HomeMy WebLinkAboutTR-10989 Glenn Goldsmith,President �0 COG Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
Eric Sepenoski y z P.O.Box 1179
Liz Gillooly Southold,NY 11971
Joseph Finora A Telephone(631)765-1892
r
1 � Fax(631)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
1 st day of construction
constructed
)< Project complete, compliance inspection
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BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 10989 DATE: JULY 15, 2026
5
ISSUED TO: PATRICIA BOGEN REVOCABLE TRUST
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PROPERTY ADDRESS: 375 OLD WOOD PATH, SOUTHOLD42
_
SCTM# 1000-87-1-3.3 Jf X
...
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in K
.. �� •'�"'"--� J.' -tea'l'
j 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 PATRICIA BOGEN REVOCABLE TRUST
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 demolish and remove existing two-story dwelling with waterside
ee deck and covered porch, accessory garage,shed and brick oven; existing 181x36'
swimming Pool and 722sq.ft. brick pool patio to remain; construct a new 1353s •f.
two-story, single-family dwelling with attached garage and a covered porch; a 379sq.ft.
free-standing (structurally independent)waterside deck with steps; a 322sq.ft. grade- Qe
level permeable patio; install a permeable gravel walkway in place of existing brick
walk; replace existing septic system with an I/A OWTS sanitary system landward of '-
. dwelling; install a stormwater drainage system including a pool drywell; and to n s;
1
establish and perpetually maintain a 10' vegetated non-turf buffer measured from the
seaward toe of the existing berm (and continued linearly to the north and south
property lines) and to establish and perpetually maintain a non-disturbance buffer
area between the 10' vegetated non-turf buffer and tidal wetlands boundary; all as
,,. depicted on the site plan prepared by Kenneth M. Woychuk Land Surveying,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, s,b
and these presents to be subscribed by a majority of the said Board as of the day and year written above.
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TERMS AND CONDITIONS
The Permittee Patricia Bogen Revocable Trust, 375 Old Wood Path Southold 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.
S.C.T.M. N0. DISTRICT: 1000 SECTION: 87 BLOCK: 1 LOT(S):J.3
NYS DEC NYS DEC
TOWN OF SOUTHOLD EXISTING LOT COVERAGE PROPOSED LOT COVERAGE
LOT COVERAGE ADJACENTAREA:10,475 S.F. ADJACENTAREA:10,475 S.F.
BUILDABLE LAND:15,667 S.F. (wetland boundary to NAVD88 elev 10 contour) (wetland boundary to NAVD88 elev 10 contour)
LAND N/F OF
DWELLING 907 S.F. DWELLING 42 S.F. EXIST.POOL:648 S.F. SCOTT 0 KEIL
REAR DECK:300 S.F. REAR DECK W/STEPS:330 S.F. EXIST.BRICK PATIO:722 S.F.
GARAGE:497 S.F. GARAGE:497 S.F. DWELLING
SHED:146 S.F. SHED:146 S.F. 1370 S.F. or 13.1% W/PUBLIC WATER
POOL:648 S.F. POOL:648 S.F. PROP.FREESTANDING DECK WISTEPS:379 S.F.
2498 S.F.or 15.9% POOL PATIO:722 S. p{ � RTP.t.0 PROPOSE IDWELLING:120 S.F.
BRICK WALKS: 72 F. A PRO°1�,i� �� °
STOOPS&BILCO: 72 S. 1869 S.F.or 17.8/°
PROPOSED TOWN OF SOUTHOLD 2688 0
LOT COVERAGE S.I.. .or 25.7/o!]OARD OF i RUSTEES
D �
BUILDABLE LAND:15,667 S.F. CD
TOW�!'•OF SOUTHOLD 2
PROP.HOUSE/GARAGE w/PORCH&DECK:1940 S.F. '�
(W12.5'OVERHANG) POOL:648 S.F. pO
2588 S.F.or 16.5% -
/ <: 16 ;
TIDAL WETLANDS BOUNDARY j
`♦` �� AS DELINEATED BY
EN-CONSULTANTS
/ ' '♦� 09-10-2025
WELL // ^♦�
DWELLING / ;' �``�
W/WELL WATER
OVER 150' Bp, C�
♦` c�c f `♦ AREA BETWEEN PROPOSED 10'VEGETATED la•
/ ` ' `♦� / NON-TURF BUFFER AND WETLANDS BOUNDARY
/ ``♦ i TO REMAIN AS NON-DISTURBANCE BUFFER /' I
/ PROPOSED 10'WIDE VEGETATED NON-TURF BUFFER
/ TO BE REMOVED r
/ + XXx
/ x
ZONE I + x.K' x j
/ 0.2%CHANCE ANNUAL FLOOD I /o"/2'•�?•?'x XN'xXXz z X ELEV. 11.4
/ I + �c� /'•::': X X X ` MIXED GRAVE
/ X X SAND LOAM
/ DWELLING DGE xX ..XX
W/WELL WATER 6' LAWN X. x BROWN
XA?,�FQ SM SILTY SAND
LAND N/F OF / X Xxxx x XX X 3
N` DOUGLAS JACOBS 20 ZONEAE x, XXXX'X`zix XX N
��\ (EL 6) �p4 'X X °�cF SID BROWN
^♦ i ♦ Q� 5'S 2 FINE
// `♦`v, '^`♦ \``♦ foBF cF9P9 C, b/ 6Q ��G\ 2V<v SAND 99_61
< `♦ `♦ T OFIJp SF 4•p /0� �O\ �� l WATER EL 1.8
♦♦r !/S / /O �Yq �P (v Iv WATER IN
0 BROWN
FINE
O�FR� /
<♦\ f' 0 /' i o l♦ + SAND
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of `♦ � . c p••::•:.
\♦`♦ \`♦ i�Q��/' O�F9,o o\ ♦`♦`+ GPZE• •. �:•:•:/8�0lG'1'O'':::.; 100'setback
F \`♦``♦`�' G�� ZONEX A j si 6� •::;:
�`♦`\ // PROP.GRAVEL WALK 2 c�AgTi'
0 �61 AUG.27,2025 — 17'
OPROPA/G LP GAS TANKS ♦$P�GpgO• 11 69�5
PROPOSED MCDONALD GEOSERVICES
.a�.�v
DRYWELLS/DRAINAGE ;.\� �e\� a, cqr� I LAND N/F OF
WELL
DESIGN BY tV %' ;::::; .`ti. �' FRF JACQUELINE R HOLLANDER
S.L.MARESCA&ASSOCIATES O + /,� ::;:::•�o• /s ,� "'o
LIVING TRUST
85' oil + % ti::•::...... ...:. 1T ��. gPFy�cc
�p �`:::::: pv� . F.. .�, I or DWELLING
�q ` �;::•:•::•4:`�, � o ♦ \;. � /sT�y WIPUBLIC WATER
x �;'::: '::3• ���ot �� Pgq ��y 150,
9 U.P. > x x x y os:::•.o•.:;\ y�C, �cF�F VACANT
o .:•:•:•:•:.. /y "F .. :•
F! R o �9 9so 150,
* /x •�x x x x �� : y�ti??, .: \ ` EXI T.SANITARY 4S
p,/ x x x i0 L 'O;:'•'.:.:J:::..:::.....•::.:•, .;. ` TO BEABAN ONED AND BACKFILLEO
s• x x �. x x x W°' op : ... ....
x x x x x xi ::::.....:
x x�c x x x P,�; ti 'A...........:.:::..•.: \!S, 3'W
x,`'c x x x x x w�p e4'P° h�'7.':•:::::.:.:.:.:.::'ry0°•p/ `♦
DWELLING x x I�� 5� ,p.:`'::::`,:' `♦
o' CP
W/PUBLIC WATER xxx ♦\
150' oQ. q
`PAO t .2 N c �� C i F s DWELL RAMS5`♦
FFL 12.3 ♦`♦
PROP.PERMEABLE GRAVEL FOG, O TO BE DEMOLISHED ♦♦0`�9l
DRIVEWAY W/STONE CURB c�0 OO 0
TO REPLACE EXISTING
VACANT 2r O� OF ! !c °~l� `�♦`�
150,
A•� o !� U.P. .. �`.
PROPOSED ��i-9s) 'By i \</"
I/A SANITARY SYSTEM 6' 2! `♦
SEE PLANS BY
7 \k REVISED 07-12-26
S.L.MARESCA&ASSOCIATES IRRIGATION
FOR DETAILS \ WELL �`.� �`:�; REVISED 05-15-26
REVISED 04-10-26
REVISED 03-17-26
REVISED 02-16-26
THE WATE�SUPPLY,,4ELLS, DRYWELLS AND CESSPOOL
LOCATIONS S�VWN ARE FROM FIELD OBSERVATIONS
UPLAND AREA: 15,667 S.F. or 0.36 ACRES AND OR DATA 0)941NED FROM OTHERS
AREA:19663.26 Sq. Feet or 0.45 ACRES ELEVATION DATUM: NAVD_88 _______
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM 7HE SURVEY /S PREPARED AND ON HIS BEHALF TO THE TI7LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF 7HE LENDING INS7777J770N, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUfURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPER Ta' n(] ----� of NEW CERTIFIED TO: PATRICIA BOGEN REVOCABLE TRUST;
MAP OF: 1 ® E C E V �\A M �0�C,0
FILED: r s
SITUATED AT: SOUTHOLD JUL 15 2026 a
TOWN OF-SOUTHOLD ['=
KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YOR ``"}' Southold Town
";,.s.,,. <"" S 050882 J-q- Professional Land Surveying and Design
5 P.O. Box 153 Aquebogue, New York 11931
FILE #225-1 93 SCALE:1 "=30' DATE:OCT. 1 6, 2025 n N.Y.S. LISC. N0. PHONE (831)298-1588 FAX (631) 298-1588
050882
Glenn Goldsmith, President -``�Qf SOUjg, Town Hall Annex
Nicholas Krupski,Vice President ,`O� �l® 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly y
Joseph Finora � � Q Telephone(631) 765-1892
Fax (631) 765-6641
Coum,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 21, 2026
En-Consultants
1319 North Sea Road
Southampton, NY 11968
RE: PATRICIA BOGEN REVOCABLE TRUST
376 OLD WOOD PATH, SOUTHOLD
SCTM# 1000-87-1-3.3
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 PATRICIA BOGEN REVOCABLE TRUST 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,
2
NOW THEREFORE BE IT,
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 PATRICIA BOGEN
REVOCABLE TRUST to demolish and remove existing two-story dwelling with waterside deck
and covered porch, accessory garage, shed and brick oven; existing 18'x36' swimming pool and
722sq.ft. brick pool patio to remain; construct a new 1,353sq.ft. two-story, single-family dwelling
with attached garage and a covered porch; a 379sq.ft. free-standing (structurally independent)
waterside deck with steps; a 322sq.ft. grade-level permeable patio; install a permeable gravel
walkway in place of existing brick walk; replace existing septic system with an I/A OWTS
sanitary system landward of dwelling; install a stormwater drainage system including a pool
drywell; and to establish and perpetually maintain a 10' vegetated non-tun`buffer measured from
the seaward toe of the existing berm (and continued linearly to the north and south property
lines), and to establish and perpetually maintain a non-disturbance buffer area between the 10'
vegetated non-turf buffer and tidal wetlands boundary; all as depicted on the site plan prepared
by Kenneth M. Woychuk Land Surveying, 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,
Glenn Goldsmith
President, Board of Trustees
SOUTHO,LD T,
RUSTEES
No.
Issued T
Mate
Address. S"TS 011
THIS NOTICE MUST BE DISPLAYED- DURING CONSTRUCTION
_TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
TEL: 765.1892
July 9, 2026
Board of Trustees
Town of Southold
53095 Main Road
Southold, NY 11971
Re: 375 Old Wood Path, Southold, NY
Patricia Bogen Revocable Trust
To Whom it May Concern:
We have known Patricia Bogen and her husband, Mark Wiesenfeld, for
approximately 18 years. They have been good and considerate neighbors and we
are very much in favor of their project. As our properties are adjacent and abut
the wetlands, their project will move their house landward, which will be
beneficial to the environment. In addition, by installing a new septic system, the
wetlands will be further protected. We have reviewed the plans for the proposed
project and we believe that the new home will enhance our block. We hope the
project will get its necessary approvals. Thank you for the opportunity to provide
our comments.
Sincerely,
Jacqueline and Harvey Hollander
485 Old Wood Path, Southold, NY
r
JUL
BRAD GIARDINO & HEATHER SCHER
240 Old Wood Path
Southold, NY 11971
July 8, 2026 Hill1 f
Southold Board of Trustees Jul cr y
53095 Main Road
Southold, NY 11971
Re: Proposed Project at 375 Old Wood Path, Southold
Dear Members of the Board of Trustees:
We recently received notification of the proposed project at 375 Old Wood Path, Southold.
We have been neighbors of Patricia Bogen and Mark Wiesenfeld since we moved into our newly
constructed home in 2022. They were very welcoming to us, and we consider them to be good
neighbors.
Old Wood Path is a private road with a very special character. Patricia and Mark showed
Lis their plans, and the proposed house fits nicely into the character of the neighborhood in both
size and design. As the property is situated on wetlands, the plans also appear to further protect
and preserve those wetlands.
We completely support this project and have no objection to the Trustees approving it.
Thank you for allowing us to provide our comments.
Respectfully submitted,
Brad Gia ino
Heather Scher
Southold Board of Trustees
53095 Main Road
Southold, NY 11971
Re: 375 Old Wood Path, Southold
Dear Ladies and Gentlemen:
My name is Jean Jacobs and I reside at 285 Old Wood Path. I have been a resident of Old
Wood Path for over 70 years. 1 have known Patricia and Mark since they moved next door over
25 years ago. When Patricia made a decision to move forward with this project, she came to me
to let me know what she was planning to do. She was being a good neighbor as she and Mark
have been over the years.
I am very much in favor of her desire to improve her property by rebuilding a new house.
We have an idyllic block with wonderful creek views. The enhancements on the property will
help preserve the wetlands and surroundings for many years to come.
I have absolutely no objections and I am completely for this improvement on Patricia's
property. If you have any questions, you can contact me.
Thank you.
JUL - 9 MT
E
_
Glenn Goldsmith,President ��O�QS�FFO(�-coGy Town Hall Annex
A.Nicholas Krupski,Vice President 1 54375 Route 25
0
Eric Sepenoski � ,?, P.O.Box 1179
Liz Gillooly y • O�� Southold,NY 11971
Joseph Finora ��! '1a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
�pp Field Inspection Report
Date/Time: Completed infield by: `:I� ��h
En-Consultants on behalf of PATRICIA BOGEN REVOCABLE TRUST requests a
Wetland Permit to demolish and remove existing two-story dwelling with waterside deck
and covered porch, accessory garage, shed and brick oven; existing 18'x36' swimming
pool and 722sq.ft. brick pool patio to remain; construct a new 1,353sq.ft. two-story,
single-family dwelling with attached garage and a covered porch; a 379sq.ft. free-
standing (structurally independent) waterside deck with steps; a 322sq.ft. grade-level
permeable patio; install a permeable gravel walkway in place of existing brick walk;
replace existing septic system with an I/A OWTS sanitary system landward of dwelling;
install a stormwater drainage system including a pool drywell; and to establish and
perpetually maintain a 15' wide vegetated non-turf buffer area along the landward edge
of the wetland boundary. Located: 375 Old Wood Path, Southold. SCTM# 1000-87-1-
3.3
Type 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: V Yes No Not Applicable
Info needed/Modifications/Conditions/Etc.: fgm—IS-ti kp4f pE!2:pveQ, Lg
�UVAM O M 0-rr NaN -rKgf L&DL4 Rfb
Present Were: VG. Goldsmith �. Krupski. ✓E. Sepenoski
L. Gillool \,�inora
S.C.T.M. N0. DISTRICT: 1000 SECTION: 87 BLOCK: 1 LOT(S):3.3
NYS DEC NYS DEC
TOWN OF SOUTHOLD EXISTING LOT COVERAGE PROPOSED LOT COVERAGE
LOT COVERAGE ADJACENTAREA:10,475 S.F. ADJACENTAREA:10,475 S.F.
BUILDABLE LAND:15,667 S.F. (wetland boundary to NAVD88 elev 10 contour) (wetland boundary to NAVD88 elev 10 contour)
DWELLING 907 S.F. DWELLING 42 S.F. LAND N/F OF
REAR DECK W/STEPS:330 S.F. EXIST.POOL:648 S.F. SCOTT 0 KEIL
497 T BRICK REAR DECK: S.F. EXIST. RCK PATIO:722 S.F.GARAGE: 97 S.F. GARAGE:497 S.F. DWELLING
SHED:146 S.F. SHED:146 S.F. 1370 S.F. or 13.1% WIPUBLIC WATER
POOL:648 S.F. POOL:648 S.F. PROP.FREESTANDING DECK W/STEPS:379 S.F.
2498 S.F.or 15.9% POOL PATIO:722 S.F. PORTION OF PROPOSED DWELLING:120 S.F.
BRICK WALKS:231 S.F.
STOOPS&BILCO: 72 S.F. 1669 S.F.or 17.8%
PROPOSED TOWN OF SOUTHOLD 2688 S.F.or 25.7% O
LOT COVERAGE
BUILDABLE LAND:15,667 S.F.
0
PROP.HOUSEIGARAGE wl PORCH&DECK:1940 S.F. 2
(W/2.5'OVERHANG) POOL:648 S.F. W O
2588 S.F.or 16.5% m
/ ^ TIDAL WETLANDS BOUNDARY
AS DELINEATED BY x
EN-CONSULTANTS x /
WELL / , /: �� 09-10-2025 x x
/ � Vxxx
DWELLING // ; �� ; elo� ; Q %x x >'
WIWELL WATER / �/ `��� <� c /x x x x x/ I O
OVER 150' 6O' gpycF , ``N\ / ,:X x x�
/ N xQe�a x /. I
/ TO BE REMOVED + . x%x/
rxxxl
ZONEIxxxx'
/ 1
/ 0.2%CHANCE ANNUAL FLOOD I p .SRC:: ' x x x x' ELEV. 11.4
/ ::::::
+ �c���'::•' �{x •� MIXED GRAVE
/ 1 / x x x•� SAND LOAM
DWELLING F
�x x
WMELL WATER E LAWDGEN
X x xx
x BROWN
x x SM SILTY SAND
^ LAND N/F OF / �\ 3. x x) 3-
DOUGLASJACOBS ?000 ZONEAE X/ x y /
(EL6) \o° tea`',x BROWN
i Q / .5S Oyu\ �<c SP
om FINE
N` /�` �\ Oe cq OO a d0 SAND
/' `` -0 ° // 4 o/C, �/C/f�Lq�y9\ WATER IN WATER EL 1.8
Q BROWN
(; / FI�C // // o\\ �c \ I rFINE x /
`\ :":::�.;:•::•.. SAND
E, `. p i '00of z `� :.`:'• o0 oy'::':. 100'setback
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PROP.GRAVEL WALK '0 — 17'
PROP A/G LP GAS TANKS + r �F tic�9p qT/ I �� o�, AUG.27,2025
PROPOSED 1 ° 6 MCDONALD GEOSERVICES
DRYWELLS/DRAINAGE :•�\� A� e� o`,i'^ ogrF' LAND N/F OF
WELL DESIGN BY tc ° ::::::::;::; `�\ti. \' FRF JACQUELINE R HOLLANDER
S.L.MARESCA&ASSOCIATES O + / :'•:Bp•�, isT �� ; k Rio
% / LIVING TRUST
85' or) + � .`1�:':•:':':i':i':':: ;.... \f/sT \�'( '?~ \�� ,1k` • 9A�'o✓
DWELLING
7
+ �? x�" °Q ::::`.::•,4' c,� ° •• '��" °/s�'�� WIPUBLIC WATER
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Xv U.P. / :; x x F o..qs o0.... ?p•.:;\ `,/ 1 ��FOF VACANT
2 X X X O •yip. ". F�F�F sF:. .::::.`\ \ l9 �s
S c x x x ! l!,Py/Q::.:': EX
T.SANITARY 9p4 150'
' ` TO BE ABA N ONED AND BACKFILLED
i x x. x x op i:.::::::: '':::
x x 7�re. x Ko P,hj�� y ..::..::::.....:::::::•. �JS, 3 W
DWELLING x x x x x'S!'
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ROP.PERMEABLE GRAVEL gyp, O �O h� FFL 12.3
DRIVEWAY W/STONE CURB c° TO BE DEMOLISHED
TO REPLACE EXISTING OG'FO Q�' O00 /a Q
VACANT TA9� \``1`
150' O
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A !c U.P. `.
PROPOSED q?'�i-9s
IIA SANITARY SYSTEM
SEE PLANS BY �4- °FC�
S.L.MARESCA&ASSOCIATES 2
FOR DETAILS n �_' `� REVISED 05-15-26
' °�FR� REVISED 04-10-26
f ll,�c REVISED 03-17-26
Lji (� �' REVISED 02-16-26
JUN 5 2026 THE WATER`SUPPLY,„'KNELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
UPLAND AREA: 15,667 S.F. or 0.36 ACRES AND OR DATA 6N 4INED FROM OTHERS.
AREA:19663.26 S Feet or 0.45 ACRES oars Southold TownELEVA77ON DATUM. NAVD_88
q• Board of Trustees -------
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS 7 V/OLA770N OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY /S PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO 774E ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT 774E PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 774E PREMISES AT THE 77ME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY of NFL, CERTIFIED TO: PATRICIA BOGEN REVOCABLE TRUST;
MAP OF: �Qw0�y0
C-
FILED: �= y
G
SITUATED AT: SOUTHOLD a
TOWN OR SOUTHOLD 0 "r �� KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK �20 05p8g2 JQ- Professional Land Surveying and Design
5 P.O. Box 153 Aquebogue, New York 11931
FILE #225-1-93 SCALE:1 "=30' DATE: OCT. 16, 2025 PHONE (631)298-1588 FAX (631) 296-1588
N.Y.S. L/SC. NO. 050882
BOOEN KEVOCABLE TKUST KENOVATIONPP�TI�IGI� _
SITE INFO PROPOSED TOWN OF SOUTHOLD LOT COVERAGE
BUILDABLE LAND: 15667 SF ._.___.__
! i�l
LOCATION: B .... tN' 5 2026
375 OLD WOOD PATH PROPOSED HOUSE/GARAGE/PORCH/DECK -
SOUTHOLD, NY 11972 ( WITH 2.57 OVERHANG) 1940 SF `-� -s�arc�o#T:,�' M U R. R. AY
tr
SUFFOLK COUNTY POOL 648 SF SIG DTI
m S.C.T.M. NO. DIST: 1000 SECTION: 87 BLOCK: 1 LOT: 3.3 2588 SF OR 16.5%
USE: RESIDENTIAL
-
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-" - PROPOSED NYS DEC LOT COVERAGE DCSlgll R'
- Y SITE AREA 19663 26 SF OR 0 449 Main Street
s _ CC .45 ,ACRES (WETLAND BOUNDARY TO NAVD88 ELEV 10 CONTOUR) Greenport, N.Y. 11944
_ �� ._ ».� BUILDABLE UPLAND AREA 15667 SF OR 0.36 ACRES 477.0°�5
6
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_. .- EXISTING POOL 648 SF
EXISTING BRICK PATIO 722 SF
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OWNER.
PATRICIA
. a
BOGEN REVOCABLE
TRUST
_ � .. .a- w " Y 1370 SF OR 13. 1 %
_ v PATRICIA BOGE TRUSTEE
PROPOSED FREESTANDING DECK W/ STEPS 379 SF
F SO T COVERAGE
_- .- • --'-• w: _ ; PORTION OF PROPOSED DWELLING 120 SF
BUILDABLE LAND: 15667 SF 1869 SF OR 17.8%
This plan is the
Property of Murray
i it
DWELLING 907 SF
Design & Build and
may not a used or
p . _ m. ... ., REAR DECK 300 SF GROSS FLOOR AREA
-- - - reproduced without
GARAGE 497 SF ALLOWABLE TOWN GFA: written consent.
SHED 146 SF LOTS CONTAINING UP TO 207000 SF OF LOT AREA:
POOL 648 SF 2100 SF PLUS 12.5% OF THE LOT AREA IN EXCESS OF 10700 SF
2498 SF OR 15.9% UP TO A TOTAL OF 3, 350 SF MAXIMUM
` = EXISTING NYS DEC LOT COVERAGE ALLOWABLE GFA CALCULATION:
rr
ADJACENT AREA: 10475 ,SF 2100 + ( .125 X 5667= 708 SF) — 2808 SF
. _.- ...µ W (WETLAND BOUNDARY TO NAVD)88 10 CONTOUR) v�
MAIN LEVEL FLOOR AREA 998 SF �, �'
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fit ills
: .W 'Ills " ATTACHED 355 SF a' '
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_ _.._ REAR DECK W/ STEPS 330 SF
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GARAGE 497 S F 2706 S F O F 2
,._ 808 ALLOWABLE
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648 SF SETBACKS L
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BRICK WALKS 2311 SF SIDE YARD: 10 FEET - MEETS AT 10. 1 FT
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STOOPS AND BILCO 72 SF TOTAL SIDE YARD: 25 F
, ,� 2688 SF OR 25.7 /o REAR 35 FT MEETS
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DESIGN & BUILD
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ORAPE
Greenport, N.Y. 11944
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Figure 3. Looking southwest over existing pool and patio(to remain)at waterside/rear of existing dwelling
and accessory garage to be replaced by new dwelling with attached garage,and locations of proposed
structurally independent deck(left)and permeable patio(right)and on waterside of dwelling.
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Figure 4. Looking northeast from existing pool toward wetlands located to north and east of subject property.
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Cantrell, Elizabeth
From: Robert Herrmann <rherrmann@enconsultants.com>
Sent: Thursday, June 18, 2026 4:38 PM
To: Cantrell, Elizabeth
Cc: kstephens@enconsultants.com
Subject: RE: Bogen Rev.Trust Application
Hey Liz,322 sf.
From:Cantrell, Elizabeth [mailto:elizabethc@town.southold.ny.us]
Sent:Thursday,June 18,2026 9:18 AM
To: rherrmann@enconsultants.com
Cc: kstephens@enconsultants.com
Subject: Bogen Rev.Trust Application
Hi Rob,
What is the dimension of the proposed on grade permeable patio? It is not given in the description.
ECiza6eth Cantreff
Administrative Assistant
Town of Southold
Board of Trustees
Phone: (631)765-1892
Fax: (631) 765-6641
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1
SO
OFFICE LOCATION: MAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor. Main Rd. &Youngs Ave.)
Southold, NY 11971 Telephone: 631 765 1935
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
Patricia Bogen Revocable Trust, SCTM #1000-87.-1-3.3
This application is to demolish and remove existing two-story dwelling with waterside
deck and covered porch, accessory garage, shed and brick oven; existing 18'x36'
swimming pool and 722 sq. ft. brick pool patio to remain; construct a new 1,353 sq. ft.
two-story, single-family dwelling with attached garage and a covered porch; a 379 sq. ft.
free-standing (structurally independent) waterside deck with steps; a 322 sq. ft. grade-
level permeable patio; install a permeable gravel walkway in place of existing brick walk;
replace existing septic system with an I/A OWTS sanitary system landward of dwelling;
install a stormwater drainage system including a pool drywell; and to establish and
perpetually maintain a 15' wide vegetated non-turf buffer area along the landward edge
of the wetland boundary.
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 5. Protect and improve water quality and supply in the Town of Southold.
5.1 Prohibit direct or indirect discharges that would cause or contribute to contravention
of water quality standards.
C. Ensure effective treatment of sanitary sewage and industrial discharges by:
3. modifying existing sewage treatment facilities to provide improved
nitrogen removal capacity
Policy 6, Protect and restore the quality and function of the Town of Southold
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
The proposed installation of an Innovative/Alternative Onsite Wastewater Treatment
System (I/A OWTS) is consistent with Policy 5.1.C.3 which calls for the modification of
existing sewage treatment facilities that improves nitrogen capacity removal and will
reduce nutrient input to adjacent waters.
The proposed action is consistent with Policy 6.3A because the proposed structure
pushes the building footprint landward and complies with wetland setbacks for a
residence, 100 ft, and septic tank, 75ft in Town Code Chapter §275-3(D)(1)(a).
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 �,4�SQr� Town Hall Annex
54375 Route 25
A.Nicholas Krupski,Vice President ,`O� Q
P.O.Box 1179
Eric Sepenoski 9ijr Southold,New York 11971
Liz Gillooly 0- Telephone (631)765-1892
Elizabeth Peeples • Fax(631)765-6641
COMM
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Us _ y E C En2026
PP
Coastal Erosion Permit Application
Wetland Permit Application
Administrative Permit JUN
Amendment/Transfer/4tensio
�Received Application: �Ilb
Received Fee: $ Southold TownBoard of Trustees
OX Completed Application: &11Ve2
Incomplete:
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent):
_ LWRP Consistency Assess ,ant Form Sent: 2:?
CAC Referral Sent: Jl"
=Date of Inspection: ') $
Receipt of CAC Report: rJ
Technical Review:
_Public Hearing Held:
Resolution:
Name of Applicant Patricia Bogen Revocable Trust
16 West 16th Street,#7TN
Address New York,NY 10011
Phone Number: (M 353-3233
Suffolk County Tax Map Number: 1000 - 87- 1 -3.3
Property Location: 375 Old Wood Path,Southold
(North side of Old Wood Path,f350'east of S.Harbor Road.)
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: En-Consultants
(If applicable)
Address: 1319 North Sea Road,Southampton,NY 11968
Phone:631-283-6360
Board of Trustees Ap ation
GENERAL DATA
Land Area(in square feet): 19,663 sf
Area Zoning: R-40
Previous use of property:Residential,single-family dwelling and accessory garage and swimming pool
Intended use of property: Same,with new dwelling and attached garage
Covenants and Restrictions: Yes X No
If"Yes", please provide copy.
Will this project require a Building Permit as per Town Code? X Yes No
If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals Yes X No
If"Yes",please provide copy of decision.
Will this project require any demolition as per Town Code or as determined by Building
Dept. X Yes No
Does the structure(s)on property have a valid Certificate of Occupancy X Yes No
Prior permits/approvals for site improvements:
Agency Date
X No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
X No Yes
If yes, provide explanation:
Project Description(use attachments if necessary):
Demolish and remove existing 2-story dwelling with waterside deck and covered porch,accessory garage,shed,and brick oven(18'x
36'swimming pool and 722 sf brick pool patio are to remain);construct anew 1,353 sf,2-story,single-family_dwelling with attached
garage,and a covered porch and free-standing(structurally independent)waterside deck with steps;install grade-level permeable
patio;install permeable gravel walkway in place of existing brick walk;replace existing septic system located less than 100 feet from
wetlands with new I/A OWTS sanitary system located more than 100 feet from wetlands;install stormwater drainage system
(including pool drywell for existing swimming pool);and establish and perpetually maintain a 15-ft wide vegetated non-turf buffer
adjacent to wetland boundary,all as depicted on the survey/site plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last
dated May 15,2026.
Board of Trustees Applii ion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
To replace existing dwelling with porch,deck,and accessory garage with a new dwelling with attached garage,porch,and
deck;and to replace and relocate existing conventional septic system with new low-nitrogen,innovative/altemative sanitary
system(UA OWTS).
Area of wetlands on lot: 3,996 square feet
Percent coverage of lot: +/-20 0/0
Closest distance between nearest existing structure and upland
edge of wetlands: +/-23 feet (shed TBR)
Closest distance between nearest proposed structure and upland
edge of wetlands: +/-77 feet (free standing deck)
Does the project involve excavation or filling?
No X Yes
(as required for installation of new dwelling structure,
If yes, how much material will be excavated? TBD cubic yards sanitary system,and drainage system)
How much material will be filled? N/A cubic yards
Depth of which material will be removed &mod: TBD feet
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited:
Standard construction practices.
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.
WETLANDS PERMIT APPLICATION ADDENDUM(STATEMENT OF EFFECT)
FOR PATRICIA BOGEN REVOCABLE TRUST
375 OLD WOOD PATH,SOUTHOLD,NY
SCTM#1000-87-1-3.3
Consistent with the standards for issuance of a Town wetlands permit set forth by Town Code Section 275-12, the
proposed replacement of the existing dwelling and accessory garage with a new dwelling and attached garage would
not adversely affect Town wetlands but should in fact have a net beneficial impact on the environmental condition of
the property and adjacent tidal wetlands. Specifically, as a result of the below described design elements and
incorporated mitigation measures, the project would result in increased flood and erosion protection for the dwelling
and related structures;increased separation distance between the dwelling structures and wetland boundary;potentially
reduced runoff and improved runoff quality; and improved groundwater and surface water quality,thereby consistent
with, and furthering the LWRP Policy 4 goal of minimizing loss due to flooding and erosion, and the LWRP Policy 5
and 6 goals of protecting and improving water quality, and protecting and restoring the quality and function of Town
of Southold ecosystems,respectively.
A) Project Design(Shoreline Retreat)
1) The proposed dwelling and accessory garage will be removed and replaced with a new, landward-
repositioned dwelling and attached garage. Specifically, the portion.of the existing dwelling situated
closest to wetlands,the waterside deck, is located 69 feet from the wetland boundary, and the portion of
the proposed dwelling structure situated nearest the wetlands,the waterside deck, is located 77 feet from
the wetland boundary,thereby increasing the dwelling's compliance with the Town of Southold's required
H wetland setbacks and bringing it into compliance with New York State's required wetland setback.
2) The existing dwelling to be removed is positioned seaward of the"pier line"established by the neighboring
dwellings to the west and east, and as a result of its landward relocation, the new dwelling would be
situated landward of the pier line,thereby bringing the dwelling structure into compliance with Town Code
Section 275-11(A)(3).
3) The existing dwelling is also located within a FEMA-designated "shaded" Zone X flood zone, which
pursuant to the recently adopted changes to New York State's Residential Code requires a minimum flood
protection elevation 42 inches above the FEMA-mandated base flood elevation of the adjacent flood zone.
The new dwelling has thus been relocated also to keep it outside the shaded Zone X,with the waterside
deck, which is located partially within the shaded X zone, constructed as a free-standing, structurally
independent structure.
4) The proposed dwelling is also compliant with all Town zoning requirements, including lot line setbacks,
lot coverage,gross floor area(GFA), and sky plane restrictions.
B) Mitigation Measures
1) The existing conventional, nonconforming septic system located less than 100 feet from the wetlands
boundary would be replaced with a low-nitrogen, innovative/alternative sanitary system (1/A OWTS)
located more than 100 feet from both wetlands. Unlike conventional septic systems, I/A OWTS sanitary
systems are designed to significantly reduce nitrogen loading into the groundwater table.
2) A stormwater drainage system consisting of leaders, gutters, and drywells is proposed to collect and
recharge roof runoff and backwash from the existing swimming pool to remain.
3) A 15-ft wide, vegetated non-turf buffer area is proposed to be established and perpetually maintained in
place of existing maintained lawn area adjacent to the wetland boundary, reducing existing, potentially
treated lawn areas,increasing setbacks from treated lawn areas to the wetlands,and creating a natural sink
and filter for excess nutrients potentially contained in runoff before it can reach the wetlands and adjacent
surface waters.
4) A project limiting fence would be installed to contain site disturbance and potential surface runoff during
construction.
v
617.20
Appendix B
Short Environmental Assessment Form
Instructions for Completing
Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses
become part of the application for approval or funding,are subject to public review,and may be subject to further verification.
Complete Part I based on information currently available.If additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 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 I-Project and Sponsor Information
Name of Action or Project:
Patricia Bogen Revocable Trust Renovation
Project Location(describe,and attach a location map):
375 Old Wood Path,Southold; SCTM#1000-87-1-3.3;Located f350'east of S.Harbor Road(map provided)
Brief Description of Proposed Action:
Demolish and remove existing 2-story dwelling with waterside deck and covered porch,accessory garage,shed,and brick oven(18' r
x 36'swimming pool and 722 sf brick pool patio are to remain);construct a new 1,353 sf,2-story,single-family dwelling with
attached garage,and a covered porch and free-standing(structurally independent)waterside deck with steps;install grade-level
permeable patio;install permeable gravel walkway in place of existing brick walk;replace existing septic system located less than
100 feet from wetlands with new I/A OWTS sanitary system located more than 100 feet from wetlands;install stormwater drainage
system(including pool drywell for existing swimming pool);and establish and perpetually maintain a 15-ft wide vegetated non-turf
buffer adjacent to wetland boundary,all as depicted on the survey/site plan prepared by Kenneth M.Woychuk Land Surveying,
PLLC,last dated May 15,2026.
Name of Applicant or Sponsor: Telephone: 516-353-3233
Patricia Bogen Revocable Trust IE-Mail: pbogenl7@gmail.com
Address:
c/o Patricia Bogen, 16 West 16th Street,#7TN
City/PO: [NY
tate: Zip Code:
New York �10011
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2.If no,continue to question 2. X
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:
Suffolk County Department of Health Services,NYSDEC X
3.a.Total acreage of the site of the proposed action? 19,663 sf
b.Total acreage to be physically disturbed? +/-7,980 sf
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 19,663 sf;
4.Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban)
❑Forest ❑Agriculture ®Aquatic ❑Other(specify):
❑Parkland
Page 1 of 4
5.Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations? X
b.Consistent with the adopted comprehensive plan? X
6.Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? X
7.Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify:
X
8.a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
X
b.Are public transportation service(s)available at or near the site of the proposed action? X
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
X
10.Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: X
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: A new,I/A OWTS sanitary X
system is proposed.
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?
X
X
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? X
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
14.Identify the typical habitat types that occur on,or are likely to be found on the 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? X
16.Is the project site located in the 100 year flood plain? NO YES
X
17.Will the proposed action create storm water discharge,either from point or non-point sources? YES
If Yes,
a.Will storm water discharges flow to adjacent properties? ❑NO❑YES
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO❑YES
Page 2 of 4
18.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond,waste lagoon,dam)?
If Yes,explain purpose and size: X
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: X
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:
X
I AFFIRM THAT THE INFORMA ON PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: Robe ann,Coastal Management Specialist Date: June 4,2026
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
1.Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations.
2.Will the proposed action result in a change in the use or intensity of use of land?
3.Will the proposed action impair the character or quality of the existing community?
4.Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Environmental Area(CEA)?
5.Will the proposed action result in an adverse change in the existing level of traffic or
affect existing infrastructure for mass transit,biking or walkway?
6.Will the proposed action cause an increase in the use of energy and it fails to incorporate
reasonably available energy conservation or renewable energy opportunities?
?. 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
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 I
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.
Name of Lead Agency Date
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)
Page 4 of 4
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Board of Trustees Applic+ on
AFFIDAVIT
Patricia Bogen, Trustee
Patricia Bogen Revocable Trust BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT
ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF
GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE
TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
N/A
Signature of Propert Own r Signature of Property Owner
Patricia Bogen, Trustee
Patricia Bogen Revocable Trust
SWORN TO BEFORE ME THIS /0 DAY OF 3.20
Notary Public
ROBIN L.DANZY
Notary Public, State of New York
No. 01 H06159562
Qualified in New York County
Commission Expires May 11,2027
Board of Trustees Applic�- on
AUTHORIZATION
(Where the applicant is not the owner)
I/We, .Patricia Bogen, Trustee,,Patricia Bogen Revocable Trust
owners of the property identified as SCTM# 1000-. 87-1-3.3 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.
N/A
Property Owner's Nua re Property Owner's Signature
Patricia Bogen, Trustee
Patricia Bogen Revocable Trust
SWORN TO BEFORE ME THIS O 'er DAY OF re—be ✓y
Notary Public
ROBIN L.DANZY
Notary Public, State of New York
No.01 H06159562
Qualified in New York County
Commission Expires May 11.2027
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Souihold's.Code of Ethics prohibits conflicts of interest on"the part'of,f,iown'officers and brnbloyees.The nuroose`of
:this form-is-`toprovide information which cari alert the:town.ot`possibie conflicts of interest and-allow irto take whateveraction is
rreeessarvto avoid"same: Patricia Bogen, Trustee _= a
YOURNAME:.- Patricia Bogen Revocable Trust
(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 Ipersonally(or through<your company,spouse,sibling;parerit,;orchild)havez"rclationship with any officeror'employed
of the Town of Southold? "Relationship"includes by blood;,marriage;:or Fiupiness r"ntergst:"Business interest"means a business,
including,a"partnership,in-Which the town officer or employce has even_a partiat.ownership:of(or employment by)a corporation
in which the[own offlcer.or'employee owns_moreth5m5%ofthe shares.
YES n .. 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 ip the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
f,A)the owner of greater than 5%of the,shares of the corpoltate stock of theappI cost
_n (when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entdy,(when the
-Rapplicant is not a corporation); _
C)an officer,director,partner•,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
a
Submitted this �d ay of f ✓e[ d 20 Z fii
Signature_ _
Print Name atricia B en -T us ee _
Forin IS I Patricia Bogen Re cable Trust
APPLICANVAGENPREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the Part of town officers and employees.The numose 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.
YOURNAME: Robert E. Herrmann
(Last name,first name,ipiddle initial,unless you are applying in the name of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other-,name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES _❑ NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/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,or child is(check all that apply):
fjA)the owner of greater than 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 4 &- ,oLfJune 2026
Signature
Print Name Robe errmann
Forth TS I
s�
NOTICE TO ADJACENT PROPERTY OW IEIR`-
BOARD OF TRUSTEES TOWN OF SOUTHOLD
s
F
In the matter of applicant: ��
Patricia Bogen Revocable Trust SCTM#1000-87-1-3.3
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of
Trustees to:
Demolish and remove existing 2-story dwelling with waterside deck and covered porch,accessory garage,
shed,and brick oven(18'x 36'swimming pool and 722 sf brick pool patio are to remain);construct a new
1,353 sf,2-story,single-family dwelling with attached garage,and a covered porch and free-standing
(structurally independent)waterside deck with steps;install grade-level permeable patio; install permeable
gravel walkway in place of existing brick walk;replace existing septic system located less than 100 feet
from wetlands with new I/A OWTS sanitary system located more than 100 feet from wetlands;install
stormwater drainage system(including pool drywell for existing swimming pool);and establish and
perpetually maintain a 15-ft wide vegetated non-turf buffer adjacent to wetland boundary,all as depicted
on the survey/site plan prepared by Kenneth M. Woychuk Land Surveying,PLLC,last dated May 15,
2026.
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows:
375 Old Wood Path, Southold
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,53095 Main Rd.,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. Patricia Bogen Revocable Trust
c/o Patricia Bogen
PROPERTY OWNERS NAME: 16 West 16th Street,#7TN
MAILING ADDRESS: New York,NY 10011
PHONE #: 516-353-3233
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.
i
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
SCTM#1000-87-1-2 PO Box 331
Jean Jacobs Southold,NY 11971
SCTM#1000-87-1-4 430 7th Street
JR Hollander Living Trust Brooklyn,NY 11215
SCTM#1000-78-3-12.1 258 Woodbury Road
Scott Keil Huntington,NY 11743
SCTM#1000-87-1-9 10 Liberty Street,Apt. 6G
Brad Giardino&Heather Scher New York,NY 10005
SCTM 91000-87-1-27 Attn: Ellie Gordon
Jesse Gordon 146 Central Park W,New York,NY 10023
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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 ,2026, 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 Mailed to each of said persons by
(certified)(pagiatevoc� mail.
Robert E.He nn
Coastal Managment Specialist
Sworn to efpre me this
day of C f{ ,20 26 KIM H. STEPHENS
Notary Public-State of New York
—mow No.01 ST5016931
Qualified in Suffolk County
.- ,.. My Commission Expires August 02,204 �
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NOTICE TO ADJACENT PROPERTY OWN Et
BOARD OF TRUSTEES TOWN OF SOUTHOLD `a
In the matter of applicant: _
Patricia Bogen Revocable Trust SCTM#1000=87 f'8'�3 t
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of
Trustees to:
Demolish and remove existing 2-story dwelling with waterside deck and covered porch,accessory garage,
shed,and brick oven(18'x 36'swimming pool and 722 sf brick pool patio are to remain);construct a new
1,353 sf,2-story,single-family dwelling with attached garage,and a covered porch and free-standing
(structurally independent)waterside deck with steps;install grade-level permeable patio;install permeable
gravel walkway in place of existing brick walk;replace existing septic system located less than 100 feet
from wetlands with new UA OWTS sanitary system located more than 100 feet from wetlands;install
stormwater drainage system(including pool drywell for existing swimming pool);and establish and
perpetually maintain a 15-ft wide vegetated non-turf buffer adjacent to wetland boundary,all as depicted
on the survey/site plan prepared by Kenneth M. Woychuk Land Surveying,PLLC,last dated May 15,
2026.
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows:
375 Old Wood Path, Southold
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 Ln, 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. Patricia Bogen Revocable Trust
c/o Patricia Bogen
PROPERTY OWNERS NAME: 16 West 16th Street,#7TN
MAILING ADDRESS: New York,NY 10011
PHONE #: 516-353-3233
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.
SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Sign1we
N Print your name and address on the reverse " ❑Agent
so that we can return the card to you. -14 Addressee
0 Attach this card to the back of the mailpiece, B. Received by(Printed ame) C. Date of Delivery
or on the front if space permits.
1. Articie Addressed to: D. Is delivery address different from ftem 1? E3 Yes
If YES,enter delivery address below: U No
Scott Keil
258 Woodbury Road 3. Service Type O Priority Mail Express®
O Adult Signature ❑Registered Mali'm
Huntington,NY 11743 ❑Adult Signaluro Restricted Delivery p Registered Mail Restricted
ertiged Mali? Delivery
❑Certified Mail Restricted Delivery 0 Signature ConflrmatlonTM
❑Collect on Delivery ❑Signature Confirmation
2 Al;-I„Ab 1,. rr—f.a.,,,, 1.hMl C1 rHIR t—nAgvery Restricted Delivery Restricted Delivery
9589 0 710 5270 4057 9137 16 egtrfoWtl Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
SENDER:
. • • ON
l ■ Compieie'itetfis Iv 2,and,pt'� are
■ Print your flame and address on the reverse ❑Agent
i sa•thatw##can-return the card to you. 0 Addressee
■ Attacli`this card to the back of the mailpiece, FD1,'d,1ivtU.ry
�y(P rated Name) to of elivery
or on the front if space permits.
i. Articte Addressed to: address different from item 1? E3 es
If YES,enter delivery address below: 0 No
Jean Jacobs
`'I?Q Box 331 3. Service Type p Priority Mail Express&
❑Adult Signature ❑Registered MaIITM
t iihoid,NY 11971 0 Adult Signature Restricted Delivery ❑Re
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ollect on Delivery 13 Signature Confirmation
Delivery Restricted Delivery Restricted Delivery
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over
PS Form 3811,July 2020 PSN 7530.02-000-9053 Domestic Return Receipt
Glenn Goldsmith,President
Town Hall Annex
A.Nicholas Krupski, Vice President 54375 Route 25
Eric Sepenoski P.O. Box 1179
Liz Gillooly
Southold, NY 11971
Joseph Finora Telephone(63 1)765-1892
Fax(63 1)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
--------------------------------------------- -----------------
In the Matter of the Application of J U
PATRICIA BOGEN REVOCABLE TRUST
I i M aj
COUNTY OF SUFFOLK
STATE OF NEW YORK
AFFIDAVIT OF POSTING
DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED
IN PLACE FOR AT LEAST SE VEN DA YS PRIOR TO THE PUBLIC
HEARING DATE—COMPLETE THIS FORM ON EIGHTH DAY OR LATER
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 , I personally posted the property known as
375 Old Wood Path, Southold; SCTM #1000-87-1-3.3
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:
(signatui'e—)
Sworn to before me this
15th day of July 2026
KIN4 H. STEPHENS
Notary Publlc-Stale of New York
No,0I5T5015931
otai -PublicQualified in Suffolk County
MY Commission Explm August 02,20-
INUTILt: Uim Ht: AKING
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: PATRICIA BOGEN REVOCABLE TRUST
SUBJECT OF PUBLIC HEARING: For a Wetland Permit to demolish and remove
existing two-story dwelling with waterside deck and covered porch, accessory garage,
shed and brick oven; existing 18'x36' swimming pool and 722sq.ft. brick pool patio to
remain; construct a new 1,353sq.ft. two-story, single-family dwelling with attached
garage and a covered porch; a 379sq.ft. free-standing (structurally independent)
waterside deck with steps; a 322sq.ft. grade-level permeable patio; install a
permeable gravel walkway in place of existing brick walk; replace existing septic
system with an I/A OWTS sanitary system landward of dwelling; install a stormwater
drainage system including a pool drywell; and to establish and perpetually maintain a
15' wide vegetated non-turf buffer area along the landward edge of the wetland
boundary. Located: 375 Old Wood Path, Southold. SCTM# 1000-87-1-3.3
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 B a.m. and 4 p.m.
BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892
i
aa � Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION. S.CT.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
0( � 1000 87 1 3.3 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN
tD sfi cf Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT es No
a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off
(include Total Area of all Parcels located within 19,663 sf Generated by a Two(2")Inch Rainfall on Site?
the Scope of work for Proposed Construction) (S.F./Acres)) (This item will include all run-off created by site ❑
b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all
and/or Ground Disturbance for the proposed 7,980 sf Site improvements and the permanent creation of
construction activity? (S.F./Acres) impervious surfaces.)
2 Does the Site Plan and Survey Show All Proposed X
PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indidi cating Size&Location?This
item shall include all proposed Grade Changes and
Demolish and remove existing 2-story dwelling with waterside deck and covered Slopes Controlling Surface Water Flow,
porch,accessory garage,shed,and brick oven(18'x 36'swimming pool and 722 3 Does the Site Plan and/or Survey describe the erosion X0 .
sf brick pool patio are to remain);construct a new 1,353 sf 2-story,single-family and sediment control practices that will be used to
dwelling with attached garage,and a covered porch and free-standing control site erosion and storm water discharger.This
throughout(structurally independent)waterside deck with steps;install grade-level Item must be maintained the Entire
Construction Period.
permeable patio;install permeable gravel walkway in place of existing brick
walk;replace existing septic system located less than 100 feet from wetlands 4 Will this Project Require any Land Fillin�Grading or ❑
Excavation where there is a change to a Natural
with new UA OWTS sanitary system.located more than 100 feet from wetlands; Existing Grade involving more than 200 Cubic Yards
install stormwater drainage system(including pool drywell for existing „ of Material within any Parcel?
swimming pool);and establish and perpetually maintain a 15-ft wide vegetated rj Will this Application Require Land Disturbing Activities
non-turf buffer adjacent to wetland boundary,all as depicted on the survey/site Encompassing an Area in Excess of Five Thousand
plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated May (5,000 S.F.)Square Feet of Ground Surface?
15,2026. 6 Is there a Natural Water Course Running through the
Site?Is this Project within the Trustees jurisdiction
General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or
Submission of a SWPPP is required for all Construction activities involving soil Beach?
disturbances of one(1)or more acres:including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes
are part of a larger common plan that will ultimately disturb one or more acres of lands; which Exceed Fifteen(15)feet of Vertical Rise to
of less than one(1)acre where ElIncluding Construction activities involving soil disturbances One Hundred(100')of Horizontal Distance?
the DEC has determined that a SPDES permit is required for storm water discharges_. Q
(SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious
for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1:1
X
1.The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way?
submitted to the Department prior to the commencement of construction activity.
2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material,
required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any 1:1
constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder
compliance with the terms and conditions of this permit hi addition,the SWPPP shall Area?Pride item will NOT include the imtauatton of Driveway Aprons
identify potential sources of pollution which may reasonably be expected to affect the
quality of storm water discharges. NOTE:If An Answer to Questions One through Nine is Answered with a Check Mark
3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area,
component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading Drainage&Erosion Control Plan is Required by the Town of
that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit
OTE:A Check Mark and/or Answer for each Question is Required for a Com leted Application).
STATE OF NEW YORK,
COUNTY OF -Suffolk------------------------SS
That I, -
_Robert-E.Herrmann being duty sworn,deposes and says that he/she is the applicant for Permit,
(K- - ---- - -
(Name of individual signing Document)
And that he/she is the A ent for Owner
(Owner,Contractor,Agent,Corporate Officer,etc.
Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to
make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and
that the work will be performed.in the manners set forth in the application filed herewith.
Sworn to before me this;
4 �aY o _ June-----
,20.-2-6
---
Notary Public
g4g n atna
---- -- -- --- o Applicant)
- MARY H.
FORM 0610 ELAN
/ I10TAIW PUBLIC-STATE OF N6W"Rg
NO.01EQ8487322
Ouefifted In Suffolk Counter
MyCommbelon EKPIM 11.12al
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 si nificant
beneficial and adverse effects upon the coastal area (which includes all of Southold Townj
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# 87 - 1 _ 3.3
PROJECT NAME Patricia Bogen Revocable Trust
The Application has been submitted to (check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees
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:
Demolish and remove existing 2-story dwelling with waterside deck and covered porch,accessory garage,shed,and brick oven(18'x
36'swimming pool and 722 sf brick pool patio are to remain);construct a new 1,353 sf,2-story,single-family dwelling with attached
garage,and a covered porch and free-standing(structurally independent)waterside deck with steps;install grade-level permeable patio;
install permeable gravel walkway in place of existing brick walk;replace existing septic system located less than 100 feet from wetlands
with new I/A OWTS sanitary system located more than 100 feet from wetlands;install stormwater drainage system(including pool
drywell for existing swimming pool);and establish and perpetually maintain a 15-ft wide vegetated non-turf buffer adjacent to wetland
boundary,all as depicted on the survey/site plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated May 15,2026.
Y
Location of action: 375 Old Wood Path,Southold
Site acreage: 19,663 sf
Present land use: Residential,single family dwelling with accessory garage and swimming pool
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: Patricia Bogen Revocable Trust
(b) Mailing address: 16 West 16th Street,#7TN
New York,NY 10011
(c) Telephone number: Area Code 516-353-3233
(d) Application number, if any:
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? NYSDEC
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 8 through 16 for evaluation criteria
®Yes ❑ No ❑ Not Applicable
See attached addendum.
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.
®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® 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 ® 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.
❑ Yes FIN o® Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR
PATRICIA BOGEN REVOCABLE TRUST
375 OLD WOOD PATH,SOUTHOLD,NY
SCTM#1000-87-1-3.3
Consistent with the standards for issuance of a Town wetlands permit set forth by Town Code Section 275-12, the
proposed replacement of the existing dwelling and accessory garage with a new dwelling and attached garage would
not adversely affect Town wetlands but should in fact have a net beneficial impact on the environmental condition of
the property and adjacent tidal wetlands. Specifically, as a result of the below described design elements and
incorporated mitigation measures, the project would result in increased flood and erosion protection for the dwelling
and related structures;increased separation distance between the dwelling structures and wetland boundary;potentially
reduced runoff and improved runoff quality; and improved groundwater and surface water quality,thereby consistent
with, and furthering the LWRP Policy 4 goal of minimizing loss due to flooding and erosion, and the LWRP Policy 5
and 6 goals of protecting and improving water quality, and protecting and restoring the quality and function of Town
of Southold ecosystems,respectively.
A) Project Design(Shoreline Retreat)
1) The proposed dwelling and accessory garage will be removed and replaced with a new, landward-
repositioned dwelling and attached garage. Specifically, the portion of the existing dwelling situated
closest to wetlands,the waterside deck, is located 69 feet from the wetland boundary, and the portion of
the proposed dwelling structure situated nearest the wetlands,the waterside deck, is located 77 feet from
the wetland boundary,thereby increasing the dwelling's compliance with the Town of Southold's required
wetland setbacks and bringing it into compliance with New York State's required wetland setback.
2) The existing dwelling to be removed is positioned seaward of the"pier line"established by the neighboring
dwellings to the west and east, and as a result of its landward relocation, the new dwelling would be
situated landward of the pier line,thereby bringing the dwelling structure into compliance with Town Code
Section 275-11(A)(3).
3) The existing dwelling is also located within a FEMA-designated "shaded" Zone X flood zone, which
pursuant to the recently adopted changes to New York State's Residential Code requires a minimum flood
protection elevation 42 inches above the FEMA-mandated base flood elevation of the adjacent flood zone.
The new dwelling has thus been relocated also to keep it outside the shaded Zone X, with the waterside
deck, which is located partially within the shaded X zone, constructed as a free-standing, structurally
independent structure.
4) The proposed dwelling is also compliant with all Town zoning requirements, including lot line setbacks,
lot coverage,gross floor area(GFA),and sky plane restrictions.
B) Mitigation Measures
1) The existing conventional, nonconforming septic system located less than 100 feet from the wetlands
boundary would be replaced with a low-nitrogen, innovative/alternative sanitary system (I/A OWTS)
located more than 100 feet from both wetlands. Unlike conventional septic systems, I/A OWTS sanitary
systems are designed to significantly reduce nitrogen loading into the groundwater table.
2) A stormwater drainage system consisting of leaders, gutters, and drywells is proposed to collect and
recharge roof runoff and backwash from the existing swimming pool to remain.
3) A 15-ft wide,vegetated non-turf buffer area is proposed to be established and perpetually maintained in
place of existing maintained lawn area adjacent to the wetland boundary, reducing existing, potentially
treated lawn areas,increasing setbacks from treated lawn areas to the wetlands,and creating a natural sink
and filter for excess nutrients potentially contained in runoff before it can reach the wetlands and adjacent
surface waters.
4) A project limiting fence would be installed to contain site disturbance and potential surface runoff during
construction.
Policy 10. Protect Southolu-_ !v ater-dep en dent uses and promot_:.Ang of new water-dependent uses in
suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary
and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62
through 65 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
PREPARED BY TITLECoastal Management Specialist DATE June 4,2026
Robert E. ei
Amended on 811105
At :
EN-CONSULTANTS
June 4,2026 7; 1
Town of Southold
Board of Trustees N - 5 20
54375 Main Road
Post Office Box 1179
Southold,New York 11971 Southold Town
Board of Trustees
Re: Patricia Bogen Revocable Trust
375 Old Wood Path, Southold
SCTM#1000-87-1-3.3
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;
e) Erosion, Sedimentation,&Stormwater Runoff Assessment Form.
3. Survey/Site Plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated May 15,
2026.
4. Architectural plans prepared by Murray Design&Build,dated June 3,2026.
5. Three(3)sets of site photographs.
6. 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.
Aert
emnann
Coastal Management Specialist
/tcr
Enc.
1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com
environmental consulting