9106 certified to John Rumpler to Richard&Alice Rubinstein, new owners of 470 Goose Creek Lane, Southold,NY 11971. SCTM# 1000-79-1-5. Enclosed is a copy of the signed deed as proof of ownership along with a check in the amount of $150.00 representing $50 for each transfer. I give the Southold Town Board of Trustees permission to enter the property to do the necessary site inspection in order to transfer permit#4008, 5049& 9106. Sincerely, Richard Rubinstein Owner Alice Rubinstein Owner Michael J. Domino, Presidi O�Q �'�G Town Hall Annex John M. Bredemeyer III, Vice-Pre`sinent yam, 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski 0 � Southold,NY 11971 Greg Williams 9 ® p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ; '�1 Completed in Work Session by: RICHARD & ALICE RUBINSTEIN request a Transfer of Wetland Permit #9106 from John Rumpler to Richard & Alice Rubinstein, as issued on October 18 2017. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 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 andadjacent 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: Co pleted By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 Michael J. Domino, Preside �QS�1FFQf�-`'O Town Hall Annex John M. Bredemeyer III,Vice-President ��� Gyl _ 54375 Route 25 Glenn Goldsmith o "� P.O. Box 1179 C4 Z A.Nicholas Krupski _ ® r Southold,NY 11971 Greg Williams 'y p! Telephone(631)765-1892 �Ol �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: RICHARD & ALICE RUBINSTEIN request a Transfer of Wetland Permit #9106 from John Rumpler to Richard & Alice Rubinstein, as issued on October 18 2017. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J.Domino,President o���F SOujyo� Town Hall Annex � O John M.Bredemeyer III,Vice-President 54375 Route 25P.O.Box 1179 Charles J.Sanders N Southold,New York 11971 Glenn Goldsmith • COQ Telephone(631) 765-1892 A.Nicholas Krups1d �lij'COU 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 compliance Project complete, inspection J P BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK 1 PERMIT NO. 9106 DATE: OCTOBER 18, 2017 ISSUED TO: JOHN RUMPLER 4 i . PROPERTY ADDRESS: 470 GOOSE CREEK LANE. SOUTHOLD }' SCTM# 1000-79-1-5 `f 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 October 18. 2017, and in consideration of application fee in the sum of$250.00 paid by John Rumpler and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 16'x32' in-ground swimming pool with a 4' wide on-grade brick walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 61x8' pool f equipment area; and install 4' high pool enclosure fencing,and as depicted on the revised , project plan prepared by McCarthy Management,Inc., received on December 13,2017, and stamped approved on December 13,2017. 1 IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, _ and these presents to be subscribed by a majority of the said Board as of this date. gSFF0��- = > c COD i.`2. • _- _- i •_ S TERMS AND CONDITIONS The Permittee John Rumpler, residing at 470 Goose Creek Lane Southold,New 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 *rif SUUTyo Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President �� l0 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G • Q Telephone(631) 765-1892 A.Nicholas Krupski Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 18, 2017 Thomas J. McCarthy McCarthy Management, Inc. 46520 C.R. 48 Southold, NY 11971 RE: JOHN RUMPLER 470 GOOSE CREEK LANE, SOUTHOLD SCTM# 1000-79-1-5 Dear Mr. McCarthy: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 18, 2017 regarding the above matter: WHEREAS, McCarthy Management, Inc. on behalf of JOHN RUMPLER 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 21, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application October 18, 2017, at which time all interested persons were given an opportunity to be heard, and, 2 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 and Chapter 111 of the Southold Town Code, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN RUMPLER to construct a 16'x32' in-ground swimming pool with a 4' wide on-grade brick walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 6'x8' pool equipment area; and install 4' high pool enclosure fencing, and as depicted on the revised project plan prepared by McCarthy Management, Inc., received on December 13, 2017, and stamped approved on December 13, 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, Michael J. Domino President, Board of Trustees MJD/dd APPROVE® BY' -�.'BOARD OF 1 RUSTEES TOw , F SOUTH ®ATE v3 2017 ,; ,• SURVEY OF PROPERTY �t, w �•Q�� �`" AT SO UT HOLD IV OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1000-79-01-05 SCALE: 1"=30' , Jl1NF 1999 (PROP. D�; In IPA x 8 ' Cdr, Arne I^+ 0 NOTE, SOUNDINGS AND APPAREN" �\ - y �l y LOW WATER AS PER SUFFOLK JUNE 1, 199 ENVIRONMENTAL @7�5 PPA CONSULTING , {NL. � O � � 00. Ao\ r, f " :� }i` DU ` "� CDEC 1 3 2017 Board AREA, = 16,310 sq. ft. of Is=PIPE ANY ALTERATION OR ADDiT1ON 7O THIS SURVEY � s�.R,�EY IS A VIOLAnI'' f" COMC OR EYORc P OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTIOtl 7209—SU8DIVISION 2 ALL CERTIFI'_s T r` ' "516) 765 — 5020 HEREON ARE VALID FOR THIS 144P A:';G• COOZ3 THEREOF ONL:, p O BOX 909 SAID MAP OP COPIES BEAR THE ❑APRT- OF �•- -- 7 7! ,,^^y']ee �f/ _�J�D JEa_ THE 5.. ,T 1G30 IR/11�CI tLi rREEi {J �-�2 I :'HOSE S,G,•,4 TORE APPEARS �£REOt r - SOUTHOL ^, Y. 11971 ; --Town Hall Annex Michael J. Domino, ,. �asictent'''"" '' ' rs��os�ffo1�-�0� 54375 Route 25 John M. Bredemeyer, III, Vice-President ,,moo �y P.O. Box 1179 Charles J. Sanders Feo ti Glenn Goldsmith Southold, NY 11971 r= A. Nicholas Krupski y • o�`y Telephone (631) 765-1892 �ol Fax (631) 765-6641 � 00 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD � d0,x*,I� TO: Totw "aff&-p, Vo T Atc-c" - Please be advised that your application dated 24, has been reviewed by this Board at the regular meeting of and your application has b en approved pending the completion of the following items checked off below. 7r 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: TOTAL FEES DUE: $ 5910V BY: Michael J. Domino, President Board of Trustees 7OCECT 1fVE P.O. Box 371 Southold Town Southold NY 11971 Boar of Trus a October 13, 2017 Board of Trustees Town of Southold 53096 Main Road Southold,New York 11971 Re: Application of Rumpler (1000-79-1-5) Greetings: My wife acid I are the owners of the premises that lies immediately to the southwest of that of the applicant. We have lived in this location for 63 years in a house that we built with our own hands and in which we raised our two daughters, All of the lots in our area on the south side of Goose Creek are relatively small by today's standards averaging less that 20,000 square feet each. Over the many years that we have lived here, all of our neighbors have exercised restraint and consideration for the local community character by making only limited additions and alterations to their homes as necessitated to accommodate growing families and their own needs as caused by aging and lack of mobility. This letter is to strongly protest applicant Rumpler's request to locate an in-ground pool, equipment enclosure and fencing immediately adjacent to our house and only 5'removed from our northeastern property line. Since applicant's rear yard measures 75'from side to side and 77'between the house and the bulkhead, it appears there might be room to adopt a more neighborly placement of a 37' by 21"pool,patio and fenced enclosure elsewhere rather than crammed up against our property and impinging upon our presently beautiful view of Goose Creek and thence northeasterly to the Goose Creek bridge.. If applicant had been a long term owner of the premises who was making this pool application for personal use or for medically required exercise we might view this project in a different light,but with the major renovations to the house itself and recent appearance of a"For Sale"sign, it is obvious that this proposed pool is only a blatant attempt to increase a sale price without regard to to the character of the community or its effect upon us,the immediate neighbors. If this Board in its infinite wisdom decides to allow such a major change to the area, we at least pray that the orientation of the pool be changed so that its long axis runs from side to side across applicant's property thereby placing its southwesterly edge further from our Board of Trustees Page 2 of 2 property line and concurrently decreasing its northwesterly extension toward the bulkhead by some 1 6°which would at least preserve some of our treasured view. Additionally, along with our deep concern about the location of the pool itself, we are troubled by the proposed location of the"pool equipment"enclosure that on the site plan lies immediately outside our sunroom window. My wife and I use this room twelve months a year for our reading pleasure and dread the thought of noisy machinery immediately next door making that room unusable to us. With the space that is available in applicant's rear yard and the existing vegetation that already screens the premises to the northeast,we wonder why all of the burden of this project, if approved,must fall upon us.. I regret that I am unable to appear before the Board of Trustees to voice our opposition to this project,but my wife has had recent surgery and is confined to Peconic Bay Medical Center while I am having increasing mobility problems that makes my trip to the hearing room very difficult. I am trusting that this letter will be considered with the same gravity as if I were able to appear in person. Very truly yours, Robert C. Mallgraf EEVE OCT 1 1 2017 ID Southold Town Board rug e ccrt -a i - --- --- -- --- E92RKf - - -- tcE Mit-I,C(LPtF I M j' , rt ,. r • Michael J. Domino, Presii ! �pg�fFO(,��0 1' Town Hall Annex John M. Bredemeyer III, Vice-p v6 iu'ent �`1� G�.t 54375 Route 25 Charles J. Sanders y z 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 i 00 Date/Time: 0/1011-? i2: l5 Completed infield by: McCarthy Realty on behalf of JOHN RUMPLER requests a Wetland Permit to construct a 16'x32' in- ground swimming pool with a 5' wide on-grade brick walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 6'x8' pool equipment area; and install 4' high pool enclosure fencing. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 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: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 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: so- S4L0-e_V Present were: �J. Bredemeyer V"*"M. Domino ✓ G. Goldsmith ✓ N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Presi M $UFFQ1,YCOG ' Town Hall Annex John M. Bredemeyer III,Vice-President y_ 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ?,ho• �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: McCarthy Realty on behalf of JOHN RUMPLER requests a Wetland Permit to construct a 16'x32' in- ground swimming pool with a 5' wide on-grade brick walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 6'x8' pool equipment area; and install 4' high pool enclosure fencing. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 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 10000 ohn Rwnpler 10,00 470 Goose Creek Lane,Southold / SCTM#: 1000-79-1-5 s 10-10-17 a6; eta IV, t _to fit.. f, � �: tv + `ML y Y'YI SOUTH VIEW FROM BULK HEAD NORTH VIEW FROM HOUSE op 1 • WEST VIEW FROM HOUSE EAST VIEW FROM HOUSE RUMPLER RESIDENCE 470 GOOSE CREEK LANE SOUTHOLD, NY 11971 SCTM# 1000-79-1-5 r f ORTyp1EC0 1w� RD 42 ft + +be t9Ap BAY `e W 33 B T>whaf _ 4r a 4} $ w 39 abs •a6 an �gc.ns 4a 310 d awowa_ ,ap AryCyp > s _ L 2 ]4Mc1 F W 32 _ 11 29 c 14 3 CA I.2A(c)a (OPw sax�l m f, a 31 f_ r,5 3,1 � i3 m` F f0 ' 35 1BA 209 NOTEa 2B 49 LO17A(.) 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'SOUTHOLD,,NY 11971 ' • '-t DATE "JOB NO - '> r (631) 769.5815 FAX (631) 765-5816 ATTENTI N i ITO f -RE' - lb 0 '�� �- e 00 WE ARE SENDING YOU,' 0'-Attached ❑J Under separate cover via the following items: ❑ Shop.drawings ❑ Prints, ❑ Plans ❑ `Samples ❑. Specifications, .❑ -Copy of'letter ❑ Change order'- - COPIES • DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ El BIDS DUE ElPRINTS RETURNED AFTER LOAN TO US REMARKS = r , i DEC 1 3 2017 -� COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. Mcg MANAG _ENT, INC. ® ¢® - 46520 COUNTY ROAD 48 SOUT HOLD, NY 11971 DAT JOB NO (631),765-5815 FAX (631) 765-5816 ATT Teo TO .� ae Ae 4 -5 WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ • • DATIE. e t UrVe DEC - 72017 R � 1 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. OFFICE LOCATION: ®� �®l® MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) CA G Telephone: 631 765-1938 Southold, NY 11971 UNTis LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: October 16, 2017 Re: LWRP Coastal Consistency Review for JOHN RUMPLER SCTM# 1000-79-1-5 McCarthy Realty on behalf of JOHN RUMPLER requests a Wetland Permit to construct a 16'x32' in-ground swimming pool with a 5' wide on-grade brick walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 6'x8' pool equipment area; and install 4' high pool enclosure fencing. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1-5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following in considered to further Policy 6. 1. Require a vegetated, non-turf, non-fertilization buffer to protect water quality in Goose Creek. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. _0%%)f F01 Peter Young,ChairmanH 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., October 11, 2017 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of JOHN RUMPLER to install a 16'X 32' in- ground swimming pool with a 5' brick walk at grade around pool. Located: 470 Goose Creek Lane, Southold. SCTM#79-1-5 Inspected by: Keith McCamy, Peter Meeker, John Stein The CAC Supports the application, however, the project was not staked. The CAC recommends an updated final survey depicting the actual location of the pool, pool equipment, and drywells. Vote of Council: Ayes: All Motion Carried �� 54:3/J Main Koad M,chael J Domino, voce-President P0 Box 1179 James F 1G ng Trustee Sa? _ Id, New York 1 197 1-0959 Dave Bergen- Trustee G Qz� Telephone(631) 765-1892 Charles J- Sandcrs. Trustee Fax(631) 765-6641 OD BOATZD Off' TOWN" TRUSTEES TOWN OF SOUTHOLD AUG 3 0 2017 To: Southold-Tow6 Building Department RTJXDING DEPT. Re- Verification of Building Department Permit Requirements TOWN OFSovfioi _ SCTM#= l Property Owner[dame. Date Sent to Bldg_ Dept-: The Office of the Board of Trustees is forwarding the above referenced applicafiou for verification of the Building Departinent's permitting requirements stated below: YES NO Will the proposed project require a Building Pen-nit? ill the proposed project require a variance determination from the Zoning Board of Appeals? _ Will any part of this application be considered as Demolition as described under Town Code? COMMENTS_ S Signature of Reviewer Date NeCANMY MANAGE NT, INC® a�= 4 Al a.� 46520 COUNTY ROAD 48 SOUTHOLD, NY 11971 DATE -JOB NO - (631) 765-5815 FAX (631) 765 5816 ATTENTION ��Cl R TO ®�.r1� r �OV � d RE- " lo) Dose WE ARE SENDING YOU, ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints, ❑ Plans ❑ Samples, ❑ Specifications ❑ Copy of letter ❑ Change order' ❑ Up V U r V C) , UTA8iw THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS SEP ' 8 2017 Southold Town COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. John M.Bredemeyer III,President �1 �� � " '',, Town Hall Annex Michael J.Domino,Vice-President { r'?� 54375 Main Road "' ; P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen, Trustee ', ,q ter i ,� ri*' Telephone(631)765-1892 Charles J.Sanders,Trustee , , �t"�'fir✓` Fax(631) 765-6641 _ Uhl ,+ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD -- - Office Use Ory - /Coastal Erosion Permit Application Wetland Permit Application _ Administrative Permit / Amendment/Transfy,lI to ion Received Application:_ off Received Fee:$ 2501 D0 p �J Completed Application: l0I T D G �"1 �� _Incomplete: _SEQRA Classification: Type I Type hI Unlisted AUG 2 1 2017 Coodination:(date sent): fFVConsistencye � 0�m. ssnaCACReferralSnt: 2— Southold Twin Date ofInspection: 0✓® Board of Trustee_ _Receipt of CAC Report: _Lead Agency Determination: /Technical Review: I/ Public Hearing Held: < Resolution: Name of Applicant: John Rumpler Mailing Address: 1060 Leeward ®rive, Southold, IVY 11971 Phone Number: 631-765-3020 Suffolk County Tax Map Number: 1000- 1000-79-1-5 Property Location: 470 Goose Creek Lane, Southold, NY 11971 (provide LILCO Pole#, distance to cross streets, and location) AGENT: THOMAS J. McCARTHY (If applicable) Address. 46520 County Road 48, Southold, NY 11971 -� Phone: 631-765-5815 r. Board of Trustees Applic�, on GENERAL DATA Land Area(in square feet): 16,310 S.F. Area Zoning: Residential Previous use of property: Single Family Dwelling Intended use of property:, Single Family Dwelling 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?, Yes _ X 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.? _ Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Southold Town Trustees 5049 8/30/1999 NYS DEC 4/7/1992 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): To obtain approvals to install a 16' x 32' inground swimming pool with a 5' brick walk "at grade" around pool. (see attached survey) p 10 I� Board of Trustees Applic4' on WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: To obtain approvals to install a 16' x 32' inground swimming pool with a 5' brick walk at a around pool. see a c e survey Area of wetlands on lot: +/- 1350 square feet Percent coverage of lot: +/-8 % Closest distance between nearest existing structure and upland edge of wetlands: 77 feet Closest distance between nearest proposed structure and upland edge of wetlands: 50 feet Does the project involve excavation or filling? No x Yes If yes,how much material will be excavated? 15 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3-8 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: back hoe to excavate and truck to remove dirt off of site. 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): No impact to the wetlands anticipated due to the proposed project_and the existence of other similar structures in the neighborhood which have not produced any apparent impact to the wetlands. y 1 r t� 617.20 Appendix B Shat Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 Name of Action or Project: Rumpler Pool Project Location(describe,and attach a location map): 470 Goose Creek Lane, Southold, IVY 11971 Brief Description of Proposed Action: To obtain approvals to install a 16' x 32' inground swimming pool with a 5' brick walk "at grade" around pool. (see attached survey) Name of Applicant or Sponsor: Telephone:631-765-3020 John Rumpler E-Mail: Jack@Rumpler.net Address: 1060 Leeward Drive City/PO: State: Zip Code: Southold I IVY 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, J NOT YES- administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that Fxl ❑ 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? NOYES If Yes,list agency(s)name and permit or approval: NYS DEC Fill 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? .02 acres approx 600 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ,39 acres 4. Check all land uses that occur on,adjoining and near the proposed action. Y� ❑Urban ®Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, "" T NO "YES N/A . a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? �, a 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? a 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: a ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES a o._ 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? X' 9:Does the proposed action meet or exceed the state enefgy code requirements? NO YES" If the proposed action will exceed requirements,describe design features and technologies: F-1NA El 10. Will the proposed action connect to an existing public/private water supply? NO YES, If No,describe method for providing potable water: NA 11.Will the proposed action connect to existing wastewater utilities? NA NO YES If No,describe method for providing wastewater treatment: a a 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? n b.Is the proposed action located in an archeological sensitive area? X '� n 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? F-1 a b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? a a If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: - 14. identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland []Urban- ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 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, M D a.Will storm water discharges flow to adjacent properties? NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ®NO DYES 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)? - y If Yes,explain purpose and size,:.- - K M, 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--,'NES completed)for hazardous waste? If Yes,describe: 0 ❑ I AFFIRM THAT THE INFORMATION PROVDED ABOVE IS TRUE AND ACCURATTO HE BEST OF MY KNOWLEDGE ( � Applicant/spo or name - - Q- S/ Date:.- 751 �- - Signature:_ John Rumpler & Cynth' R Swi y - 11_� -- ____L_ , - -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 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" - - No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a-inaterial conflict with an adopted land use-plan-or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? r 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)? _ _- El-- 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate -- reasonably available energy-conservation or renewable energy o portunities?_ - 7. Will the proposed action impact existing: El 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)? EA 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 a problems? [A 11. Will the proposed action create a hazard to environmental resources or human health? Q Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documenta#ion,' that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental i pac s. Town of Southold-Board of Trustees L) Z t 1 Name of Lead Agency bate C> President Print o�Y�jNae s n ' le Officer in Lead Agency - Title of Responsible Officer Signature of Respo Bible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 _ `Board of Trustees Applic+ in AFFIDAVIT John Rumpler BEING DULY SWORN DEPOSES AND AFFIRMS THAT-AE/SAE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. - - Signature of Props Owner ry SWORN TO BEFORE ME THIS , -DAY OF V _ 20P Ic THOMAS i McCn , Notary public,Slate of Now l No.5004790•Suffolk County Commission Expires Nov.23,4.8._ 4 Board of Trustees Applic, �oa AFFIDAVIT Cynthia Swiskey BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/8119 IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE'TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. ignature o r perty Owor SWORN TO BEFORE ME THIS DAY OF 406AC - 4Notar lic ua ss tuuao THOMAS J:MOCARTHY Iquno I I Nolary Public,Stale of New York fns-OS No.5004790-Suffolk county ON Joe it I Commission Expires Nov.23,A- 00 ' WOHI ^O P r7 �, --,'Hoard of Trustees A lice Boa PP ti�,� AUTHORIZATION (where the applicant is not the owner) L - John Rumpler .. _ __ _. ._residing at- 1060 Leeward Drive, (print name of owner of property) (mailing address) Southold, NY 11971 _ _ _--__ -do hereby authorize _ _ - (Agent) THOMAS J. McCARTHY to apply for permit(s)from the Southold Board of Town Trustees on my behalf Owner's signature) t -' Board of Trustees Applic', )on AUTHORIZATION (where the applicant is not the owner) 1, Cynthia Swiskey residing at 630 Nakomis Road (print name of owner of property) (mailing address) Southold, NY 11971 do hereby authorize (Agent) THOMAS J. McCARTHY to apply for permit(s)from the Southold Board of Town Trustees on my behalf.. 4 s� wner's signature APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold's Code-of>;thibs proliibits-corinibfs bf intorest on the oarf oftown officers and•emuloyees."The,nuipose.of this farm is to4mvide intorinat_ion•ivhich can•1lerftI a town of possible conflicts of mterest nnaallow il to take whatever action is necessary to avoid same. YOURNAME: ,_Rumpler, John - (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee -X Change of Zone Coastal Erosion Approval of plat _ _ Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) - - - Do you personally(or through your company,spouse,sibling,parent,or child):ltave•a:relhtionship-with any officer or employee of the Town of Southold? "Relationship"includes by blood,rn{arriage,or business-interest "Business interest"means a business, including a partnership,in which the town officer or employee has even a partial owhuit tip 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 applic4nt (when the applicant is a corporation); B)the legal or'beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �� da of go Signature Print John Rumpler Form TS I APFLICANUACENUREPRESENTATIVE TRANSACTIONAL DISCLOSUn,FORM The Town of Southold' Code of Ethics prohibitti conflicts of interest on(hd,Part of towrrofficers anti emuloyees.'I lee purpose of this form is'to rovide info' ation'«+h_ich can.alert he town of ossible conflicts of interest and allow it to fake whatever at faon is necessary to avoid same. YOURNAME: Swiskev Cynthia (Last name,first name,middle initial,unless you are applying to 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.) „ a Tax grievance Building Variance Trustee g` Change of Zone Coastal Erosion Approval of plat _ Mooring Exemption from plat or official map _ Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)dtave a rai'ntionship with any officer or employee of the Town of Southold? "Relationship"includes by blood,Marriage,or business ihtec 4."Business interest"means a business, including a partnership,in which the town officer or employee has even a paetl'al ownvrship;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 applic4nt (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 Ir � J Submitted this(S day of 20 Signature �-�`1 c S y. Print Name Onthia Swisk Form TS] APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE,FDRM The Town of Sotitliold's Code of Ethics roliibits co`nflict's of inte`re'st on,11 e n rt tiftown officers and emnlovees.Themurnose of this form:is to t�rovide inforinntioir ivlticti can:ilcrtthe town of possible conflicts of ntterest ondallow tGto take whatever action is -° necessa�to avoid same. Y, , YOUR NAME: McCarthy, Thomas.J. (Last name,first name,#fiddle 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 xChange of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning = Other (If"Other",name the activity.) - - Do you personally(or through your company,spouse,sibling,parent,or child),have•a rel'ationsl»p 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,dWarsliip gf(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 alf that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day SJf 20 9 7 Signature Print Name Th as J. Form TS Michael J.Domino,President }�1�QStJFfO���0 �, Town Hall Annex John M. Bredemeyer III,Vice-President p�y4 Gy �� 54375 Route 25 Charles J:Sanders hz'� ' P.O.Box 1179 Glenn Goldsmith • 1,�J Southold,NY 11971 A Nicholas Krupskiiy�o apl7,7� Telephone(631)765-1892 Fax(63 I)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES:TOWN OF SOUTHOLD In the Matter of the Application of JOHN RUIVMPLER 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 I, Joshua Whalley _,residing at/dba 46520 County Road 48, Southold, NY 11971 being duly sworn, depose and say: That on the 4th day of October , 2017 , I personally posted the property known as John Rumpler,470 Goose Creek Lane, Southold, NY 11971 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. Dat of hearing noted thereon to be held Wednesday,October 18,2017. Dated: (� 1 7 f7�_ (signatur Sworn to before me this J"*day of t7c:t' 20 11 � - 91C0 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. DID1475593 ®uallfied in Suffolk County My Commission Expires April 30, 201 J ' i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Robert&Phyllis Mallgraf 500 Goose Creek Lane, Southold, NY 11971 SCTM#1000-79-1-4 Donna Stpierre 370.Goose Creek Lane, Southold, NY 11971 SCTM#1000-79-1-6 N. Bayview Rd. Prop Owner Assoc 185 Plymouth Blvd CO29, Smithtown, NY 11787 SCTM# 1000-79-2-3.10 Goose Creek Lane Assoc. P.O. Box 391, Southold, NY 11971 SCTM# 1000-78-8-21.1 STATE OF NEW YORK COUNTY OF SUFFOLK Joshua Whalley ;residing at 46520 County Road 48, Southold, NY beii►g-duly sworn- deposes'and-says that on .the 2nd of' October , 207, deponefi mailed.a-true copy of the>Notice set forth in the-Boardof Trustees;Application, directed to-each of the above named persons at ttie addresses set opposite tliere respective names;'that the addresses set s i opposite tl-le names.of said persons-are the.addre`ss of said-persons as shown on the current- assessment urrent assessment,roil-.of the Town of Southbld;that said Notices were:mailed at tho-United States Post Office'at Southold, NY 11971 ;that said No_tic_es=were iiiailed to each of said persons,by CERTIFIED MAIL/RET'URN RECEIPT. Swom to before me this 1744 Day of ��Q�— ,20 i 7 I Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified in Suffolk County I My Commission Expires April 30, 20`� � ' U.S. Postal S CERTIFIED MAIL,- RECEIPT Ln Lr) sotmowf ED Ln rq - PAY 0971 02 -~ - ^ � a PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: STATE OF NEW YOR ; COUNTY OF SUFFOLIL--�-- - 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 MAIL/RETURN RECEIPT. s Sworn to before me this Day of , 20 i i i Notary Public I N NuTILE U1 HE C 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: JOHN RUMPLER SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 16'x32' in-ground swimming pool with a 5' wide on-grade brick walk around pool; install an 8'x8' pool drywell to contain pool backwash; install a 6'x8' pool equipment area; and install 4' high pool enclosure fencing. Located: 470 Goose Creek Lane, Southold. SCTM# 1000-79-1 -5 L_ TIME & DATE OF PUBLIC HEARING : Wednesday, October 18, 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 Lazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si mg 'ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, eaeh ans`ver must be kxplained in detail', listing both supporting and non-- supporting on-supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning ]Department, all local libraries and the Town Clerk's office. B. (DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 79 - 1 .. 5 PROJECT NAME Rurnpler Pool 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) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license, certification: Nature and extent of action: To obtain approvals to install a 16' x 32' inground swimming pool with a 5' brick walk "at grade" around pool. (see attached survey) R Location of action:-_470 Goose Creek Lane, Southold, NY 11971 Site�acreage: .39 acres Present land use: Residential Present zoning classification: 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: John Rumpler (b) Mailing address:_ 1060 Leeward Drive, Southold, NY 11971 (c) Telephone number: Area Code O 631-765-3020 (d) Application number,if any: - _Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes Z No`]. If yes,which state or federal agency? NYS DEC 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. 'F--]Yes 0 No 0 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LMW Section III—Policies Pages 3 through 6 for evaluation criteria 11 Yes F. No 0 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Q, Yes ❑.; No Q Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria 0 Yes F1 No Not Applicable Attach additional sheets-if necessary- Policy ecessaryPolicy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes No 0 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. 0 0. . ' 1 Yes No X Not Applicable The proposed project is minimum in nature and will not interfere with the quality and function _of the Town of Southold's ecosystems._ 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. F-1 Yes n No Fk] Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 13 Yes F1 No n Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. nn Ye1:1 No❑X Not Applicable Attach additional sheets if necessary • • 1 I WORIONNG COAST POLII,u:S 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. .❑ Yes ❑, No 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable PREPARED BY TITLE DATE �( McCAMY MANAGI alrr, INC® 46520 COUNTY ROAD 48 SOUTHOLD, NY 11971 DATE ^ I JOB NO. 1177 1 (631) 765-5815 FAX (631) 765.5816 ATTENTION I-/_ TO �W�V •�c RE X000 - Tiot Soo WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: > ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ to _00T.7 01 �® S d r t -N 16-y�- Coale-5 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS E9 V A111" I AUG , 1-201171 Southold Town Board of Trustees I COPY TO SIGNED: H enclosures are not as noted,kindly notify us at once.