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HomeMy WebLinkAboutAdamovicz Glenn Goldsmitri;President �o�OSUFFO(�coG�. Town Hall Annex A.Nicholas Krupski,Vice President J'� 54375 Route 25 0 Eric Sepenoski o ,? P.O.Box 1179 Liz Gillooly �y • Opp Southold,NY 11971 Elizabeth Peeples �Ol �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 7 faA. 74z Completed in field by: L• . Joan Chambers on behalf of ROLANDO & MICHELLE ADAMOVICZ requests a Wetland Permit for the existing 1,358sq.ft. one-story dwelling; remove existing concrete stoop and bilco doors; construct a 212sq.ft. two-story addition, a 1,639sq.ft. second floor addition, an 875sq.ft. covered porch, a 109sq.ft. deck with a 112sq.ft. covered balcony above and a 196sq.ft. deck with a 96sq.ft. balcony above; abandon existing septic system and install an I/A OWTS sanitary system landward of dwelling; and install a stormwater drainage system. Located: 1520 Bay Avenue, East Marion. SCTM# 1000- 31-8-12.2 f Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: —'CFiapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: des No Not Applicable Info needed/Modifications/Conditions/Etc.: Ivy oh. r� Present Were: Goldsmith '�N� Krupski "E--. Sepenoski �C Gillooly �L �tes I J , / O \ 0 QeO�' / ' 2�/ / NORTH ELEVATION -h-�- ,\ r,--\J/ O., , JJJbbb 111FFF--� -- g�' _ 100' SETBACK y1 ' f ( i LL \ \ /P2...... �Py �j ' 1 2 — _ - �t.d'.1:t..l#Eii:l L EOUNDARY �20/ 2' /..; \ \ \ / �� / A / 1,,.7 WEST ELEVATION �- / \ Spo`f PROPOSED20' •�_ SANITARY / - -- ...-:;.,,:-::_ - ----- t F � \ SYSTEM , ,•..._.__......__- - - _'— ----=_ - � .:.:.:...... .: / J _____20 _ — — a• , FLOOD ZONE BOUNDARY kHH TI 1 / OKW , \ \ \ ®p1 p t \ ` \ p.•r ;� / SOUTH ELEVATION\ \ co \ o DRYWELL LOCATIONS & "w I STORM WATER RUN OFF PLAN w 1" = 30.0' 11.3.25 ROOF SO. FT. X .073 • GALLON PER MINUTE IN SKYPLANE DIAGRAMS PFP4 NOt E OIMENSIq�IS FFON STRUCTURE TO WEii ANDS L ' ARE PROJ:DEC ON SJRVLr NO SCALE 1 1.18.2 5 s a� Fes\ : r.•-J ' `Z --__- _ s� \ FLOOD ZONE EAST ELEVATION 00, ' J ' BOUNDARY F \ r _ \ M W 49 s �G lao / FILL STORAGE 5- O i , 100' SETBACK \ � J BOUNDARY t\ \ ��, \;', \ / -- -- J / CJZ �0 %/ / Q / . `•� cj PROPOSED SANITARY p \f •\- \ ' t IFP SYSTEM LOCATED ON \ / SEPERATE SHEET co 20 ■ _ FLOOD ZONE , BOUNDARY �.`.•. .•.`.'. _`_`.`_`.- _ \ +�:.',,.\ \\,`\• /'� /�� � LIMIT OF�I0.CHINERV ACCESS / . . . . . . . . . . . . . . NATIVE VEGETAT-ED f/; __ --' N .. _ . , BUFFER ZONE \ `�� %/,• �'` ____-- _.... .: ..`. . ..`.`:' ` SITE PLAN CID c . ,:;, NOTE / ADAMOVICZ RESIDENCES � \ `.•. _`. - ' -, . ° ' ` ° - \ ` `.'. G DIMENSIONS FROM STRI'JCTURE TO WETLANDS - ``'.'.`.`.'.'.•.•. .',`.`. _`.`.`.`.•.•. .4.`_`. ��\\\` �•i R�FENC\N , ARE PROVIDED ON SURVEY /.`.•....•.`. W Y. _ �, �NE°F�EMP�a +; w 1520 BAY AVE . EAST MARION NY � � - - � - - �" 1000 31 8 12 2SITE ^ti 1 " 20 . 0 P��P��_..,._ . . . .,. .: �� PLAN . .� :`:': : ..«. _ .`.`.y,` :P� . .`._._, . . .'_ _...y `� ...`.`. . . .:`.`. . :`:`:' aF BUFFER ZONE :': :`:`:`:'. : ' 4. 8 . 2 0 2 5 \v +..,,,, ... . ` +`,...... . . :` p:�: :`: : : : . . . :`: :`: :' :`: : :`: :`: : 4 . 8 . 2 0 2 5 REV. 1 1 . 18 . 2 5 NAB =- 1 1 18 2 5 Q . . . . . . . . . . . . . . . . �_`.': . .'.`. _`.`.'.'.` ' . .'_ f _ .`.`. . . . . . . .`.�. z GFA : :`: . . . : : . .'.'.' ` . . . . . , : : : : : :':`.`: . . . FLOOD ZONE 1 1 . 1 9 . 2 5 �p' . , • , • , • • . . . . . • , • • - . , • • . • W. . . BOUNDARY PROPOSED FIRST FLOOR - 1592 SQ.FT. 02 06'., \ :`:': : : :`:`:` : :`: :`:`:`:`: : : : :`:`: :`:`:'. : :`: : :'� .'.'.`. : :. :`: :`: :` :°:': :':°. : : :`: `'I PROPOSED SECOND FLOOR - 1639 SQ.FT. TOTAL HABITABLE SPACE.... .. .3231 SQ.FT. : : , : . : : : : : : : : : . . . : : : : : : : : : : . : : : : . : : : : : : : : : : : : : _ TOTAL LOT AREA - 40,156.5-SQ.FT. \ . ...-.'.'.•...`.. ` _ - ` ' • ' . . . ` ' ` ` . ` : : : :`� LOTS UP TO 80,000 SQ FT. 5,100 SQ.FT. ALLOWED. M W D;_C 49 - � i �Z C.9 top 07700 -' �� JOAN CHAMBERS AROFESS\DaP (631)294-4241 CL t� (00 .�19 A aN T _- 4'-5" -0" 9'-3z.. 2., ...._...................................................................._.......... ........... _ - --.. _..- - -- _ - - - -- - - -- ... -- _._. ..-- - ._..__ ..._..._ .__.._ ..... -- -- _..... .......... .......... ......... ....... ....... ...... ... . ...._... ......_. .......... .._..... .......... - _.... ..__... ........ -- .._._ -..._. ._._ ....... . ._.............._......_._............................z... .................._............. ........_........- ...._.........__. ....__.. i .................................................... ... .... ._.._........... ....................... ..... ........_........_._................................. ...........-...................................-- - ...................................... ............ .... _....- --- -._..............._...._.._..__........__....._..........._...... ................... ................._.............. ....... ...... ...._........... ......... ................... ................... ...... . ...................................................._........................................... ............... ....................................................... ..........._ ......_.................................................. .... ........ : � I i ! I fil II I I ...... .............._....._._ ...............__............ _ -_._._...........__....._...._. WOODEN COVERED PORCH (875S .FT.)_........_ ._____ _ --.._...._....._......._....................._........._._.._._ ---.. ..._._....._............_..__......._....._..........._.._.__ I;/.I ( I i 1 I I I I I I " I I ..............._...._..._....__...................._.._..................................................._......-------..................._......_.---..___..__._...._...._...---..._.__..__..._............._..............-_........................-_......_............._...._.._....................._...._._......._._.._....................._..............---._.................._.............__.._...._._..._.._._----...._._......._........--...._.._......_..._.__.._..__._.._.............._._._.......---...----._ ......_................_...... ----...__.. : I; I . i I - I I I , : : ! ! I —_LINE OF EXISTING EXTERIOR WALL_-__--__ - I I I ! : : i I I f ! i I ' i BATHRM # wA Q O l ii U) z F w /PROPOSED ! BEDRM #1 - 6"x42" z ✓ 'ADDITION (212 SQ.FT.)/ d OW R LL I ! DIE) ry I � i II j l W 10 � i Q ' Ili Iii ' z O I ! M j Z x O •-_1N i Ii !I jij j; II! j! ! I ! a I °- Oww WALK IN W CLOSET z J /" !i I Dj N 300 - I! ;o ENTRY/ p RISERSQ0 i ( I I I I ' I I ! X I I ! w ! X j ( PROPOSED RENOVATION OF ✓ O" '' , I ! ; j j `� ! �00 j I I I I o EXISTING ONE STORY DWELLING ! I wl l I I + ( I J EXISTING - 1358 SQ. FT. ' 1 i PROPOSED - 1570 SQ.FT. % /,/ ; I i I 1_ _..1 uj I ! li i �r jD 3 ! I ! ! I I LIVING RM. DINING RM. KITCHEN '%' PANTRY-' O/ : ! N RIS RS + I ! i ! i i x : Lu z 'I i ! I : I I MM cl) i I f : W j I I x I I i • i j I l 0 _......... `� ' I I ! ! I I ! j z co 00 C'7 O 1 O ,� CELLAR ` V C) EN RY C) SIN , N t\ 1 LINE OF EXISTING EXTERIOR WALL 4 o ! PROPOSED 15'-9"x3'-0" 2ND FLOOR CANTILEVER _......----------.._...----._.._-. ..........----.____._.........._........................_..._..__.................._...................................................__......._................._._ _.............................................._..............._. M ..(47.25 SQ.FT.) - ------- - -- -... --------------------------------- PROPOSED 24'-6"x8'-0" WOOD DECK ( 196 SQ.FT.)-------- I ' o ------100 SQ.FT. OPEN TO ABOVE -- ---- 96 SQ.FT. W/BALCONY ABOVE - -^ 1 T F R I -------�-----_---- ------ - PLAN ............... ......... ........... ....__._......-------- --- -._.._.__. ------ -- - 4. 8 . 2025 _ .......... .........-._._.........................._....._................._.................M ............................__._.................................... __ __........ REV. 10. 2 3 . 2 5 wo --.._._............._....---......._......_...o ... ._.__._.__.... ....... ..... .._ .__. REV. 1 1 . 1 2 . 25 REV. 1 1 . 19 . 25 12'-62" 12'-1 8'-0.. 15'-9" 24'-62" W r.... 0'-32.. C,2 oJ\SG.scHJygRTO,Q� K r_ w n W 2 FIRST FLOOR PLAN FEISS'% OD-r/l _ I JOAN CHAMBERS �� 2 2 e _ (631)294-4241 t 7 c-�t'. a ram. Seh y� is.w 70 �t 8'-0" 9'-32„ ... : ............. ......... ...... ....... .......... ...... _.. ... I - -.-. .. _:..:.::.-.....:.:.:._...:.._. :.,.T... .. --� - _. -.._,..-........:.......... .n.,...._ .:.-..:....- ........._..._:..:.....:_..................._..... -:...-.:.......-..........-:.......:.._......__........ -..:.:._.. -- �.F,�.�__ �..��:--.........__._A _,r:....... �:., x..u..:::—_T...:_-..:.:...-::..........._.:......:_:....: _ .............—.. _..z,...........:.....:_...,.._:.:... ..._ m..._. ..v�.�.�m.... -. :.:.:............. - —— -.._ I i .ROOF OVER PORCH BELOW.._.......__................_....._.........__......_.__...._-...__... ....._.. .......... .... € ............... ... ........ .................................................._....._..........._ ._..._........-....._........................_.. .............................---. .............................. .................. — ii i I , I _. I I _ ---_ _ ---- . ...........................................__................_._.................... ......................_.................................. ....._....................................... _..._.......................... .. . I' I I I I r € ........................ - - ....... I - i rl , f I j OIm ir I Go co p10 l \ I l II � it I s m CL Lu W BEDRM #5 O BEDRM #2 BEDRM #3 ii I'--- , :I Ii p N ---- -- -- W II' PROPOSED ADDITION OF ! --_-..---.�-----. o 2ND FLOOR i........ ! : )",LL wco ROPOSED 1639 SQ.FT. _._............_........_... .o O ........_..._.......... o .__........__.... : ;I II is l I' l 11 i Z : :I n I II _____.....__.............._.....___.........___._..__...... ». ._—:... ___.... _ _ ! I i .i ZID .. .. ....... ............ ..... .. ,: is is Ii is II II i Z Q .._. _._. _._.._............................... .. .. ...... —.p i ILL ..:.::>::.:............p ® . CLOSET � ::::_. ..................�::__.........._ :,-- --- ---- — : ' I I 11 I, I I : i T SIN I !� TUB i : 00 I ........................._..__ I I t_ :... ..........._:m: i I I l it .'.. ---------- I : I 1I , I l I I B M #2 TUB I!; - . _ I I ---- ---Y,: � I III T , i PROPOSED 112 SOFT. DEN I COVERED BALCONY : I T : LAUNDRY RM. ui --- - O � I I - --- —-- -- - I : I _..... ....... ! BEDRM #4 BATHRM #4 I , .......... ....... .._...... .... ....... ...... .... _..... ......... I ` : I , N \ ; 00 co i TUB 1 M i i , � W I � , I O T _ — �r� � r ............ PROPOSED 15'-9"x3'-0 2ND FLOOR CANTILEVER ihI \ . \ ; • ', (47.25 SQ.FT.) \ \ -._.........._.... . ............._.._......_......._....__................. ........... ...... .......... ....... _. . ....................................................................._ __. ............. ......._......_.. -_..... r � PROPOSED 196 SQ.FT. PROPOSED 96 SQ.FT. ----- o i ......... .......... ......... ....... .........I 1ST FL DECK BELOW ------2ND FLOOR DECK------- --- olo ------------ A�2 2ND FLOOF 12'-62" 12'-0" PLAN 15'-9" 24'-62" 4. 8 . 2025 0'-31' REV. 1 1 . 1 2 . 2 %1-: REV. 1 1 . 19 . 2F SECOND FLOOR PLAN nF "'`'" y . r ut n W � 2 �s c.9 F 0T7006.'� �2 oAR0FESS10�p�. E - JOAN CHAMBERS b [!FG 2 2 4, (631 )294-4241 I i __ I _ J , I `': c. I 7 .; J c �= 7(3 rt Q)... ar., X _.. __:_:_....._.::::,:.,......._::::........ .......... .. _........_.... - - .... - - - - ... _........_.._... - - ...... - - ... . ... ..... —._.......... .._.. -__............ _. _-.................. __ .....- ----- _._...___ ...,_........._... ­....................­­­11,....--- .__­__...._. 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ROOF OVER - 2ND FLOOR BALCONY 1. - _... ........... _..-...._ .-._.. �._... .......... .�,. __...�._._._.. 1VEW GABLED ROOF - ---- ------ ---- - _ - ----------- -__ ------ _ __..__._------. ------. ------_._------ -_....... __ ------__ ---- ---- -...- -- - ----___ _.._....._._.._.....__._. OVER 2ND FL. BALCONY--- ----___-_- --- -- _ -- ------------- ----- ------- --- - ----------- ------ - -- -- - - - -- ---- -- -- - --... - ----- - - --- - ----- _ �_ -- -- - -- - -- - - - -- -- ------ - - - - - ----- - -- -- J !A m� ,�,n. ._ ._ __ �..�.._.,. .. .. .....-- -............ _,......._................................. ..................... -.. ....._......................................................__._ - _ .............. ............,.......................................................... ... . ........ .. - - ..,........ _._............. _ -............ 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I<...,, ......... .. _................_..........._....._.._............._.......__... ......._...._...._ ---._.................._....----.._.._... -_.._......-...__._...._.._. i i I ' , ! !I .....! ..I1J --___ ______'___ - — —. L: 1 i.: ! i j - --- --- - 4i-9" 2\8" 4'-9" l. it Ll IIit .lii.I.1 L�.. 2' 8" : I . tI i I_.........._. _...__.... -----------'-' �- - - ----- CAS ENT CASE ENT �i• I I_ �: - ..J;J�- L J. 1<' 1J.:_[.. POST II 1 1 !,L. 1; I I�I 2'-8" 4'/9/ 2'a8" 4'-9" � I �,,_,. LTL� N 1-1.1�-<- � OPEN � / � IJ_ 1--'.�l.L_i SLID DOOR �1.. i L I<Lil �.i I ! !i I CASE E T CASEt ICNT I I ! , � \ I. 6' 0" 0" I !�! II ill 'i li ,I I I j' !! I I! !, I li 'i ,! L; I FIXED ,.J...._.... ..............._ ,..[_,.1.!!._:....!_:...'..._iJ.. !. ,...;... .....1.1..L1 _....._..t.._. ..... 1.__ .i i. ...._ ._I ...i.i.....1.. .. . ; I I .:...: ...........J1....., � ,1._:>:< .. 1.1 ,� ,. 1,. ..t .�t. .! !; rl, .; :...[.J.....1.�.I`l.. .__ ._[..1 J,..::.._J..1....._..�....._.....;......r 1,1 ...:....... ,<,..,..... :., 1 I : . FIXED GLA GLASS / ! I' i !I i t I ' L I 2' 8 x ;' , I. I: i_ I II _ _ _ _ J 1].-1.. ....J._,<.. ...... _{.i I. ]._ 1 _:.1......_I J.. .: 11..,J.'i .J.J.' - - ;,...,.. _ _ i..�._:..J__ T I 1..._<,...LA I-:.,.Ll......1 2 8 3 8 <....,_....1 2 8 3 8 <._ <,.,,._�1.1.1..1......., ;,,<:<,.__.J�.,[<.1.<._. ..;[ ..._.:._..,I_., „.. . ,1:.. .., ,[. <.. 11. ...1. 2, 8., 3'8' 2'�8" 3' 8 _1.11.i�L1- J_+.,�. u._.i.J._LJ.-t,..__4.J.._�.�.. CA MENT i ! i! !' !j O I' it !I 1' 1 . I I I I :I ! I'', ! CA E` ENT CAS ENT !! I i ! I i CAS ENT CASE ENT I I iJ i 1__l1 11. I,_. ...1.. li_.i_ J..I L.. i.__.. I' , is ! I' !�' ''1 2 L. - -- ;1U11 , :, I .. I :! i I f !. ; I IL i :! I I" I !I I ! _:I ,. i, �Ll., >~..I 11.�.I1 !I J_:, --'".J-L. _J _ .1_: �! —11- -,� �-._ _I;. :+ ::-:_i-!_:J —iA_i_'�"-'"_ C71� \ / � !I .� PROPOSED j r BALCONY CEDAR SHAKE SIDING: ! I ! !; I. a, / 2ND FLOOR BALCONY J L v 1 J 1 _ I,-. u. 1_,- �i_Li_. - - i _ BEYOND ! I II ! l I l ! ! ! I ___ __ _ _ L._ _il� _t_.J- _ ... ..: I I�.. �.. �.-L'_1 u.. _ . :__ .... i. _.L. i..J. ,.J..i 1_J 1�:.�..: ';__J i i,�.�;.L.._:.J J! �-J�. - - __ � - - -- -. - _: -.---- - - --- - _ i I ' I41:J ( J i .J L. J -II � _.J ..a I. - - - 1 i. !! .! I I . Ill � i i! I i! I I l! i' 1 i ,( i I I! I'. : I i' I 'I f I !I I! i I Ii i i i i. i' :i i I. ! : I ,; ;I 1 O' ( [' I! �I .! II ,' I I L!1�...i L..Ik '! '''il ;I i, I I I _... -_ . _._... .._______. _- .- _.- ..___..__ __ - ._.__.. __ ..._- .___ __—____—___- .______—_.__._—___—___ __-__.-.._—___.— - . - _ _ - _._ - _.._ ..._...__ ..._.._..................._...._......... ..._...................... _...... ...._......._............ .......... ._ ._ ....................................._ I I ! - --- -- --- -- __ - _ - - --� - - ---- ---- -- ---- ---_-_-- [!L __.__. . .....,._.. .-,.-._. - ....._-.__..- .. .-,..... _________ ..__—___.___ _________—_-__ __�. _. — _— _.._—__ _____._._ ___— __.___...._.�__.—. ____ - _-_ ___..... ..._... _ __.-_ I ___� _ _ _ _._......_._..__- __. ...__ _-_.__-. -____--__ -__-__ _ --___--_ --_ -_.____._-___-.-._,_--.--_-_-._._-._--- -_-:__ ^' __ ___.__._.. _- _. _ _.._._. ___ I 11_._.. __. I' T 0 2ND FL ! ::......:....: --.-..:.:.:.-.- ::.-.-.:_.-- -.::---- ---- ---- - ..._.._-.._....._.....-.----......-.-:_-- -- :.__ -. . . ....-----PROPOSED COVERED PORCH: -. -.. -- :.--- . .__......,..- - ...:._:- ...... _____- - - _....._._ --- -..........__..............................- - _.......... - ROOFF OVER — - - C : .. _. _- PROPOSED COVERED PORCH --.-._..-- - r O _.._......_........._................... .............._.................... - - ---..__..._.. -- - - - . - _.. _ .... _._........ _. __. _ ..... .._-......._-._... _...... .......... ......................_ _.........-....._........._. __......__..._._...__._.,..__...__...__,_,_..._..._._.._..--- ._._.._...._._......_....._................................. ....... .........._......_............._._............... ._._,_.__,.._..,...__.._...__......__....._.........._._....___- ._.-.- ----............._..._._ _...--------.._.__....-..._....__....._ PROPOSED .....__..._........... ---......._... __._............._._.......__..............-_......---'------- _._._...__...._..._.__.................... - -' 2ND FLOOR BALCONY ; --- --------------------- -- -- ----------- — ENTRY -.... _ -_.--- __ ____ ---_ -- ___ _-- T- __ ___ -� _ _--__ - ------ -- -_ _ __�.----- _._._....._........_.__._._ _._.._......_ -- .....__. mm---_ _........_._.. ________.__....__. ----- / � 0 ---- - --- -....... ._... -- - --- - -'-_----- -- ------------- ---- ----_-�._ __ _ _ _ _.___.__ ______ 1ST FL CEIL. L POST POST POST POST POST POST POST POST POST POST POST POST / , / \ \\ POST 2ND FLOOR CANTILEVER , 4'-0"x8'-0" 1 F&DI OO�S ; 2'-8„ 4,'-9" 2��„ 4,-9" 2,_8.. 4 f9„ 2,_8„ 4, ,g„ 2\8„ 4,_9„ i \ CASE ,ENT CASE ENT CASE ENT CASE ENT CASE ENT 2'-8" 4'•9" 2' 8" 4'-9" i 4-(3'-0" x - " PANELS FIXED GLASS CASE ENT CASE ENT i / . \ VERTICAL T&G SIDING / "I E OPEN o � OPEN — I - OPEN \ E : I - i ! - - \,=- Ll I \ , / I I / L �� [ \•_'D , \ i / 1 I \ i OPEN DECK BEYOND 1 \ / i � � C) PROPOSED WOOD FRAMED PORCH PRO OSED WOOD FRAMED PO H i TI I L l,_ � .O. 1ST FL. . u \ \,L-- . I STEPS - — I , � Ile ^ _ L._'.. I.7 . NO DECK @CORNER 1. . : i : : ! : i O [,�J.J. L.,. J.........J. J .. J..J..,. i i ? I i , .:.. EXIST i..i_ , -. , . — �TI ._..,J_.__JJ.__._J.�_ �__.___._..L__,_1J.___u_J__1 J_ ,__..,_ ,,____._._.iJ_,J_._ _._J_,_ -_ -�- ,_i..,_.-J J...... ... ..... ., _ ,_..: : t�...:�_!,._._J_:. J� __J.,__ l J _;, _J J__,-.__J J._..;J.....i.J_.J.__. i... N ! : 1 ! 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BALCONY OPEN ABOVE :-,__..,_,__.c.— _ ���T ____ ___ ---- - ------_ - __. _ _.._.---------....._---...----------- ----- — : .................................... .._.......... ......... ...................._..._.. ............. .... _ .............._ ......... .. ............. ..._............................ .._..._....._ I : I " '" l _ .._.._.. , ! i i 1 I I I I ! I ! ! POST I ( ; --" _--_---_ - - - - : I ,. .. i i I POST 2'-8" 4 9' 2'-8„ 4._9„ 2, .. 4,_g,. I I j i I I CASE LENT CASE ENT CASE ENT i I i ' A�4 i i I 1 ! : I I I 1 I 1 i i PROPOSED COVERED! IEE i PROPOSED COVERED 8'-0' -0" I - I ! i l I PORCH I I I 2^g" 4'-9„ PORCH LDIN DOOR i i i l ! POST . ! t : i : z I I ! CAS ENT FIXED GLASS FIXED GLASS FIXED GLASS IL I I O i t : I : t i : : ; � i : i : i ! 1 i i t \ I \ ! ! . �; � I i1 I I EXTERIOR OPEN t : i I :1 OPEN - OPEN -� I j I I _ l l i (2) "x8'-0" ( i / I I :L / ( I OPEN . I I ENTR OORS I ( ; ELEVATIONS i I I I I I ! !i I i I i I / I 1 I ' I I I I I i ! ! 1 ' I i I ! 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PLAN VIEW \ `y \ N / AY 22 SI NFECTION / CYLINDER OPTIONAL STK. 20'ACCESS COVER 20'ACCESS CO YP) 24'ACCESS COVER (OPTIONAL) \ 21 Px�P S�O�yN��tO°a's R 5 / �° �EVP�000 SUQ�QE \ ,, / 1 / S� TES7� fOpf�xG���PxA�� ,o 11� 11 s� aY G°`'�E� ;ovyC 5mM \ 20 / / G� / ( 22 HOLE 6 �1E 0 8C9AND VVE TK 20 \ \ �'o\�R /�Q. O�N1i F�A�_Irl�ra F `i^ ° /" �1�d \ 18 1 \ xp DC LAND N/F OF ® \\ PP DP, PROPOSE 2 � / \ \ 16 ,;;; c s —zooms - 20 �P ti14 o:':':':' sx � x,3DF£P ~ ,/ e��G JAMESSPANOS ® ''.+to. \. ............ v, COV RE NTRY U. t 5•_1• CHAMBER Volume al \�, FRESHMTERMNETLANDBOUIVDARY S .� `N 'F REBAR • _ v 5� 4' 1" 4-tt• 1 Sedimentation Chamber 397 12 � `• 0U Anaerobic Filtration Chamber ass �10 `DELINEATED B N-CONSULTANTS FRP °1 E�WIC o�� w 10-0-2024 V :.. :1:•:: 20•:: lro. r Aerobic Contact Filtration Chamber 181 \ 8 �P /=�555 S ,1,1G �` P 1 112-, Clarification Chamber 90 6 (� •• WE��1" E_F `— ..28U,Rji[RSE ® Disinfection Chamber 6 �i7-_ \\ W •� t C P 1 - Total Volume 1069j7�o \ � \� )\\ _..1_i•:. :Fr�'� \C�e P e ErE /cat PfPE ( 18 PROP 2—)FLR BFLCC�iY / 6�F tit 1 SPECIFICATIONS \,\ \ \ 8'x12 ,go ` 16 Anaerobic Media PP/PE �� x \ \``CON P PR P 1,1D FLR BALCONY r) 11i Board Type Aerobic Media PVC/PP/PE \ \\ SZO F 8'x12' SECTION A-A VIEW Aerobic Media PP/PE \\ \ ° PROp1g OPT 14 Blomr 3.5cfm \ ''nd FLR CAt1TILEVER gll-0 8•k 17 0 .K J,ILI)- \ 6J 158'x3' 1. .. O LOT COVERAGE Tank FRP �� \ Piping PVC 1 PP/PE \\ �� _- --20 12 UPLAND AREA:38,451 S.F.or 0.88 ACRES s Covers Access Plastic 1 Cast Iron THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL Disinfectant(Optional) ChlorineTablets 1E � O ELEV. 25.0 ° LOCATIONS SHOWN ARE FROM FIELD OBSERVA170NS \ ZONE 18_1— 11 EXISTING DWELLING: 1358 S.F. or 3.5/° AND OR DATA OBTAINED FROM OTHERS. \\� �Jh 16 10 ! OL DARK BROWN PROPOSED ADDITION: 1153 S.F. or 3.0% UPLAND AREA: 38,451 S.F. or 0.88 ACRES FEMA MAP No. 36103CO177H �� O� SILTY LOAM 10, PROPOSED TOTAL: 2511 S.F. or 6.5°/G AREA: 40,156.50 SQ.FT. or 0.92 ACRES EFF. 9/25/2009 ELEVA7ION DARIM: NAVD88 � \ ` 14 ----- `� UNAUTHORIZED ALTERATION OR ADD117ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW PORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY !� \ \` 10 ML LOAMY SILT 4.0, MAP NOT BEARING 1HE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUNTO THE PERSON FOR WNOM y \ ZDNE AE(EU\ 8 ` _r`ONLY THE SURVEY IS PREPARED AND ON H Y,IS BEHALF TO THE TITLE COMPAN GOVERNMENTAL AGENCY AND LENDING/NS777U770N \ 6 �\8 MED-COARSE LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS777UTION, GUARANTEES ARE NOT TRANSFERABLE C \ t STK. 6 SAND& THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARENOT INTENDED TO MONUMENT THE PROPERTY MARION \ L 4 'r l SW GRAVEL 6.0' AND/OR SUBSURFACE STRUCRJRES RECORDED LOR UINES NRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY E DENT ON TO GUIDE THE ERECTION OF FENCES, ADD1710MAL STRUCTURES RTHE PRE SES AT 7HE TIME OF SURVE AND OTHER IMPROVEMENTS. Y \\\ LIMIT°F�ODERA7.EWAVEACT 4 t SURVEY OF:DESCRIBED PROPERTY LAKE \ 4 —� \ \ PALE '�F New CERTIFIED T0: ROLANDO ADAMOVICZ; 4 MAP OF: �P r.^. No yob SW MEDCODA&SE FILED: SAND +� �? p ".. c !), ��_———— �\ GRAVEL SITUATED AT.SOUTHOLD Y Srp, \ i1EL1NEA ' r O yiy�` l 011E 126 09 NO WATER )7, rowN OF: EAST MARION a _ �� °49t1 � : KENNETH M WOYCHUK LAND SURVEYING, PLLC N 75 SUFFOLK COUNTY, NEW YORK �s'61 0sosa2 JQ- Professional Land Surveying and Design K. WOYCHUK LS rl'rF. P.O. Box 153 Aquebogue, New York 11931 REVISED 12-10-25 AUG. 29, 2024 FILE #224-123 SCALE:1"=30' DATE: OCT. 24, 2024 P�oNE sst)z9s-1598 FAX (831) 299-1588 UPDATE 07-21-25 M Y.S. LISC. NO. 050882 I PROPOSED REAR COVERED PORCH uIL j � A U G 1 9 2025 AODITION -4 Southola Town— \� Board of ThisteeS \ \ ALLI71 CN"EF EL ENTRY ® FO 1ST FLOOR UECK / \ f NEW ABOVE GRADE s�,•t U L-E-1st+ uiue OF E%ISTING H.L. \\ A. W 2NC FLOOR CECK / — n Z ABOVE �q V T.O.DECK d'�o phpp8-� ABOVE GRACE m 3.0Y 15.8'CANTILEVERED FLOOR NO FOUNDATIOm ADrATICN ZKC FLOOR CECK T O.OECK 12'-0' LIST FLOOR DECK ABOVE GRADE _ T.O,DEOK e-0" .ABOVE GRALE- FIRST FLOOR PLAN 7.30.25 1/8" • V-0• ADAMOVICZ RESIDENCE 1520 BAY AVE. EAST MARION 1000-31.-8-12.2 —^'ROOF BELO\M -- Hill i I I a _ f �I,II lli! ;iil I i M f 6 2NL FLOOR DECK I /• L ABODE GRACE.I� i li d llllili Tow � ��i Bc��rd a.Tnlsteas u �IIII!, I�.In 1 cux�acv. I I ------£NC FLOUR DECK=_- =T.O.DECK _ABOVE GRADE:_=— Of IV [ W n = my�F' g7008-'� 4r=6 a-s i-a -o opR�RESSICH��. SECOND FLOOR PLAN ADAMOVICZ RESIDENCE 7.30.25 1/8" - 1•-0" 1520 BAY AVE. EAST MARION 1000-31.4-12.2 NEW SECONU FLOOR ----------- 4. M y L-LA 2NL;FL.UECK i I mil ]o I �W.T IL IECK AUG I q W COVEREC PORCH _LL NORTH ELEVATION 7.3D.25 1/8, 11-0" Zi 0 AR�fE881�a'y i i i ! i i I I i I i IIII i i I I NEW COVE PORCHE[; H NEW COVERED ENTRY PORCH EAST ELEVATION ADAMOVICZ RESIDENCE 7.30,25 1/8" - 11-0" 1520 BAY AVE.EAST MARIO N 1000-31.-S-12.2 .1.......... "n - --- r ------- R.U. Ral. END FL DECK END FL.DECK I 1 T I-I Ll H I I I I COVERED ENTRY PORCH FIRST FL DECK 1S-.'6.0'CANTILEVERED FLOOR . FIRST FL.DECK NZ SOUTH ELEVATION 7,30.25 1/8" 1'-0, 0,700ti.N ---- -------- AUG 19 2025 t 13oarul of TrLlsteln SECOND FL.DECK SECOND FL.DECK NEW CO VERED CANTILEVERED 11-11111 FIRST FL DECK FL DECK WEST ELEVATION ADAMOVICZ RESIDENCE 1520 BAY AVE. EAST MARION 1000-31,842.2 y � r _ . r E�eS^ci IQ N 02-rt-t i `► b'' lo P s ♦a Q � � �,�. c� ' f } W ES'r E i-eV. t-OO K I N G W eST - E?c USTI N Gr SOUT+f E L eNATt O N P.G ' r • IV4 to ' �4w 00 PI • � '� t�� �' � f � �rtJ, `�*r .. ,may! �'� � . e� - � je'e •__ s:.•'ski. .� '��• - ' •� �.. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971O • Q Telephone: 631 765-1938 �yCUUNTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: December 30, 2025 Re: LWRP Coastal Consistency Review ROLANDO & MICHELLE ADAMOVICZ, SCTM# 1000-31.-8-12.2 This application is for the existing 1,358 sq. ft. one-story dwelling; remove existing concrete stoop and bilco doors; construct a 212 sq. ft. two-story addition, a 1,639 sq. ft. second floor addition, an 875 sq. ft. covered porch, a 109 sq. ft. deck with a 112 sq. ft. covered balcony above and a 196 sq. ft. deck with a 96 sq. ft. balcony above; abandon existing septic system and install an I/A OWTS sanitary system landward of dwelling; and install a stormwater drainage system. 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 proposed action is INCONSISTENT with the policies of the LWRP as follows: Policy 6. Protect and restore the quality and function of the Town of Southold's ecosystem. 6.3. Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The plan includes property improvements that are not consistent with the requirements of Chapter§275-2 A. "Definitions" of the Wetlands Law of the Town of Southold. These include the addition of a deck and porch within 100 ft of the wetland boundary. If this work is permitted, the non-disturbance native vegetation buffer identified on the plan should be established and enforced such that no vegetation is altered or removed. 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. i i Concerning: c Adamovicz Residence I 1520 Bay Ave. East Marion 1000-31-8-12.2 12.15.25 I f The original application was submitted 8.18.25 and the attached drawings and survey reflect some revisions that have been done since that date. 1 have also attached any pages of the application that were revised. Thank-you Joan Chambers DEC 2 2 2025 u i 1 Glenn Goldsmith,President Town Hall Annex Fes;, A.Nicholas Krupski,Vice President `o <a: 54375 Route 25 ' P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone( 3l 76 5 $9 Elizabeth Peeples ' 1 rffi x 3 6V-_06 V V C F. D E C 2 2 2025 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD' :.Southold-'Town.. This Section For Office Use Only Board of Trustees Coastal Erosion Permit Application Wetland Permit Application . Administrative Permit Amendment/Transfer ension _ Received Application: 1q 2.S- n's%±/1 1�2Z�ZS Received Fee: S 3Z.u' Completed Application:1 Z�o, Incomplete: SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec. Lead Agency.Determination Date: Coordination-(date sent): . O—LWRP Consistency Assessment Form Sent: CAC Referral Sent. t�Date of Inspection: Receipt of CAC Report: / . Technical Review �WPublic Hearing Held: Resolution: -- tYLICH'E+-0 AtDhM0VLCZ Owner(s)Legal Name of Property (as shomm on Deed):. OLh*I 1P 0 A D A-M 0 Ill C 2 Mailing Address: B w C O•C'C 'D R Yh,Lt_vl 1. ua N y 1 1• 7 4 7 Phone Number: j —- 7(4,—7 ` Suffolk County Tax Map Number: 1000- 3 Property Location: 1520 (3A-Y /PVC • eA TC- W&R t ON` , MY 1 lCh �i (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: D' $yk SO y'i"L-P N"'-( I l Gl 77 J Phone Number: Email: j ts�icwl C . Q wt bR rJr' ,t p G� WLa i •_CoPYI Sen J �A Ial��a� RiEv• I I. i 8. ?s _._lard of Trustees Applicatic__ GENERAL DATA Land Area(in square feet) __ - __ 4 O 1:,!J(o• D R O .a 2 C12 S Area Zoning: �k" 14b Previous use of property: GW Gl,e 1=A.M 1" aEigl MW Ce Intended use of property: SA- L[ Covenants and Restrictions on property? Yes No DEC If"Yes",please provide a copy. 22 2025 r Will this project require a Building Permit as per Town Code? -RYesN0 Southold Town If"Yes",be advised this application will be reviewed by the Building Dept.prior to a `'tom iTe�ri s and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes [A_No If"Yes", please provide copy of decision. is project red'tirq any demolition as per Town Code or as determined by the Building Dept:? Yes No 11J teRWrZ 1FA4kT1 ROAf5 it Rood Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date sc uT C 13u up Oepr- O-i2 . rbK lac ceeJ;yO9V 4 . I(.`t3 (NO L 006- �p �tuun (Zes(oeoce- I . 11 (V I ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Nog Yes If yes,provide explanation: Project Description(use attachments if necessary): E .A--r eC" meN-K ' Adamovicz Residence ATTACHMENT#1 1520 Bay Ave. East Marion 1000-31-8-12.2 November 18, 2025 Project Description To construct a 212 sq.ft. addition to the existing house as well as a new 1639 sq.ft. second floor. To add a 875 sq.ft. covered porch and a 109 sq.ft. deck w/ 109 sq.ft. balcony above and a 196 sq.ft. deck with a 96 sq.ft. balcony above. To install a new sanitary system, cellar entry and drywells to contain storm water run off. C F DEC 2 2 2025 Southold Town Board of Trustees _.jard of Trustees Applicati: .: WETLAND/TRUSTEE LANDS APPLICATION DATA .Purpose of the proposed operations: FA" ih) E CIE � - V E �R�sttwk�. Area of wetlands:on lot: square feet DEC 2 2 -2025 D]o Percent coverage of lot: % °x;; Southold Town Board of Trustees Closest distance between nearest existing structure and upland edge of'wetlands: �461'.o feet Closest distance between nearest proposed structure and upland edge of wetlands: 6 7—0 feet Does the project involve excavation or filling? ❑ No Yes If yes, how much material will be excavated?_ cubic yards How much material will be filled? cubic yards N Depth of which material will be removed or deposited: 8 b feet Proposed slope throughout the area of operations: EVI&r S i opre IU or h I—TMe9 Manner in which material will be removed or deposited: ` ROF05-eD 2 1.Y ( MgrJ W t I.L t-(A V 1✓ 19hCe l eNT ft C'Y-C k-tAT D FTG S _Pt C,6S Fib R V 1 sc. .5 it POI G4fe.S vo 1 c.t, R 1✓ 4ANjDyu6 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): W eU, G QN Lh K tr S c o� D Ctv2✓ ,vt .c. ta�r�T L20 (Oct P Bep. k L.L C oN MUC-1\C%J tAA LL- Wit= Lt rrit�p I�SOu►1 s� 0.1�. �3�' tr R.�2m,' 11J 7iiE' rnAPJIVM -M' -V CSTURIe 'TWE, E�ctST- Vf�eT7t`IZOAf - oard of Trustees Applicat: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: AnnRRgS- f'rd��cen T ,�Oe�rl 9S 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: ROLANDO & MICHELLE ADAMOVICZ SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 1,358sq.ft. one-story dwelling; remove existing concrete stoop and bilco doors; construct a 212sq.ft. two-story addition, a 1,639sq.ft. second floor addition, an 875sq.ft. covered porch, a 109sq.ft. deck with a 112sq.ft. covered balcony above and a 196sq.ft. deck with a 96sq.ft. balcony above; abandon existing septic system and install an I/A OWTS sanitary system landward of dwelling; and install a stormwater drainage system. Located: 1520 Bay Avenue, East Marion. SCTM# 1000-31-8-12.2 TIME & DATE OF PUBLIC HEARING: Wednesday, January 14, 2026 — 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 0EC 22 2025 1, All applicants.for permits* including Town of Southold agencies,. hall this CCAF r.. proposed actions that are subject to the-Town of Southold Waterfront on ste This assessment is intended to.supplement other information used by a g 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 prorposed action, will .be ::evaluated. as" to its si ii fig�cant' beneficial.and adverse effects:upon he coastal.area!which includes all of Southold Town). 1 If any question.m' 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 exnlauied in detail,.listinn both supQ,ortw and non 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 website.(southoldtown.northforkinet), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. t B. DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME . R ltn rDe�N 115 �yo. M2 coN htVl OV�,C2EASY Aue, .e. m 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`Iransaction) (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: See &I'Tk CtAML 1 I Fev ji 8, Adamovicz Residence ATTACHMENT#1 1520 Bay Ave. East Marion 1000-31-8-12.2 November 18, 2025 Project Description To construct a 212 sq.ft. addition to the existing house as well as a new 1639 sq.ft. second floor. To add a 875 sq.ft. covered porch and a 109 sq.ft. deck w/ 109 sq.ft. balcony above and a 196 sq.ft. deck with a 96 sq.ft. balcony above. To install a new sanitary system, cellar entry and drywells to contain storm water run off. C E DEC 2 2 2025 Southold Town Board of Trustees i i tian of action: 15'k? 5&j site!acreage: 40, t5(6.s n . 4 2 $cRE s Wr)) F C 0 Present land use: &t N G LE- FAm t try 'S EtS t MN'T 1 L� H&-2 2 2025 Present zoning classification: R— A-a Southold Town 2. If axi application for the proposed action has been filed with the Town of So old-4&6 ,` a 8"in infb{xnation shalt be provided: c # R SOD (a) Name of applicant: �i►J ���,1��CZ..S� Rb (b) Mailing address: k a �►�� l Z/ (c) 'elephone number: � _-'2Q�'" -4"� 1 3 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yesil® No® If yes,which state or federal agency? P J ST&-rrs- b EC i C. Evalua#e 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. 1 DEVELOPED COAST POLICY i 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. OYes ( No ❑Not Applicable t t iDAl 2ntp Fi-. Fb PCt±Js IN �J G S. Attach addititiai.sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes!❑ No Not Applicable i - i - 4 E f en!s S!�, r oENCE ktAs Az C 0 c Lila I G �_.. - Attach additi sheets if necessary i DEC 2 2 2 0 5 Policy 3. . [Enhance visual quality and protect.scenic resources throughout t e o S of Southo LWRP Section III-Policies Pages 6 through 7 for evaluation criteria 1 _ Southold Town r 0 Yes` ❑ No® Not Applicable Board of Trustees i T r,0 F-054F o 'V`ro L a INi-P.-CT- a'f4 c Attic ih sheets necessary 4 NATURA�COAST POLICIES I Policy 4. nnize loss oflife; structures, and-natural resources from flooding and W1�erosiork. See L Section III,f-Policies Pages 8 through 16 for evaluation criteria Yesj 0 No Not Applicable IR00 20 s S t. I TO PI�.WLE � i not wry , �.�1(� 1A SA �g.�, Attach additi Inal sheets if necessary -..- ...... . i Policy S. ?rotect and Improve water quality and supply in the Town of.Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ❑ 1 Yes[❑ No Tat Applicable i l 'yaw N Attic add itional sheets if necessary 1 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. 3ryes []No Not Applicable i i i i i De0al"i OP . . 6 I 1 f�-= Attach additional sheets ifnecessary j DEC 2 2 2025 Policy 9. Protect and 'improve air duality in the Town of Southold. Se LW P Section III — Po cies Pages 32 through 34 for evaluation criteria. Southold Town Board of Trustees, ® Yes f®No f4 Not Applicable } r a-0aS Ea: t&t U. Hzlvi�z tAp i nn.p,.k-c-f— i t 1 Attach additional sheets if necessary i i Policy 8. 'Pviinimize 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. O.Yes-b No R Not Applicable f i TLC t �zST inSG� W.C-1- :&azac_ —n W riU M(A i 4 PUBLIC COAST POLICIES Policy 9. provide for public access to, and recreational use of, coastal waters, public lands, and public resources Qf the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria. Y � I+10�0 Not Applicable 2 il`t L4-, 3 is N o ADD c't10 . bEa-Ea:1ttr-J I t{ S Attach addhdo"'sheets if necessary 3 f' 1 I i WOREING, COAST POLICIES Policy 10. Protect Sonthold'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 4 y Fr- Attach additional sheets if necessary DEC 2 2 2025 I Policy 11. Promote sustainable use of living marine resources in Long Isl.gd Sound, the Pec,uic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 throu` h 62 fosrw'��ati®n�t ria. oerc! of trustees ®Yes L 1 No 9 Not Applicable rz s O U t2. Attach additionai sheets if necessary I Policy 12. 1 Protect agricultural lands in the 'Town of Southold. See LWRP Section III— Policies; Pages 62 through;65 for evaluation criteria. ®Yes lNo 10 Not Applicable i b:b,S Ef'o err I.S to k n! 2e=/F a E R—Ap 12..0ns 0T. M .i'. Attach additional sheets if necessary Policy 13. j Promote-appiopriate use and development.of energy and mineral resources. See LNVRP Section III Policies;Pages 65 through 68 for evaluation criteria. Yes No® Not Applicable ! ma USE O fZ_ DeV EWern4L—t%ST D E W_m EQ" per, tr PREPAREP BY Q e1Zs TITLE DATE ' i t Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday, October 24, 2025 3:45 PM To: joanchambers10@gmail.com Subject: Rolando Adamovicz application Hi Joan, There are a few issues with this application. The following are the concerns so far. Is this project going to be a determined as a demolition as per Town Code definition? If yes it would be in your interest to apply for that in this current application. There appears to be first floor additions on the east side of the first floor,where the new front entry is to be. I need the size of the proposed as I do not see it in the description. The plans submitted are not to-scale, are so tiny it is almost impossible to read and it is faded so you cannot read some of the measurements. Please print out one to-scale full-size set of stamped architectural plans and submit them ASAP. As an FYI,gutters to leaders to drywells are going to be a requirement for this project. The survey/site plan will eventually have to be updated to show that. At this point I would just wait to see if the Board wants any other items added to the survey/site plan before just updating it for the drywells. Thank you. Elizabeth Cantrell Administrative Assistant Town of Southold Board of Trustees Phone: (631) 765-1892 Fax: (631)765-6641 1 Glenn Goldsmith,.President � '" P Town Hall Annex A.Nicholas Krupski,Vice President &awl , .;" 54315 Route 25 q ` P.O..Box.1179 Eric$epenoski -£ Southold,New York 11971 Liz Gillooly K. Telephone 631 765-1892 Elizabeth Peeples P ( ) P Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For:Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extensio �j A U G 1 9 2025 Received Application: 19 Received Fee: $ t,aO. Completed Application:. -�. . . Incomplete: am _ i Ea rd afTi�istees SEQRA Classification: Type I Type II Unlisted Negative Dec: Positive Dec. .Lead Agency Determination Date: _ Coordination:(date sent): ,LWRP Consistency Assessment Form Sent: _ - CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property(as shown on Deed): 9 0 GAN M A t)`A M 0'V f_C 2.' Mailing Address: 8 Sc0T-r «-LE 1 I-14-7 Phone Number: 631 " 76-7— Suffolk County Tax Map Number: 1000- _2� I '" S — l 2• Z Property Location: J 2b AY �� til V AST A�fZlpnl N�` 1 I CIS �SDO Souilet eAsS ` 0-� �"Civ 25— l" 6P40T MA-ki ON (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): t`OAN Mailing Address: p. D , $a X '�cl � O Nil (Lq-7/ Phone Number: --Vt4 -42A _ Email: DOwl C ka ng 62-fS 1 o rY1a t C Don E :d of Trustees Applicatic GENERAL DATA Land Area(in square feet): 40�����_ .� • 'a Z 0 c(z S' Area Zoning.- Previous use of property: l t j G l,6 f-A--M ILA WE LIL-I IJ G ZPZJD Intended use of property: . �A6x� W1.g;N0 V Ac-n 8 &VDt Tt brnJ 4_ FL. Covenants and Restrictions on property? Yes �91N0 If"Yes", please provide a copy. Will.this projectrequire a Building Permit as per Town Code? Yes -allo 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: WilLthis project y demolition as per Town Code or as determined by the Building.Dept.? re an Yes No INT evY Lb g PA R'R'Ti:0 t43 1 ST FL Roe)F (tym 0 Ll e;P Does the structure(s) on property have a valid Certificate of Occupancy? Yes _No Prior permits/approvals for site improvements Agency Date SOO-C LAO BL)iw. VeTr C•O- IFO(R, kc°e • tl • �3 (Nb �.o�tc 2 -t-�t ) S 0.UTMuo. $u tu . De C.O f� b o>✓�n cry 1 .12 No prior permits/approvals for site'improvements. Has anypermit/approval ever been revoked or suspended by a governmental agency? No—a Yes If yes,provide explanation: Project Description(use attachments if necessary): 10 9z0gVA:1'E Asti exicru S G t 3S8 S 4NGLz- F&M1 L*,J r; rS kVEOCrc t-I cLuotNC A-7D(NG. {- Ifog 3 3 ► s`Ecallo JF1., � L y Ratf C t `tt1 nod ET" -st-ves � 600 tt nm FtRsT SeCOOD rl.OURS, AY3n3B tb bEG ­ 00 Fc2sr FLr• sou- -I ste�� . S 2 Fl. �� , 25tft 0 OTIL.6✓0 ON 'C t i RS'r �wo� A-s wlef � A<S ANr-,W A<� SAN tCRY :sy sTt�r, P :d of Trustees Applicatio WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 'TD ESQ -r,�f) WA-br Area of wetlands onJot: T5�3 square.feet Percent coverage of lot: .. 30 0/U Closest distance between nearest existing structure and upland edge of wetlands:. _� �W feet Closest distance between nearest proposed structure and upland edge of wetlands: . feet Does the project involve excavation or filling? No Yes If yes,.how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be.removed or deposited: :feet Proposed slope throughout the area of operations: 4 Manner in which material will be removed or deposited: Mie; NEW FoUNOD V 01J F: 2 CAS/ -C By K -CW nrc- .&-THE F'i L�L, w k LA-: J �(T � BE U eK) F-0fZ B#k,-CK.E 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): NJ trip FL . yy(L 13 E w tTzti`&) J*jM 5 F:�oO-T P2iA(T o F_TA � Ust✓• 0 s'CU P . NCE-.TD /cN 0 Ft- -KC N " �rJ PIJm ON, 11135 Is a f1 s n� DF Tttr= L:OT N D A -L.,TeY-z A-7-c&r J D(Z. STRU C11,S�E� N l✓Pt& 0(Z 1 N '-tre LAY--r-- 61 Z20 Appendix B ShortEnvironmental AssessmenfForm Instructions for Completing Part I Project Information. The applicant or project sponsor is responsible for the completion of Part I.. 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 I. 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: t52o 91ky Alie lvl K l 0 N Project Location(describe,and attach a location map): MAZRWIA Sb ur--H Iso d Ff5uFT 6 f-J 8'kY AV Brief Description of Proposed Action: 1-0. (ZENO VAT6 ca'.-ae '. 1.358 I 1 SiAI G LIE Fecryt ly F k EF;S,( DeztvcE 1.n,lc t.Uw4 nJCr• : A- 1(0613 A— 2OB tTt0N► 360 r CbUe:P—W P6 W-4A , A- ub 0 Dec* . , A .3?e I# t ug A- OL sib 1 A- 5 Adg Lam" &`t&Tm- Name of Applicant or Sponsor Telephoner Cpa1 -VU/4 —1 f 2—+/ J D AqJ E-Mail- �RnCI�Qm(o-ears(A @ j• Address: City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,;ordinance, NO; . YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that' '® ❑ maybe affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list age.ncy(s)name and permit or approval: ❑ Mull N`( sTr�TE IDeC, SOu-rti"L4D -M wrf -Mu g U tt✓n tw1G piz(fi 3.a.Total acreage of the site of the proposed action? acres 4(7y 15t;•5' b.Total acreage.to be physically disturbed? acres 2oJ3 .E c.Total acreage(project site and any contiguous properties)owned or controlled bythe,applicant or project sponsor? rL acres 4. Che I land us at occur on,adjoining anoxiarthe prop action. UrbanRural(non-agriculture) Industrial WCommercial 5Residential(suburban) Forest ❑Agriculture Aquatic []Other(specify): Parkland Page ll of 4 p p. NO YES NIA 5. Is the osed ro action, a. A permitted use under the zoning regulations? TX b:Consistent with the adopted comprehensive plan? fl fl 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,,a state listed Critical Environmental Area? NO. YES. if Yes,identify: 8 a.Wil the proposed action result in a substantial increase in traffic above.present levels? NO. 1 YES11 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? N.O. YES tf the proposed action will exceed requirements,describe design features and technologies:. 10. Will the,proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable.water 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` Places9 x b. Is the proposed action located in an.archeological sensitive area? I I 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? r If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14: ntify the typic bitat types that oc n;or are likely to be found on thi--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? 16.1s 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 If Yes, a Will storm water discharges flow to adjacent properties? Z10 ❑YES' b.Will storm water discharges be directed toestablished conveyance systems +�pff an m drains)? If Yes,briefly describe: O � ES 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 YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY' KNOWLEDGE Applicant/sponsor name:, s L� f Date: Signature: Part 2-Impact Assessment. The.Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action.?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning a Elregulations? 2, Will the proposed action result in a change inthe use or intensity of use of land? i. Will the proposed action impair the character or quality of the existing community? . ❑ a 4. W ill the proposed action have an impact on the environmental characteristics that caused the El of a Critical Environmental Area(CEA)? S: Will the proposed action result in an adverse change in the existing level of traffic or Q. El 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 a ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/,private water supplies?: El. _11 b.public/.private wastewater treatment utilities? Q:: 8. Will the proposed action impair the character or quality of important historic,archaeological, a architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources.(e,g,,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may. may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? IL Will the proposed action create a hazard to environmental.resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",-or if there is a need.to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above;and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency _ Title'ofResponsible Officer a Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 B -d of Trustees Applicatio AFFIDAVIT M Wt(Ei.L ADAM o V Lcz. BEING DULY SWORN. DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND.THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAYBE 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.,.COUNCIL. J.W 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 Property Owner Signature of rt wner SWORN TO BEFORE NIE THIS 7 DAY OF CONNIE D.BUNCH. Notary'Public,State of New York No.01BU6185050 le wr) Qualified in Suffolk County Commission Expires April 14,2 Notary Public B d of Trustees Appliaatio AUTHORIZATION (Where the applicant is not the owner) I/We, R0 LAIJ00 MS Ctte—LL. MD AM 0 Vi C Z owners of the property identified as SCTM# 1000-. S 1 E3 2 2 in the town of S ST NLl (Z L pn1 New York,hereby authorizes: a fkn:j C- F(Y1S 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 operty Owner s �e SWORN TO BEFORE ME THIS t Ll W , DAY OF ; 20 a CONNIE D..BUNCH Notary.Public Notary public,State of New York No.01BU6185050 Qualified in Suffolk County Commission.Expires April 14,2 APPLICANT%AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Souihold's Code of Ethics rsrohibits conflicts of interest on the part'of town officers and emoloyees.The nurQose of .this form is to provide inforination which can alert-the town ofnossible conflicts.of interest and allow it io take whatever action is necessary to avoid same. YOURNAME: NBOO A WLOVLC-Z _ (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 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(of 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 employce has even a partial ownership of(or employment by)a corporation in which the town officer or employee,owns more than 50%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 applicantlagent/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): EJA)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 _d-a4of_ 20 Signature Print Name.( A.�r2LP > Fonn TS f APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics arohibits conflicts of interest on the cart of town officers andremnlovees.The nurnose of this form is to provide information which can alert-the town of possible conflicts of interest and allow it to take whateveraction is, necessary to avoid same. c YOUR NAME: V O (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 Orson'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 interese'means a business, including a partnership,in which the town officer or employce'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 n NO � If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed.by the Town of Southold.. Title or position of that person , Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): ELA)the owner of greater than 3%of the shares of the corporate stock of the applicant. _n (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); F� rl nn nffrer dirrrmr partner.nr.emnlnvrr.of the nnntiennt•nr �D)the actual applicant: DESCRIPTION OF RELATIONSHIP Submitted this day of_l_C-,— 20 e�l Signature Print Name. Form TS i •' 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 deternunation.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 prepare 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 significant beneficial and adverse:effects upon he coastal:area(which includes all of Sou Id 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 Ag!gL-jisting,both supportingr and non- 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 website(southoldtown.northfork.iiet), the Board of Trustees.Office,.the Planning Department, all local libraries and;the Town-Clerk's office. B. DESCRIPTION OF'SITE AND PROPOSED ACTION SCTl# CPROJECT N atMDV ESI Ol A-V(5- a ACT rnA Lb The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building;Dept. ® Board of Trdstees H. 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) Pemut,approval,license,certification Nature and extent of action. -to r4-e:r4oVA�-� -AN ex_,'A1E IB55 !d, RESi064ee iNPWIDWG A lloCi3 if 2.Nh Ft. ktVt Ror1� we: rft P►mcT—.oN1 h- Gba` 1�( CoU� PO�GbF, 58 8 �r �cKS $ E -�A sa-K lsPtR ' Location of.action 1590 . B� pFAwyr . ryt A R(b N. Site acreage 4:Da 1Sb.S _D� • q`�'—: - ES .'. . Present land use: N G L E' c S F�rvt t�.,� .R� DENT l�kl_l 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 appilcan, Rb UA-rv_oo / Drtm Ovic 2 (b) Mailing address• . DSO k cS 0 U l l et.-7/ (c) Telephone number: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ® No❑ If yes,:which.state or federal agency? C. Evaluate the project to:,the following policies by analyzing.how the project will further_support or not support the policies. Provide.all proposed Best Management Practices.that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a,pattern of development in.the Town-of Southold that enhances community,character, preserves open space; makes efficient.use of infrastrueture, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section 111 :Policies;.,Page 2 for evaluation criteria. Oyes: Not Applicable ❑ No ❑ . 'EtE A .3x 3td -rQczcNt. a C F �_l �ctcStrN kldus wic:c. B� l_&kcF 2No .,F Rc �C:F.. Attach additional sheets if necessary Policy 2. Protect and preserve :historic and'archaeological, resources of;the Town :of Southold: See LNVRPd Section'III--Policies;PageO through 6for:evaluation.criteria Yes ❑ No Not Applicable ls30 tf ISM&I CAL, SIGN kE CAW Attach additional sheets if necessary' Policy 3. Enhance visual quality and protect scenic resources .throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable E•El✓ TK0F0(5AF.D Wo rtL�- kt s * AVA NVa IWVEA�cT- ar 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 S through 16 for evaluation criteria 0 Yes ❑ No❑ Not Applicable U 3R-4 A v Cu: Rgou ems ► Mi wr�-C --. 2 I�I�T S - P,'i&I Z)F� Attach 11 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 El Yes ❑ No Not Applicable .. tic c5'rt rn1G -(i�t ICE P-a�bS�D RC�aV-k- .-Ia lnJt-(� ,- E mU P E!u e: F3 -faw r.l 0 9, n u ntm*-4 W AgAi L �So u 2ce,-C Attach a itiona sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold.ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III-Policies; Pages 22 through 32 for evaluation criteria. Yes ❑No ❑ Not Applicable M D C—S'(a-r-J ot= Ttta✓ 7r,6 rJ- t S, 1, 5 L-op E s' rim c,r Attach additional sheets ifnecessary 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 E4 Not Applicable P2o�SECr" Uccttt, Hnomj� 1\4D innP Lk Gam- aril A—((L" t-rx Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes`❑ No ❑Not Applicable ��l✓ �k ILST I I\f Cr t � 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. 0 YeLl No 14 Not Applicable V'4t<- , 8E No ADD('f1or l c72 -b Z)n1 f t'<5v Attach additional sheets if necessary. r 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 TEElS i S Al oT_ _lL6K�(C.Ej>— UR Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town'waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No Not Applicable j'P-d sS E1T VAL t Ll( I &=C . CK t.nJ E � t�o U ►2 C:ES Attach additional sheets if necessary Policy 12. Protect.agricultural lands-in the Town of Southold. See LWRP Section III- Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No Not Applicable zt)�si tj6- .h- wtLl NOT t-r`nPhtT f FZtc__ui r"CuK_ i�L rjpx- Attach additional sheets if necessary. Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section 11 -Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable ti 0 USE _ O 9- AEV D F t a u t Sr.-Ko F_OSE7g, PREPARED BY ���� m$E TITLE_ DATE. '