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TR-9810A
Glenn Goldsmith, President *Zf SOUryO Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 �yCo NrI,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1850C Date: August 18, 2021 -THIS CERTIFIES that the-"as-built" 16.0'x9.5' (152sq.ft.) fiberglass Arbor with support columns; existing on-grade 27.2'x20.6' bluestone patio with a 5.3'x32.9' connector patio;total coverage of patio is 836.74sq.ft.; At 375 North Parish Drive, Southold Suffolk County Tax Map #1000-71-1-4 Conforms to the application for a Trustees Permit heretofore filed in this office.Dated March 28, 2019 pursuant to which Trustees Administrative Permit#9810A Dated'February 17, 2021,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the"as-built" 16.0'x9.5' (152sq.ft.) fiberglass Arbor with support columns, existing on-grade 27.2'x20:6' bluestone patio with a 5.3'x32.9' connector patio;total coverage of patio is 836.74sq.ft.;. The certificate is issued to Maureen Benic owner of the aforesaid property. '4L 4"- - Authorized Signature Glenn Goldsmith,President �QF S0(/�y Town Hall Annex A.Nicholas Krupski,Vice President ,`O ��� 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 Comm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: c� INSPECT BY: ,DI�c� % �'I G�✓ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction '/ constructed x Project complete, compliance inspection COMMENTS: lfi2� /ff� CERTIFICATE OF COMPLIANCE/d7 ��F Z/ Glenn Goldsmith,President *rjfI (/Ty Town Hall Annex A. Nicholas Krupski,Vice President ,`O , 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 UNVI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD. Permit No.: 9810A Date of Receipt of Application: March 28, 2019 Applicant: Maureen Benic SCTM#: 1000-71-1.4 Project Location: 375 North Parish Drive, Southold Date of Resolution/Issuance: February 17, 2021 Date_of Expiration: February 17, 2023 Reviewed by: Board of Trustees Project'Description: For the "as-built" 16.0'x9.5' (152sq.ft.)fiberglass Arbor with support columns; existing on-grade 27.2'x20.6' bluestone patio with a 5.3'x32.9' connector patio; total coverage,of patio is 836.74sq.ft. Findings: The project meets all the requirements for issuance of an Administrative Perinit'set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Peconic Surveyors, P.C., last dated October 30, 2019 and stamped approved,on February 17, 2021. Special Conditions: That no further activity occur without a permit. 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 �Qf SU(/jTown Hall Annex A.Nicholas Krupski,Vice President O - O 1 54375 Route 25 P.O. Box 1 JohM. Bredemeyer III John -M. Southold,New York 11971 Michael J.Domino cn ,c Telephone(631) 765-1892 Greg Williams �'� y0 Fax(631) 765-6641 " �y�OIINTI,N� BOARD OF TOWN mRUSTEES " TOWN OF SOUTHOLD SOUT116LD TOWN BOARD OPTRUSTEES YOU ARE REQUIRED.TO CONTACT,THE OFFICE OF THE-BOARD OF-TRUSTEES 72,-'HOURS PRIOR"TO COMMENCEMENT OF THE ACTIVlbFES-CIiECKED-OFF . BELOW INSPECTION SCHEDULE Pre-coristructian;>kiy'bale"line/silt boom/silk ctartairt " ` - , � :_.• - . •' 1.St'day•of cor�str�ctioi�= " ", - .. . - .. . : m. -- . - Y2 constructed When proje"ct,compWe, 'call fog compliance in'spectio'n; SURVEY OF PROPERTY A T SO UTHOLD TOWN- OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-71-01-04 v s ®�jSCALE.• 12=30 ti0 JUNE 30, 1997 \ �o AUGUST 23, 2019 _ S 30, 2019 OCTOBER 0. (ARBORIPA 710 DIMENSIONS) :0' _ I JO o4 \ f RAMP Southold Town Board of Trustee$ _ STONE - PATIO w 1 0 ? ARBOR ,� TOp LANDING \ ' 'p• pF W/STEPS _ hN 2p 12.0 Bqy 2 � N Rqp LOWER JQQFEi DECK WOOD WALK DECK BRICK 0 S�` ��0 PAD 2 STY. dry• .ti J5E /� �. O CANT. WOODC PLATFORM 15S 16.9, TIMBER LINED ELEVATED STONE O BRICK PAD DECK 2� 00 GJR� WALK PLANTINGS ON PROPANE TANKS PLANTINGS - _ '• ' GAB m ,,',,a';, CERTIFIED T0: -MAUREEN P. BENIC oy ELEC. z METER 0 _ X 34• 2 ' Cli , 2 111 Q w �Ap�,,f ROVED BY 0 w z m ;�� �, �C�ARD OF 1 I�IJSTEES o �' m ` s ��TOV�N=®F SOUTH®L® WEFA�e� ►7, 2021 \ KEY WELL ic s �l 0 = REBAR IV 50 ® = WELL 100.00.' A = STAKE face OF PA IV ` = TEST HOLE VOR MFNT q RON � x` • = PIPE �N PAR/s/1 1 ■ - MONUMENT /�' �i 7 ®^ = WETLAND FLAG /`C�V�' `� CID,.) = UTILITY POLE K OH = OVERHEAD WIRE ELEVA77ONS REFERENCED TO NAVD 88 LA LIC, N0. 49618 ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF AREA= 31771 SQ. FT. PECONIC SURVEYORS, P.C. SEC77ON 7209 OF THE NEW YORK STATE EDUCA7)ON LAW. EXCEPT ' 631 765-5020 FAX 631 765-1797 AS PER SEC77ON 7209-SUBDI14S/Old 2. ALL CER71FlCA71ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP P.O. BOX 909 OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRA VELER STREET 97 24 SIGNATURE APPEARS HEREON. SOU7HOLD, N.Y 11971 Glenn Goldsmith,Pres \ O�QS � Town Hall Annex A.Nicholas Krupski,Vice rresident �� yJ, 54375 Route 25 John M.Bredemeyer III a P.O.Box 1179 Michael J. DominoSouthold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD f Date/Time: ZA lof R:15 Completed in field by: �r GoC�1S►r►� T'� Eileen Wingate on behalf of MAUREEN BENIC requests an Administrative Permit for the "as-built" 16.0'x9.5' (152sq.ft.) fiberglass Arbor with support columns; existing on-grade 27.2'x20.6' bluestone patio with a 5.3'x32.9' connector patio; total coverage of patio is 836.74sq.ft. Located: 375 North Parish Drive, Southold. SCTM#: 1000-71-1-4 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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: 11 II Unlisted Action Type of Application: Pre-Submission -,//Administrative' 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer ✓ M. Domino -/ G. Goldsmith '� N. Krupski `'� G. Williams Other SURVEY OF PROPERTY TOWNA T SO UTA I®LD d O WN ®F SO THOLD SUFFOLK COUNTY MY 1000-n-01-04 \00 SCALE.- 1 2=30 A10 JUNE 30, 1997 \ `® AUGUST 23, 2019 OCTOBER JO, 2019 _ _ S 0. 91, (ARBOR/PA 770 DIMENSIONS 0, WOOD RAMP e� 'Of3t� Southold Town Board of Trustees STONE R/p PATIO ,p 6 ? Wp '02ti06 FR 1 LANDING �0 0 �s0, ARBOR TOp W STE S 12.0 9 �/f LOWER JQQF� DECK WOOD WALK DECK BRICK 33 1 PAD 1 L `L$P4_ t• '�. Y. ST OJS CANT.i O WOOD 00 GORO �� o\56�.1�`6 CI6.9, PLATFORM '� TMBERBRICK PLI LINED DECKATED np2� `L2�0 WALKKE ro0 c 00 GJR PLANTINGS O PROPANE TANKS m try PLANTINGS CERTIFIED TO: \ Gee m MAUREEN P. BENIC 0 METER z �0 O � 0 X 3 4' q co 81 IL/ m o = O 0m • m ` WELL KEY _ Q = REBAR N75°54,50 ® = WELL 100.00, A = STAKE PA OF ee OF = TEST HOLE /V0& eMFNT APRON pr/-/ deo OF ��6E- j/B • = PIPE � M = MONUMENT T,1E = WETLAND FLAG VE � c-Q.3 = U77LI TY POLE ' S OH = OVERHEAD WIRE r =`�' r• r � ELEVA71ONS REFERENCED TO NAVD 88 LIC. NO. 49618 ANY AL7ERA710N OR ADDInON TO THIS SURVEY IS A WOLA710N OF AFF1q= 31771 ,S`GJ. FT PECONIC SURWYORS, P.C. SEC 110N 7209 OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT (631) 765-5020 FAX (631) 765-1797 AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77F/CA710NS HEREON ARE VALID FOR THIS MAP AND COPIES ]HEREOF ONLY IF SAID MAP P.O. BOX 909 OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRA VELER STREET 97-24o r, 24 SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 3 i 2021 INI �A wwn I �� g '!� -a�y '� \*�' i #S � ,' ".tee. nme ..>e.....-:Yb• ��yi/�!'��� .� 5...'� _I +4' ,a S .r p D VE a AN4 2021 Board of es 40 16'-0" x 9'-6" PERGOLA D E c E o W E JAN _4 2021 iE Southold Town doe Board of Trustees ® 16` Fb F jI ti � 3 l - �� II - .-i y _._.__-13'.._.- — - - i c--r- —7—T Ift "a ck tA- TOP VIEW �� •mss ,> Condon Engineers—gf, P.C. BENIC RESIDENCE 1755 Sigsbee Road Mattituck, NY 11952 PAGE 1 OF 2 ^- 375 N. PARISH DRIVE, SOUTHOLD, NY 11971 — i 16'-0" x 9'-6" PERGOLA D E C E p W E JAN -4 2021]01 Southold Town Board of Trustees .6 12'-B' - 1� i 1 1 I I i -----GRADE - �ll i nliir• I I SECTION VIEW Condon Engineering, P.C. BENIC RESIDENCE 1755 Sigsbee Road Mattituck, NY 11952 PAGE 2 OF 2 — 375 N. PARISH DRIVE, SOUTHOLD, NY 11971 Glenn Goldsmith, Pr ent o��S�FFO(,��oG Town Hall Annex A. Nicholas Kruppp;.., Vice-President „� y� 54375 Route 25 John M. Bredemeyer, IIIy P.O. Box 1179 Michael J. Domino o Southold, NY 11971 Greg Williams y ® pb� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES / TOWN OF SOUTHOLD 2 Date/Time:_ 1 9 Completed in field by: �' p►'�� C-M M Eileen Wingate on behalf of MAUREEN BENIC requests an Administrative Permit for the "as-built" 16.0'x9.5' (152sq.ft.) fiberglass Arbor with support columns; existing on-grade 27.2'x20.6' bluestone patio with a 5.3'x32.9' connector patio; total coverage of patio is 836.74sq.ft. Located: 375 North _ Parish Drive, Southold. SCTM#: 1000-71-1-4 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 earing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: II Unlisted Action Type of Application: Pre-Submission � Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 yearS�A Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: if Cpl. OC �n2p��r` old. I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: _J,�J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other etwre/�y �,// e �1/� q� D Hi JAN - 4 2021 Southold Town WOOD RAMP Board of Trustees ni STONE PATIOFR. 10, 2 ��+ ARBOR tea. TOp LANDING c%jO,r W/STEPS ?0 12.0 f Riper p "� y' ' PES�� �� ►.OWER v� DECK WOODAL +r , BRICK 33 KDECK r� PAD 1t 9 2��• ✓, 2 STY. WOOD CANT. C PLATFORM lg 3' TIMBER LINED ELEVATED �p� 22� STONE BRICK PAD h WALK PLANTINGS �o TROPA ANKS NE �IL 4® t� �Gfi v PLANTINGS I r` o r'' yam/ �' .s✓ err. II .:.,.. -,.►+it.�i. .�.,w.„ue,''�,i u.ar =9":�w- ,^f++,�- - �- uNitl6 tip, � �Wyi �k �� � T�,frr a'* xe.ggtr4 � '� AIL � '�"�H •WArv,v1:� k i r�'�}w� � �Y1w..: ,"^i#'uaNv�k p r _ t d h&L �N .Z �+wsx gyp. V� 4 Y ' w " t y� a I IK : r � j , r z t �a �? ,� .0. ^S: gyp',. ..�..• ...n .., ��. s� 0 1 ? 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'" Now- . - k Gra Go°S c f F - F � RAP Southold 0 oPeconic Sheltero � Island Heights West t_rI 6 I N �113 �11A X16 z1 n . a INSERTA SOUTHOLD BAY r Lp,43 - ...� s e;\ v v le f82 I z"C)' K PAR611 m w w. i ec d '" � a 1e / w,rteoNucMs ,e g >a a s.INSERT 501/7110<11 SECTION NO .sa..,...... o No COUNTY OF SUFFOLK © x ea ON"OF ,,,r,...u. ^^ �""" °°'"°"" ,,,_v,,,,• --,— RealPropertyTaxServiceAgency r z„ •--� �' », ° 071 a - ...� � w,w�w.,m. o^.•E m ^•�••�,� r am team pROpERiY•tAP OFFICE LOCATION: MAILING ADDRESS: Town Hall Annexe P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) �� , Southold, NY 11971 Telephone: 631 765-1938 W �, t J+g4 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: February 11, 2021 Re: Local Waterfront Coastal Consistency Review for MAUREEN BENIC SCTM# 1000-71-1-4 Eileen Wingate on behalf of MAUREEN BENIC requests an Administrative Permit for the "as- built" 16.0'x9.5' (152sq.ft.) fiberglass Arbor with support columns; existing on-grade 27.2'x20.6' bluestone patio with a 5.3'x32.9' connector patio; total coverage of patio is 836.74sq.ft. Located: 375 North Parish Drive, Southold. SCTM#: 1000-71-1-4 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 action is INCONSISTENT with the Policy Standards and therefore is 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. A Wetland Permit was not found for the structures.. Further, the shed is located within the FEMA Flood zone VE (Velocity Hazard) and is not consistent with Policy 4. Structure within these zones should be relocated, or if that is not possible; be minimized. 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 Qui'e t Man Studio Eileen:516 818 9754 Derryl:631.834.1846 2805 West Mill �R•oad M -xttituck , Necv, York Diane DiSalvo Jan 11,2021 Southold Town Trustees Town Hall Annex 54375 Main Road;PO Box 1179 Southold,NY 11971 Re:375 North Parish Drive,Southold,NY To Diane Salvo: As requested,the information provided below is taken from the survey dated:10/30/2019,prepared by Peconic surveyors,P.C. The fiberglass arbor measures 16.0'x 9.5;overall. The total size is 152.0'sq.ft. The support columns are located 1' inside the overall dimensions,allowing for a 1'overhang. The(4)support columns have code compliant footings,each being 3'deep. In addition,the existing patio was extended,the bluestone patio measures.27.2'x 20.6; With a 5.3'x 32.9'connecter patio. The total coverage of the patio is 836.74 sq.ft. The surface is a bluestone patio stone set in sand. c Thank you for your time, Thank you, Eileen Wingate 516-818-9754 ® E C E 0 V E JAN 11 20 Southold Towyn Board of Trustees Page 1 r• Glenn Goldsmith,President �q SO&P Town Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ [ Southold, New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641, �CO(fi� s ''I •{ ,A,, ,� BOARD OF TOWN TRUSTEESJ�,N � � X021 TOWN OF SOUTHOLD TO: SOUTHOL'D TOWN BUILDING DEPARTMENTq;,,'1311, RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS; 'Pperty.OWner Nar'ie: - - x.12.2( _a,,;: ,,r. , ••-;. 4- •_:, ,a°• r , Dat e'S(eiit16t :13i g Dept: The Office of the Board of Trustees is forwarding the above,referenced application for Verification of the Building Departments permiitingrequirYs!ments stated•below:- YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination ` from the Zoning Board of Appeals? ` •. Will any part of this application be considered-` ;Qeria'olition zv.. . as described under Town Code? COMMENTS: perada, rece rV e ` ' l,;,k6 iS ion A Ira Si n ture of ev ewer Date /I I h- BOARD MEMBERS 0 SOOT Southold Town Hall Leslie Kanes Weisman,Chairperson O�� ��! 53095 Main Road•P.O.Box 1179 O Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes N Town Annex/First Floor, Robert Lehnert,Jr. 0 5437.5 Main Road(at Youngs Avenue) Nicholas Planamento CU Southold,NY 11971 http://southoldtowimy.gov R E C E I"Y"E D ZONING BOARD OF APPEALS g( 3:S(3 A>M TOWN OF SOUTHOLD ,JUL 2 9 2020 Tel.(631)765-1809•Fax(631)765-9064 0. FINDINGS, DELIBERATIONS AND DETERMINATI DROW old Town Clark MEETING OF JULY 16,2020 ZBA FILE: 7389 NAME OF APPLICANT: Maureen Benic PROPERTY LOCATION: 375 North Parish Road, Southold,NY SCTM#1000-71-1-4 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type R category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk_ County Administrative Code Sections A 14-14 to 25and the Suffolk County Department of Planning issued its reply dated January 30, 2020 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated June 16, 2020 Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us,it is our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. However, upon personal inspection of the subject property and the surrounding neighborhood, the Board has determined that, although the as built pergola is located within a FEMA VE flood zone,the side yard location locates it farther away,from the flood zone than the conforming rear yard location and the small open structure has no adverse impact on the environment, therefore, it is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The subject property is a non-conforming 31,771 square foot parcel located in the Residential R-40 Zoning District. The northerly property line measures 104.35 feet and is adjacent to Southold Bay,the easterly property line measures 302.80 feet,the southerly property line measures 100.00 feet and is adjacent to North Parish Drive, and the westerly property line measures 332.60 feet. The property is improved with a two-story framed residence with two first floor decks and an upper story deck. The "as built" accessory pergola is located on the westerly portion of the property in the side,yard as shown on the survey map prepared by John T.Metzger,P.C,LS,last revised October 30,2019. BASIS OF APPLICATION: Request for Variance from Article 111,�Sections 280-15 and the Building Inspector's November 21, 2019 Notice of Disapproval based on an application for a permit to legalize an"as built" accessory pergola; in other than the code required rear yard; located at: 375 North Parish Drive, (Adj. to Southold Bay) Southold,NY. SCTM#1000-71-1-4. Page 2,July 16,2020 #7389,Benic SCTM No. 1000-71-1-4 RELIEF REQUESTED: The applicant requests a variance to legalize an"as built" accessory pergola located in the side yard which is not permitted pursuant to Article III Section 280-15, which states, accessory building and structures shall be located in the required rear yard, or in the case of a waterfront parcel, accessory buildings and structures may be located in the front yard, if they meet the fi•ont yard principal setback requirements.. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on July 9, 2020_at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law X267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The residence and the accessory pergola are both accessed via a very long gravel driveway and are not visible from the road. The waterfront subject property is improved with a large dwelling and small outdoor recreational area on the seaward side, which is typical of other dwellings in the neighborhood that also are sited to take advantage of water views. 2. Town Law 4267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The property has open decks on the second story with little area away from direct sun. The applicant would like to be able to have a shaded area for family diners and entertaining space outside. Although the code does not allow for the structure to be located in the side yard, there is no other part of the property suitable. The rear yard which is adjacent to Southold Bay has little room for the structure and would interfere with the bank on the waterside, and the front yard contains a large driveway,parking area 3. Town Law X267-b(3)N(3). The variance granted herein is mathematically substantial, representing 100% relief from the code.However,since this is waterfront property and the top of the bank is located approximately 10 feet from the protective Rip-Rap wall, and because the home is sited on the property at a sharp angle to the property lines,the placement of a shade structure in a conforming location is very restricted The side yard location is the most suitable for the shade structure/pergola to be located on an existing stone patio. The pergola is open on all sides,the roof consists of open rafters and the structure has a minimal footprint at 154 square feet. 4. Town Law &267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law &267-b(3)(b)(5). The difficulty has been self-created. purchased the parcel after the Zoning Code was in effect and it is,presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to The applicant or at the time of purchase. 6. Town Law §267-b. Grant of or the requested relief is the minimum action necessary to enable the applicant to enjoy the benefit of an "as built" accessory pergola while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Acampora, seconded by Member Planamento, and duly carried,to Page 3,July 16,2020 #7389,Benic SCTM No. 1000-71-1-4 GRANT the variance as,applied for and shown on the survey map prepared by John T. Metzger,P.C, last revised October 30, 2019 and the drawings (undated and received January 31, 2020) prepared by John J Condon, LPE., received January 21,2020. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. In the event that this is an approval subject to conditions, the approval shall not be deemed effective until such time that the foregoing conditions are met; and failure to comply therewith will render this approval null and void. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman(Chairperson)Acampora,Dantes,Lehnert,and Planamento(5-0). rWO AM- �✓i eslie Kanes Weisman, Chairperson Approved for filing ///2020 { j SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD \ SUFFOLK COUNTY, N.Y. 1000-71-01-04 SCALE: 1'=30 1y0 JUNE 30, 1997 I rrkc[1�ti \ �O AUGUST 23, 2019 OCTOBER 30, 2019 (ARBOR/PA710 DIMENSIONS) Zorl[j 6BaFdOfApa�zr� RMPOD @� RP CIA/ STONE b � PATIOFR t0 IO ab�C 7 AR80R a TOp LANDING \ o• Op W�SIEPS Ma0 tzory ¢u,�, IOWER /J DECK ' WOOD y_ 5 WALK DECK PAD JJ t, �,y9 4 .6 ,oB CANST 1 ods YWOODRII GV�S v a {�0�%1`PLATF ig8 00 TIMBER LINEDSTONE RRrX PAD OEECK Cp'yn 416 WALK PLANTINGS OM PROPANE TANKS ' C 9 A' m PLANTINGS CERTIFIEDT0: \ cGRe U .,,,MAUREEN P. BENIC oy METER m� Z TO =1 2 1111 x m o � o O y FINAL MAP REVIEWED BY ZRA SEE DECISION# } ® DATED `9 11b 1�a2 KEY `\\ = WELL =REBAR N75'S4$0 ® = WELL 100.00. •' ♦ =STAKE LDOF OF PA BB = TEST HOLE IVOAPRON ,%SOF NENVI,O9 =PIPE RTH PARI 5���5. .ETjcr ■ =MONUMENT = WETLAND FLAG cTL= UTILITY POLE — OH — = OVERHEAD WIRE I ELEVATIONS REFERENCED TO NAVD 88 �,i1 - .1 LIC. NO. 49618 ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OFAREA= 31,771 SQ. FT. PECONIC SURVEYORS, P.C. SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.EXCEPT (631) 765-5020 FAX(631) 765-1797 AS PER SECTION 7209—SUBDIWSIOAI 2 ALL CERTIRCA77ONS HEREON ' ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP P.O. BOX 909 OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER STREET 97 240 SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 4 Michael J_ Domino, President Town Hall Annex John M. Bredemeyer, III, Vice-President �� y� 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A Nicholas Krupski y o� Southold, NY 11971 Greg Williams ��l , c �a Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS SCTM#: Property Owner Name: �r✓K1C� Date Sent to Bldg. Dept: The Office of the Board of Trustees is forwarding the above referen ' d application for verification of the Building Department's permitting requirements stated bel : - 3 2019 YES NO Z Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: CCe a J Xignature"ofRevViie3wer� Date r qxV soar "r� Town Hall Annex Michael J.Domino,President r �� d� John M.Bredemeyer III,Vice-PresidentY ` 54375 Route 25 P.O.Box 1179 Glenn Goldsmith 4} Southold,New York 11971 A.Nicholas Krupski t, �p ,yCl �r Telephone(631) 765-1892 Greg Williams l� 31 765-6641 BOARD OF TOWN TRUSTEES MAR 2 8 2019 TOWN OF SOUTHOLD This Section For Office Use Only B and of Trustee Coastal Erosion Permit Application Wetland Permit Application Administrative Permit /—Amendment/Transfer/Extension V/-Received Application: �LReceived Fee: $ ?.019,04 ✓, Completed Application: �. Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �oordination:(�date sent): � 3•/Q WRP Consistency Assessment Form Sent: -1 CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: ./S Resolution: •' Owner(s) Legal Name of Property (as shown on Deed): Mailing Address: _ �'1 1'�� �� Phone Number: P5 It a ' C5 Q ?L3 Suffolk County Tax Map Number: 1000 - D Property Location: i (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): , t Mailing Address: &O Phone Number: 61 12), l Board of Trustees Applic� on GENERAL DATA Land Area(in square feet): _ P(` Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes >< No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes 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 req it y 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? Yes No Prior permits/approvals for site improvements: Agency Date , No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? )< No Yes If yes,provide explanation: Project Description (use attachments if necessary): w n L�kb6 Board of Trustees Applica )n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: —me Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet 1 Closest distance between nearest proposed structure and upland edge of wetlands: ��feet Does the project involve excavation or filling? No Yes IfY es how much material will be excavated? I cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: ' feet Proposed slope throughout the area of operations: wj Manner in which material will be removed or deposited: liD'2(l . POR 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): Y' D �- b 61Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -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 i -Project and Sponsor Information G E� Name of Action or Project: Project Location(describe,and attach a location map): HC Brief Description of Proposed Action: Name of plican or Sponsor: Telephone: f E-Mail: iU s Address: M City/PO: State: Zip Code: t06 1.Does the proposed action only invol 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 El, AF27"Ji 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: ❑ VUILD1UCI P[[ zR 3.a.Total acreage of the site of the proposed action? D acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? _acres 4. Check all land uses that occur on,adjoining and near the proposed action. ��,,�� FJ Urban El Rural(non-agriculture) ❑Industrial []Commercial Residential(suburban) E3 Forest ❑Agriculture El Aquatic ❑Other(specify). ❑Parkland Page X of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ KjLn ❑ b. Consistent with the adopted comprehensive plan? ❑ LIZX ❑ 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: ❑ 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; r%;;;r ❑ 10. Will the proposed action connect to an existi public/p 'vate 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: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? IKI ❑ b.is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Writify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: oreline El Forest ❑ gricultural/grasslands El Early mid-successional ❑ Wetland El Urban uburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed MNO YES by the State or Federal government as threatened or endangered? El 16.is the project site located in the 100 year flood plain? YE 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, 21 F]a.Will storm water discharges flow to adjacent properties? ❑NO [::]YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ^ _ -8 ❑ 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 THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �` /,,,, /' ' Applicant/sponsor e: G//en W/ �1�, 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 1 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning El 1:1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? El E 3. Will the proposed action impair the character or quality of the existing community? Cj 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ a establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El �' affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate E]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? 8. Will the proposed action impair the character or quality of important historic,archaeological, F 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 El problems? I I. 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 explainhow the-lead agency determined"that the impact -may A�r,wall not be.significant.Each potential impaotshould--lie•assessed-epnsidering its etting,:probabilliy ofoocurring, duration,irreversibility,geographic scope and magnitude. Also consider-the potential for short-tern,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 _ Y Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) I PRIN' Page 4 of 4 Board of Trustees Applici, ,'on AFRDA IT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TUB MST OF WSfMR 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(*OR REPUSEMATMS,INCLUDE G`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 ' 5 41' . ' E ' S_ � ? _ :. U ► ' ES-01WNG THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAYOF --)-orCh J , 20._[j_ otary Public TRACEY L.-DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,ZORP�, 1/29/2019 benic pre-apps.1peg Board of Trustees Applicgti6 t. AUTHORIZATION (Where the app icarit is not the owner) I/We, C- owners of the property identified as SCTM#,1000- in the town of —S 00 M B `K I Jew York,hereby authorizes to act as my agent_and handle all necessary work involved with the application process for permits)from the Southold,Town Board of Trustees-for this property. Property.Owner`s Signature Property Owner's Signature SWORN TO BEFORE SIE THIS�DAY OF'—J anttaA ,-20]Y— Notary 20LY —..Notary ublie Robin L Purcell Notary Public,State of New Vbrk, No.OIPU6329348 Qualified in Nassau County Comission expires August,24,2019 i https://mail.google.com/mad/u/0/#inboxANhctKJVJdpmVSsH NQzpjrFQDbPldxtQSMSKzwjNTsjvJQWnsbcVDcNKDWgfQPHnnQGBPCmL?projector-1 1/1 Iwo imp nil Wig im gq � � ���� q rvsmm APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM i i The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.Th_e_nurnose of this form is to provide information which can alert the town of Upssible conflicts of interest and allow it to take whatever action is necessary to avoid sam YOUR NAME: Last name, trst name, ddl mitial,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 v Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through 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 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 applicandagent/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%of the shares of the,corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 114ff Submitted this day of IWJQWJ�\__201_l Signature Print Name Form TS 1 0 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). 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, listino 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# PROJECT NAME C 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: l %AID q Location of action: 3J5 WOM RN3 WW L�R(k f—, — SIDE `�4R D Site acreage: 311:01 5002M -l`F Present land use: Q("'l 1W Fes tr4m b % Present zoning classification: Aja 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: I,'�C mal (b) Mailing address: `ill Lffi LzZ C ,P_ Wc'S(9- U, RD f7� (Ein- t LY H' Ainnk fe-- K' , - (c) Telephone number: Area Code (d) Application number,if any: �1 I7 Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No Eg 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 LMW Section III—Policies; Page 2 for evaluation criteria. 0 Yes ❑ No [yNot Applicable 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 necessar, 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 V 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 LWRP Section III—Policies Pages S through 16 for evaluation criteria ❑ Yes ❑ No 54 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 0 Yes ❑ No EINot 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 criteria. ❑ ❑ L Yes No 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 g Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑'Yes ❑ No 1�f 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. f ❑ Ye� No u Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 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 LW" Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 9Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ Nou 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. LJ Yes ❑ No ❑ Not Applicable PREPARED li TITLE DATE4W04