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TR-10993
oS�FFot�- Glenn Goldsmith, President a O� C� Town Hall Annex A.Nicholas Krupski, Vice President �'�� yam, 1. 54375 Route 25 Eric Sepenoski N z P.O. Box 1179 Liz Gillooly O • wry Southold,NY 11971 Joseph Finora 'yj�01 �ap?Y� Telephone 631631) 892 765 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection o SUF�ot Glenn Goldsmith, President �Q Co Town Hall Annex A.Nicholas Krupski,Vice President �� Gy,�H, 54375 Route 25 Eric Sepenoski y P.O. Box 1179 Liz Gillooly Southold,NY 11971 Joseph Finora Telephone(631)765-1892 Fax(631)765-6641 r� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD En-Consultants on behalf of Elizabeth Gardner TO: Please be advised that your application has been reviewed by this Board at the regular meeting of July 15, 2026 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) '/z Constructed ($50.00) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) X The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees ''vi'r9•se. `r > °ee}' r °Y•�Yl'rii riiY ♦} �'' 'e4>'°'}y q - ♦C•`ip••. ^- e�i�Y•i'p•- _ ..a�°9�It tl ysFa, a .. .,,,y1N 'fll } -.... d"yl 1 ff D _ .%".���h 41'•g/° a - N�1 t 11}�l 'l4°Q}'4N'/reo..''.' t vi 1 (l'I r•'.,,, P ,( .+ e � -r-.� �'' _.>` i�ti.• �1i ' •lib. _ :%� d _ :.���.0 � •'�1�� �w " `1 a�k7k,'.:�;514'S"i.2dF:.U':G.:S'.S:!5'''."1d41;�'?i9„.e#'''. " '.�4"C.�!:-`n'•;'1A'uAiAtir�°G.'� ''„",.&'.G�.k,;i'i).1 ",.5'.',�5,'»'1fP.;A..'.-.,.22'.�,1'14 9GveS4.C,�Y14w?:2:�,1�!�.S!:lMi'2.:1L:YG�.:..tX,1!�!�L:;.2 vv,..�,'l^�?;'r:�.i'e�@?R!d'ESfE'2fx.�;'K.4!.... l�UR7-Vl.N,':!" BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10993 DATE: JULY 15, 2026 a k z ISSUED TO: ELIZABETH GARDNER _•,�', r�q1°1°M `-'R PROPERTY ADDRESS: 1665 SHORE DRIVE, GREENPORT SCTM# 1000-47-2-30 � e, z AUTHORIZATION ' Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in -. accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 15,2026, and in = consideration of application fee in the sum of$1,250.00 paid by Elizabeth Gardner and subject to the Terms and Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct onto existing 1,424sq.ft. single-family dwelling a cantilevered second-floor addition with a 1'x19' overhang over approximately 496sq.ft. portion of existing first floor to remain and a 41x8' balcony; in place of existing entry I steps construct a 40sq.ft. covered entry porch addition with steps; reconnect renovated roof to existingstormwater d ell• and to maintain the existing 10' wide non-turf rYw � g ." buffer along the landward edge of the bulkhead; with the condition to establish and . ' perpetually maintain a 5' vegetated non-turf buffer landward of the existing 1.3-ft high °yie M == - masonry landscape wall; all as depicted on the site plan prepared by Mark K. Schwartz, AIA Architect, PLLC, received on July 15,2026, and stamped approved on July 15,2026. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year written above. CO z y sy g a ° - I\\� %u'ml.`"rnl'?.W.`.nI'7,%3i'"'�"7�5F2iS1`Y` r�6�i. if?t3' "Y2�L'Sr i1/:/.�i11°7'A.2'�T.%i+'r3'3`2+iC"4Ji'93G`7F�;.i✓Cumrii:u�,,.'CnSi�7,533Ys`3Ydiu�fi3�idtiai'i'?3".dZ�?.�!)J"�d7dYJi�.�'c?,a`�/'u'r�n`.L�'�Y�'P5�7Ydn%'�:q'rLJnwfd17JlL;sr�•�zr.�-rra'���rrw �\ �+'?.' 3 I^A���...m�`a!?y' 9nnnT�,,,,;,�,�;�r•rf,�'�" ' h.,.._ ._ ��t�+��n��m�,�7"'r. .. �,r, I @e`li{i yRylel��%�1as4i.ett°1���, .a•+4e:c4i}:•°�.1�9.';. .,ls�}..e4°�:�, - �•.:,e„!1}r 1r1�aL" ��d�a{r ttje�syi�:r ..,5 .ie1�e{} pt}t��ei `i. TERMS AND CONDITIONS The Permittee Elizabeth Gardner, 1665 Shore Drive, Greenport,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board prior to expiration. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. A permit issued for work not including a demolition as per the definition in the Town Code, but subsequent to issuance,the work results in a demolition,the permit is voided and a new application must be submitted. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 7. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 8. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 9. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 10. That the said Board will be notified by the Permittee of the completion of the work authorized. 11. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 12. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. I REVISIONS I I SITE DATA I PROPERTY: 12,872.0 SF 0.296 ac ESTIMATED AREA OF 3,000 SF SHORE DRIVE `\ GROUND DISTURBANCE: - PUBLIC WATERS IN STREET mf 18'-011 MAX. C. to C. SU ER 1 DS Z7 v WE 100.00' - s - �® 1:< GRADE 77 °L v p EXISTING: AREA LOT COVERAGE: F? ' WATE0. c2� � M ER .8 HOUSE: 1,423.5 SF ® • Z 2 cc I ��» 00 v 1 LG3 LG1 p DECK: 268.2 SF In O I _. S (( Z L� /�•a�ILT FF�-CING ' ---g �, SCREEN PORCH: 167.9 SF ll- I- TEST HOLE ( f 6E1 MIN. N EL11.6 , - LG20 I M - EXISTING STONE i of PP I O -EX. AOWTS D N TOTAL: 1,859.6 SF 14.4 % \ _ / I 4AR VA OWFS SILT FENCING) DRIVEWAY 'B�X4' ? o SANITARY SYSTEM Ol r� I I / \ O� \DW/ iCONC I I o v Z DONGNI XUOT 26 FAMILY TRUST I _ _ _ _ T _\ /_ _ n 71. INVCLOPE O� YUTIAN PAN FAMILY TRUST I r - o PROPOSED: AREA LOT COVERAGE: 0 EXISTI G DROPOSEED il'-8'X)'W d 1755 SHORE DRIVE,GREENPORT 13.0' APRON �`K COVERECD PORCH(40.3 SF) ~ 19.3 2ND. FLOOR CANTILEVER: 19.0 SF N LOT 24 2ND. FLOOR BALCONY: 32.0 SF `� U PERSPECTIVE VIEW R '- y-�- -�--- _ A` �m PROPOSED 2ND.STORY RAQF / / j�) 4 LAUREN EICHER � M ADDITION OVER EXISTING f+�BeG+F' / �__,____� ROBERT EICHER `�'a IST FLOOR TO REMAIN ( ,%' FF-11.6 �'`` ,jSTORY' . I PROPOSED FRONT PORCH: 40.3 SF ?. '`-� °' 493.9 SF ( ; EXISTING ED 20 T 1555 SHORE DRIVE,GREENPORT PROPOSED I9'WIDE X VDEEP I , .'19.3JON 2 STY.HOUSE TOTAL• 91.3 SF 0.7 %2ND.FLOOR CANTILEVER(19.0 SF) - FF-12.8 PROPOSED TWIDE X 4'DEEP iE%.3 BR/DROP.4 B0.11 2ND,FLOOR BALCONY CANTILEVER(32.0 SF)3611 MINIMUM 2 x 2 I < B COMBINED TOTAL: 1,950.9 SF 15.1 % EXISTFING FENCE POST SCREEEN EXISTINGPORkCH DECK PIER,}INL PIER LIN I- �'• - METES AND BOUNDS: SURVEYOR: PECONIC SURVEYORS, P.C. WOVEN WIRE FENCE -_ I_._. ._._._ a , SILT FE CING 1"` BUILDING ENvELor- -- -- 15' DATE SURVEYED: MAY 9, 2019 (6 x 6 - 10 / 10 WWF) z PTPNKE ZONE: R-40 ELEVATIONS REFRENCE: FLOOD ZONE X NAVD 1988 FILTER CLOTH o HMRDSCAPE r 00 SCTM: 1000-47-02-30 Ln CN M O 0 ,�.,,�,PROPOSEE 5'VEGETATED,; rPROPOSED 5'VEGETATED, r-- \+ y. CN NON-T RF BUFFER7ze, ,,;,,� NON-TURF BUFF ER `t r r L ;..� E%ISTING 1.3-FOOT HI MASONRY LANDSCAPE WALL, ,-EXISTING.' EXISTING 1.3-FOOT H.GH MASONR LANDSCAPE WALL OpE Z , , - x ' 4'oPIT . G FA CALCULATIONS EXISTING 10 N TURF BUFFER '. X `DECKING r ; „ ,- ,. <, TOP OF BULKHEAD LOCATION: AREA GKA e8�' N50°39'59"E MHWM ALfONG BULKHEAD 100.00, F�B•y EMBED FILTER CLOTH DF PROPERTY: 12,872.0 SF MIN. 6" lN1f'O GROUND 2 - - - - - - - - - - - - - - - - - - - - - - _ - - - - - - - - - - - - - - - - - - - - - - (280-207d) GFA PERMITTED: 2,459.0SF 4►� o --� � P I P E S ,- o EXISTING 1ST. FLOOR: 1,423.5 SF R C ON V E EXI TIN NOTE. S G 2ND. FLOOR: 537.6 SF F--� • � I MAXIMUM 1DRAINAGE AREA Q PIPES COVE TOTAL EXISTING: 1,961.1 SF n 1/2 ACRE / 100 LINEAR FEET PROPOSED 1ST. FLOOR: 1,423.5 SF F--� PROPOSED 2ND. FLOOR: 1033.5 SF R SECTION DETAIL A TOTAL PROPOSED: 2,457.0 SF M P SILT FENCE DETAILS D. 0 C EL. 11.6' DARK BROWN CLAYEY L(R-9- - - - 1.0' OH ik li KOVE BY BROWN CLAY uOARD OF 1;RUS TEES EL. 10.4' - - - 1.2' CH TOWN 01 SQ Hai, FIROFOS h SITE FLAN SC,4LE-. 1" = 20'-0" WATER IN BROWN CLA)_ - - - - - - - - - - - - - - - - - - - - - - -- - - - - - _xz CH 0 w ' wO U) w LOw 42 J U L 15 202 ' ;-.4 (0 CD 03 . o00 �❑ a ❑ al I �.._ 1 WATER IN PALE BROWN FINE TO MEDIUM SAND I ®®® ®®®® I SP ® •�,.,,y DRAWN: MH/MS ®®®®®®®® SCALE: I i `�n'a'"1��^ 'S, �•�y'T JOB tt. 13.0 -A, ;,�,, c.o�`; July 14,2026 22.7' 48' 'Y`3 f �' t �, ' 3 SHEET NUMBER: ��Tom` •� k •, '„+{a;`. NOTE: WATER ENCOUNTERED 1.2' BELOW SURFACE NOIRTH S<YFLANE _e> � SCALE: 1/8" V-0" i i I Town Hall Annex � Glenn Goldsmith,President �``��� S��l�® 54375 Route 25 Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G Q Telephone (631) 765-1892 Joseph Finora • a0 Fax(631) 765-6641 COUNVI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 27, 2026 En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ELIZABETH GARDNER 1665 SHORE DRIVE, GREENPORT SCTM# 1000-47-2-30 Dear Mr. Herrmann The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 15, 2026 regarding the above matter: WHEREAS, En-Consultants on behalf of ELIZABETH GARDNER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 5, 2026, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 15, 2026, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, 2 RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that'the Board of Trustees APPROVE the application of ELIZABETH GARDNER to construct onto existing 1,424sq.ft. single-family dwelling a cantilevered second-floor addition with a 1'x19' overhang over approximately 496sq.ft. portion of existing first floor to remain, and a 4'x8' balcony; in place of existing entry steps construct a 40sq.ft. covered entry porch addition with steps; reconnect renovated roof to existing stormwater drywell; and to maintain the existing 10' wide non-turf buffer along the landward edge of the bulkhead; with the condition to establish and perpetually maintain a 5' vegetated non-turf buffer landward of the existing 1.3-ft high masonry landscape wall; all as depicted on the site plan prepared by Mark K. Schwartz, AIA Architect, PLLC, received on July 15, 2026, and stamped approved on July 15, 2026. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ftlt- 4" Glenn Goldsmith President, Board of Trustees THOLD TRUSTEES No. io9qsou Issued To Cl��G6Q'� Gcw-Iner- �Date. IS/ac Address ���5 s�or�. Rasc��GreenPo�T .THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN' TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD,•• N.Y. 11971 TEL.: 765-1892 Glenn Goldsmith,President �o�QSOFF0L��oGy - Town Hall Annex A.Nicholas Krupski,Vice President C <0 54375 Route 25 Eric Sepenoski o ,? P.O.Box 1179 Liz Gillooly �y • ���' Southold,NY 11971 Joseph Finora l �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 17 ILO�* r Completed infield by: L 6r Do En-Consultants on behalf of ELIZABETH GARDNER requests a Wetland Permit to construct onto existing 1,424sq.ft. single-family dwelling a cantilevered second-floor addition with a 1'x19' overhang over approximately 496sq.ft. portion of existing first floor to remain, and a 4'x8' balcony; in place of existing entry steps construct a 40sq.ft. covered entry porch addition with steps; reconnect renovated roof to existing stormwater drywell; and to maintain the existing 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1665 shore Drive, Greenport. SCTM# 1000- 47-2-30 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code propose rk falls under: hapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment' Administrative Emergency Pre- ubmission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Gol�Smith N. Kru ki E. Sepenoski _, [ Gillooly J. Finora , JU z 20 6 _ H U WrA r e ra�#r 3 . R z z �.Ar 90- t 4 v r a� O x Q t N L ..g rr,i►. .., v 4 e v 5 o c ., sue. C e-.� `0.,o a S ,o op 0 cp._._0 h. ^�.a„J ro..... ip i l ' ok Ew— AL oq m a 3 UY MANm MH/MS SCALE: JOB#: 3812026 SHEET NUMBER EE : ID ECU J U N 5 2026 n F- 11 Board of Trustees - IE PROPOSED NORTH ELEVATION SCALE: 1/8" = 1'-01' Rau --I-- LC;LLl[XZXlJ0 EXISTING NORTH ELEVATION SCALE: 1/8" = V-O" DRAWN:MH I MS SCALE: JOB P: 3/9/2026 SHEET NUMBER'. A-1 ECEHit =7 JUN 5 2026 Southold Town F--4 Board of Trustees PROPOSED WEST ELEVATION SCALE: 1/8" = V-O" A IFIFIIII UM EXISTING WEST ELEVATION DRAWN:MH i MS SCALE: SCALE: 1/8" = V-O" 10B 0: 319,7026 SHEET N U MB FY-- A-2 v� - z 0 _ - - -1 F1 J U N 5 2026 I H Southold Town AA �+ Board of Trustees ® O W PROPOSED SOUTH ELEVATION _ SCALE: 1/8" = V-0" FL x �.5 0 �U HE s Flfl l � U ` W ° H y a DOE x � t0 � 0 EXISTING SOUTH ELEVATION SCALE: 1/8" = V-0" DRAM:MB,MS SIB: 20B k: L9R026 SftF NUMBM- A-3 z - o - ---- H FV _ - 0 --_ — -- JUN 5 2026 1-4 A ------ Southold Tows Board of Trustees__ WE O PROPOSED EAST ELEVATION w x z SCALE: 1/8" = V-0" E E 9 �w3 U � Wy a F ❑0 x � U � 0 ❑ EXISTING EAST ELEVATION DRAWN:MH/MS SCALE: SCALE: 1/8" = V-0" 20B N: 3912026 SHEET NUMBER: A-4 z 0 o EQQ ............................................ W -ss:: �¢ - - z J U N 5 2026 o w EXISTING 1ST. FLOOR PLAN Southold Town z SCALE: 1/16" — V-0" Board of Trustees ................................................. v wow F f� V n t c 'CJ a a ae3im i.... ... U a F '.............. ....................' EXISTING 2ND. FLOOR PLAN SCALE: 1/16" = V-0" DRAWN:MH/MS SCALE: JOB M 3/9/2026 SHU7NUMBER• A-5 • z 0 H 19,-0' 11'-6' AAA VERIN M GARAGE DOOR OPTION TO REPLACE z - ------------------ ------ -- O H V E L'U) � d c - -- EXISTING BEDROOM No.1 W _ a J U N 5 2026 EXISTING GARAGE EXISTINGEXISTING HALLWAY Southold Town o ENTRY Board of Trustees 1 o 3 I o o x z I 11 11 Ih 1001 11 11 [Z7 0.EPIACE EK W WDOWS Ff�r� P6050 _ 16�SSONE- - ... . . . . PROPOSED EXISTING LIVING ROOM EXISTING KITCHEN 1 2ND.BOOR B'-0'CLG HT WALLABOVE ' y 1 ?—PROPOfED 2ND.FLOOR BA=M ABOVE PIG _"- D. DrvE o} c E EXISTING PATIO ON GRADE a �SE 9 EXISTING le�o s SCREE��NED-IN 5 F PORCH EXISTING DECK N4F--------------------"-.------------------------------------------------------.-----------"-------------- -T-E PROJECT NORTH ------------------------ ------------------------------------------------------------------------------- d -------------------------------------------------------------------------------------------------------- F u PROPOSED 1ST. FLOOR PLAN SCALE: 1/8" = V-0" D1UWN:MH/MS SCALE: JOB R: 3/9/2026 SHEET NONIEIF..- A-6 O aH 5'-9" fi'-W 2'-0' X-C" GAIA' z 4 �4 O L P4060 ------------------------ A_____ _ ________________ +� RE➢UCF IX.WINDOW EXISTING ATTIC _ _ _--__--- _ ____________ cWnss EXISTING ATTIC � � \J � ov3ss LSR: cWlas "a Yr2.4 ) J U N 5 2026 0 1 ] 3 a W Southold x z BEDROOM No.4 a Board of Trusiees a a 6•a•cDUNc SITTING AREA ��- d ® EX STING •--_+ BEDROOM No.2 EXISTING v 1 BEDROOM No.2 IN IS L 5'-1 W •OQV145 -`iMi6606HR• a BALCONY � a ------------ c 2'-1115° 6-655' - ci 11'-6' EXISTING U HA DEC a 0. F U ------------- ---------------------- 0 N PROJECT NORTH o--a F. 5 U u PROPOSED 2ND. FLOOR PLAN SCALE: 1/8" = V-0" DRAWN:MH/MS SCALE: 10B 0: 3/971026 SHM NUMBER: A-7 COO aH z ° \Zy ,�� 7V -- 12 L - I1 1 5 2026 LI 1 3-1/4 3 t x SouttioldTown 12 Board of Trustees 12 9 i / rod o N / / °E 6 PROJECT NORTH Ea a PROPOSED ROOF PLAN SCALE: 1/8" = 1'-0" DRAWN:MHJMS SCALE: JOB 0: 319/2026 SHEBf NUMBER: A-8 . . . - - - - - k{-,np- . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ! 1{L^lf REVISION E lj ry t ' P, - - - - - - - - - - - - - - - - - - ' 5 202�0 LLL-- : - - - - - - - - - - - - - - - - SITE DATA 5 2025 ? _ - - - - - - - - - - - - - - - 1 utt o0 loL:n Board c`:Trus'ees _-_.. PROPERTY: 12,872.0 SF 0.296 ae _ Board�fT!Iis'°Y ESTIMATED AREA OF 3,000 SF _. ---- SHORE DRIVE GROUND DISTURBANCE: - - PUBLIC WATER IN STREET � ' 18-0„ MAX. C. to C. sU ER - E O A EM I DS v �- N50038'30"E 100.00, s o rn �® EXISTING: AREA LOT COVERAGE: GRADE �- m p ® „',''F •® WATER 4 ��!J t METER l��8 , F ,, HOUSE: 1,423.5 SF ®• �•® z = OC Iz 0 •• .a►a ••� �. v �LL LG3 Q LGI p DECK: 268.2 SF ®® ®® Z 1 SILT FENCIING -I - LG2 O SCREEN PORCH: 167.9 SF it � � TEST HOLE � M 6 MIN. cV EL.11.6 , I m ' ( f f r- EXISTING I TOP I N N� STONE SOa Q EX.SCDHS-APPROVED ° TOTAL: 1,859.6 SF 14.4 % _ _ 4-BR VA OWPS SILTFENCINGJ DRIVEWAY p / \ ` ✓ Z SANITARY SYSTEM CIN O� --- , 8x4 �z z ' DW CONCRETE O M 1 LOT 26 I \ r / IWASHOUIT I ,� ✓��. DONGNI XU FAMILY TRUST - - - _ _ -`- ' - I� B I_ �NVELOPF O PROPOSED: AREA LOT COVERAGE: o ("� YUTIAN PAN FAMILY TRUST I EXIM G `./ `~ 1755 SHORE DRIVE,GREENPORT 13.0' APRON W1�LK PROPOSED 11'-6"X3'-6" w e-I ��. 193 COVERED PORCH(40.3SF) I 2ND. FLOOR CANTILEVER: 19.0 SF N �r 33.4' Io M ED m LOT 2ND. FLOOR BALCONY: 32.0 SF `� U Z_____ PERSPECTIVE VIEW ; ;; b A� I LAUREN EICHER en r PROPOSED 2ND.STORY N ,/ 7 STORY % / ADDITION OVER EXISTING sasas,>:'' ;� / ; ____-__9 ROBERT EICHER PROPOSED FRONT PORCH: 40.3 SF '� °' m 1ST FLOOR TO REMAIN FF-11.6 495.95E I / '�� Ac I 1555 SHORE DRIVE,GREENPORT Q+ M ti H EXISTING 20.7' ' PROPOSED 19'WIDE X 1'DEEP / '19.3' N. 2 STY.HOUSE I.1 IND.FLOORED 19' IDE X 9.0 SF) -- -- -- C FF H TOTAL: 91.3 SF 0.7 % 4t v o Z w PROPOSED B'WIDE X 4'DEEP / , H EX,3 BR/PROP,4 BR I U Ln 2ND' FLOOR BALCONY- CANTILEVER (3I.0 SF) B EXISTNG I0.5' to O I 316" MINIMUM 2 x 2 I PATOION 5 I m GRADE I COMBINED TOTAL: 1,950.9 SF 15.1 % FENCE POST I ESCRENIG , SCREEN EXISTING WI PORCH DECK I en i I p IR PIERLINF METES AND BOUNDS: SURVEYOR: PECONIC SURVEYORS, P.C. WOVEN WIRE FENCE L._�I_. ._-_ I CL4 SILT FE CING `, - - _ - 15' DATE SURVEYED: MAY 9, 2019 ' (`F� x 6 10 / 0 1` `' F) 1ILDING ENVELOP }I - PROPANE ZONE: R-40 ELEVATIONS REFRENCE: Z TANK - FLOOD ZONE X NAVD 1988 FILTER CLOTH M ►� O N M N SCTM: 1000-47-02-30 ' N ° ' SLOp M ------ - - -y;- - -----.--1--- }1- -- E z ,' O X GFA CALCULATIONS ^>:"" ` '; EXISTII�JG 10'NON-TURF BUFFER`;! x ,. `DECKING< `,xC" " a' ;:y ..f >; <i,:;: I > <,{ k' _ - �'WOODRAILING ON TOP OF9 LKHEAD J`'> LOCATION: AREA: 01;_1 MHWM ALONVG BULKHEAD EMBED FILTER CLOTH DE NSo°39'59"E 100.00' PROPERTY: 12,872.0 SF MIN. 6" INTO GROUND ' 2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (280-207d) GFA PERMITTED: 2,459.0SF Ott o _� P I P E S O � o C O E 1."� EXISTING 1ST. FLOOR: 1,423.5 SF NOTE: o EXISTING 2ND. FLOOR: 537.6 SF F MAXIMUM DRAINAGE AREA TOTAL EXISTING: 1,961.1 SF 1/2 ACRE / '100 LINEAR FEET PIPES COVE PROPOSED 1ST. FLOOR: 1,423.5 SF E-I PROPOSED 2ND. FLOOR: 1033.5 SF R SECTION DETAIL A TOTAL PROPOSED: 2,457.0 SF ; P ; ; SILT FENCE DETAILS o , c EL. 11.6' K DARK BROWN CLAYEY LOAM ; - - - 1.01 OH ; BROWN CLAY EL. 10.4' - - - 1.2' CH ; ; ' FfROFOSED SITE FLAN ' SCALE: 1" = 20'-O" WATER IN BROWN CLAY '- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - CH ; Q }, , C) 0 Z / \ w / \ 01:f O 4� z w \ w� w ' 42' ' 60 / ❑ ❑ ❑ [Ell 10101❑ \m ' WATER IN PALE BROWN 1 FINE TO MEDIUM SAND ; I SP At :DRAWN: MH/MS SCALE: ® ®®®®®®®❑ J((`, d JOB#: 'June 3,2026 13.0 ' 1 22.7' 48' �'�, � �� �� � ; SHEET NUMBER: ' NOfRT1"'i 5<**T0'l=LA NE NOTE: WATER ENCOUNTERED 1.2' BELOW SURFACE �► �'� fi SCALE: 1/8" = 11-0" SCDH REFERENCE # R10-19-0123 SURVEY OF PROPERTY i, AT GREENPORT '� 1 TOWN OF SO UTHOLD � . J U N 5 2026 �; SUFFOLK COUNTY, MY 1000-47-02-30 Southold Town ees SCALE: 1'-20 Board of Trust W MAY 9, 2019 O DECEMBER 20, 2021 (New Septic System) EL 11.5' ALL PROPER77ES WITHIN 150' ON PUBLIC WATER DO O�� EL 11.8' �� ��i / F 0.6' DEEP IN IN FRONT OF �� TREE ATER METER W/L SLEEVED "t Q Q � AT HOUS v(1 GF F O D.oxist. �, G �0� o B A9 \ 0 Cj�® \ G`•® r O Q ARCHPICK�^ LOT 24 QxpQQ° STH \ 0��� SLE/EV � Q EL. 11.6 VA OWiS \ QPMNT. EL 10.9' �P� �`P c/o 6 \ VEN �AC O BB \ T �s AC / 0\11 LMF1.5' B� Op PAVEWALK \ 2 STY. 6 �'G � BEDROOM FR. 1 J <k HOUSE y� FF=12.8 OGp 0<1 ��5 CHIM. 74 6 �Fry°g O�G! O 1 STYE FR. F2 y s FF=11.6 2 Q �U/G + tY /G F PROPANE - a } QJ�F c'° TANK \ A• y OUT SHOWER FE 08WD Q\G ^9 OSMER ROM ON LOT 24FE.END� PAVER PATIO W'0.7 DECKPK ON TOP 0.7 1�0 \ OF BULKHEAD TEST HOLE DATA y FIRE PIT \ �� O EL.=8.2' McDONALD GEOSCIENCE STONE \ 6 413012019 MASONRY \ Q g PIERS EL. 11.6 DARK BROWN N/O/F CLAYEY LOAM OH YUTIAN PAN O 1' DONGNI XU LOT 25 \ o QQ. BROWN CLAY CH EL. 10.4' 1.2' 0. E D WA7ER IN BROWN j� s�T Q�G' J CLAY CH O 0J G 42' 01 \ o�,o�'��G ,�oQ o o�� /► CURB END WA7ER IN PALE BROWN o.s'W ���' G� `✓ FINE TO MEDIUM SAND SP FE.END 0.2'E 48' NOTE., WATER ENCOUNTERED 1.2' BELOW SURFACE / KEY SEPTIC LOCH 77ONS ` 0 = REBAR A B �o ® = WELL 1/A OWTS 25.5' 36' °°a ♦ = STAKE DI ST.BOX 36.5' 45' = TEST HOLE NEW 0 • = PIPE L G 1 42' 41' �P�� J•Fz? ■ MONUMENT 35.5' 33' AREA= 12, 872 SO. FT LG2 LINE ALONG BULKHEADA CIA ' .�' ' = WETLAND FLAG I � °• �, = UTILITY POLE LG3 48.5' 39' o°o .. I am familiar with the STANDARDS FOR APPROVAL AND CONS7RUC71ON OF SUBSURFACE SEWAGE uN• DISPOSAL SYS7EMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. LOT NUMBERS REFER TO "MAP OF GREENPORT SHORES, SEC77ON ONE" FILED IN THE Y.S LIC. NO. 49618 SUFFOLK COUNTY CLERK'S OFFICE ON JUNE 29, 1950 AS FILE NO. 1759. "0404-LIC. NO. 051132-01 ELEVA77ONS REFERENCED TO NA VD 88 PECONIC SURVEYORS, P.C. ANY AL7ERA770N OR ADD17ION TO 7HIS SURVEY IS A WOLA77ON OF SEC77ON 7209OF TIVE NEW YORK (631) 765-5020 STA7E EDUCA77ON LAW. EXCEPT AS PER SEC71ON 7209—SUBDIVISION 2. ALL CER77FICA71ONS HEREON ARE 1230 TRAVELER STREET VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL SOUTHOLD, N.Y. 11971 19-017 OF 7HE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. Ljuxz.ABETH GARDNER. 1665 SHORE D E.GREENPORT R f mil+ J Figure 1. Aerial view of'subject properttil and adjoining waterfront homes(pier line added in yellow). linage bV Google Earth,2021. ram" n.. Figure 2. Looking northwest front shoreline toward waterside of existing dwelling and location of proposed 2nd floor addition and balcony(left). Li ir,ABETH GARDNER, 1665 SHORE D E,GREENPORT nlll Xf war r 1 Figure 3. Looking north along Pipes Cove shoreline over existing 10 foot non-turf buffer to be maintained. !IU Figure 4. Looking southeast at front of existing dwelling and locations of proposed porch addition (center)and 2nd floor addition over garage(right). t \vmw- IRS- 5 \ cii\ \ i "N"MA ggg avv \vv - \•a `S. \' °•a,'� ,'• a : r f u i M COUNTY OF SUFFOLK:J r T CE —�— ..:.A: Real PropernyT 4 ice Agency VY �. cec naf�x; E sn_y_—— — emu. �.r,.w w xr t,r. a..d. �1,•N�. W, aarry u wv swwoaiEo M of SOUTNMD r rw I � W F0.t Y A »rHart v�artBr+BNUN ar nE p x taw /��7 ' m' �_•`�•• ruNE a OFFICE LOCATION: I� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CA Southold, NY 11971 Telephone: 631 765-1938 c utm, 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: July 13, 2026 Re: LWRP Coastal Consistency Review Gardner Addition, SCTM #1000-47.-2-30 This application is to construct onto existing 1,424 sq. ft. single-family dwelling a cantilevered second-floor addition with a 1'x19' overhang over approximately 496 sq. ft. portion of existing first floor to remain, and a 4'x8' balcony; in place of existing entry steps construct a 40 sq. ft. covered entry porch addition with steps; reconnect renovated roof to existing stormwater drywell; and to maintain the existing 10' wide non-turf buffer along the landward edge of the bulkhead. 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 ecosystem. 6.2 Protect and restore Significant Coastal Fish and Wildlife Habitats. A. Protect Significant Coastal Fish and Wildlife Habitat values from uses or activities that would. 1. Destroy habitat values associated with the designated habitat through: a. direct physical alteration, disturbance, or pollution, or b. indirect effects of actions, which would result in a loss of habitat. 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 The proposed lot has the wetland boundary of Pipes Cove which is a designated Significant Coastal Fish and Wildlife Habitat. The proposed action is consistent with Policy 6.2A because the proposed action does not change the building footprint of the dwelling on the already nonconforming parcel, minimizing development and protecting this designated habitat. 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 f ,o Town Hall Annex A.Nicholas Krupski,Vice Presidents y 54375 Route 25 °` P.O. Box 1179 Eric S'epenoski l iC Southold,New York 11971 Liz Gillooly G Q Telephone (631) 765-1892 Elizabeth Peeples y� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application , E G E I V, �` :W:Wetland Permit Application` Administrative Permit AmendmenttTransfer/Exten�siioon,, JUN 5 2�26 Received Application: Received Fee: $ b _ 11i" ► Southo►dbWn Completed Application: — Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): __�_LWRP Consistency Assessment Form Sent: 2-SO CAC Referral Sent: ]�- _Date of Inspection: o Receipt of CAC Report: , _Technical Review: _ Public Hearing Held: -�1 Resolution: Owner(s) Legal Name of Property (as shown on Deed): Elizabeth Gardner Mailing Address: 2932 Davis Street, Oceanside, NY 11572 Phone Number: Suffolk County Tax Map Number: I 000 -47-2-30 Property Location: 1665 Shore Drive, Greenport on the bayside of Shore Drive, located ±550'west, ±1280' south, and ±1675' southwest of Silvermere Road. (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): Robert E. Herrmann, En-Consultants Mailing Address: 1319 North Sea Road, Southampton, NY 11968 Phone Number: 631-283-6360 Email:egard727@gmail.com 100r/AG Project Description for Elizabeth Gardner 1665 Shore Drive Greenport, NY 11944 1000-47-2-30 Construct onto existing 1,424 sf single-family dwelling a cantilevered 2"d floor addition over approximately 496 sf portion of existing first floor to remain (plus 1'x 19' overhang),with a 4'x 8' balcony,and a 40 sf covered entry porch addition with steps(in place of existing entry steps); reconnect renovated roof to existing stormwater drywell;and maintain existing 10-foot wide non-turf buffer adjacent to bulkhead,all as depicted on the site plan prepared by Mark Schwartz&Associates dated June 3, 2026. rd of Trustees Applicatic - GENERAL DATA Land Area(in square feet): 12,872 sf Area Zoning: R-40 Previous use of property: Residential, Single-family dwelling Intended use of property: Same, with dwelling additions and alterations 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 Jallo 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. TT is project r=No y demolition as per Town Code or as determined by the Building Dept.? Yes Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date Trustees Wetlands #5466 12-21-2001 Trustees Wetlands #6829 2-27-2008 Trustees Wetlands#7476 2-17-2011 Trustees Wetlands #7833 6-20-2012 Admin. Wetlands #2552A 10-16-2019 ELNo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_a No_Yes If yes, provide explanation: Project Description(use attachments if necessary): See attached. l rd of Trustees Applicatic ' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a 2nd floor master bedroom addition and associated balcony; and a covered entry porch addition to existing dwelling. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: +/_45' feet Closest distance between nearest proposed structure and upland edge of wetlands: +/- 62' feet r Does the project involve excavation or filling? z No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): See attached addendum. Statement of Effect for Elizabeth Gardner 1665 Shore Drive Greenport, NY 11944 1000-47-2-30 The proposed project would add a 2"d floor master bedroom addition and porch to an existing 1.5 story single-family dwelling fronting Pipes Cove in Greenport. The majority of the 2"d floor addition will be located within the dwelling's existing 15t floor footprint,with only a minimal increase to the overall dwelling footprint as a result of the new porch. Lot coverage would thus be increased only by 91 sf or less than 1 percent. The 2Id floor addition will also be set back from wetlands almost 20 feet farther than the existing waterside of the dwelling,and well landward of the pier line formed by the adjacent houses. And the septic waste associated with the expansion from a 3 to 4-bedroom dwelling would be accommodated by the existing,Suffolk County Dept.of Health Services-approved,4-bedroom, I/A sanitary system. Nonetheless, to further ensure against potential environmental adverse impacts, mitigation measures are included in the design, including reconnection of the renovated roof area to an existing stormwater drywell; installation of project limiting siltation fencing to contain potential runoff and site disturbance during construction; and permanent maintenance of the existing 10-foot wide non-turf buffer adjacent to the bulkhead,which will continue to mitigate potential runoff and serve as a sink and filter for contaminants adjacent to the waterway.Therefore,consistent with the standards for permit issuance set forth in Section 275-12,the proposed dwelling additions,with the associated mitigation measures,will not adversely impact the adjacent wetlands or surface waters of Pipe's Cove. 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 l 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: Gardner Addition Project Location(describe,and attach a location map): 1665 Shore Drive, located ±550'west, ±1 280'south, and ±1675' SW of Silvermere Rd. Brief Description of Proposed Action: Construct onto existing 1,424 sf single-family dwelling a cantilevered 2nd floor addition over approximately 496 sf portion of existing first floor to remain(plus l' x 19' overhang),with a 4' x 8'balcony,and a 40 sf covered entry porch addition with steps(in place of existing entry steps);reconnect renovated roof to existing stormwater drywell;and maintain existing 10-foot wide non-turf buffer adjacent to bulkhead,all as depicted on the site plan prepared by Mark Schwartz&Associates dated June 3,2026. Name of Applicant or Sponsor: Telephone:516_567-4994 Elizabeth Gardner E-mail:egard727@gmail.com Address: 2932 Davis Street City/PO: State: Zip Code: Oceanside Greenport 11572 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 Z ❑ 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: Z ❑ 3.a.Total acreage of the site of the proposed action? 12,872 sf b.Total acreage to be physically disturbed? c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 12,872 sf 4. Che 1 land us at occur on,adjoining an ar the prop9=4action. Urban I:jRural(non-agriculture) Industrial Commercial ©Residential (suburban) Forest [:]Agriculture Aquatic ❑Other(specify): F401 Parkland Page 1 of 4 5. Is the proposed action, NO YES I 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: Name:Peconic Bay and Environs, ReasonTrotect public health, water, ❑ 2 vegetation, &scenic beauty, Agency:Suffolk County,Date:7-12-88 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or nearthe site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �/ FT 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 forproviding 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 YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? © ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14 ntify the typic bitat types that oc n,or are likely to be found on the-project site. Check all that apply: Shoreline 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? ❑ Z 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? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ONO DES b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes, briefly describe: rTO �1'ES Page 2 of 4 i I 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: Z ❑ 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: Z ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE l` Applicant/sponsor n abert E. Herrmann Date: 01 g —0-c a6 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 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? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El 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, a architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 r f - 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? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i JO�1 151'� OR O�� STIRLINs SOUNO U8 p0 Inlet.Pt popt1 o � c Q Z Inlet r U - Pond Inlet Point W County Park W C`, Silver Lake 48 R„ E Tax a Koa VH Trailer reenport Park S Te have ar ® ise c U fi1Nf ST` ad �LL �an" ®off 1 48 GREENPORT WEST 25 Pipes Cove Fanning 0p y Nashemom�ek T 5ite C Access via subject p� no property) e Haslramomuck . m 5uffdk Canty Hagstrom Pond Map#50 Xu ea+ I" -2000' S Park F' w+ O a wls J. 1 i ru �tacv,�ze"�' .fi; q `�`akN rh '.�.v' ?.1.�.: -:3..-;"'3+: 1c` k T "-�,.• �?:t•' y� .b FJ:..'�.... 4"" +1. fiw�rL >mein i"GXitr'5aaLfi��:m r., W E '.r� ? �.c..:54'^``h'1, 11 cd of Trustees ApplIcatic .AFFIDAVIT Elizabeth A. Gardner 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. � Tdl NIA ,911goture of PropoXy Owner Signature of Property Owner Elizabeth A. Gardner SWORN TO BEFORE ME THIS DAY OF '�4 p r, / , 20 ublic JORGE PAGAN Notary Public,State of New York Reg.No.01 PA6405160 Qualified in Kings County Commission Expires March 02,202 B, 'd of Trustees Applicatioi AUTHORIZATION (Where the applicant is not the owner) I/We, Elizabeth A. Gardner ; owners of the property identified as SCTM# 1000- 47-2-30 in the town of Southold New York,hereby authorizes En-Consultants 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. a N/A op Owner's ature Property Owner's Signature Elizabeth A. Ga finer SWORN TO BEFORE ME THIS._DAY OF 4 r-i t , 20 2�6 JORGE PAGAN Notary Public,state of New York No blic Reg.No.01PA6405160 Qualified in rings County Commission Expires March 02,202_ APPLICANT/AGENT/REPRESENTAIM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to arovide inforination which can alert the town of possible conflicts of inicrest'and allow it to take whateveraction is necessary to avoid same. YOURNAME: Gardner, Elizabeth A. (Last name,first name,spiddle 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 Tice x Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you persbnally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest,means a business, including a.partnership.in.which the town officer or employee has even a partial ownership of.(or employment by)a corporation in which the town officer or employee owns more then.5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name ofpcmn 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 prodided. 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 appliwt � (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 2(1 L Signature G� Print Name Elizi6eth A.Gardner'; Form TS 1 AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose 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•• Robert E. Herrmann (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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 applicanttagenttrepresentative)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 that 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 y of TWJY ,20 26 Signature Print Name Robert E. Herrmann E I I I i NOTICE TO ADJACENT PROPERTY OWNER k F, BOARD OF TRUSTEES TOWN OF SOUTHOLD 3 026 In the matter of applicant: tri�>I�a`[i�v�n -` Oo:irr• cif 7i F 'F:w'' 1000-47-2- Elizabeth Gardner SCTM# - YOU ARE HEREBY GIVEN NOTICE: 1.That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct onto existing 1,424 sf single-family dwelling a cantilevered 2nd floor addition over approximately 496 sf portion of existing first floor to remain (plus 1' x 19' overhang), with a 4' x 8' balcony, and a 40 sf covered entry porch addition with steps (in place of existing entry steps); reconnect renovated roof to existing stormwater drywell; and maintain existing 10-foot wide non-turf buffer adjacent to bulkhead, all as depicted on the site plan prepared by Mark Schwartz &Associates dated June 3, 2026. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1665 Shore Drive, Greenport 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:Wed., July 15, 2026 @ 5:30pm; Town Hall Meeting Room 53Q95 Main Road, Southold 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. Elizabeth Gardner PROPERTY OWNERS NAME: 2932 Davis Street MAILING ADDRESS: Oceanside, NY 11572 PHONE #: 516-567-4994 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM #1000-47-2-29 11 Hillcrest Drive Robert & Lauren Eicher Pelham Manor, NY 10803 SCTM #1000-47-2-31 245 Crabapple Road Yutian Pan Family Trust Manhasset, NY 11030 Dongni Xu Family Trust SCTM #1000-45-5-7.3 PO Box 1179 Town of Southold Southold, NY 11971 i I 20,,26 a evCTUif)t:i($ STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the 1st day of July ,20-26L, 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 at Southampton , that said Notices were iled to each of said persons by (certified)(wgNgOe mail. Robert E.Herrmann J Coastal Managment Specialist Sworn to bet rg me this day of - ,20 JJP KIM H. STEPHENS Notary Public-State of New York No.01 ST5015931 J r� Qualified in Suffolk County ¢ My Commission Expires August 02,20r41 . o a P u b4 c Mi C- r-q "" F Ir I) FICIAL, USE r,.- Certified Mail Fee Ln $ Extra Services&Fees(check box,add fee as appropriate) El Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ Postmark []Certified Mail Restricted Delivery $ Here ❑Adult Signature Required $ nj Lr) ❑Adult Signature Restricted Delivery$ Postage C3 $ r9 T C3 Ir Robert&Lauren Eicher CO < .................. 11 Hillcrest Drive Pelham Manor,NY 10803 Ln all= M Lr) R A I Fa 1— a Certified Mail Fee j U Ln OasExtra Services&Fe (check box,add fee as appropriate) ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ Postmark CO ❑Certified Mail Restricted Delivery $ Here I"- E]Adult Signature Required $ rU []Adult Signature Restricted Delivery$ Ln Postage M $ Tot $ E3 Y Pan Family Trust Set D Xu Family Trust Ir ....... ....... ro 245 Crabapple Road Ln ............... Ir Manhasset,NY 11030 Ln 1--1 M jjj=j!'j;i:@IIj; Er (&,41 F E L Certified Mail Fee Ln $ [:3 Extra Services&Fees(check box,add fee as appropriate) E]Return Receipt(hardcopy) $ E:3 []Return Receipt(electronic) $ Postmark ❑Certified Mail Restricted Delivery $ Here rU E]Adult Signature Required $ Lr) E]Adult Signature Restricted Delivery$ Postage C3 C3 r-I $ Total Post r%- C:I $ Tent-To Town of Southold a- CO Sfreef and PO Box 1179 Ln Ir Southold,NY 11971 NOTICE TO ADJACENT PROPERTY OWNR l s_' BOARD OF TRUSTEES, TOWN OF SOUTHOLD r JUL In the matter of applicant: Elizabeth Gardner SCTM# 1 Q0©-42Q0,L, , .,a YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct onto existing 1,424 sf single-family dwelling a cantilevered 2nd floor addition over approximately 496 sf portion of existing first floor to remain (plus 1' x 19' overhang), with a 4' x 8' balcony, and a 40 sf covered entry porch addition with steps (in place of existing entry steps); reconnect renovated roof to existing stormwater drywell; and maintain existing 10-foot wide non-turf buffer adjacent to bulkhead, all as depicted on the site plan prepared by Mark Schwartz &Associates dated June 3, 2026. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1665 Shore Drive, Greenport 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: *Note updated meeting location DATE:Wed., July 15, 2026 @ 5:30pm; Peconic Community Center, 1170 Peconic Lane, Peconic 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. Elizabeth Gardner PROPERTY OWNERS NAME: 2932 Davis Street MAILING ADDRESS: Oceanside, NY 11572 PHONE #: 516-567-4994 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road, Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. LS�ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY 0 Corrlplete items 1, "Sign''''' ❑Agent III Print your name an a cress on the reverse so that we can return the card to you: ❑Addressee W Attach this card to the back of the mailpiece, (Printed Name f C. to of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Item 1? E7 Yes If YES,enter delivery address below: ❑No Y-Fan Family Trust D Xu Family Trust 3. Service Type ❑Priority Mall Express® 245 Crabapple Road ❑Adult Signature ❑Registered Mall- 0 Adult Signature Restricted Delivery ❑Registered Mall Restricted Manhasset,NY 11030 ertifiedWHO Delivery Q Certified Mail Restricted Delivery 0 Signature Conflrmation'"r ❑Collect on Delivery ❑Signature Confirmation 2 - — ... n4,.r,,,,nenvery Restricted Delivery Restricted Delivery 9589 0 710 5270 4057 9153 45 3stricted Delivery t (over sauo) } PS Form 3811,July 2020 PSN 7530-02-000.9053 Domestic Return Receipt TE THIS SECTION ON DELIVERY COMPLE SENDER:COMPLETE THIS SECTION i: ■ Complete items 1,2,and 3,'� 1 A. Signat ■ Print your name and address,on thflyr Orse ❑Agent so that we can return the caPd to you. a�'1 [3 Addressee 6. R eived by(Pd ed Name] Data of Delivery, ■ Attach this card to the back of the mailpiece, t, ��43 d or on the front if space permits. Ova 1. Article Addressed to: D.is delivery address different from itt 1?;r' If YES,enter deliverya(ddress b hf , W s � s Robert&Lauren Eicher I 1 Hillcrest Drive 3. Service Type rily,Mail Exprosso ❑Adult SlgnaltSre gEstorCvQettr"' ❑Adult Sfgnaiuro Restricted DoPelham Manor,NY 10803 ty gVatoroBVfa11 Hoslrictecf r34WIlled Mail® ry Q Certified Mail Restricted Delivery 0 Signature Confirmation",J ❑Collect on Delivery 0 Signature Confirmation Delivery Restricted Delivery Restricted Delivery 2. 9589 0710 5270 4057 9137 ^47 Restricted Delivery over y� PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Robetpt COMPLETESENDER:COMPI-ETE THIS SECTION III II III SECTIONON ■ Complete items 1,2,and J. A. Sig re ■ Print your name and address on the reverse (} - .�"A9ent so that we can return the card to you. txx^_ ❑Addressee ■ Attach this card to the back of the mailpiece, R Re ed by( rInted Name) C.D of livery or on the front if space permits. L ' G vi I;Z( 1. Article Addressed to:, D. is delivery address different from item 1? 13 Yes If YES,enter delivery address below: ❑No Town of Southold PO Box 1179 3. Service Type ❑Priority Mall Expresso ❑Adult Signature ❑Registered MallTM Southold,NY 11971 ❑Adult Signature Restricted Delivery ❑Reggfstered Mall Restricted Certified Mail® Delivory ❑Certified Mall Restricted Delivery ❑Signature ConfirmallonTm 0 Collect on Delivery ❑Sign Ronfirmalion ' nn,.11--Delivery Restricted Delivery Rest, 9589 0 710 5270 4057 9137 54 tll Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt Glenn Goldsmith, President J.; �%UFfotrf,`-- Town [fall Annex A.Nicholas Krupski, Vice President �``� Z 54375 Route 25 Eric Sepenoski <r P.O. Box t 179 Liz Gillooly N, Southold,NY 11971 Joseph Finora y�yWow ` Telephone(63 l)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD IC, BOARD OF TRUSTEES: TOWN OF SOUTHOLD -------------------------------------------------------------- vv __ -- Fn ffi—e Matter oft e Aplrcatron of-- I .. .. ELIZABETH GARDNER W�Wlwnn_ COUNTY OF SUFFOLK SO oar(]o7 unt o STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ONEIGHTH DAY OR LATER 1 Robert E. Herrmann ,residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the 7th day of July 2026 , 1 personally posted the property known as 1665 Shore Drive, Greenport; SCTM#1000-47-2-30 by placing the Board of Trustees official noticing poster where it can easily be seen from the 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,July 15,2026. Dated: (signature) Sworn to before me this 15th day/of July 2026 KIM H. STEPHEr•i < _ Notary Public-State of New vo* No. 01 ST5015031 Notary Public � Qualified in Suffolk County nG My Commission Expires August 02,20�1 1 , NOTICE 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: ELIZABETH GARDNER SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct onto existing 1,424sq.ft. single-family dwelling a cantilevered second-floor addition with a 1'x19' overhang over approximately 496sq.ft. portion of existing first floor to remain, and a 4'x8' balcony; in place of existing entry steps construct a 40sq.ft. covered entry porch addition with steps; reconnect renovated roof to existing stormwater drywell; and to maintain the existing 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1665 shore Drive, Greenport. SCTM# 1000-47-2-30 TIME & DATE OF PUBLIC HEARING: Wednesday, July 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 siufi�cant 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# 47 _ 2 _ 30 PROJECT NAME Gardner Addition The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ I. 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: Z Nature and extent of action: _ See attached. i LWRP Addendum for Elizabeth Gardner 1665 Shore Drive Greenport, NY 11944 1000-47-2-30 Policies 5&6: The proposed project would add a 2"d floor master bedroom addition and porch to an existing 1.5 story single-family dwelling fronting Pipes Cove in Greenport. The majority of the 2"d floor addition will be located within the dwelling's existing 11 floor footprint,with only a minimal increase to the overall dwelling footprint as a result of the new porch. Lot coverage would thus be increased only by 91 sf or less than 1 percent. The 2"d floor addition will also be set back from wetlands almost 20 feet farther than the existing waterside of the dwelling, and well landward of the pier line formed by the adjacent houses. And the septic waste associated with the expansion from a 3 to 4-bedroom dwelling would be accommodated by the existing,Suffolk County Dept.of Health Services-approved,4-bedroom, I/A sanitary system. Nonetheless, to further ensure against potential environmental adverse impacts, mitigation measures are included in the design, including reconnection of the renovated roof area to an existing stormwater drywell; installation of project limiting siltation fencing to contain potential runoff and site disturbance during construction;and permanent maintenance of the existing 10-foot wide non-turf buffer adjacent to the bulkhead,which will continue to mitigate potential runoff and serve as a sink and filter for contaminants adjacent to the waterway.Therefore,consistent with LWRP policies 5 and 6,the proposed dwelling additions,with the associated mitigation measures,will protect both water quality and the quality and function of the surrounding tidal wetlands ecosystem. Location of action: 1665 Shore Drive, Greenport Site acreage: 12,872 sf Present land use: Residential, single-family dwelling 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: Elizabeth Gardner (b) Mailing address: 2932 Davis St. Oceanside, NY 11572 (c) Telephone number: 516-567-4994 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 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 ❑✓ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary- NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria ❑ 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 See attached addendum 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. 0 Yes ❑No ❑ Not Applicable See attached addendum 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 W] 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 Z 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 0 Not Applicable Attach additional sheets if necessary • 1 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 Z 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 0 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 PREPARED BY TITLE Coastal Management specialist DATE 5-26-2026 Robert E. Herrmann EN-CONSULTANTS June 4,,2026 ® (� WE Town of Southold Board of Trustees JUN — 5 2028 54375 Main Road Post Office Box 1179 Southold Town rt Southold,New York 11971 Board of Trustees Re: Elizabeth Gardner 1665 Shore Drive,Greenport SCTM#1000-47-2-30 Dear Board of Trustees: In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1. Wetland Permit Application Checklist 2. Four(4)Wetland Permit Applications including: a) Authorization&Affidavit Forms; b) Applicant/Agent/Representative Transactional Disclosure Forms; c) Short Environmental Assessment Form; d) LWRP Consistency Assessment Form. 3. Site plan prepared by Mark Schwartz&Associates, last dated June 3,2026. 4. Architectural plans prepared by Mark Schwartz&Associates, last dated March 9,2026. 5. Survey prepared by Donald J.Metzger, last dated December 20,2021. 6. Three(3)sets of site photographs. 7. Application fee of$1,250.00. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sinc r , Ro r .Hemnann Coastal Management Specialist /tcr ' Enc. Y 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting