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Home My WebLink AboutDepalma Glenn Goldsmiifi,rresident . ��o�0S8fF0(,�cOGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y • o�`� Southold,NY 11971 Joseph Finora �Ol �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 2 2-(, Completed infield by: Todd O'Connell, Architect on behalf of RICHARD & ELLEN DEPAL A requests a Wetland Permit for the existing two-story dwelling (1,240sq.ft. footprint) with an 8'x22.5' seaward covered porch and steps to ground, and an outdoor shower; construct a 40sq.ft. roof over front entry porch; remove existing 10.2' x ±8' landward screened porch and construct a family room in-place on existing foundation; remove existing 10.1' x 10.2' seaward screened porch and construct additional living space in-place on existing foundation; and to install a basement egress well. Located: 940 Ruch Lane, Southold. SCTM# 1000-52-2-32.4 Type f area to be impacted: _XZSaltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: 0Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearin card posted onproperty-.: Yes No Not Applicable 9 p Info needed/Modificatio Conditions/Etc.: I� ✓Qape_-6 in CM \�/ r r �f4 I/ Present Were: V G. Golds h N. KruYFinora 1 ✓E. Se p enoski Gillooly 'XRCH fiECTS' ,,.TODD O'CONNELL R C H I T E C T P.C. ,4- TODD O'CONNELL, AIA 1200 Veterans Memorial Highway Suite 120 Hauppauge,NY 11788 P(631) 650-6666 F(631) 650-6667 C(516) 658-0325 V O C& On Rg PL , -A, LO Cn CIO < z CIA C:) FC s I ~ :It 0-TS 04S 0 o ZONING INFORMATION 0.3w 00* 01 00`c 0 00 TOWN OF SOUTHOLD L—M-i '�3 Y c"k- SECTION: 52 BLOCK: 2 LOT(S): 32.4 / ��=�zo ZONE: R-40 0.5W <W PROPOSED REQUIRED EXISTING PROPOSED ROOF OVER 0.1'N tz 0 W:-W T < c' NONCONFROMING ENTRY & LOT AREA (SQ.FT.) 40000 10200 NO CHANGE '9 0 .0, 0 FRONTAGE (FT.) W 0 150 60 NO CHANGE "g, = 0 OUTDOOR 0 FRONT YARD (FT.) SHOWER35 37.41 NO CHANGE REAR YARD (FT.) 35 79.27 NO CHANGE / �F<<�� o� o�rF ��m o_o VO FC 8 05N oowwZo.0 0 '0<--0 �05 MIN. SIDE YARD (FT.) 10 8.9 NO CHANGE 8.9 PROPOSED FINISHED C,</ 141 BASEMENTWITH F- / Ao�y 0 AoRFFtiF EGRESS WELL AGG. SIDE YARD (FT.) 25 22.4 NO CHANGE 6 PROPOSED PORCH CONVERSION TO LIVING 0 C, BUILDING HEIGHT(FT.) 2STORY 2STORY NO CHANGE 0 SPACE,INTERIOR 0 � ALTERATIONS W 0 W < LOT COVERAGE (SQ.FT.) 2040.00 1555.37 1565.37 11 0 J / ~ m LOT COVERAGE (%) 20 1 5.250/c 15.350/c 37S FIRST FLOOR (SQ.FT.) 850 1240 NO CHANGE �� / J* NO CHANGE OIL SECOND FLOOR(SUT.) 850 865 F 010 IZ3 % 1511� /��O C&un) 113 U� c:) vP 1 ti % 0 LL. 6i C) 0 LL. z: & .` / LO C14 bi (,6 0 cr) LU LU U) (—) 2: z 0 LU LU C/) UJ PLOT PLAN AND ZONING < c) ci 0 < .Z) _j SCALE:1"=20'-0" Lij 0� 0 cf) C0 C) = 0 LD < tz 0-) =D a_ 0 0 U) 0 0 UJ F- C/) LLJ ui ui 04 N 0 04 (0 a cf) < LLJ co 6j < 0 < Q 0 W a. ARCHITECTS TODD O'CONNELL t ARCHITECT P.C. �1 TODD O'CONNELL, AIA 1200 Veterans Memorial Highway Suite 120 Hauppauge,NY 11788 P(631)650-6666 F(631)650-6667 C(516) 658-0325 I ROOF OVER PORCH I LO co 31'-74" vi � I I J U io Z J EXISTING o I I NEW } UNEXCAVATED o I I EAT-IN KITCHEN Z T. W m c0 H N I I O S¢U F O `✓ I wH_O wQ�rn W I I U J W W w ~ O REF. _ W EXISTING 10'1 LIVING ROOM ~w J a >rnQQOr-� m n w w O F O— ww~��wo U 4 30'-7 4 I 8-CLG.HT. w°�` o o 3'6" 0ia w U a�� nI_ = U D.W. V W Q OW W L) 48"x84" Z 5 K PROPOSED ' 3'-6" N i FINISHED I I o rr� NEW BASEMENT ISLAND Q T I I N W W W O r - I EGRESS EGRESS 7-CLG.HT. o r w n w WELL WINDOW NEW >o W cc — O U m U w =Q d J J O H — — — — — — — — - - - - - - - - - - -4- — NEW WINDOW O=U 2=W H MIN.6'4"UNDER CLOSET 3 Z 3ff o w o¢o Q o v_, HVAC SOFFITS EXISTING ��2_=Z W= HVACU w O F t w z Q=v m Z'Th ~ 1 LL��o F>0 RAILING I32 I Q oo,ni-o z CN7wF-boa wn. RELOCATED o w I I w r 1?o 0 o p 0— WATER W 0 FILTER J I I 6'10�" CL. } ZE m m w w EXIST. m ' `� I UNEXCAVATED w - UNFINISHED N 9'-8 8" (\j CELLAR W Ico m l l Q EXISTING I X IF Ll EXIST.ACCESS NEW W BEDROOM /7 EXIST. CEDAR zo LAUNDRY -1 co 8°CLG.HT. CRAWLSPACE Lr — _1 IROOM CL. I CLOSET ( I I zo NEW I 9'-6/" FAMILY ROOM EXISTING I 13'-4%" BATHROOM j Z 8-CLG.HT. NEW w D I PORTICO 9 EXISTING I ROOF I 0 z UNEXCAVATED r —I_ I N w _j I ❑ ❑ I `� L — J L — _J 9,2�„ L - - - - - tJ 5'-0„ w W z U oz Q Owrn PROPOSED FOUNDATION PLAN PROPOSED FIRST FLOOR PLAN w c0 :5 SCALE:1/4"=V-0" SCALE:1/4"=1'-0" J W = Z Q � U0 W QUO 0 _j o < 0 o 0 z 0 0 v J C) W Z F- _ - { w WALL KEY `, I — — - EXIST TO BE REMOVED ' o I P'OV F 2025 I — — I EXIST TO REMAIN m ^ , 0 :�E ` V NEW WOOD FRAME CNST N o z NEW POURED CONCRETE o rn z z Q LU ro U Q O 0 cf) I _ _ I t "ARCHITECTS TODD O'CONNELL r ARCH ITECT P.C. TODD O'CONNELL, AIA 1200 Veterans Memorial Highway Suite 120 Hauppauge,NY 11788 P(631) 650-6666 F(631)650-6667 C(516) 658-0325 fi 3�y.1i)3(,:l.i d1•Y 31.f f3.t-rl.i�.r,113 o J. l (t CM Z N U z J U >_ Z w 96 WH. 96 WH. ~0 x z 0 0 0 W <n o�cn � W H N w N U}w W_U O =OmOrn=¢ w 2 0~O } EXISTING aLLO��w Y ALTERED MASTER o o�o z-0 U a w��ao U r��oia uw U BATHROOM BEDROOM = 0 SLOPED CLG. SLOPED CLG. o 1$2 MAX HT. z 11'—° o MAX HT. O Q I �iogW�cnw >ow�w= CV F-w W¢Q�Om w z J z 3 w .,NEW II( w I zo�Wzo�o TOILET I a 8. l 0 Q N w o F cnwx pzx �w O a��n C2LLop of 1066EL. �, 1066EL. Z�U=��;� m 3 O o z 0 0 z CL. �a9M0W0 -- w O�w U¢¢w a' x s x x x W a 0 60"x60" U SHOWER F— m o � w 1 01 w EXISTING EXISTINGQ. p STORAGE W.I.C. co SLOPED CLG. SLOPED CLG. 8°MAX HT. 8°MAX HT. EXISTING STUDY CRAWLSPACE 8°CLG.HT. 26 WH. � z J � LLl � H-- 0 LL Z N W W O of_j W co U 0 W I`- w rn PROPOSED SECOND FLOOR PLAN PROPOSED FRONT ELEVATION 0.1 z w SCALE: 1/4"=1'-0" SCALE:114"=V-0" J �-�--� = z Q � Up w QWO cn o = o Q0) � o 0 0 0 0— ♦ ) U v C� Wz H U X W WALL KEYf:. 0 EXIST TO 13E REMOVED PI n,,`. F , EXIST TO REMAIN NEW WOOD FRAME CNST LwID � M NEW POURED CONCRETE o a ui Of O 0 U S.C.T.M. NO, DISTRICT: 1000 SECTION: 52 BLOCK: 2 LOT(S):32.4 O� U.P. C? r 9 gyp, MON. 0.3'S 0 4'S s`rS0 0.3'W I�`l�f tib FticF 6 .� NOV 6 2025 oo, Southda Town � Board of_ Truste?s__---.---- VIA �,� 0.5' 0.1'N LAND N/F OF .:.:.....: G� O ''''s ....•...•.•'•.�'•'''� Q` O ROBERT SCHWERDEL o•..:.....:..:..•.• � SC OUTDOOR •:::.:. SHOWER :�............ FC •.•....... �� '' 0.5'N .......' °A�� cyFo O... O,p�,yED o 0b' �o �\ 3;7 S 5 LAND N/F OF \ O/L 000 ��TO,o F-I� ) PATRICIA WALKER 00 F �\ O � THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FEMA MAP#36103CO1 58H AND OR DATA OBTAINED FROM OTHERS AREA: 10,199.71 Sq. Feet 0.23 Acres ELEVATION DATUM: UNAUTHORIZED AL7ERA77ON OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO 77-IE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE 774E EREC7ION OF FENCES, ADD177ONAL S7RUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF-DESCRIBED PROPERTY CERTIFIED TO: RICHARD DePALMA; ELLEN DePALMA; MAP OF: ISLANDWIDE ABSTRACT INC. TITLE No.IW788-20S ° - FILED: . , , ,` t I WESTCOR LAND TITLE INSURANCE COMPANY; ' BANK OF AMERICA, N.A.• SITUATED AT.ARSHAMOMAQUE TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE #220-1 00 SCALE: 1"=20' DATE: AUG.1 2. 2020 PHONE (831)298-1588 FAX (831) 298-1588 N.Y.S LISC. NO. 050882 maintaining the records of Robert J. Hennessy k Kenneth M. Woychuk • t �� w` ARCHITECTS Lf TODD O'CONNELL,AIA 1 700 Veterans Memorial Highway Suite 120 Hauppauge,NY 11788 Aw- II�� , _ -- - — , ` '(' �f` '1�"�F• , P(631)650-6666 F(631)650-6667 `"`LLLL�AAA 1. -- _—; - 1•# I�� Fr ; ,I I C(516)658 0325 d !ri PHOTO 01 PHOTO 02 PHOTO 03 IN ` kv, W Z WOUJM ~ Ui PHOTO 04 PHOTO 05 / / O � CD ::D W r / � w / , 1 / W O cV ~ / to�G10 o Qroo� N o CD O PHOTO 06 0 o u) b 3.Wcl 5 6 o. P e M1e M a �•� ov, ,A� D,Ji-ur G yy .,: ✓'. � qe++ R; 4rytn' 3�.r C�.'y4 .+m �. .._ .. Dt,x., P.- s ` »t 2a44 3 ,3 4 ,µeseoroawnK sw4,azax� �P�' e)� SR, at oruraeo��<o� S•y <' N Y A °1 �•' � .'}tee A R.,4'! M1'!e 3. -.. -<y<n — • - " ��' .v O Er .� �'i \�� _ Y a � Wa, __�_A __.y<— _r, _.�.. < iMl3 C ...- �. _RAII � of V• ti ! v. a arrur s t �Aa a L •evxe i m e. { ,wu, m _ Uq.. ``' max}i; 3'�e •�� w � _ - 30wNOf eO1rt3,GD ��'��x y3L�w •�°� tn<>e<rr4vFKflBrI EL 'A,D y3 Y gy �a. K A 4 O -` ♦, }'^1p1 \4d"t4' a rcua+Fnrnarw _; a y: � sorza4 a .. '�: zS��j�`��i,3y�'�� ' a� .•\ V r K—cuNDsaIe, 8; vaa Da No '3 a wau 114 .>r.. p�f "waa u, �u;11' � sEesec 4o ose E M ._.. `� ..».. .. .. Vupa yT• e i Ag..`y NFa v C F SUFFO n n»M.m re w u �oimaep 52 P ur 0 OFFICE LOCATION: T � MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 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: February 5, 2026 Re: LWRP Coastal Consistency Review RICHARD & ELLEN DEPALMA, SCTM# 1000-52.-2-32.4 This application is for the existing two-story dwelling (1,240 sq. ft. footprint) with an 8'x22.5' seaward covered porch and steps to ground, and an outdoor shower; construct a 40 sq. ft. roof over front entry porch; remove existing 10.2' x ±8' landward screened porch and construct a family room in-place on existing foundation; remove existing 10.1' x 10.2' seaward screened porch and construct additional living space in-place on existing foundation; and to install a basement egress well. 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 proposed work does not meet the setback requirements from a wetland, beach or bank as defined in Chapter § 275-2 Definition; word usage and § 275-3 Findings; purpose;jurisdiction; setbacks. D. Setbacks. (1) The following minimum setbacks apply to any and all operations proposed on residential property within the jurisdiction of the Board of Trustees: (a) Wetland boundary or bank. [1]Residence— 100 feet. If the proposed work is permitted, a permanent non-disturbance buffer should be established landward of the stone wall. 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 Town Hall Annex � . A.Nicholas Krupski,Vice President O l' ' : 54375 Route 25 SY P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly �1 rn -g. ' Elizabeth Peeples k =�'ele ( �831 ,�5 E ti Ol ,aY. ,;r wap F x 6 7 4 CDUNi`l,�a , rs�' NOV — 6 20 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town This Section For Office Use Only `' ^ Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Ext ion Received Application:Jl Received Fee: $ _ -Completed Applic tion: 4 �l Incomplete:_ SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): _LWRP Consistency Assessment Form Sent: I 3� CAC Referral Sent: /N Pf Date of Inspection: Receipt of CAC Report: — _ Technical Review: L Public Hearing Held: Dt a(o Resolution: Owner(s)Legal Name of Property (as shown on Deed): Richard Depalma Mailing Address: 92 Midwood Ave, Farmingdale, NY, 11735 Phone Number: 51.6-991-3337 Suffolk County Tax Map Number: 1000- 52-2-32.4 Property Location: 940. Ruch Lane, Southold, NY, 11971 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Todd O'Connell Architect Mailing Address: 1200 Veterans Highway, Hauppauge, NY, 11788 Phone Number: 631-650-6666 Email: rdepalma20l2@gmail.com G `�LL1Z4? B d of Trustees Application GENERAL DATA Land Area(in square feet): ,10,200 s.f. Area Zoning: R-40 Previous use of property: One Family Residential- No change Intended use of property: One Family Residential- No change _ Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? 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. WrTis project re any demolition as per Town Code or as determined by the Building Dept.? Yes MNo Does the structure(s) on property have a valid Certificate of Occupancy? ✓ Yes=No Prior permits/approvals for site improvements: Agency Date ❑✓ 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): . Proposed roof over entry (40 sf), porch conversions to living space (180 sf), interior alterations (200 sf), finished basement (675 sf) with egress well y r B`_ �d of Trustees Application . WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To provide a roof over the main entry door, porch conversions to for additional living space, relocated kitchen, finished basement with egress well for additional living space Area of wetlands on lot: 2,020 square feet Percent coverage of lot: 15.35 ova Closest distance between nearest existing structure and upland edge of wetlands: 42 feet Closest distance between nearest proposed structure and upland edge of wetlands: 42 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: _ 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): no effect to wetlands or tidal waters 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or.project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: DePalma Residence Project Location.(describe,and attach a location map): 940 Ruch Lane, Southold, NY, 11971 Brief Description of Proposed Action: Proposed roof over entry (40 sf), porch conversions to living space (180 sf) interior alterations (200 sf), finished basement (675 sf) with egress well Name of Applicant or Sponsor: Telephone: 631-650-6666 Todd O'Connell E-mail: permits@tocarchitects.com Address: 1200 Veterans Highway City/PO: State: Zip Code: Hauppauge NY 11788 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: ❑ Town of Southold 3.a.Total acreage of the site of the proposed action? 0,24 acres b.Total acreage to be physically disturbed? U..UU3 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0•24 acres 4. Che I land us at occur on,adjoining anoxiar the propgsjaq action. Urban Rural(non-agriculture) Industrial Commercial ✓❑Residential (suburban) Forest [:]Agriculture Aquatic ❑Other(specify): Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ✓ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO _ __YES. b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? V✓ 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: ❑ F 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: . ❑ W 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? _JT�] b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? _- r 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: 14. ntify the typic bitat types that oc n,or are likely to be found on t1Mroject site: Check all that apply: VShoreline Forest Agricultural/grasslands Early mid-successional ✓ Wetland HUrban ✓Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? IINZO If Yes, a. Will storm water discharges flow to adjacent properties? DNO OYES 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 I YES water or other liquids (e.g.retention pond, waste lagoon, dam)? IfYes,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: Fv I. ❑ 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 FO MATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE qq Applicant/ s n e:: dd NCO Date: Sign re: Part 2-Im ct 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 regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ i. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the Elestablishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El ❑ 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 F 8. Will the proposed action impair the character or quality of important historic,archaeological, El ❑ 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? CI _❑ 11. Will the proposed action create a hazard to environmental resources or human health? El El 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 mayor 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. EI Check this b i box f you have determined,based onthe 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 Natne 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 Board of Trustees Application AFFIDAVIT r . r ___ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SITE IS T APAPPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/TIER KNOWLEDGE AND BELIEF,AND THAT ALL WORD 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 13""'_ DAY OF 20 _ Notary pubsie-State of New York No.DITOB146033 tary Public Qualmed in N&SWU co'unty My Commisslon Expirps May 01,2028 APPLICANT/AGENT/IEPREI SI';1e NATIVE TRANSACTIONAL DISCLOSURE FORM flic,"t_a}un cjf SuutliQld's�ot1c of Ethics prohibits conflicts of intcrrst on tln:Hart vt tciivn oiTirers and emFtlrvcrti._'1'hnrrpu c of this.firm:is tq myicl�rnfonn_ction svhichcan alert the tnrtim ofpossiblc_rnnfllcts of intcrc�t ipd jIL_ it to Iakc�vlt�its:ticr artinn is recess rr(avoid sarnq. YOUR'NAME: .._..i _. j�/ _ - ....._....._._.. (Last name,first name,.rpiddle al,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•),__..._..._......_._.._ _M,.. _____�_...._._._.... _...._........ Do you personally(or through your company,spouse,sibling,parent,or chil(j)have a reaiionship with any officer or employee. ofthc Town of Southold? "Relationship"includes by blood,utarriage,or business interest_13usincss interest"mans a business, including a partnership,in which the town officer or employee has even a partial nwncrship of(or employment by)a corporation in which tlrr.Town officer or cmployce owns more 111011 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 applic intlagci)t/representative)and the town officer or employee.Either check the appropriate line A)through D)isndlor descri,bc in tite 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 thim 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 P s dayof 20+ Signature Print Name Form TS I APPLICANT/AGENT/RE,PIt�SENNATIVE TRANSACTIONAL DISCLOSURE FORM flic._I ati�ri cif Soutliohis Code of i thics prohitsits conflicts of interest nn ttrc 1? rt r f t<t�v_n nticcrs anc_i cniploticcti 1 he;turusc o[ this form..i�tmovuic lnfornraligLn wlric:h C-sK alert the town of�ossitilc.conflius CSC ii�tu�st tnd illoty it,to lake wi itimu Action is necessary to a+'oid taiuc. YOUR NAME: 1�1 :�'��r L.r-q (Last name,first name,{piddle 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 cinployce of the•Town of Southold? "Relationship"includes by blood,marriage,or business interest."BWincss intcnst"mcuns a bu5iuCSS, including a parinership,in which the town officer or cinployce has even a partial ownership of(or employment by)a corporation in.which the town officer or employee owns mote 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 Descrilr.,the relationship between yourself(the aPl)licantlagcnUrepresentative)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 (whcn the applicant is a corporation); B}the legal or beneficial owner of any interest in a non-.corporate orporate entity(wheat the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or 17)the actual applicant. DESCRIPTION OF RELATIONSHIP R Submitted this / y )U. 2Q Signature _ �C _.._._.__._._._..____................. _ Print Name l C /h Form TS I rd of Trustees Applicatio, AFFIDAVIT Richard Depalma 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 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. G� ✓,4 I Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF a&A zt"') ,.20_ N blic ESTHER TORRES Notary Public-State of New Fork No.01 T06145033 oualified in Nassau County My Commission Expires May 01,2026 v T;oard of Trustees Applica a AUTHORIZATION (Where the applicant is not the owner) I/We, Richard Depalma , owners of the property identified as SCTM# 1000-52-2-32.4 in the town of Southold ,New York,hereby authorizes Todd O'Connell Architect 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. W-�L= Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF /67C{r kV tary Public ESTHER TORRES Notary Public-State of New Fork No.01 T06145033 Qualified in Nassau County My commission Expires May 01,2026 > crd of Trustees Application 1 AUTHORIZATION (Where the applicant is not the owner) I/We, Richard Depalma owners of the property identified as SCTM# 1000-52-2-32.4 in the town of Southold ,New York,hereby authorizes Todd O'Connell Architect 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. Ulm,- Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF Ve 20,1 tart'Public ESTHER TORRES Notary Public-State of New York No.01 T06145033 Qualified in Nassau county my Commission Expires May 01,2026 APPLICANUAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSUREYORM The Town of Southold's Code of Ethics,prohibits conflicts of interest on the part oftown of i6ers and employees.The numse 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: Todd O'Connell Architect (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company:If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ✓ Variance Trustee ✓ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,-or child)have,a relationship,with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage;or business interest."Business interest"means a business, including a partnership,in_which the town officeror,employce has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more then"5%of the shares. YES n NO n If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or or her spouse,sibling,parent,or child is(check all that apply); E_A)the owner of greater than 5%of the shares of the corporate stock of the applica t _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 TIA_ Submitt. , i f Mt�d2' 20 Sign r o Print ame dd O'Connell Fortn TS 1 EN MELEN NOTARY 'RUC,STATE O "'W RK Registration No..01ME0011938 Q.Jalified in Suffolk Cout ly Commission Expires August 9 ath,2027 & 3 of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: P� c�Gen ��0 A-eS �a - � - 33. / STATE OF NEW YOI COUNTY OF SUFFO_.__ - -. 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 120 Notary Public B d of Trustees Application t� PROOF OF MAILING OF NOTICE FEB 3 202R ATTACH CERTIFIED MAIL RECEIPTS __....... APPLICATION NAME & SCTM4: I bo o - G 22 - 72- — NAME: ADDRESS: - D0jVWLf) 4PNrnt--tA 5qjNjEjj)E;jZ 250 FiFe" �2� Sz- z - 3 5r-A 0 Ag-*f- IN ) I'q -*-SCONIC, 5eT'niU(0 _S 'Tu..e' "+5q N -421DC-17V S-t- 33 - 5aiNe-106-re SA WV46or- A&/ f 1q4 3 qz ffilowov"D ph/v f'AaW1n5dMjV STATE OF NEW YORK COUNTY OF SUFFOLK olcolieLl residing at 6Z-'00 V,64re-45 RK),Lt, 5_j fir_ ao, 0&!..•�., N I 1 ?62, being duly sworn, deposes and says that on the 3o 5 I*- day of 20 2.G deponent mailed a true copy of the Notice set forth in the Board of TrAees 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 No es w re.mailed to each of said persons by CERTIFIED MAIL/RETURN RE Signatu e Sworn to before me this 30 Day of 7, &Aucq._CA, 20 Z-(,, !KAREN MELENDEZ NOTARY PUBLIC,STATE OF NEW YORK RegWmftn No:01M0011M Qualffled in Suffolk County ic Commission Ekolf"August 14to,2027 Postal ServPostal S ■ lJ . . `m CERTIFIED fJ . ■ O Ir I Or / r� m m Ln m r Lem Or— Certified Mail Fee Certified Mail Fee" fr' .o $ �,(� Extra Services&Fees(check box,add to as-appropriate)[%- Extra Services&Fees(check box,add fee as appro I"q ❑Return Receipt(hardcopy) $ `N7a, \ 1� ❑Return Receipt(hardcopy) $ (� h "av Return Receipt(electronic) Return Receipt(electronic) $ $ - �? 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PO Boz No:Aloej $tieet and t.No. Xild,N `� 13 ------- ------- ------ �7jj '-�rNNOrOeF�_ Z---- - _ City,State,ZI5;: --r `� CL(p ---------------------------- Q- +a, 3 l� 11 1 1 I Ila 9147 Se 1 11 111•I K%• NOTICE TO ADJACENT PROPERTY OWNER BOARD Of TRUSTEES, TOWN OF SOUTIHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: U it t";'�i' U e'�,,� � �. �bu\5 dH: 9 d, �i d y �"a ?y'�S . V� .2 `��b�4rv�x�'U��' ..P ..:d G�-!�',�r,� �ao'•"6 ,i�• 'J dv I" /•• VSP L b . bw 6u/ 2. Tat he property which is the suject of Environmental Review is located adjacent to your property and is described as follows: •3. That the•project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE• WC NJ2';0!N k4 You may contact the Trustees Office at 765-1892 or in.writing. The above-referenced proposal.is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: '� eA. _� ,P LkErl) Q,__PPI� A 'MAILING ADDRESS: PAI h •""ZE�'�j PHONE #: t AGENT: �' � � l s- •�i ��+ '� tr .� rr f -- ` MAILING ADDRESS: 7'�''�`' PHONE #: � � �' Enc: Copy of sketch or plan showing proposal for your convenience. FIno y' 9�0 orpq \, ywa J cs FC 00, ZONING INFORMATION — PRDPDs® o N TOWN OF SOUTHOLD R Ef TRVER 'ey SECTION:52 BLOCK:2 LOTS:32A &e kk F� ,. ZONE, REQUIRED EXISTING PROPOSED / o' NONCONFROMINO AA '• :, OUTDOOR 107AREA(saFfy �C090 tf4J2 i L9CW„tl;i sp. /J , °e-,R 9 ?6 'q`�FaF +• ;<�'"E a� SHO'NER FRQ`TfYARD yFT.I 35 1.. 3i of hCCN11C_ 'h IAR SIDE I'/RO IFT.) 12 S.S Ii:o CXRtiC °3�f ¢/qO hr' FC .1Ci,a SIDE YARD(R..1 25 2a4 tro' GE go/ g UN =y 4i-�6ep n�mnnroHDartELI 25TORr ssrtRr NocwNoe "� ,y, �o�, PROPOSED FINISHED ioreovII+A.:(snFT.) �eaua I=-=s2- .4ri / �\ no-o @ry <� b RnsEtl9+TVMH LOT CaMtR E(A) 20 `2:".f I 1 i yO�/ f \�- vR �F,1,0 EGRESS"ELL FIRST FLOCR(SQFT.) B5p 1'e-0 to:t�v_ P / A �, d,i \~ PROPOSED PORCH h •�\�`��:�^ 0% COMERS10NTOLNWG SECCNDFlACRIS¢R.I eso = i tlG Gw':.^ ��/ - \� �r +�' SPACE,INFEFOGR sj ALTERATIONS 3.75 � 14,10 4 / at/ \roA tT \ F6,� / L �+ p, +\` ., Om ao ci m U ollmo a W � 6 c PLOT PLAN AND ZONING 6a� T17� r T000 P'muxut,Aid P(WI14606666 I I FIs31146o[es] C161G{4S4 GiE I I� F-----------------------i ---- I I ; 1 I i I I I E%JS11NG T,;MTC M MEXCAVATED I 1 I 1 nNUHM I 1 --�T� IllTaac rz00M �:l.0�? kpz4F-.. tea. t _ i}�1 EAST. MFIRIENEL % jl i [m,.acx.c t I1 U-S.DRY ar v}a a EW.CEDAR I FA1.!IL ROO.A o � � E%ISTING 1 1 � I TINE%CAVATEO I W z U OZm PROPOSED FOUNDATION PLAN PROPOSED FIRST FL00 I PLAN w� w S> s:.ui•:v:•ro s..a�w.�s W=z 13fUp OHO W y J�? E O d D f ..rr,_ny7 P 1433164<4E3 F(611165J(46I C I514}654Cll5 L _ I HATNR0.IV I��1s 6EpRWX ! ��FS � G� if vu 1 ��rn� ! •�11 } �E� •i ---_-____-- ------------ -=r-a FBI 9I sTaaeE � �5i:c i j 1 1 -- 0 o0 W oZ WWI PROPOSED SECOND FLOOR PLAN PROPOSED FRONT El EVATION ws Jv� O day 6 a W �E in e _—_snnm�wumm fi r:anmrsFiwn v3� � NUTILL Uim HtAKING 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: RICHARD & ELLEN DEPALIVIA SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing two-story" dwelling (1,240sq.ft. footprint) with an 8'x22.5' seaward covered porch and steps to ground, and an outdoor shower; construct a 40sq.ft. roof over front entry porch; remove existing 10.2' x ±8' landward screened porch and construct a family room in-place on existing foundation; remove existing 10.1' x 10.2' seaward screened porch and construct additional living space in-place on existing foundation; and to install a basement egress well. Located: 940 Ruch Lane, Southold. SCTM# 1000-52-2-32.4 TIME & DATE OF PUBLIC HEARING: Wednesday, February 11, 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 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 'e�aluated. :as to its spufcarif 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 ..listiuk both supporting`and non sunoorting 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# 52 2 ;.32.4 PROJECT NAME. DePalma Residence. The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑✓ Board of Trustees ❑✓ 1. Category of Town of.Southold,agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g.grant,loan;subsidy) (c) Permit approval;license,certification: Nature and extent of action: Roof over entry, porch.conversions to living space, relocated kitchen,finished.,basement with egress well Location of action: ,940 Ruch Lane, Southold, NY, 11971 Site acreage: 0.24 Present land use: One family residential Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant Richard DePalma (b) Mailing address:_92 Midwood Ave, Farmingdale,NY, 11735 (c) Telephone number: 516-991-3337 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes.0 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 LNM Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No , ✓❑ Not Applicable 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 Yes ❑ No D 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 The proposed work to the home will retain the dwellings existing exterior design from the pond and the portico will enhance the street view aesthetic The pond area will be protected as construction is over 50 feet away Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 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 ❑✓ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ 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. F Yes F1No W1 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes 0 No ❑✓ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Ye O No W Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ❑✓ Not Applicable 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 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 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 nn PREPARED BY Todd O'Connell TITLE Architect DATE V v ��