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Home My WebLink AboutTR-9665A Glenn Goldsmith,President QF SOUrTown Hall Annex Michael J.Domino,Vice-President ,`O� ®�® 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Jxi Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9665A Date of Receipt of Application: July 28, 2020 Applicant: Michael & Robin Colapietro SCTM#: 1000-115-17-6.1 Project Location: 3800 Deep Hole Drive, Mattituck Date of Resolution/Issuance: August 19, 2020 'Date of-Expiration: August 19, 2022 Reviewed by: Glenn Goldsmith, President Project Description: Place concrete pavers on top of existing 67'x30concrete driveway. Findings: The project meets`all.the requir'ernents for issuance of an Administrative Permit set forth in Chapter 275 of�th'e'-Southold Town,Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Michael Colapietro received on July 28, 2020 and stamped approved on August 19, 2020. Special Conditions: None. Inspections: Final Inspection. -If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President SU!llTown Hall Annex Michael J. Domino,Vice-President �O� �� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Jt Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg WilliamsO �� Fax(631) 765-6641 �y&UN'i`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO, CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 I-i4OU,R _0RI6 t-61COMMENCEMENT OF THE ACTIVITIES CHECf4E,D;,O F :11 :f ..1i,', e S1u�_� INSPECTION SCHEDULE '� Pre-construc t iAN -64611'ne�sllt i orn` f i itairi 1st day of construction % constructed When project complete, call for compliance inspection; Bs `:3 ifs ""'f:11' {`•-�, e�' ti.- ? ' j APPROVED BY - 'Lill BOARD OF TRUSTEES TOWN'- F, •SOUTHOLD JUL � 8 2020 D T� hv�sr �4, Zo2d To_ut��la Tasvn of Trost, N/0/F JOHN J• Z4 LES s " a ,�Q— K1 POST a Rol E. p'K l FENCE COW N.82050's0•. 148.091 mom. — — W. PROPERTY LIME A3 PER DEED MOM. 46*K USER 7609 PACE 4012 146.61 I STCHEMelt O r i RETAWWa WILL " PROP TY E 0 30.2' - PER 0 4 Q[E.0 Uso 66 35.649! 342 ri • !AT n WOOD 000 oOGK. 1r1 1 STY . ~ 30.3, 6.3 FR.HSE. N -- ----- s 600 1( N 0 0. coat. 3 N PATIO = 1 = ` 90W UNDER Z I,_ of ex WIMOOW o p in 3 ui 41' a 9, G W f O Llo Y z ,; <' z _ ~ 24.3' - W o W •• ._ .' /• STONE v ` �' O s RE1,7AtNIKC o ' ' � z C Ort C. -D.1 v F7r 1 r d, WA t i '` I V O 7. comc MM. _ } H 0.6'e.WALL eONC. •LOOX P� 0.2'N. RETAII/IMt W'4LL 2!i - 79 0 oos 00 W. awe. nom RETAIMWi 14-9- 77 I NI0/ F WALL 11 qRY D. liPErER �I1�Is�l 21fA-uP% 18, 351 SQ. FT1 y �� x3 C,oNCIJI PA\re2 gxC3 � a /A4 IED To = SURVEY OF PROPERT r SEI S A T INE GEIS FORK BANK M A TT I TUC K - - -- •.�. so%i r Glenn Goldsmit' 'resident Town Hall Annex Michael J. Domino, Vice-President ,,A _ 54375 Route 25 John M. Bredemeyer III - P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Greg Williams r y.a£, Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: $ZI3. I'.SO Completed in field by: C MICHAEL & ROBIN COLAPIETRO request an Administrative Permit to place concrete pavers on top of existing 67'x30' concrete driveway. Located: 3800 Deep Hole Drive, Mattituck. SCTM#: 1000- 115-17-6.1 _.......... CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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: I 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: \a I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino /G. Goldsmith N. Krupski G. Williams Other r Y r _ I l 11 l li 11111.1 J II i l k T 1I �11�1 1.1 1 1 i_li .A {:r h� y � � P � s Y' '=R x x - - t OZ pm 5_ 2�' _ �_ L -ESE, I- -102 17 RE I 32 I19 =) M 17W.) 23.3A(.) a)pa 32 Z4 ic 13.2 m 327A(0)) 3 '16,4A(c) M--m -tv Pic) �14 1 INN 22 14Z3 M 23g P 24 Be 25 -p, 29 5 OF- MIR W-M M 1411 IM 1, tl en 27 L 2B 15 WRRATOCKA 41 .4 184 , 20 319 227A(.) 1 rd q 6 e2 T"N OF soull, low .4 1 MI io I 15 IA(.) l"k 2D 52 20. 6 %054.1' KI MRIM"'05 4 w—'a ltaloak 920 .16 z2tv 6 6 75 to m 10 is 14 7A(c) Ail 26 ih C NO23 e,4 EM NO NO Iwo - —F SOUTHOLD �OOA�YTAYWP AV OFFICE LOCATION: ' MAILING ADDRESS: Town Hall Annex �� "r P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �� Telephone: 631765-1938 Southold, NY 11971 r LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 5, 2020 Re LWRP Coastal Consistency Review of MICHAEL & ROBIN COLAPIETRO SCTM# 1000-115-17-6.1 MICHAEL & ROBIN COLAPIETRO request an Administrative Permit to place concrete pavers on top of existing 67'x30' concrete driveway. Located: 3800 Deep Hole Drive, Mattituck. SCTM#: 1000-115-17-6.1 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 INCONSISTENT with LWRP Policy 6, specifically 6.3 (below) and therefore, INCONSISTENT with the LWRP. 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 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The as built concrete driveway was constructed without a Wetlands Permit. 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 Glenn Goldsmith,President Town Hall Annex Michael J.Domino,Vice-PresidentN11 54375 Route 25 P.U.Box 1179 John M.Bredemeyer III Southold New York 11971 A.Nicholas Krupski A' . k = •' n r Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ]BOARD OF TOWN TRUSTEE JUL 2 � 2p� TOWN OF SOUTHOLD This Section For Office Use Only =001TIFUIOS wn tee Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension _ Received Application: 7�Z$, Received Fee: $ 100A0 Completed Application: 7,R,20 Incomplete: SEORA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): \CiV t?z C9 l 41zz Mailing Address: Phone Number: Suffolk County Tax Map Number: 1000 - l J Property Location: 0 v j< N v � )C S-2- (If (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number: Board of Trustees V 1 :ion GENERAL DATA Land Area(in square feet): Area Zoning: CQ— Previous —Previous use of property: S 1 ILS CSL. Intended use of property: ZZL i a!.r c-,Q- 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 _K_No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes _X_No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? t- Yes No Prior permits/approvals for site improvements: Agency 1� Date D � ra�_ sLL_ 9A0 � 7 l o TzVs��,� 01Li v,V� � �� Lo , � No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?—X—No Yes If yes,provide explanation: Project Description(use attachments if necessary): de QX Al C/Z 0-4, q fZ_S 0 X JLa a (2,1) 9Cke4e 61p- ) VoAV �Z-A 1C�a ' r o? ' t Board of Trustees li tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: 114 A % Closest distance between nearest existing structure and upland edge of wetlands: (o (� feet Closest distance between nearest proposed structure and upland edge of wetlands: _ feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards flow much material will be filled? N A cubic yards Depth of which material will be removed or deposited: /V A, —feet Proposed slope throughout the area of operations: An C-AA M5 Manner in which material will be removed or deposited: WAV 1 .a QJ 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): 61Z20 Appendix 8 Short Environinental Assessment Form Instructions for Completing Part l -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 — ff \ to 2 eel A eu S ,,o \t elft 2 I\IC/12�-2, ("J e2 Docks au toColic_/LACt� Name of Action or Project: Project Location(describe,and attach a location map): 3 -beIP_ c ),i� Sc,N 11'T-n-c,J Brief escription of P oposed Action; C,>V¢2 Co 0\3 C.A,4 e- J 21 Y'R-U-A/ PA)rz2S Name of Applicant or Sponsor: TLE-Mail: 1phone: C�l� / -7u � Lf, �'lCl 1 2 (Vk CD�� /�.r � rq Address: 2 /�l_ "bk,2 P City/PO; State: Zip Code: VV\ \4�2_ck 1 1�9-5 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 0 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: 3.a.Total acreage of the site of the proposed action? acres KIS 1s b.Total acreage to be physically disturbed? C9 acres LZt dew c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? I`t A acres C re_ti t~I pr�'-t� bio 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑CommercialResidential(suburban) ❑1~orest DAgriculture [l Aquatic ❑Other(specify): ❑Parkland Page I 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? ❑ 10 ❑ d. 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: __. r---'/ ❑ S. 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? 12, ❑ 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 YE. If the proposed action will exceed requirements,describe design features and technologies: LY_.l ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: _ _ V ❑ 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? B.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? E❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Idle ify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: til 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? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES ❑ b.Will storrn water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: El NO DYES Page 2 of 4 I S.Does the proposes{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: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT TIME1 FOIL 'I N PROV DED ABOVE IS TRUE AND ACCURATE TO TIT:BEST'OF MY KNOWLEDGE ^'b i �� 'j Applicant/sponsor name: ( Date: 7 �� Signature: —AOL I N G f tz p 7 41 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 t 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 targe impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or coning 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? n 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ I—I reasonablv available energy conservation or renewable energy opportunities? (—( 7. Will the proposed action impact existing: ('� ❑ a.public/private water supplies? f� b.public/private wastewater treatment utilities? LJ 8. Will the proposed action impair the character or quality of important historic,archaeological, Q ( ) architectural or aesthetic resources? U 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (� waterbodies,groundwater,air quality,flora and fauna)? I-- 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? El ❑ 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. F] 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 Agencv Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of u�N� . DISCLOSURE.APPLICANT/AGENT/RE PRESENTATIVE TRANSACTIONAL FORM The ToAn of Southold's Code of Ethics prohibits conflicts of interest on the part of town(Aficers;and ginpl9yees.The pur-posg-L) this form is to provide ffiformation which can alert the town bfn6ssible conflicts of interest and allow it-to take whateveraction is (Last name,first naine,�niddle thitial,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 (Check all that apply.) Tax grievance Building Variance Trustee CbunDeof2une Coastal Erosion Approval ofplat Mooring Exemption komplat orofficial map Planning Other (u-umer name the activity.),. `~ VooU Do you personally(or through your company,spouse,sibling,paren4 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. BES 00 If you answered-YE'S",complete the balance of this forrii and date and sign where indicated. Name ofperson employed hythe Town ufSouthold Title cvposition of that person Describe the relationship between yourse If(the applicant/agen(/represetitative)and the town off icer oremployee.Either check the appropriate line&)through D)and/or describe{othe space provided. The town officer nremployee o,his nrher spouse,sibling. pmzn�or child is(check all that opply): _____A)the owner o[greater than 5%uf the shares nfthe corporate stock o[the uppiicmzit (when the applicant is a corporation); _____B}the legal or beneficial owner of any interest inunon-corporate entity(when the applicant lnnot aoorporativn); omofficer,director,partner,oremployee nfthe applicant;or .......D)the actual applicant. DESCRIPTION 0PRELATIONSHIP ' Submitted this day of A A 209�O . ) Form TSl Print N; i M11 ki ' \ ~/ -� \ p - -�*f�l. pp�*7 w�J�' ��r"`4J �LLm*�T.�/�� 'Board of Trustees 01 tion AFFIDAVIT M 1 Lk(-�e_I CO 0�Ck—'-I R-O 00 BEING DULY SWORN DEPOSES AND AFFVRMS 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 WORD 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 REPRESENTA'T'IVES,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 COAS'T'AL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Si nature o Property 04r Signature of Property Owner SWORN TO BEFORE ME THIS 2�A DAY OF 104Y 120 2`0' Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O I D1475593 ClUdiltied In Suffolk County Wlw a6RiFi moon Expires April 30, 20 ZZ Town of Southold LWRP CONSISTENCY ASSF.•SSM ,NT FORM A. WSTRUCTIONS 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 Waterftont 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 HazardArea. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list;policies and explariations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluate] as to its significant bonef oW and adverse effects upon,the coastal area(which includes all of So old MMI)., 3. If any question in Section C on this force 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 ansi er nnust be explained in detail. listing both supporting and none supportin.9 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.northforkmet), 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# PROJECT NAME ? t�-' „ 3gG0 0__ 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,certif cation: Nature and extent of action- I ACZ CDOC104-e- a At MC4, dp,)/0-6 CW4 pildp-A-21 X 0s Location of action: Site acreage. /` , 3 SP •S-g Present land use.. S t Ze Jit c.e' Present zoning classification: -1�r_j r AP A) e,-P., 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•, _ ] ,r.0- (b) .(b) Mailing address: '\b&L\t Q. (e) Telephone number:Area Code (d) Application number,if any:--/A) Will the action be directly undertaken,require funding;or approval by a state or federal agency? Yes ❑ No ET-� If yes,which state or federal agency? C. Evaluate the project to the following policies by analyziing,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. DEW LOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,mattes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. Yes ❑ NO Not Applicable Attach additional sheets if necessary �~ Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVM Section III—Policies Pages 3 through b for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable-/ Attach additional sheets ifnecessary NATURAL COAST POLICIES Policy 4. Minimize lass of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold.Sea LWRP Section IIT —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No of Applicable J 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 oval ation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section In—Policies Pages 32 through 34 for evaluation criteria. n Yes ❑No Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Towns of Southold from solid waste and hazardous substances and wast See LVM'Section III—Policies; Pages 34 through 38 for evaluation criteria. EJ Yes LJ No of 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. Q yef] No of Applicable Attach additional sheets if necessary WORIUNG COAST POLICIES �y Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LVVRP Section III—Policies;Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No gNot 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 LNM Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes Q No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluations criteria. ❑ Yes ❑ No[ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LMMP Section III--Policies;Pages 65 through 68 for evaluation criteria_ ❑ Yes ❑ No Not Applicable PREPARED BY N TITLE ��1YkQ OU11*A- IIA`I'E 7 Ito I ell .�o