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HomeMy WebLinkAboutTR-10883A `O�Glenn Goldsmith,President `�®F SU�j Town Hall Annex Nicholas Krupski,Vice President , ®�® 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly rn4CTelephone(631) 765-1892 Joseph Finora 51% Fax(631) 765-6641 cOUNTI,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 2363 C Date: March 24, 2026 THIS CERTIFIES that the 377 sq_ft addition to existing second story deck with partially recessed hot tub to create a 449 sq.ft. deck, At 5775 Nassau Point Road, Cutchog_ue Suffolk County Tax Map#1000-111-13-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 12, 2025 pursuant to which Trustees Administrative Permit#10883A Dated December 17, 2025,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the 377 sq.ft. addition to existing second story deck with partially recessed hot tub to create a 449 sq.ft. deck. The certificate is issued to MICHAEL&CATHERINE HOVEY owners of the aforesaid property. Authorized Signature rti Town Hall Annex 54375 Route 25 Glenn Goldsmith, President ��+ ®� p O. Box 1179 A. Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski Telephone (631) 765-1892 Liz Gillooly �® Fax (631) 765.6641 Elizabeth Peeples BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE RE QUIRED TO CONTACT THE OFFICE OF THE B S OF TRUST OFFEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITI CHE BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 13t day of construction '/2 constructed When project complete, call for compliance inspection, Glenn Goldsmith,President -A`�®F S®(/p Town Hall Annex 0. A. Nicholas Krupski,Vice President ,`off ®W A. Route 25 P.O. BOX 1179 Eric Sepenoski l J Southold, New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Elizabeth Peeples • a0 Fax(631) 765-6641 COUNTil BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10883A Date of Receipt of Application: November 12, 2025 Applicant: Michael & Catherine Hovey SCTM#: 1000-111-13-5 Project Location: 5775 Nassau Point Road, Cutchogue Date of Resolution/Issuance: December 17, 2025 Date of Expiration: December 17, 2028 Reviewed by: Board of Trustees Project Description: As-built 377 sq.ft. addition to existing second story deck with partially recessed hot tub to create a 449 sq.ft. deck. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by WSJS Architects, received on November 12, 2025, and stamped approved on December 17, 2025. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of-the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. ./*,e�_ '4' "_ Glenn Goldsmith, President Board of Trustees i ZONING INFORMATION BOARD OF •c IZUSTEES SUFFOLK COUNTY TAX MAP#1000-111-13-05 NEW RAILING SYSTEM TO NEW WITH SECTION TOWN OF SOUTNOl.D ZONE: R-40 LOT AREA:31,165 SF. R312 OF THE RESIDENTIAL CODE OF NY STATE. TOP DATE � '`q LOT IS NON CONFORMING. REFER TO ZONING SECTION 280-124-NON CONFORMING LOTS LESS THAN 20,000 SF. OF RAILING TO BE A MIN. 2 CE'm-•,G r OF 36"ABOVE ADJACENT TOTAL LOT AREA=31,165 SF, BLUFF AREA=3,433.5 SF, BUILDABLE LAND AREA=24,731.5 SF TOP OF DECK. A2.a 6'-3" 8'-0" 3'-9" 12'-1lo ALLOWABLE EXISTING PROPOSED 2 HOUSE DECK&POOL) (HOUSE, DECK&POOL) NEW WOOD DECKING LITTLE pECONI BUILDING AREA 24,731.5 SF x.2=4,946.3 SF ( A TO MATCH EXISTING o � BAY LOT COVERAGE 20% 12.1% 13.6% (TYP.) w 2 = FRONT YARD 50' 146.1' 146.1' m WOOD S 04 20 43 SIDE YARD MIN 15, 15.8', 10.8' 15.8', 10.8'(TO HOUSE), 1 STEPS (ALONG HIGH KaAD 100 62 M WATER) PILE, 15.16'(TO DECK), °' \0 8,E TYP. 11.75'(TO STAIR _ LANDING) NOTE: HOT TUB IS TO - ..► r6.7'E SIDE YARD TOTAL 35' 26.6' 26.6' (TO HOUSE) BE PROVIDED WITH A 25.96' (TO DECK) SAFETY COVER IN COMPLIANCE BOTTOM OF BLUFF WITH SAFETY STANDARD ------- -------r_____�______�___________ 22.55'(TO STAIR LANDING) ASTM-F1346. THE SAFETY \�'1W'•• '•' • '�• � '••••• '••0 -�------�----- --------- -- - --- ---��• -------_--- REAR YARD 50' 117.5'+/- 117. +/- TO HOU E) - COVER SHALL BE PROPERLYtu 105.3'+/-(TO DECK) AOogS= UTILIZED AT ALL TIMES THATzo :.' _• o THE HOT TUB IS NOT IN USE. MAXIMUM BLDG HEIGHT 35' 32' 32' I. .'• O N NOTE: HOT TUB IS TO BE BLUFF S INSTALLED FULLY IN COMPLIANCE WITH ..' \ MANUFACTURER'S PRINTED GENERAL NOTES � RECOMMENDATIONS AND ' • ' • • ' • • ' • • ' • : ::.: • •:.• •.�.:. .::• •�• • . :•:F'z • ' ' Y d0 ` 12,-4„ WITH ALL APPLICABLE CODES I.�I N GE3E6!: VVOODr_'. �� ��I (FEDERAL&STATE)FOR . .'• • .'• � t- _'-&'• Q o O 1. THE ARCHITECT HAS NOT BEEN RETAINED FOR THE SUPERVISION OF THE HOT TUBS AND SPAS. DECf�(6 � ry Im CONSTRUCTION OF THIS PROJECT. HOT Q .•p w 0• p ca id•U r 2. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO PERFORM ALL WORK IN + TUB r jr'Q [r r? •'.o-O.4 Q ACCORDANCE WITH REQUIRED APPROVALS AND PERMITS FROM ANY AND ALL > Co .' Q Z' �c• . .' CY) GOVERNING AGENCIES HAVING JURISDICTION OVER THIS PROJECT. EXISTING F_ T-0"+ 3. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO COMPLY WITH ALL APPLICABLE / 1 . „ I �• Q X- ,' Q tL CONSTRUCTIONCODES,LAWS, RULES AND REGULATIONS IN THE 4. ALL PO RED CONCRETE FOOTINGSS SHALL BEARON MINI UM 0 BREAKFAST AREA M 2TON VIRGIN SOIL. 5. ALL POURED CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 4 �. • , '--= C.M. 3,OIJ0 P.S.I.IN 28 DAYS. "�_•y.. _ - - ------_---z+ -=-^ - --------=- -------- 6. FLOOR JOISTS SHALL BE DOUBLED BENEATH ALL PARALLEL PARTITIONS. 4'- = R' _ ---- '� - - -� �STO. ----- 7. PROVIDE MINIMUM 18 GAUGE GALVANIZED STEEL JOIST HANGERS AT FLUSH BEAMS - STOP OF BLUFF 17 0.2'S CARRYING JOISTS. FL------ C.M. STO. O N o 8. ALL ELECTRICAL WORK AND ELECTRICAL COMPONENTS INCLDUING,BUT NOT 0.61S FLAG JEXISTING WOO 0 m + 0. 2 N O BEND LIMITED TO CIRCUITS,BREAKERS,OUTLETS,SWITCHES,AND WIRING SHALL BE U.L. \ POLE DECK R FIRST O 03 o ± 1-ti ,i a I- 1.8'N CERTIFIED AND INSTALLED IN COMPLIANCE WITH APPLICABLE ELECTRIC CODES. FLI LEVEL D X p p Y-�i 0 U I HADED AREA 9. ALL PLUMBING WORK SHALL CONFORM TO APPLICABLE CODES AND HEALTH M r U) -n to U a a I INDICATES EXISTIN EXIST. c -� > ' Q 0° AREA OF 5-13-2025 ISSUED FOR BUILDING PERMIT APPLICATION DEPARTMENT REQUIREMENTS. O EXISTIN WALKOUT STONE T z 07r + +w 10. THE DRAWINGS ARE NOT TO BE SCALED. WOOD SUBLEVEL WALL � �n n a iv N PROPOSED 11.NO CHANGES WILL BE PERMITTED WITHOUT PRIOR WRITTEN NOTIFICATION OF AND 00 DECK �'m N U ADDITION TO APPROVAL BY THE ARCHITECT. FIRST FLR w 0 z DECK,AREA OF 5.13.2025 REVISED FOOTPRINT, DIMENSIONS O STAIR&RAILING 4.3 26.7 w w DECK ADDITION 12. THE CONTRACTOR IS RESPONSIBLE TO VERIFY THE LOCATIONS OF ALL UTILITIES IN LEVEL EXISTI G w 2 &AREA OF PROPOSED DECK ADDITION. EXISTING PER NY STATE Z bo EXIS NG =377 SF AREAS OF WORK PRIOR TO COMMENCING ANY WORK. O w INGR ND STONE w (AREA OF DECK ADDITION DIMINISHED) 13.THE CONTRACTOR SHALL PROVIDE AND MAINTAIN ALL NECESSARY SAFEGUARDS KITCHEN RESIDENTIAL w POOL PATIO o 2 I w o SUCH AS BARRICADES,GJARDRAILS AND COVERINGS TO PROTECT THE WORKMEN AND CODE 0 12'-4" 15'-2" Ina 02.21.2022 ISSUED TO BOARD OF TRUSTEES PUBLIC FROM INJURY. Y 10.8 "i ^6.1 6 00 14. THE HOT TUB IS TO BE PROVIDED WITH A SAFETY COVER IN COMPLIANCE WITH 0 �O 0 F SAFETY STANDARD ASTM-F1346. THE SAFETY COVER SHALL BE PROPERLY UTILIZED EXIST 14.7' 15.2' o r U) 02.10.2022 REVISED SIZE OF zo AND AFFIXED TO HOT TUB AT ALL TIMES THAT THE HOT TUB IS NOT IN USE. POOL POOL h � PROPOSED DECK TO RESPECT 15. AS A MINIMUM,THE HOT TUB IS TO BE INSTALLED FULLY IN COMPLIANCE WITH HEATER FILTER #5775 EXISTING °` 15'-0"MIN SIDE YARD MANUFACTURER'S PRINTED RECOMMENDATIONS AND WITH ALL APPLICABLE CODES XIST CONC. u'9 R6 8.7' „ 4' CHAXN LINK FEDERAL&STATE FOR HOT TUBS AND SPAS. PAD ON GRADE 2 STORY FRAME EXIST A/C 9.30.2021 ISSUED TO ZBA 16. THE HOT TUB INSTALLATION SHALL FULLY COMPLY WITH ALL APPLICABLE o XISTING A/C DWELLING CONDENSER 5• ' REQUIREMENTS OF CHAPTER 42 OF THE 2020 RESIDENTIAL BUILDING CODE OF NY k o CONDENSER GARAGE x STATE. EXIS COND LASER 11.4' UNDER N SHOWER EXISTINEXIST OPANE STONE L6 GENERATOR C• STO. PRTANKS � 16.1 "v 213, r0.1'N V�rSJS ARCHITECTS NOTE: ALL NEW PIER/FOOTINGS ARE TO BEAR -ry Lo zao XIST FENCE ON 2 TON VIRGIN SOIL WITH BOTTOM OF RTIAL MAIN FLOOR DECK PLAN STO. FC 9.0' 15.7 AND GATE (DE;� o.7's -- ------- FOOTING TO BE LOCATED A MINIMUM OF ,�4 ''-0" I A IN STO. 755 NEW YORK AVE., HUNTINGTON, N.Y. T BELOW ADJACENT FINISHED GRADE CANTILEV R T IS EXISTING 0'9 N (631) 351-1999 (TYPICAL) I R E LOOSE STONECOBBLE 2 2 STO. XIST FENCE DRIVEWAY STONE CURB A2 0 ALL NEW POSTS TO BE A2.0 0.9'S AND GATE WALL TYP TONE SECURELY ANCHORED TO NOTE: ALL DECK JOISTS SUPPORTED PIER/FOOTINGS WITH BY BEAMS MUST BE ATTACHED TO LATTICE ENCLOSURE I LOT 41 SIMPSON STRONG TIE GALV. THOSE BEAMS WITH SIMPSON STRONG OF AREA BENEATH LOT 39 LOT 40 4.4'N ARCHITECTURE INTERIORS PLANNING STEEL PB66 POST BASE LINE OF NEW TIE H2.5A HURRICANE CLIPS PER LINE OF NEW DECK 11 6"X 6" PRESSURE CONNECTOR(TYPICAL). 6 X 6"PRESSURE THESE PLANS ARE AN INSTRUMENT DECK ABOVE ( ) DETAIL 5 ON DRAWING A2.0. DECK ABOVE I OF SERVICE AND ARE THE PROPERTY TREATED POST SEE DETAIL ON DRAWING TREATED POST OF THE ARCHITECT.INFRINGEMENTS ABOVE TYP. A2.0. (TYP.) WILL BE PROSECUTED. "� F f LINE OF NEW ABOVE(TYP.) LINE OF NEW , .� TONE NEW 14 DIA. ---- - - - 2 I ` WALL ` RESPONSFIELD IBLE FORFI FIELD FIT AND DECK ABOVE 2 DECK ABOVE POURED CONCRETE --- - LATTICE 4� PIER/FOOTING / C° c UTILITY •e ENCLOSURE _ - QUANTITY OF WORK HA ALLOWANCES TYPICAL WHERE / r r I / (2)2"x 12" I CONTRACTOR FOR ANY ERROR OR POLE SHALL BE MADE IN BEHALF OF THE •. NEGLECT ON HIS PART. ( / 0 OF AREA / - - - I THUS SHOWN) BENEATH = ' / " LINE OF NEW 6'-1" T-7" LINE OF NEW 6-1 3-7" DECK ABOVE DECK / + 1901 9 DECK ABOVE EXISTING CONCRETE - - - - - cn Co EXISTING I PIER/FOOTING / COLUMN / (2)2"x 12" (2)2'x -i Cj (2)2"x 12" (V.I.F.) - - - - - - - Q-- - - TONE 6'-2" T-0" 6'-1" 3'-1" i 6'-2" ? U U 7'-0" Co0 CD 6'-1" 3'-1" / 18"X 18" POURED / 1 _ ' O _ _ 4- WALL 2.1'N CERT. NO. CONCRETE LINE OF //� �9 N co Co EXISTING COLUMN/ // -�', `r `� PIER FOOTING X'ST /2> ��+�� "' SU N '~-LATTICE ENCLOSURE I �P�V PROJECT NAME POST ABOVE / (TYPICAL WHERE �+,, OF AREA BENEATH Op PROPOSED DECK ADDITION TO THE: (V.I.F.) / {''•,-*,ti THUS SHOWN) ABOVE / �L Oct _ (2)2"x 1 I DECK W W v�1O • .� 2"x 8' P.T.LEDG R p _ ------- ---- ------ - S' �Q- - ?- (2)2"x 8" (FL SH) W p EXIST. ��.. , _ 6 X 6" PRESSURE (2)2"x 12" ��' 6' X 6"PRESSURE o H�OVEY RESIDENCE I �-- �� I TREATED POST (V.I.F.) �� �% �� ^ I I I TREATED POST 4 LINE OF EXISTING �� „ ,� .1 ABOVE(TYP.) `� �O ,� (TYP.) ° t` 0 3'-3" 4 2 4 2 3' 3' 4'-2" 1- 4 2 CD DECK A OVE �`� ti+ d a '1 9" Z ~ SCTM#1000-111 - 13-05 N o� I LINE OF EXISTING ` °' iv I iw iv t° O °' w I UP zo o� I DECK ABOVE °) X _ _x Z:: °' 13R 5775 NASSAU POINT ROAD CUTCHOGUE, NY 2" x 10" I.T. STS. DRAWING TITLE ------ I 0 O V I I^ @ 16 O. "I r- 00 __ I - s r ----- ; X II�\ I I PLOT PLAN, ZONING j. I REFER LATERAL LOAD EXISTING FINISHED SPACE INFORMATION GENERAL EXISTING UNEXCAVATED AREA �•-� I R TO LA (2)2"x 8" (FL SH) ,WELL A-T DECK ATTACHMENT DETAIL � "- I O NOTES, PARTIAL I- ir -iIr-T i ON DRAWLING A2.0 FOR ALL . III- iI;CO iI; -iTI;,) II; 48 �-C.M. FOUNDATION PLAN, DECK EXISTING CONCRETE � DECK JOIST FOUNDATION WALL LEDGERS SUPPORT x iO1POLES. x IN UTILITY FRAMING PLAN PARTIAL ISOFF OPEN C.MJ N1525'00" W T. I DEOFST CASE MAIN FLOOR DECK PLAN "x " PR 2LE 1 I I I - ---� W/SOLID AZEK PANEL NEW STAIRS __ --- -._._. ,_... . ... ... . _. STAIR&RAILING EDGE OF PAVEMENTDRAWN BY DRAWING NUMBER ABOVE PER NY STATE NASSAU POINT ROAD MS RESIDENTIAL - _ CODE CHKD BY WS EXISTING CONCRETE y T;0 b` 1 2 ,25 FOUNDATION WALL DATE AV IL 04-25-2025 PARTIAL FOUNDATION PLAN DECK FRAMING PLAN PLOT PLAN : PROJ # 202115 SCALE AS NOTED 1 OF 2 Co e- r� ._ �� _ � STO. STOP OF BLUFF 0.2'S C.MJ� STO. FLAG O o m - o c� w BEND 0.6 S EXISTING WOO POLE DECK @FIRST o w ± o + o Q_ ° 1 .8'N FLR LEVEL W D X o o r J SHADED AREA LL I INDICATES EXISTIN EXIST. c � Co � wm m ° m AREA OF EXISTIN WALKOUT STONE ; z r- D �- + w WOOD SUBLEVEL WALL T N � PROPOSED w ADDITION TO FIRST FLDECK R w OF 26.7' N ,� pw w DECK ADDI0 DECK, TION LEVEL U 14.3 z EXIS NG EXISTI G = p = 377 SF Co w INGRO ND PATINE O o 2 w ❑ POOL `— m Y ❑ N 124 15 -2 1U Y 10.8 ►� 6.1 6, 00 _ �o' 7, p F— EXIST � ' o 14.7' -��,`f- S_� 15.2 POOL XIST POOL 72 5. <6 `) HEATER FILTER #5775 EXISTING °` XIST CONC. 8.7' CHAIN LINK PAD ON GRADE 2 STORY FRAME XISTING A/C 5 DWELLING EXIST A/C o CONDENSER _ ol CD CONDENSER GARAGE v x XIST A/C 11 .4' UNDER N SHOWER EXIST CONDENSER EXISTING—�] PROPANE STONE Sri 161' -ENERATOR C. �STO. TANKS O 0 21.3 0.1 N N �zn o XIST FENCE STO. 0 FC 9.0' 15.7' - AND GATE XI IN STO. " CANTILEV R T E 0.9'N ST S EXISTING R E LOOSE COBBLE STONE STONE CURB STO. XIST FENCE EXISTING STONE DRIVEWAY 0.9'S AND GATE WALL, TYP. I CST 41 i Area_ Note: ALL SUBSURFACE STRUCTURES; UNAUTHORIZED ALTERATION OR ADDITION Imp m JM SECTION MCKEo BY JM WATER SUPPLY, SANITARY SYSTEMS, TO THIS OF OF SURVEY IS TA VIOLATION STATE DRAINAGE, DRYWELLS AND UTILITIES, EDUCATION LAW. ��, JULY 2021 31 , 164 sq.l�}`. AND SHOWN OR ARE FROM RO OBTAINED FROM OBSERVATIONS OTHERS• COPIES OF THIS SURVEY MAP NOT BEARING auwrrrc wo.: 21\NASSAU POINT THE LAND SURVEYOR'S INKED SEAL OR 0.72 acres ATHE ND/ORSEASEMENTSR IGHTS OF WY OF RECORD IF EMBOSSED SEAL SHALL NOT BE CONSIDERED OF TO BE A VALID TRUE COPY. ANY, NOT SHOWN ARE NOT GUARANTEED. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- 8AYROAD TUTION. GUARANTEES ARE NOT TRANSFERABLE. a N II FA to 39 plies d remains l l l l l l I I p le/ pile 1 8.27 bulkt ea till\IIIIII ( o ,III 1111 11 walk over \ plies \\\\\\\\11 t1111111\\\ \ \bulkhead concrete - \ g.64 monument \ 1 Ipile bulkhead N79040 0 IIT 77\01 pile 0 �1 ( � 0.9's \4\1I\111111111 iI1 I\I1I1I 1!I I 11I 11I11I11I h1I 11I1 1I1 1I1 II 1I11I1I 1I I 1II�11 I1 1I11I11I11 1111111111 11I11I1 1I1I11I1 1111 11 1111 1 111111 11 I,I`1I11 I`11111I1 1 1 , 11 \I 894 e fence pile \- stockad 62- filler heater 1 I pile x . stone to 7 01'Sofeel tanks ��6j-\-� - �//II � i 1 1I1II1 1II1III 1III 1III1\IIII1I1 I 11I11I111111 1 III1III1 II11II 11I I1 111III1I1 II 1111/11/1,1,I1I11II 1/I 11111 1 11 11 1 111 1 11I11I1I1I1I1 I l 1 1l 1P ile4330 0 95 58.5358.5E '60, \1 44.12 \ 40.0' y \ l l l l I IIIII IIIII 1 h \ \ ) 1 deck \ _flag Pale b 1 1 1 IIIII 111/1111/\ I I I I ��'I' I r \` \ I I I I IIIIIIIII 11 I I I I I( I I I I ^ frame steps QO in-ground \ 1 I, i i i 1111111i II I t l t ,l l t l 11 t 1 l l l l l l i 1 IIIII 1 l 1 grd stone \l ,\\ 1\ \11 , 8.91 pile wall 59.92 x landings h Istep, I l l 11 11 I I I I I I 11 1 \ I 42.32 \ \ \\ \\ \\ \ I droIn �j \ 1 1 ( ( • / \\ 59.92 II 11 1 \I 11(I I I I I I I \ IIII I) ' 1 \ \ 1 i pile \\\ \ concrete, \\\\\� 101 2�' wall I\I1II I\I1\I\II1\I\�I1 I\I\\I1I 1 II1I\\III 1I\1I\I I1 I\\\IIII\IIIiI II\\III1 I\IIIII 1\III I 1\IIII1 IIIII 1IIIII1II IIIII 1I III I1 1 III I I1I 1I i 1II I I II1I1I II I1I1I 1I1II1 1I 1II1 II\I I1 1I I i 1III I1III II1III 1 I1I I Ii\I1II 11 1II II\1\1I11I1 I 1I1I 1 I 11 1II I 1I\I1I I I I1\II 1\I1 1\1I 1 1 11i1 11 I 1l I 1� II I \ Pi lel e 4135 onument. scone � RY 58.53 58,55 bulkhead wall 1 1 Z �O TOP of / • Bluff overhang 3 pile 1 � \\\ ' LIME 41- drain stone Pao IIII \\\\ pile REcIDENCE LOT 40 landings steps .7. q�66.E deck column(HP) 5R.24 5 • 59.79 pile�\ s drains 59.13 PECONIC I I I ¢� stone\ \40. wells pile 1,9 bulkhead 8.70 • stone 117.2' 1 1 pile BA wall Z \ \ \ \ \ \ \ t.a' A , ( IIIIIIIIIII 1 1 ,1111111111111 \ Illt �\ \ �\ \\ \ \ o \ \ ,A x 59.24 \ \ 11 I I I I I I I I \1 1\ I O \ \ \\ \\ �� S� 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1 1 11 I 1111 1 \\\ \ \ 9.02 \ I le CTb \ 9 \ \ \ ,1111111 I I I I \ I I\ PI High Water tine 0 Time of Survey GE IIIII 1111111111111111111 \11\1 \ \\IIII r GA 1111 111 I I,IIIIIIIII I I I i I 1 1\ \\\\ , 1 I I\`�\`\ \ I g stone \\ \ \ J 5'/.O I \\\IIIII I I I I I I I I 1 1 11 1 1 1, ,1 1\�\\\\o\11\s��\\ pile •�,,, \ \ \ \ 61G= wall 59.8tx 1 IIII\\\\I11111111111111�111 \\\\\\\\\ \11 \ \ 1 If wall \\ , `lI pile \ well \ \ \ 6� � \ \ \ \ o \ \ I I \ > \ \ 24.2 25'N 0.8'N i 1 11 I pile x59.23 11f//) \\\\\\ \ \\ 1 \ \ III / \ \ \ \ GRAVEL \ \ fuel tenk �3 2s'N IC�1� � \ \ Ian \ s> 9� pile G \ , \ _`_ generator J �\ p Cr I I I \\\ \ \ \\ 1 DRIVE wall , IIIII ( I \ 1 . walk � \��O' on-line bulkhead 37.33 37.81 \ \ 1 1 I m 0.3'N pile x \ \\ \'� 55 \tim wall d58--0.9'N o " o " --shed f 9.23 0,� s� \ ---SJ-- -- \` t o -58 \ � st \� -57- 1 .-_52- -56 0 �lol lid \ \ - 301• apron \ \ A \ \ e Z A \ \ Ember wnll �S J fence end o Q \\\ 0.1'N 011W 36,75 \ cP� ° \ �\ \ S �w904114. \ c�creke \\ modyment \ 1 li \ \ Y utlit\\�9nY \ \\ \ � NOV �'� 2 35.02 35.55 pole _4/ 1 w \ �¢? LET I \\ \\ `J9 �4o Survey TopographicS u 34.58 y of Lot 40 MAP OF SUBDIVISION, SECTION A, NASSAU POINT FILED AUGUST 16, 1922 MAP NO. 156 situate at Nassau Point ��O - NE(�,y Town of Southold J LAND SURVEYING �P ,aMr*iNTo o� Mintoville@aol.com Suffolk County, New York - fi SUBDIVISIONS Tax Map #1000- 111 - 13-05 TITLE & MORTGAGE SURVEYS 1 s> TOPOGRAPHIC SURVEYS r _d, July 1 2, 2021 1 Scale 1 I - 20 SITE PLANS ?- �s GRAPHIC SCALE John Minto, L.S. Jacqueline Marie Minto, L.S. s�^� �r r� LICENSED PROFESSIONAL LAND SURVEYOR LICENSED PROFESSIONAL LAND SURVEYOR OLAND Sv 20 0 10 20 40 80 NEW YORK STATE LIC. NO. 49866 NEW YORK STATE LIC, NO. 51085 Phone: (631) 724-4832 P.O. Box 1408 Smithtown, N.Y. 11787 ( IN FEET ) 1 inch = 20 ft. i SOU.THOLD .TR.USTE.Els No. . Issued To R.c.60&,k+ C�o-.I%er,.rneU&3Date l Vl+/a,5- Address 5�'�'S �Gss4� ?.e:mr Roo4i Co-o%MlAe THIS NOTICE MUST BE DISPLAYED-, DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN Of SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,Pre,...;art Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 Eric Sepenoski ,x?j` P.O.Box 1179 Liz Gillooly �r • 0�� Southold,NY 11971 Elizabeth Peeples 0 Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: I Z gri6 Completed in field by: J 'PA �, William Scherer, RA on behalf of MICHAEL & CATHERINE HOVEY requests an Administrative Permit for the as-built 377 sq.ft. addition to existing second story deck with partially recessed hot tub to create a 449 sq.ft. deck. Located: 5775 Nassau Point Road, Cutchogue. SCTM# 1000-111-13-5 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound ZBay Part of Town Code proposed work falls under: /Chapt. 275 Chapt. 111 other Typgof Application: Wetland Coastal Erosion Amendment .�i//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 t � " F� 1 Si,,�. lei 4 ` y¢ � r i _ • - r i Lp ,nR- .. f 1 `4 i R4'9H 4 2 , M M 12 yo s:.; f ro°j ,,. r ,.: a ; « ,jai' p• R& I ♦ I AM 4 * a^ : ,.,. "_$ .k6 NM 0' • a ,,yyt�. . ' OIA9w 3' y''•�'kq/py '�y WE'na qy �' ."'a4i•_� ?`.-! iqu9a •r fN ,k b 6.' a�M1 'W; „p! '6 w �„�, ,y f- +uL�,., w.. 7::Js a.,•�'3�.. ;N a o eD'C°M1 a ."F'`i +nasal 00 - • , x oo .. y.�'��� t+. �l'�'.y z q a :,,4 � .e �.W .• s w t�T s ' w sa w..." 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 • Q Telephone: 631 765-1938 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 16, 2025 Re: LWRP Coastal Consistency Review MICHAEL & CATHERINE HOVEY, SCTM# 1000-111.-13-5 This application is for the as-built 377 sq. ft. addition to existing second story deck with partially recessed hot tub to create a 449 sq. ft. deck. 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 CONSISTENT with the policies of the LWRP as follows: The plan includes an action which is consistent with the "Administrative Permit" requirements of Chapter§275-2 A of the Wetlands Law of the Town of Southold, including the expansion of an existing deck which qualifies under§275-3 (1) "Decks." which allows for the construction or expansion of such structures under the Administrative Permit review process. 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. Glenn Goldsmith,President ��� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President �� `� P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly CAP Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 '4U00 t BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only . Coastal Erosion Permit Application - �Wetland Permit Application Administrative Permit --Amendment/Transfer/Extension Received Application: Received Fee: $ _ Completed Application: Incomplete: _ SEQRA Classification: Type I__ Type 1I 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: e Owner(s) Legal Name of Property (as shown on Deed): Michael & Catherine Hovey Mailing Address: 173 Warren Street, Brooklyn, NY 11201 Phone Number: 347-886-4252 Suffolk County Tax Map Number: 1000 - 111-13-5 Property Location: 5775 Nassau Point Road, Cutchogue, NY 11935 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable):William A Scherer, RA — _ — Mailing Address: 10 Salty Way, Shoreham, NY 11786� Phone Number: 516-982-2939 Email:wscherer.ra gmail.com _, jard of Trustees Applicati— GENERAL DATA Land Area(in square feet): 31,164 Area Zoning:R-40 Previous use of property: Single family residence Intended use of property: Single family residence Covenants and Restrictions on property? Yes _E_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? FV1 Yes _nNo 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 require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date o3 n Z o Z o -4�Zl 79 o o $la 0 0 od/1��008 33103 D/ / 2bvS ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓�No__a Yes If yes, provide explanation: -- Project Description (use attachments if necessary): 377 square feet exterior deck addition, with partially recessed hot tub, to existing single family, 2 story wood frame dwelling. _jard of Trustees Applicati.,s. WETLAND/TRUSTEE LANDS APPLICATION DATA JI/ kL4 Purpose of the proposed operations: To provide additional outdoor living space at main floor level of existing.oweftirr: Area of wetlands on lot: D square feet Percent coverage of lot: _ % Closest distance between nearest existing structure and upland edge of wetlands: N feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? W] No F-1 —Yes If yes, how much material will be excavated? A cubic yards How much material will be filled? NAcubic yards Depth of which material will be removed or deposited: tQ feet Proposed slope throughout the area of operations: 0% /(? Manner in which material will be removed or deposited—:- 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): Tn� will A Qi Q, ova e. ai„ lid IR / u1 a� C C5 G �,e, f'. v4 vq - 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part I 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: Ole- 4 o �� O 8�' Ge- Project Location(describe,and attach a location map): t J o�� GIn�D J Brief Description of Proposed Action: d oin of S.F• 2X 4er;or- ICA e,f fir'-5 j � y Name of Applicant or Sponsor: Telephone: - ! • G e E-Mail:wscherer.ra@gmaiI.com Address: to City/Pq State:` ` Zip Code: 41 o �. trv. 'v t 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO I YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 1 1-1 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? 600 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .7 acres 4. Che I land us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) Industrial Commercial Residential(suburban) Forest [:]Agriculture Aquatic ❑Other(specify): Parkland Page I of 4 S. is the proposed action, NO YE 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 I YE 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: 2 ❑ 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 nearthe 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: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ,_ _1CQT'4 't ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES f No,describe method for providing wastewaIr treatment: G t) G Er ❑ 2 u t�� 0 231�n.V1 o h o► 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? E611 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: i�. 14. ntify the typic bitat types that oc n,or are likely to be found on tHroject site. Check all that apply: Shoreline Forest gricultural/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 :a U] cr 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, Q ❑ a. Will storm water discharges flow to adjacent properties? ❑NO OYES b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: ONO YES k: r 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 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 11 rr r Applicant/spo or e: 94M G tnG>t^G _ Date: 20 2 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 l. W ill the proposed action create-a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed-action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? `` Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage El problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or 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 of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) <' PRINT Page 4 of 4 i APPLI CANT/AG ENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of intereston the part of town officers and employees.The nurnose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: — V. 1 d t La V'ti'► (Last name,first name, iddle 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. 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/agenttrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant -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); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day o c, �20 Signature Q. 1/ _ Print Name A e G Fonn TS I --ard of Trustees Applicatioi. AUTHORIZATION (Where the applicant is not the owner) I/We, Michael Hovey owners of the property identified as SCTM# 1000-111-13-5 _ in the town of Southold New York,hereby authorizes William A Scherer, RA 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 Oti er's Si ature Property Owner's Signature r SWORN TO BEFORE ME THIS /7 DAY OF e 20.25 Notary Publi F RYN A. 13R.IENZA BLIC,STATE OF NEW YORK ation No.01 BR6224786 fied in Queens County Commission Expires July 12,2026 __-rd of Trustees Application AFFIDAVIT Michael Hovey BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD'TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE'I'OWN OF SOUTHOLD AND-THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL.INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Prop Owner Signature of Property Owner SWORN TO BEFORE ME THIS 1 DAY OF Notary-PubW CARYN A. BRIENZA 14 1 c ARY PUBLIC,STATE OF NEW YORK Registration No. OIBR6224786 Qualified in Queens County Commission Expires July 12,2026 S' 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 proposed-action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting 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'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# 1000 - Ill - "5 PROJECTNAME 2&cj!�2c±c.Q�i�-� The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency?(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: ©r Nature and extent of action: e t ( 010. w JWEI man , Location of action: ? 5 5 40 G o Z J e �y —_�Site acreage: y Present land use: Z h a c Present zoning classification: � � 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: C, (b) Mailing address:_ o 2 1 (c) Telephone number: 3 7_ 86 `A-7�s -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, mares 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 [�rNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Poli 'es Pages 3 through 6 for evaluation criteria j ' ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary _ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES 1 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 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 ONot Applicable Attach addition s pets 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 , . 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 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastesZot See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No ENot Applicable .N Attach additional sheets if necessary - pM �ntY. S. 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 ZNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ZNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable F�. 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 -�PREPARED BY 1(u�_A J��er TITLE �t-c L DATE `�