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Home My WebLink AboutTR-6240 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold. New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0184C Date January 8. 2007 THIS CERTIFIES that the bulkhead At 1525 Gull Pond Lane, Greenport, Suffolk County Tax Map # 35-4-12 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/26/05 pursuant to which Trustees Permit # 6240 Dated 11/16/05 Was issued, and conforms to all of the requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for a bulkhead. The certificate is issued to ROBERT KOEBELE owner of the aforesaid property. rr9'~ Authorized Signature Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 151 day of construction y. co n stru cted L Pmject oomplete, comp!;,"," i"pectioo. '/06~1 () tj O~ --> Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ~ constructed Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO. (~JO DATE: Nov.16~gQO5 ISSUED TO ROBERT KOEBELE Pursuant to f~ provisions o{ C~apfer 615 o{ ~e ~ws o{ the. Sta~ o{ New Yor~ 18~; an~ ~apfer ~ o{ the ~ o{ Slate o{ New Yort 1~52; en~ fha Soufhol~ To~n Or~mance en- l~led ."RE~U~TINO AND ~E P~ClNG OF IH AHD ON TOWN WATERS AND PUBLIC ~NDS an~ t~ REMOVAL O~ SAND, G~VEL OR OTHER MAIERIALS~[OM ~NDS UNDER TOWN WA~RS;~L ~.~ in acc~da.~ wJ~h'tho Resol~ion of The Board adopted at a meeting held on -....~m~..,i.C .... ~0P~....., and in consideration of the sum of $._~.~q.:.90 .... pald by ...................... gph~rg ..K~.e.b.e. le : ........... : ........ of Greenport N.Y. and subject ~o Terms end ~nditions listed on lhe revere slde ~reof, w of Souihold Town TrOees authorizes and permlh the following: etlandPermit to construct 103.5' of bul~heading in la~e of existing damaged bulkhead with the condition that no ~CA treate lumber will be used and a 'silt boom will be em 1 ~ cgnatructzon as per the LWRP consistency re--~ ?~d ~?r~ng by ell in accordance wHh Jhe defai~d sp~icafions as pre~nfed in IN WITNESS WHERE', ~e seld Board 0f Tmslees ~re- ~u~s ifs ~r~r*te Seal lo be a~xed, e,~ ~ese ~[esenh lo subm~ed by ~'majm~ of the sa~d ~rd as of fh~s date. TERMS ,,nd CONDITIONS ~! That the said .Bo~d of T~ ,nd the Town of 8ou&old ate tgteued ~tom any ~ · 2. Thacthis~ls'va~d~o~ap~t/odof ~ 24'i mo~dchjsc~ltobe~e es~ted tlme'~e(iu~ed m C~mplete the woflc /involved, ~ut'should for in ez~on may ~ ~ to ~e ~ ~ a ~ · 9. That d~e 'V~.,-I~ will ~o_~n all ~l~r p.~mi,~ tmi ~.tht m~'~ requited igemeat~l m this pmnlt w'nk~ nay'~e subject to tevo~ ul~ faih~ to elxaln ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 November 16, 2005 Mr. Robert Koebele 1525 Gull Pond Lane Greenport, NY 11944 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: 1525 GULL POND LANE, GREENPORT SCTM# 35-4-12 Dear Mr. Koebele: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2005 regarding the above matter: WHEREAS, ROBERT KOEBELE applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 26, 2005, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 16, 2005 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the proposal complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, RESOLVED, that the Board of Trustees approve the application of ROBERT KOEBELE to construct 103.5' of bulkheading in place of existing damaged bulkhead, with the condition that no CCA treated lumber will be used, and a silt boom will be employed during construction as per the LWRP consistency review, and all as per plans drawn by Robert Koebele received November 10, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) This is not a determination from any other agency. Fees: $50.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hkc .l J DATE ii/ir., /os'- /..Aw,``) Proposed Proiect Construct 1(13 lin. feet of bulkheadiog immediately in front o f ex isting using "C-loc 4400" vin~l sheathing. Existing sheathing and stringers to remain; existing pilings to be removed. New 10-x25' pilings to be 8' on center secured into shore side b3 I 92," llciix screws xvith 6"x8" stringers. Dock box and decking to be removed as needed and returned in place tit completion of work. \? Oct. 13,2005 Field Inspectio~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., November 9, 2005, the following recommendation was made: Moved by Jack McGreevy, seconded by Doris McGreevy, it was RESOLVED to recommend to,the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of ROBERT KOEBELE to construct 103.5' of bulkheading immediately in front of the existing damaged bulkhead. Located: 1525 Gull Pond Lane, Greenport. SCTM#35-4-12 The CAC recommends Approval of the application with the Condition of a 25' non-turf buffer landward of the bulkhead. Vote of Council: Ayes: All Motion Carried PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J~ CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: November 7, 2005 Re: Request for Wetland Permit for Robert Koebele SCTM# 35-4-12 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 ROBERT KOEBELE requests a Wetland Permit to construct 103.5' of bulkheading in kind in place in front of the existing damaged bulkhead, as per new submitted plans. Located: 1525 Gull Pond Lane, Greenpork SCTM#35-4-12 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of thc 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, the information stated by the applicant in a October 24, 2005 telephone conversation, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that: 1. No CCA is used in the re- construction of the bulkhead. 2. To further suooort the LWRP and the oolicies, assess the feasibility of the installation of a silt boom/turbiditv screen to be emoloved durin~ construction of the bulkhead to minimize turbidity in the water column. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. Office Use Onl) ~ Erosion ,~¢¢~tland Permit Application~.~ Administrative Permit ~Amendment/Transf~r/Extension ~lteceived Application: ~ceived Fee:$ ~ ~pleted Application ~lncomplete SEQRA Classification: Type I T~e I1 Unlisted Coordination:(date sent) ~AC Refe~al Sent: ~te of lnspection:~%__ Receipt ofCAC Repo~: Lead Agency Determination: Technical Review: ~lic Hearing Held: Resolution: Address 1525 Gull Pond Lane, Oreenpon, NY 11944 Phone Number:(631 ~ 477-2827 Suffolk Co~ty T~ Map Number: 1000 -35.-4-12 Prope~y Location: 1525 feet south of no~h road, or. East side of Gull Pond L~e, Greenpo~, NY (provide LILCO Pole ¢, dist~ce to cross streets, ~td location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): 27,000 scluare feet Area Zoning:_Residential Previous use of property:_Residential Intended use of property: Residential Prior permits/approvals for site improvements: Agency Date __ No prior permits/approwils 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):_Remediate damage to bulkhead Caused by October storm by constructin~ 103.5 lin. feet of bulkheadin~ Immediately in front of existing: bulkhead. (See attached drawines 1-4) Board of Trustees Application Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To reconstruct existinz bulkhead which has Failed due to recent storm. Area of wetlands on lot: 0 square feet Pement coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excawttion or filling? No X Yes If yes, how much material will be excavated? 50 How much material will be filled? 50 cubic 3ards Depth of which material will be removed or deposited:_4___feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:_Bar~e crane cubic yards Statement of the effect, if any, on the wetlands and fid. al waters of the town that may result by reason of such proposed operations (use attachments if appropriate): There will be no negative impact on the er_vironment due to this proposed construction. The project is intended to replace existin~ bulkhead. The canal has been previously dredged and no additional dred~in~ will be required. There is no vegetation at the site. P~OJECT iD NUMBER PART 1 - PROJECT INFORMATION 1~ APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality T~I~,;, ~ 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County ,-.~[~ I~t~O i- ~-. 4, PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or arovide map 5.1S PROPOSED ACTION: [] New [-~expansion r--'~Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: SEQR 7~ AMOUNT OF LAND AFFECTED: Initially ~ acres ~ Ultimately ~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? r~Lyes [] NO If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~ Residential [~ Industrial r--] Commercial i---]Agriculture ~---] Park / Forest / Open Space [-~Other (describe) t0, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~es [---] No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ...................~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST QF MY KNOWLEDGE Applicant / Sponsor Name Date: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. r-~ Yes r--]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sur[ace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, otential for erosion, drainage or flooding problems? Explain briefly: Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain bdefly: C4, A community's existing plans or goals as officially adopted, 0~a change in use or intensity of use of land or other natural resources? Explain bdefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7 Other impa~ts iinCludin~ changes in use of either quantit~ or type of energy? Explain briefly: I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain bdefly; I-1[]NoI E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ttyes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~Ve~determinewhetheritissubstantia~~~arge*imp~rtant~r~therwisesigni~cant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ~heck this box if you have determined, based on the information and analysis above and any supporting documen(ation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~ determination. Name of Lead Agency Date Pdnt 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) PROOF )F MAILING OF NOTICE ATTA(H CERTIFIED MAIL RECEIPTS U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT pomme * 0.37 ~IT Codified Fee Restri~ Delive~ Fee 2.6? 11/~/~ Tot~ .omg~ & ~e~ $ U.S. Postal Service CERTIFIED MAILT~ RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Postage $ 0,~'~ ~ ~ Po~m~k Re~Hcted Delive~ Fee C[~ (Endor~ment Required) 2,67 ~mJ~w, u~ ~a says mat on me5 oay oxt~ovemoer, zoo>, deponent mailed a ~e copy of rk~e Notice set fo~ in the Bo~d of Trustees Application, directed to each of the ab,)x e n:~ ,zed persons at the addresses set opposite there respective nines; that the ~ddres, se~ set opposite the names of said persons are the address of s~d persons as shown on the cu, rem assessment roll of the To~ of Southold; that said Notices were mailed at t'~e [Jniv, [ Stmes Post Office at Greenpon, NY, that said Notices were mailed to each of said pers,'ns by certified mail Sworn tt ~etbre me this Day of Not,try 1:', ~lic No. 4948506 Co Qualified ia Suffolk County remission Expires March 20,. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-$,~ BOARD OF TOWN TRUSTEES TOV~N OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ........................ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POST1NO I, ~-~(" J~(-)~-~-.¢t~ residing at, /4~).~~ fiqt_~. ~O¢'h f z.c V being duly sworn, depose and say: That on the -I rkday of !d:9~./ ,200fi, I personally posted the property k~own as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Dated: 2(/t~.,/~ 5~ noo , I G, 8(.D,~ - oq ono6c~-O~CO t~/, (si~at~re) Sworn to before me this day offi/.lr, a4~200 <j ~ Not~y Public /.. Board of Trustees Application Coumy of Suffolk State of New York ,t~o~t~?" ~, Ko~t...E 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 TOC,'N OF SOUTHOLD AND THE TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT TIlE PREMISES ~ CONJUNCTION WITH REVII~W OF THIS APPLICATION Dlgnature ~~NTOBEFi~Jl?~M_EmIS ~/~1 DAYOF /90 ?LO ~r' ,20 Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees. The l>ur0ose of this form is to vrovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Robert S. Koebele (Last name, first name, middle initial unless you are applying in thc name of someone else or other entity, such as a cmnpany. If so, indicate the other person's or company's name.) NAME OF APPLICAIION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other ( I f "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 b3 blood~ marriage, or business interest. "Business interest" means a business, including a parmership, in ,~ hich the town officer or emplosee has even a parlial ownership of(or employment by) a corporation in which the town officer or emplo_~ee 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 yoursel f lthc applicanffagent/representati~ c l and the town nfficer 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 chi!d is Icheck 'xll thai apply): A) the owner of greater than 5% o?thc shares ol'the corporate ilock o!'the applica.~t (when the applicant is a corporation): _B) thc legal or beneficial owner of any interest in a non-corporate entity (when lhe applicant is not a corporation); __ C) an officer, director~ partner, or employee of the applicant: or __~D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thj~r~,_24 / day~o f Signature /~_~r Print Name' Robert S. Koebele Form TS 1 October 2005 Towa of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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. 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 l~roposed action will be evaluated as to its sienificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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 exolained in detail, listing both suooorting and non- suooortina 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 PROJECT NAME f~Ot3~lL]- f. KL?~/~.Ler~ The Application has been submitted to (check appropriate response): TownBoard [] Planning Board ~-] Building Dept. [] BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g, grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Locationofaction: i~{ ~ttl-~- ~o~'l~ ~,.~_ /'st~trv.~v~'c, mr ,~v~ Site acreage: ,'1 Present land use: f/4Li ~ b ,q~t~ 'r~ .'l ~. Present zoning classification: ~_t;x' ~ ~ ~ rs A~_ If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [-~ If yes, which state or federal 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 LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No [-~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No ~-~ 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 [] No ~ 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 D not Applicahle Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] 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 Ill - Policies; Pages 22 through 32 for evaluation criteria. · Yes No Not A~icable 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 ~-~ 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 LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [~ Yes ~ No ~ 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. ~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WO~ING COAST POLICI~ 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 LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes ~ NO [] 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 [] 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 PREPAREDBY ~O~-~ 5'.' b(o~,~'L TITLE 0~42~3,ct~L. DATE IDIAf{T 765' WILGOX MILLER 700 FLEMING