HomeMy WebLinkAbout1000-4.-5-5.10 Town of Southold
LWRP N I TENCY ASSESSMENT VORM
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A. INSTRUCTIONS
I All applicants liar permits' inchtding Town of Sotithold agencies, shall complete this (,(',A.F fix
proposed actions that are stibject to the Town OfSOUthold �A/atej-ftorjt (.oiisistency f(eview Law, Thin
s
asSCSSITIent is interided to supplerl,jent, other information iised by a J"own of Sotithold apnicy i
,e
making a determination of consistency. *Except nfinor exemlV actions inchteling Biidding Permits
and other nzinisterialpermits not located ivilhin 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_p w. -- Jo, . 'ficarit
p9a d_.Action wili be ,evaluated-a.-s _45_�SX-mf_
11 ccrrlst J_area f hjj incl udesall of'SoutfoldT
3. orm is answered "yes" or "no", then the proposed action will
If any question in Section C on this f
affect the achievement of the LVvrRP policy standards and conditions contained in the consistency
review law. I
Jim', eaiji answer must j)e explained indetllj11_imr�tn , 11!1!-11-1 MI ) !Lo—r'-
supportiri� y standards and
facts. If an action cannot be certified as consistent with the LWRP policy
conditions, it,,shall not be undeilaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's website
(southoldtown.northfork.net),the Board of Trustees Office, the Planning Department, all local
libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SC1M# 5 w. �� O-e-ftyq L. Ge I o scar Af 0 Ve *.,0
PROJECT NAME ';�o u-rl+o L
The Application has bpen submitted to(check appropriate response):
Town Board F-1-fPlanning Board El Building Dept. D Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) Action under-taken 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:
f1s,
0
4e........(,f
Location of action:
'Ftstte-R<� Ts t-AN&
Site acreage: --------
Presentland ......_._...a ... ... ............... .............. -
Present zoning classification: Z-C,)........... ..........
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:
i e e agency?
Will the action be directly undertaken, require funding, or approval by a stat or federal
Yes F] No If yes,which state or federal agency?_,......
C. Evaluate the prqject 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.
Inconiplete answers will require that the form be returned for completion.
DEVELOPLAL) CLS)AS'l�POJACY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LWRP Section HI—Policies; Page 2 for evaluation
criteria
I/Yes No [:] Not Applicable
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Xi—tach additional——'-s'—he-'e"t-sif necessary—""-----"
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP
Section M—Policies Page; 3 through 6 for evaluation criteria
Yes 11 No I. of 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
FJYes [......I No ❑ Not Applicable
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Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section IH—Policies Pages 8 through 16 for evaluation criteria
Yes No Not Applicable
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X- � —additional'i `-- "'
Attach — sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section In
Policies Pages 16 through 21 for evaluation criteria
kd yesEl No E]Not Applicable
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Attach additional sheets if necessary � �����
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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 in— Policies; Pages 22
through .32 for evaluation criteria.
Yes No
Not Applicable
E_.]
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Attach additional- '- shets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
Yes No -Not Applicable
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Attach
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'o"-n"al"'s"-h'e-e-ts-if-"ne-""ce'-ssary
Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III-Policies; Pages 34 through 38 for evaluation criteria.
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Yes [] No [ 1v.- Not Applicable
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PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation
criteria.
Q/yes El NoE] Not Applicable
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Attac
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1-i'additional-, — sheets if,necessary
WORKING COAST POLICIES
Policy to. 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.
0 YesNo Not Applicable
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Attach—additional-s"h,-e,e"t,s""i,f,necessary-," - - ........... ....... . ............ ...
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary
and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria.
El Yes [J'. "Not Applicable
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�kitach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section M-Policies; Pages 62
through 65 for evaluation criteria.
Y. No 2Not Applicable
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Attach additional
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...sheets if necessary,' '
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section M-Policies; Pages 65 through 68 for evaluation criteria.
Yes E-1 No Fx"Not Applicable
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PREPARED By ..... 1171°LE_j DATE417
.A-j-1�4-44--Sfl--IA�. .... 41-03-
Amended on 811105