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HomeMy WebLinkAboutTR-10000A Glenn Goldsmith, President l 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 Telephone (631) 765-1892 Greg Williams " Fax (631) 765-6641 C, ' , 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;'"f ay bale lin-0/0t-boom/silt curtain 1St CVT- 11T6-5 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President $ � OIN Town Hall Annex A. Nicholas Krupski, Vice President �� �c, 54375 Route 25 III P.O. Box 1179 John M. redemeer Y � Southold, New York 11971 Michael J. Domino Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 COUNT(, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10000A Date of Receipt of Application: October 5, 2021 Applicant: Gregg Fisher SCTM#: 1000-114-12-4.1 Project Location: 520 New Suffolk Avenue, Mattituck Date of Resolution/issuance: October 20, 2021 Date of Expiration: October 20, 2023 Reviewed by: Glenn Goldsmith, President Project Description: Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed. Findings: The project meets all.the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Gregg Fisher, received on October 5, 2021, and stamped approved on October 20, 2021. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperus virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). The approved operations must be commenced within two (2) years from the date of the resolution. The permittee is required to provide the Trustees with before and after photos of the area within this time period before any further maintenance is conducted. 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. <*_ ' 4t4� , ' Glenn Goldsmith, President Board of Trustees LV Ung rnaps 520 New Suffolk Ave, Mattituck, NY 11952 � I OCT ::r vvn B r6 JX1WY'd%'ul� �/� Data from:Zillow- Redfin-Realtor°Great5chools APFIROVED BY BOARDI RUSTEEIS "OWN 01: SOU„ f„„101 DATE ocobig, 20 '?�a. ......... ,�` Glenn Goldsr' SUF ` 1, President O Town Hall Annex A. Nicholas-rnrupski, Vice-President ��� �,Q 54375 Route 25 John M. Bredemeyer, III o '` P.O. Box 1179 Michael J. Domino v � Southold, NY 11971 Greg Williams y�9p �00�� Telephone on 765 6641-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 10/16/2) $° 46 Completed in field by: G. G® Usmj GREGG FISHER requests a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis ) to 12"'in height by hand, as needed. Located: 520 New Suffolk Avenue, Mattituck. SCTM#: 1000-114-12-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 J 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: 0 and CA only . I have read & acknowledged the foregoing Trustees comments: Agent/Owner: VI Present were: J. Bredemeyer M. Domino ✓ G. Goldsmith N. Krupski G. Williams Other 520 New Suffolk Ave, Mattituck, NY 11952 np M , nn OCT 5 2021 Southold Town Board of Trustees SuiJolk Ave New ., Handy Pant� 520 New Suffolk Ave, Mattituck, NY 11952 A Data from:Zillow Redfin Realtor GreatSchools I oil mF E T 5 2021 5outriald TuvUll SUFFOLK CO.HEALTH DEPT,APPROVAL if Soprri of ees . i WELL H.S. NO.�_ I • hl I � - J, MAP OF P20PERTY i • s• ' ' 9uFfO,Ll< SU2tlF`lED V'OQ ! I STATIEMENT OF INTENT }1A�lV 3p F•, y THE MATER SUPPLY AND SEWAGE DISPOSAL ¢ AVE R �C\IR � �--�E� SYSTEMS FOR THIS RESIDENCE WILL X78 VLL.. ��tt P¢OP.ALL ' f t Ca ? -- I CONFORM TO THE STANDARDS• OF THE 3 I I AT I t SUFFOLK CO.DEPT,OF HEALTH SERVICES; ItA�1DY PWrFty�� �, n +iQ. LS� I ; M7ATTITUCV. ` (SI APPLICANT' rn I tib v1 Cafes) "s.n' TQC QFC"-D WX SUFFOLK COUNTY DEPT. OF' HEALTH SERVICES — FOR APPROVAL POR N. 4 •"`:--_✓ y1A, y"CLE65)R I HARAtNG ( I CONSTRUCTION ONLYNOY 19 3fl .'fc)22 L DATE: t H.S.REt .PCrdL:�00 c,t,L.SLP't"1u {^a,—� I F.IVO.. 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OFFICE LOCATION: at rif s® �® MAILING ADDRESS: Town Hall Annex �® _' �® P.O.Box 1179 54375 State Route 25 ''^' - Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 P "� Tele hone: 631765-1938 ® '�`� =. ��,` oum LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To- Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 12, 2021 Re: LWRP Coastal Consistency Review of GREGG FISHER SCTM# 1000-114-12-4.1 GREGG FISHER requests a Ten (10)Year Maintenance Permit to hand-cut Common-Reed (Phragmites australis )to 12" in height by hand, as needed. Located: 520 New Suffolk Avenue,'Mattituck' SCTM#: 1000-114-12-4.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. 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 W Town Hall Annex Glenn Goldsmi "�residenG A.Nicholas Kxupsl_ ce President {;' ` ,u C "' 543-75 Route 25 P.O. John M.Bredemeyer III ;, -�_� �` � ' Southoldd,, Box 1 New York 11971 Michael J.Domino r` b' : - .�f Telephone(631) 755-1892 , Greg Williams r'�:: � ,p.- � .-,�, �,. Fax(631) 765-6641 BOARD GE TOWN TRUSTEES EES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application a� Administrative Permit Amendment/Transfer/Extension _ Received Application: /0 2-1 ,Received Fee: $ 10010ro t/ Completed Application: 10.S 1- Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: oordination:(date sent): ® E C E V E LWRP Consistency Assessment-Form Sent: AC Referral Sent: Date of Inspection: OCT 5 2021 Receipt of CAG Report: echnical Review: Public Hearing Held: �'��� Southold Town Resolution: Board of Trustees Owner(s)Legal Name of Property(as shown on Dee:d): ' Mailing Address: K. c( Phone Number: G 2 t 4� Suffolk County Tax Map Number: 1000- Y — •s t ` �� Property Location:_ t-K f (If neces ary,p ovide LILItO Pole#,distance to cross streets,and location) AGENT(If applicable): Mailing Address: Phone Number: Email: GENERAL DATA Land Area(in square feet): 3Com- Area Zoning: Previous use of property: A11 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 vl" 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 1/*1_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): L Board of Trustees Appl; tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 1�� Com. Area of wetlands on lot: square feet Percent coverage of lot: c� Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? �No Yes If yes,how much material will be excavated? cubic yards �How much material will be filled? _7`A_cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: / Manner in which material will be removed or deposited: 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 Instructions for Comnletine Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part ofthe application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: x:..7'9 E-Mail: S 50. Address: _.?� 4� CityJPO: 'State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, RO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? N® YES If Yes,list agency(s)name and permit or approval: 3.a.Total dcreage 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. []Urban ❑Rural(non-agriculture) []Industrial ❑Commercial Olfgiidential(suburban) ❑Forest DAgriculture ❑Aquatic DOther(specify): ❑Parkland Page 1 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? ❑ IT 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 0 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: [9 El 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: T 1-1 10. Will the proposed action connect to an existing publicJprivate water supply? NO YES If No,describe method for providing potable water: ET_ EJJ�,(� 11.Will the proposed action connect to existing wastewater utilities? NO YES 1 If No,describe method for providing wastewater treatment: _ - ❑ ❑ �o� 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? EF Elb.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�w`�aterbody? ❑ If Yes,identify the wetland or waterbody and exte of alterations in square feet or acres: t r cAt vNin. 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline DForest ❑Agricultural/grasslands ❑Early mid-successional I✓�wetland El Urban E]Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? EJM YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoA40 storm drains)? If Yes,briefly describe: O YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO I 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? 1f YrcW10ihe' I AFFIRM THAT THE INFORMATION PROVIDED A VE IS TRUE AND ACCURATE TO THF© 9t KNOWLEDGE Applicant/sponsor name: Date: 0 s Signature -_I = ®� 20 fto JOCL .0 ash�-'14rz.Ivae4?,ssess�neKt. 'C'�.e y g s�p�rrvsl>1sc civ,�hc��sng5r�icu�rtiS�'1rat�'L. Coo nSSrmvn J����`` questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sPd �E� � 6``�� otherwise available to the reviewer. When answering the q uestieins the reviewer should be guided by the concemoftliy�6fn� responses been reasonable considering the scale and context of tt ie proposed action?" No,or Moderate small to large may may occur occur 1. Will the proposed action create a material conflict with:an adopted land use plan or zoningU regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? PF1 ❑ 3. Will the proposed action impair the character or quality of the existing community? (—j'' ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the t(-'yt ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or (-jr affect existing infrastructure for mass transit,biking or walkway? Lj 6. 'Will the proposed action cause an increase in the use of energy and'it rails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: (� a.public I private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? 1_J 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 577- {� problems? 1'"I 11. Will the proposed action create a hazard to environmen.tal resources or human health? Part 3-Determination ofsignilicance.The Lead Agency is responsible icor the completion ollPat-0. For every question in Part 2 that was answered"moderate to large impact msay occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significFint adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including arty 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 shouldl be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and -J&V. "mvp�zk%. 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 Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Hoard of Trustees Application AFFIDAVIT DULY SWORN DEPOSES AND AF THAT HE/SITE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNC TION 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. ignat of Pr-ope&6skmer Signature of Property Owner SWORN TO BEFORE ME THIS ell DAY OF 20 V.,i Den 00\&% Board of Trustees Application AUTHORIZATION (Where the applicant:is not the owner) I/We, owners of the property identified as SCTM# 1000-_4;�-T 3 s 4.tin the town of New York,hereby authorizes 3i- Sg - tj to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. P e Si Lure Property Owner's Signature 11 SWORN TO BEFORE ME THIS 2 DAY OF 20C ��6�938��dddP9 L. EC����� Ph orvy • 3 �s Pu lic < ER C0141 °Bfoeeleel® APPLI CANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The puMose of this firm is to provide information which can alert the town of possible conflicts of interest and allow it to take xvhatever action is necessary to avoid same. f� G YOUR NAME: QGr(T— (Last name,first name,xriddle initial,unless you arelapplyingin— tl� 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 arelationship 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 ansnvered"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/agent/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); D>Shelrgalsu,br_uaficial nwnPrnfanvinterest 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 day of �� 20(b�� Signature — Print Nam e Form T'S I Town of Southold 1 1r+ r LWRP Ci.i'1i SISTE'lel.Y L'iS� ESSA'JSE B d'6pYOM 1'A. Y1VF7Y&�C'1�YY4l�A7 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, 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 Beard of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OI+'Sly ANIS PROPOSED ACTION SCTM# - )%L+ PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees L'_I 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,suF�sidy) (c) Permit,approval,license,certification: Nature and extent of action: Location of action:— Site acreage: cL C- ---"1 Present land use: A �,s Present zoning classification: 2. i°f 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: ; h Mading address: (c) Telephone number:Area Code{ } (d) Application number,if any: J)M Will the action be dire lv undertaken.require funding,or approval by a state or federal agency? Yes r-1 No If yes,which state or federal aigency? C. Evaluate the protect to the following policies by analyzing,how the Qro;ect will further sui2port or not support the policies. Provide all proposed Best Mainagemaent Practices that will further each policy. Incomplete answers will require that the forma be returned for completion, DEVELOPED OAST 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 LSP Section 111-Policies;Page 2 for evaluation criteria. Yes n No [?'Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and arefteo>logical resources of the Town of Southold. See LWRP Section M-Policies Pages 3 through 6 for-evaluation criteria 11 Yes n No D Nof Applicable Attach additional sheets if necessary Policy 3. Enhance visual duality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No loot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. A inimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria 1:1 Yes 1:1No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and sfupply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criterha ❑ Yes ❑ No EglNotApplicable I 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. ❑ ❑ Yes leo Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVVRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑IdoNot Applicable Attach additional sheets if necessary .Policy 8. Minimize environmental degradation iii Town of Southold from solid waste and hazardous ���.Qs��Se�'��A'� EJYes ❑ leo [ "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 LWRII Section M—Policies; Pages 38 througb 46 for evaluation criteria. 'ir eJO No 2 Not Applicable Attach additional sheets if necessary WORIUNG 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 ❑ Noof Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living amarine resources in Tong Island Sound, the Peconic Estuary and Town waters. See LVV P Section III—Policies; Pages 57 through 62 for evaluation criteria. --1Yes ElNo l Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See TVVRP Section III—Policies; Pages 62 through 65 for(evaluation criteria. ❑ ev Yes ❑ No °�Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. r--, ❑Yes ❑ No Not Applicable "IlkI 0i PREPARED BY n _TITLE DATE