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TR-10981A
S�FFQt� Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President ��� Gym h 54375 Route 25 Eric Sepenoski N ? ' P.O. Box 1179 Liz Gillooly • Southold,NY 11971 Joseph Finora Tel 892 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 1st day of construction % constructed Project complete, compliance inspection Glenn Goldsmith, President ®F so Town Hall Annex ®� 54375 Route 25 Nicholas Krupski,Vice President O P.O. Box 1179 Eric Sepenoski J Southold, New York 11971 Liz Gillooly G Q Telephone(631) 765-1892 Joseph Finora • a0 Fax(631) 765-6641 ofyc4UfdT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10981A Date of Receipt of Application: June 15, 2026 Applicant: Jatin Goradia & Raja Rajalakshmi SCTM#: 1000-26-2-21 Project Location: 960 Willow Terrace Lane, Orient Date of Resolution/Issuance: July 15, 2026 Date of Expiration: July 15, 2029 Reviewed by: Board of Trustees Project Description: Install two window wells, one to be used as a basement egress window; install I/A OWTS system and sanitary leaching field; install propane tank; relocate asphalt driveway. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by North Star Engineering, received on June 15, 2026, and stamped approved on July 15, 2026. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees —E7 T NORTH STAR EXIST.WELL TO REMAIN O 4, Q P.O.Box 636 0`'9 pp - 4s L - HOLBROOK,NY 11741 .(y _ (516)761.3826 MVAVRICA®NORTHSTARPLLC.COM SCHURCHILLONORTHSTARPLLC.COM CONSULTANTS 9�F� SITE \tea I �� EXIST.DRYWELL FOR ' `Y - SWIMMING POOL EXIST.SEPTIC TO BEo°F ,� Jo cP p� / I REMOVEDABANDONEDAND �a� `% oA L o�Oj� 0 1000 2000 9 9�, VICINITY MAP v° °Q �-k .%P+ "tip Q 92a�p SCALE: 1" = 1,000' , _ 100'WELL SETBACKS \ 14 P�F QR * r0 `Y SCALE: 1 1000 \\ Col- ' °P mQ° i \ � - °y Q SITE INFORMATION \ a Gp�`�� •o � p, / SITE: 960 WILLOW TERRACE LANE J U N 1 5 2026 ORIENT,NY 11957 Southold Town 13.6 cu B °y 'oV 0" SCTM#: 1000-26-2-21 Board of Trustees GROSS LOT AREA: 22,548 SF(0.5176 ACRES) SUBDIVISION: MAP OF WILLOW TERRACE .��,3F NEW - \ P\y9'fi0�5 % \\ °N\ FILED NOVEMBER 28, 1969,MAP N0.5407 �'tP \Np BO jl y0� \ Sao°� e01 y \\,�QO�?�•.`0 PURB .46 0.0' EL.15.8 r CA MIXED SAND& J+ °° a °/ 6�a LOAM(SM) 0.5' EL.15.3 PROP.50%LEACHING BROWN SILT �OAee 07608 � EXPANSION AREA ) (ML 3.0' EL.12.8 EXIST.DRIVEWAY �Pti. TO BE REMOVED Q \\ e �e F� � �o}y / ,, I PROP.10,0 X 9,EFF. LIGHT BROWN FINE Q ., o� 'F �� 9 ���• 0 DEPTH LEACHING TO MEDIUM SAND 10 ,� \ 'yFq� q 5� PROP.1,000 GAL. POOL(TYP.OF 2) SP \ `� �e\� 9 y9 b�� oc�r0 PROPANETANK ( ) 4/29/26 a `_° \ �, 1 mF \ PROP.FUJI CLEAN 'l �J TREATMENT UNIT- ,� h 960 WILLOW TERRACE LANE 1 PROP.WINDOW WELLS \ MODEL CEN10 NY 11957 \`� y6°9�tih� \� O� \ \ 14.6' EL.1.2 TOWN ORIENT, F SOUTHOLD WATER IN `"-` LIGHT BROWN FINE TOWN ��JP�cr, \�\ TO MEDIUM 000 M SAND WETLANDS ,g Q1 17.0' EL.-1.2 PERMITTING QQ ��� GROUNDWATER ENCOUNTERED BY 1om00 262-21 �� ,�Q ,BOARD OF TRUSTEES NOTES; 14.6 FT BELOW GRADE TOWN--,"OF SOUTHOLD 1. TEST HOLE INFORMATION PROVIDED BY OVERALL MCDONALD GEOSERVICES,DATED SITE PLAN OVERALL SITE PLAN [SATE � ( r� FEBRUARY 3,2026. (n \ 1,_5O p�.1O 2. HIGHEST EXPECTED GW EL. 1.3(CONFIRMED SCALE: 1" = 30' PER USGS DEPTH TO GROUNDWATER C-300 0 30 60 VIEWER) BASE MAP: TEST HOLE 1 1 SURVEY OBTAINED FROM: ZEN2601 SCALICE LAND SURVEYING SCALE: 1" =30' NOT TO SCALE DATED:FEBRUARY 11,2026 - t - - No. , i ad orQ,d' DAt }. Oils , Ott , 3 6r� •a [ , , ssu.e , ro • r a .wIr C , THIS: NOTICE M:UST-B'E, DISPLAYED D-.IfNGr GO;NST°RUtCT1ON • - - k y , OUT',H s s TOWN TRUST3EES,OFFICE,TOWN.,OF. :SOUTHOLD `SOUTHOL.D, "N.Y. 11971: , -'S OLD TR� ,"U TE- TE L... '.765 1.892 , , 1 r`�tt Glenn Goldsmith,President _. o�OSUfFOLkCOG Town Hall Annex A.Nicholas Krupski,Vice President 4� y'"e 54375 Route 25 Eric SepenoskiN P.O.Box 1179 Liz Gillooly �y�® �op� Southold,NY 11971 Joseph Finora . 1 sr �` Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report i Date/Time: 7 /e 907-b Completed in field by: �- North Star Engineering on behalf of JATIN GORADIA & RAJA RAJALAKSHMI requests an Administrative Permit to install two window wells, one to be used as a basement egress window; install I/A OWTS system and sanitary leaching field; install propane tank; relocate asphalt driveway. Located: 960 Willow Terrace Lane, Orient. SCTM# 1000-26-2-21 Type of area to be impacted: J Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under Chapt. 275 Chapt. 111 other Typpr/iof Application: Wetland Coastal Erosion Amendment V Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: I Present Were: G. Goldsmith N. Krupski �E. Sepenoski L. Gillooly J. Finora TITLE & BOUNDARY NOTES: 4zVl THE BEARINGS SHOWN HEREON ARE BASE ON LIBEL 13112 PAGE 0711 1. CONFLICTING MONUMENTATION FOUND IN THE VICINITY OF THIS PROPERTY AND HISTORICAL DEEDS AND OLD GUARANTEED TO: SURVEYING RECORDS INDICATE THE POSSIBILITY OF N. GORADIA SYMBOL LEGEND VARYING INTERPRETATIONS OF THE PHYSICAL RAJALAKSHMI S. RAJA & JATIN El MONUMENT FND POSITIONING OF THE LINES OF THIS PROPERTY. FIDELITY NATIONAL TITLE INSURANCE COMPANY / HSBC BANK USA, N.A., ISAOA ATIMA El I.P. I.B. FND ® I.P. /I.B. SET T � SPOT ELEVATIONS _ �tlT UTILITY POLE tea ` > GUY WIRE ___ `� UTILITY POLE W/LIGHT LIGHT POLE SIGN J lJ N 1 5 2026 I P/0 FM LOT 1 FIRE HYDRANT \ I� TAX LOT 47 —� PVC FENCE (PVC) —�— STOCKADE FENCE (STK) LTTC —x— CHAIN LINK FENCE (CLF) $outholdTown \ sTK STK EEN ' FEN i _ _ — — —•— WIRE FENCE \ 1 STK FEN 1 1.1't _ _ RAIL Board of Trustees \ FEN ?1 r ?o.e' o s © MANHOLE \ O/L _ 1 _ — 1 3 RAIL FEN P/0 FM LOT 2 �o.4, B "A"-INLET _ _ ,4!-6-STOCKADE FEN. 7'LATTICE FEN. z 0.4't 3'SPUT RAIL FEN. "B"-INLET o ►� �- s� p O a( ULK 6 07 20 E� 220.81 C M.UN Fl FND �I ® YARD INLET eAD 1 �� o 1> 0.3'� a ice^ _FI MON 0 YARD INLET '� \ ` o a P 0 FM LOT 71 A/C UNIT O I`� w iPROPPIANN(Em / _q� I •r( ® ELECTRIC METER O \ I Ic POOL `' p0 PME� TAX LOT jk O I p GAS METER ` _ _ �� O•; I IZ O _—E A ❑W WATER METERGpRAGpzC/E �PEAK:37:62GAS VALVE WATER VALVEGEEil7.03�— s a C� I Its 10 TEST HOLE \'� \\ /' � I I� 3 .6' TREE \�\ mo \�1 1 I j i 2. w SHRUB a I \ \ _ i BOLLARD I1' I WETLAND FLAG ZONE VE �` _- ° a 1 D.C. DEPRESSED CURB a (� 9� �4 \�` �� STORY ¢ pSPHAAY I I O FE. FENCE > r GONG. FRFR 1 1t R ONCE- DRIVEW a 1 i 3610300068H �2 \ I � w MAS. MASONRY EFT. 9/25/2009 N �;\\ \; 1t _Ia P6g7 a'FFEt `¶C eg c O I PLAT. PLATFORM \ v'_� G� ! MANHOLE W.W. WINDOW WELL B/W BAY WINDOW C/E CELLAR ENTRANCE \� \ �1 CONC_ — a ? NOTE` o/H OVERHANG �x )�\\\ I?o,\ ��Re — — i DURING THE COURSE OF THIS SURVEY, THE SITE WAS R/0 ROOF OVER �A COVERED WITH APPROXIMATELY 24t INCHES OF SNOW CANT. CANTILEVER �" \�\\\, 1 — Z O FM LOT 3 I w AND/OR ICE. THEREFORE, THE PREPARER OF THIS MAP G.O.L. GENERALLY ON LINE ° 1 �D _�257 SOIL 1i iv ` P/ DASH CANNOT CERTIFY THAT SOME OBJECT, FEATURE OR GRADE ® CROSS CUT O O \\Y \ ¢ \ O`P O 1 l FlL N FEN HEDGES _-\ O O CHANGE HAS BEEN OMITTED, HOWEVER, EVERY EFFORT STAKE PIP w 6'MESH FEN. 1.6 O \ 3 — \ HAS BEEN MADE TO ACCURATELY SHOW ALL OF THE O/L ON LINE a 00 _z� �ry 82' `�� FEATURES OF THE SITE. R.O.W. RIGHT OF WAY \\ / 1r_ _ --Y— ,� 18/ \ e ° ca V 1^ FEN �S58°26 00 W -W co \ \ \V .0 \ 4'MESH FEN. \p LOT AREA I a \ 8 � \\ 22, p/0 FM LOT 3 \�� 55 S.F. 0.52 AC. \ GRAPHIC SCALE TAX LOT 22 * ALL ELEVATIONS REFER TO NAVD88' DATUM I 0 11 30 \ � 6 02 11 2026 UPDATED SURVEY MM JTS NOTE: \\ 5 10 06 2023 GUARANTEES ADDED JTS J.D.L. 4 05 30 2023 TOPO UPDATE MC J.D.L. 0 IN FEET NO VISIBLE UTILITIES 3 04 25 2022 REVISED SURVEY J.H. J.H. DURING TIME OF SURVEY 2 04 21 2022 FLOOD ZONE ADDED J.H. J.H. 1 inch = 30 ft. 1 04 20 2022 CEHA LINE ADDED J.H. J.L. REV DATE DESCRIPTION �/��/ BY CHK NEW 10 TAX MAP N0. 960 WILLOW TERRACE 1 OF PROPERTY 11957 5�9�,�-� 1000-026.00-02.00-021.000 P/O LOTS 2 AND 3 SCALICEMAP OF * j I a n d surveying JOB No.S22-0478 WILLOW TERRACE DATE SURVEYED 03/11/2022 FILE DATE: 115281996SITUATE MAP NO. 5407 : l�cF NO�o5o8�° mjslandsurvey.com P:631 —957-2400 - ORIENT, TOWN OF SOUTHOLD ys J`� 1 South Bay Avenue, Islip, NY 11751 DR.:MC CREW.:JT SCALE: 1" - 30 SUFFOLK COUNTY, NEW YORK Fa L A ND S�� (1)UNAUTHORIZED ALTERATION OR ADDMON TO THIS SURVEY MM BEARING A LICENSED NAND SURVEYOR'S SELL 6 A VIOLATION OF SECTION 7209.SUB-DMSON 2.OF NEW YORK STATE EDUCATION LAW.(2)ONLY BOUNDARY SURVEY MAPS DARN THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF ME SURVEYORS ORIGINAL WORK MID OPMION.(3)CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT WE WAS PREPARED W ACCORDANCE WAIN ME CURRENT IXIS NC CODE OF PWCOCE FOR LAND SUT2YS ADOPTED W ME REW YORK STATE ASSOCIATION OF PROFESSIONAL LOUD SURVEYORS.INC.ME CERTFICATO!IS UMIIED TO PERSONS FOR WHOM ME BOUNDARY SURWTY MAR 6 PREPARED.TO ME TILE COMPANY.TO ME GWERNYENTAL AGENCY.AND TO THE LENDING I STMIION LSTED ON THIS BOUNDARY SURVEY MAR.(A)THE COMFICATIONS HEREIN ARE NOT TRANSFERABLE. ND(B)ME LOCATION OF UNDERGROUND NFRWEMENTS OR EICROU"AENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ME NOT COVERED BY THIS SURVEY.(6)THE OFFSET(OR SURVEY. DMENSONS)SIOMM HEREON FROM THE STRUCTURES TO ME PROPERTY UNES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES.RETAINING WALLS.POOLS.PATIOS RANTING ARM ADDITIONS TO BUILDINGS.AND ANY OYHM TYPE OF CONSTRUCTION.(7)PROPERTY CORNER MONUMENTS WERE NOT SET AS PARE OF MIS SUR .(8)M VM IS SUR WAS PERFORMED WITH A SPECTRA FOCUS W ROBOTIC TOTAL STATION.(9)THE DLSTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD IF ANT.NOT SHOWN ARE NOT GUARANTEED.(10)IF WIS SURVEY WAS PREPARED WTNOUT ME BENEFIT OF A TITLE REPORT.WE DOSIENCE OF ANY CODE MOM RESTRICTION.EASEIERS AND/OR F4CM OF WAY OF RECORD.IF ANY.MAY NOT BE SHOWN OR ADDRESSED AND ARE NOT GUARANTEED. NORTH STAR E N G I N E E R I N G PHOTO LOG FOR TOWN OF SOLTMOLD: PHOTO 1 - 10:54 AM View of Backyard and Bulkhead, looking W PHOTO 2 - 10:55 AM View of back of Dwelling and Backyard, looking SE STTE: 960 Willow Terrace Ln, Orient, NY 11957 1 DATE OF INSPECTION: Friday,April 10, 2026 NORTH STAR "t n PHOTO 3 - 10:55 AM View of Existing Bulkhead & Landing, looking SW Doi .�.. -�"MT�77 �. i y L+. PHOTO 4 - 10:55 AM View of Bulkhead, Shoreline, and Vegetation, looking SE SITE: 960 Willow Terrace Ln, Orient, NY 11957 2 DATE OF INSPECTION: Friday, April 10,2026 FORTH STAR E N G I N E E R I N G PHOTO 5 - 10:57 AM View of Existing Windows &Window Wells on SE side of Dwelling, looking W PHOTO 6 - 10:59 AM View of the front of the Dwelling & Existing Driveway, looking E SITE: 960 Willow Terrace Ln, Orient, NY 11957 3 DATE OF INSPECTION: Friday,April 10, 2026 ab ivi - \• IMTC LtlE ,I 3z , - ems' t•� i6y _y— �*,'r .`1Y� e .�, °4 ao iv, a \ It Icy 1, 121 r i V3 i -- ------- 21 - - w It 04 Y may. g't i V•`. r \ b L 6),0 IAA lo n Tom, 6 03 \\ A h1h — .-- .a,.µ�. ia n...rs6ra>wreo l ... so,n,w�D secr�n v: COUNTY OF SUP UC O E a __ D `��_ �� _____ ,6•,, Ral Proyer,yT n 1RcncY W E s,wannr. reua6a T 4'E __ ••» "" nw, 6LFrttit M yr or 026 OFFICE LOCATION: *OF so yo MAILING ADDRESS: Town Hall Annex ,`O l0 P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) y Southold, NY 11971 Telephone: 631 765-1938 G • Q C4UNTY,N � 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 Goradia and Raja, SCTM #1000-26.-2-21 This application is to install two window wells, one to be used as a basement egress window; install I/A OWTS system and sanitary leaching field; install propane tank; relocate asphalt driveway. 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. 6.2 Protect and restore Significant Coastal Fish and Wildlife Habitats. 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 Policy 13. Promote appropriate use and development of energy and mineral resources. 13.4 Minimize adverse impacts from fuel storage facilities. C. Liquefied Natural Gas facilities must be safely sited, screened and operated. This proposed action is on a nonconforming lot with the wetland boundary of Orient Harbor where the pre-existing single family dwelling is closer than 100 ft from the wetland boundary. 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 wetland boundary of the proposed action is Orient Harbor which is a designated Significant Coastal Fish and Wildlife Habitat. The proposed action is consistent with Policy 6.2 because all proposed alterations are located landward of Orient Harbor. The proposed action is consistent with Policy 6.3A because the building footprint is not being altered. The proposed I/A sanitary system complies with Town Code Chapter §275-3 which calls for a septic tank and sanitary leaching pool to be 75 ft and 100 ft from a wetland boundary. The proposed new propane tank is consistent with Policy 13.4.0 which calls for the minimization of adverse impacts from liquefied natural gas storage facilities and complies with Town Code Chapter 2754A.1 below: (i) The demolition, removal, repair and/or upgrading of existing residential fuel tanks, fuel lines and fuel dispensers, and the installation or burial of a residential 2 propane tank, including necessary site work, and provided that such activity will not have an undue adverse impact on the wetlands and tidal waters of the Town. 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. 3 r , Glenn Goldsmith,President Town Hall Annex {A.Nicholas Krupski,Vice President rt° ��' 54375 Route 25 P.O.Box 1179 Eric Sepenoski '� Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples '�+ • y� i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit ApplicationLiz( " "4 - i Wetland Permit Applicationj2026L�' Administrative PermitAmendment/Transfer/Extension JUN 1 5 Received Application: Received Fee: SoutholdTow Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I Type lI Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: —Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: __Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Jatin Goradia & Raialakshmi Raja Mailing Address: 22 West 66th Street, Apt. 24, New York, NY 10023 Phone Number: (631) 513-6589 Suffolk County Tax Map Number: 1000 - 26-2-21 Property Location: 960 Willow Terrace Lane, Orient, NY 11957 - (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): North Star Engineering, PLLC - Sarah Churchill Mailing Address: P.O. Box 686, Holbrook, NY 11741 Phone Number: (516) 521-7712 Email: schurchill@northstarpllc.com 1 , Board of Trustees Applil, -,,ion GENERAL DATA Land Area(in square feet): 22,548 sf Area Zoning: R-40 Previous use of property: Residential ` Intended use of property: Residential Covenants and Restrictions on property? Yes _2^No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ]allo If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes __R_No If"Yes", please provide copy of decision. WMhis project recir� any demolition as per Town Code or as determined by the Building Dept.? Yes _ ✓�N0 Does the structure(s) on property have a valid Certificate of Occupancy? Yes_D_No Prior permits/approvals for site improvements: Agency Date Board of Town Trustees,Wetland Permit#10458 & 10458C 9/18/23 Town Building Department, Building Permit#50995&50996 7/29/24 Town ZBA Approval, File#7808 11/20/23 ELNo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_Z_No ❑ Yes If yes,provide explanation: N/A Project Description (use attachments if necessary): The purpose of this project is to install two (2) window wells (one of which will be used for a basement egress window), an I/A OWTS and sanitary leaching field, a new propane tank, and to relocate the asphalt driveway. Board of Trustees Appli,' ' ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: The purpose of this project is to install two (2) basement window wells (one of which will be for an egress window), an I/A OWTS and sanitary leaching field, a new propane tank, and to relocate the asphalt driveway. Area of wetlands on lot: 4,254.2 square feet Percent coverage of lot: 18.9 % Closest distance between nearest existing structure and upland edge of wetlands: 52.33 feet Closest distance between nearest proposed structure and upland edge of wetlands: 57.58 feet Does the project involve excavation or filling? ❑ No Yes If yes,how much material will be excavated? 85 cubic yards How much material will be filled? 19 cubic yards Depth of which material will be removed or deposited: 10 feet Proposed slope throughout the area of operations: 5•5% Manner in which material will be removed or deposited: Equipment to be utilized for the proposed work: Excavators, backhoes, and a concrete truck for the proposed egress window wells. Work methods include: Excavations for installation of new window wells, sanitary structures, propane tank, and trenching for utility pipes. 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): The proposed site improvements will not affect the adjacent wetlands /water body. The contractor will appropriately manage site debris and sediment such that it does runoff to adjacent roadways, properties, and water bodies. Erosion and Sediment Controls will be implemented as necessary. 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. -Part 1 -Project and Sponsor Information Name of Action or Project: 960 Willow Terrace Lane Project Location(describe,and attach a location map):-See location map attached to SEAF 960 Willow Terrace Lane, Orient, NY 11957, SCTM#: 1000-26-2-21 Brief Description of Proposed Action: The purpose of this project is to install two (2)basement window wells(one of which will be for an egress window), install an I/A OWTS and sanitary leaching field, install a new propane tank, and relocate the driveway. Name of Applicant or Sponsor: Telephone: (631) 513-6589 Jatin Goradia & Rajalakshmi Raja E-Mail: jgoradia@gmail.com Address: 22 West 66th Street, Apt. 24 City/PO: State: Zip Code: New York NY 10023 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES 1f Yes, list agency(s)name and permit or approval: ❑ SCDHS - Permit to Construct the Sanitary System DEC-Tidal Wetlands Permit 3.a.Total acreage of the site of the proposed action? 0.52 acres b.Total acreage to be physically disturbed? 0 13 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.52 acres 4. Che I land us at occur on,adjoining an ar the propq=A action. Urban Rural(non-agriculture) Industrial Commercial ❑✓ Residential (suburban) Forest ❑Agriculture ✓Aquatic QOther(specify): Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? {/ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Name: Peconic Bay & Environs. Reason: Protect ublic health ✓ water. vegetation. &scenic beauty. Agency: Suffolk County (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 near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? `/ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: .An I/A OWTS is proposed at ❑ the property, along with a.sanitary leaching field. 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 tF�e_groject 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? Northern Long-eared Bat ✓ 16.Is the project site located in the 100 year flood plain? NO YES M&/T] 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, a. Will storm water discharges flow to adjacent properties? ONO DYES W ❑ b.Will storm water discharges be directed to established conveyance systems ff an m 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: ❑ ❑ 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: W] ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Sarah Churchi I, P.E. Date: �a L 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 sponsoror otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ ) regulations? {t 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ i. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ Q a. public/private water supplies? L� b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, El ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? a 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. EICheck 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 bq F fv d l s' ... ... -... Y, 41 SITE ta SITE LOCATION PLAN 0 400 800 SCALE: 1"=400' WETLANDS PERMITTING SITE LOCATION PLAN ORWILLOW TERRACE LN NORTH STAR C-1 ORIENT NY 11957 TOWN 61F SOUTHOLD p a e l H II E I N G -- 3/25126 '-"^ """�"�1 �f �f P.O.BOX 686 1 o0"" 6-"26-2-21 HOLBROOK,NY 11741 1 1 (516)7613826 - MVAVRICA@NORTHSTARPLLC.COM ZEN2601 SCHURCHILL@NORTHSTARPLLC.COM oard of Trustees Appliaai- �,m AFFIDAVIT Jatin Goradia & Rajalakshmi Raja BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF.TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS `7' DAY OF-, QW ,20� YS S MARTINEZ -State of New York 1MA6348755 in Bronx County Ot ublic [7fttaryPublic n Expires Oct 3,2028 Board of Trustees Applicai n AUTHORIZATION (Where the applicant is not the owner) I/We, Jatin Goradia & Rajalakshmi Raja a owners of the property identified as SCTM# 1000-26-2-21 in the town of Southold ,New York,hereby authorizes Sarah Churchill of North Star Engineering, PLLC 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. r Property Owner's Signature Property Owner's Signa e SWORN TO BEFORE ME THIS DAY OF . ,202�__ --Public, -- EUCARYS S MARTINEZ Notary Public-State of New York NO.01MA6348755 Qualified in Bronx County My Commission Expires Oct 3, 2028 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM 'f he Town of 5outhoid's Code of Ethics prohibitsyoo icts of interest on the pnrE oFtown offtcets and emplovees The nur3ose of this form'is to provide information which can alert the tovvn.o(Okiblecontlicis of interest and allow it to take whatever action is pecessary to avoid same. YOIIRNAMEr Goradia. Jatin (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(orahrough your company,spouse,:sililing;parent,or child)have a nslationship'with airy officeror,employce of the Town of Southold? "Relationship"inclades by blood;marriage,or bus ness'in6erest-"Business interest!'means a busigess, includinga nersh! ,in.which the town office r or em l ce has even a,part p p oy partial ownership of(or employment by)a corporation in which the:town officer or employeeowns more then.51%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,slbling,parent;or child is(check all that apply): —EJA)the owner of greaterthan 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,partnei,or employee of-the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submiited this57 rq day of 20 XV Signature Print Name.l 'r� Form TS I f i APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FARM The Town of Southold's Code;of Ethics,prohibits conflicts,of:interest onthe part of town officers and employees.The numose of this form is to:provi&information.which can alert the town of Ross W conflicts of imerest and allow it'to`take!whatever action is necessary to avoid same: YOURNAw: Raja, Raialakshmi (Last name,first name,:piddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other persons 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-youtcompany,spouse,,siNing,parent;.or child)have a relationship with,any officer or employee. of the Town of Southold? "Relationship"includes by blood;marriage,or builness 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-50%of tbe shares. YES . F-1 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 applicantlagent/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,pareo oir child is(check all that apply): f1A)the owner of greater than 5%of tlic.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,partnei,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted t 1 G da�fb-_IOILQ 20SignaturePrintName Form IS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. . 2. Before answering the questions in Section C,.the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A- proposed action will_ be evaluated as to its s in caican_t beneficial and adverse.effects upon the.coastal,area(which includes all of Southold Town). 3.- If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail,_listing both supporting and non- supporting-facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,.it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 _26 _2 - 21 PROJECT NAME 960 Willow Terrace Lane The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Fv Nature and extent of action: The purpose of this project is to install two (2)basement window wells (one of which will be for an- egress window), install an I/A OWTS and sanitary leaching field, install a new propane tank, and relocate the asphalt driveway. 1 Location of action: 960 Willow Terrace Lane, Orient, NY 11957 Site acreage: 0.5176 acres Present land use: Residential Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant; Jatin Goradia & Rajalakshmi Raja (b) Mailing address: 22 West 66th Street, Apt. 24, New York, NY 10023 (c) Telephone number: (631) 513-6589 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency? NYSDEC-Tidal Wetlands Permit (or letter of non jurisdiction) 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 This project reflects the Town's interest in"preserving and enhancing the natural and built environment and providing opportunities for a level of growth and expansion of the economic base that is compatible with the existing scale of development,availability of water,existing sensitive environment of the Town and its historic heritage."The project will preserve the existing landscape of the site and the surrounding waterbody/wetlands(Orient Harbor).The contractor will install silt fencing around the work area to prevent sediment laden runoff from leaving the Site during construction.Furthermore,the existing cesspool will be properly abandoned and removed in accordance with SCDHS requirements,and an Innovative and Alternative Onsite Wastewater Treatment System(I/A OWTS)and sanitary leaching field are proposed.The new sanitary system will be properly sized,meet the necessary groundwater separation distances,and will significantly reduce nitrogen levels compared to the existing system.The new sanitary system will better protect the natural environment and waterways abutting the property. 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 The New York State Office of Parks,Recre and Historic Preservation(OPRHP)Cultural Rest information System(CRIS)online database was utilized to determine that the project site does not contain,nor is substantially contiguous to,a historic building,archaeological site,or historic district which is listed on the National or State Register of Historic Places.The existing residence is visible on Suffolk County GIS aerials dating back to 2001. The integrity of the residence will be preserved while adding a basement egress window and two window wells.Historic maritime areas will not be impacted by the implementation of this project. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑✓ Yes ❑ No ❑ Not Applicable The Town of Southold seeks to protect its scenic components,which include maritime activities.This waterfront property abuts Orient Harbor which is a major contributor to the visual quality of the existing landscape found at the Site.As such,it is crucial to protect and preserve this scenic natural resource. The proposed improvements will not negatively impact the visual quality of this resource,as all proposed site utilities will be buried underground;other than the control panels for the VA OWTS,which will be located along a southern wall of the dwelling and will not obstruct the view harbor.The scenic views of the neighbors will not be affected.The mature vegetation found onsite will be kept in tact to the greatest extent possible. 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 ❑I✓ Yes ❑ No ❑ Not Applicable The backyard of the Site abuts Orient Harbor.There is an existing bulkhead with piles along the west property line.This bulkhead acts a physical barrier that prevents site soils from being washed away by wave action during storms or flooding events.The existing bulkhead will not be disturbed as part of this project or during construction.Furthermore,the proposed site improvements will not be located any closer to the waters edge than the existing structures. 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 2 Yes ❑ No ❑Not Applicable One of the considerations taken during the design of the proposed project was to protect the water quality of the surrounding harbor and to improve the water quality of groundwater.The existing cesspool(s)will be abandoned and removed in accordance with SCDHS requirements.Cesspools do not have a pretreatment unit that reduces nitrogen from sewage prior to discharging into the ground.The sanitary system,as it currently exists,has the potential to negatively impact groundwater quality.As part of this project,an I/A OWTS and two(2)sanitary leaching pools are proposed.The new system will be properly sized,meet the necessary groundwater separation distances,and will significantly reduce nitrogen levels compared to the existing sanitary structure(s).The location and design of the new sanitary system will reduce nitrogen discharges to groundwater and the surrounding harbor. 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 Though this Site does not abut a classified significant coastal fish and wildlife habitat,the implementation of this project will protect the quality and function of the surrounding ecosystems.As part of this project,Orient Harbor,the existing bulkhead,and the wooden staircase that leads down to the water will not be disturbed.The existing sanitary structure(s)found onsite do not provide advanced pretreatment of sewage.The new system that will be installed as part of this project incorporates an I/A OWTS that reduces nitrogen levels in the wastewater effluent well below the standard of 19 mg/L.The proposed leaching pools meet the required 3-foot separation to groundwater.This is important because it allows the sanitary effluent to further filter through site soils which provides additional treatment to the sanitary effluent prior to reaching groundwater,and ultimately,Orient Harbor. 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. ❑ Ye❑ No❑I✓ Not Applicable Attach additional sheets if necessary WORKING COAST POLICI ,0 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 F'/] 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 TII—Policies; Pages 65 through 68 for evaluation criteria. 0Yes ❑ No 0 Not Applicable PREPARED BY Sarah Churchill, P.E. TITLE Principal,North Star Engineering DATE 4/28/26 C2611 NORTH TSTAR ECUV E E N G I N E E R I N G y June 15,2026 ' JINN 5 2026 Board of Trustees Town of Southold. Southold Town 54375 Route 25 Board of Trustees P.O.Box 1179 Southold,NY 11971 TRANSMITTAL LETTER RE: 960 Willow Terrace Ln,Orient, NY 11957—Administrative Wetland Permit Application Delivery Service: N Hand Delivered ❑ Fed Ex ❑ USPS Quantity Description 1 $250 Check for Application Fee 2 Administrative Wetland Permit Applications 2 Photo Logs 3 Existing Conditions Surveys 3 Proposed Site Plans / Please find the above-mentioned items enclosed. If you have any questions, you can reach me at (516) 521-7712 or via email at schurchill@northstarpllc.com. Regards, Maggie F.Vavnca, PE Sarah M. B.Churchill, PE mvavrica@northstarpllc.com schurchill@northstarpllc.com (516)761-3826 (516) 521-7712 i