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HomeMy WebLinkAboutTR-9537A �SUfF0 Michael J. Domino, President `opo oozy Town Hall Annex John M_ Bredemeyer, III, Vice-President � 54375 Route 25 Glenn Goldsmith %� TAS P.O. Box 1179 A Nicholas Krupski y 0��:�'r Southold, NY 11971 Greg Williams �ol , ��: % Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction constructed When project complete, call for compliance inspection; y . Michael J.Domino,President �QF SoU�y Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 o�yC4UN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9537A Date of Receipt of Application: August 21, 2019 Applicant: Stuart Thorn SCTM#: 1000-51-1-21 Project Location: 19455 Soundview Avenue, Southold Date of Resolution/Issuance: September 18, 2019 Date of Expiration: September 18, 2021 Reviewed by: Michael J. Domino, President Project Description: Resurface the minimal portion of the existing patio around pool that is within Trustee jurisdiction, (including replacement of"stair' portion with patio). All work is 99'from top of bluff. 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 project plan prepared by Patricia C. Moore, Esq., received on August 21, 2019 and stamped approved on September 18, 2019. 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. Michael J. Domino, President Board of Trustees 1 I I � - SURVEY OF PROPERTY SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK APPR EE�s I� S.C. TAX No. 1I "=20'i—Of-21 SCALE 1"=20' MAY 30, 1995 OAR® O F �� O ' �� TT APRIL J, 1996(FOUNDATNN LOCATION) �` L R JULY 9, 1996(ANAL SURVEY) .moo SEPTEMBER 7, 2010 UPOAIESURVEY OWN OAF \ o��� In AREA = 23,821 sq.It. ���� � �� �'• � 98\ (TO HVl,MJ 0.547 ac. a �a4 ���\ 90.H REFERENCE No. R70-96-0009 C T/ D 0 Po+f� STUAR W THORN n g N +ta vim o-All, ruO ' (�fmc riaav wN wa G fACow �90N IWC IN�'X TiP�MAnaPN6i0 N,u-s76-as Po yw - • �u 3 �.7 ,., r Ik AUG 2 1 2019 L) � r nSo-Tow n 0 3, 4 r 80ard of Trustees g,m _ ti P0 0•, J LSTORY 0 O '� 0HOUSE anwf Z mr zo6�?o•E '�/ � / � � _ SEP 29�@ 0 9 0 em�aar�xw O ' a fay pivOlafx N PI✓mAalD p1 fCCom�Jy,COR1 ' N . 3' f 'na r �a9L sou QT TQ g 1 1�� �� A•T' •• � S Ix Na 80967 UIWIGI(IRCO ALIGUIgN CO/m19W a ;uE Nathan Taft Corwin III Land Surveyor W���1P�1�D9 M COPY.6C @amFAm OIR}R GIC YIASG11�10R)Glen ] Y NWVIW[DM.Y4•SLYAONNN'�!97GS11®fKWMf:GWRY M I rde$M10—$O@g -$a HV.—6Et.tM LaJ u PHONE(631)727-1090 FG (05)72-171 Genas LOOM Ar luma MORM {jAASfOiCE 97016 Bp 1596 Nmn Rend PO M.16 AMG/OR GSEWNI4 OI GCC6Rpp,,6 �Pky York 11917 1..p4 Na.Yah tI997 1WY,1WT SHOWN akC Nat OUf&Nf[[0 Michael J. Domino, Pre;~ it O�QS�fF©(,, Town Hall Annex John M. Bredemeyer III,Vice-..e;sident �� y� 54375 Route 25 Glenn Goldsmith N P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'r& �apTelephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: -)u Lj 9- Patricia C. Moore, Esq., on behalf of STUART THORN requests an Administrative Permit to resurface the minimal portion of the existing patio around pool that is within Trustee jurisdiction, (including replacement of "stair" portion with patio). All work is 99' from top of bluff. Located: 19455 Soundview Avenue, Southold. SCTM#: 1000-51-1-21 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Q I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer °� M. Domino G. Goldsmith N. Krupski G. Williams Other ing g a-44"g SOUND @5 SEE sea NO Im ISLAND c" 4 .m LONG We) 4 43 PD 70 b SEESEC NO t35SC9 D.5 AVE. NO 315SEE SEC.NO Id 217 ti 2. &13 312 31f a 33s PECONIC LAND TRUST INC 4`14 iB7A AAA-) 01"' 4,3 '41A4 l x. 7A(c) FOR PCI-NO j 05 SDE52EO �S�EC., N 3. FOR PCI-NO 16A(c) 055aSSEC 62NO � 27 NOTICE COUNTY OF SUFFOLK K SOUTHOLD SECTION NO Cy �k I Y 0�1 L Real Property TAX ServioeAgen A. E '21) G A .—T 1000 PROPERTY MAP E N P 121Nd).121A t OFFICE LOCATION: ®��®f S® MAILING ADDRESS: Town Hall Annex '` ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �a Southold, NY 11971 a� Telephone: 631 765-1938 com LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board,of Trustees From- Mark Terry, AICP LWRP Coordinator Date: September 16, 2019 Re: LWRP Coastal Consistency Review for STUART THORN SCTM# 1000-51-1-21 Patricia C. Moore, Esq., on behalf of STUART THORN requests an Administrative Permit to resurface the minimal portion of the existing patio around pool that is within Trustee jurisdiction, (including replacement of"stair" portion with patio). All work is 99' from top of bluff. Located: 19455 ,(including replacement Southold: SCTM#: 1000-51-1-21 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 EXEMPT from LWRP review. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Michael J.Domino,President �*-V`®UTy® Town Hall Annex John M.Bredemeyer III,Vice-President °moo 54375 Route 25 P.O.Box 1179 Glenn GoldsmithCA Southold,New York 11971 A.Nicholas KrupsId ®. �q Telephone(631)765-1892 Greg Williams 0� Fax(631)765-6641 BOARD OF TOWN TRUSTEES 0 1 TOWN OF SOUTHOLD -_ - _- - This Section For Office Use Only- - - - _ - 2019 Coastal Erosion Permit Application Southold Town Wetland Permit Application ar ofTruste _Administrative Permit t&5u►'�C� es-e4( vne, � � Amendment/Transfer/Extension Received Application: Received Fee: _- -Completed Application: .2 - Incomplete:_ SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date:.--- - —_- - �Coordination:(date sent): 9 6,Iq LNVRP Consistency Assessment Form gent: _ 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):,__ hO r_i(1 = _ Mailing Address: 9 3 Zy i —�4 S o cs-th o l d N Phone Number: Suffolk County Tax Map Number. 1000- _ j- -- Property Location: 1 'I H-5�1 50-0y,C1 V "+'n (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): T—GA-AYL Clk GA, C 0 / ( co r-c Mailing Address: V� �� �O� L1/�_ �- p L Phone Number: r Board of Trustees Application GENERAL DATA Land Area(in square feet): --- -off_ �--� )7Area Zoning:. ® - - -=-- _---__ - - --- -------- Previous - ----Previous use of property: _ Cts.. C�- _�C�l 1—T—� T)�� OA/r'1 Intended use of property: -S 2v- CIS_ Covenants and Restrictions on property? Yes X_--No If"Yes",please provide a copy. - Will this project require a Building Permit as per Town Code? _ __ -Yes -77C- No If"Yes",be advised this application will be reviewed by the Building Dept prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes `� No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? _ - __ Yes - ----No Does the structure(s)on property have a valid Certificate of Occupancy? __ X_ -Yes. __No Prior permits/approvals for site improvements: Agency Date k,P,u.►_ Cern�Ivvc��Q • z = ___==__-_-^-_ - - -- — �C No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: --— ---- a� 4t _- - -- Project Description use attachments if necessary): C-eAo U A0_C¢. '.QA c SA— _Cd -Wo✓1c.- - _ rM _ 14 -4 ` ALJ- •- __ - - - - �' E7Jb -I-em�- it i s ! l 1 ` Board of Trustees Appiication WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: __ Q quare feet Percent coverage of lot: jo Closest distance between nearest existing structure and upland edge of wetlands: ----feet Closest distance between nearest proposed structure and upland edge of wetlands: c� feet Does the project involve excavation or filling? _ X__ No __ -- --Yes If yes,how much material will be excavated?-- _/y(cubic yards How much material will be filled?,_ --__I'�l JA _ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: _ _ d Manner in which material will be removed or deposited,--.- Statement eposited: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): - Lone- 1\ 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Cbmpleting, Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification_. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information - - - - - - — - - Name of Action or Project: � v`�� ✓ 'F @� Project Location(describe,and attach a location map): ►' Brief Description—of-Proposed Action: 0Cx_D C� t Name of Applicant or Sponsors Telephone: E-Mail: _ - Address:" [ 9 3 s ScivYtc�/y e , City/P0: - 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? Q= 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? 0 YES If Yes,list agency(s)name and permit or approval: -NO -N 3a Total acreage of the site of the proposed action? - acres b.Total acreage to be physically disturbed? - Cj acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? _- S_ _ —acres 4. Check all land uses that occur on,adjoining and near the proposed action. ���� --- - --- [—]Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial EKesidential(suburban) ❑Forest ❑Agriculture ❑Aquatic []Other(specify): ❑Parkland Page I of 4 i 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- S. a.Will the proposed action result in a substantial increase in traffic above-present levels?- NO 1 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 actio 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 pubIic/private water supply? NO YES If No,describe method for providing potable water:_ id 11.Will the proposed action connect to existing wastewater utilities? pp NO/ YES If No,describe method for providing wastewater treatment: JT © ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic _NQ _YES Places? b.Is the proposed action located in an archeological sensitive area? A/ a 13.a.Does any portion of the site of the proposed acf►on,of lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? �7tzI1L1 ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?�Ot — ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. M016 the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑AgriculturaIlgrasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15_Does the site of the proposed action contain any species of animal,or associated habitats,listed -r NO - YES by the State or Federal government as threatened or endangered? - I&Is the project site located in the 100 year flood plain? - NO YES 17_Will the proposed action ci=eaw storm water discharge,either from point or non-point sources? NO -YES- if ESIf Yes, a.Will storm water discharges flow to adjacent properties? NO DYES b.Willstonn water discharges be directed to established conveyance systemsrano d storm drains)? If Yes,briefly-describe: NO DYES 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.!-las 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:- 20. escribe:_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 escribe:=I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE c Applicant/spon am - t� Date:- 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 l 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,oi—- Moderate small to large impact impact may may occur _ occur Will the proposed action create a material conflict with an adopted land use plan or zoning Q - - regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑' 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infiastructure 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_ -- — - a.public/private water supplies? ❑ ❑_--_ b_public/private wastewater treatment utilities? El F-1' 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ❑' ❑ Page 3 of 4 No,or Moderate- small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? F-I 0 11. Will the proposed action create a hazard to environmental resources or human health? L ---_---- 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 occue,,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 ifyou 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 ifyou 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&Type MWe—�617M poiUld-Offi6er in Lead Agency Title of Responsible Officer -Signatureof Responsible Officerin Lead Agency- Signature ofPrepar6r(if diffee fit ftbmResponsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT -�j l D-y ✓1 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEE_S DURING THE TERM OF THE PERMIT. Signature of Prope O r Signature of Nroperty Owner J SWORN TO BEFORE ME THIS 4—!—__--DAY OF=- _� - _ 7` __- --.201--?— (,4 - -_ _.2Q1--?.= -_ Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- =__in the town of New York,hereby authorizes CA -L ODto 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 Signa a Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF ,20- Notary 0-Notary Public - ' — APPLICANT/AGENTME-PRESENTATWE TRANSACTIONAL DISCLOSURE:FORM The'166 of Soutliold's'Cod6 of Ethics iarohibimcoitflicts of interest on the partofiown officers and emolovees T$e urirpose of this form is fo grovfde information whieli can al'eitthetown pfpossible conflicts'f iriteiestaiidalJow it't�a take whatever-acLon Fs- ' necessar�to avoid same. --�-(� YOUR NAME: ---- --� Gv✓ - _� 1�Y�------1 _ ���:t G!?c. 01 l p ' --(Last name,fust name Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) - Tax grievance -- Building Variance Trustee Change ofZone =_- -- -_ Coastal Erosion Approval of plat - -- _ Mooring _ Exemption from plat or official map - = Planning -- - Other (If"Other',narme the activity.)= Do you personally(ofthrough Y6dt company;spouse,sibling,,parent;,acchildj haven relationship--with-any of3iceror employee; of theTdwh of Sarithold? "Refstianship includes by blood,rifarriagi„lir business iriterzst "Busirtess`irifoiest"'mean a�tir-mi;ss, including, partrrership,fn which the town officer or eruployee I as even a partiaLg}vne_rship of(or eruploymentby)a corpatation. in which the town of ci i6eemployec o_,w7is inure than-5%oa shares. YES - - NO - - - Ifyou answered'YES-%complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold_ Title br position of that person Describe the relationship between yourself(the applicant ftentfrepresentative)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 mater than5° of the shares of the corp&Md snick of the appEi nt (when the applicant is a 0fgiarafion); = B)the legal or beneficial ownei of any interest in a non_-corporacz entit} (irlien the' applicant-is not a corgaratiQnx C)an officer;director,partner;or employee of the applicant;or D)the actual applicant DESCRIMON OF RELATIONSHIP - -- - -- — _ - Submitted this day of air- - Signattira - - PrintName-= 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; siMificad beneficial and,adveise effeets•up6h thetoastal area(vhicl includes;alLof Soutliolcl Townl._ 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-exolaitied-iii-detail-Jisting_bot-h sunAortinz and-non= stipportint facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,i€shall nat-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 PROJECT NAME - _6S t7Z/,�� —Tho-7-71 J --- - -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. f4i� Gam/�_d - Tf-- -- --- - - 7 d _ r _� �� s- - ------—_ - - - O Location of action: Site acreage: -- -- � ac Present land use— Present - — - 5 • -- -- - �`'-- - ®�'/ -a -- Present zoning classification: O 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:, (b) Mailing address: Zy (c) Telephone number:Area Code( ) 770 _" _!�-cO 3 (d) Application number,if any:--- Will ny:__Will the action be directly undertaken,require fimding,or approval by a state or federal agency? YesEl No R 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 LNVRP Section III—Policies,Page 2 for evaluation criteria. Yes I No FJ Not Applicable - ----- — - _ - ----- - -_ 0 L� -- - -- - — - Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Poli 'es Pages 3 through 6 for evaluation criteria El Yes F No Nat Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—P oliPages 6 through 7 for evaluation criteria ❑ Yes ❑ NoApplicable Attach adii�honal-sheets if nece-ssaiy - NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pag 8 through 16 for evaluation criteria ,❑ Yes ❑ No Not Applicable -- --- -- - - - - -- -- -- -- --- - - - - - -- -- - ----- -- — - - -- - ----- Attach additional sheets if necessary - - - Policy 5. Protect and improve water quality and supply in the Town of Southold.See LWRP Section III —Policies Pages 16 throw for evaluation criteria Yes ❑ No Not Applicable 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 c ' ria. ❑' E] -- } ' Yes No of 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 ev luation criteria. Not Applicable YesE]No Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. a LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. E,;Yes _Q 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. -k-eF] No BXNot Applicable Attach additional sheets ifnecessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See WRP Section III Policies; Pages 47 through 56 for evaluation criteria. F-1Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary andTown orate . See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No Not Applicable ' Attach additional sheets if necessary - - -- — - - - _--- - --- - Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65forV Ancriteria. Yes ❑ Nopplicable Attach additional sheets if necessary - - _ - - - -- - ---- - - Policy 13. Promote appro ' to use and development of energy and mineral resources. See LWRP Section III—Policies;P 65 through 68 for evaluation criteria. ❑Yes ❑ No Not Applicable PREPARED B TITLE DATE �� �l / PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel:(631)765-4330 t Fax:(631)765-4643 June 12,2019 President Mike Domino Southold Town Trustees 54375 Main Roada . Southold,NY 11971 (£ 2011 #,.. Re: Stuart Thorn 1000-51-1-21 Dear President Domino: Pursuant to our discussion,my client wishes to re-surface the existing brick patio around the existing swimming pool The house and swimming pool are located more than 100'from the top of the Nuff. A small triangular area of the existing patio is within the 100'jurisdiction>. Since the re-surfacing of the existing patio is maintenance, please advise if we will need to obtain a Trustee's permit for the work within the Trustee's jurisdiction. I have enclosed a copy of his survey foryour review. V!i�y'-filiFycmoore�� a C, Cc:Connie Cross