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Home My WebLink AboutTR-10885A �� ®�� 'Town Hall Annex ® 54375 Route 25 Glenn Goldsmith, President p G. Box 1179 �® A. Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski aw Telephone (631) 765 1892 Liz Gillooly G a0 Fax (631) 765 6641 Elizabeth Peeples �COUNTi l BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES OARD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE B S O TRUSTEES CHECKED OFF 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith,President ®F soU�y Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,`O� ®l® P.O. Box 1179 Eric Sepenoski 1 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Q Fax(631) 765-6641 C®U ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10885A Date of Receipt of Application: November 24, 2025 Applicant: Robert J. Harrison & Patricia A. Kovatch SCTM#: 1000-31-16-5 Project Location: 260 Huckleberry Road, East Marion Date of Resolution/issuance: December 17, 2026 Date of Expiration: December 17, 2028 Reviewed by: Board of Trustees Project Description: Regrade existing ±70'xl5' driveway and ±32'x36' apron; replace gravel driveway with crushed rock on RDX base with steel edging in slightly smaller footprint, apron to use concrete pavers; replace existing ±6'x25' slate paver path from driveway to dwelling with concrete pavers on concrete base with steel edging; extend existing 15'x3l' patio at rear of dwelling to 15'x41' using concrete pavers. 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 Robert Harrison, received on November 24, 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. Glenn Goldsmith, President Board of Trustees 17.94 17. 8 �6`�,�,� X.99 X18.57 6.2 �° r� X9.13 N° u 0;11 13.33 3.28 8 52 ; .� �cb• °eRr 18.47 9.$5 `4 s��NC 5.38 08 ��li ps oop X 15.00 X9.96 X9.97 18.16 rs aucwAY 15.00 X9.94 X6.96 '4 X X9.78 y� .77 17,77 4.93 X X l Z 70 X9.93 17,261`4.94 18.60 Nov 2 4 1, X9.9; 2025 7 81c1RT, 14.97 DRIAY Bo outhaldTown -Lru t.,,s �78.45` �• X17,2 X 14.72 a 14.97X a �l 14..8 .D. 1988 DATUM ti� �'• "cF 19.2 / 1 � X �7: / BOARD OF I RUSTEES 18.83 , 'TOWN OF SOUTHOLD o�Rj DR►V. w Y DATE b 1�1101� ° 17 43 e.Cerr�e� �5 1968. 18.06 ' 2 17,2 P Indicated in blue are the areas of work. 1. Existing driveway and apron will actually shrink slightly in size to approx 70'x15' driveway and 32'x36' apron, with gravel being replaced with crushed rock on RDX base. 2. Slate walkway approx 6'x25'will be replaced with concrete pavers on concrete base. 3. Rear patio will be extended by 10' (15' deep) using same concrete pavers. SOUTHOLD TR',USTE S No. 108$5 A ' ' Qobe� 1Ac►rr:issued Ta' �w'Tr :c:a KovwTcti Da�e ��l}�� Address , ago x��K,�ee�� 0 C% , On - THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICEJOWN OF SOUTHOrLD SOUTHOLD, N.Y. 11471 TE L.: 765-T892 Glenn Goldsmith,f%-- s lent �A ��ofFO( CG Town Hall Annex A.Nicholas Krupski,Vice President 4= yc 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly 41, • �� Southold,NY 11971 Elizabeth Peeples Ol ' ��1 Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ; .lSZQ&1C_ Completed infield by: 1 ROBERT J. HARRISON & PATRICIA A. KOVATCH request an Administrative Permit to regrade existing ±70'x15' driveway and ±32'x36' apron; replace gravel driveway with crushed rock on RDX base with steel edging in slightly smaller footprint, apron to use concrete pavers; replace existing ±6'x25' slate paver path from driveway to dwelling with concrete pavers on concrete base with steel edging; extend existing 15'x31' patio at rear of dwelling to 15'x41' using concrete pavers. Located: 260 Huckleberry Road, East Marion. SCTM# 1000-31-16-5 Type of area to be impacted: Saltwater Wetland ?oFreshwater Wetland Sound Bay Part of Town Code proposed work falls under: )' Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erbsion Amendment _OAdministrative 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 SURVEY OF PROPERTY SI TUATE EAST MARION , TOWN OF SOUTH OLD °'E N89'12'00"E S75` , SUFFOLK COUNTY, NEW YORK pp 3g 35 00„ TAX No. 1000-03100-1600-005000 5 34.38 -___ .58� E SCALE .1"=30' �16 _- - S JUNE 10, 2024 X6.80 1., S)o X3.1 X5.13 66 3�, AREA = 30,178 sq. ft. 39.98 X9.95 X9.90 0.693 ac. X9.9 r >, 00 X10.00 F - / X16.46 T eYV--� X6.96 d �tgC- X 7.95 �� X9.97 \\ S�/S�10 �, x�.13 X]s.11 18.38 X6.37 [. ��q Ot 6 N / B.34 . 17.23*-I, �� X9.52 \� S MR /O/ X18.25 X X7.00 \ c �Sj, O�LS�j0" O X18.73 18.21 X9.53 \\ 0 R9, 0"# Tax Map Lot 5 ��\ X8.166.04 \\00 j 00', `fi * 18.97 17.94 17. 8 \ ��,� X.99 \ 6�20, X18.78 X18.57 0 A3 6.2 4 j 00'� 4v �y" o0(�9FRY4� "X9.99 3.28 3.33 \\ 18.80 o X6.17° ?0 \\�� 0• �r ) 4.69 3.56 18.52 / 9.85 1p . o 4 W*sh-¢ 18.47 5.35 4.49 '0 o.s E 19.08 . s�° X15.0o X9.9s 5.03 1.2'W � ys5 X9.97 4.23 .05 tE y 18.16 J 1. y 164. WAII(WNY X15.00 X9.94 X6.96 t.7'W co + @� .17 X9.7 17.77 J9�� ¢ X14.93 X6.83 6.83 N 'Q9��o S� X17.70 X9.93 (� �`� 1Z26 X14.59 � o5'W 2C 1 X14.94 6.60 X9.97 P039 - 0 7.81 it X14.97 O,� ] ,, Tax Map Lot 9, O X17.58 X17.54 x N/O/F OF INGRID 18.45 LLOVERA X17.2 X14.72 0. ,h''� ,19.89 14.97X �� r N� ?� 14.8 �� X11.33� � NOTES: ; 1. ELEVATIONS ARE REFERENCED TO N.A.V:D. 1988 DATUM rL$@�'y Q` 19'21 X17.37 EXISTING ELEVATIONS ARE SHOWN THUS: 000.00 � Xi.5 14 18.57 y5.97 r ry� 18.83 e Olt VE �o� W" 17.4 \ LEGEND: ,b 19.68 18.06 ~17.2 \ c NK Tax Map Lot 4, OVERHEAD UTILITY WIRES �� ` 18.69 / "-X\ N/O/F OF SUSAN 1 2 00 KAMROWSKI � UTILITY POLE .o ' 0, �04 •9 TREE f7.8 C-3�O� CONC. MONUMENT EM m ELEC. METER Tax Map Lot 3.1, N/O/F OF WANDA SENKO GM m GAS METER WET FLAG WETLANDS FLAGS SET BY BARRON ENVIRONMENTAL MAY 29, 2024. AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT READILY VISIBLE, ARE NOT CERTIFIED. THE SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE. PHONE: 033-787-8393 E-MAIL: SURVEYSOAERIALLANDSURVEYING.COM WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE DISTRICT:1000 LOT:031.000 BLOCK:16.00 SECTION:005.00 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134, MAP/FILE NO.: N/A SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW 'Copies from the original of.this'survsy"map-not marked with an original of the land surveyor's Inked,esol;or his,emboiand scal shall not be MAP OF: "NOT ON A FILED SUBDIVISION MAP" considered a valid true copy' ''Certlficatlori lndicdted hereon signify that this survey was preparsdJn accordance-with,the;exleting Code of Practice for Land Surveys adopted bylhe flew ffark:Stats Auoblation of Profeslonal Land Surveyors:<]Sold`certilectiond-ihall';run',only to the person for whom%the survey'le prePPb�ed;'and'on his•behclf the title TITLE NO.: N/A company governmental%agsncy and A n, g in titutl C" cations are not tranefembl�'to a I on I��ibtit ono pr �ubseuent' w are.' N _ MAP FILED DATE: N/A COUNTY TAX MAP ID: 1000-03100-1600-005000 ,0 SITUATED AT: EAST. MARION, TOWN OF SOUTHOLD ' SUBDIVISION MAP LOT & BLOCK 'S: N/A o La TBD AERIALIGHT LANDO24 SURVEIING,HD.PC. W JOB NO.: 24-984 U DATE: JUNE 10, 2024 e- - � _.-� bd ,` '- a1^. r St'' yam''' - • �- .,. - S q y �V. � y. Sy��I l,'I .�x�-_� � I �., '.c�: �_ 1- �• • • - ;try ae,-4_ mow*!,;'"� - 1 A�,•. �� .dam _ ~� ��_ -etw' �" ,... .. Rear patio expansion area looking east ,00 11/24/2 }, r }$i ? �F ✓ '`�" � � .ram- `; i �'- �i4 ►y� .. w1 r -> n 2. i x i�X, � ,�s.' z fin;. �• e r r, - 'war �"..1- R�t �ti �' - � is ....� '�.. , w• � t; -- --�r.�..� •: ._sew � -_ - Pro �` rive ay a pa Y to 'u o Ong west � J r 13:00 11/24/25 ;,gip: �•� .. �` ,,apat�,,-. 11 �� .'.F';' � -'�, y�.4'"��• t}� M � r. rra�arrw�ra�'» Driveway and apron looking SE 13:00 11/24/25 % !w T aec No 02� ea rt.Na 21 —CH z— — — 17A oi—i io- 11-22- lo 23. oT 2. W-111- �47 MARION LAKE 2.*A' MARION LAKE a-w N.3 rn Le an COUKff OF SUFFOLK(D Real Property T-S...i—Ag...y y 031 w OFFICE LOCATION: *OF so yo MAILING ADDRESS: Town Hall Annex �O P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 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 ROBERT J. HARRISON & PATRICIA A. KOVATCH, SCTM# 1000-31.-16-5 This application is to regrade existing ±70'xl5' driveway and ±32'x36' apron; replace gravel driveway with crushed rock on RDX base with steel edging in slightly smaller footprint, apron to use concrete pavers; replace existing ±6'x25' slate paver path from driveway to dwelling with concrete pavers on concrete base with steel edging; extend existing 15'x31' patio at rear of dwelling to 15'x4l' using concrete pavers. 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: While the plan includes some actions which are consistent with the "Administrative Permit" requirements of Chapter §275-2 A of the Wetlands Law of the Town of Southold, including the proposed changes to the existing driveway under§275-3 (f) Construction or improvement of pervious residential driveways or walkways, provided that such activity will not have an undue adverse impact on the wetlands and tidal waters of the Town, the proposed expansion of the impervious patio on the wetland side of the structure does not satisfy the requirements of an Administrative Permit and should be considered under the regular permitting requirements. Due to the increase in previous surface on the waterside of the house, this application may justify the establishment of a non-turf buffer. 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. 2 Glenn Goldsmith,President V skp, Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President Eric Se enoski P.O.Box 1179 P �. Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only �' Coastal Erosion Permit Application I`D _`E I V E Wetland Permit Application _Administrative Permit NOV 2 4 2]5 —"' AmendmentPTransfer/Extension `c Received Application: 11/ aLi 1 as tC Received Fee: $ 450 , oa Southold Touvn Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): . __X_LWRP Consistency Assessment Form Sent: )all f CAC Referral Sent: k Date of Inspection: 15-T07T5 t Receipt of CAC Report:_ _Technical Review: Public Hearing Held: _ l Resolution: Owner(s) Legal Name of Property (as shown on Deed): Robert J. Harrison and Patricia A. Kovatch Mailing Address: 260 Huckleberry Hill Road, E. Marion, NY 11939 Phone Number: (865) 274-8544 Suffolk County Tax Map Number: 1000 - 31 - 16 - 5 Property Location: 260 Huckleberry Hill road, E. Marion, NY 11939 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number: Email: lard of Trustees Applicat, GENERAL DATA Land Area (in square feet): 30,112 Area Zoning: . Residential Previous use of property: Primary residence Intended use of property:, Primary 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? E—Yes ]E_No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes _E]_No If"Yes", please provide copy of decision. is project req�ure any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s) on property have a valid Certificate of Occupancy? Yes_D_No Prior permits/approvals for site improvements: Agency Date X❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_No ❑ Yes If yes, provide explanation: Project Description (use attachments if necessary): 1. Regrade existing approx 70'x15' driveway and approx 32'x36' apron replacing gravel with crushed rock on RDX base with steel edging in slightly smaller footprint at same grade, apron using concrete pavers. 2. Replace existing approx. 6'x25' slate paver path from driveway to house with concrete pavers on concrete base with steel edging. 3. Extend existing 15'x31' patio at rear of house to 15'x41' using same concrete pavers. and of Trustees Applicat:- WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Upgrade driveway to improve appearance and function. Upgrade and level path that has been rendered uneven by action of moles and to make appearance consistent with driveway. Area of wetlands on lot: est. 3,000 square feet Percent coverage of lot: est. 10 , Closest distance between nearest existing structure and upland edge of wetlands: 8 feet Closest distance between nearest proposed structure and upland edge of wetlands: _40 feet Does the project involve excavation or filling? ❑ No X Yes If yes, how much material will be excavated? 20 cubic yards How much material will be filled? est. 20 cubic yards Depth of which material will be removed or deposited: est. 0.5 feet Proposed slope throughout the area of operations: level Manner in which material will be removed or deposited: Bulldozer Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): None. Driveway drainage will be unchanged. 61 Z20 Appendix B Short Environmental Assessment Form Instructions for_Comnleting Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 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 I`-'Project and Sponsor Information Name of Action or Project: Driveway and path upgrade 260 Huckleberry Hill Road Project Location(describe,and attach a location map): At the front of 260 Huckleberry Hill Road, E. Marion Brief Description of Proposed Action: 1. Regrade existing approx 70'x15' driveway and approx 32'x36' apron replacing gravel with crushed rock on RDX base with steel edging in slightly smaller footprint at same grade. 2. Replace existing approx. 6'x25' slate paver path from driveway to house with concrete pavers on concrete base with steel edging. Steel edging will be extended around existing flower beds around front/side of house. 3. Extend by 10' existing 15'x3l' paver patio to 15'x4l' using same materials. Name of Applicant or Sponsor: Telephone: (865) 274-8544 Robert J. Harrison E-Mail: rjharrison@gmaii.com Address: 260 Huckleberry Hill Road City/PO: State: J_'Zip_Code: E. Marion NY 11939 7 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 ❑ 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: ❑ 3.a.Total acreage of the site of the proposed action? 0.69 acres b.Total acreage to be physically disturbed? 0:05 acres c.Total acreage(project site and any contiguous properties)owned 0.69 or controlled by the applicant or project sponsor? acres 4. CheaLall land us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) MAquatic Industrial Commercial Residential (suburban) Forest Agriculture QOther(specify): NParkland Page I of 4 5. Is the proposed action, NO ' YES N/A a. A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? J13, X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. is the site of the proposed action located in or does it adjoin,a state listed Critical Environmental Area? NO 'YES If Yes,identify:. 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO. YES, X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state 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: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ] ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X , 11-1 b. Is the proposed action located in an archeological sensitive area? X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO I YES wetlands or other waterbodies regulated by a federal,state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: El 14. ntify the typic bitat types that ocUAgr n,or are likely to be found oh tl�roject site. Check all that apply: Shoreline Forest icultural/grasslands Early mid-successional X 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? X 16.is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, EI DES Will storm water discharges flow to adjacent properties.? N O ES El b.Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes, briefly describe: N0 YES 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: ETI 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: El ❑ 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: nX 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE-BEST OF MY KNOWLEDGE Robert J. Harrison 11/07/2025 Applicant/sponsor name: 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 1 and other materials submitted by the project sponsoror 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 ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? a a' 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? El 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ` affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? b.public/private wastewater treatment utilities? El D 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, ❑ a 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? 'Ell El 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 -trd of Trustees Applicati:-- AFFIDAVIT Robert James Harrison BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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 Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS 7 DAY OF NOVW ber ,..20 far Notary Public David Christian Soto Notary Public,State of New York Reg. No. 01S00009479 Qualified in Suffolk County Commission Expires June 13th, 20`��- APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on.the pert oftown.offrcers and•emplovees.The nuroose of this form is to provide inforinafion which can alert the town of possible conflicts of interest and allow'ik&take.whatever action is necessary to avoid same: YOUR.NAME: Harrison, Robert J. (Last name,first name,Aiiddle 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 an officer or employee of the Town of Southold? "Relationship"includes,by.blood,marriage,or businessanterem';"Business interest"means;a business, including a partnership,in.which the town officer-or employee has even a.partial ownership of(oremployment by)a corporation in which the town officer or employee owns:more than.5%of the shares. YES NO I n If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanttagent/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): fIA)the owner of greater than.5%of theshares of the corporate stock of the•appliceat _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 7th day of November Zp 25 Signature Print Name Robe rrtson Fonn TS 1 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 simifieant beneficial and adverse effects:�>unon'the coastal.area{which include"s'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 supportiuitand non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,itshall 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 31 _ 16- 5 PROJECT NAME Driveway and path upgrade 260 Huckleberry Hill Road 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: Regrade existing driveway and apron replacing gravel with crushed rock, apron with pavers. Upgrade existing pathway from driveway to house replacing existing pavers. Extend existing patio by 10'. Location of action. 260 Huckleberry Hill Road, E. Marion, NY 11939 Site acreage:. 0.69 Present land use: Residential Present zoning classificati on._Residential 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: (b) Mailing address: (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 infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III--Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ❑ Not Applicable The driveway, patio, and path are only visible from the house &neighbors, and the changes will not affect the character or the open/farm lands of the town. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria X❑ Yes ❑ No ❑ Not Applicable The driveway, path and patio no,', -ict any historic/architectural elements 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 The driveway, path, and patio are only visible from the house&neighbors, and the changes will not introduce elements that would be discordant with existing-natural elements or character. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria El Yes ❑ No❑ Not Applicable The house{dating to circa 1950) is close to+a low bluff above the wetlands at the shore of Lake Marion. The driveway will drain in place consistent with previous driveway that never demonstrated any runo . ere is no expansion in its physical 199tpript and the driveway and path are much urt er trom the top-of-bluff an either the basement entrance or north-east corner oT the house. The patio is being-extended on the '--side o "the house-that-is arttiest from theblu "and wilf not'generate"runo .-' '-`--' 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 0 Yes ❑ No ❑Not Applicable No discharges, runoff, or.pollution will be generated by the project. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑=Yes ❑No ❑ Not Applicable There is no expansion in physical footprint of the drive way and it will not impact/degrade any ecological or wildlife components. The driveway, path, and patio expansion are much further from the top-o -blu than ei er tne 13asement entrance or north-weast corner of the house. 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. a Yes RNoRNot Applicable The project will produce no emisions that could impact air quality. 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. EI`Yes 1:1 No ❑Not Applicable No hazardous waste is produced-by the project. The removed existing gravel will bedisposed of at the Southold waste disposal. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. nn El Yel—I No❑X Not Applicable The path, driveway, and patio will be for private use only and will not restrict access to or otherwise impact any pobtic spaces. Attach additional sheets if necessary WORKING COAST POLICIE` 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 The path, driveway and patio will not impact maritime or other water-dependent uses. 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 The-path, driveway, and patio will not impact marine resources. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable The path, driveway, and patio will not impact agricultural land.or any scenic/open spaces. 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. 0Yes ❑ No❑ Not Applicable The path, driveway, and patio will,not impact energy production consumption. PREPARED BY Robert J. Harrison TITLE DATE 11/07/2025