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North Fork Realty Holdings, LLC
Glenn Goldsmith,Preside'nt h�p�0 COGy., Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski co ,-C P.O.Box 1179 Liz Gillooly y • p!� Southold,NY 11971 Joseph Finora �Ol �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town.Board of Trustees Field Inspection Report Date/Time: 41 12,(,o qV4 Completed in field by: L1 c� AMP Architecture on behalf of NORTH FORK REALTY HOLDINGS, LL requests a Wetland Permit to construct a two-story dwelling with a 1,793sq.ft. first floor and a 1,704sq.ft. second floor including an 88sq.ft. front portico with steps, a 4.6'x4.6' side entry with steps, 3'x16'x10.8' and Tx10.4'x7.7' seaward entry stoops with steps to a raised (21" above grade) 482sq.ft. porcelain pool patio with a 12'x33' pool with 1' wide coping surround and a 1' wide catch basin along south and east sides of pool; install a raised 550sq.ft. porcelain patio with a 9'x10' raised hot tub; install 4' high pool enclosure fencing with gates, a pool drywell and pool equipment area; construct a 440sq.ft. 1 Y story detached garage; install a buried propane tank, landward walkways, grass paver areas and a gravel driveway; install gutters to leaders to drywells to contain roof runoff; install an I/A sanitary system landward of dwelling; all excavation to be used for backfill and excess removed from site; and to establish and perpetually maintain a 15' wide non-turf buffer along the landward edge of the bulkhead. Located: 730 Tarpon Drive, Southold. SCTM# 100-57-1-8 Typ f area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code propose work falls under: V✓ Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre- bmission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/E Present Were: Z.. G<dsr�ithN. ��J. i E. Sepenoski illooly Finora (1)URAVTNMZED AL"ATIM OR ADWTM TO THIS SURVEY IS A VDLAWN OF ZCNDN 7209 OF TIE NEW PORK STATE EDUCATDN LAW.(2)DISTANC -JR!"N IRJ -r NIT LIIts IV E IAH:WIM:I V AHE-A]T'ElA1{:gII1I1AE AAU Alt"ut IV It-IV"IAMJ:SM rNV "-VN-t'ARI.IMA-TVA. TJ/tAI9Ei V Im SIINV[T MAY NVI ULAIIIO THE LAND MWEYON'S INKED SEAL OR EMBOSSED SEAL SHALL NOT K CONMERED TO K A VALID TRLE COPY.(4)D°ETPTCAIKN NDIcATED NEREDN SHAIl RUN ONLY TO TE PERSON FOR MIOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.DDVEIW"rNTAL AGENCY AND LENDING NSRTUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING NSTMTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR AIBSEOIENT OM M (5)THE LOCATON OF WELLS(n SEPTIC TANKS(ST)A CESSPOOLS(CP)SHOMN HEREON AWE nldl nELD OBSERVAIICNS AID OR DATA OBTAINED FROM OTIEM N 400 Ostrander Avenue, Riverhead, New York IIQOI tel. 631.7272303 fax. 631.727.0144 admtn®youngengineering.com + Howard W. Young, Land Surveyor Thomas C. Viol pert, Professional Englneer Wj E Douglas Adams, Professional Engtneer 4 Geologist $ Daniel A. Weaver, Land Surveyor \ SITE DATA AAAORIEIa AREA = 20,617 SQ. FT. *SUBDIVISION -"MAP OF SOUTHOLD SHORES"IN THE OFFICE OF THE CLERK \` / OF SUFFOLK COUNTY ON AUG.29,1963 AS FILE NO.3853. `\ * VERTICAL DATUM =NAVD(1988) alz // *SEE FLOOD INSURANCE RATE MAP PANEL NO.36103CO159 H LAST DATED SEPT.25,2009. / /� \ �o00. \o�9rNR0�o 8.06 +s.00 \ 7.78 \ l CMFF 7.93 / 1 7.26 METAL PIPE 8.8 IF 1 V 1.a1+ I 3O\� w000P A° rz ) TM Op F44 a ;/ 9.72 "(!' `� , 'DOS7,S 6,.34 m� � � IPF >.0 3+°i , 8.03 3 �O�O h 11.33 +9.44 I y1 4 +9.35 C +9.27 ` o► 00 + \ C4 TEST HOLE .^� Lot 38 - \ SURVEYOR'S CERTIFICATION_._ _ BYMcDONALDGEOSERVICES pr Z j Subdivision ` "°°""' �/�''L- r _�` 10.53 ; "Map of Southold Shores" \ WE HEREBY CERTIFY TO N O RTH FO R K REA�04.- i O!LD i N�5 DATE:05/11/2026 ` EL=9.0 0.0' ` + I w5S LLC THAT THIS SURVEY WAS PREPARED IN ACC�ODAWE.WITIH IHE C & DARK BROWN I \ OF PRACTICE FOR LAND SURVEYS ADOPTED BY NEVVYORK STATE----. LOAM EARL}(UP ` +9.64 , ` ASSOCIATION OF PROFESSIONAL LAND SUP WOODED UC1/✓RS 0 1.0. roa.a'w h t BROWN SILT 10.72 I 9.94 / W55 / s.79+ 9.84 3 HOWARD W.YOUNG, S.L.S.N 45893 �`' \`�- c-�. / `, "�. PFAILEE ND BRAOWN \ s.ss� LAWN iv : �' I DANIEL A.WEAVER, . .S.L.S.N 771 ��,j J►7 S UP E Q (SP) \ +9.22 TO18.9'W z N v W 9.11 f� .0 _ I 6W EL-2.6 6.4' \` 1\ 3 00.0 } WATER IN PALE �� ___ �, .3 �� o :b o g'3 I SURVEY FOR BROWNSD NE \, `� ���' '° " NORTH FORK REALTY HOLDINGS I.LC wq +10.51 y � o (SP) O k'Ob �1 \��1 ��\ Iv py 1 �',.�aeG`�o�sTo� s.ss+ ����`\ __1�`\\ p� a I BROWN WAT � WATER TN a \ sr �� +sAiE .31 . W5S Z I LOT 38 "MAP OF SOUTHOLD SHORES" CL e SANDY A ro?Y t/a '`�, -'�� , at Southold Town of Southold 1° 46.0' +4.78 i� w \��� WIFVP ' Suffolk County New York cWATER IN O���wq�r \ �8``_ TO 15.9'W I n BR S ND NE �6 ° �yFgo - _ , \ 6VIL�ING PERMIT SURVEY 53.0' ��`�0�' +5.74 -6 __ W24 County Tax MD District 1000 Section 5J7 Block 01 Lot 8 __ I P o _ FIELD SURVEY COMPLETED APR.23,2026 zONE x ' MAP PREPARED APR.27,2026 sO hO 'IL 7ONEAE(EL7) _ _ _ _ Record of Revisions LEGEND v�h114y r'`�� _ __ __-- -- -- - REVISION DATE ovP CMF =CONCRETE MONUMENT FOUND CMS =CONCRETE MONUMENT SET EOP =EDGE OF PAVEMENT IPF =IRON PIPE FOUND OL =ON PROPERTY LINE I - )U I. Z 9 2C2� WIF =WIRE FENCE m WSF =WOOD STAKE FOUND 30 0 15 30 60 90 Sot1(ii;; p SS =WOOD STAKE SET ldTown o �T =UTILITY POLE Bmnrd of T:)^'pes _ • =END OF DIRECTION/DISTANCE Scale: 1EE - 30 JOB NO.2026-0056 DWG.2026_0056_bp 1 OF 1 _ _ W SITE LAYOUT NOTES: PROJECT / Z_ONI.N6 DATA.r I. THIS 15 AN ARCHITECT'S 51TE PLAN d IS N T PROPOSED IH"WIDE z'^ SUBJECT TO VERIFICATION BY A LICENSED I PERFORATED �BASIN W/4" TAX MAP� 1000-5-1-OI-08 SURVEYOR. THE INFORMATION PERFORATED PIPE z m N 3 REPRESENTED ON THIS SITE PLAN 15 TO THE Q 0 LEADING TO DRYWELL o o J ARCHITECTS BEST OF KNOWLEDGE. ¢a ZONING DISTRICT R-40 NON-CONFORMING O J K PROPOSED <1 PORCELAIN LOT AREA 0.5 ACRES ��0 2.SURVEY INFORMATION WA5 OBTAINED ?5`0 PAVERS a z _ FROM A SURVEY DATED APRIL 25,2026, PROPOSED _ FEMA FLOOD ZONE - WHERE X a o a w M05T RECENTLY REVISED APRIL 2-I,2026, PORCELAIN 0 qL0„` WORK PROPOSED _ AND PREPARED BY: PAVERS O J J o � .�.,_ .' W,yJ rZ a WETLAND5 DISTRICT PENDING Ln>m> a m YOUNG ASSOCIATES �9-6," �0 o 0 3 400 05TRANDER AVENUE a x DECDG DISTRICT NON-JURISDICTION PENDING a=z 5 RIVERHEAD,NY IIg01 ` 2000 VI TELEPHONE: (631)-721-2303 D t , ; APPROVAL _ -- Wo EMAIL: ADMIN®YOUNGEN6INEERINS.GOM SUFFOLK COUNTY HD A 5 BEDROOM i 4a a m _0 N� ��E'i0„ 4 � j� ,' FLOOR AREAS PER WUTHOL-D TOWN CODE I a`o Z x a0¢�3 PROPOSED PROPOSED I o'a z _:+ CONDITIONED OR055 0 o S 0$ AREA AREA w x-0 3 O.ON, 0 I = PROP05ED M. FIRST FLOOR AREA 0 w IMFF MO 0 _ \. /� I 0 PLANTINGS 1 591 S.F. I,-f05 S.F. 1, z a 0 0 ..-,x �QP ......... m SECOND FLOOR AREA IS91 S.F. 1,105 S.F. w z a /� wz zr NON-=S�o '� PROPOSED PATIO PLAN � m W 3 Z z 1n)R��$' w/�E `� AREA TOTALS 3,182 S.F. 3,410 S.F. o 0 o m POOL DRYI L I I BUFp�R `\� SCALE: 1" = 20'-0" z a o • •'•_ - ci 4a 0 ZONING RECULATION5 MAIN BUILDING o g Z a w 4'-0" POOL FENCE (TYP.) q 0 x m 7 r r O ?O� PROPOSED COMPLIES =o o a c0i PROP. 12'X30' INOROUND GRASS AREA POOL W/ 1'-0" COPING $ %1 \ $ \ MIN.FRONT YARD 40.0' 45.5' YES 1'-0" CATCH BASIN I S T RF,q \ 9 �'1� Y PROP. HOT d' MIN. SIDE YARD 5.0' I5.0' I YES W ` BR✓K��Rp TUB S I MIN.COMBINED 35.0' 4-7.0' YES \ F PROPOSED 1&" WIDE k SIDE YARDS POOL EQUIPMENT PROP. \ GRAVEL BASIN W/ 4" p MIN.REAR YARD so.o' �a.r YES 4J — q POOL _ -, - �f PERFORATED PIPE E U^` / LEADING TO DRYWELL MAXIMUM HEIGHT 35.0' 3L9' e YES W m f PROP __/ PROP.,_' ~ rt \ POOL PATIO / (4) 8'X8' DRYWELLS ACCESSORY• STRUCTURE REQUIREMENTS NEIGHBORING �;PATIO. i-\� E DWELLING j \-•._'� ��_,) 1000G. BURIED PROPANE PROPOSED GOMPLIE5 TANK — Q in PLANTINGS \ ' SOUTHOLD TOWN PIER LINE MAXIMUM HEIGHT 22.0' 22.0' YES Q, _ 1 � o I00' SETBACK MINIMUM SIDE YARD 20.0' 20.0 YES PROPOSED TWO STORY DWELLING FROM BULKHEAD ! I MINIMUM FRONT YARD 40 0' 1 40 p' YES 1,-105 S.F. ' I \ \ (WATERFRONT) MAX. SQUARE FOOTAGE 200 S.F. 484.0 S.F. YES oo.l i i PROP. SOUTHOLD TOWN GORE 280-207 (AXI) PROPOSED BURIEDJ� _ ROP. , ..— _L I I . 7, ELECTRIC I r - ETAGHE , L NE R LOT 51ZE/AREA IN 20624.0 S.F. 624.0 S.F. ALLOWABLE TOTAL L - ARACGE ' EXGE55 OF 20,000 GFA 6FA i NEIGHBORING 4350 S.F. N TI 440 S.F ' (G) LOTS CONTAINING UP a w ti PROPOSED IA OWTS O�Q DWELLINO MAX. � ,� TO 30,000 S.F. Z W > � �O O, ALLOWABLE 5.F./PLUS 25 Zir L__ 103o OF EXGE55 LOT AREA 3,350.0 S.F. 62.4 5.F. 5,412.4 S.F. 5,410 S.F. P_ A BLUESTONE OVER 2O,o0o �O WW 0 z a WALKWAY = N o 0, �_-� �- LOT GOVERAGE� W O �� a k, +j PROP. GRASS SOUTHOLD TOWN'GO,DE._ Lf: o = A/ � �? GRAVEL � I PAVERS % LOT J� :�^�i� / DESCRIPTION (FOOTPRINT) AREA COVERAGE O TOTAL LOT AREA 20017 S.F. 1 IL - 2 2026 -�, 1 0 / PROPOSED DWELLING; INCLUSIVE � GRASS �'`�J OF REAR ENTRY DECKS 104& S.F. 9.0% I a PAVERS PROPOSED INGROUND POOL I 360 5.F. 11% ,cyout.l Town PROP05ED DETACHED GARAGE 440 S.F. 2.1% ID Board of Trus $ PROP05ED REAR PATIO 1,045 S.F. 5.1% a p s PROP05EV FRONT PORTICO 88 5.F. 0.4% 0 PfrOPOS�D SITE PL,4 —i TOTAL AREA OF ALL STRUCTURES 3,f81 S.F. 18.3% T`-' ,• F`y w W SCALE: I" = 50"0" MAXIMUM LOT COVERAGE ALLOWED: 20% o a Q m GENERAL SYMBOL KEY: Z W am `\ Y r m W O O O W 3 r=j EXISTING TO REMAIN NEW FOUNDATION WALL NEW WOOD FRAME IL1�_' I`I J„ ilJl tlVJl IfL-�' m m w_ O Z J= o Q aJxaj W O w JJ r Z SEP - 2 2026 �?�ma W mwag2 r w a x z J W 2 O O¢m �Q F W Q vouthold-sown PROP. RAISED Board of Trustees Z 10 o= REAR PATIO z Z.3 zw°Wa ®21" OFF GRADE I oaF� (SEE SITE PLAN /o, W. FOR FULL AREA) x I.,4 �<o a m 20'-11" 11'-5" 4- w k Z �z r 0 W YQ a w 3 z z ¢xrQo i N. =yam w mu:3r> w m a o0. a I m - PROP. m PROPOSED BATH PROPOSED ° !€ BEDROOM 128 S.F. KITCHEN �7 18g S.F. PROPOSED LIVING o©I LINEN 117011 1�� -}-� — & DINING ROOM 5-70 S.F. ----------7 ! I - - - - - - - dj m I 4--j k PROP. W.I.G. 53 S.F. PROP. ' PROP. I 1 " - �J PROPOSED ' I PANTRY LAUNDRY .0ClGREAT:ROOM 21 S.F. ROOM 2I8 S.F. DN. I PROP. PROP. O uNEN z O PORTICO i �,. � .� ��� s �,� POWDER 88 S.F. in ROOM UPI DN. _ 32 S.F. 2 h I�'-8" ri 0i-I I" 23-g _ C7 w � Z w > �� i J W Z } O Z N m= p O W a 0 LJ_ 0 = ci� 0 cr Z P OPOSEb u- Z ti 0 cn 2 CAR GARAGE N 13g2 5.F. I (V a I i I I 1 ! I 1 -- 1 ---- ------- — to " N p ' 22'-°" PROP05ED P I R5T FLOOR PLAN � ui ui 5GALE: 115" = 1'-0" o a W Q Q N CENER,,NL SYMBOL KEY: a 1-�� I(I�,, �(fjj V U E oow� F� E%ISTIN6 TO REMAIN NEW FOVPIDATION WALL FzFQ ¢aa I� NEW W ?OOD FRAME �_ � N N WWW H O Z J= UQQ�IlI y�y SEP - 2 2026DO 6v O J W J R m a Southold Town U Board of Trustees OWOw:E Z 0 2 0 2 IooQ � a¢Q�LL z z zQwQo "z G c~i �Q ow3 ! �x ao LLw��W 24'-0" z z=a o z¢in o !ga<60 �w. ° z 0 ,. mo 10 PROPOSED BEDROOM 4 PROP. BATH 203 S.F. J! PROP. r -1--j � U BATH I "T3 S.F. m p f � PROPOSED OPEN TO N Z (, BELOW PROP ! BEDROOM Q L— — PROP. [p y;(I C 185 S.F. GARAGE ATTIC 528 S.F. ) cl PROP. b PROPOSED BATH Q BEDROOM ,. 60 5.F. DN. no S.F. PROPLLJ IIIIiIII ! � W O LU ZO Z 20'-11" _ Fn m ❑ O LI Q 0 ^ LL O = f*7 o Z ~ 0 > Q � 0 IL A 0 PROPOSED SECOND SECOND FLOOR PLAN PROPOSED GARAGE HALF STORY SCALE: 1/5"= 1'-0" SCALE: 1/6"= 1'-0° cn \ o ' m o - Q F W Q � a W a Z W gx �wa¢ m w p 1n1111yrIR/ F Z a E LJ ,� NNO ,ppp���+ � (. SEP - 2 2026 1~z�F�ma — mWasw --- - zo 0 Z m p R a --- I I it — - Boaid of Trustees -- oLLowx a0Wn J Q p w a Na¢tia oawxmm —_---- - —_ N ¢��sa.aom a zawao I II �ZkZr a ¢ 3 a 0 I I II III I I i I l I I I II U i oo�rF w p V p m II wtao J ill I 111 IIII III i . !II I aaa�u IWz7ri �ooaoi ` = i Lu III I! IIII IIIItI' I: l l U SOUTHEAST ELEVATION (LEFT SIDE) (a) m SCALE: 1/5" = 1'-0" -I--j .L 55' MAX BUILDING HEIGHT __c II II II I!lin �� II III II I IIII II - � , I ! II I � 111I' � II II II III III IIII { i � - I (n 11 Z W rn � r-I / III IIII III " "! l II II II II II li II II II III II I II O W ❑ Z i II -Lu I L1ULLLL-W-LLI i I I I! II I 1 '11, I I1 !i ii' I a 11 III ! !iI II ll !I !' I p W Q p I lIl II III II IILL I{ L� IIII II _ I ilI !I Q M ~ it II ! LL Z ❑ ' II II th III LilIII 'I O a ! !I s 0 I' I d I �i I I I III I I II l it I II i III I I I i I I I I I 'PP ' III III III 1 III I ::II I I! ' �� UULL ID BA5EL I NERt N e\i (AVERAGE GRADE) NORTHEAST ELEVATION (FRONT) 50ALE: 1/5" = I'-O" W 6 a N a i� LJ L'1 E U JaD -.�e�< 1 1 U¢J w SEP - 2 2011 , 26 ww°�z -- m F a Atill w -- — O=z J W — — — Southold Town i z<=w a — ------- _ Board of Trustees QyOLLo= - Y F z Z 3 1z po ' w�so3 NaQN¢ a= ¢m I I II I w i zaz�o I I III I � !NwK=a W.0 z I III I' I 1 1 I W w w uQw3aa ! a adWOF- IIIiII 'li 11 '' a mk'Y jL mo 11 I I1 IfI II ' I I I" I I I FF. �oomO i ! l�e�jl I W I`I� f! U � NORTHWE5T ELEVATION (RIGHT SIDE) Q) m SCALE: 1/8" I'-O" — t. U — 57 , !1 I II i II II i t I I I I II it 1 1 II I 11 1 � I I I II I II iI i Ili I I it I �/ I!I I I II !I � 1LL I I III II II I ! Q W 0 Z 1111 11 1111 11 H 11 111 II II ! = l 0 PF. I I p W ap it r s Q c9 � Will Z U) I I I I' — I I I� I � I . O I i I I I I I I I I I I ! .1 r ss to N LO 0 O ' 5OUTHWE5T ELEVATION (REAR) SCALE: I/8" = I'-O" Q IF o a� ¢ N Z IDE i�--�-- V E � zrg3 Irmwo °zx¢ � U N N O w SEP — 2 2026 ! B.Ue O Z J J O Z y�jwJ r Z �?�ma 1oul-rofd Town m w a 3 v rrygw Buard of Trustees _ Z U O¢N Elt zo¢ox I j I - I zwOwa F� I il' JLLL o_ It x F-¢m IIIIIIMill1Hill a Q w x Z Z N ¢xr¢o lill II Jill3 II 11 Jill il 1 11 HI 11 1 Jill 11 oo�r� I<w31¢ !I o ¢awws I 1 i t II Il it i t I'I i i II � azc¢i,o,�� I I Y �zo ¢ xwo¢o I ILLLLj IIII 'i I I j I. � I I Irooao z Jill T-911 I ! Hill CD L +j — DETACHED GARAGE WEST ELEVATION (LEFT SIDE) DETACHED GARAGE 50UTH ELEVATION (WATER SIDE) U a) m SCALE: 1/5"= 1'-0" 4—j PROPOSED ROOF LENGTH = 24'-0" E MAX DORMER 80% X 24' = IG'-2" PROPOSED DORMER LENGTH = 15'-0" C/) 22' MAX BUILDING HEIGHT 11111111 7LAr I ' il'I 'I III , 1 — /// /'/ .\\ — - - !I N ' C'3 w t` — rn I I I I -- - Q U -- ! ' III lil I II17777777,717 717 111 11 11 lI 11,1 11 0 LJ1 pZ LL I I 1 II ` // Z N lI II \ In p III I�I I I I I I I II i IDTA a� 2, a DETACHED GARAGE EA5T ELEVATION (RIGHT 51DE) DETACHED GARAGE NORTH ELEVATION (STREET SIDE) LID SCALE: 1/5"= 1'-0" SCALE: 1/5" = I'-0" 0 ' o Q mot^ o a V ¢ (5ENERAL SYMBOL KEY: w gY �wao —� EXISTING TO REMAIN NEW FOUNDATION WALL J ¢ O Z=J NEW WOOD FRAME -Z W F ® LII f�, I,L111 11U(1 a Z�x 1 owF W W J Z p ¢ma SEI — H. 2 2026 m-5agW oszJ�i ZUOaVI �a�Wa =aQWx Southold Town ENTRY DECK ABOVE a w z 3 \ ENTRY DECK ABOVE hoard of Trustees Z. 20'-II / / z zawao y? j y U 0 Wa zz xxF¢o U w .0 w t 4 o Z an3�¢ � z¢°aa S I FF a N a O U I EGRESS WINDOW x W y a o a 11 AND WELL �`o o a coi m m I. `. PROPOSED FULL HEIGHT BASEMENT _ IN mUTILITY SHAFT — — I + I � � 57 O Q UP — ENTRY DECK ABOVE L — J Lu ENTRY DECK ABOVE j Z Lu O w oz a- O w a0 \ O LL 0 = `GARAGE SLAB p y, `' O M 0 En o 9� a 22'-0" - o PROP05ED FOUNDATION PLAN w w 0 5CALF: 115" = I'-O" o a x "y xWW s. 4 op aF Ulm ME +�,.,�, ,`••,R b,tip--.-�.�cca—' .r '�. son on IIIIIIII Tons I men one WIN son ---, moo .. NOON � � •;_.*�, f.. ram,. Jot, Tarpon730 2026 Southold Town Board . - DECLAFZATIOtIS OF COV-;'EW TS 7UTD RESTRICTI0I7S SOUTHOLD SHORES D.'iTED: .- a AT ARSHAMMAQUE" f FZLEDs 8%29/63 . DECLARATION made. this 5th day of. Ju1y;:196�, by Harold Reese and Fzederick Reese,,{of;'410 .Jei7icho Turnpire,':tdizeola, 2dc-W "York, �hereina_ter callad.the, Otmers. r WHEREAS" said Harold Ree>c'and-Frederick Reese are the" owners of- ceztain land, "situate, lying and bed,at:Arshamocs qae, j Town o� Southold; Suffolk .County, State f`hew York , shown on _ ( Ma of Southold Shores at Arshamomaque, Towm 'of Sd;ithold;~Suffo3N ! P. • - .1_ County, :few York, dated July 1-, 1963-by Otto_W- Van Tuy1 & Son, + l: Licensed Land Surveyors, Greenport, 2iew York, which is .to. Ile _ iled.in the Office of the County Crerl of Suffolk County, aa" t8 f subdivision of said propertychown thereon: 1PiMREAS,• it is the Ovmers'- intention that .the,aforesaid' land shall-be developed as a planned waterfront co==__ of one-family dwellings: NM-7 TdEREFORE, the Owners declare that the aforesaid lard is held And shall be conveyed by them subject to tc-- following cove:.azts� restrictions and conditions, which shall run with the land, until 3u1y 1, 1963: " FIRST: 10 structure other than one detached one-familJ + dwell'ing,.hat exceedingi s 2 1/2 st te in height and containing 1 not les:: roar. 1000 square feet of livipr area, skinll be erected" OA any plot, k private garage for k'amily and boating usc•mhy bcl built and erected thermion, but-no trailers (cormonly used as -:living, gi:artcrs) , tents oi'camping, shall be permitted: No d c11inv , or any part thereof, shal'1 be -used Eor any t 'purpose ctdept ns a private d clling for one family use, or"a3 a . s! profe'ssional of-iicc o; a physician, dentist, or lavypr resident I �?. thereon, nor shall a--iv business] of ariy other kind be ooriductcd �• chexcon. (j SECOND: No t;X--,dc, cra:t, business, manufacturing en- 1 1! dcavor, industry„ cos».-crcc, on other corr-arcial enterprise shall fbe dnrried on upon any plats, nor shall anything be done- thereon j- may be, or become an annoyance or ,nuisance to- the nirighbor- j .I. hood. THI.IDc No fo:cl, poultry, .animals or livestock, other }i 7 than d6mee:I is household pets, shall bc, kept on saia" premises. s FOURTHf as structure shall.be erected 'on any.plot having h _II :rontag�e on Pecor.ic Say so that the structure is nearer .than -75 ! feet of the ordinary High water mark: as presently existing and ioi.-n on the subdivision map hereinab•ove ruscrred to. Said t premises arc conveyed sub_�ect to any casement on, above or bcli5%: Chc surface or the said premises thae may have been granted; or ,i clay hcrcinaftcr be Erantcu, roY the ereccion of poles and neces- I I sat ya�chors,. lines; rains or conduits )Lr_' public utility purposes, 1j.' 11cluding sewer, •gas, drai:tage, {electric and telephone 1 j facilities, .or th y at may. herafter be erected, or may be necessary, 4 to;lbe erected for the proper maintenance of said public ti utilies . comiaonly and ordiziarily installed for the use and benefit_CZ the i individual -owner. - �+ contract _ { Each owner,or purchaser of any land herein agrees to sign any bad al'1 consents, in connection witb the grant i ing of-casemeats,'for.the install-Ation of sewer, waters�gasdrain .� age, electric, telepbone and.oCnez public utility ea eme ts, to th municipality or. utility-compc►zay;nifacting any .tract, opener .or _._ pxoposed, .or any part .of a plots ;as sho;,ni on the,subdivision imap hereinabove. referred.to; pxovided. sam�does not pxohfbtt_the ' r i ei6ction and 1. intenaace of.a. one fzrnily xeaidssncc 'thereon. FIFTH: Saki premises are conveyed subject to approva.lZ I'' go3erning local authorities buildizig •:department, zoziing"board,; u t board" off appeals, and .planaing board or•co=mission n to building, . plot,.plot layout and/or subdivision, of acreaae, 'if a'subdivision I map is not .Filed" at the tlae that the. owner he' in' acquires title to`any portion of the land thi6lm on' said subdivi"lion. p_herezn- " j -- f e above referred to. I SINS: Owners.of a lot or•lots,abut-iug,a.canal', and.. which lot or'lots are"improved with bullheadine, if any,"sball, „ . maintain and preserve such bull-,headz on their propercy,'to the ozigiaal` height and of similar saaterimis and construction :as a . 0Xiyinally used', in order*co ULuird agariat erosion nnd.d age by , floods. The Town of Southold shall nor- fDa respons3bXe or liabte ] for thq Constuction or mainteztance of buikheads_ r I j, •9j�YDT: In- the event,an awrier of a lot or lots -shall conscxlvc his own bulkheading on said property, then Such bulkhead ;,�corstraction si.ali confoxc� in set-bac!k distance, height, material :land quality OF construction as the buZk:-ieading then e:-fisting, on `the 'Cana Sty basi.^. or bay f von t. r jj EIGHM- All bulkheading o= 'lots situated on Pe,conic Bay ! ; I1-hall be loomed' five'.(5) feet from the line of the "ordinary • is , !;wztcr 'mark"da vL the top of such bulkheading.shall be approximately _.' i13.1/2 ft.-from the line,of said "ordina_-y high water mark" as jishown•on chc•. subdivision nap filed herein. .IL`Tlic ho oc.ner:shall have the right to construct:_or - .f1L.Untsin docks' or other st- ctVres extending out acid •into'the ,Canals. sc,3Ta Any owner of premises having frontage on a canal 1II hQtc the rig:t to clear any canal which prevents .Navigable, . ((i ress and caress from hi,; property; provided that no dredging Shall be done to change cite contours or the canals as shah z on -the ilcd• a for this subdivision. l title to, land Ind the cr$ter in canals are Riot . Included in the sale and.con`eyance or a separn to lot or IOCS-- t ac'land had, water in canals are private•anci not.public proper Cy. 1f111 Ouncrs o_ property abucting canals shall:have use or the 'canals for digress and ogress to and from their property and the f • ' }! f Ibubiic •.:atert.ay. w. _ n r 5421 TWELFTH:. The Owner agues totreseXve and• Set^aside Lot s52 'herein, to be used .ind maintained by the o::ners or 'property within (this subdivicion� The Owner agrees"to -co:z*icy 'said Lot 652 lto a membership corporation or association, to:15C foi=ed. by-the I owners -of_property s:itliir :this_ subdivision The ,property oc•.•aers'. f j corporation or association sifall be organized and administered to.-� I 'I achieve fire fol3owing purposes• (a) To hold.title`to. the said lot i�52; (b) To collect and-pay the real estate. taxe3 levied on j } said,�roperty, in, an equitable manner among and from the members !� I.of said association; (c) To maintain the said lot as'- aterfrodt ! property, including its use as a beach and marire _location; 'and (d)' To adopt -rules and •regulat:Cons for the proper care, on main- tenance 'of said lot for the coon use and- enjoyment'of-the ! property owner: of -Southold Shores., i The Owner assumes no--obligationF to cDnutruct;••6aiatair. or operate a beach at.the.cforesaid lot, and sbxll not oe obli-, gated 'to pay the. usual real estato tapes on ,aid lot; if the f property.y. owciers fail to organize and maintain ,a memberz;hip cor- {{ . � .goration on association to which title to the az"oresaid lot, can . I / . I be.convcyed by said .Owner'. • THIRTEEZUR' The Owners, their successors and assign^>, whether or not owning any, part of the aforesaid land, shall have ; the right to alter, modify or annul any part o.f tine aforesaid r covenant, restricCioas and condicions of this ;acl_aration, and j ' shall also have the potirer to assipn such right.(c.ith o:"without a conveyance of title to ;hay part of the aforesac la id) by ^zn { .instri:mcn,t in recordable ford. In the•event the Owncars; at any f {i tir..e, shall. assign such right, the assignee thereof sball succeed f to all of .the rights ana powers of the owners hereunder;.-whether A or not such of-signee h.s.ticic to nil or any part.-of the aforesaid) li -land. - ~!I T FOURTEnEIM: This 'Declaration shall be binding :upon,Iea •C ure to. the' bencfit of, and be enforceable by the Owners, their { successor, Ord assigns, and (subjecC to the right of the Owners, {_ its successors and assigns, to alter, modify or annul :aiiy or:the 'A covcnan_ts, ,restrictions and conditions of the Deeclarati0n) any +� ±� owner or ow:sers oc any part-or` ctic u•foresaid land, their heirs;_ _�� legate representatires, nuccesiiors and •nssigna; and-chd'failure li` any of the forcgoinF to enforce any of such covenants, restrict= li iors.ard condi-Lions; shall•i'n no event be deemed a waivez or the - � .rigsC to do' so thereafter. ' aI _ FIFTEENTH; Tnvalidation of any ,of the aforesaid':.-' covcnancs;'restrictions and conditions -by-judgment or-Court order i' shall in-ncraise affect any. of -the other'provisions which-slim)) _ remain in full force.and'ef:ect. - I)k{ IN WITNE-SS.I*M OF, this declaration tern been e�cecuted f•.by the Owners this 9/10day+ of September; 1963_. t c H Id R Freda ick Reese f STATE OF NEW YOR: � SS.:. C0UM.0$. NASSAU On'the� day of September, 1963, before me'person- }}rr ally came ILWLD REESE and FREDERICK-REESE, to me kriown'to be'-the zlividu_nIs described in' and :rho executed'thc f egoing in, trur�nt,'::' `and aclmowledged that they executed tPie i C el SEp Nota lie C'arti eJ :ut•,., Crq:.ry - _ e—�_,rcc u;..K .__.. ... 17M - .. I .. I .. • �S �'z fe' a� 2'1 � I! �; Ot .� z � � � � -Ii "-" t f'' •� c , F �. ._..:�::�., a, r ' �� � r`s. . �• :.- � 4 >lr�...�, .tea s... - '77 .-N.,+`,. s•'1 � �•� fn.. �r ��i,�t` _5, fiZ�. -Sr;a.v..�^:-., }t j..� � - � •�;i ... � - � �r "-tee• '��;j` ' ��r . .f' Ci'' ter-!. , � �. .� cat l L e _ - L.LS :. 6�5�} - - AMP Architecture Address: 10200 Main Rd Unit 3A, MaLLiLuck,NY 11952 Design + Build Phone: 631-603-9092 fi _y Existing South Elevation( Front) Existing Southeast Elevation( Right Corner) 0 ' y Y s e Existing East Elevation ( Right side) Existing Northeast Elevation ( Rear corner) 730 Tarpon Drive,Greenport 11944 Owner: NOFO HOLDINGS RESIDENCE Applicant:AMP Architecture All photos taken on July 24,2026 AMP Architecture Address : 10200 Main Road Unit 3A, Mattituck,NY 11952 Design + Build Phone:631-603-9092 r ti �I Existing North Elevation(Rear side) Existing Northwest Elevation( Rear corner) . � r 1t Existing West Elevation ( Left side) Existing Southwest Elevation( Left corner) 730 Tarpon Drive,Greenport 11944 Owner: NOFO HOLDINGS RESIDENCE Applicant:AMP Architecture All photos taken on July 24,2026 n-r.m a xs.oe '. s�E sec.rvo.ost _ os s> ayh ON z< w lsa tzzMa) r � a Ac)3.4 eta RE- sec _ _ 2 .. �R_ 1 aon�n x� zv a,.i 2 .w a , O SouNQ ISLAND SHOSe� ..., . . .. _ ,.... _... :, xa COUNTY OF SUFFO LK NOTICE KIm 057 Real Prup-tyT S vt eAg—,y +eu— ry o�Tl °'.•• at.•"� y. W twnm;.t me .«ur wtrtNoio F _____ _ 8 [x HxsFnry tex 3arKE wFx7 } A M P Arch i t e c t u re Address:10200 Main Road,Unit 3A,Mattituck NY 11952 Phone:(516)214-0160 Design + Build September 1,2026 Southold Town Trustees SEP - 2 2026 0 54375 Main Road Southold,N.Y.11971 ;_.. Southold Town NOFO HOLDINGS RESIDENCE „. Board of Trustees 730 Tarpon Drive Southold NY 11971 SCTM:1000-57-01-08 Proeect Description All hig)1lighted items below have been revised from the July 20 version Proposed Construction of the following: Proposed 2 story dwelling: First Floor;30'-11"x 20'-4"x 2'x 17-5"x 2'-10"x 24'x 28'x 23'-9"x 5'x 17-8"x 6'-9"x 20'-11";1,793 SF Second Floor;20'-11"x 2'x 17-5"x 2'-10"x 24'x 28'x 24'x 3'x 17-5"x 6'-9"x 20'-11"x 30'-11'';1,704 sf Proposed Inground Pool w/1'coping:15'-0"x 33'-0";495 SF Proposed Pool Porcelain Patio; 9'-5"x 17-1"x 29'-8"x 11'-0"x 4'-2"x 3'-9";482 SF Proposed Raised Hot Tub:9'-0"x 10'-0";90 SF 'Proposed Hot Tub Porcelain patio:11'-0"x 14'-0"x 25'-0"x 18'-11"x 10'-4"x 4'-11"x 12'-1";550 SF Proposed detached 1/2 story garage:20'x 22';440 SF Proposed rear stoops:3'x 16'x 10'-8"and 3'x 10'-4"x 7-7:192 sf Proposed buried propane tank Proposed walkway,grass pavers,and gravel driveway in front yard Proposed 15'wide non-turf buffer in rearyard Proposed IA OWTS Proposed (4)drywells Proposed pool equipment and 326 linear feet of fencing Excavation Calculations: Proposed pool: Approx 1,710 cubic feet or 63.3 cubic yards Proposed dwelling:Approx 10,940 cubic feet or405.2 cubic yards Proposed garage:Approx 442 cubic feet or 16.4 cubic yards Proposed septic system:80 cubic yards All excavation to be used for backfill and excess removed from site Page 1 of 1 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Tuesday,August 25, 2026 11:43 AM To: 'Brooke Epperson' Subject: FW: North Fork Realty Holdings LLC Sorry one more question. The excavated fill, is that to be reused on site and graded out or removed off site? ECiza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 From: Cantrell, Elizabeth Sent:Tuesday,August 25, 2026 11:24 AM To: 'Brooke Epperson'<bepperson@am parchitect.com> Subject: RE: North Fork Realty Holdings LLC Sorry, but I just noticed on pg.SD-2 it states"raised rear patio 21"above grade." Is this the pool patio? If yes, do you need steps down off of the patio anywhere? I see it going to into the house but nowhere else unless I am just not seeing it on the plan? ECiza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 From: Cantrell, Elizabeth Sent:Tuesday,August 25, 2026 11:01 AM To: 'Brooke Epperson'<bepperson@am parchitect.com> Subject: North Fork Realty Holdings LLC Good Morning, I am looking to add this application onto the Board's September 16, 2026 public hearing date and I have a couple of questions/requests regarding this application. • Would you consider the proposed garage a 1%Z story garage or two story? • Can you please either update page SD-3 to include the second story of the garage or do you have a separate page for the second story of the garage you could submit? Please re-submit/submit four copies of either. • The garden wall, because it does fall within our jurisdiction can you please have a plan drawn up to show length and height(with a side view elevation) and material. The Trustees want to see a plan for any proposed walls within their jurisdictional area. Could you also please email me the dimensions for the project description. • Please submit four copies of the basement/foundation plans. 1 • How wide is the basement egress? Also, please have the width depicted on the basement/foundation plan if notalready depicted. Thank you. ECiza6eth Cantrell Administrative Assistant Town of Southold Board of Trustees Phone: (631) 765-1892 Fax: (631)765-6641 2 OFFICE LOCATION: r F S 0 MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 CU 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: September 14, 2026 Re: LWRP Coastal Consistency Review NORTH FORK REALTY HOLDINGS, LLC, SCTM #1000-57.-1-8 This application is to construct a two-story dwelling with a 1,793 sq. ft. first floor and a 1,704 sq. ft. second floor including an 88 sq. ft. front portico with steps, a 4.6'x4.6' side entry with steps, 3'x16'x10.8' and 3'x10.4'x7.7' seaward entry stoops with steps to a raised (21" above grade) 482 sq. ft. porcelain pool patio with a 12'x33' pool with 1' wide coping surround and a 1' wide catch basin along south and east sides of pool; install a raised 550 sq. ft. porcelain patio with a 9'x10' raised hot tub; install 4' high pool enclosure fencing with gates, a pool drywell and pool equipment area; construct a 440 sq. ft. 1 '/2 story detached garage; install a buried propane tank, landward walkways, grass paver areas and a gravel driveway; install gutters to leaders to drywells to contain roof runoff; install an I/A sanitary system landward of dwelling; all excavation to be used for backfill and excess removed from site; and to establish and perpetually maintain a 15' wide non-turf buffer along the landward edge of the bulkhead. The proposed action has been reviewed under Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the policies of the LWRP as follows: Policy 6. Protect and restore the quality and function of the Town of Southold 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 action is on a nonconforming waterfront parcel within the wetland boundary of a canal. The proposed action is inconsistent with Policy 6.3.A, which states that actions must comply with the Southold Town Board of Trustees' laws and regulations. The proposed location of the single-family dwelling does not comply with the wetland setbacks set in Town Code Chapter §275-5D(a)[1] Residence: 100 feet. The proposed locations of the I/A OWTS system and the proposed pool are consistent with Policy 6.3.A and comply with their wetland setbacks of 75 ft. and 60 ft. in Town Code Chapter Town Code Chapter §275-5D(a). The proposed pool setback is compliant with Town Code Chapter §275-11A(4)(f), which states fences shall not be permitted within 20 feet of any wetland boundary. The proposed 15 ft. nonturf buffer is consistent with Policy 6.3.D, which calls to provide adequate buffers between wetlands and adjacent or nearby uses. This nonturf buffer will mitigate and avoid adverse effects from development. The proposed action has been reviewed under 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 fg x\0 lotp- Town Hall AnnexA. Nicholas Krupski,Vice President {����a ®jd' 54375 Route 25 P.O. Box 1179 Eric Sepenoskit Southold, New York 11971 Liz Gillooly G @ Telephone (631) 765 1892 Elizabeth Peeples �`�+ Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only )YTWeCoastal Erosion Permit Application tland Permit Application ! L Administrative Permit JUL 9 2026 __Amendment/Transfer/Exten ion 2 Received Application: Southold Town Received Fee: $ __ Completed Application: Board of Trustees Incomplete: c3a SEQRA Classificati n: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _Coordination:(date sent): �1_LWRP Consistency Assessment Form Sent: I W.,L CAC Referral Sent: Date of Inspection: 9. Receipt of CAC Report: N— Technical Review:_ _ Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): North Fork Realty Holdings LLC (Linda Perillo) Mailing Address: 1 Harbor Hill Road, Huntington Bay, NY 11743 Phone Number: 917-969-4707 Suffolk County Tax Map Number: 1000 - 57-01-08 Property Location: 730 Tarpon Drive, Southold, NY 11971 (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable):AMP Architecture Mailing Address: PO Box 152, Mattituck, NY 11952 Phone Number: 631-603-9092 Email: bepperson@amparchitect.com A M P Arch i t e c t u re Address:10200 Main Road,Unit 3A,Mattituck NY 11952 Phone: (516)214-0160 Design + Build July 24,2026 Southold Town Trustees 54375 Main Road Southold, N.Y.11971 NOFO HOLDINGS RESIDENCE 730 Tarpon Drive Southold NY 11971 SCTM:1000-57-01-08 Prooect Description Proposed Construction of the following: Proposed 2 story dwelling: First Floor;30'-11"x 20'-4"x 2'x 17-5"x 2'-10"x 24'x 28'x 23'-9"x 5'x 17-8"x 6'-9"x 20'-11";1,793 SF Second Floor;20'-11"x 2'x 17-5"x 2'-10"x 24'x 28'x 24'x 3'x 17-5"x 6'-9"x 20'-11"x 30'-11";1,704 sf Proposed patio with inground pool:15'x10.1'x18.6'x6.1'x10.9'x16'x5.3'x2'2'x17.4'x2.8'x7.8'x 10.4'x 18.9'x 25'x 33';1,753 sf Proposed detached garage: 20'x 22' ;440 SF Proposed rear stoops: 3'x Wand 3'x 10'-4";142 sf Proposed buried propane tank Proposed walkway,grass pavers,and gravel driveway in front yard Proposed 15'wide non-turf buffer in rearyard Proposed IA OWTS Proposed drywells Proposed pool equipment and 326 linear feet of fencing Excavation Calculations: Proposed pool: Approx 1,710 cubic feet or 63.3 cubic yards Proposed dwelling:Approx 10,940 cubic feet or405.2 cubic yards Proposed garage:Approx 442 cubic feet or 16.4 cubic yards Proposed septic system:80 cubic yards Page 1 of 1 oard of Trustees Applicat_ i GENERAL DATA Land Area(in square feet): 20,617 Area Zoning: R-40 non-conforming Previous use of property: Residential Vacant Lot Intended use of property: Single Family Residential Covenants and Restrictions on property? 21 Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes _nNo If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? _ Yes No If"Yes", please provide copy of decision. W' his project reallir� any demolition as per Town Code or as determined by the Building Dept.? WM Yes ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? Yes FVI_No Prior permits/approvals for site improvements: Agency Date _R1 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_P/1 No ❑ Yes If yes, provide explanation: Project Description (use attachments if necessary): See attached letter with this application card of Trustees Applicat' - i WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: New single family residence, accessory pool and patio 2 car detached garage Area of wetlands on lot: 0 _ _ square feet Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 60 feet Does the project involve excavation or filling? ❑ No _ Z Yes If yes, how much material will be excavated? see attachell�cubic yards How much material will be filled? see attached cubic yards Depth of which material will be removed or deposited: see attach4 feet Proposed slope throughout the area of operations: <1% Manner in which material will be removed or deposited: Standard mechanical excavation, utility trenching, and localized grading 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 residential development will have minimal to no impacts on the wetlands The property has an existing bukihead and is surrounded by neighboring properties with similar size residences and accessory structures 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 l -Project and Sponsor Information Name of Action or Project: NOFO HOLDINGS RESIDENCE Project Location (describe,and attach a location map): Lot 38, Tarpon Drive, Southold NY 11971 Brief Description of Proposed Action: Proposed single family residence, accessory pool and patio, 2 car detached garage Name of Applicant or Sponsor: Telephone: North Fork Realty Holdings LLC E-Mail:bepperson@amparchitect.c , Address: City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan, local law,ordinance, NO YES administrative rule,or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that z ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ❑ z Town of Southold Building Dept., NYS DEC, SCHD 3.a.Total acreage of the site of the proposed action? ,5 acres b.Total acreage to be physically disturbed? 9 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .5 acres 4. Che I land us"at at occur on, adjoining an ar the prop action. Urban Rural (non-agriculture) LJ Industrial tCommercial ©Residential (suburban) Forest ❑Agriculture ©Aquatic ❑Other(specify): Parkland Page 1 of 4 5. is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes, identify: Z ❑ 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 I 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: Proposed Installation F ❑ of a new I/A wastewater system 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:The property boundaries directly adjoin a regulated tidal canal network.The proposed residential development is restricted entirely to the up and adjacent area of the lot,maintaining a minimum protective structural setback of 60.8 feet from t e canal bulkliead line to the edge of the pool coping. 14. ntify the typic I bitat types that oc n,or are likely to be found on tl, project site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban ✓Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? XN ]4K If Yes, a. Will storm water discharges flow to adjacent properties? ZNO DES ❑✓ 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 I 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: W1 ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: Z ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:AMP Cc tECtUI e Date/24/26 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflictwith 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? El 4. Will the proposed action have an impact on the environmental characteristics that caused the El ❑ establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or El El 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: ❑ El a. public/private water supplies? b. public/private wastewater treatment utilities? F-1 El 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, ❑ a 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'? ❑' ❑ 11. Will the proposed action create a hazard to environmental resources or human health? ' ❑ ❑ Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different fi-om Responsible Officer) PRINT Page 4 of 4 _�:ard of Trustees Appliaati_ AFFIDAVIT LINDA PERILLO,AS AUTHORIZED SIGNATORY FOR NORTH FORK REALTY HOLDINGS, LLC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES'` N 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 ot Property Owner Signature of Property Owner NORTH FORK REALTY HOLDINGS, LLC BY: LINDA PERILLO,AUTHORIZED SIGNATORY SWORN TO BEFORE ME THIS DAY OF ,2026 Notary Public DIEGO SOTO Notary Public, State of New York Reg. No.-01 S00048802 Qualified in Suffolk County Commission Expires 04/09/2030 -�Dard of Trustees Applicat;,_ AUTHORIZATION (Where the applicant is not the owner) I/We, LINDA PERILLO,AS AUTHORIZED SIGNATORY FOR NORTH FORK REALTY HOLDINGS, LLC owners of the property identified as SCTM# 1,000- 057.00-01.00-008.000 in the town of SOUTHOLD .New York,hereby authorizes AMP�rChifCetyr� 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. Property Owner's Signature Property Owner's Signature NORTH FORK REALTY HOLDINGS, LLC BY: LINDA PERILLO,AUTHORIZED SIGNATORY SWORN TO BEFORE ME THIS DAY OF .2026 Notary Public DIEGO SOTO Notary Public, State of New York Reg. No. OI S00048802 Qualified in Suffolk County Commission Expires 04/09/2030 APPLICANTIAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of SouthoId's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The prose of this form is to provide inforination which can alert the town of possible conflicts of interest and.allow it to take whatever action is necessary to avoid same. YOURNAME: LINDA PERILLO,AS AUTHORIZED SIGNATORY FOR NORTH FORK REALTY HOLDINGS, LLC (Last name,first name,jriddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) Do you 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 greatcr than 5°k of the shares of the corporate stock of the applieotrt (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 DI EGO SOTO D)the actual applicant. Notary Public, State of New York Reg. No. OIS00048802 Qualified in Suffolk County DESCRIPTION OF RELATIONSHIP COiTMMiS—Sionn Expires 04/09/2030 �1 Submitted thi day of 2026 Signature" Print OR RE Y HOLDINGS LLC Forut 13 1 13y"UNDA P RI ,AU SIGNATORY APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers andernplloyees.The purpose of this form is:toprovide inforination which can alert the townofpossibl.00nflicts'ofinterestand.allow it to take whatever action is necessary to avoid same. YOUR NAME: Portillo,Anthony (Last name,first name,giiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,,spouse,sibling,parent,or.chjld)have a relationship-with any officer or employee of the'rown.of Southold? "Relationship"includes by blood,marriage,or business•interest.`Business interest"means ausiness, including a partnership,in which the town officer or employee bias even a partial ownership of(or employment by)u corporadon in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold_ Title or position of that person- Describe the relationship between yourself(the 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): A)the owner of greater than 5%q.of the shares of the corporate stock of the applicant (when the applic;u►t is a.cor•poration); B)the legal orbeneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C).an officer,director,parfnei,or employee of the applicant;or I))the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 202o S ignature Print Name ` it D Form TS I T - \ Board of Trustees Applicat. i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: � I - 9 3 � � `> STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public 3rd of Trustees Applicati PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: IVa�** 1�0 r* 6- NAME: ADDRESS: llam„ t� i; n S E P 8 2026 full Southold Town Board of Trustees STATE OF NEW YORK COUNTY OF SUFFOLK OQUQ�_ 0 Q ` , residing at being duly sworn, deposes and says that on the `dam day of P �R►-+��z.Qr , 20�, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of So thold; that said -Notices//were mailed at the United States Post Office located at pimMat,- — /D (fit. , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of-`` � ' 20 z MARY M. 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J 1 /� ep Streit and Apt. or PO Bo�r No. p" at,ZIP,--e_Lrl p" City, "�fe, IP++4�� S c�ovr.� r, • • • • DELIVERY ■ Complete items 1,2,and 3. A ■ Print your name and address on the reverse G]Agent so that we can return the card to you. essee ■ Attach this card to the back of the mailpiece, B. eived by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: w�t G D. Is delivery address different from item 1? 1]Yes 1- If YES,enter delivery address below: p No 3. Service Type ❑Priority Mail Expresso III III I i ll III I I Ill I IIII I II (�IIII I� �I iI� ❑Adult Signature ❑Registered Mail TM Adult Signature Restricted Delivery O Registered Mail Restricted D Certified Mailo Delivery 9590 9402 9135 4225 6050 46 Certified Mail Restricted Delivery Cl Signature Confirmation*"' ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(transfer from service labe0 ❑_Collect on Delivery Restricted Delivery Restricted Delivery all 9589 0 710 5270 2292 8506 98 all Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Dornesticiern Receipt 1 SENDER: • •MPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signatures ■ Print your name and address on the reverse X � � ❑Agent so that we can return the card to you. - ❑Addressee ■ Attach this card to the back of the mailpiece, L, eceived by(Printed Name) C. Date of Delivery or on the front if space permits. 1• Article Addressed to: D. Is delivery address different from item 1? iO Yes If YES,enter delivery,address below: p No 3. Service Typo ;,Priority Mail Expresso it I IIIIII IIiI II I�I�I II IIIII�II I III III I I I I I IIB ❑Adult Signature - p Registered Mail ❑Adult Signature Restricted Delivery O R Registered Mail rlc�sq` O Certified Mailo Delivery O Certified Mail Restricted Delivery ❑Signature Confirmatlonrm ❑Collect on Delivery p Signatt(re Conflrrriatign 2 n a I AL, L Tr 1-� ._._ __ �elivery Restricted Delivery Restricted Delivery 9589 0 710 5270 2292 8507 28 Restricted Delivery ti �, Glenn Goldsmith, President s��1FF�t Town Hall Annex A.Nicholas Krupski, Vice President �i � � �, 54375 Route 25 Eric Sepenoski L P.O. Box 1179 Liz Gillooly ��, '�' Southold,NY 11971 Joseph Finora Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of t NORTH FORK REALTY HOLDINGS, LLC 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 SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DAY OR LATER residing at/dba4&'����14� being duly sworn, depose and say: That on the� day of , 20 , I personally posted the property known as e A2mt` A by p acing 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, September 16, 2026. Dated: 1 / (signature) Sworn to before me this day o 0 Zbo IV1"ARY M. GRADY NOTARY PUBLIC-STATE OF-NEW YORK -No.01 GR6030703 Qualified in Suffolk.County Notary P I My Commission Expires 09-20-2029 9/8/26, 1:18 PM 1000042048.jpg ., `� "�. ���� Y �/� '� l�d r; �°�:a s t„� �� "� S '"�" fr�4 �� ! d t �N✓cam. -��> L , r '�.,� 0�{ d'"Y2 Y , 1, f•''$` 3.,�aue 3c `¢. a � 3 r 1 l 7 f F+ a � t r �r� e•v a uv roe r � Y ytE a zap� a,71 S , IN t M Y�f �- �}k � ASS yy https://mail.google.com/mail/u/O/?tab=rm&ogbl#inbox?projector=1 1/1 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: NORTH FORK REALTY HOLDINGS, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a two-story dwelling with a 1,793sq.ft. first floor and a 1,704sq.ft. second floor including an 88sq.ft. front portico with steps, a 4.6'x4.6' side entry with steps, 3'x16'x10.8' and 3'x10.4'0.7' seaward entry stoops with steps to a raised (21" above grade) 482sq.ft. porcelain pool patio with a 12'x33' pool with 1' wide coping surround and a 1' wide catch basin along south and east sides of pool; install a raised 550sq.ft. porcelain patio with a 9'x10' raised hot tub; install 4' high pool enclosure fencing with gates, a pool drywell and pool equipment area; construct a 440sq.ft. 1 Y story detached garage; install a buried propane tank, landward walkways, grass paver areas and a gravel driveway; install gutters to leaders to drywells to contain roof runoff; install an I/A sanitary system landward of dwelling; all excavation to be used for backf ill and excess removed from site; and to establish and perpetually maintain a 15' wide non-turf buffer along the landward edge of the bulkhead. Located: 730 Tarpon Drive, Southold. SCTM# 100-57-1-8 TIME & DATE OF PUBLIC HEARING: Wednesday, September 16, 2026 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects.upon the coastal..area(which includes all of Southold Town). 1 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 _57 - 01 _ 08 PROJECT NAME NOFO HOLDINGS RESIDENCE The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation, land Transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: Construction of a new 2-story single-family dwelling with associated on-site utility connections, localized grading, and stormwater retention Location of action: Lot 38, 730 Tarpon Drive, Southold NY 11971 Site acreage: .5 Acres Present land use: Residential Vacant Lot Present zoning classification: Low-density residential 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: North Fork Realty Holdings LLC (b) Mailing address: 1 Harbor Hill Road, Huntington Bay, NY 11743 (c) Telephone number: 917-969-4707 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?NYS DEC 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 involves the residential structures within a vacant parcel within an established neighbonc� single-family dwelling use is permitted by right and directly mirrors the character, density, and scale of the surrounding residential properties. 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 The design will protect the local visual corridor by replacing a vacant lot with a single-family home scaled to match the height and setback patterns of the existing 2-story dwellings directly flanking it on of 37 and lot 39. 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 Z Yes ❑ No ❑ Not Applicable The southern section of the site sits within Flood Zone AE (EL 7) and is stabilized by an existing bulkhead. The proposed 2-story structure will feature elevation-compliant structural designs meeting local building codes and FEMA standard thresholds to safegaurd against flood and erosion risks. 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 The project protects local groundwater table purity by replacing traditional systems with an advanced, on-site I/A systems built to Suffolk County Dept. of Health services standards. 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. W1 Yes ❑No ❑ Not Applicable To safeguard the adjoining canal environment, strict erosion control measures will be deployed landward of the bulkhead line prior to excavation. 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. R] Yes ❑ No ❑ Not Applicable No hazardous materials will be generated or stored on-site. Standard residential household waste will be collected and managed completely through town-approved disposal systems. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLICILa' Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ❑✓ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑✓ Yes ❑ No❑ Not Applicable Runoff wevention and groundwater protection are optimized through on-site drywells. preventing deleterious thermal or chemical discharge from draining directly into the adjacent canal waterway. 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 The new residential dwelling will be fully constructed to satisfy or exceed the modern performance metrics established under the NYS Energy Conservation Construction Code PREPARED BY AMP Architecture TITLE Applicant DATE 7/24/26