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HomeMy WebLinkAboutPablopeg, LLC As East East End Pool King 46520 Route 48,Southold, NY 11971 mobWO P:(631)734-7600 F:(631)876-1191 ci@eastendpoolking.com 631-734-7600 February 2, 2023 RE: PabloPeg, LLC Pool Application 375 Reydon Drive,Southold, NY TAX MAP ID—1000-79-05-23.1 To the Trustee Board, We would like to formally rescind our application with the Trustees for a swimming pool. Thank you, Jennifer Del Vaglio 1' � r Aw ,a i - IV. WiA . ,� 1' t\7 J '•n •.J ':t'I . �til ! R " ;''q,� ' ► ► hr '�' '.y,t• ..-�:t ;'r, 'c �,. � � C"sem ;�' �>�. _ w� +'t�' :yam �! � ,�. -. "`-'�r' .,:"�` ..9►a� .••.,y 4'-� yr ` +,� 'p'.:' :,\. ,yilr' w •�'. ..y.-frLe''.!: .�<�,"',,�•, a �1' +,' ^�R�r••a't" �,��•'� . ����� ` � .� ,�T � '�"` �,,�,3�_'L'�; n1� if 12 / 7 / 2022 11 u -;mow -� -.rM•'�" r .. ',,, - r �`� � `1�r1!,'��� '•'�� `� ��,�'!"•tr _ `�^`�1� ��' .�. ��.,7� � '+� -�• .I �I ',yam r •� ''r ��•"}•�. '.�° •` ^�'y� 4_ ;� w. � A + i ��. r� , '�� � fib- � '�'� � K '� r•� .. • �.. J' . 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Date of hearing noted thereon to be held Wednesday, December 14,2022. Dated: (sig ure) Sworn to before me this 1 LA day of VFX 20 22., DIANE DISALVO OF NOTARY PUBLIC-STATE OF NEW YORK Notary Public o, OI D1475593 (Qualified in Suffolk County MV Commission Expires April 30, 20 u0 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: P Jo 600 Z9 /NAME: ( _ /,, rrADDRESS: /f�/U ✓ i// r�"1 �CCX1 I (I .. 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Box 1179 Southold, New York 11971 �..� 4 2022 outhold T Wn 13oard of Trustees Re: Pablo Peg LLC SCTM#1000-79-5-23.1 Dear Town of Southold, I have been notified of the application by Pablo Peg LLC for a swimming pool at 375 Reydon Drive, Southold, New York. I own the vacant lot next to this property. The proposed pool will be adjacent to my side yard. According to the survey, the pool will be 16 feet from their property line and will be fenced in. I support the approval of the application for the pool. I am here in person because I believe it's the neighborly thing to do. Thank you for your time and consideration. fie. Armela Lazio CC: Paul May A• .:.,. YA s�fF01,� Glenn Goldsmith,President ��0 COGy Town Hall Annex A.Nicholas Krupski,Vice President �' < `: 54375 Route 25 0 Eric Sepenoski c' ,?, P.O.Box 1179 - Liz Gillooly 4 • 0��' Southold,NY 11971 Elizabeth PeeplesOTelephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: o"50a. Completed in field by: lZMZ4 q0 �T Jennifer Del Vaglio on behalf of PABLOPEG, LLC requests a Wetland Permit to construct a 16'x36' in-ground gunite swimming pool; a 1,006sq.ft. pool patio that includes a 24'x29' stepping stone patio; install 4' high code compliant pool enclosure fencing; and install a pool drywell for backwash and pool equipment area. Located: 375 Reydon Drive, Southold. SCTM# 1000-79-5-23.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 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 needed/Modifications/Conditions/Etc.: krj10%)DA Rvx—kS AoA 1 & y-c Ov,, In V1 5v tb4A M a. V� C +M b C v si Present Were: v1. G�Idsmith N. Kru ski v E. Sepenoski \/ L. Gillooly E. Peeples SURVEY OF PROPERTY SITUATE BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S 69° S.C. TAX No. 1000-79-05-23.1 SO20 SCALE 1 "=30' E MARCH 15, 2013 10 JUNE 5, 2013 ADD PROPOSED SEPTIC SYSTEM JULY 3, 2013 ADD WELL ABANDONMENT NOTE __10 NOVEMBER 1, 2013 ADD NEW SEPTIC SYSTEM SEPTEMBER 19, 2022 UPDATE SURVEY FOR PROPOSED POOL 10\ J4* N/O DECEMBER 8, 2022 REVISED PROPOSED POOL ce- TOTAL AREA = 58,484 sq. ft. o�Q' Q 7 \\\ \ Z.LZc* Ifj 1.342 ac. O�q' / ° / / - - _-4_ _-_ \\ \\\\\ \\ w R 0� UPLAND AREA = 48,578 sq. ft. , s > �3 \\ \\ \\ \\ \\ \ ` ` '�'\ WETLANDS AREA = 9,906 sq. ft. AL AL NOTES: w RAG �Ut \ ' R. A / 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM / g �9G \ / I I Ami �< \\\\ \ EXISTING ELEVATIONS ARE SHOWN THUS: X / / l V E R N \ ' ' / / ��-I- / � p �� \ \ o EXISTING CONTOURS ARE SHOWN THUS: XX- - - -XX W F T L A N p S 21 / / / /r/ /� lJ- `'� \\\\ t \ \\ \ a IN \ \\\y f� r / /// / '• / / // // ��\ \\ \ y\ \\ �9 140 CERTIFIED T0: F �F\ / //�'/\/ // / / '"�sy \ \ \ \ PAUL AND MARGARET MAY E 0 txw �s w \ ,X \ \ \ _ GREGORY AND CONNIE JUDGE ,� +G %j/ / \ / ti '\��`��+n aRU \\ �\\\ \\ \\ / j iry STEWARD TITLE INSURANCE COMPANY f 8- \\ \\ G ,►s\ ' c\\ //' /// Lr � �` \� \ \ \\ / x'8.2 %R� �� BANK OF AMERICA 9- 13.2 �� \\\ \5` �Gc._5 10 CO �� ' 0; o MON \\ \ \ \ ` / / /F / `134. / l e SEPTIC SYSTEM TIE MEASUREMENTS HOUSE HOUSE ; . .. ° l• ° I. 4 \ f N72-01,10" I,$ CORNER ACORNEfl CORNER of / ? A sSEPTIC TANK 17' 37.5' / 2 :: ':`::: ;:;:;":::'':'::.:::: :•:::::... `�0 4.0 'o� 4 . \ \ / / COVER rp�b �o I'�v s z m • t l sloNfo \ \ \ / .1 LEACHING POOL 12- - :•'•:3� ::.... :? ;� c� P�Qs s.� a4 s `\ RYgy \ \ � a COVER #1 28 19.5 S N / 1�/ / = p';:::;.• . . •:::. (� avK \.'3a \ ;. \ / \ 3 n ' COV ERIN POOL 41.5' 34' roti ::.::•::; /To' r=� 8 • l `1 \`\ /1� 'QY TEST HOLE DATA MONO \..:..::; �OO� N`' _ ► ,s ;HOLE ti d • I \ /y` - .� / ' n a �� (TEST HOLE DUG BY WDONALD GEOSCIENCE ON MAY 20, 2013) EL 16.1 a. 2 �� / �� -\ \ \\ /�C��� f/ ' -� �a ✓//A� [ 's Qom? DARK BROWN LOAM of BROWN CLAYEY SAND SC Ok 00 \CP \ i / w" C�' [ ` BROWN FINE SAND SP tST�Y1,�/1� ` ' // /� EL 1.0 1s.1' �z r y �G" C�sQ 1l J // / �t , GROUND WATER jL� *, vsjON LO�`�, '�Y O JI�ZZ6 / P�/ ^ BWATER ROWNFINESAND SP e�'I '7 -47, 408,28)9� 19.5�1 a n o`4�'t�y�, l� PREPARED IN ACCORDANCE WITH THE MINIMUM STANDRDS FOR TITLE SURVEYS AS 99� rn c BY THE L.I.A.L.S. AND APPROVED AND ADOUPTEDQ FOR SUCH USE BY THE NEW YORK STATE LAND Op TITLE ASSOCIATION. EXISTING TOWN DEFINED LOT COVERAGE PROPOSED TOWN DEFINED LOT COVERAGE OVER BUILDABLE LOT AREA OVER BUILDABLE LOT AREA (TOTAL LOT AREA LESS WETLAND AREA = 48,578 sq. ft.) (TOTAL LOT AREA LESS WETLAND AREA = 48,578 sq. ft.) V T DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE T� HOUSE 1,695 sq. ft. 3.9X EXISTING HOUSE 1,895 sq. ft. 3.9X �0A M0�0 D E, �Jj V E SCREENED PORCHEXISTING SCREENED `L &-FROt+i RCN �3( 460-sq. ft. 0.9X PORCH & FRONT PORCH 460 aq. ft. 0.9X DEC1 2022 �qp WOOD DECKS & STEPS 480 aq. ft. 1.0X EXISTING WOOD DECKS 480 aq. ft. 1.0% , e(_.�. d °� r -�. •Y f. STEPS a (1q SHED 75 sq. ft. 0.2% EXISTING SHED 75 sq. ft. 0.2X TOTAL 2,910 sq. ft. 6.OX PROPOSED POOL 512 sq. ft. 1.1% Southold Town Board of Trusteam TOTAL 3.422 sq, ft. 7.1% ! EXISTING LOT COVERAGE PROPOSED LOT COVERAGE OVER N.Y.S.D.E.C. ADJACENT AREA OVER"N.Y.S.D.E.C. ADJACENT AREA .'"r N.Y.S. Lic. No. 50467 (100' WETLANDS AREA LESS WETLAND AREA = 24,476 sq. ft.) (100' WETU.NDS AREA LESS WETLAND AREA = 24,476 sq. ft.) DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SE 11ON P/0 HOUSE 629 sq. ft. 2.6% P/0 EXISTING HOUSE 629 sq. ft. 2.6% EDUCATION209 LAWOF THE NEW YORK STATE Corwin III EXISTING COPTHEIES L.ANDFSU THISSURVEY SEAL ONOT RRING SCREENED PORCH 422 aq. ft. 1.7% 422 sq. ft. 1.7% � �Y� ®� SCREENED PORCH EMBOSSED SEAL SHALL NOT BE CONSIDERED ��""^^ EXISTING WOOD DECKS WOOD DECKS & STEPS 441 sq. ft. 1.8% & STEPS 441 sq. ft. 1.8% TO BE A VALID TRUE COPY. IND HEREON SH CELLAR ENTRANCE 58 s ft. 0.2% EXISTING 58 ft. 0.2% ONLYFTO THESP RSONT FOR WHOM THE SUR UN q• CELLAR ENTRANCE sq. RVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. P/0 SHED ON CONC. 75 sq. 0. 0.3% P/O SHED ON CONC. 75 sq. ft. 0.3% TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A In a no L S. LENDING INSTITUTION LISTED HEREON, AND P 9 9 TO THE ASSIGNEES OF THE LENDING INSTI- Ttle Surveys Subdivisions - Site Plans - Construction Layout TOTAL 1,625 sq. ft. 6.6% PROPOSED POOL 512 sq. ft. 2.1% TUT10N. CERTIFICATIONS ARE NOT TRANSFERABLE. 1'S - Y PROPOSED PATIO 896 sq. ft. 3.7% PHONE (631)727-2090 Fax (631)727-1727 TOTAL 3,033 s ft124% THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS q• . . AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 33-056A Environmental Resource Mapper Base Map: Topographical v I using this map Search - Tools + Oak Dr Layers and Legend — \ --! JLd LC r%tfgUId ICU WCLWHU L.IItfLKLUIIe -- ❑Imperiled Mussels i Mussel Screening Ponded Waters 4 Mussel Screening Streams graQ.k Cry L � O L Significant Natural Communities 'I Natural Communities Near This Location (] Rare Plants or Animals ' 0 Base Flood Elevation Plus 72/75 Inches Sea-level Rise C� I imit to MndprntP Wave Actinn Other Wetland Layers Reference Layers Tell Me More... Need A Permit? 0 150 300ft Contacts Fr `,• �<•'. ::.=r e�- .:- � ids ''S.�i��,,,���,{. '=." "'� '.:iP _. � � _. -•�- , oix w low 4: y ` 4 !s R;h lL/ t ; � ,,q ism"?"" `r-:�„s. -�..•.�`�' ��t,i� - A y� wt '14n � � � -� �`a+4 �- �` - P. 1� ti .tis ♦r ,.� -. \ �r- ��, ;.� r�, :.�. �� ar..` t•} �,.,,. �i 41 Ewl •. h rf } - yr� • 7.e,1 ..s.^"Tf'y�. �1 # } ..1C� _' - � _ � v � �1 � 1. � \r Yr ..�"�f •• ' i � a t , . �. i _ �"; '- -A _ �• `1�c`,�, "ty°� - y+'`�A s "rr"r. >w sal lk X' T J � r , t r . • ,r r y �' '""". -:,rte' ''�'�'- ,y05 " - �rY.•-. ,. 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I )) i 1 a g 3p F ~lae I « by iM iii � Z Y I aV[1 tea A.15 13 0 ' „ 11 Z O TfoWRa 1 tmt, x.0 I ua j H MMEW — ,° efi 'Wcl 11Nc) t2,yc) « C y w1ei.o° I A.° t.M 1 2t k zyl ° Y Y e> au .2 14 3 el n M 27an �«J 1) IM � A mb � 1l m80 �.I y TOWN OF SW INOLU re x`x ci tQ dr9 « Jz u« OR & 1 4 "mre� x9 JO.ONcI � 6 mM 3 Nz # a `aIN g 0 w tS.x aR jr/ kyr ` \ MATCH - LI WTp1 LINEc« No V 5� SEE eEL.1xD.0ee E� � _�_ uw y tzil '— ------ --«^-- '— --^-- rgncE w COUNTY OF SUFFOLK © x o< SOUTHO1D sEcnoR NO « 2 ""'— --�— --�-- m Real Property Tax Service Agency v � E u--- _ -� .'� ---- -- - -11 ..HT„N, °° 079 p^...wm ,> ..•_I]I«w y. u. —_�— vaw --r-- «.y...--.m-- vu rtw.rt Yai+'� a«r P Iyci„u 1000 PROPERTY MAP OFFICE LOCATION: �� � � MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 - Telephone: 631 765-1938 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: December 13, 2022 Re: LWRP Coastal Consistency Review for PABLOPEG, LLC SCTM# 1000-79-5-23.1 Jennifer Del Vaglio on behalf of PABLOPEG, LLC requests a Wetland Permit to construct a 16'x36' in-ground gunite swimming pool; a 1,006sq.ft. pool patio that includes a 24'x29' stepping stone patio; install 4' high code compliant pool enclosure fencing; and install a pool drywell for backwash and pool equipment area. Located: 375 Reydon Drive, Southold. SCTM# 1000-79-5-23.1 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 proposal is INCONSISTENT with LWRP Policy 6 and with the LWRP. 1. Vernal pools expand and contract with seasons and are sensitive to water quality changes. It is recommended that the setback be increased. 2. The pool should be relocated to the north side yard of the dwelling or turn the pool. 3. The location of the pool drywall and equipment is very inefficient now and should be closer to the pool. 4. Any buffers should be vegetated and existing trees preserved where possible. 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: Honorable Lori Hulse, Attorney John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish, Secretary P.O.Box 1179 Southold,NY 11971 ' Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., December 8, 2022 the following recommendation was made: Moved by Carol Brown, seconded by John Chandler, it was RESOLVED to SUPPORT the application of PABLO PEG, LLC to construct a 16'X 36' gunite swimming pool and patio approx. 1,006 sf. Located: 375 Reydon Dr., Southold. SCTM#79-5-23.1 Inspected by: Shannon Wright, Carol Brown The CAC Supports the application with the recommendation the pool is moved landward 10' and in line with the screened porch, and the size of the patio is reduced and constructed with permeable materials. Vote of Council: Ayes: All Motion Carried 1 Cantrell, Elizabeth From: lynda@eastendpoolking.com Sent: Wednesday, November 30, 2022 11:10 AM To: Cantrell, Elizabeth Cc: cj@eastendpoolking.com Subject: East End Pool King May- 1000-79.-05-23.1 Attachments: May revised survery with sq ft.pdf Elizabeth Here are the square footages from the survey and I have attached it for you for refence and file as well. So here is the breakdown: Wood deck and steps=480 sq ft Pool= 684 sq ft Patio= 1006 sq ft ( includes the stepping stones) Going forward, I will make sure this is always a separate line item. Thank you for your support in this matter. ; Assistant Project Manager East End Pool King ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. f 1 '` •.i° r-`_ ':.. Town Hall Annex Glenn Goldsmith,President °,`,kw "�� �; _ 4' 54375 Route 25 A.Nicholas I{rupski,Vice President • ,.„ .�'�;;. ,h�= �s =.:s. oski P.O.Box 1179 S Eric 'epen Southold, e d,NW York 1 1971 Liz Gillis a ==ssz. r only Elizabeth Peeples -- Telephone(631) 765-1892 2'^ �, '-. : Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only 0 Coastal Erosion Permit Application D E 0 E ' V E Wetland Permit Application Administrative Permit Amendment/Transfer/Extension OCT — 6 2022 Received Application: 10.6.27— Teceived Fee: $ 25 b,_00 Soatho€dTown Completed Application: 0• •2Y Board ofTn,stees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ��Coordination:(date sent): WRP Consistency As g nt Form Sent:�2 Z T- ✓CAC Referral Sent: I I�Zi Date of Inspection:_ •7• Receipt of CAC Report: Technical Review: :TPublic Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): tA Mailing Address: 1.=►r-��i:l-� gym,r1e-ckc_ P-34 l��\ - - Phone Number: Suffolk County Tax Map Number:. 1000- �9• dam• 0'l3. / Property Location: (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): Je4r]a •a inei Vla a 10 Mailing Address: � 10 Phone Number: �`� /"iy' 0d�) Email:_ A Ogg _ VSe�� IZ�2I2Z� _l Board of Trustees Application GENERAL DATA Land Area(in square feet): f , 4t SV Area Zoning: ��f® Previous use of property: aud.0Jt Intended use of property: 4-p* q k ;L Covenants and Restrictions on property? Yes _No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? _Yes No If"Yes",please provide copy of decision. Wi11 this project require any demolition as per Town Code or as determined by the Building Dept.? -.Yes __x _No Does the structure(s) on property have a valid Certificate of Occupancy? _Yes No Prior permits/approvals fir site improvements: Agency` Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?__X No Yes If yes,provide explanation: Project Description(use attachments if necessary): d1V2&h2&.,L 69 X3� d Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: Area of wetlands on lot: �, O J2 _square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: IS/ feet Closest distance between nearest proposed structure and upland edge of wetlands: 5©� •eet 6 Does the project involve excavation or filling? _ No ,�C Yes If yes,how much material will be excavated?_10a•kck-;A cubic yards How much material will be filled?_ Q cubic yards Depth of which material will be removed or deposited: S feet Proposed slope throughout the area of operations:__ Manner in which material will be removed or deposited: c .4- U 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): �s-32C3�o�Y^► 61Z20 Appendix B Short Enviroamental Assessment Form Instructions for Completing 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 1 based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information - Name of Action or Protect: 36 Project Location(describe,and attach a location map): Brief Description of Proposed Action. �— ( v� Name of Applicant or Sponsor: Telephone: Address: 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 «❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YDS If Yes,list agency(s)name and permit or approval: VkJ 3.a.Total acreage of the site of the proposed action? /,3�� b.Total acreage to be physically disturbed? �Z36—aegis a c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? /� 3 acree 4. Check all land uses that occur on,adjoining and near the proposed []Urban Cl Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): [♦Parkland Page I of 4 S. Is the proposed action, -� "�"""'"'-`��.,� }�� 3 N 3 E-s N/A a.A permitted use under the zoning regulations? MV ❑ "�" a b.Consistent with the adopted comprehensive plan? LEM 21 0 6. Is the proposed action consistent with the predominant character of the existing built or natural a NO YES landscape? 7. Is the site of the proposed-action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: — 8. a.Will the proposed action result in a substantial increase in traffic above present levels? _._ NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ fuq El 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; 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: I I.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of HistoricM a_ NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does an ~� y portion of 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? ( t b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? T 4 I—!I If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: I_ 14. Identify the typicatlijibitat types that occur on,or are likely to be found on the project site. Check all that apply.- El Shoreline GEWorest ❑Agricultural/grasslands ❑Early mid-successional Wetland ❑Urban Visuburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed �I®� YES by the State or Federal government as threatened or endangered? ICP'l " XJ d 16.Is the project site located in the 100 year flood plain? Y NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? - NO"- YES If Yes, a.Will storm water discharges flow to adjacent properties? NO ❑YES w b.Will storm water discharges be directed to established conveyance systems(runoffand,,��tggrm drains)? If Yes,briefly describe: ❑NO 9WES 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: �' .�.1:M � ,(CoK � 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? (� µ 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: YJ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 1 Applicantisponsorname: �! ` u2`� i, ry, Date: d© S -Cgg a-, Signature:�H 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 ® ~w ❑ 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? LAJ 0- 4. Will the proposed action have an impact on the environmental characteristics that caused the F-1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or (--1 affect existing infrastructure for mass transit,bitting or walkway? fr,( G. 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: _w_w ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, [�jl architectural or aesthetic resources? J 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 1 \ r No,or Moderate small to large impact impact may may occur occur _f 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage j��- ❑ problems? 171 11. Will the proposed action create a hazard to environmental resources or human health? LK El Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering ids 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, 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 _.r...._,.,. _ 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 _J Page 4 of 4 Board of Trustees Application AUTHORIZATION (WhervThe applicant is not the owner) Yw., /,/-(2-L� . owners of the property identaSed as SCTM#1000- 79 3 ./ in the town of New York,hereby authorizes J Cin DI Va q10 to act-us myagent and hawb all mcesmy work involved YAth the eppliadon process for pemd*)ti+om the Southold Tom m. Board of'Trvstm for this property. -A Xf Prop&Y Ow6es S41mium t, j Property owner's Signatiue WORN TO BEFORE M THIS Notary Public Notary r�Cid•"M OAPIASS( ;` �` a York Commission Expffez; Mal-Ch 7 r-- � 1 Boa" of Trustees Application AFFIDAVIT DEPOSES A"AM" EING DULY SWORN THAT HE Is APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATRMENTS CONTAINED EWAMIN ARE TRUE To T'MBUT OYMNEER KNOWLEDGE AND BELIEF;AND THAT ALL WORK WILL BE DONE IN THE MAS SET FORTH IN TMS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OP'TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUI.'HOLD AND THE BOARD OF TRUSTEES HAIiNMSS AND FREE FROM ANY AND ALL DAMAGED AM CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERiVIIT(S),IF GRANTED. IN COMPLETING THIS AP'PUCATION,I HEREBY AUTHORIZE THE TRUSTEES,TREIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PRFXWSIES IN CONJUNCTION WYTH Tffi5 APPLICATION, INCLUDING A FINAL INSPECTION. I FMTHER AUTHORIZE THE BOARD OF TRUM SP TO ENTER ONTO MYPROPERTYAND ASREQUIRED TOI NSURF. C0?"LIAN'CE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING TITS TERN OF THE PERMIT. v Sim o€Property Ovum r Si ,c P�rtY(mer SWORN TO BEFORE ME TkI['S,,, DAY OF LaC• �--- Noiaty Public r PATRICIA DITOMASSO~ :_.. • •i f Notary Pubo!�, State of New York No.07D16123240 !� Qualified in Nassau County commission Expires March 7� -....._._._... . _.. 2Ucj �; APip�dS�l �wANil/lV �i�SJi �Ji�Il�iQC�e•{��il��E .ttii�� E FORM d'a Imt1blimm A CO 4oft it tp YOURNAl1at © P- L G C- �{1 (�+t�,.Erstrmnaa,�pfdd[4 .ttp�t�youcns .lrtlhattamaaf sotaeoae tstsa or other eerily,�3c as a+mropaoy.Ifso;i ndioato tba oth,� ,�rBDtt'.S aY GottlpaDy'8�ieOQQ.) NAMBOFAMCAnom.. (Chookeiithetappls.) Tet thea - ]3tdld>ttg yam, TAfte Cbmgaof?mne CosSW Rmion Approvalofplaft fwm platorofflandmep• ...�.� Of"at6ar",nmw the actmw.) Dayan pc=rAly fortimsh youreompaay,apoum dblim patankaramo lmoamb doWpwith any OlSw orawl%= AFtheToamof3authold? Reiotioushlp"includesbybtoa3,ngarriogs,arE�ustae�intenst."gusincssiriietest"saeaosahustrtess„ ladudingafrsrttterehip.ta wbic6 the u►u<cta#lttperoretapioycaftvsevan a patdat a�vnetshigof{orom0loyrata+tbYl aootpor�tioA In wMcb thetown offiearoramployaeownsmorc*m SgAoftheshatas. YES NO ifycu anstiverad`"Yid,cotnpletetho balageaofti►isfat�8nd dateartdsigttwitero i�pdit�xd, Now ofppsya employed by the Zbm ofScutitald 7"W irpammofthatpetsoa Drsrn'atberelatieashipk"myomnlf(the applts d hep et�tetiva}Mdffiatmmofficarorem4oyee.Elam cbwk theappmPfftUNA)throwA)aadhtrde mftfnthegm*mprovided. T1rotoM1vn ot!'iearorcmployreahieorturspousgs161to)�iuxent;�ctu�d is(�eicsiithalappl�r). .._—,,,,,A)dm owttw of prosier tbatr S%Of tba shares of the cotpoWe stock or tha ai plicW v imA am applicant is acwrporatioa).. - -_.,,_,_.B)ftlmw orbanefloiai awwof my lnwmfn aaoa mpm to Cathy(vl=tha Boom is 1vt a cmvmudopp —C)edofficer,dkector partaer,orc000yeaoftimap Umator „_,,,_,.D)the tmmal epplhont. DESCPJMON OF RMAnoNSm Subtrutfedffiis . LILY o 24 2�-- PrlatNome P2u 11<,l'ictr Form TS l UWIZ4,c.It .-,y t rumees apptwant t ransaortonet ur, ire roan jpg APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM }`l�Tg.vn af,';,jgtthold's Code of,E,lh;,gsprobib_iya„con Conflicts gtilge A on the tart of toren officers cad 4,,m (oyeea 111c putnase of this form is to nmvide inf4rtmtion which M aM the town of rrocktble confticeS orin(eresl^sn l Hilaw it�o take�vhtiisver�etion iG nom.rnry 11?avoid some. ���� (� (j l YOUR NAME; . - �;3.�•�` (fast nam , trst mune,rpiddle initial,unless you are applying in rho name of someone bft 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 4— Change ofZonc _ _ Coastal Erosion Approvut ofptat _ _ 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 it rcfation,ltip with any officer or enrplayee of tic mown of souihaid? '-Rclalionship"includes by blond,marriage,or hwincss interest. -Business interest-means a busincsc, including n partnership.in which the town officer tir cmployce Irad even a partial ownership of(or employment by)u corpora,limn in which the town officer or cmployce owns mote than 5%oftha shares. YES NO Vft if you answered"YES",complete the balance of this form and date and-sign where indicataL Name-of person employed by the Town of Southold Title or position of that person f hescribc the relationship between yourself(the nppficm►Vagcnt/representativc)and the town officer or employee.Hither check the appropriate line A)through D)-indict describe in the spurn provided. 'Me town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply.): —_A)the owner of greater titan 5%of the shams of the corporate stock of the applicant (when lila applicant is a corporation); 13)the legal or bencticial ower or fury interest in a non-corporate entity(when the applicant is nota corporation); ._._C)an officer.director.partner.or employee of the applicant;or ^D)the actual applicant. I)ESCRIPTION OF IMLAT(ONSHiP Submitted thissjay of � 0 2A - '~ Signature,�_�Lff�u-�-�- - Print Name Fornh TS I https-1/mail.google.cam/maWu/2&search/POOLKINGIFMtcgzGpGwocgKWJKnFFhHSfJvjdfr?projector=•1&meesegeParOd=0.l 1/1 APPS.ICANVAGENT/REPRESENTATIVVI TRANSACTIONAL'DISCLOSURE FORM The, 'nw�o(Souibr,ld's t':adc of lit pi �,nrobibits conflict%a interest on thg pan g[towa,Qfticct5 and ernnlovec,"lite numuse of tft's Pt q , �a nMYic a i0 romOn{io0 which can nicrt lbe,LM of tingible ct -flicts of ntctit.alld allow it to take�ywhatgver stet-m titcessary,to avoid same. YOUR NAME: (Last nailnc� first mime,mild itiaf,unless you are:i pplytttg in the name of someonIse or other entity,such as a con parry.Ipso,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Ix Varlance - _ ..__ 'Trustee �— Change of Zone Coastal Erosion Approval of plat Mooring _-- Exemption from plat or offtciai map ,. _ Planning Other (I "Other",name the activity.)._. f)o you personally(ar through your cumpttmty,spt+use,sibling,parent,or chill)have a relatimrihip williany officer or emplu}yee of the-Town of Smitholl? "Rcltetionshipi'includes by blood,marriage.or busmexs iolerevt intcrtst"ane:mts a business, inctuJing a partnership.in which lite town officer or empioyee low.even a partial owltership of for ennploynncnt by);t corporation ort which the town offrCer or employee owns more fluor 5%of file shares. YES _ _.._..._ NO If you answered"YES",complete the balance•nf this form and date and sign where indicated, Name of pcmon employied by the'Town of Southold.,­ Titie or position of that person_"_......_,.,... _ .. ..�_.......___.. ... i)escnbe the relationship Ix:tween yourself(tire applit:antiagenl/representative)and the town officer or employee.Either check the appropriate line A)through I])and/or describe in lite space provided. The town officer or empioyee 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 (whco the applicant is a corporation); I3'1 tate legal or bencricial owner,of tuty interest in a non-corporate entity(when the applicant ik nota corporation): an otBecr.director.partner.or empioyce of the applicant;or ---D)the actual applicant. UESCRIPTiQN OF RELATIONSHIP Submittedth's day of °41P4�,-.,,2p Signatnrt_ _ Print Name ,,�� ��' 1 APPLICANT/AGENT/RRPRESENTATdVE, TRANSACTIONAL DISCLOSURE FORM[ 1'Bc Town of SUuhlold's Code of Tithics lyrnhibits coil l lets of inters t on twi of tr►4vn ot7icers alto cm Flo ees.The Impose cif this form is t tilZro_vidC information which can alert the town of nossihle conflicts of interesf and allow it to take whatever action is nuc,tistc try to avoid sante, YOURNAME: (Last name fi st name,-tntddlc initial,t less you are applying in the name of someone else or other entity,such ns a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _�. Building 1.,,__._.. Variance Trustee __.... Change of Zone Coastal Erosion Approval of:plat .�_ Mooring Exemption from plat or offlcial.map Planning Other (if"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have:a r0ationship with any officer or employea of the Town of Southold? "Relationship"includes by Mood,marriage,or business interest,'`Liusiness interest"means it business, includinft a partnership. in which the town officer or employco has even it partial ownership of(or employment by)it corporation in which the town officer or employee owns mole theta 5%of the shares. YES _�... _ _._. NO If you answered"YES",complete the balaince of this forni and date and Sign where indicated. Name of person employed by the'To%vn of Southold 'Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Luther check the appropriate tine 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); __13)the legal or beneficial owner of tiny inimst in a►non-corporate entity(when the applicant is nota corporation); __,,___C)an officer.director,partner,or empioyce.of the applicant;or the actual applicant. DESCRIPTION OF RELATIONSHIP Subinftted thi 2--day of 20 Sipnature _ Print Name -. —7W l flz�--.-- Form'rS l V Board of Trustees ApplicaL-Lon PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: DESS:oQ�'men is q 16 STATE J STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public NUTILI-: U1 HItAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: PABLOPEG, LLC Y SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 16'x36' in-ground gunite swimming pool; a 1,006sq.ft. pool patio that includes a 24'x29' stepping stone patio; install 4' high code compliant pool enclosure fencing; and install a pool drywell for backwash and pool equipment area. Located: 375 Reydon Drive, Southold. SCTM# 1000- 79-5-23.1 TIME & DATE OF PUBLIC HEARING: Wednesday, December 14, 2022 at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold IG�VItP CONSISTENCY ASSESSN NT FORM A. INSTR1UCTIONS L All applicants for permits* including Town of Southold agencies, shall complete this CCAF for Proposed actions that are subject to the Town of Southold Water&ont 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 manor 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 Progranm. A ro osed action will be evaluated as to its si 'fieant beneficial and adverse affects u on the coastal area Which includes all of Southold TomIm . 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 a ex iained in detail listin both su ortin and non- sunnorting f,,acts. If an action cannot be certified as consistent with the LVVRP 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.nortbfork.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 PROJECT NAME_�GI llofG The Application has been,submitted to(check appropriate response): , ! 'own Board ❑ planning Board❑ Building Dept. X] Board of Trustees X 1• Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital Elconstruction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: L� �,� t P Location of action: Site acreage: /P3y Present land use: Present zoning classification: !�-y(D 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: hn (a) Name of applicant4. / (b) Mailing address: Lr ►©ems (c) Telephone number:area Code( } �'S//o.��l•y�p(�� (d) Application number,if any: /V/ Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ NoZ Ifyes,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. REVELOPED 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 infrastructures makes beneficial use of a coastal location,and minimizes adverse effects of development. See LMW Section III—Policies;Page 2 for evaluation criteria. 11 Yes F� NO '600 Not Applicable Attach additional sheets if necessary Policy 2, Protect and preserve historic and archaeological resources of the Town of Southold. See LMW Section III—Policies Pages 3 through G for evaluation criteria Yes Q No � Not Applicable Yes No Not Applicable Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section fif—Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No KA Not Applicable Attach additional sheets if necessary Policy ii. Minimize environmental degradation in 'gown of Southold from solid waste and hazardous substances and wastes. See LMW Section III—Policies; Pages 34 through 38 for evaluation critenia. ❑Yes ❑ NO ILV—Ajl Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section M—Policies;Pages 38 through 46 for evaluation criteria. ❑ YeZ1 No�4 Not Applicable Attach additional sheets ifnecessary Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWP.P Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes [:1 No M 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 LWW? Section M--Policies Pages b through 16 for evaluation criteria El yes F] Into � Not Applicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold.See LMW Section III —Policies Pages 16 through 21. for evaluation criteria ❑ Yes 1:1 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 H1—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ LIN WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section In—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No D4 Not Applicable Attach additional sheets ifnecessmy Policy 11. Promote sustainable use of living marine resources In Longisland Sound, the Peconic Estuary and Town waters. See LWRP Section M—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ ATo 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. Dyes ❑ Nor"Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L VW Section M--Policies;Pages 65 through 69 for evaluation criteria. ❑Yes ❑ No 1V Not Applicable PREPARED E�' p ��.....____T$TI,E � ���DATEa7—