Loading...
HomeMy WebLinkAboutTR-10302A Glenn Goldsmith, President Z� so Town Hall Annex A. Nicholas Krupski,Vice President ®amu ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 00UNTb,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10302A Date of Receipt of Application: January 17, 2023 Applicant: Geanie Arciga & Thomas Juul-Hansen SCTM#: 1000-72-1-1.10 Project Location: 500 Castle Hill Road, Cutchogue Date of Resolution/Issuance: February 15, 2023 Date of Expiration: February 15, 2023 Reviewed by: A. Nicholas Krupski, Vice-President Project Description: As-built approximately 600 If of 8' high deer fence on the north, east and west property lines. 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 Glenn F. Heidtmann, Jr., received on January 17, 2023, and stamped approved on February 15, 2023. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. ek, 44"— Glenn Goldsmith, President Board of Trustees S .C.T.M. # DISTRICT 1000 SECTION 72 BLOCK 1 LOT 1 . 10 #R10190105-ZEC °tie9. 5423728"W G 28.50' r� BW 5.0 y� 1 SO T°F Fq� MHW LINE ALONG BULKHEAD TOWN OF SOUTHOLD LOT COVERAGE OF e7UFF 9 BASED ON LOT AREA LANDWARD OF COASTAL EROSION LINE �S° lSg 54,374 SQ.FT. or 1.25 ACRES PROPOSED DWELLING: 2938 S.F. REAR WATERSIDE DECK W/STEPS: 1064 S.F. FRONT DECK: 77 S.F. eLy SWIMMING POOL: 748 S.F. s TOTAL: 4827 S.F, or 8.97 sy S 35035'36"W ss 7.00' ev jW TUD DRAINAGE CALCULATIONS: \ DWELLING FOOTPRINT: 2938 S.F. 2938 x 0.166=488 CF REQ. \ (3) 8'DIA x 4' DEEP DRYWELLS=531cf PROVIDED DRIVEWAY=4250 SQ.FT. 4250 x 0.166= 706cf °O9STq\ °F� (2) 10'DIA x 6' DEEP DRYWELL= 821cf PROVIDED 4. Cb t-1 Q) STK d0 � �CRfST °F- BL F Q� OF a O w sTK. DRY )VELL 8'0%8 DEEP I ` O �`�/ SWIMMING POOL ST{, L\ UNDER CONST.. DRY WELL - -_-- 8'0x8'DEEP ---CONC. WALL ---j 80.7' L-----J GONG. WALLS STK DECK BAI,GONY new open metal mesh deer fence CELLAR ROOF OVER DECK -8 iENT, i I . GONG. WALLS F UNDATION I 2 Stt FIRM ` CAR PORT P DWELLING ry UNDER HOUSE OV RHANG #500 FFL 83.5 LAND N/F VACANT 150' OP FND EL 82.2 52.0' OF t F,i 41 0_: GONG. WALLS MARY MCKAY .0' 30.7' — WINOOW-W-E -- --------- - --- -------� DWELLING W/WELL WATER ELEC. LINE 1 cont. w.jl U - 31.5' 77' I � X40' Z \SrK. P. 65.5 . �(�c',�is1Y O \ 5 BEDROOM SYSTEM 1500 GAL. S.T. U \ (1) IT0x13'DEEP L.P. w X 1�— --X---- I Sji, r INGROUND Ld Z U) L.P. GAS TANK ? O \ xI 7.6'� W \ o \ S7K WELL \ YI \ I \ S.T. I I L.P. \ ELEC. TRANS. , CATV 1 10 STK, IRON S Sl°23'30 W — — — STK WELL ASP Hq(j/G RA ve-4 ROAOWAI, CASTLE -� 176.9¢ — — --- - - _ IIVALTE p ROAD D D eB i�3 V � ) (25' R.O.W.) H & CAR OLY1608.43' �\ BOAWAiQF1 a?U 'f E C E_ IrV E TOWN OF SOUTHOLD 1 my A ry -� DATE FE'P�,eagR 16- 20 20 �x JAN 1 7 2023 o 1 f — A� 0 9oald of Srrs,ces ��.._ OREGON ROAD ° r' Glenn Goldsmith,President O��S� c0a Town Hall Annex A.Nicholas ICrupski,Vice President � < � 54375 Route 25 0 Eric Sepenoski P.O.Box 1179 Liz Gillooly P, • �N_ Southold,NY 11971 Elizabeth Peeples �� Telephone(631)765-1892 Fax(631)765-6641 'Southold Town Board of Trustees Field Inspection Report Date/Time: 123 23 Completed in field by: 1J,9&P Glenn F. Heidtmann, Jr. on behalf of GEANIE ARCIGA & THOMAS JUUL-HANSEN requests an Administrative Permit for the as-built approximately 600 If of 8' high deer fence on the north, east and west property lines. Located: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 need ed/Modifications/Conditions/Etc.: (-orl\)C--j Present Were: G. Goldsmith ✓N. Krupski E. Sepenoski L. Gillooly E. Peeples f �{A w ell -77 ., � ` r �� ;' ►� �. �� g, '_ - . � �. r . h �i i �,..„ M.� * w .. - �_ a �y 4 r� - < + l �� \ `� � 4W • - . �\� Mx\2� f+.W ossa+ wax N sd SEE SEC.NO VO '1d � )A plo O WTON NE ` +� TIE HILL RD �, Ytycl i +xM FOR-NO �p , 6 " p� 1� w FOR PARCEL NO _ � Q x� ei FOR RxItCEL NO. BEE SEG NO SE£8E0.MO \A481-0Ot OU@-0OY S eNoncE �.,,, COUNTY OF SUFFOLK © E '""'"'" BauTNOln SECTION NO Real Property Tax Service Agency r E r GPnryCEnprRMrlwxY.NY+,MH M 7Z Ftx,NR 1EM PROPERTY NUP ]+Aq m OFFICE LOCATION: �O��of SDUryOI MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) N Q Telephone: 631765-1938 Southold, NY 11971 � • a0 P olyc4U ,� 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: February 13, 2023 Re: LWRP Coastal Consistency Review for of GEANIE ARCIGA &THOMAS JUUL-HANSEN SCTM# 1000-72-1-1.10 Glenn F. Heidtmann, Jr. on behalf of GEANIE ARCIGA&THOMAS JUUL-HANSEN requests an Administrative Permit for the as-built approximately 600 If of 8' high deer fence on the north, east and west property lines. Located: 500 Castle Hill Road, Cutchogue. SCTM#: 1000-72-1-1.10 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 CONSISTENT with LWRP Policies and 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: Honorable Lori Hulse, Attorney Town Hall Annex Glenn Goldsmith,President J01 X 54375 Route 25 A.Nicholas Krupski,Vice President P.O.Box 1179 Eric Sepenoski Lis Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application ELE �'7 E Wetland Permit Application _X—Administrative Permit Amendment/Transfer/ExtensionJAN 17 20 :Received Application: 1-17-A3 Received Fee: 200 L Completed Application: Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: -yoordination:(date sent): V'LWRP Consistency Assessment Form Sent: —/ CAC Referral Sent: —Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held- -Resolution: Owner(s) Legal Name of Property (as shown on Deed): J Mailing Address, 15 MrUdzn /00 Phone Number: Suffolk County Tax Map Number: 1000 - 12- r /0 Property Location: (If necessary,provide LILCO Pole#,distance to cross streets, and location) I- AGENT(If applicable): Mailing Address: 52/9' Email. Phone Number: tet LZ DiSalvo, Diane From: Glenn Heidtmann <glenn@gfhbuild.com> Sent: Tuesday,January 17, 2023 4:20 PM To: DiSalvo, Diane Subject: Re: 500 Castle Hill Road Hi Diane, There is roughly 600 lineal feet of deer fence. Approximately 8'tall. Regards, Glenn H On Jan 17, 2023, at 10:21 AM, DiSalvo, Diane<diane.disalvo@town.southold.ny.us>wrote: Glenn—what I needed you to do was write down approximately how high and approximately how long the deer fencing is— You can do so by return email. DCRvLe p%saLvo Of f&ce Ass�sta v,,t Sou.thol,d Towvi,Trustees P.0. gox 2175 SouthoLol' N`( 2271 (031) 7C'5--18g2 1 F,. --td of Trustees Application GENERAL,DATA LII AM(ill 14UNI fCCt): Area Zoning: g — �o Previous use of property: Ar- Intended use of property: A5, /G 'A4 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 X 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. �j Does this project require a variance from the Zoning Board of Appeals? Yes /V' 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 i No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date ,ss'",R-el 116 -1 C L Z, No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_,A/ No Yes If yes, provide explanation: _ Project Description(use attachments if necessary): low) AQWKA �` i=cy /,44 k,{ ,( ZIA./ E'.---d of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f l� �.�� ✓ I L�3 r9�� �rz�lLar.� square feet Area of wetlands on lot: s q Percent coverage of lot: I• % 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? 0.L) cubic yards How much material will be filled? ®• L9 cubic yards Depth of which material will be removed or deposited: Q, '° feet Proposed slope throughout the area of operations: a 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 Cgmliteting 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 i 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 S""pgonso Information Of . Name of 2rction or Project: Project Location(describe,and attach a location map): �`— E;Eo CSSk1_P__ /2J// Brief Description of Proposed Action: Name of Applicant or Sponsor: ETelephone:b1s, 7uv �tlviail: j�?r7'"'t3LP21,r7��1A is Address: City/PO: ~� State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO ICES 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 YES If Yes,list,agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? , _acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. QUrban [:]Rural(non-agriculture) [:]Industrial ❑CommercialResidential(suburban) ❑I~orest ❑Agriculture ❑Aquatic []Other(specify): ElParkland 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? 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: � ❑ 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? M ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 17771 LAJ 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: A0 1 10. Will the proposed action connect to an existing publiciprivate water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: n 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? F] W b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: t� t 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest 0Agricultural/grasslands El Early mid-successional El Wetland El Urban 1-1 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? 1V1 j� 16.Is the project site located in the 100 year flood plain? 1INOO11 11YEE11S 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO I YES If Yes, � a.Will storm water discharges flow to adjacent properties? [7NO []YES !.._ ! b.Will storm water discharges be directed to established conveyance systems(//runoff and storm drains)? If Yes,briefly describe: IANO ®YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? if TO,[1010 pRIE 11:1 ITI: 19_Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: � ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: V1 ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO TRE BEST OF MY KNOWLEDGE j Applicant/sponsor n e: �(k-f'W) 4-7 -`�' vwtn'1 6L Date: V%&L-" Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning � ❑ regulations? 2. Will theproposed 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? R1 ❑ 4_ Will the proposed action have an impact on the environmental characteristics that caused the ® establishment of a Critical Environmental Area(CEA)? F1❑ 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? lJ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: R ❑ 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, 1 architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F]waterbodies,groundwater,air quality,flora and fauna)? t�__i 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 1�1 problems? l 1. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-terns,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. ElCheck 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 Agency Signature of Preparer(if different from Responsible Officer) Signature of Responsible Officer in Lead PRINT Page 4 of 4 L.r mrd of Trustees Applicatson AFFIDAVIT � �2y1� �`"" `�v►'� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE HONE 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 ANIS 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, INCLUIDING A FINAL,INSPECTION. I FURTHER AUTHORIZE THE BOAR OF TRUSTEES TO ENTER ONTO MY PROPER'T'Y AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOAR OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Pro ®rne Signature of Property Owner SWORN TO BEFORE ME THIS _� ' DAY OF_`� >20 kD 4No ry Pub is LORETI'A LAMB Notary Public,State of New York #01 LA6179883 Qualified in Suffolk County Y Term Expires December 31,20 2 and of Trustees Applicat:iol" ����qq�� AUTHORIZATION Where the applicant is not t�e own4 7 Pp-C- ilk l I/We, —A0 0",S J, —L/.V jui:3r a owners of the property identified as SCTM# 1000- -1 Z in the town of 61 New York,hereby authorizes N-tr , l ?s� fi 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. Property Owner'Te Property Owner's Signature SWORN TO BEFORE ME THIS Yet_ DAY OF Cac-" =20 o r Pu lic LOREtTA LAMB Notary Public,State of New York #01 LA6179883 Qualified in Suffolk County Term Expires December 31,20?�J i APPLICANT/AGENT/REP SENTAT TRANSACTIONAL DISCLOSURE, FORM The Town of Southola's Code of Fthicsrohibits conflicts of interest on the Dartof tow;r orT;cers and emolovices.The 9=05a of this form is ter-provide information which can alert the town of possible conflict-of fate rest and allow it to take whatever action is necewrV to avoid same. YOUR NAME: ' d c I✓ 1 14115" (Last name,first name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate thb other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other';name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? `Relationship"includes by blood,marriage:or business interest "Business interest"means a busincss, including a partncrship,in which the town officer or employee has even a partial ownership of(or-employment by)a corporation in which the town off'mr or employee owns more than 5%of the shares. YES NO X__ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the 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); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C}an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this datot 200 Signature Print Name r l� Form TS I —r.ft s VAAA W5 N 1 Town of Southold LVMP CONSISTENCY ASSESM ENT 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 Rjujinont o mflaug to oup� ani ow i '� �Z by Town of Southold a enc in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Lazard 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 itssignificant 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 sunDorfinz and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. D. DESCRIPTION OF SITE AND PROPOSED ACTION SCTW -12-- - I - 1 e/ V PROJECT NAME 500 ez-Sy'L- JAW ILOq& e- The Application has leen 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) (e) Permit, approval, license,certification: Nature and extent of action: r Location of action: AA Site acreage: Present land use: 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: c7 X1,1,-�` l� (b) Mailing address: (c) Telephone number:Area Code( &4U.) 2,16o— 7523 3 (d) Application number,if any: f/A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No� If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the foram be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves opera space, makes efficient use of infrastructure,snakes beneficial use of a coastal location, and minimizes adverse effects of development. See LVW Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No I Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the 'Town of Southold. See LVVIW Section III—Policies Pages 3 through b for evaluation criteria Yes No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria D Tol [I �0 Not APP1111yll Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVVI P Section III—Policies Pages 8 through 16 for evaluation criteria Rn ❑ Yes ❑ No `' Not Applicable Attach additional sheets if necessary Policy 9. Protect and improve water quality and supply in the Town of Southold. See 1LNVRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes El leo VNotApplicable 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 L-WRP Section III—Policies; Pages 22 through 32 for evaluation criteria. El F Yes Into Tot Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVVRP Section M — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑Indo Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LSP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ Ido �A 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 LWR.P Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ Into QUI Not Applicable Attach additional sheets if necessary , WORE ING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No � Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LUMP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Not Applicable Yes 11 No Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LV*FRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No�A 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. ❑ Yes ❑ No Not Applicable PREPARED BY TITLE DATE