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HomeMy WebLinkAboutTR-9980A Glenn Goldsmith, President Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �F( Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2023 Christopher Masotto 19 Schooner Road Northport, NY 11768 RE: 55915 C.R. 48, GREENPORT SCTM# 1000-44-1-17 Dear Mr. Masotto: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 17, 2023: RESOLVED that the Southold Town Board of Trustees grants a One (1) Year Extension to Wetland Permit#9880 and Coastal Erosion Permit#9880C, both issued on May 19, 2021. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Glenn Goldsm fil" President, Board of Trustees GG:dd .4/11/2023 EAPR 1 7 20M L5 I RE: 55915 County Road 48, Southold NY Southold Town Board of TrusteesW„ Dear Southold Town Board of Trustees, This is a request to please extend my existing permits for another year. Permits 9880 and 9880c for the address 55915 County Road 48, Southold, NY. Included with this letter is my check for $100 made out to the Town od Southold. I thank you for your time and consideration. Sincerely, Chris Masotto Mailing address: 19 Schooner Rd, Northport NY, 11768 0�) �Tq- 7-7qI Glenn Goldsmith,President cF Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly ' Southold,NY 11971 Elizabeth Peeples t Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 'rD Completed in field by: � . CHRISTOPHER MASOTTO requests a One (1) Year Extension to Weyand Permit #9880 and Coastal Erosion Permit #9880C, both issued on May 19, 2021. Located: 55915 C.R. 48, Greenport. SCTM#: 1000-44-1-17 Type of area to be impacted: Saltwater Wetland Freshwater Wetland 1C Sound Bay Part of Town Code proposed work falls under: k Chapt.275 k Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info need ed/Mod ifications/Conditions/Etc.: >- < oe"s, il�e) , .. Present Were: G. Goldsmith N. Krupski E. Sepenoski X L. Gillooly E. Peeples Glenn Goldsmith,President �Q� s®(®, Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gilloolyc� `-r Telephone(631) 765-1892 Elizabeth Peeples � a� Fax(631) 765-6641 c®U{�`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 2020C Date: March 28, 2023 THIS CERTIFIES that the installation of a 36"x60"raised platform for a 15sq.ft. generator, install a 4'x4' raised platform for existing 16sq.ft. air conditioner; At 18603 Main Road, East Marion; Suffolk County Tax Map#1000-17-5-3.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 27, 2021 pursuant to which Trustees Administrative Permit#9980A Dated September 15,2021,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 installation of a 36"x60"raised platform for a 15sq.ft. generator, install a 4'x4' raised platform for existing 16sq.ft. air conditioner. The certificate is issued to Steven Eisman&Valerie Feiggn owner of the aforesaid property. Authorized Signature Glenn Goldsmith,President ®� sU,� Town Hall Annex ®� ®� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 ®��COUN11,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: wk, U 2-023 INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: CERTIFICATE OF COMPLIANCE: e� ' .. _'J Michael A. Kimack ATTORNEY AT LAW P.O. Box 1047 Southold, N.Y.11971 Cell No. 516-658-6807 E-mail: mkimack2gverizon.net October 27. 2022 Re: Steven Eisman and Valerie Feigen Trustee Adm. Permit No. 9980A To: Southold Town trustees I respectfully request an amendment to Permit No. 9980A to: 1. Remove the raised 4' x 4 ` platform to set existing air conditioner and 2. Relocate proposed raised steel platform to be set adjacent to pool and resized to 8 ft. x 10 ft. and set at El. 13. Thank you for your consideration in this matter Sincerely. 1,�-�aZeeee� Michael A. Kimack, Agent Q E C E I V E 0 CT 2 7 2022 Southold Town Board of Trustees Glenn Goldsmith,President ®_�`�®g S® �®� Town Hall Annex A. Nicholas Krupski,Vice President ®A. Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 COUN` i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 21, 2022 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: STEVEN EISMAN & VALERIE FEIGEN 18603 MAIN ROAD, EAST MARION SCTM#: 1000-17-5-3.2 Dear Mr. Kimack: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 16, 2022: WHEREAS, on October 27, 2022 an application for an Administrative Amendment to Administrative Permit #9980A was submitted to exclude the installation of the 4'x4' raised platform for air conditioner and to relocate proposed raised steel platform for generator to be set adjacent to pool and increase size to 8'x10' in lieu of previously approved 36"x60"; and WHEREAS, on November 7, 2022 a Member of the Board of Trustees inspected said property for the proposed modification; and WHEREAS, on August 30, 2021 as part of the approval under Administrative Permit #9980A, the Board of Trustees conducted a field inspection and noted: "minor activity on landward side of home away from dune and beach"; and %nn rr�rnr. ii__ i i rii__ i_it �-----� 1_ L 1 L 1 VV1HE EMA S, Me Original location and Size Cil he platform was UeerneU W Ue sui able; and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area; and, 2 WHEREAS, the Board has considered all of the documentation submitted concerning this application; and, WHEREAS, the Board of Trustees determined that the increased size and different location of the proposed could have a potential negative environmental impact, and that there is no justification for altering the prior actions of the Board; and THEREFORE BE IT RESOLVED, that the Southold Town Board of Trustees DENY the Administrative Amendment to Administrative Permit#9980A to exclude the installation of the 4'x4' raised platform for air conditioner and to relocate proposed raised steel platform for generator to be set adjacent to pool and increase size to 8'x10' in lieu of previously approved 36"x60". Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Glenn Goldsmith President, Board of Trustees GG:dd Ghnf _ n<ioldsmith,President ��o��S�Ff�vOG� Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski P.O.Box 1179 Liz Gillooly oy • ®!� Southold,NY 11971 Elizabeth Peeples ��! �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 7,4101 ZvZz Completed in field by: Z�- A. Michael A. Kimack on behalf of STEVEN EISMAN & VALERIE FEIGEN requests an Administrative Amendment to Administrative Permit#9980A to exclude the installation of the 4'x4' raised platform for air conditioner and to relocate proposed raised steel platform for generator to be set adjacent to pool and increase size to 8'x10' in lieu of previously approved 36x60". Located: 18603 Main Road, East Marion. SCTM#: 1000- 17-5-3.2 Type of area to be impacted: < Saltwater Wetland Freshwater Wetland r Sound Bay Part of Town Code proposed work falls under: *- Chapt.275,. Chapt. 111 other Type of Application: Wetland Coastal Erosion n Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: rasa a�w� � Present Were: G. Goldsmith N. Krupski �E. Sepenoski L. Gillooly E. Peeples A-4 R ECEIVE 0 SNOWDONNOV2- 2 022 Southold Town Board of Trustees Project: Feigen & Eisman Residence October 27th, 2022 Address: 18603 Main Rd, East Marion, NY 11939 Attn: Michael A Kimack mkimack2(averizon.net Description Proposed location for Standby Power - Backup Generator i ---- —————————————————————— ——————— - �:; GAS` Mme.. t: -- _ _ - _ ';i - `OLOMAINRDA)IRTDRIVEWAYr'. - SPLR RAIL FENCE; PROPERTY LINE- — b08.6T A: ®_PROPOSED ADDITION OFAN OFT.X'10F.T STEEL PLATFORM RAISED TO 13 FT.. EL FOR THE INSTALLATION OFA GENERATOR.FLOOD PLAIN 13FT;AVERAGE GRADE 4ft GENERATOR SPECIFICATIONS: 48kW Briggs&Stretton_Standby Generator,Aluminum Enclosure,Briggs B,StTLtton Coptrolte0 Block Heater Included 200 Amp Water Caoledwith AutemaUc Transfer Swdch, Platform80 sq.f: Upgrade gas meter to rotary 1.5 million.Run elevated pressure to generator,downsize pressure to house. A Design/Build Company. - DIRECT+1212 518 1818. - The Snowdon Group O 2022 ISSUED: 10.03.2022 FOR DEC/TRUSTEE MEETING SNOWDON LONG ISLAND SOUND Consulting Architect/Designer SNOWDON II LTD 85 Willow Street #71 I 617.5T Orient,Orient, NY 11957 —PROPERTYLINE-- I DAVID SNOWDON-JONES - - - _ _ _ - - - - - I (T) 212 518 1818 (E) David @Snowdon.nyc I I I Agent MICHAEL A. KIMACK PO Box 1047 , I Southold, NY 11971 (T) 516 658 6807 ELI N (E) mkimack2@verizon.net J z .1Nnoo°No°ro� °I m Of N W O I Q_ Q_ f A I I � I ————————.-- ———__ _/_ COSTPL EROSION HAZARp LINE— -� _—_--- —CO—ER—EN HAZARD LINE �' �-��COSTAL EROSION H4ZAR +11 ONCRETE —COSTAL EROSION HAZARD LINE— DLINE� —COSTAL EROSION HPZMDLINE- �..., c°NCRETE SEAWALL.;;..•.,.• .,. '•' ...• .' •..•. - ME CRETE SEAWALL.•.. •;'n c .� ..'.::.: TE SEAWALL;'..-. WALL,: GAS ITE 77 @AIN RD/DIRT-D7�IVEWQY>�-������ DIRT DRIVEWAY. - OLD MAIN RO '-:•AI - I I SPLIT RAIL FENCE L— PROPERTY LINE- — _\ g� Address 5'8.67' EISMAN& FEIGEN RESIDENCE _ PROPOSED ADDITION OF AN 8FT.X 10 FT STEEL PLATFORM RAISED TO 13 FT A. EL.FORTHE INSTALLATION OFAGENERATOR.FLOOD PLAIN 13FT AVERAGE GRADE 4ft 18603 Main Rd, East Marion, NY GENERATOR SPECIFICATIONS: \ '9�•_. •.,coNcaeTE SEnww-L 48kW Briggs&Stratton Standby Generator-Aluminum Enclosure,Bnggs&Stratton Controller,Block HE;der Included T12g 11 939 200 Amp Water Cooled with Automatic Transfer Switch Platform 80 sq.ft. •.•' Upgrade gas meter to rotary 1.5 million.Run elevated pressure to generator,downsize pressure to house. , Description Generator Plan Drawing Number 1 of 1 I p'' i DATE: 11/1/2022 ` PROJECT NO: I I \ I DRAWING BY: SS \ CHECKED BY: DSJ SCALE: AS NOTED ECEIVE BSCAN STICKER NOV - 2 2022 ,� Site Plan E: 1 ' = 30' Sou{toldToWn DOB APPROVAL:STAMP Board of Trus'ees Glenn Goldsmith, President � , so Town Hall Annex A. Nicholas Krupski,Vice President y54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold, New York 11971 Michael J. Domino Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 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 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction,'hay bale line/silt boom/silt curtain 1 st day of construction '/2 constructed When project complete, call for compliance inspection; P ,w Glenn Goldsmith, President Town Hall Annex r. A. Nicholas Krupski,Vice President 54375 Route 25,ti mµ � ';� �!M � P.O. Box 1179 John M. Bredemeyer III Southold, New York 11971 Michael J. Domino �� t Telephone(631) 765-1892 Greg Williams ��� � '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9980A Date of Receipt of Application: August 27, 2021 Applicant: Steven Eisman & Valerie Feigen SCTM#: 1000-17-5-3.2 Project Location: 18603 Main Road, East Marion Date of Resolution/Issuance: September 15, 2021 Date of Expiration: September 15, 2023 Reviewed by: John M. Bredemeyer III, Trustee Project Description: Install a 36"x60" raised platform for a 15sq.ft. generator; install a 4'x4' raised platform for existing 16sq.ft. air conditioner. 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 site plan prepared by Michael A. Kimack, dated July 31, 2021, and stamped approved on September 15, 2021, 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. k� / ` Glenn Goldsmith, President Board of Trustees G5' 5 % q� 2 y `•� � G 6q e /NOROLIID/( 3 -� - `w, _ / ABOVE 1 - CO ►� SEAWALL ABOVE g.B 7— �a GROUND POOL e W3 6' - LW 36.0 - _ r 2.a OVRF UNl3E} GRDdN .5 i r� EASE EtStT OF D ELECTRIC Oily 0 NCERTN NOTE s�� SEE DTR 0 LIPAA C-1d Town - I [ 111 Tr L,' _ r 1 `X GUYUP { 10_H_LINE52. — Install new Kohler generator(47"x 26.2"32.2") ev^ 251 cP on raised platform (36^x 60")set at 13 Ft. EI. e�– i Platform set on(4)6"x 6"pressure treated OIE, 4 }' q _ c` crossed braced. Platform to be pressure treated t 0� 0. 0. 2"x 8"wl V x 6"pressure treated decking 01E N 86032 00"ISI/ 84.45 4 I O� t i / wac nd Fbg �r 62. fa Raise existing AIC unit in place on 4 Ft.x 4 Ft. � ' EASTMARION PARK D1 S s 'ICT i platform to 13 Ft. El. Platform set on(4 )6"x 6"pressure treated O/E, crossed braced.Platform to be pressure treated SCTM LOT 3.3 i 2"x 8"w!1"x 6"pressure treated decking 01E STEVE EISMAN and VALERIE FEIGEN APPROVED BY BOARD OF i RUSTEE 18603 Main Road, East Marion, N.Y. 11939 TOWN OF SOUTHOLD qREA:LOT 167,773.9 SF ACRES_3.85 2 PROPOSED INSTALLATION OF GENERATOR - 5,290 S-F. :SEAWALL TO PROPERTY LINE DATE Z4V' 1-9,080 S-F_ :SEAWALL TO WETLAND LIMITS ON RAISED PLATFORM and RAISE EXISTING 4, AIC UNIT IN PLACE ZONE AE (EL 77 ) Represented by Michael A. Kimack Date: July 31 , 2021 1IFen." - Glenn G'^ \'smith, President �O$ YC �- Town Hall_Annex A. Wiy,6las Krupski, Vice-President b���� Gtk1� 54375.Route 25 John M Bredemeyer, III ` ' P.O. Box 1179 Michael J. Domino o Southold, NY 11971 Greg Williams y ®� { Telephone (631) -1892 (631) 765 6641 Fax BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,,�� Date/Time: � —bLA 30 Completed in field by: .fes. ,D/�el 719C✓ Michael A. Kimack on behalf of STEVEN EISMAN & VALERIE FEIGEN request an Administrative Permit to install a 36"x60" raised platform for a 15sq.ft. generator; install a 4'x4' raised platform for existing 16sq.ft. air conditioner. Located: 18603 Main Road, East Marion. SCTM#: 1000-17-5-3.2 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 aring 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: 6719 d� J., 0-M 14044V ar/4y 4y, 4'y ok �zoy- Az)),,),jh RA )o I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other •, 1 \�y,(�t �2r JE V E fl L- E 4 7 2 9' 2-,• G5 \ L kct/a �Fvg � a' �i A�G 27/ /NGROUND/ o I 3 4 / \ � — CONCRETE s��,�, / ABOVE \ 'BW46 E SEAWALL — 7— s ao - GROUND POOL _ Sou Id Town 36-0 ��Q / OVERNEAD/UNDERGROUND ELECTR/C B 6 Bn� ofi Trustees 28' / EASEMENT OF UNCERTAIN W/DTH _ f GUY p�� P P 351-1 ;� ® \ SEE NOTE \ 1 GUY{ UP / --- - a 64 O.H. LINES 5 6g ,(�,��'6 Install new Kohler generator(47"x 26.2"32.2") 2 s N on raised platform (36"x 60")set at 13 Ft. El. a` 70 0 �G h Platform set on(4)6"x 6"pressure treated O/E, 4 e d- 16 0 ��P$60� �0• crossed braced. Platform to be pressure treated s e 2 ti o �O!�y�. �01� oy G. • 2"x 8"w/1"x 6"pressure treated decking O0115N 86°32.00-W 84 45 s' V� 'O�• qy-.2 / ///� Wcdand PV9 i 2• 76 01 J" l \ 7s �O'O 0 p p /�A'f // Raise existing A/C unit in place on 4 Ft.x 4 Ft. 6RIENT- E-A STMARION PARK D1.3IRI>r. T platform to 13 Ft. El. 45 f Platform set on(4 )6"x 6"pressure treated O/E, SCTM LOT 3,3 - crossed braced.Platform to be pressure treated 41. 4 2-x 8"w/1"x 6"pressure treated decking 0/E �1 STEVE EISMAN and VALERIE FEIGEN , /I 18603 Main Road East Marion N.Y. 11939 r' 1 , � '" AREA:LOT 167,773.9 SF ACRES:3.85 1 PROPOSED INSTALLATION OF GENERATOR AREA: 35,290 S.F :SEAWALL TO PROPERTY LINE 29,080 S-F. :SEAWALL TO WETLAND LIMITS ON RAISED PLATFORM and RAISE EXISTINGI Nv A/C UNIT IN PLACE 3� I ZONE AE (EL 1 1 ) / I Represented by Michael A. Kimack Date: July 31 , 2021 1 � j 4 ��. js� -Ai r -, ,� � _..•;^,"�e'a �` ,-�/� r moi. n. i � .. �4 �.�e.�f Y,R E ,alb!• r - 1.. F gum i .moi i'ii (3)Eisman Residence Taken Aug.2,2021 LookingWest i ON ON WIN—III ON / E/I %j ti (4)Eisman Residence Taken Aug.2,2021 Looking NE KOHLER. Models: 20RCA(L) Multi-Fuel LPG/Natural Gas 09001 Standard Features 4 KOHLER, e RDC2 Controller "A"°NAtO RCG15rERCD o One digital controller manages both the generator set and transfer switch functions (with optional Model RXT). wlw ,�,, �.■,,, o Electronic speed control responds quickly to varying demand. j o OnCueQ1 Plus Generator Management System for remote al�' monitoring is included with the generator. � ' .F:' • Kohler Command PRO Engine Features c Kohler Command PRO°OHV engine with hydraulic valve ` + ✓ g lifters for reliable performance without routine valve 3 a# adjustment or lengthy break-in requirements. b" ,; • Designed for Easy Installation Sturdy aluminum base can be mounted on gravel or a concrete mounting pad. o Fuel and electrical connections through the enclosure wall The Kohler® Advantage eliminate the need for stub-ups through the base. o Customer connection terminal block located near the • High Quality Power controller allows easy access for field wiring. Kohler home generators provide advanced voltage and o Designed for outdoor installation only. frequency regulation along with ultra-low levels of • Certifications harmonic distortion for excellent generator power quality to protect your valuable electronics. o Meets emission regulations for U.S. Environmental Protection Agency (EPA)with both natural gas and LPG. • Extraordinary Reliability o UL 2200/cUL listed (60 Hz model). Kohler is known for extraordinary reliability and o CSA certification available (60 Hz model). performance and backs that up with a premium 5-year or o Accepted by the Massachusetts Board of Registration of 2000 hour limited warranty. Plumbers and Gas Fitters. • Powerful Performance o Meets 181 mph wind rating. Exclusive Powerboost`" technology provides excellent • Approved for stationary standby applications in locations starting power. § pP y y pp . Aluminum Enclosure served by a reliable utility source.o Attractive aluminum enclosure allows installation as • 20RCAL models packaged with a Model RXT automatictransfer switch are available. See page 4 and the Model close as 18 inches from your home or small business. ' RXT ATS specification sheet. o Enclosure panels can be removed without tools to allow Warrant easy access for maintenance and service. y 5-year/2000 hour limited warranty for on-grid (standby) applications in locations served by a reliable utility source. Generator Ratings Standby Ratings Line Circuit Natural Gas LPG Breaker Alternator Voltage Phase Hz kW/kVA Amps kW/kVA Amps Amps Poles 2F7 120/240 1 60 18/18 75 20/20 83 100 2 120/208 3 60 17/21 58 17/21 58 70 3 2G7 120/240 3 60 17/21 51 17/21 51 60 3 277/480 3 60 17/21 26 17/21 26 30 3 Note: The line circuit breaker is automatically selected based on the generator set model and voltage configuration. RATINGS:Standby ratings apply to installations served by a reliable utility source.All single-phase units are rated at 1.0 power factor.The standby rating is applicable to variable loads with an average load factor of 80%for the duration of the power outage. No overload capacity is specified at this rating. Ratings are in accordance with ISO-3046/1,SS5514,AS2789,and DIN 6271 GENERAL. GUIDELINES FOR DERATING:ALTITUDE:Derate 4%per 305 m(1000 ft.)elevation above 153 m(500 ft.).TEMPERATURE:Derate 2%per 5.5°C(10°F)temperature increase above 16°C(60'F) Availability is subject to change without notice.The generator set manufacturer reserves the right to change the design or specifications without notice and without any obligation or liability whatsoever. Contact your local Kohler Co.generator distributor for availability. § Check the appliance manufacturer's specifications for actual power requirements. Consult a Kohler®Power Systems professional to calculate your exact residential power system requirements. 1Meets NFPA guidelines for 18 inch clearance to combustible materials. Check state and local codes for minimum distance required from a structure. G4-272 (20RCA) 9/19c .:ats. .4 T e'• '���'Y�. �� J" ,♦•,' �� �Bl�• ., r .. i '4�''•'rh S',�e +_•Y_� •� l• �yJ\ ♦�_. f .✓ 4"} }1 h ,t�'!�" .:�/ ��Mia �� _ [�.yii l/~ �..P � - �,,, • K!•Y��'4..� >'�`_ .'.h. k 1 C�,r,�`t..,)� �. � aL�.�'nc' ss__'. � w _ y�� 4' a .�-. J "��r'-_t•_ ',it'`_.._�"�'r'r'�"��' a ox3,9 ix3,s ISLAND L. 40 Itp 22 ,.'/ t9N d.z ♦ , 0 w ti3yc1 8 in5Il� s .i+ �..- ,,W i vxHc 25A w p 01 i x 21 p,12.11 o O� A ue 3�-- — r - ,e• i � F fT. 9.R.25 I t J1 / / v e two.... _�_ �•'• r IPt1 2 �,^ __•__ NOTICE COUNTY OF SUFFOLK © E ' °F SOUT110LO SECTION NO Real Property Tax Service Agency v H� — _ — — — �. z, 1 Cwwy6•W.R..N....NY„29, W 017 0�."w » .� �„N w .• �'• —__— w..u. --.-- ewu.--ww-- w ry w A ,9cr xo 1000 xx�N�l P PROPERTY WW OFFICE LOCATION: r MAILING ADDRESS: Town Hall Annex :�' � � P.O. Box 1179 54375 State Route 25 � " Southold, NY 11971 w (cor. Main Rd. &Youngs Ave.) . Southold NY 1 `� Telephone: 631 765-1938 www.s outhol dt ownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 14, 2021 Re: LWRP Coastal Consistency Review of STEVEN EISMAN & VALERIE FEIGEN SCTM# 1000-17-5-3.2 Michael A. Kimack on behalf of STEVEN EISMAN &VALERIE FEIGEN request an Administrative Permit to install a 36"x60" raised platform for a 15sq.ft. generator; install a 4'x4' raised platform for existing 16sq.ft. air conditioner. Located: 18603 Main Road, East Marion. SCTM#: 1000-17-5-3.2 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: § 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); This is an upgrade for flood protection. 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 I54375 Route 25 A. Nicholas Krupski,Vire Presidente'er P.O.Box 1179 John M.Bredemeyer IIIA " ,r<t Southold,New York 11971 Michael J.Domino Telephone(631) 765-1892 Greg Williams ' ,: Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application 2 Wetland Permit Application D E C E 0 V )FAdministrative Permit Amendment/Transfer/Exte on V/ Received Applicatip�Q 'Z7A AUG 2 7 2021 Received Fee: $ 100 —jLCompleted Application: ' Incomplete: — Southold Town SEQRA Classification: Type I Type II Unlisted of Truft0ive-Dec. Lead Agency Determination Date: ,Coordination:(date sent): _ WRP Consistency Assessment Form Sent: Referral Sent: V �XCAC ate of Inspection: Receipt of CAC Report: echnical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property (as shown on Deed): 3r W /H Al Mailing Address: _ F60 F_/� T' -7? /11 / V /1L le 0 7s �^ Phone Number: -64gl 7— 741" 74 Suffolk County Tax Map Number: 1000 - / 0-4-` .6.Izl, Property Location: 1,'60_3 _HAIN XP;� (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): �G1� LK Mailing Address: _ P6 6)e 1404 5,4d«, /V Y l`9�, -• Phone Number: - 66d®7 Email: Board of Trustees Application GENERAL DATA Land Area(in square feet): -4 -/ 7' � JLi Gr---f l Area Zoning: "' ": 80 Previous use of property: S'11z�,/l�r'/ �, Intended use of property: S'1 AFA177NZ 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 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 ,C No Does the structure (s) on property have a valid Certificate of Occupancy? ;K Yes No Prior permits/approvals for site improvements: Agency Date 4dezzw o-*-, WAIV";rROS746 AM* vVA1%rA1F1f101V11-Va�) 111;1.t06& _ IT 037ZE 6 Z3 6z31 -74Qc Mel.-aw CO/yP ig3 ,� / dat No prior permits/approvals for site improvements. Ilas any pennit/approval ever been revoked or suspended by a governmental agency?_ /� No Yes If yes,provide explanation: Project Description(us�e attachments if ne�ces/s�ar�y1):y /(/1'/(/,f �F� pL T�DP/7 L �� IJP 16 01 ' d"x, �� Rze!P A05 o 97 / Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 9"f3 /?R®ll/1-212X ,DM!� AM0 8114a Aft o 5-911-r A& ,ZT ,-0 Z FT A&Ql!!.5 .HWA .4 Ll�►/ �t 1;�'�'� Area of wetlands on lot: C9 6,6QQ square feet 7 Percent coverage of lot: ®. a"!�' % Closest distance between nearest existing structure and upland edge of wetlands:_W_q feet Closest distance between nearest proposed structure and upland edge of wetlands: &D feet Does the project involve excavation or filling? �_No Yes If yes, how much material will be excavated? cubic yards How much material will be filled?r�AdA cubic yards Depth of which material will be removed or deposited:_ A feet Proposed slope throughout the area of operations: AZA 7— Manner in which material will be removed or deposited: _ AIZA ® 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): 617.20 Appendix B Short Environmental Assessment Form Cnstractions for Completina 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 1 -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): //ytl _' 00' Brief Description of Proposed Action. oZ Name of Applicant or Sp nibr Telephoned E-Mail Address: V City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that (121 may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 161 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: ❑ N G• .� 7`r 3.a.Total acreage of the site of the proposed action? 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. E]Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑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? ❑ 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: I a 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES go— b.Are public transportation service(s)available at or near the site of the proposed action? i ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �G ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: _ _ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: _ n!1/4 (VI ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment. _ _ � - - rV ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? F] 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? FUFI ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply. Shoreline El Forest ❑Agricultural/grass lands El Early mid-successional Wetland Ll 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, Ela.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 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 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: ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: � _._ C 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 ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? El 4. Will the proposed action have an impact on the environmental characteristics that caused the ElI—II establishment of a Critical Environmental Area(CEA)? E 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? El 1:1 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? t_ J b.public/private wastewater treatment utilities? ❑ 0 8. Will the proposed action impair the character or quality of important historic,archaeological, El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F] ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. W ill the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. F1Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 t Board of Trustees Application AFFIDAVIT .nr;e' tA1 io—tWAOW $e Val,C,V6�64MEING 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 TRUSTEES DURING THE TERM OF THE PERMIT. y Signature of Property Owner Signature of Property Owner j-rA VSN &XI.1* 1 0444,, I2 91Gj5N SWORN TO BEFORE ME THIS 22�O DAY OF XV)6 WREMWMACK Notary Public,State of New York No.02M5056823 Qualified in Nassau County Commission Expires March 11,2022 Board of Trustees application AUTHOIIIZATION (Where the applicant is not the owner) 40C D2n" A';7-X&AN e- ' owners of the property identified as SCTM# 1000- in the town of Z/gjr &y� / Al ,New York, hereby authorizes /D CA/-ZL kZZ4— to act as my agent and handle all necessary work involved with the application process for pennit(s) from the Southold Town Board of Trustees for this property. -X7 Property Owner's Signature Property Owner's Signature J r5V,6V �l.F1XA/V VAaRz4 x-,616,15V SWORN TO BEFORE ME THIS 2,�J DAY OF20-;5� ----------- Uzo-e el Notary Public MICHAEL A. KIMACK Notary Public,State of New York No.02KI5056823 Qualified in Nassau County Commission Expires March 11,2022 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM `Ti;e Town of Southold's Code of EtWes prohibits conflicts of interest on the part of town officers and employees.The nurpase of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whawver action is necessary to avoid same. YOUR NANIE: (Last name,first name,ipiddle 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 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 ofTicer or employee owns more than 5%of the shares: YES NO �.— if you answered"YES'',cornplete the balance orthis 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 applicandagenthepresentative)and the town officer or employee, Eithcr check the appropriate line A)through D)and/or describe in the space provided. The town offices 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 appliciint (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 Submitted this % ( 20. Signature Y Print Name _ Form TS l a APPLI CANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM Tlie Tof Southold's Code of E,Ihics prohibits conflicts of interest on the Dart of town officers and employees.The purpose of this form is to provide information which can alert the town ot'possihle conflicts of interest and allow it to take whatever action is neeessar,X to avoid same. YOUR NAME: (Last name,first name,rptddfe 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 of Zone Coastal Erosion Approval of plat _ Mooring Exemption from plat or official map Planning Other (If"Other",name the activity,) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the:town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares,; YES NO if you answered"YES•',complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold.__ _ Title or position of that person Describe the relationship between yourself(the applicant/agenthepresentative)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)(fie owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); - B)[fie legal or beneficial owner of any interest in a non-corpo(ate entity(when the applicant is not a corporation); _C)an officer,director,pau-trier,or employee of the applicant;or D)the actual applrcan(, DESCRIPTION OF RELATIONS141P Submitted this ��/��-,A20(/=, Signature Print Name._ VAL-11-Je4E. Form TS 1 e APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The own ofSouthold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purposeof this form is to provide mtormation which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. t� YOUR NAME: k1l"A CP L CY1 6Z (Last name,first name,.>piddle 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 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 Fown of Southold? "Relationship"includes by blood,marriage,or business interest-`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the apphcant/agent/represetitative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town otiicei or employee or his or her spouse,sibling,parent,or child is(check ail 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 Submitted thisof (J 20WZ/ Signature Print Name Form TS I 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 posed 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, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# /7 - (��' __g, PROJECT NAME 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: F\ Nature and extent of action: IIVXI,'4& A,41521) P414rt-C�/J Location of action: Site acreage: 3 R5 Present land use: ave , AZ J/ Present zoning classification: R-80 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: HI-7jl/ �•�i�1� 1G. /V (b) Mailing address: �` D l�T�" Q f(/,Y /�/ 0075 (c) Telephone number: Area Code( ) 91Z 741-- 7�Q� (d) Application number,if any: A Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No INI 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 LW12P Section III—Policies; Page 2 for evaluation criteria. X Yes ❑ No "Not Applicable - t1 l- 6 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 9 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 Q 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 8 through 16 for evaluation criteria XYes ❑ No , -.I Not Applicable Ry Alx'�71& 40V c7_0R.25 Late, Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable 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. ❑ 7 Yes No Not Applicable JPA C7 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No,© Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances,and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Not Applicable El Yes ❑ No tg 1 R0j)e:-P Z&—OZ � &I'A ;�—r ez11 c 8 PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No 0 Not Applicable PRORQD52 Attach additional sheets if necessary WORIGNG 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 a01Pa)2e_2L:;16Tz Alhr-�OZ1 Cy 16 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No IN 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 evaluation criteria. ❑ Yes ❑ No O Not DApplicable /!E 0 � A/ 7-21 R 1 Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No D?[ Not Applicable PREPARED BY &,, k��/�f CSG TITLE �� Jr HATE