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Hobson, Thomas From: Krista Jones <millstonepropertyservices@gmail.com> Sent: Monday, April 13, 2026 3:29 PM To: Cantrell, Elizabeth; Hobson, Thomas Subject: 6485 Nassau Point Road - Updated Plans for 4/13 Working Session Attachments: 6485 NASSAU POINT RD, CUTCHOGUE-SURVEY .pdf;Weiland-LB1 B-Pool Area-2026-04.13-L-1 24x36.pdf Importance: High Hi Elizabeth and Tom, In addition to the updated survey, I also submitted two full size copies of the site plan to the Trustees bin this afternoon - please confirm receipt. Below is a description of the changes that were made following our site inspection with the Trustees on 4/8/26: • Moved the pool 3' closer to the house as indicated by the tot line setback measurement increasing from 16'to 19' o Please note that this change indicates that the two big trees of focus are now 10' and 13.5' away from the edge of patio and coping, respectively.They will not be removed. • Moved the pool equipment closer to the driveway so it is more in-tine with the pool, thus avoiding tree removal.for trenching to the equipment pad. Ptease let me know if you need any additional information. I've included pdf copies of the updated plans that were submitted today. Thankyou! Krista Krista S. Jones Millstone Property Services MillstonePropertyServices(c_gmail.com (631) 335-8175 ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emaits. i Glenn Goldsmith,(President �p�0 COGy Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski o ,z P.O.Box 1179 Liz Gillooly �y • p!� Southold,NY 11971 Joseph Finora �O! �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: � S Z Completed in field by: N k•�o(k: Millstone Property Services on behalf of JANE G. WEILAND requests a Wetland Permit to install an 18'x40' in-ground pool with a 12'x22' pool patio, pool enclosure fencing with gates, a pool drywell, pool equipment area; and a stepping stone path. Located: 6485 Nassau Point Road, Cutchogue. SCTM# 1000-111-13-11 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: �Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency `Pre/-Submission Violation Notice of Hearing card posted on property: `` Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 11AWiW1!, 60, (es; 409 e Sct2 W Pout 4) oj.( ear p�,; _ C�JY �, ►P��/f,+�I ��s , Present Were: VG.�Go 'smith N. Krup i `' E. Sepenoski L. Gillooly L-J. Finora lr IF � r � '�' OWIEN .-- --BROTHERS MALANDSCAPE DEVELOPMENT AML OWEN BROTHERS LANDSCAPE DEVELOPMENT 2090 SOUND AVENUE BAITING HOLLOW, NEW YOKK 1 1933 F-1 PHONE: G31 .3G9.5752 EMAIL: INFO@OWENBROTHERS.COM Owen Brothers provides electronic design files as a professional courtesy. No warranty expressed or implied is made as to the accuracy or completeness of electronic design files. Permission to use or copy Owen Brothers logo and standard title block, if included in the electronic design files, is NOT given. The person or entity receiving the transmission of the electronic design files is responsible for verifying any data in question that is critical to their intended use of the files. Owen Brothers accepts no liability arising from the use of any electronic design files, this includes files which are corrupted in transit or modified after receipt. Any usage of attached electronic files implies agreement to the above terms. OMMENT5: PROPOSED 2'X3' 5TEPPi NG5TON E5 L� I EXISTING FENCE AND GATE _.,z a TO REMAIN a PROPOSED 4' N.Y.S. PROPOSED 4' N.Y.S. POOL CODE FENCE POOL CODE SINGLE GATE F-1 W ❑ U F] z o ❑ W ❑ -- z z F-1 �PROP05ED 4' N.Y.S. Q Lu POOL CODE SINGLE GATE LU D_ D o❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ �/ Q o ❑ Q � PROPOSED 22X12 0 � PROP05ED 4' N.Y.S. STONE POOL TERRACE POOL CODE DOUBLE GATE n z U o LLJLo 0Z Q Q u-i PROPOSED NATIVE GRASS LAWN (-- PLANTING � _ PROPOSED 4' N.Y.S. __ t, rrr� V W PROPOSED POOL POOL CODE FENCE ` - -_.___„_ f EQUIPMENT L 1 Q F F B F 2026 � TRANSITION FROM G' TO 4' �- /N.Y.5. POOL CODE FENCE oWdofldTavfn Board of TRistees PROJECT NAME/NUMBER: AT CORNER POST L I-WEIIAND PROPOSED 8' DATE: DRYWELL FOR POOL I o-24-2025 PROPOSED G' N.Y.S. DE51GNEK: POOL CODE FENCE ._ . �� P MP SCALE: 1 11 = I0'-0" TRANSITION FROM G' TO 4' + + N.Y.5. POOL CODE FENCE KAWING TITLE: AT CORNER P05T CONCEPT PLAN EVISIONS: 1 1-14-2025 01-20-202G P�OFNF4V N .a HEET NUMBER: 10 0 _502 OAS 0 C- 1 SURVEY OFPROPERTY LOTS 46 & 47 MAP OF NASSAU POINT FILED: AUGUST 16, 1992 - MAP #:156 SITUATE NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SURVEYED: AUG. 06, 2025 ADD PROPOSED: NOVEMBER 3 2025 (POOL) REVISED: JANUARY 23, 2026 (SITE PLAN) pUHLIC (PATER SCTM.• 1000-111.00-13.00-011.000 RESIDENCE 45 a °a6mwr�u MAP) g44.00 LOT Aa DLpc NIF MARIE (YOL)NC TIP V 2g180`- Go w LOT AREA R,.6N o nl 52,413.80 S.F. w a+G FQ (1.203 ACRE(S)) � 1 ME ,5 N78-g6,20.,E Z m % ,36' RD tz � g 1 yp9 DRD'� "o' 1 x QQQ M \ QQQQ QQQQQ co O O :q IN Do W to .GO- 0,2 O Ss5 _ ppRF9 (I'ppp„�tac 1 ,� v A POOL yAS. m v�54 1 1 VI \ + oQQQQQQQQQ '1 y f\7 w.o $ A 1 pj g6-24 O \ crass u+m g °� 1 `u S79•38'U g9.20 ® E C E U QLI COE 4 POOL POGO bfoL LIAR 2 6 2� 6�E�i Southold Town ,;± g / CIO8 LOT awINCxERESiDE Board of Trustees ppTRICp$R iN gg RESID N I N L T R E C RFDEpEgSpNAL 3 z / S66 26 QUALIFI OF NEW �.tP G�,fL K. WUNNEWETA RD. r5o l�ysF0 LAND sod°`ion COPIES OF THIS SURVEY NAP NOT BEARING THE IAND SURVEYOR'S INKED OR EMBOSSED SEAL SHALL NOT BECONSIDERED TO BE A VALID COPY. o -ELEVATIONS RE7NAVD88 DATUM STANDARD NOTES:DEDALTERATION NM BGRING A uRVEYDR'S ION T209, ED dlfCRAEL K WICKS, P.L.S.. . 50390 SUBNDNSbx 250T xEW YORR STATE EDu.ToR to S.ONLY B E 7O SURVEY REDS WRH THE SURVEYOR'S EYBDSSEO BELL MICHAEL K. WICKS HNGEµpxOE 1,oN AND[ORREtt COP45 OF ME BURVETOR'S ORIGINAL :s P"acnFOR o°x°"Ec'o"REA c woiTHc c RRNu piNG'c Dc"oF""° GRAPHIC SCALE: 1 INCH = 30 FEET LAND SURVEYING RA STATE ASEREAD. PROFEESE.1 DD°N°D S.%_RS.Imo.THE cERrnluTwN Is 30 0 15 30 60 120 TO THE 7RLErnCONPANY.TO I.E G"WERRNNMENIAL ASGENCT, A. TO THEE°A'°ED' 15 FROWEIN RD— SUITE E2 E LENDING INS I.DIDN LSTED 01 THIS BDUNOAR,SURVEv ws. CENTER dICE, 631. NEW PORK 11934 s.THE CERnFGnOF lDE ARE NOT ONEISTCRABR VOICE, 631.874.0156 S.THE LDuirou DE uxDERTEN wPROv SPE E. FxANY UIDE,Os ARE 107 AND OFTEN RUST BE ESLIARE S UNDERGROUND R111OR RuickslanCHAR yC com R'S E OR ENCROACHMENTS ARE DT ARE SHDWN.ME w°eNex"'is DR ENCRa.,:HUEms ARE xm cwExco BY THIS sumE.. RECORDS OF RICNARD C. DRAKE ME DFTSET(DR-EN SHOWN HEREON FROM THE STRUCTURES TO SCALE: SURVEYED BY: DRAWN BY: SHEET: ARE TOR A 11-PU AND.E AND THEREFORE ARE r°iop°nTiwcu�°uc:1 i�oEREC N OF °EE(s,Ruo INE oAw 1'=30' M.W. J.W.W. 1 OF 1 T PE of CONSTRRUCTION. ' B ... _ z -rp��8 Y Y 4 w,4: ♦:,� �+. A.� i 9 ,d a.o.e. m&o e. a r. d,4f �_, �: i c'4q f.Mf f YJ e e �yry'Ik.,"• m f f•"" S � 'd >vaerx- r, 3 oz> :� c e�°� s �♦.° �_-s �B 0"•a�IJPt - 5+ � Ba 3 a-o ,, .. :. °,r•5" ,Arc) i ° s F� {� m � � a3e f y '..,., d 3.. . d. "'Oud.' ♦a s 30 a9i ,A � E:i �oas' i .yry� � �_y.,�c:ss � d s . a i c�f .. k' � � B •. m f- m Yc a N. tv a ,Y- �. C :•.� \ ;�;�\\ ?,-.. c4,a k w i &- q _UM1 ,x d -.e "� y faNsr ,� w � q ; 6 A W A d c ,. I%� ,R ` >s 6• d' .! i,u E1 µ> x'` �» J• m =. AO.,� \j'k • iW 1 - 'b y ,'f � _ e.t (c) +( �;d 1 �� rt°hrq�� ry f A. ry p Sb'� t' ;� 8 .._"' > �� , e P'. a Cf i x s � "' eyc' :q � ''• p � Ipr 12 64 3a va. «son,. xax,.�m _., •. xaNsl '.m. •. A_., .« r ,e a s a t �5re h e, m•� k,g. !_,.�Rs� i a 'gr. r z e of !`. ` sl•.¢ s, s , . 2 it y • zt p 9H�0/p Y ,t \•!:, R ` i . tl ,4 r ,Ws) 14 A 3 cN'kWETA - <.o \fit _--- rar�ce COUNTY Of SUFFOLN A �� �w=�.< ,osB D an. —— —_ .w,..,. ._JM1Yai�— ,....• 2 ..W.e -t _ 're.0�i�. E -_.___ N 1 - 1 SEGiIIXI NO 91£�o<tBs%wl6x OC TE Nxw BOUIMDiD OFFICE LOCATION: 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: April 12, 2026 Re: LWRP Coastal Consistency Review JANE G. WEILAND, SCTM# 1000-111.-13-11 This application is to install an 18'x40' in-ground pool with a 12'x22' pool patio, pool enclosure fencing with gates, a pool drywell, pool equipment area; and a stepping stone path. 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: 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 adequacy of the buffer depends on the following factors While the proposed action conforms to required setbacks within Town Code, the applicant should consider altering the location of the pool and patio so as not to have to remove mature trees on the property. There appears to be sufficient open space to accomplish the proposed plan without removing trees. 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 soUry Town Hall Annex A.Nicholas Krupski,Vice President �0 �`© 54375 Route 25 P.O.Box 1179 Eric SPe enoski Southold,New York 11971 Liz Gillooly G' Telephone (631) 765-1892 Elizabeth Peeples `,20 • �® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only �l � EE � FRUCoastal Erosion Permit Application _Wetland Permit Application Administrative Permit r r a 6 2026 _—Amendment/Transfer/Extension Received Application: o2so Received Fee: $ [, aSb Southold Town Completed Application: a(o Board of Trustees 3 Incomplete: . _ _ .i SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): `1 LWRP Consistency Assessment Form Sent: CAC Referral Sent: N �5 Date of Inspection: Receipt of CAC Report: Technical Review:_ Public Hearing Held: is Resolution: Owner(s) Legal Name of Property (as shown on Deed): Jane Gartenberg Cummins AKA Jane Weiland Mailing Address: 6485 Nassau Point Road, Cutchogue, NY 11935 Phone Number: 516-220-5661 Suffolk County Tax Map Number: 1000 - 111.-13-11 Property Location: 6485 Nassau Point Road, Cutchogue (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): Krista Jones - Millstone Property Services .Mailing Address: 3685 Elijahs Lane, Mattituck, NY 11952 Phone Number: 631-335-8175 Email,:,millstonepropert services@gmail.com �a S2n 3 a7 Board of Trustees Application APPLICATION DATA Tno- Purposes of proposed activity:, Installation of a 40'xl8' in-ground pool in the side-yard set 62.5' back from the top of the bluff. A pool fence will be installed, 4' tall on 3 sides and 6' tall along the right-of-way to maintain continued access. Pool equipment, one drywell, stepping stones and 22'x12' patio will be installed within the pool area. The pool area will be screened with native plantings. Are wetlands present within 100 feet of the proposed activity? _ -,No Yes Does the project involve excavation or filling? -fl-No Yes If Yes, how much material will be excavated?.100-120 (cubic yards) How much material will be filled? 0 (cubic yards) Manner in which material will be removed or.deposited:. Material will be removed using an excavator. Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) There will be no environmental impact to the subject property or neighboring properties resulting from implementation of the project. Dard of Trustees Applicat - i GENERAL DATA Land Area(in square feet): 52,413 SF Area Zoning: R-40 Previous use of property: low density residential Intended use of property: low density residential Covenants and Restrictions on property? Yes =No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? FV11 Yes ]allo If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? ✓ Yes =No If"Yes", please provide copy of decision. his project re 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]::I_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): �S���� k 4 6 �n 6 ro_ Wn�s 0 ok )ard of Trustees Applicat i WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Residential, single family Area of wetlands on lot: 52,413 square feet Percent coverage of lot: _ % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 62.5 feet Does the project involve excavation or filling? ❑ No Yes If yes, how much material will be excavated? 100-120 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 4'10" feet Proposed slope throughout the area of operations: <3' Manner in which material will be removed or deposited: Material will be removed using an e Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): There will be no effect on the wetlands and tidal waters. Dard of Trustees Applicat ' i COASTAL EROSION APPLICATION DATA Purposes of proposed activity: in-ground pool installation Are wetlands present within 100 feet of the proposed activity? -No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? 100-120 (cubic yards) How much material will be filled?,0 _ (cubic yards) Manner in which material will be removed or deposited::. _ Material will be removed using an excavator. Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) There will be no environmental impact to the subject property or neighboring properties resulting from implementation of the project. 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 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 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 Krista Jones on behalf of Jane Weiland Name of Action or Project: 6485 Nassau Point Road - Pool Installation Project Location(describe,and attach a location map): 6485 Nassau Point Road - Pool Installation in the sideyard Brief Description of Proposed Action: Install an in-ground pool in the side yard of the property 60' from the top of the bluff. Name of Applicant or Sponsor: Telephone:631-335-8175 Krista Jones E-mail:millstonepropertyservices@g Address: 3685 Elijahs Lane City/PO: State: Zip Code: Mattituck NY 11952 I.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: ❑ 3.a.Total acreage of the site of the proposed action? 1.20 acres b.Total acreage to be physically disturbed? () Of7 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.20 acres 4. Che I land us at occur on,adjoining anlL9ar the prop action. Urban r�jRural(non-agriculture) Industrial CffiCommercial ✓❑Residential (suburban) Forest Agriculture Aquatic QOther(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: FZ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO . '_YES vI IF] 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? t/ 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: ❑ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO PYES 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: 14. ntify the typic bitat types that oc n,or are likely to be found on tI�-project site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ✓ 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? A KO If Yes, ✓ a. Will storm water discharges flow to adjacent properties? ✓❑NO DYES El b. Will storm water discharges be directed to established conveyance systemspff an¢-l-rm drains)? If Yes, briefly describe: ✓ O L__ -ES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size:_ _ - - ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: -_ .❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Kfista Jones Date01/21/25 Signature: Part 2-Impact Assessment. The Lead Agency is responsible forthe 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 I. 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? ❑ El i. Will the proposed action impair the character or quality of the existing community? E] ❑ 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 01 ❑ 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 and of Trustees Appliaati, AFFIDAVIT Jane Gartenberg Cummins AKA Jane Weiland 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. gnature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF 20 Notary Public GIUSCPPINA BRUSCA Notary Public-State of New York } NO. 0,,,,6,4203, Qualified in Q cens County �q My Commission Cx i cs May 37 20 /� yard of Trustees Applicati AUTHORIZATION (Where the applicant is not the owner) I/We, Jane Gartenberg Cummins AKA Jane Weiland owners of the property identified as SCTM# 1000-11 IA 3-11 in the town of Cutchogue ,New York, hereby authorizes Krista Jones 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. P operty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS 'V' DAY OF , 20_q-� Notary Public GIUSLPPINA BRUS'A Y Notary Public-Stag of New York j`; `I NO. 01BR62-:2032 Qu':hfied in 0,i m C.ow•tyMy LID. ion 20 Ca,n, .1.;ri ;1, " APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town-of Southold's Code of Ethics,vrohibirs conflicts of interest on the cart of town officers and employees.The nose 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: KPiSta Jones (Last name,first name,iriddle 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 employce has even a partial ownership of(or employment by)a.corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,o'r child is(check all that apply): _nA)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 thi (0 day of 2(1�V Signature Print Nam or,&5 Forrn TS I !�SUFFO( Glenn Goldsmith, President ��0 COGS, Town Hall Annex A.Nicholas Krupski, Vice President =� �L 54375 Route 25 Eric Sepenoski i P.O. Box 1179 CIO Liz Gillooly • Southold,NY 11971 Elizabeth Peeples 'yhC �plJ�r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NOTICING ADJACENT PROPERTY OWNERS Above are property tax map numbers (SCTM#'s) listed that you need to notice for the properties that are located on either side of you, across the street from you and fall within your property lines, and possibly other properties that require noticing per. Chapter 55 of the Southold Town Code. In order to find the legal.mailing addresses to the SCTM#'s please visit the Southold Town website at https://southoldtownn gov and go to the Assessors page. Under the Assessor's page click on "Forms and Links." Under that page,'click on the "2024 Assessment Roll." This will take time to download as it is a large pdf. Once downloaded when you go into it you will see that the list goes numerically by property tax map numbers (SCTM#'s). Scroll down to find the SCTM#'s listed above. The legal mailing address to each of the neighboring properties can be found directly under the property tax map number on the far-left side of the lists. Please mail each property listed above a completed copy of the Notice to Adjacent Property Owners form and a photocopy of the proposed plan/site plan (construction pages do not need to be mailed). Each neighbor's noticing packet must be mailed by certified return receipt mail through the USPS no less than seven days prior to the Public Hearing date. After all mailings have been submitted to the postmaster, all receipts from the mailings and the completed Proof of Mailing form must be submitted to this office prior to the Public Hearing date. The bright green Notice of Hearing card needs to be posted in front of your property close enough to the street that public can read it. This sign must be posted and stay posted for no less than seven consecutive days prior to the Public Hearing. After the seven days you can complete the Proof of Posting form which needs to be submitted to this office prior to your hearing. :If you put the sign up where there is more than seven days before the hearing, just leave it up through the day of the hearing. You can take it down the next day. Board of Trustees Application i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS (-'���(� "�'\,,Q & APPLICATION NAME & SCTM#:- C-1 I NAME: ADDRESS: -1 2` APR I 3 2026 STATE OF NEW YORK = COUNTY OF SUFFOLK sou 1015`1-0f- Boud©f Trustoes 11-\0`'-) residinv, at 52 being duly sworn, deposes and says that on the day of 4) A' 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 Ngtices were mailed at the United States Post Office located at UA CVV ;\�-/tN that said Notices were mailed to 0 each of said persUs by CERTIFIED MAIL/RETURN RECEIPT. S'gnature Sworn to before me this Day 20 CONNIE D.BUNCH Notary Public,State of New York No.01 BU61 f3505o Clualified In Suffolk County Notary Public Commission Expires April 14,2 ii I t i I ■ cO � C3 O m e Er Br u7 Certified Mail Fee �k-, CO r'1 Extra Services&Fees(check box,add fee I rFir gate) i m ❑Return Receipt(hardcopy) $ x_ ❑Return Receipt(electronic) $ d'S 4 S�iS-f Posfinerk 0 0 Certified Mall Restricted Delivery $�f f I Sfl Here N []Adult Signature Required c U1 ❑Adult Signature Restricted Delivery$ Postage 7q f'1 p•' t'l4 $ O $qt I.Po e antl Fees [T Set�tTq G.�LQ, �yI c Str eNa\n Apt o.,or Pt7�b o• C � ej�r`� l4? {r ....__ Ln t C�( tU Er C, State,ZIP \ \ 2 e � iT 1a • it Pl.) ., - eQ.go�- a .•y�a �, • IT Ln Certified Mail Fee RiN to $ ' r-I EX2ra Services&Fees(check box,a$fee -. to) m ❑Return Receipt(hardcopY) ❑Return Receipt(electronic) $�4k1 ', t•�f5ostmark � []Certified Mail Restricted Delivery $ Here N Adult Signature Required $ Adult Signature Restricted Delivery$ c Postage Ct $ IS?f'tff� i rq T I,?o a and Fees ~ Cl $�TIS� _ Se d - C-- -------------- CO (�,�, §tre a pt.Ln or PC o > rY�V�Q• L � WQ ir clryr 1.: aV t��P+� .C.�•- Q 3�� � T.„ r e c ee•o� Ln ri • ® o C-3 m ,• , I_ Cr Cut Ln Certified Mail Fees c13 $ ..e at-v m Extra Services&Fees(check box,add fee§;ippifate) Return Receipt(hardcopy) $ CIE] Receipt(electronic) $ 11," i PQerk ❑Certified Mall Restricted Delivery $ i -f�1�,fl.,_.._ ;` Here t RI ❑Adult Signature Required $ j.l,.j:jl;___ £(`. Lr) (]Adult Signature Restricted Delivery$ Postage f 1 Ci CI $ 114fit. : fah' T4 Lpr.aos"e and Fees Y IS 1l CS $' ErSV .IxL��pc' CO J` S sett amend 4pGt�No.,or ox Ngo �� �4 �� �" Cf St•-r�---�-a�----��--•------�-----6---�'----........ Glenn Goldsmith, President �SQFFD(,�� Town Hall Annex z A.Nicholas Krupski,Vice President ��� OG�;;A. 54375 Route 25 Eric Sepenoski x P.O. Box 1179 Liz Gillooly Southold,NY 11971 Joseph Finora ��� ����� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- i a In the Matter of the Application of i{ JANE G. WEILAND APR 1 3 2026 1 j k COUNTY OF SUFFOLK Saultiolci 7iiup,_ . _._"� STATE OF NEW YORK Doan'ofTrustt' AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED t INPLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC I HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER 1 cw residing at/dba til �LA vv. r i being duly sworn, depose and say: That on the day of �1 , 20 . �, I personally posted the property known as l f +.l y� � °d V�✓��r Li`w4.+`X r�k � i.iV � � � .��f�{: LY..;»�$.,. j by placing the Board of Trustees official noticing poster where it 4an easily be seen from the i street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,April 15, 2026. Dated: i ( 'gnature) Sworn to before me this � . .� day of �,f( 20` (, CONNIE 13 INCH Notary Public,State o050 New York Qualified in Suffolk County )n ��� �� ,� � 1 (�7 Commission expires April 14,2 Notary Public INOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Peconic Community Center Auditorium, 1170 Peconic Lane, Peconic, New York, concerning this property. OWNERS) OF RECORD: JANE G. WEILAND SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install an 18'x40' in-ground pool with a 12'x22' pool patio, pool enclosure fencing with gates, a pool drywell, pool equipment area; and a stepping stone path. Located: 6485 Nassau Point Road, Cutchogue. SCTM# 1000-111- 13-11 TIME & DATE OF PUBLIC HEARING: Wednesday, April 15, 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-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# 1000-111._111 _13-11 PROJECT NAME 6485 Nassau Point Road, Cutchogue 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: pool installation Location of action: 6485 Nassau Point Road, Cutchogue Site acreage: 1.203 Present land use: residential, single-family 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: Krista Jones (b) Mailing address: 3685 Elijahs Lane, Mattituck, NY 11952 (c) Telephone number: 631-335-8175 — 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 intended project will enhance a stable residential-area by improving property value. 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 0 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 This project will include additional vegetation that will screen components of development and add to the indigenous vegetation. 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. ❑ 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 wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 0 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❑ No❑ Not Applicable This project includes installation of a fence to protect and delineate the public right of way that provides access to the Little Peconic Bay shoreline. Attach additional sheets if necessary WORKING COAST POLICI] 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. 0Yes ❑ No 0 Not Applicable PREPARED BY Krista Jones , TITLE Agent DATE 01/21/26