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Home My WebLink About1000-74.-1-35.54 Town of Southold M DM2=FHOLD L CONSISTENCY ASSESSMENT (�l..P..NNING BOARD A. INSTRUCTIONS 1. All applicants forpermits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. Ibis 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 sigfuficant 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 bath supporting and non- $unportigg 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. DES ON OF SITE AND PROPOSED ACTION SCTM# 1000 _74.-1- -35.54 PROJECT NAME Simon Utilities Connection and Pool Fence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees L 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: Q Nature and extent of action: Install code compliant pool fence;trench electical line from existing transformer and water line from existing well to house; construction related activities at 100 ft jurisdiction line Location of action: 4730 Blue Horizon Bluffs, Peconic NY 11958 Site acroage: 1.24 Present land use: vacant;former 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: Adam and Sari Simon (b) Mailing address: 70 Charlton St#71), NY, NY 10014 (c) Telephone number: 973-879-5899 _ Will the action be directly undertaken,require finding,or approval by a state or federal agency? Yes ® No Rl If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ✓❑Yes ® No ❑Not Applicable will attach PSEG transformer power to house: will attach water from existing well to house Attaeh mWitioaal sheets if aeo mmy Policy 2. Protect and preserve historic and archaeological resources of the Town of Southokl. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes❑ No Z Not Applicable Attar additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LVVRP Section III—Policies Pages 6 through 7 for evaluation criteria ® Yes ® No RI Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVVRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ sP No�- " Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold.See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No RINot Applicable o 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 F-'IlYo n Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III— Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No❑t✓ Not Applicable Attach additional sheets if necessmy Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LMW Section III—Policies}Pages 34 through 38 for evahtatiop criteria. ®Yes ❑ No rV1 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. —� ❑ YCE] No D Not Applicable Attach additional sheets if necessary WORTKING COAST POLICIES Policy 10. Protect Southold`s water-dependent uses and promote siting of new water-dependent am 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 LMW Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No a Not Applicable Attach additional shams if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section M—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 U Yes ❑ No❑ Not Applicable Appropriate use of PSEG supplied power to house PREPARED BY David Bergen, Sol Searcher Con. TITLE Agent DATE l� coam � -�o IF NI��„'.: Awl � f MEN! F t, i e z sQ of . �s g c4- 463CAW 4 le- a,;;, r w f i .fir > { a s 1 1 LF �s i Sr a y r. z a ti rti.om s,-<n .e .oa c y r HFn,R - a y� � e y� a5�hrr.1 Q �Y tit OHO r IQ 'uc roTaa uo S'C�'/+. F 4(1 5Nt CG 0: :C uS G wG -- y09.1' `'B J - 2n.. ,. ,.,.,: --- ..,..:., ....... COUNTYO SUFF LK Coy* NOTICE E ¢ 1 oocc e __ ti 0 ,Flry w.� EI sou uo o 074 2 fi (21 S.C.T.M.# DISTRICT 1000 SECTION 74 BLOCK 1 LOT 35.54 tiolG p A e \WELLING VACANT LOT 5 \ sue: DWELLING LOT WE\SANITARY AS SHOWN \ a � _ VACANT FIND LOC.09-09-26 REVISE TOPO 07-16-26 REVISED 03-17-26 / REVISED 01-08-26 INE WARE SUPPLY,HELLS pRY3ELL5 AND fL'SSPOOL b v LOCA RpNS SNONN ARE iAgA FlELD ORSERVAIlpVS py, ' AND OR DA rA NAMED FRW DINERS (> 9 48,320 S.F. or 1.11 ACRES (TOP OF BLUFF) s F ny.AREA:58,178 S.F. or 1.34 ACRES MHW LINE NAV086 s Arrw a sEcnav b\LAND WF OF �wccaEaaorcmW �ro`�a axuENrnL A—,ANo Lcrrorxx' Y "N"All-1 KENNETH HOMAN nMr ]NF ERECRW[Y t Oneovu s Lmut'nlaE5Pd4 AND p9lER INRRpIfNENR FAYLENIS ,�V w NLEss PHYS['NLY-1W IK FRFW6E5 Ar ME eNE Q:— / wRwEv-LOT B ,4cE s CERTIRED TO:SINON GOLDBERG; 9AP aE:BLUE HORIZONS DIEUSEP.30 1985, NO.7974 �F 91UA—AIPECONIC aE:SOUTHOLD KENNETH H WOYCHUK LAND SURVEYING,PLLC SUFFOLK COUNTY,NEW PORK m�sF P-f—lone)Lend 9erveyln9 end Deel�P.O.Rez 153 Ageeb.VA.New Y—k 11931 fAc/225-201 scuE:1"=40• —.00T.6•2025 rvc.psae9z PtlO�I�+�k..lee. rAx(e,L)sce-�eee SIMON-GOLDBERG 4730 Blue Horizon Bluffs Peconic,New York i r 10'-WIDE UPA EASEMENT EXISTING TRANSFORMER masshall paeizel PROPOSED • �� CAPE 4,k)CHITECTURE ELECTRIC SERVICE .y _ PROPOSED PO Box 478 TOFS4 pR ` e___e—__-- ,,,nrw nn u..n, I ELECTRIC METER CIO OF OM 5175uck,N Road 48 Maltiluck,NV 11952 `'— PROPOSE08'WX4'0 i ruuumrui POOL BACKWABH ' "' ' uu „� Phone: (631)20g-2410 —.— —_ —.——.—.—.—_ DRYWELL 1 q .. r u yr u� Tax: (631I 315-5000 s �i —— ——. PROPOSED 4'-S'X73'-0' ' "'�" Ir, rrrr �� T email: studio@mplasludio.mm POOL EQUIPMENT PAD ��!r � � PROPOSED PROJECT LIMITING SILT FENCE rn LAWN ---_- . —— Tb —.—— ——— -�l PROPOSED SEPTIC rirrnmunr r m l�r,rrnr......r AREA OF DISTURBANCE=32.9605E(OR 0.76 AC) LOCATION • 46'S0'E ifi2.52' = ARCHITECT: """�'�rr errrRn,,,,,,,,T,,,,,,r„-1„-,rr,......—„rl......rIr- -- _ Christopher Powers.RA _ r ............. ni mnTnnnnri�nl ,n n S44°40'20`E —— IB ��r I rr,rrlmrrlr,rlu„Ilr„rllrrr, O Powers Han cock Design 20'-O'MIN. T.H.@ _ —.—.-- —.—.—.�lC/ .—.-15_ACCESSORY STRUCTURES PRO DRIVEWAY o`o -n'IrI ,IYlnin vn,rnnin-�,nrnnmr, „ PO Box 400 TOO-SETBACK FROM TOP OF Tom. s .—ZO_?RINCIPALSETBACK SETBACK South Jame$Ort,NY 11970 BLUFF AS PER SURVEY — — '---._.— GRAVEL CONSTRUCTION ACCESS P PREPARED BY KENNETH M. PROPOSED PROPOSED DECK P ---. —_ — — Office:(631)703-0800 PROP. WOYCHUK LAND SURVEYING, 16'X 3T tl —' —————————————'_ _.— PLLC GATED 07-1628 ON- PROPOSED ———_— — POOLWITH GRADE GRAVEL PARKING '� , N SURVEYOR: 5'-2'X 1V POOL PROPOSED RESIDENCE —( Kenneth WOychUk L$ PROPOSED4'HT.NYS BUILT-IN SPA PATIO FIE=39.5 i� a O N.Y.S.Licensed Land Surveyor POOL CODE COMPLIANT FENCE+GATE(TYP.) ---- / �' 1 PROPOSED TOPSOIL ) b P.O.BO%153 LAWN 1 / GARAGE STOCKPILE AREA 1 AgUebogue,NY 11931 r, WELL ) ` Of Ce:(631)298-1588 ......—.... —. .—.— _ _ __ —.— _._. _ ._.—._._._— —._.— —.—._._._.—._._._._.—._.—._._.— nnu nnmmn STAIRWELL W.W. 15'PRINCIPAL AND ACCESSORY STRUCTURE SETBACK03 ENGINEER: EXIBTING FENCE • g HAY BALES(TYP) 2 DiLandro Andrews Engineering • CONCRETE TO BE REMOVED - Suit. County10Road 39 _ / WAS AREA = Suite 10 T 0 I,II IL,,I I„r„III I.L...L.r,ll,I,...rll..I..I, —I rl,,,,rl„I,,,,,,,rlr,,, ,,,,rl,,,,,wA„� ° ,III„n„Illl,rrlll,rllll,,,,l,°.L.rrl,,,Ili,nrl,,,m„r,l,,,,lr,lnll,rlr..I, ,,,IIIR„Irl„rrll,�`` 4E' �'� _�" _'�5innn_I„_,,,_III, _ ____,I�III_II_Il�r� __ ____11 _'��"'�"��' N / � — — 572 tz' G Southamption,NY 11968 —� HAY BALES-PROPERTY PROPOSED I PROJECT LIMITING WATER SERVICE PROPOSED NYS (T1' ) Offlce:(631)259J959 FENCING(i 1')FROM FENCE+POOL ODE GATE TYR)COMPLIANT EXISTING STAKE P BLUFF SETBACK (r•'P1 EXISTING TREE(TYP.) EXISTING POST(TVP.) _^ SITE DATA: SCTM#;1000-74-01-35.54 Zoning District:R-40 Lot Area:50,685.53 SF(or 1.16 acres) NOTES: 1. Base map information based on survey prepared by Kenneth M.Woychuk Land Surveying,PLLC dated October 6.2025. 2.Unauthorized alteration of this plan is a violation of NYS Education Law. REGULATORY REQUIREMENTS: REVISIONS -ALL CONSTRUCTION,MATERIALS,AND EQUIPMENT SHALL BE IN STRICT ACCORDANCE DATE DESCRIPTION WITH ALL FEDERAL,NEW YORK STATE,SUFFOLK COUNTY,AND SOUTHOLD TOWN ZONING 09.14.26 UPDATE POOL TO BE AND BUILDING CODES,ORDINANCES,REGULATIONS,ETC.INCLUDING ANY RELEVANT 12'COPING+REMOVE COVER ENVIRONMENTAL REGULATIONS. VAULT. THE ITEMS DEPICTED IN THIS PERMIT DRAWING ARE INTENDED TO BE CONSTRUCTED ONLY AFTER RECEIVING ALL REQUIRED PERMITSIAPPROVALS,AND SOLELY FOR THE SPECIFIED OWNER AND AT THE PROJECT SITE LOCATION NOTED ON THE DRAWING. TEST HOLE -THE SCOPE OF WORK IN THE PLAN HAS BEEN DESIGNED IN ACCORDANCE TO THE 2020 BORING BY MODONALD GEOSERVICES RESIDENTIAL CODE OF NYS. AUGUST B.2025 s e a I EL:36'-0- 0.0' -THE SWIMMING POOL SHALL BE COMPLETELY AND CONTINUOUSLY SURROUNDED BY A DSCgp — BARRIER AS REQUIRED AND IN ACCORDANCE TO SECTION R326.4. p F OL MIXED SAND Kar/p� '9.pO AND LOAM 25' -THE CONTRACTOR IS RESPONSIBLE TO EXECUTE ALL WORK IN COMPLIANCE WITH THE ° SPECIFICATIONS AND RECOMMENDATIONS OF ALL RELEVANT REGULATORY AGENCIES ML BROWN SILT AND CONSTRUCTION SHALL MEET ALL FEDERAL,STATE AND LOCAL ZONING,ORDINANCES, -S 9 REGULATIONS,CODES,LAWS,ETC. SM BROWNSILtYSAND -THE LANDSCAPE ARCHITECT IS NOT RESPONSIBLE FOR THE INSPECTION,SUPERVISION, S'J,gl 0pP71o,yOQ� WITH GRAVEL _7_°°• OR ADMINISTRATION OF THIS CONSTRUCTION PROJECT. IT SHALL BE THE RESPONSIBILITY FOPN SP LIGHT BROWN FINE OF THE CONTRACTOR TO ARRANGE FOR ALL INSPECTIONS REQUIRED. TO MEDIUM SANE) -90' TITLE: SM UGHTBROWN L E G E N D SILTY SAND PROPERTY LINE `P0� PROPOSED POOL BACK POOL FENCEWASH DRYWELL SC BROWN CLAYEY _ UTILITIES SANG PROJECT LIMITING SILT FENCE � 2"PVC PIPE H.E.G.W. SITE PLAN EL:3.0' .33.0' NYS POOL COMPUAM FENCE ® GRAVEL CONSTRUCPON ACCESS WATER IN BRO WN SC CIAYEYSAND - - SETBACK W,W. WINDOWWELL SI�f—I 1I0�I 0' -42.0 IW'SEIBACKFROMTOPOFBLUFF I ----- QT.H. TEST HOLE SCALE 7"=20' SP WATERINBROWN EXISTING STAKE EASTINGTREETOREMAIN DRAWN BY FINE TO ASCHEEL MEDIUM SAND CHECKED BY: J.PAETZEL,ILA L 1.1 EXISTING POST EXISTING TREE TO BE REMOVED DATE:2026.08.04 REVISED:2026.09.14