HomeMy WebLinkAboutTR-10317A ��S11FF0(�c0
Glenn Goldsmith, President ��o Gy Town Trustees
A Nicholas Krupski, Vice-President H = 54375 Route 25
Eric Sepenoski o ^' P.O. Box 1179
Liz Gillooly '��j® ao�� Southold, NY 11971
Elizabeth Peeples o( ' ' Telephone (631) 7657.1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: CHARLES DISAPIO &XANNE PEREZ
Please be advised that your application dated February 17, 2023 has been
reviewed by this Board at the regular meeting of March 15, 2023 and your
application has been approved pending the completion of the following items checked
off below.
xx Revised Plans for proposed project—'there_is_to�e_n_oturn_around-in fro_nt of-the ,
rpMpd_garage and.no-boulder r_etai,iog walla
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1st Day.of Construction ($50.00)
%Constructed ($50.00)
Final Inspection Fee ($50.00) -
Dock Fees ($3.00 per sq. ft.)
The Permittee is required to provide evidence that the non-turf buffer condition of the
Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant
and deed restriction to the deed of the subject parcel. Such evidence shall be provided within
ninety (90) calendar days of issuance of this permit.
Permit fees are now due. Please make check or money order payable to Town of Southold.
The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the
Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be necessary. You will
receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE: $ '
BY: Glenn Goldsmith, President
Board of Trustees
SURVEY OF PROPERTYSITUATE. ��
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the as5tcynees of,tha IIMhg O'Ututbn, eertlFica-
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AREA = 17,535 s.1=. or 0.40 ACRE ®HN Ca EERS LAND SURVEYOR
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SITUATE: MATTITUC�6 iI edge of pavement uffolk ,�\R)eA111�,11
TOWN. SOUTHOLI7 . . `` l+�i 1r
SUFFOLK COUNTY, NY � r !M E
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MAR 1 5 2023
UQ�� bro k�r
Southold Town
a
\ Board of Trustees
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the Nen York State Assoebtion of Pr fe»bnal
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to the person for whom the eurvay Is prePareem,
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AREA = 1-1f535 5.F. or 0.40 ACRE C� C o Ei HL RS LAND SURVEYOR
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RAPHIG SCALE f,!= 20 ,N.Y.11901 6317369-8288
REF.-C:\UsersUohn\Dmpbox\OSVM5-202a update 2022.pro
mar.
Town Hall Annex G1ennGoldsmith,President p�pSFI of"�OG —
A.Nicholas Krupski,Vice President 54375 Route 25
CO
Eric Sepenoski . ,aff P.O.Box 1179
Liz Gillooly �y • p�� Southold,NY 11971
Elizabeth Peeples ��� �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: 3113/Z3 Completed infield by: 6. GoUsme
,411
CHARLES DiSAPIO & XANNE PEREZ request an Administrative Permit for a partial
removal of existing gravel driveway and plant lawn; create turnaround area north of
existing garage, material to match existing gravel. Turnaround Area is 12,x18,.
Located: 5780 New Suffolk Avenue, Mattituck. SCTM#: 115-10-7
T of area to be impacted:
ypYSaltwater 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.:
Av-e A&v kvTXna a LUlcl 'r well io Aa� dlr�yewa� ?
Present Were. G. Goldsmit E. Sepenoski
L. Gillo es
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MEMORANDUM
To: Glenn Goldsmith, President
Town of Southold Board of Trustees
From: Mark Terry, AICP
LWRP Coordinator
Date: March 15, 2023
Re: LWRP Coastal Consistency Review for CHARLES DiSAPIO &XANNE PEREZ
SCTM# 1000-115-10-7
CHARLES DiSAP10 &XANNE PEREZ request an Administrative Permit for a partial removal of
existing gravel driveway and plant lawn; create turnaround area north of existing garage, material to
match existing gravel. Turnaround Area is 12'x18'. Located: 5780 New Suffolk Avenue, Mattituck.
SCTM#: 1000-115-10-7
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 and the records available to me, I recommend 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
Glenn Goldsmith,President `,Q�$�(/�y Town Hall Annex
A.Nicholas Krupski,Vice President ,`O OlO 54375 Route 25
P.O.Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly G Telephone(631) 765-1892
Elizabeth Peeples �., • �O Fax(631) 765-664I
UNTI',
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only
g `- I �� ,
Coastal Erosion Permit Application .:-.. ...: ,.
Wetland Permit Application
X Administrative Permit �� FEB 1 7 2023 '
Amendment/Transfer/Extension
Received Application:
7-Received Fee:.$ 104.00
Completed Application: 2•ZZ•L3 E3car
Incomplete:
SEQRA Classification: Type I Type II Unlisted Negative Dec- Positive Dec.
Lead Agency Determination Date:
Loordination:(date sent):
LWRP Consistency Assessment Form Sent:
CAC Referral Sent:
Date of Inspection:
Receipt of CAC Report:
Technical Review:
-Public Hearing Held: ' S
Resolution:
Owner(s)Legal Name of Property(as shown on Deed): Charles oisapio and xanne Perez
Mailing Address: 825 Leslie Road,cutchogue,NY 11935
Phone Number: 631-398-3828 Email: cgearftd@gmail.com
Suffolk County Tax Map Number: 1000 115-1a7
Property Location: 5780 New Suffolk Ave,Nhffftck,NY 11952
(If necessary,provide LILCO Pole#, distance to cross streets, and location)
AGENT(If applicable):
Mailing Address:
Phone Number: Email:
Board of Trustees Apple_ ;tion
GENERAL DATA
Land Area(in square feet): 17,535
Area Zoning: R-40
Previous use of property: Residential
Intended use of property: Residential
Covenants and Restrictions on property? Yes X 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.
Does this project require a variance from the Zoning Board of Appeals? Yes R1 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 X No
Does the structure(s)on property have a valid Certificate of occupancy? X Yes No
Prior permits/approvals for site improvements:
Agency Date
X No prior permits/approvals for site improvements.
Has any purnWapproval ever been revoked or suspended by a governmental agency?x No Yes
If yes,provide explanation:
Project Description(use attachments if necessary):
f LJ6 u � �'� "Lt3 Cc2���-cam �e� �t ►-�
Proposed modification of existing driveway
�-
Board of Trustees Appl tion
WETLANDfI RUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
To imprQ safety of entering/exiting driveway on
heavy trafficked New Suffolk Ave. Will allow cars to
turn around on property to exit safely.
Area of wetlands on lot: NSA square feet
Percent coverage of lot: N/A %
Closest distance between nearest existing structure and upland edge of wetlands: N/A feet
Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet
Does the project involve excavation or filling? No X Yes
If yes,how much material will be excavated? cubic yards
How much material will be filled? cubic yards
Depth of which material will be removed or deposited: N/A feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
The material will be properly contained with fencing and
material brought to dump facility for proper disposal
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):
There will be no effect on wetlands or tidal waters of the Town.
Short Environmental Assessment Form
Part I -Project Information
Instructions for Comuletin$
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 I—Project and Sponsor Information
Name of Action or Project:
5780 New Suffolk Driveway Modification
Project Location(describe,and attach a location map):
5780 New Suffolk Ave,Mattituck,NY 11952
Brief Description of Proposed Action:
To improve safety of entering/exiting driveway on heavily trafficked New Suffolk Avenue,This will allow vehicles to turn around on property to exit
safely.
Name of Applicant or Sponsor:
Telephone: (631)398-3828
Charles DiSapio and Xanne Perez
E-Mail: cgearltdOgmat"I.com
Address:
825 Leslie Road
City/PO: State: Zip Code:
Cutchogue NY 11935
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 finding from any other government Agency? NO YES
If Yes,list agency(s)name and permit or approval: ❑
3. a.Total acreage of the site of the proposed action? 0.40 acres
b.Total acreage to be physically disturbed? NIA acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 0.40 acres
4. Check all land uses that occur on,are adjoining or near the proposed action:
5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ❑✓ Residential(suburban)
❑Forest ❑ Agriculture 0 Aquatic ❑ Other(Specify):
❑Parkland
Page 1 of 3
5. Is the proposed action, NO YES N/A
a. A permitted use under the zoning regulations? ❑ R1 ❑
b. Consistent with the adopted comprehensive plan? ❑ I-t/-1 ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
Name:Deep Hole Creek,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat,
If Yes,identify: Reason:Protec t public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk
Count... ❑ ❑✓
NO YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ ❑
b. Are public transportation services available at or near the site of the proposed action? R] ❑
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑
action? 21
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
N/A Fv� ❑
11. Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment:
N/A Fvl ❑
12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES
which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ ❑
Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the
State Register of Historic Places?
b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑
archaeological sites on the NY State Fhstoric Preservation Office(SHPO)archaeological site inventory?
13. a Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO j YES
wetlands or other waterbodies regulated by a federal,state or local agency? ❑
b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Fv� ❑
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
The property is across the New Suffolk Avenue from 8.3 acres of State Regulated Freshwater Wetlands,Wetland ID:MT-15,Wetland
C:la-s? rMap HnIP Creek is also on the Nafinnal Wetlands Inve.^tnEV a;Rmiarine and Marina Ekxgm aler Wetlands,^ft-°hnta F11111I.
The property is also across New Suffolk Avenue from Attribute E2EM5P on the National Wetlands Inventory as well,for additional
Estuarine and Marine Wetland.
Page 2 of 3
14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply:
OShoreline [I Forest ❑Agricultural/grasslands ❑Early mid-successional
❑Wetland 0 Urban 0 Suburban
15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES
Federal government as threatened or endangered?
16. Is the project site located in the 100 year flood plan? NO YES
El P-9
17. Will the proposed action create storm water discharge,either from point or non point sources? NO YES
If Yes, Fv] ❑
a. Will storm water discharges flow to adjacent properties? Q ❑
b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ✓❑
If Yes,briefly describe:
18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES
or other liquids(e.g.,retention pond,waste lagoon,dam)?
If Yes,explain the purpose and size of the impoundment: ❑ ❑
19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES
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:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/spo or/n e: Gh�es DiSapio(anndd Xanne Perez Date:Q217.2023
Signature: �/�—�---� �' Title: owners
PRINT FORM Page 3 of 3
EAF Mapper Summ'_-,-I Report Monday, December 19, 2022 3:56 PM
Diselaimer: The EAF Mapper is a screening tool intended to assist
, �" project sponsors and reviewing agencies in preparing an environmental
1r15 4$4 ' ? y i 1,15 assessmM form(EAF).Not all questions asked in the EAF are
\ i 115r59r answered by the EAF Mapper.Additional information on any EAF
question can be obtained byconsulting the EAF Workbooks. Although
the EAF Mapper provides the most up-to-date digital data available to
115 .4`30 15.v=A 31! As 1 15,`,jril! DEC,you may also need to contact local or other data sources in order
to obtain data not provided by the Mapper.Digital data is not a
1 t 5:=4=2 9 i.• { 115:=5 AP substitute for agency determinations.
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Part 1 /Question 7 [Critical Environmental Yes
Area]
♦Part 1 /Question 7[Critical Environmental Name:Deep Hole Creek, Name:Peconic Bay and Environs, Reason:Significant
Area-Identify] coastal fish&wildlife habitat, Reason:Protect public health, water,vegetation,
4 scenic beauty,Agency:Southold,Town of,Agency:Suffolk County, Date:3-9-
90, Date:7-12-88
(Part 1 /Question 12a [National or State T lNo
Register of Historic Places or State Eligible 4
iSttes] y
k`"-•=-"---�..,..-.r,...s.._...,�...-...,.,.�..�.-.,..-...a.,-.n.-,..-:...P..,,.,,,.......,.-T...-,.--.-_...-..:.-,-,.._...--.-_,zq-,.--...........n...--...-.-,.. t �_....-_.....,,......--,.,-d-,.—_...--._.-.....�-e_G,-.,b�._....,.--._.._-„--_-----...._-._...-.,---.,-....�-m.--..,
;Part 1 /Question 12b [Archeological Sites] Yes
Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and j
Regulated Waterbodies] gaterbodies is known to be incomplete. Refer to EAF Workbook. !
Part 1 /Question 15[Threatened or yNo i
Endangered Animal]
{Part 1 /Question 16[100 Year Flood Plain] Yes
(Part 1 /Question 20[Remediation Site] - _ - Yes
Short Environmental Assessment Form - EAF Mapper Summary Report 1
Board of Trustees Appli �;tion
AFFIDAVIT
Charles DiSapio and Xanne Perez 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 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 PREAMES 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.
c
L
Signature of Property Owner Signature of Prop Owner
SWORN TO BEFORE ME THIS 1701 DAY OF
Notary Public
DIANE DISALVO
NOTARY PUBLIC-STATE OF NEW YORK
No. O1 D1475593
Qualified in Suffolk County
My Commission Expires April 30. 20
APPLICANUlAGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
Tine Town-ofSouthold's Code ofFthics tmnhibits coniiicis of interest ggihe oaA-ortowa oiticors`and emnlavax.llw nurrrose of-
this form is Wnrovide inforrtialion whi!;b-='alert`the'tawn and all it to take whateveraaion-ic-
necessmy to avoid same.
YOUR NAPAR Charles DiSapio
(Lastname,fiistname6gtiddle Initial,untess you are applying in the name of
someone else or other entity,such as a company.If so,indicak the od w
perswes or company's name.)
NAME OF APPLICATION:(Check all that apply.)
Tax grievance - Building - r-- —
Variance Tmstee
Change of Zone Coastal Erosion
Approval ofpiat --- Mooring
Exemption from plat orotlicial map Planning
Other
(if"Other",name the activity.) —
Do you personally(orthrough you company,spouso soling,parent,or child)have a relationship with any officer or employee
of the Town of Southold? "RcMonsMp"includes by blood,amniage,or busiwess in6esL"litrsmw interest"nmms a business,
including a partnership,in which the town oflrww or employee has even a partial ownership of(or employment by)a corporation
in which the townofi iccr or employee owns'mare than 5%oftheshaces.
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
Tittle or position of that peson
Describe the relationship between yourself(the applicent/agenVnepitsentative)and the town offs roranployea Either check
the appropriate line A)dmnmh D)and/"describe in the space provided.
The town officer or employee or his or herspotrsc sibling,pargd,dir child is(check aft that applyr
A)the owner of greater than S%b of the shaves of the earporass stock of the applicant
(whin the applicant is a corporation);
B)the legal or beneficial owner of arty intatst in a non-cotpotate entity(when the
applicant is not acorporation);
C)an officer.Arcemr,partner,or employee of tie applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONMIIP
Sutnnitted 's d of W1m t2fI 4— 20Z?
Signature'
Print Name c In:s Disap o
Form TS 1
APPLICANUAGENTBEPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
71se-7 own-of soudrola's Code-ofFtliics mohibits conflicts of intcrest-ori the oma -of town offic6i and cmnlovecs.The-rzeariose of
this farm is to plovide inf 60-jban w111dt-96B ak d ft town of tiatisebte conflicts of itete rat and allnvii it to take wlmtevcr action is—
necessary to avoid game.
YOUR NAME• Xanne Perez
(Last name,rhst natne,jtiddte inittai,unless yoiu ate applying in the name of
someone else or odor entity,such as a company.If so,indicate the other
pcison's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Tmstoe
Change of Zone Coastal Erosion
Approval ofphtt ---- Mooring
Exemption from plat oroSicial map Planning — -
Other
(ir"Other".name the activity.) —
Do you peisonally(orthiough yogi company,spouse sibling,parent,or chime im4e a relationship with any of iceror employee
of the Town ofSoudmid? "Relationship"includes by blood,marriage;or business interest.93us'atess interest"means a b ittess,
incltfding a partacrsfaip,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the[own-officer or emollo,yee owns more than 5%oftheshares.
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
Tide br position of that person
Describe'the relationship between yourself(the applicaittlagenYmptesentative)and the town officer oremployer.Either check
the appropriate line A)through D)andfor describe in the space provided.
The town officer or employee or his or herspause,sibling,paten,or child is(check all that applyr
A)the owner of greater dean 5%of the shares of the corporate stock of the applicant
(when
the applicant is a corporation);B)the heal or6wriicial owner of any interest in a non-corporate entity(whets the
applicant is not acotporationX
C)an officer,director,partner,or employee of the applicant;or
D)the aedimt applicant.
DESCRIMON OF RELATIONSHIP
Submitted this day of 2022—
Signature
Print Name Xanne Perez
Form TS 1
Town of Southold
LMW 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 si . cant
beneficial and adverse effects upon the coastal area(which includes all of Southold TowaZ
3. If any question in Section C on this form is answered "yes" or `ono", 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-
suaporting 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.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 115 10 7
PROJECTNAME 5780 New Suffolk Driveway Modification
The Application 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 ❑
constriction,planning activity,agency regulation,land transaction) ❑
(b) Financial assistance(e.g.grant,loan,subsidy)
(c) Permit,approval,license,certification:
Nature and extent of action:
Modify driveway for safety issues
Location of action:5780 New Suffolk Ave,Mattituck,NY 11952
Site aereage:17535 sq ft or 0.40 acres.
Present land use:Residential
Present zoning classification:R-40
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( )
A Application number,if any: "fit J
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes El No
No L1 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 form be returned for completion.
DEVELOPED 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 infrastructure,makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LNW Section III—Policies; Page 2 for evaluation
criteria.
ZYes ❑ No ❑ Not Applicable
The proposed project will ensure the continued safety of the occupants of the property and the continued use of the property as a residential parcel.
This is commensurate with the Town's goals for preserving the community and the landscape character of Southold,especially in regards to
maintaining the residential character of the area.
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LNW Section III—Policies Pages 3 through 6 for evaluation criteria
❑ Yes ❑ No 0 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
❑ Yes [:1 No FV] 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 LWRP
Section III—Policies Pages 8 through 16 for evaluation criteria
❑ Yes ❑ No 10 Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI
—Policies Pages 16 through 21 for evaluation criteria
❑ Yes ® No 0 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 M—Policies; Pages 22
through 32 for evaluation criteria.
Yes No N'J)-Applicable
Attach additional sheets 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 w Not Applicable
Attach additional sheets if necessary
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.
❑ Yes ❑ No w 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 III—Policies; Pages 38 through 46 for evaluation
criteria.
❑ Yew Now Not Applicable
Attach additional sheets if necessary
WORKING COAST PO','-,UHS
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 M✓ 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 LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No F'/]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.
❑ Yes ❑ No 21 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 Charles DiSapio/Xanne Per. TITLE owners DATE 02/17/2023