HomeMy WebLinkAboutTR-10107A Glenn Goldsmith, President �Q mo
O � Town Hall Annex
i..,
ski, Vice President 54375 Route 25
A. Nicholas Kru
p ''� " P.O. Box 1179
Eric Sepenoski JW AW Southold, New York 11971
Liz Gillooly Telephone 631 765-1892
Elizabeth Peeples Fax(631) 765-6641
Off "
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 CN7"of
% constructed
When project complete, call for compliance inspection;
Glenn Goldsmith, President °w- 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 �"
^ � Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10107A
Date of Receipt of Application: March 29, 2022
Applicant: Deborah Doty
SCTM#: 1000-103-13.5.3
Project Location: 670 West Creek, Cutchogue
Date of Resolution/Issuance: April 13, 2022
Date of Expiration: April 13, 2024
Reviewed by: A. Nicholas Krupski, Vice-President
Project Description: Ten (10) Year Maintenance Permit to hand-cut Common Reed
(Phragmites australis) to not less than 12" in height by hand, as needed and to eliminate
poison ivy by hand.
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 Deborah Doty, received on March 29, 2022, and stamped approved on April 13, 2022.
§ 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.
Thi of a de tion f any other agency,.
Glenn Goldsmith, President
Board of Trustees
APROVED BY
OW TO
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651a"d�y-�0 '� `""- ROBERT H.FOX, NYS Llc#501G"T
CbL I O l 'D rY•.'E / �O D A 4/29/2005 q.51.2-TAM G,\ LM\doW042gO5Dn
Glenn G' mith, President0�0 C®G Town Hall Annex
A Nicholas KruF.Ki, Vice-President 54375 Route 25
Eric Sepenoski o '` P.O. Box 1179
Liz Gillooly 1 Southold, NY 11971
Elizabeth Peeples �A�® ao�� Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: ����z Completed in field by:
DEBORAH DOTY requests a Ten (10) Year Maintenance Permit to hand-cut Common Reed
(Phragmites australis) to not less than 12" in height by hand, as needed and to eliminate poison ivy
by hand. Located: 670 West Creek Avenue, Cutchogue. SCTM#: 1000-103-13-5.3
CH. 275-3 - SETBACKS
WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required
1. Residence: 100 feet
2. Driveway: 50 feet
3. Sanitary Leaching Pool (cesspool): 100 feet
4. Septic Tank: 75 feet
5. Swimming Pool and related structures: 50 feet
6. Landscaping or gardening: 50 feet
7. Placement of C&D material: 100 feet
TOP OF BLUFF:
1. Residence: 100 feet
2. Driveway: 100 feet
3. Sanitary leaching pool (cesspool) 100 feet:
4. Swimming pool and related structures: 100 feet
Public Notice of Hearing Card Posted: Y / N
Ch. 275 \—/ Ch. 111 SEQRA Type: 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:
f
I have read & acknowledged the foregoing Trustees comments:
Agent/Owner:
Present were: KE. Peeples L. Gillooly "< G. Goldsmith ✓ N. Krupski
XE. Sepenoski Other
view
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{applicant: Deborah Doty
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OFFICE LOCATION: ��OF Sf7(/jy0 MAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold,NY 11971
(cor. Main Rd. &Youngs Ave.)
Southold,NY 11971 G ' Q Telephone: 631765-1938
cou
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: ,.April.6,`2022 .r,
Re: LWRP Coastal Consistency Review for DEBORAH DOTY
SCTM# 1000-103-13-5.3
DEBORAH DOTY requests a Ten (10) Year Maintenance Permit to hand-cGt'C0—mmon Reed
(Phragmites australis) to not less than 12" in height by hand, as needed and to eliminate poison ivy
by hand. Located: 670 West Creek Avenue, Cutchogue. SCTM#: 1000-103-13-5.3
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 Policy Standards and therefore is CONSISTENT with
the LWRP.
E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are.,
avoided.
-1. Maintain buffers to achieve a high filtration efficiency of surface runoff.
2. Avoid permanent or unnecessary disturbance within buffer areas.
3. Maintain existing indigenous vegetation within buffer areas.
The addition of indigenous vegetation in these areas would provide erosion control and habitat
benefits.
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 �QF SDUry Town Hall Annex
0
A.Nicholas xrupsld,Vice President �� •lQ 54375•Route 25P.O.Box 1179 '
Eric Sepenoski [ Southold,New York 11971
Liz Gillooly
G Q Telephone(631) 765-1892
Elizabeth Peeples • O.
Fax(631) 766-6641
�l COMM,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section Fdr Office Use Only
_ Coasial-5r.6 ion-Permit.Applioation
_Wetlarid Permit Application
Administrative.Permit '
AmendmentltransfeA tension
eived:Applicatiori:
3.ZQ,ZY
WRZeivedeet•$ �_
�Corripleted.Applicaton; y..
. . -�Incomplefe: . . •. . .
S"—'E .CI'assiiicatiori;. Type Y Type•.H Unlisted Negative Dee: . P,sitive
Lead Agency Determination Date!.."
sent): :U TF '
LWRY Consistencty'AssbssM:ent.)F m: ent: . -
- �CAGReferral;�Serit•• - - - • - - . •-
✓✓ Lte.pIspecoi: MAI ",29 202
. *Reed p ef` AC iReport::
Techtaic�l
T1bIi H 1 �1'd: •,�.�1. `.:• SouftldTown
'Owner(s) 8614 of Thwim
Legal Name of Property,(as:shown.on Deed)•:.' I cr
Mailing Address:
-Phone Number: 31 — 7 34—
Suffolk
4 —Suffolk County Tax Map Number: 1000 -
Property Location: 7, LJe--s fir-- �
(If necessary.,provide-LILCO Pole#, distance to cross streets, and location)
AGENT (If applicable):
Mailing Address:
Phone Number: Email:
• Board of Trustees Aple tion
GENERAL DATA
Land Area(in square feet): �41 e
Area Zoning: "�C�
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"Yds",please provide copy-of decision.
Will this.project require.any demolition as.per.Town Code or as determined.by-the Building IDept,?
Yes —No
Does the.stctiire .,.pn property"have:a'valid':C' rticate:of.Occupncy?_ �YesIo
:<Trion. rri lts7ap rovals'f4i':site'impoye
M- Mts:. r
I : .
Y.
2
�`. '�'• �_a�r� �i`1— 200`
.2oo7 toll,26
zo
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):
1
i
Board of Trustees Apo tion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: 6 a41,
Area of wetlands on lot: square feet
Percent coverage of lot: % !S 1�,A
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;lhow much material will be excavated` cubic.yards.
:. PTS: :ucerial will lje wed:. _ :.cubic::yards
etto . lmaferial wiFl bereicvc or eleposid nfet
'P.roposed-slop:e..throiighout the area--o op:erafi oris:. j
Manner in which material will be-removed o,.r,depbsited:L2 e4
rpt _
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):
l
6I Z20
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 mdy also provide any additional information which you believe will be needed'by or useful
to the lead-agency;-attach additional Fages'as necessary to supplement any item.
Part 1-Project and-Sponsor Information
Name of Action or Project:
i
Project Location(descdbe,'and akfach a location map):
Brief Description'ofProposed Action:
. ���— � r�� -�-/ � � .� � .tom •
7latiaebf.AppHcarit+br:Spogsor.:; .. Iephon�: �E..�"
.- Te 7 '39
G� rJ
G�b R-Mail:
Address: . '6� 1
�•� � �.
City/PO: , State: Zip Code:.
1.Does the proposed action o • involve the legislative-adoption of a plan,local law,ordinance, Nb' YES
..administrative rule,or regulation?-
If Yes,attach-a narrative descnptign Df the intent of the proposed action and•the environmental resources that' ❑ ❑
may be affected iri.the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes,list agency(s)name and permit or approval:
3.a.Total acreage of the site df the proposed action? 5' acres
b.Total acreage to be physically disturbed?, U. acres
c.Total acreage*(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor?
4. Check all land.uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) ❑Industrial [-]Commercial .Residential(suburban)
DForest ❑Agriculture dAquatic )_]Other(specify):
OParkland
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? 1:11 ® [
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.WilI'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 p6destrian accommodations or bicycle routes available on or near site of the proposed action?
9.Does the proposed a_ctipn.meet or exceed the state energy code requirements? NO �'ES
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: ❑
11:Wil]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
i?laees? '
b;:Is t?r.o sed actiop located in an archeological sensitive.area? `
—- — 3 Do � rry.par#iett�f th6 sitezoftfte.-propmd*action, andssctj'6inln�g heproposed.a`eti57 confam`. —
wetlands ovother waterbodies regulated by a federal,state or local agency?
b.Would the proposed action physically alter,or encroach into;any existing wetland.or waterbody7
If Yes,identify the wetland or waterbody and extent of.-alterations-in square'feat 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:
M ShoreI.ine - ❑Forest ❑Agricultural/grasslands El Early mid-successional
14Wetland .0 Urban 0Suburban
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? �j ❑
.16.Is the project site located in the 100 year flood plain? NO YES
17.WiI1 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? Q NO .[,YES
b.Will storm water discharges be directed to established conveyance systemsrunoff 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 ether 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?
1f 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 name:==-- , -� 0 Date:
Signature:.
Part 2-Impact Assessment: The Lead Agency is responsible for the completion of Part 2. Answer all of theJollowing
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-Marge
impact 'impact
MO y .may .
----... --- --•-• -• --•- — becur—' occur •
1. Will the proposed action•create a material•.conflict.with•an ad6pted-land•use plan or zoning
regulaticns?
2. Will the proposed action result iri.a change-in the use,or intensity-of use of I'and?
3. Will the.proposed action impair the character or quality of-the existing community?
4. Will the proposed.action.have an,impact on the environmental characteristics that caused the
establishment of a Critical Environmental Area(CEA)?
5. Will the proposed action result in an adverse change in the existing level.of traffic or ❑
affect existing 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 F
reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing: El
a.public/private water'supplies?
b.public/private wastewater treatment utilities? F-1 El
8. Will the proposed action impair the character or quality of important historic,archaeological, ❑� 1�
architectural or aesthetic resources? J—I
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 a
problems? 0.
11. Will the proposed action create a hazard to environmental resources or human-health? E• 1.
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 thele:is a need to explain•whd 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,iticludinganymeasures 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
mayor 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,wd any supporting documentation,
that the proposed-action may result.in.one orinore 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 suppofting documentation,
that the proposed action will not resdlt 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)
PRINK T page 4 of 4
Board of Trustees Appion
AFFIDAVIT
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/S S THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND-THAT Aa 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.
Sign tura e of Property Owner Signature of Property.Owner i
SWORN TO BEFORE ME THIS— ---DAY OF 20
r
Notary Public
/
PAMELA SMELIM EIN
Notary Public,State of New York
No,013C�959
Qualified in
Commission Expires
APPLICANT/AGENTIREPRESENT.A.'TM
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics mohibits conflicts•of interest on the part of town officers and employees,'The puroosd of
this form is to rovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid s-ammee.
YOUR NAME: UU fir,. L. 3_
(Last name,first name,.ipiddle initial,unless you ke applying id the name of
someone else or other entity,such as a company.If so,indicate.ft.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*,nartxe.the activity.)
Do.you personalty(or through your company;spouse,sibling,parent,or child)have a relationship ivith.an'y officer or-employee
of the Touyit o,'faSouthold I "•Relationship"includes by blood,mdrriage,�.or business interest."Business interest';means'a biisiness,
including;apartnership;in which the•town officer or employee has even a partial ownership of.(or emp$o menE•b'y,)-a corporation ,
ii which the t9wn.of oer•or employee-owns more than 5%of the shares,
YES NO
IfygP--"wgF0`YE-S;.complete the•balanee of this form and date.aind sign where.indicated
Nairte.ot-pe.rson:erhploxedliiy the Town of Southold
-••-- -._. ._---•Titi�or pasi'don'eoffhatperson—• — -- - — - - - — -- -.-----•----- .--- ---_.----
Describe:the:i'elationship.-between yourself"(the applicantlagent/tepresentative)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 applicQn.t
(when the applicant is.a corporation);
B)the legal'orlienefioial owner of any interest in a non-corporate entity(where 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 '2 day of Y Oug r"olxse ;z
s'
Print Name `2 V,
Form TS 1 �-
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1.. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. . This
assessment is intended to supplement other information used by a Town of Southold agency in
making a.determination of consistency. `Except minor exempt.actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
.2. - Before answering the questions in Section C, the preparer of this form,should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront, Revitalization Program. A proposed action will be evaluated as.-to its significant
beneficial and adverse effects upontthe' coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered "yes'.' or "n' &% 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,
ndconditions,it shall not be undertaken.
A-copy of.the LWRP is available in the following places; online at the Town of-Southold's
website (sautholdtown.northfork:net), -the Boar4 of Trustees Office.,the Planning.Department,.all.
local libraries and the Town Clerk's-office. '
B. :0ES:�N`OF SITE AND PROPOSED ACTION
P1203E:CT NAME- : � I- GL4 a-
r
The A.pplleatiori 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: t , ,
P4
i
1 �
Location of action: -76 i K �
Site acreage: 2 1
Present land use: c'
Present zoning classification:
2. If an application for the-proposed action has been-filed with the Town of Southold agency, the-following
information shall be provided:
(a) Name of applicant:
(b) Mailing address:
-(c) Telephone number:Area.-Code.( )
(d) Application number,if any: ��
Will the action be directly undertaken,require funding;,or approval by a state or federal agency?
Yes ❑ No❑ If-yes,which state or federal, agemcy?.
C: E'yaIuafe the project to fhb fd owing pglic es.li -4141.y
zing liow the project will further supppr�,or.
not.s,.. ort the,.Policies. Pros de':.aII proposed=BesftMana-gement Practices that-WHI•.further.-each..poliey.-
IncompTete answers-will requir•.e-that the form:lie returned`fol' completiob.
DEVELOPED COAST POLICY.-
Policy 1. Fbster 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 LWRP Section III—Policies;Page 2 for evaluation
criteria.
FQYes F-] No ❑ Not 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 E�q Not Applicable
v
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 ONot Applicable
• r
Attach additional sheets if necessary.
NATURAL COAST POLICIES `
Policy 4. lY�ize loss of life.; structures, and natural resources-from flooding-and erosion..See-L.
Section.DI—Po'licies-Pages &-through 16 for evaluation criteria
❑ 'Yes ❑ .ND Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water.quality and supply in the Town of Southold. See LVW- -Section-.]II
=Policies Pages 16 through 21 for evaluation criteria
❑ Yes ❑ No KNot-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.
Yes No Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in. the Town of-Southold. See LNVRP.Section III — Policies
Pages.32 through 34 for evaluation..criteria..
F-1. Yes [—] No M Not'Applicable
-A.ttach additional sheets iftecessary ,
'P:olicy 8.: Minimize environmental. degradation -in. Town of'Southold from solid waste and hazardous
_ ;substances and wastes. See LNWNW SectionJH—P:olkies,; Pages 34 fhrough..38.for-evaluatio-p criteria.,
u—.*-es°.�❑°.:-N:o:. Not:Applieable
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.LVvW Section M_Policies; Pages 38 through 46 for evaluation
criteria.
❑ YeA0 No� Not Applicable
Attach additional sheets if necessary
WORKING COAST
Policy 10. Protect S.outhold'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 Peconie
Estuary and Town waters..See VAMP Section III-Policies?Pages 571through..62 for evaluation criteria.
❑ Yes ❑ No ILSOLNot Applicable
Attach additional sheets ifneeessary
Polley 12'.':Prated.agrici�itural=laiids:'in.:tiie To n: o Southold. S'ee LWRR Section M.-Policieq.-Pages::
62.'ihraiigl�:�51D :�'valii'al an d ek a,
Y.
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 rNot Applicable
PREPARED BY
TITLES DATE �a?��