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HomeMy WebLinkAboutTR-10938 gpFFOC�- Glenn Goldsmith,President O�Q C'�G Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y a P.O.Box 1179 Liz Gillooly 0 " Southold,NY 11971 Joseph Finora 4,, p! Telephone(631)765-1892 WOl �a' 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 1st day of construction % constructed Project complete, compliance inspection N. `�1Q r r/rr/g� y, ••Q.i i6i�o * - • �oii♦ � r j°e o •:rtl t { BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10938 DATE: DECEMBER 17,2025 ISSUED TO: MARILYN ROSENBERG TRUST t = PROPERTY ADDRESS: 1952 PENINSULA ROAD,FISHERS ISLAND SCTM# 1000-10-3-13 .r ta: 11 '`-' � /:w•. AUTHORIZATION F;t 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 December 17,2025, - - and in consideration of application fee in the sum of$1,250.00 paid by Marilyn Rosenberg,Trust and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: e. Wetland Permit for the existing 14' 4'4' two-story and 10.7'x20.6' one-story dwelling; x3 L remove existing one-story section, deck and outdoor shower, and construct a 421x11.9' - (494sq.ft.) two-story addition; and to abandon existing septic system and install a new ,.e» I/A OWTS sanitary system; with the condition to establish and perpetually maintain the entirety of the property as a vegetated non-turf buffer with the exception of the s construction area; and as depicted on the site plan prepared by CHA, received on March 12,2026, and stamped approved on March 20,2026. 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 the day and year written above. k�:•°� aim . o .•.,�i W •a,.' oA Elizabeth Peeples _ °�Ss�ede,ek�+ ..�lal,le?�~,-m •:..4:� ..r.• �f 4:. :�` ,�,��' � - ::S�!.. TERMS AND CONDITIONS The Permittee Marilyn Rosenberg Trust, 1952 Peninsula Road,Fishers Island,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 36 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 prior to expiration. 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. A permit issued for work not including a demolition as per the definition in the Town Code, but subsequent to issuance,the work results in a demolition,the permit is voided and a new application must be submitted. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 7. 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. 8. 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. 9. The Permittee is required to provide evidence that a copy of this 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. 10. That the said Board will be notified by the Permittee of the completion of the work authorized. 11. 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. 12. 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. Glenn Goldsmith,President `�QF SOI/p Town Hall Annex 54375 Route 25 Nicholas Krupski,Vice President ,`off OHO P.O. Box 1179 Eric Sepenoski J�i Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Joseph Finora a0 Fax(631) 765-6641 CCUNTI,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 24, 2026 Sam Fitzgerald Architect, PC 15 E. Putnam Avenue, #234 Greenwich, CT 06830 RE: MARILYN ROSENBERG TRUST 1952 PENINSULA ROAD, FISHERS ISLAND SCTM# 1000-10-3-13 Dear Mr. Fitzgerald: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 17, 2025 regarding the above matter: WHEREAS, Sam Ftizgerald Architect, PC on behalf of MARILYN ROSENBERG TRUST 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 October 2, 2025, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: establish and perpetually maintain the entirety of the property as a vegetated non-turf buffer with the exception of the construction area; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 17, 2025, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, Drawing Copyright©2025 \ MAP REFERENCES NOTES a 1. PLAN OF PENINSULA AT FISHERS ISLAND OWNED BY CHARLES W. 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE I HEDGE & FRANCES G. THORP, SCALE: 1"=50', DATE: 1913, REVISED INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE OCTOBER 1951, JULY 1953, SEPTEMBER 1967 AND JANUARY 29, PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR \ \ 1976 BY CHANDLER & PALMER ENGINEERS EXCEEDS THE SCOPE OF THE ENGAGEMENT. ------ 1 \ 2. PROPOSED LOT LINIE CHANGE PROPERTY OF HARRY P. BROOM, 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY )� 400 Capital Boulevard,Suite 301 JR & LORRAINE M. BROOM, THE PENINSULA, FISHERS ISLAND, NEW PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED HAR-50K Rocky Hill,CT 06067 \ YORK, SCALE: 1"=20' DATE: 7/28/2000, REVISED 12/1/2000, BY LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 860 257-4557 I vvww.chacompanies.com I \ \ t CHANDLER, PALMER & KING I \ 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND NY Certificate of Authorization#0021745 3. COASTAL EROSION HASARD AREA MAP, TOWN OF SOUTHOLD, SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL Q SUFFOLK COUNTY, NEW YORK, SCALE: 1"=2000', DATE: 8/29/1988, ARE THE PRODUCT OF THE LAND SURVEYOR. SHEET 47-FI OF 49 J \ 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS" SITE LEGEND 5. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX I PROPERTY LINE MAP 1000, SECTION 10, BLOCK 3, LOT 13. VAR 1 2 \ ABUTTERS LINE -- \ EDGE OF GRAVEL ------------------- 6. TOTAL AREA = 0.27f ACRES (12,127t S.F.) EXISTING CONTOUR --- 10 - \� \ BRUSH LINE 7. SITE IS LOCATED IN ZONING DISTRICT R-40. '�✓i \ NOW OR FORMERLY� N F\ � � 8. VERTICAL DATUM IS BASED ON NAVD88 >< 24" \ UTILITY POLE -•- ` OAK BOUNDARY POINT ® 9. PERCENT OF LOT COVERAGE-20% ALLOWED Rooms Q IRON MONUMENT • EXISTING-12% SITE DEVELOPMENT PLAN • ! /�Y� \ PROPOSED-13.8% � PREPARED FOR 1l 10. AREA TO BE FILLED BELOW ELEVATION 10- 400 SQ. FT. \ ' FILL REQUIRED- 20 CU. YDS. (FROM ADDITION EXCAVATION) PETER ROSENBERG 1952 PENINSULA ROAD PROVIDE ROOF DRAIN DRYWELL (SEE DETAIL) FISHERS ISLAND, NY \ \ I PIP \ \ \ LOCATION MAP SCALE 1 =400r \ \I I IRENOVATE EXISTING RESIDENCE & �-+ \ •` \ 1 1 \ \\ CONSTRUCT ADDITION (277 SQ. FT) FOR \ FF EPOSED 4 BEDROOM RESIDENCE \ / QLIhWITS OF VEGETATED NON-TURF BUFFER AREA 4' SEAWARD OF RESIDENCE 1 I \ (E:XCLUDING DRYWELL AREA FOR MAINTENANCE) I I / Z •` •\ �\ \ \ � I /, I I LINE OF SOUTHOLD TRUSTEE JURISDICTION \\\ -♦-- w POLE�•-I I \ #469 / \ LT, I \ 18" I I / OAK I \ \\ NOTE-THEREIN50 FEET OF THE ARE NO �AppROk. HOC PROPOSED DEVELOPMENT \qT ION OF M\ /STING 6"NIF PVC �\ PATH J I \ �� `\ CONCH OUT LILC \\ / ��WA eR Mq/N �� SINGLE FAMILY RESIDENCE \\ M'�1 ��OF NEB,y \� ss PUBLIC WATER / ,q -p 4s.s\ co ON SITE SEPTdC2� APPARENT HIGH WATER LINE AND I I \ I l I APPROXIMATE LIMITS OF TIDAL WETLANDS 15.5 v`I \� \ \ PROVIDE CLEAN-OUT TO GRADE / 69 9' \ \ 2 FROM FOUNDATION WALL / / PROVIDE NEW WATER IT IS A VIOLATION OF LAW ANY PERSON,MESS THEY ARE SERVICE- COORDINATE .. ._ ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL WITH FI WATER WORKS TEST HOLE DATA - ENGNER,ARCHITECT,LANOSOAPE ARCHITECT OR LAND AN SURVEYOR TO ALTER AN ITEM IN Y MAY,i AN ITEM BEARING THE OMITS OF VEGETATED NON-TURF BUFFER AREA / \ \ \ .PROVIDE FUJI CEN-5 WASTEWATER STAMP OF A LICENSED PROFESSIONAL IS ALTERED,THE ALTERING 4' SEAWARD OF RESIDENCE \ TREATMENT SYSTEM SEE DETAIL / SURVEYOR SHARCHITECr.LANDSCAPE ALL STAMP THE DE OCUMENT AND ARCHIT OR ECT E \ ( ) / / B Y: R I CH AR D H H. STR OU SE D ATE: 9/3/2019 NOTATION-ALTERED Or FOLLOWED BY THEIR SIGNATURE,.THE o,`° \ \\ \ PROVIDE PRECAST CONCRETE / 0- 18" TOPSOIL DATE OF SUCH ALTERATION.E �SPECIFIC DESCRP71ON M. N \ DISTRIBUTION BOX 5' FROM 'y� / / 18"- 68" SANDY SUBSOIL I I I ' FBI 15._5 T►• ��° \ \ \ TREATMENT UNIT (SEE DETAIL) / / 6819- 17' POORLY GRADED SAND WITH SOME FINES (SP) 15" ' \ "REMOVE do DISPOSE OF / EXPECTED HIGH GROUND WATER BELOW ELEVATION 2 TWIN �L �9) EXISTING CESS POOL - OAK Ns• PER SCDHS STANDARDS SOIL CLASSIFICATIONS W 1 I I I I �O \ � PROVIDE FORM � WWM-080) / 4` CpC- CARVER AND PLYMOUTH SANDS - 3-15% SLOPES �O�O ELEVATION At BOTTOM OF �.5 -�P� , / SEPTIC M DESIGN FOR 4 BEDROOM RESIDENCE \\ \ \ \ BULKHEAD \ ' •, •••\ \ \ � �` �--15.9 STAIRS=13.6 ?�s, �.--� � \ / 3' / USE A FUJI CLEAN WASTEWATER TREATMENT SYSTEM- MODEL CEN5 VEGETATED NON-TURF BUFFER AREA \ \ �� � f� SEPTIC \ �( / (500 GPD CAPACITY - (MAX. 4 BEDROOMS)) 1�.4c-\ `�� \ / 0 / USE 1- DISTRIBUTION BOX (SEE DETAIL) \\ \ / / E 2 PRECAST CONCRETE LEACHING POOLS (SEE DETAIL) \ �1 15.1- \� C�� USE 4" DIA. APPROVED SEWER PIPE THROUGHOUT \ ` POLE PROVIDE 4" CAST IRON PIPE TO A POINT 2' BEYOND FOUNDATION #287 /O `` N F WALL- PROVIDE CLEAN-OUT TO GRADE WASTEWATER TREATMENT SYSTEM SHALL VENT THROUGH THE SEWER �/ / HARRY P. BROOM, JR. PIPE. A HOUSE TRAP SHALL NOT BE INSTALLED UPSTREAM OF UNIT. 14.5 SINGLE FAMILY RESIDENCE NO ADDITIONAL VENTING IS REQUIRED. Q 4 I PI�) �0�� / PUBLIC WATER PROVIDE SYSTEM CONTROLS & ALARM \ ` `` \ \\ \ `� -14.2 E LE �IS� i 13 PROVIDE 2 LEACHING POOLS (SEE DETAIL) ON SITE SEPTIC INVERT ELEVATIONS- MOUNTED TO BUILDING EXTERIOR 1 `�` � sF�`--,,._,_ - 6 v� IT WILL BE REPLACED TO PROVIDE PROVIDE WEATHER PROOF ENCLOSURES \ I I / --- qc \ �Q AS RIEQUIRED TYP f� OUTLET AT HOUSE-12.50 EXPANSION AREA �\ � ��� ``� � � / �- � �- �- / FUJI TANK INLET- 11.75 (ALL COMPONENTS TO BE HARD WIRED I _` sF__=� � 3� 1 �" Day oy� FUJI TANK OUTLET- 11.58 D-BOX INLET - 10.97 PROVIDE FUJIMAC 80R BLOWER IN VENTED \ / -._ Q Q / / D-BOX OUTLET - 10.80 o a ENCLOSURE ON CONCRETE PAD \ \ \ --1 BOTTOM OF POOLS-ELEV. 5.0 N INSTALL PER MANUFACTURERS RECOMMENDATIONS I y - 1 ��' / No, Submittal Revision App'd. By Date \� �. APPARENT HIGH WATER LINE AND _ .,8 \ y `�� v !� / �,/�APPROXIMATE LIMITS OF TIDAL WETLANDSto --- y 0) PROVIDE X" SCH 4D PVC AIR LINE TO BLOWER I \ ` _ _�` \ g \ 11 - �, WIR V� // / s' ^� k o INSTALL PER MANUFACTURER'S RECOMMENDATIONS I 1 -n -; +r 1 NOTES CB 08118/2025 N sFN % ��=�JO PROVIDE CONSTRUCTION ENTRANCE: 4 i ^- f.,) o SyF --____---7_� Z 0 � _t, `� -�-._ + PROVIDE STONE PARKING BOARD ' �STEES 2 TRUSTEECOMMENTS PMP 01/30/2026 y. o PROVIDE CONCRETE WASHOUT PIT (SEE DETAIL) o� TOWN OF SOUTHOLD ROOD ZtJl�l VE (ELEV 14��•,y�j / Ok. r 3 TRUSTEE COMMENTS PMP 02/25/2026 PER FIRM 36 0019H 1 Irb / ['ATL � krCt Q EOk \ / MAP REVISED 9/25yS2D09, ^• ,� G,Z, �� _� b - J /I / • � •Y S / �i�j, - \ / ( 77. 8' I EXISTING I RESIDENCE J o, ��LINEOASTAL EROSION7-Fl OI�yZA 9 // s ?T.54 21 w \\ �� PROPOSED ADDITION PER MAP REFERENCE o.3 SEE SHEET 2 FOR LETTER OF Inl BENCHMARK: CP ROD3004 / MAP REVISION REMOVING THE STRUCTURE EL=4.39' _FROM THE SPECIAL FLOOD HAZARD AREA z �. - //' �• PROPOSED i SEPTIC SYSTEM of I ' ® // / / PROVIDE SILT FENCE 74' I / MAINTAIN DURING 81. 100 // _�� CONSTRUCTION ESTABLIISH 0) / AS LIMITS OF DISTURBANCE / b II \ �.� '�- / (5,000f SF) (SEE DETAIL) 88 109, I j I,,s Designed By: Drawn By: Checked By: � �' PMP PMP /) Issue Date: Project No: Scale: 1 N/F PROPOSED 2:1 SLOPE ALL DISTURBED AREAS `\ CAPE SEVILLITY LLC TO BE LOAMED AND SEEDED. (TYPO / oF�k EXISTING SHED 06/09/2025 086056 1"= 10' w SINGLE FAMILY RESIDENCE / v o PUBLIC WATER {DRY BUILDING) g No.: Drawing i ON SITE SEPTIC 10 5 0 10 j DIMENSION DETAIL- SCALE: 1"-20' SHEET 1 GRAPHIC SCALE IN FEET iu Drawing Copyright 0 2025 i 1 -- 400 Capital Boulevard,Suite 301 Rocky Hill,CT 06067 860-257-4557 I www.chacompanies.com NY Certificate of Authorization#0021745 2X2 5/8 16 GA. WIRE MESH 1 1/2" O " \ _1 _I r� 04 PLAN VNl1 FF pp 1 2 2 I OPEN FUJIMAC 8OR \ I 1 15 AMP ----0 BLOWER ------ , .. d- 1 — CO Page 1 of 2 Date: June 20,2024 Case No.: 24-02-0378A LOMR-VZ I -Q ALARM �+—5'—0"—►{ I „F VA�aTAf,^ --- O l� - o �- FUJI CLEAN d Federal Emergency Management Agency - NEMA 0 ❑❑ o 0 0 ❑ N CONTROL PANEL :•,' . �� Washington,D.C.20972 O❑ O O[] ❑� M �zq,vnSt MAIN PANEL 2„ I ❑0 000 ❑o SITE DEVELOPMENT PLAN LETTER OF MAP PREVISION -COASTAL HIGH HAZARD AREA 2 I-~ �� �� �i PREPARED FOR DETERMIINATION DOCUMENT (REMOVAL) WIRING SCHEMATIC oa o o 0a [10 � COMMUNITY AND MAP PANELINFORMATIO)N LEGAL PROPERTY DESCRIPTION NOT TO SCALE DISTRIBU'DON BOX l0 EJ 0 = E7� `° PETER ROSENBERG El0 0 0 0 oa 1952 PENINSULA ROAD Lots 50 and 51,Peninsula at Fishers bland,as described in the Bargain and NOT TO SCALE ❑0 =0 1:3 1101 Sale Deed recorded in Liber D00013197,Page 245,in the Off ice of the ❑ED =p (] ❑p FISHERS ISLAND, NY TOWN OF SOUTHOU.D, County Clerk,Suffolk County,New York COMMUNITY SUFFOLK COUNTY,NEVW YORK 6,-6" ► COMMUNITY NO: 3608131 LEACHING POOL DETAIL NUMBER: 36103CO019H NOT TO SCALE AFFECTED MAP PANEL DATE: 912512009 FLOODING SOURCE: WEST HARBOR;FISHERS ISSLAND APPROXIMATE LATITUDE 8 LONGITUDE OF PROPERTY: 41.261297,-72.007601 SOUND;LONG ISLAND SOUND;ATLANTIC OCEANN SOURCE OF LAT&LONG: LOMA LOGIC DATUM: NAD 83 ISINFECTION DETERMINATION 18" MANHOLE (TYP le MANHOLE (TYP 2e MANHOLE (TYP CYLINDER (OPTIONAL) OUTCOME tY ANNUAL LOWEST LOWEST WHAT IS CHANCE ADJACENT BLOCK/ FLOOD LOT LOT SUBDIVISION STREET REMOVED FLOOD GRADE SECTION FROM THE ZONE ELEVATION ELEVATION ELEVATION SFHA (NAVD 88) (NAVD 88) (NAND 88) 1'-0 �" V_2" 50-51 _ Peninsula at Fishers 1952 Peeninsula Road Structure X(shaded) 13.6 Island (Residence) Special Flood Hazard Area(SFHA)-The SFHA is asn area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded In any given year(base flood). ADDITIONAL CONSIDERATIONS(Please refer to thee appropriate section on Attachment 1 for the additional considerations listed below) ZONE V INTERVENING HIGH GROUND-NO FILL ! PORTIONS REMAIN IN THE SFHA STATE LOCAL CONSIDERATIONS �v�F E y REVISED BY LETTER OF MAP REVISION P ,` � M. Pq9 'Q This document provides the Federal Emergency Manaegement Agency's determination regarding a request for a Letter of Map Revision for the property 5'-5" described above. Using the information submitted ands the effective National Flood Insurance Program(NFIP)map,we determined that the structure(s)on the property islare not located in a Coastal High Hazarrd Area or the SFHA,an area Inundated by the flood having a 1-percent chance of being equaled or 4'_4 7/8" " f' Cc exceeded in any given year(base flood). This documeent revises the effective NFIP map to remove the subject property from the Coastal High Hazard Area 4'-3 1/8 4'-2 7/8" ^� and the SFHA located on the effective NFIP map;therrefore,the federal mandatory flood Insurance requirement does not apply. However,the lender has tit Lu the option to continue the flood insurance requirement:to protect its financial risk on the loan. L - 5 This determination Is based on the flood data presently)available.The enclosed documents provide additional information regarding this determination. if you have any questions about this document,please ccontact the FEMA Mapping and Insurance exchange(FMIX)toll free at 1-877-336-2627(FEMA MAP) 0995, or by letter addressed to the Federal Emergency Manaegement Agency,LOMC Clearinghouse,3601 Eisenhower Avenue,Suite 500,Alexandria,VA 22304.6426. 9OF�S O�P IT IS A MOLATION OF LAW FOR ANY PERSON,UNLESS THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER,ARCHITECT,LANDSCAPE ARCHITECT OR LAND SURVEYOR TD ALTER AN ITEM IN ANY WAY.IF AN ITEM BEARING THE STAMP GI A LICENSED CT.LANDSCAPE AL IS ARCHITECT THE ALTERING FUJI CLEAN CEN�, EfIQHIfR,ARCHITECT.LANDSCAPE ARCHITECT OR LAND SILT FENCE NOTATION 'SHALL STAMP THE DOCUMENT AND INCLUDE THE Patrick`Rick"F.Sacbibit,P.E. NOT TO SCALE NOTAl10N"ALTERED BY tuLLOWEA BY 1}ER SIt�IAIURE,THE Chief,Engineering Services Branch DATE OF 9"ALTERATION,AND A SPECIFIC DEMW71ON Risk Management Directorate I Resilience OF THE ALTERIATIOK WOVEN WIRE FENCE (MIN, 14 GAUGE W/ MAX. 6" MESH l Y SPACING) q`sp so�i�i�G 10' MAX. CENTER TO CEN 36" MIN. LENGTH FENCE POSTS INTO GROUND DRIVEN 6„ F f�I�I�U lTE Page 2 of 2 Date: June 20,2024 Case No.:24-02-0378A LOMR-VZ FI � � I YAR'M�1 Federal Emergency Management Agency FgeRlc y g Y g g ,, /•, Washington,D.C.20472 HEIGHT CONSTRUCTION ENTRANCE ��\\\�\��\//\�/\/ II OF16FILTER NOT TO SCALE / i 0 LETTER OF MAP'REVISION—COASTAL HIGH HAZARD AREA PROPOSED ROOF LEADER \ \ DETEMMINATION DOCUMENT(REMOVAL) RESIDENCE \ \ \ ATTACIIM;ENT I (ADDITIONAL CONSIDERATIONS) F�0A\ / /\ 6" MIN. Ln rn 00 ZONE V(This Additional Consideratlion applies to the preceding 1 Property) 4" PVC WYE rn OVERFLOW o A portion of this property,but not the sulbject of the Determination/Comment Document,is located PECTIVE VIEW N within a Coastal High Hazard Area(Zomc V,VE or V1-30). Therefore,any future construction or 4" PVC CUT � r TO LENGTH MIN. 6" SOIL COVER 0 substantial improvement on the property remains subject to Federal,Statc.Commonwealth,and local OVER DRYWELL j regulations for floodplain management. No construction using fill f that or structural support or at may BLOCKS AND CATCH BASIN GRATE TO GRADE WOVEN WIRE FENCE (MIN. 14 �I M increase flood damage to other property may take place in these areas. FILTER FABRIC f (NEENAH R-2525-F) OR EQUAL 1/2 GAUGE W/ MAX. 6" MESH in I SPACING) WITH FILTER CLOTH PORTIONS OF THE PROPERTY RIEMAIN IN THE SFHA(This Additional Consideration Z a applies to the preceding 1 Property.) so BEND 0 o 0 0 0 36" MIN. FENCE POST o Portions of this property,but not the subject of the Determination/Comment document,may remain in the z Special Flood Hazard Area. Therefore,iany future construction or substantial improvement on the property 4" SDR 35 PVC " FLOW, No. Submittal" m UNDISTURBED N wremains subject to Federal,State/Commionwealth,and local regulations for floodplain management. SLOPE AS REQUIRED % ® o 0 0 0 I Revision App'd. By Date 11 O OO OO O O STRAW BALE BINDER IRE \ REVISED BY LETTER OF MAP REVISION This Additional Consideration applies to the preceding 1 1' STONE OR o 0 0 0 o e PLASTIC LINING ( pp p g SCREENED GRAVEL *� _ 1 NOTES CB 08I1812025 w NATIVE MATERIAL ' �' � Property.) (OPTIONAL) COMPACTED SOIL—�--�-:'•;�',�' �'• \\\� � � The effective National Flood Insurance 1Program map for the subject property,has since been revised by a Letter 1 s t EMBED FILTER CLOTH \\��\�\/\i w CDCD I of Map Revision(LOMR)dated 2/16/2018.The 2/16/2018 LOMR has been used in making the STORMWATM DRYWELL DETAIL B. SECTION B-B A MIN. OF 6" IN GROUND �/ 2 TRUSTEE COMMENTS PMP 01130/2026 de METAL STAKES termination/comment for the subject property. NOT TO SCALE WOOD NOT VALE 4" w m 2 PER BALE TRUSTEE CENT w INTERVENING HIGH GROUND-IWO FiLL PLACED(This Additional Consideration applies to the UMNAGE CALCULATIONS PMP 0212512026 o preceding 1 Property.) Although the subject of the determ NEW ROOF AREA = 300 SF inatiom is below the elevation of the flood having a I-percent chance of being - SECTION VIEW 10' MIN. � to (I equaled or exceeded in any given year(lbasc flood),it is outside the Special Flood Hazard Area because of EXISTING ROOF TO REMAIN B jl�� B 000 intervening high ground.Intervening high ground is natural high ground that exists between a property and/or CONSTRUCTION SPECIFICATIONS O' structure and the flooding source,providling the property and/or structure protection against inundation from the I REQUIRED = 300 SF X 1.0 X 2/12 = 50 CIF VARIES 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH oN base flood. II ��I WIRE TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE Qf DRYWELL STATE AND LOCAL CONSIDERATIONS(This Additional Consideration applies to all properties in 50 CIF / 28.27 CF/VF = 1.8 VF JJ ��� OR HARDWOOD, the LOMR-VZ DETERMINATiON DOCUMENT(REMOVAL)) _ CD Please note that this document does not)override or supersede any State or local procedural or substantive USE ONE (1 — 6'� X 4' DEEP DRY WELL. 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH " TIES SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE m provisions which may apply to floodplaiin management requirements associated with amendments to State or PIc STRAW BALE LIN z local floodplain zoning ordinances,mapfs,or State or local procedures adopted under the National Flood LININNG PLAN (TYP) WOVEN WIRE, 6" MAXIMUM MESH OPENING. NOT TO SCALE w 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY CONSTRUCTION o Insurance Program. QWC1WW WAMMR PIT SHALL BE OVER—LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH jThis attachment provides additional information regardling this request. If you have any questions about this attachment,please contact the FEMA Mapping NOTES: SHALL BE EITHER FILTER X, MIRAFI 10OX, STABILNKA T140N, OR APPROVED DETAILS (Aand Insurance exchange(FMIX)toll free at 1-877-336-i-2627(FEMA MAP)or by letter addressed to the Federal Emergency Management Agency,LOMC 1, DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL EQUIVALENT. CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING Clearinghouse,3601 Eisenhower Avenue,Suite 500,AAlexandria,VA 223D4-6426. PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED LU 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). EQUIVALENT. 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES Designed By: Drawn By: Checked By: r 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL 75%OF ITS CAPACITY. u0 Patrick`Rick"F.Sacbibit,P.E. REMOVED WHEN "BULGES" DEVELOP IN THE SILT FENCE. PMP PIMP 0 Chief,Engineering Services Branch 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT I_ I_ Risk Management Directorate I Resilience OF WASH WATER. Issue Date: Project NO: Scale: i 06/09/2025 086056 AS NOTED w Drawing No,: 0 i SHEET 2 2 WHEREAS, the project complies with the standards set forth in Chapter 275 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of MARILYN ROSENBERG TRUST for the existing 14'x34'4' two-story and 10.7'x20.6' one-story dwelling; remove existing one-story section, deck and outdoor shower, and construct a 42'x11.9' (494sq.ft.) two-story addition; and to abandon existing septic system and install a new I/A OWTS sanitary system; with the condition to establish and perpetually maintain the entirety of the property as a vegetated non-turf buffer with the exception of the construction area; and as depicted on the site plan prepared by CHA, received on March 12, 2026, and stamped approved on March 20, 2026. Permit to construct and complete project will expire three 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, Glenn Goldsmith President, Board of Trustees SO,UT HOLD TR U- STEES No. l 0 938 issu ed TKoa',Ayn Rosem6eate.12/11/15ry�D Address.* ?eni_nsLxlcL Roal 'F% "er` s IcOG-4 THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Glenn Goldsmith,Presi,cictIL �o�O �oGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski P.O.Box 1179 Liz Gillooly �y • o!-V Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Sam Fitzgerald, Architect on behalf of the MARILYN ROSENBERG TRUST requests a Wetland Permit for the existing 14'x34'4' two-story and 10.7'x20.6' one-story dwelling; remove existing one-story section, deck and outdoor shower, and construct a 42'x11.9' (494sq.ft.) two-story addition; and to abandon existing septic system and install a new I/A OWTS sanitary system. Located: 1952 Peninsula Road, Fishers Island. SCTM# 1000-10-3-13 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples •• •sir' iY i "_ `t 3 - r r �t,{ �• r ;,�'..•,S -sib. °�, ,r^'�•' •._ '".� r$ a fr n, fikwt .r,Z,f, 4 ,., •� �' r. �K „'i, s v 4: ,sty .:�,R ` +:K � .. �h,{j � L.. ;e� '`��y. •."� .�K+�i�' + " 5 ,�� ""�, 'F "�s� Y� � m+ Kam• ��-,+fit " �: ,; t+' �'�' � •�.: 2sx ti'.$ � - �._���t 4 t'::yam i4 ...�^ '�M. ",x ��a/ �� `' t',�yj' .p s' `•. ��• ♦ Al ...a . .:4, i1FZ., h /.' ,'.,ir••t Y^'i ` Q..�.�, �-l�w .33,�^L' ray':•!♦ f� � �. ��v.. •.�i kc Ak ?. ram.►"7L• � r itt'" � ?� � . 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' r, �4S �` .Y `� .�l -+« .,.,, 'fit y r .w e>q� .,� q%,« r `.w�.n y... wy _rr�... r+- � .'�� .1p. - �<'� �'Y�J�,d��l..- "� r � x� � '.:,w '1��•i r, /� ..w .... .... .... 1' .. .. • .. .: .' .. .. .. - WINDOWS T NEW WINDO 0 BE INSTALLED 42'-0* NEW WINDOWS TO BE-INSTALLED* 0 . 13'-10" NEWTS TO BE INSTALLED _ 105. _ _ 104 NEW, 703 102 NEW TOILET TO'BE INSTALLED LAVA70 TO;BE INSTALLED - IB. _ _ - -- 10'-08'-0" 6' 4" .8'=" 1 01..O" -NEW:LAVATORY TO BE:INSTALLED NEW TOIL TO BE INSTALLED ° -NEWS 0 N NEW'STAI S TO REINSTALLED - .. .. .... � - ...: ... � -R00 .. ... ..� -NEW D BE INSTAL LED / SHOWER T BE INSTALLED '� �. I: 3 ...� WIN OW'TO NEW WALLS AND DOORS TO'BE—•--- - ®• 104 'INSTALLED AS:SHOWN .. o .. '. .. . of 'x . OFFfiCE • :c -- WASHER/SIDE- ENT TO BE .. .. .. - - .. - INSTAL NEW WASHER/S � DRYER LED i0, �. I'I I06 'HALL SD 105 CM .. .. .+n ,REENED:PORCH TO REMAIN- .. �.. O ...: .._ _. ... ... I . ® .EXISTING DOOR.TO .N ' t01 \ .no - P o -NEW STEPS TO BE INSTALLED. REMAIN - - - ... /. .. ._ I { a: .,',.0 � .. .. .. „�' NEW 36" ENTRY DOOR WfTH:SCREEN DOOR I � SCREENED.' t03 '. --=-N REFRIGERATOR TO B OPEN'TO d /g 'PORC _ .a. n .. ! /I�G R 1_• KITCHEN E ST .. A 0 LMNG OOM NEW E INSTALLED .. .. .. .E -NEW-RANGE TO BE INSTALLED ---NEW KITCHEN CABINETRY TO BE A-431.. .. � SHOWN FAUCET TO BE INSTALLED.AS. VIF IENXSTALLEDSINK & NEW --NEW:DISHWASHER T0.BE INSTALLED. _ - 107 _ ... ...: ...: ...: .... .. 34'-4%"VIF ... ... ... NEW WINDOW... E INSi .. TO,B ALLED -EXISTING FLOOR AND FINISHES TO .. .. .. .. .REMAIN '.' ...: .. .... ... ... ... .. OF-OUTLINE. , ,SECOND FLOOR ABOVE PROPOSED FIRST FLOOR PLAN SCALE:1/8"._.1.70. .: .: .: .- .. .. .. — WINDOWS'TO.BE INSTALLED ... ... ...: ..: .. .. 42'-0" .. ... ... ... .. NEW WINDOWS TO BE INSTALLED •5'-5" 8'-6" 131-10': 8'-10" 5'.-5' , NEW SHOWER TO BE INSTALLED-------"�._..� NEW SHOWER BE INSTALLED. NEW LAVATORY TO'BE INSTALLED _.,.,.--- OWER TO _ LAVATORY TINSTALLED 77 . -'. _ _ _ _ . - . .6,..0". 6...4,. .6..0" .. .. tO.-.9. NEW:LA TO .. NEW TOILET•To:BE INSTALLED -``' - NEW STAIRS TO BE INSTALLED --NEW TOILET TO BE INSTALLED ..,l._• - NEW WIN BE INSTALLED INSTALLED AS SHOWN—��.. .' i 3 , � .. .. .. .. M BED -M,3. :. .. .. DOW:TO' • NEW WALLS AND DOORS TO BE B .. .. - .. EDROOM 4 .... 2096 1 17�4.1 .. 203 - 202 c 21 I 0 CM HALL 204' . 201 CM N I / , " BPF�WO . B I� .LOFT EDROOM:2�• . G WINDOW TO BE REINST . I EXISTING J ALLED .. \ t 0'-6"AF, _ '11'-4%".VIF .. .. .. ..,�. FINISHES T \`N, \` EXISTING FLOOR AND O .REMAIN .. ,. IXISTINC:'42'A.F.F. ' " PARAPET WALL' - ..T0.•REMAIN .. ,. .. .. - ' ' , •t OCT 2 .2025 L=='li PROPOSED SECOND FLOOR PLAN Southold Town. j .: SCALE:1/8"=1�-0" Board of Trustees CONSTRUCTION LEGEND_ NEW CaNSTRUC7ION : EXISTING WAILS" ... ,. TO REMAIN 'SMOKE/CARBON:MONOXIDE .. .. .. .. .. O.. TE TOR EXHAUST XHAWST FAN '® .HOSE BIB ., . DRAWINGS:AND DESIGN BY - ROSENBER ' ' ... .... ...: S IS Y KINLIN..RUTHERFURD ARCHITECTS ,952PENNSULA ROAD,I D,FISHER LAND,N I ... S ER 2" 30 EPTEMB 025 NEW DECK - - - -,EXISTING DORMER TO REMAIN - LXISTING WINDOW TO REMAIN RIDGELINE EXISTING SCREENED PORCH--TO REMAIn - _ It L .21 t _. t .. ._ , .. t .�. t mi TN..SCREE CH T7 REM .EXS� �SCREENED AN 204 EX STNG DECK TO REMAIN 205 _ UBFLOOR i.ICt TiilT`- bECOND.FLOOH S +'2T1 Iii"(sl 6'-7Ye -- _..._ _—_�_—....._._._....._._....— .3.dcH._ i-^- h___: ^'•- `.��.- -. _ - - - _ - --_— —___—.--_— — iI 3 - ..7Q4.... h I ilw l `( yam - ,I�� FT FIRST FLOOR SUBFLOOR _ PROPOSED WEST ELEVATION PROPOSED NORTH ELEVATION SCALE:1/8'=1'-0' SCALE.1/8'=V-0' Rig GELINE -'-- ------- - -----`---- ---- ------------— .23._7. j • �iEi_li+>.-.�' �+ + , 3i U tilt tti rl { �t , II . -- --- S T i 1 a 'iLY �f} 3 t 1L 1 1 r I TT(TI tL t�t i _ r LI ZI i-.� t +++"',ZZZZ r, .I .T I LjtJ 1 tx,i C�T T 1L1 -- . .... - - .. ..,.... ... ........... .. .. _. ... F C CR _N_ CH i0 RFM -� --�--- ,...._._ XISTIN t i — 1 t PORCH i1 r� r1 lid T t r F r AIN 1 �t. i�.ti[IExI571N •- t"-•-1,-_�^ E%ISIIN t_t. i I I �L , e 68 17, E(X2Eo .. .. . ............._..._. -_.._.............._.............. ..........__.._ _ .. ....._ .. .. SECOND FLOOR SUBFLOOR� - '___ --------- — - 19, — y EX Nc ..... .._. .. '� NG ... _ .... .. .FIRST FLOOR SUBFLOOR,)—_ - �.__....- -------------'---- -----'---- ulfi �F ` __ _ _.,.....�� ........ PROPOSED EAST ELEVATION PROPOSED SOUTH ELEVATION SCALE 1/8'F.V-0' ... I�r Lr t ttl DRAWINGS AND DESIGN BY � f` ROSEN BER G . OCT 2 2025" 0 1952 PENINSULA ROAD,FISHERS ISLAND,NY KINLIN RUTHERFURD ARCHITECTS 30 SEPTEMBER 2025 . . Southoid Town .". Board of Trustees \ MAP REFERENCES NOTES Drawing Copyright®2025 1. PLAN OF PENINSULA AT FISHERS ISLAND OWNED BY CHARLES W. 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE HEDGE & FRANCES G. THORP, SCALE: 1"=50', DATE: 1913, REVISED INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE w \ OCTOBER 1951, JULY 1953, SEPTEMBER 1967 AND JANUARY 29, PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR W \ \ 1976 BY CHANDLER & PALMER ENGINEERS EXCEEDS THE SCOPE OF THE ENGAGEMENT. ) I \ WEST 2. PROPOSED LOT LINE CHANGE PROPERTY OF HARRY P. BROOM, 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY U 400 Capital Boulevard,Suite 301 JR & LORRAINE M. BROOM, THE PENINSULA, FISHERS ISLAND, NEW PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED HARBOR N Rocky Hill, CT06067 \ YORK, SCALE: 1"=20' DATE: 7/28/2000, REVISED 12/1/2000, BY LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. LIJ I CC) 860-257-4557 1 www.chacompanies.com\ \ CHANDLER, PALMER & KING I \ 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND Q NY Certificate of Authorization N0021745 3. COASTAL EROSION HASARD AREA MAP, TOWN OF SOUTHOLD, SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL SUFFOLK COUNTY, NEW YORK, SCALE: 1"=2000', DATE: 8/29/1988, ARE THE PRODUCT OF THE LAND SURVEYOR. SHEET 47-Fl OF 49 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS" SITE I > LEGEND 5. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX \ PROPERTY LINE MAP 1000, SECTION 10, BLOCK 3, LOT 13. ABUTTERS LINE —— _� \ \ EDGE OF GRAVEL ------------------- 6. TOTAL AREA = 0.27f ACRES (12,127f S,F.) I7' EXISTING/' \ BRUSH LICONTOUR --- 10 --- 7, SITE IS LOCATED IN ZONING DISTRICT R-40. > NOW OR FORMERLY N F \ \ \ UTILITY POLE 8. VERTICAL DATUM IS BASED ON NAVD88 • >< 24» \ -O- o I! •- 1 K SCOPE OAK \ BOUNDARY POINT ® 9. PERCENT OF LOT COVERAGE-20% ALLOWED o`o No l ; Ro��/ Q 1 IRON MONUMENT ® EXISTING-12% LU PROPOSED-13.8% SITE DEVELOPMENT PLAN PREPARED FOR __ �_ - ! / _( \ • 10. AREA TO BE FILLED BELOW ELEVATION 10- 400 SQ. FT. FILL REQUIRED- 20 CU. YDS. (FROM ADDITION EXCAVATION) Z PETER ROSENBERG Cr— i a 1952 PENINSULA ROAD \ ` I PROVIDE ROOF DRAIN DRYWELL (SEE DETAIL) FISHERS ISLAND, NY I O \ \ LOCATION MAP SCALE 1 "=400' \ 1 ` 1 \ RENOVATE EXISTING RESIDENCE dt • , I fj CONSTRUCT ADDITION (277 SO. FT) FOR \ -` ` 1 , , , \ \ \ PROPOSED 4 BEDROOM RESIDENCE \ / UMITS OF NON-TURF BUFFER AREA FF ELEV. t17.5 4' SEAWARD OF RESIDENCE I \ (EXCLUDING DRYWELL AREA FOR MAINTENANCE) LINE OF SOUTHOLD TRUSTEE JURISDICTION W POL \ \ 1 0 18" I / OAK NOTE—THERE ARE NO WELLS �ppROk WITHIN 150 FEET OF THE M HOC LTI \ ' 0') I \ \\ PROPOSED DEVELOPMENT �\\`gT/ON or \ I __PATH NSF \ / 1 'M p�c wAreR �'•� J \ \ CONCH OUT LLC �qrN 1 \ \\ SINGLE FAMILY RESIDENCEF NE y PUBLIC WATER / M ,`P��Q, M. Pq9 O,p- _l ��• ON SITE SEPTIC / CO �2 46. cc APPARENT HIGH WATER LINE AND � � Q w l ,,� /1// M � --- APPROXIMATE LIMITS OF TIDAL WETLANDS � 1 / N lb 15.5-� c \li \ \ PROVIDE CLEAN-OUT TO GRADE 69.9' \ \ 2' FROM FOUNDATION WALL / / PROVIDE NEW WATER ,\ IT IS A VIOLATION OF LAW FOR ANY PERSON,UNLESS 1HEY ARE SERVICE— COORDINATE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL WITH Fl WATER WORKS TEST HOLE DATA — ENGINEER,ARCHITECT,LANDSCAPE ARCHITECT OR LAND \ SURVEYOR M ALTER AN ITEM IN ANY WAY,IF AN ITEM BEARING THE LIMITS OF NO MOW AREA (TYP) \ \ PROVIDE FUJI CEN-5 WASTEWATER / STAMP OF A LICENSED CT,LANDSCAPE APIS ALTERED,THE ALTERING TREATMENT SYSTEM SEE DETAIL N SURVEYOR SHALL TAMP THE DOCUvENT A D INC THE ENGINEER,ARCHITECT,LANDSCAPE ARCHITECT OR LAND ( ) BY: RICHARD H. STROUSE DATE: 9/3/2019DATE of SUCH ALTERATION,FOLLOWED AND A SPECIFIC DESCRIPTION _ 0- 18" TOPSOIL PROVIDE PRECAST CONCRETE Tr• \ DISTRIBUTION BOX 5' FROM �'S^ / / 18"- 68" SANDY SUBSOIL of THE ALTERATION. ' • I I 0)., \ TREATMENT UNIT (SEE DETAIL) 68 17 POORLY GRADED SAND WITH SOME FINES (SP) J EXPECTED HIGH GROUND WATER BELOW ELEVATION 2' 15 REMOVE e DISPOSE 0F TWINs EXISTING CESSPOOL OAK PER SCDHS STANDARDS- (0 ` xx �oP \ PROVIDE FORM SOIL CLASSIFICATIONSZ QPJ WWM-080) / / CpC- CARVER AND PLYMOUTH SANDS - 3-15% SLOPES \ \ \ \ C — \ �`�O�O ELEVATION At \ \ \ \ P P BOTTOM OF BULKHEAD ?' ' �P \ \ / \�� / SEPTIC SYSTEM DESIGN FOR 4 BEDROOM RESIDENCE 5 STAIRS=13.6 �s• �� \ \ / Vv NO MOW AREA USE A FUJI CLEAN WASTEWATER TREATMENT SYSTEM- MODEL CEN5 •� \ \ I � \� �� � i� � / SEPTIC / 500 GPD CAPACITY - MAX. 4 BEDROOMS \ � \ FF �' � USE 1- DISTRIBUTION BOX (SEE DETAIL)_I 17.46 � \ / � All / USE 2� PRECAST CONCRETE LEACHING POOLS (SEE DETAIL) v � \ \ � \ \\ � \ •/\, �S \ ^ \� /J<v �` USE 4 DIA. APPROVED SEWER PIPE THROUGHOUT o \ \ \R� � POLE /OAP ��� PROVIDE 4 CAST IRON PIPE TO A POINT 2 BEYOND FOUNDATION \ �►� ti° 17 #287 WALL- PROVIDE CLEAN-OUT TO GRADE \ I\ \ S`��� \ \ ` ^ ` \\�6 �- / , / N�F WASTEWATER TREATMENT SYSTEM SHALL VENT THROUGH THE SEWER \� \ XoP \\ \\ \ , ��° °s• �� J/ O� (�� HARRY P. BROOM, JR. PIPE. A HOUSE TRAP SHALL NOT BE INSTALLED UPSTREAM OF UNIT. \ \ \�Q \ 4.5 �v _„� i — J / {/ / SINGLE FAMILY RESIDENCE NO ADDITIONAL VENTING IS REQUIRED, I O 4 Pip /�� ,� PUBLIC WATER PROVIDE SYSTEM CONTROLS do ALARM �`. \ ,�'� \\ \ �� -14.2 LE 9 OiJ Sp t 13 �) �"° PROVIDE 2 LEACHING POOLS (SEE DETAIL) ON SITE SEPTIC INVERT ELEVATIONS- MOUNTED TO BUILDING EXTERIOR , `` �`"� - i ,� IN THE EVENT A LEACHING POOL FAILS PROVIDE WEATHER PROOF ENCLOSURES - �� 9 IT WILL BE REPLACED TO PROVIDE c \ ��' OUTLET AT HOUSE-12.50 �I AS REQUIRED (TYP) \ ' / \ _ 'ter; 13— ` / ` ..... EXPANSION AREA FUJI TANK INLET- 11.75 o (ALL COMPONENTS TO BE HARD WIRED) I SF l- ro ���—,`— �, p"� "� FUJI TANK OUTLET- 11.58 ��� ,��' ^�°• 3' / D-BOX INLET - 10.97 PROVIDE FUJIMAC 8OR BLOWER IN VENTED D-BOX OUTLET - 10.80 z ENCLOSURE ON CONCRETE PAD \ \ \ L BOTTOM OF POOLS-ELEV. 5.0 Z INSTALL PER MANUFACTURER'S RECOMMENDATIONS : \ , - I No. Submittal/Revision App'd. By Date aw I ��a /�� / APPARENT HIGH WATER LINE AND y l 8 \ v �,, '�- v !� / ��,�� APPROXIMATE LIMITS OF TIDAL WETLANDS > PROVIDE " SCH 40 PVC AIR LINE TO BLOWER I \ \ i 1 1 NOTES CB 08l1812025 WIR INSTALL PER MANUFACTURER'S RECOMMENDATIONS I ��� 9 N�' v: O / / V) s o JO; 4 PROVIDE CONSTRUCTION ENTRANCE _�_ 1p = _V v -�-- * PROVIDE STONE PARKING I ' / _ ,m ' i F- ry"� PROVIDE CONCRETE WASHOUT PIT (SEE DETAIL) .E w I FLOOD ZbNE_VE (ELEV 14ji-- PER FIRM 36 390019H o P MAP REVISED 9/25�2D09 A / IN, 00 � a / N ��,0 4 O - \ // � 77- $ RESIDENCE - O O • M w ' O COASTAL EROSION OIIIIIIII VARID / '1Tg4'21 W \ ,( PROPOSED LINE SHEET 47 Fl 49 / S � ^) ADDITION BENCHMARK: CP ROD3004 / / PER MAP REFERENCE t�o.3 SEE SHEET 2 FOR LETTER OF �y w / MAP REVISION REMOVING THE STRUCTURE IN, - -- - --- - m EL=4.39' USS / �I FROM THE SPECIAL FLOOD HAZARD AREA PROPOSED PROVIDE SILT FENCE �.74' —/ SEPTIC SYSTEM J / / MAINTAIN DURING .;- 100 \ i OCT 2 / /� CONSTRUCTION-ESTABUSH -=81 w I / AS LIMITS OF DISTURBANCE o \ � �� (5,000t SF) (SEE DETAIL) 88 109' __.___._._-_.`1 -' J —� _ /`R�43• Designed By: Drawn By: Checked By: Ln /) PMP PMP NIF PROPOSED 2:1 SLOPE. ALL DISTURBED AREAS Issue Date: Project No: Scale: CAPE SEVILLITY LLC TO BE LOAMED AND SEEDED. (TYP) / OFCk EXISTING SHED 06/09/2025 086056 1"= 10' w SINGLE FAMILY RESIDENCE / (DRY BUILDING) Drawing No.; PUBLIC WATER a 1 ON SITE SEPTIC 10 5 0 10 DIMENSION DETAIL— SCALE: 1*=20' SHEET 1 GRAPHIC SCALE IN FEET I «< Hai— R 4p „ s ae3x copse �I.;�r ,9' .,renousoN < a "•' —D �. 2: o> ♦ .y�y • 3 471 �w+o< I • w u },r a i WEST HARBOR <t'-� _ ,o.a ... OxM200 O 4 l6REAT NARBORI \a ���'� �y,w - a,� 2 xA ~ 3 ]M X1041 1.21 s a' ww...�, fey ai a '.5 - f.• r u a "sa "°'p^' F m.uz 'r9 sYe �.ne ,;w c o"R'es% `" A'yi�t Y I ♦ 7,t�1' ' � F t 4 t,i 6 f+,�.d y t" 12131 '+`+n a .. �, „ • � ¢� - Q� .v '21 i, 4 a Ix e e d O, tP u.r4 n,, r'*Y .� m a ,x< > aj ,. �1 ♦) •y I 9 '9 aw- •• ."n ,za ♦ r y ,ru i ,zs xad ♦ sA o c "eaB. �encusa,rusEuw azN�, zn BAY a ua • d LQa i ., 5 b F1°<` M V V $ 2,AlU 12 I it -: l'U m'a�f y f .2�. 'C)S .?.i ' { 1211 b RFti ry 141 s 121. 1M lop,t .. F D 2 SE ?- .ca-. Y , `_ _ • I^ x 2W.) mi_ iaa d , yea°':.• zM(o pJaaO e a •Y a ,10. i'A x.oN) ,°„ y 2IA �pO s uwux e •� ,awx - 6 see sec w+)o ORIENTAL: _- _ OaP,xL09, NG )fit � _ n AvE 0' N .w. FERRY D 80 a.A e 2 •• --- COUNTY I OF SUFFOLK iJ NOiICc K ,. ]� secno:Nc� K: • 010 @ll _ '�'a'"'<—'w•�—_ �:J ..,... — .... �. Real Nr per,yT Service Agency ,v,x,a,r"rt.anwxoa v.e a+ v _ W J 61iFW,OaiNry u r)rV en ne]xE wen �OYII,OID wnn,rt npr,&ra�rara,re " - $ Afi1l ROgtry]Ax iRA6•B®Lv P o Glenn Goldsmith,President W S Town Hall Annex f 54375 Route 25 A.Nicholas Krupski,Vice President ; �Gy P.O.Box 1179 Eric S'epenoski J I Southold,New York 11971 Liz Gillooly cis y Elizabeth Peeples 4 ' Telephone(631) 765-1892 Fax(631);765-6641 � OVUM , R§ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section-For Office Use Only �--- L Coastal Erosion Permit Application rh Wetland Permit Application �J Administrative Permit OCT 2 2025 __Amendment/Trahsfer/Extension Received Application: O a a!r _Received Fee: $ SouthcldTown x Completed Application: . o aS._ Board of Trustees Incomplete:.-: SEQRA Classification; Type I Type 1I Unlisted Negative Dec: Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): TLWRP Consistency Assessment Form Sent: 1 2 CAC Referral Sent: AuA,It�, _Date of Inspection:--`=f" Receipt of CAC Report:... A- _ _Technical Review: _Public Hearing Held: ),;L) Resolution: Owner(s)Legal Name'of Property(as shown on Deed): Marilyn Rosenberg Mailing Address: 230 West 79th Street, New York, NY 10024 Phone Number: 646-329-4972 Suffolk County Tax Map Number: 1000 -.10 -- 3 -- 13 Property Location: .1952 Peninsula Road, Fishers Island; NY 06300 (If necessary,provide LILCO Pole#, distance to cross streets, and location) Sam Fitzgerald Architect, PC. AGENT(If applicable): 9 Mailing Address: 15 E. Putnam Avenue, #234, Greenwich, CT 06830 Phone Number: 860-287-3808 Email: pir201 @yahoo.com /as' FLOOR PLi IAGRAMS: OJTDO�A SH'ME" Project Description - Rosenberg House - Fishers Island, New York EXISTING MCK The existing structure consists of the original house which is approximately 14' 4" x 34' 4" and has an existing one story addition approximately 10' 7" x EXISTING FOOTPRINT". EXISTING LuitI G PORCH DECK The project will demolish the existing one story addition and replace it with a two story addition. the two story addition will be 42' x 11'9". 01 EXISTING FOOTPRINT IA%r-V The existing house has three bedrooms and one ,._____________sow„ bathroom plus an open loft. After this project the ______; 'LY�EIt house will have four bedrooms and four bathrooms. DECK TO DC 1 1 OEMOl15HE0 AREA OF 1 The open loft will remain. , e FX*TNOHOUSF. _ 1 - TO 9E REMOVM I 1 The existing deck and out door shower will be X ------ ---- M - removed as part of the project. EXISTING DECK EXISTING AITEA�MAW I SE TO TO A new septic system and a dry well for stormwater 9 TO PORCH management will be installed as part of the project. The two story addition will be wood framed with a concrete block (CMU) foundation. OL PROPOSED DEMOLITION THE AREA OF THE ADDITIONAL FOOTPRINT IS 277 SQUARE FEET. '?r.' THE TOTAL AREA OF NEW CONSTRUCTION IS ARKA OF 494 SQUARE FEET. NCWCOMNSTRUCTiON 4a+SOFT ,t( EXISTING AIEA OF"OUBE TOOK • TOPORCH R AI 10 REMAIN REMAIN YT 6 t tC!Y,• L 03 PROPOSED CONSTRUCTION N4 OF - ADWX)NA1.FOOTPRINT r, 277 SOFT. EXWTM rooTPR+NT DECK F XISTINO TO . PORCH y g REM/UN TO RFMA I 4. 7 � 1.7 9Y.' 1 Photo of the existing open loft above living 04 rOXPRINT DIA—G 'RAM/ room. (its from 4th of july last year) r Board of 'Trustees Appli(� ;Lon GENERAL DATA Land Area(in.square feet): 12.,127.+/- sq. ft. Area Zoning: R-40 Previous use of property: Single.Family Residential Intended use of property: Same Covenants and Restrictions on property? Yes ....][�No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? AYes N0 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 No If"Yes":, please provide copy of decision. his project re y demolition as per Town Code or as determined by the Building Dept.? Yes ✓ an No Does the structure(s) on property have a valid Certificate of Occupancy?. Yes=No Prior permits/approvals for site improvements: Agency Date Southold Town Trustees .5/19/21 NYS DEC ❑ No prior permits/approvals for site improvements.' Has any permit/approval ever been revoked or suspended by a governmental agency? ✓�No ❑ Yes If yes,provide explanation: . .. Project Description:(use attachments if:necessary--): See attached page a Board of Trustees Applic, Lon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Renovation'and addition to existing single family residence. Area of wetlands on lot: 2,000 +/- square feet Percent coverage of lot: 13.8 - Closest distance between nearest ex.isting structure and upland edge of wetlands: 37 feet Closest distance between nearest proposed structure and upland edge.of wetlands: 64 feet , Does the project involve excavation or filling? ❑ No ✓ Yes If yes,how much material will be excavated?. 10 cubic yards How much.material will be filled? 10 cubic yards Depth of which material will be removed or deposited: 8 feet Proposed slope throughout the area of operations: 1:1 Manner in which material will be removed or deposited: Excavating machine staying landward of house 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 negative impacts. The proposed addition'is landward of.the house:. i t_ Board of Trustees Applio�, ton COASTAL EROSION APPLICATION DATA Renovation and addition to existing sin le.family Purposes of proposed activity:; g g. residence Are wetlands present:within 100 feet of the proposed activity?. =,No n .: _.Yes Does:the project involve excavation or filling? n : ..No n Yes _ :.:If Yes,how much:rnatenal will be.excavated? 10, __ ;(cubic yards) How.much material will.be filled? 10 . . (cubic yards) Manner in which material will be removed or deposited;. Excavating machine staying landward of house Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as . proposed,-including erosion increase or adverse effects on natural protective features.:(Use attachments if necessary) No negative impacts. it is a mostly flat site. Construction activity is mostly landward of the existing house. Erosion control.measures will be put in place. 6.1 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion.of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully. respond'to any item,'please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any.item. Part 1 -Project and Sponsor Information Name of Action or Project: Rosenberg.Residence Project Location(describe,and attach:a location map): 1952 Peninsula. Road, Fishers Island, NY. . Brief Description of Proposed Action:. Renovation and addition to existing single.family residence Name of Applicant or Sponsor: Telephone: 646_329_4972 Marilyn Rosenberg' E->vtail:pir201 @yahoo.com '-Address: 230 West 79th Street _ City/PO: �. State: Zip Code:.. New York NY 110024 1.Does the proposed action only involve the legislative adoption of a'plan,local law,ordinance, NO' Y19S administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be-affected in the municipality and proceed to Part 2.. If no,continue to question 2. ❑ 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO AYES' If Yes,list agency(s)name and permit or approval: Southold Town Trustees, Southold Bldg. Dept. 3.a.Total acreage of the site of the proposed action? .27 acres b.Total acreage to be physically disturbed? n1.: acres c.Total acreage(project site and any contiguous properties)owned or controlled bythe applicant.or-project ponsor? 0 acres 4. Che I land us at occuron,adjoining an ar the prop action: Urbane Rural(non-agriculture) Industrial Commercial ©Residential(suburban) Forest E]Agriculture ❑Aquatic Qother(specify): Parkland. Page I of 4 5. Is the proposed action, NO 'YES N/A a.A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Fishers Island Z- 8. a.Will the.proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES• If the proposed action will exceed requirements,describe design features and technologies: ,• �. V 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: DID✓ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,.describe method for providing wastewater treatment; ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO -YES Places? - ✓ b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO. YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the.proposed action physically alter,or encroach into,any existing wetland or waterbody? I If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: :kEF 1'4: ntify the typic, Lbf bitat types that oc n,or are likely,to be.found on t roject 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 stokin water discharge,either from point-or non-point sources? NO !f Yes_ El -a. Will storm water discharges flow to adjacent properties? WINO YES b.Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: O ✓ ES Roof run-off will be erected t rough'downspouts to:dryweP5-- Page 2 of 4 18.Does the proposed action include construction or other:activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon, dam)? If Yes,explain purpose and;size: 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 J YES, completed)for hazardous waste? If Yes,describe: I-AFFIRM THAT THE INFORMATION PROVIDED_ABOVE IS TRUE AND ACCURATE TO THE BEST OF'MY KNOWLEDGE r' Applicant/sponsor' ame: _5"U i. W� Date: J Signature: 7. Part 2-impact Assessment. The Lead Agency is responsible'for the completion of Part 2. Answer all ofthe..following questions in Part 2 using the information contained in Part] and other materials submitted by the project sponsor,or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or. Moderate small to large impact impact %may may occur occur l'. Will the proposed action create a'material conflict with an adopteii'land use plan or zoning " regulations? . 2. Will the proposed action result in a change in the use or intensity of use.of land? i. 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)? EJ. a 5.. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? ❑, 6. Will the proposed action cause an increase in-the use of energy and it fails to incorporate reasonably.available energy:conservation or renewable energy opportunities? . o a 7. Will the proposed action impact existing: a.public/private Water supplies? b.public/private wastewater treatment utilities?' El ' -. � ..., 77 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural'or:aesthetic resources?: �• El -9. Will the proposed action result in an adverse changeao natural resources(e.g.,wetlands, . waterbodies,groundwater,air-quality,flora and fauna)? ❑ Page,3 of 4 No;or Moderate small to large impact impact may may occur occur 10. Will the proposed action result.in an increase in thepotentiai for erosion,flooding or drainage Q problems?. 4].. Will the proposed action create a hazard to environmental resources or human health? n 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 boz if"you havedetermined basea'on itie informatron and analysis above,and any supporting documentation, that the proposed action may resalt'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 envirorimental'impacts.. Town of Southold-Board of Trustees Name of Lead.Agency Date President . Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ;Signature of Responsible Officer in Lead Agency Signatureof Prepares(if different from Responsible Officer) PRINT Page 4 of 4 Board of :Trustees Applic `ILon' AFFI DAVIT'' • BEING DULY'SWORN DEPOSES:AND'AFFIRMS THAT:HE/SHE.IS THE APPLICANT.FOR:THE ABOVE DESCRIBED PERMIT($)'AND THAT ALL STATEMENTS CONTAINED HEEREIN ARE TRUE TO THE.BEST OF.HIS/HER KNOWLEDGE AND.BELIE ,ND THAT. ALL WORK WILL BE DONKIN THE MANNER SET.FORTH IN-THIS APPLICATION. . ' AND AS MAY BE APPROVED.BY THE SOUTHOLD TOWN BOARD:OF,•TRUSTEES;. . THE•APPLICANT AGREES TO HOLDTHE TOWNOF.SOUTHOLD'AND THE ':. BOARD OF TRUSTEES HARMLESS AND.FREE:FROM ANY,AND ALL DAMAGES AND.CLAIMS ARISING UNDER'OR BY VIRTUE OF SAID:PERMIT(S),:IF GRANTED:.IN COMPLETING:THIS.-APPLICATION;I HEREBY AUTHORIZE THE: TRUSTEES;THEIR AGENT(S):OR:REPRESENTATIVES,INCLUDING'THE -. CONSERVAT'ION'ADVISORY.'COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE;PREMISES IN CONJUNCTION WITH THIS APPLICATION; INCLUDING.A FINAL INSPECTION.:.•I-FURTHERAUTHORIZE'THE BOARD OF: TRUSTEES TO ENTER.ONTO MY:PROPERTY:AND AS REQUIRED TO'INSU:RE COMPLIANCE.WITH:ANY CONDITION OF ANY WETLAND OR.COASTAL; : :: • - EROSION•PERMIT ISSUED,BYTHE BOARD:OF TRUSTEES DURING:THE.TERM OF THE PERMIT: Sign ure of 'ro Owner Si nature of Pro ert Owner p , y 8 - p y _ � . iA SWORN TO BEFORE Mg THIS DAY QE .20 �. .. • - IvOtaiyPU1711C '. ta� tittltta . JASON K DRENA Qualified in Suffolk County Notary Public-State of New York - •,�i �. No.01DR6350454 My Commission Expires November 07,2028 t 't'ttettt+Ft• � Board of' Truste®s. ApP �ioa ;. -AUTHORIZATION. (Where the applicant is not the owner) me, owners of the property'identified.as SC'TMW 1000-= 10:--..3 -- .1,3'_ . ___..-_ in the town.of. Southold Fi§hers Island . . ,New York,hereby authorizes Samuel W. Fitzgerald;Architect : :. to'act as my agent and handle all necessary.'work.inyol�ed,with the application process..foT permit(s),from the Southold To Board of Trustees for this property. Property O er's Signa e: Property Owner's Signature 4 SWORN TO BEFORE ME THIS DAY OF' (.Z_9`4/� 20 . Notary'Pu61ic JASON W.DRENA'.. 'a' �lafll►i' ►r Qualified in Suffolk County Notary Public-State of New-York ° No.OI DR6350454 <' My Commission Expires NovemberW202$, ���'. ` •� �0,1• it Y �•C J : APPLICANT/AGENT/REPRESENTATIVE. TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of.interest.on the hart oftown.oflicers and•emalovees.The nuraose of 1 this form is toyrovide information which can alert shubwn of possible conflicts:of.iinterest and allow it to take whatever action is J necessary to avoid.same, ((( YOUR NAME. • '---(Last name;first name,q')iddle initial;unless you are applyingin;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 aP.PIY•) .. (' Tax grievance Building Variance Trustee Change of Zone.'. Coastal.Erosion Approval of plat: : . . 'Mooring Exemption from plat or official map Planning Other : ' .. (If"Other",name the activity:) . Do you personally'(or through your company,spouse,sibling',parent,or child)have a relationship with any officer or_employe_•e of the Town ofSouthold? "Relationship"include0y blood, marriage,or business interest."Business interest"means a business; including a partnership;in which the town off ccr or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. 'YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ ... Describe the relationship between yourself(the•applicant/agent/representative)and:the town officer or employee.Either check the appropriate line' through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent;or child is(chedc all that apply): —EJA)the owner of greater than.S%o of the shares of the corporate stock of the applicant a (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: : . . z DESCRIPTION OF RELATIONSHIP ... ... ... ... Submitted this.. day of 2 20 Signature .. .:... Print Name Fonri:TS 1 I i APPLICANT/AGENUREPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest.on.the vart 6f townofficers and employees.The nurtinse of this form is to Provide information which can alert the.town of possible conflicts of interest and allow it to take whatever action is necessary to avoid.same. r YOUR NAME::Samuel W. Fitzgerald (Last name,first name,ipiddle 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 . Change of Zone: Coastal Erosion Approval of plat Mooring Exemption from plat or official map. Planning Other (if"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.:"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. A .YES n NO n 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.1ine A)through D)and/or describe in the space proJided. The town officer onemployee or his or her spouse;:sibling,parent,or child is(check all that apply): jjA)the owner of greater than 51/o of thcshares of the.corporate stock of the applicant _a (when the applioant is a corporation); m 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 18th da Au ust n 25 Signature. I Print Name i Form TS 1 r . 4. v+� ui. � A APPLICANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM -The Town of Souihold's-Code of Ethics*ohibits,cooflicts of interest--on-the oaif,oftown officers and,emniovees.The nurnose.of- this form•is to brovide information which can alert rthe town of possible conflicts of innterest and allow it to iake=whateye-raction is irecessary to avor 'same: YOUR NAME (Last.name;first nameopiddle initial,uirless 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.) S NAME OF APPLICATION:-(Check all that,apply) Tax.grievance Building.. Variance: :• Tnistee. . . `. Chahge'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•rclatiotiship with any,offcer'or employee. of the Town of Southold?.."Relationship"includes by blood;,marriage,o-busyness nteiesi:`Business inieresP•means a business, including a partnershiip,,ifi.which'the town offrcer-or,employce has even.a partiA,oW,rim ip of(or'employmenf by a:corpora on in.which the town off cer or employee owns-more than.5'/wo f theahares: YES n NO: . . n. If you:ansivered"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:appl.ic ant/agent/representative),and the towri'of6ceeor employee:Either check the approOdaw line A)through D)'and/or describe in the space.proAded. The towgofticer oremployee or his.or her spouse;srbling,parent,or child is(chedc:all that apply): . 12A)the owner of greater than 5%:of the shares of the corporate stock ofthe applic urY when the applicant is a corporation); B)the legal or beneficial ownef any interest in a non-corporate entity(when-the applicant is not a corporation); . C)an'offrcer,director,partner,or employee of the applicant;or Dj the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this.. day of . 20 . Signature Print Name :y Fonn IS l APPLICANUAGENDREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town,ofSouthold's Code,of Ethics,yrohibitscor flids of interest:on the aart;6ft6wd6fficers an6emnloyees.The oumose of this formiis'to provide information which can alert the.town:of Dossible conflicts of interest and allow it to take whateveraction is necessary to avoid same. ` YOURNAME:-Samuel W. Fitzgerald (Last'name,first name,ipiddle-initial,unless you are applying'in the name of someone elseor 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 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,spousei sibling,parent,or•child).have a relationship,with any.officer or employee of the Town of Southold? "Relationship"includes by,Wood,marriage,or business interest:`Business interesf'means a business, including a partnership,in which the town officer or employee has even..a partial ownership of{oremployment by a corporation in which the(owmoffcer or employee owns more than 5%of the shares. YES n NO n 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 t the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or spouse,,sibling,parent;or child is(check all that apply): fIA)the owner of greater than 5%of the shares of the corporate stock of the appiic nt (when the applicant is a corporation); ,. ELB)the legal or beneficial owner of any interest in a non-corporate entity(when the:. oapplicant is not a corporation); C)an officer,director;partner,or employee of the applicant;or D)the actual applicant: DESCRIPTION OF RELATIONSHIP Submitted thi 18th da �1u ust 20 25 Signature Print Name FormTS I �"v0-0- A a i Board of Trustees Appli., ,ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: /v - 3 - 1 /o - 3 3 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public NOTICE OF HEARING 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: MARILYN ROSENBERG TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 14'x34'4' two-story and 10.7'x20.6' one-story dwelling; remove existing one-story section, deck and outdoor shower, and construct a 42'x11.9' (494sq.ft.) two-story addition; and to abandon existing septic system and install a new I/A OWTS sanitary system. Located: 1952 Peninsula Road, Fishers Island. SCTM# 1000-10-3-13 TIME & DATE OF PUBLIC HEARING: Wednesday, December 17, 2025 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. ' INSTRUCTIONS 1. All applicants for:permits* including.Town of Southold agencies,.shall complete.this. CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law.' This -assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt.actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before. answering the questions in Section C,.the preparer!of this form should review the exempt minor action list, policies and explanations of each policy contained.in the Town of Southold Local Waterfront Revitalization Program. A. :nroposed :action 'w'ill be .evaluated 'as ,to,:its si' ii� ficant beneficial and adverse effects:ution the coastal.area•(wh'ch mcludes.all of buthold 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, each answer-must. be explained.in detail,,listins both supporting.and non supporting facts. If an,action cannot be certified as consistent with-the LWRP policy standards and conditions,.it shall not7 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# 10 : 3 : 13 PROJECT NAME Rosenberg Residence, . The Application has been submitted to (check appropriate response): ' Town.Board: ❑ Plannin$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) am (b) Financial assistance(e.g.grant;loan,subsidy) (c) Permit,approval;license,:certification: Nature and extent of action:. Renovation.and addition to existing residence Location of action: 1952 Peninsula Road, Fishers Island, NY . Site acreage: •27 acres. Present land user Single:family residential Present zoning classification: R-40 2. If:an application for"the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a).Name of applicant:.Marilyn Rosenberg (b) Mailing address: 2230.West 79th,Street,.New York, NY 10024: (c) Telephone number: 646-329-4972 _ Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ElNo Z if yes,which.state or federal agency? C., Evaluate the.project to the following policies,by analyzing how:the project will further support or, not support the.policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the.Town of Southold-that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location;and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. .Yes No ❑✓ Not'Applicable See LWRP.'Section 268-3117):- minor LWRP actions are exempt._: . . . . . . ........ The project will be-within-the:scale and character of the neighborhood. No:negative impact. Attach additional sheets if,necessary Policy 2. .Protect and preserve historic and .archaeological resources .of the Town of Southold..See LWRP Section III_Policies`Pages 3'through 6 for evaluation criteria = - El Y E. 0 es No Not Applicable . - i See LWRP Section 268-3 (F) - minor LWRP"actions are exempt. o'negative impact.. The,proposed action is in keeping:with the prevailing.architectural stye in.t a neig or. oo . Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria 0 Yes ❑ No ❑✓ Not Applicable See-LWRP Section 268-3 (F) - minor LWRP actions,are exempt. e ro ose wor will most not bp visible from"the harbor,__ v_ Attach additional sheets if necessary- ' NATURAL COAST.POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Z. Not Applicable i See LWRP Section 268-3 (F) - minor LWRP actions are exempt. e existing house is a ovea, a Base-Flood Elevation, Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold:.See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ❑✓ Not Applicable See LWRP Section 268-3 (F).- minor LWRP actions are exempt. - Attach additional-s eets 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 HI—Policies; Pages 22 through 32 for evaluation criteria. Yes ❑No F,/] Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No R Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and .hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes-[:],No'z Not Applicable ._ See LWRP Section 268-3 (F) - minor LWRP actions are exempt. 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. ❑ Ye❑ No 0 Not Applicable See LWRP Section:268-3 (F) - minor:LWRP actions are exempt.. Attach.additional sheets if necessary WORKING COAST POLICIES Policy 10..Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations.: See LWRP.Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ❑✓ Not Applicable See LWRP Section 268-3 (F) - minor LWRP actions are exempt. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources .in Long Island Sound, the Pecoa-ic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through.62 for evaluation criteria. Yes '❑ No.O Not Applicable See LWRP Section 268-3 (F) = minor LWRP actions are exempt. 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 El :No 0 Not.Applicable See LWRP Section 268-3 (F) minor. LWRP actions are exempt. Attach additional sheets if necessary Policy 13. .Promote appropriate use and development of energy and mineral resources:. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable See LWRP Section 268-3 (F) - minor LWRP-actions are exempt. A PREPARED BI'�-_ L +_ 'TTTLE �t!N�L; DATE �. 1 ° "