The URL can be used to link to this page

Home My WebLink AboutTR-6246 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 # 0261 C Date October 3,2007 THIS CERTIFIES that the conversion of a sun-porch into a kitchen At 720 Mechanic St., Southold Suffolk County Tax Map # 61-4-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/25/05 pursuant to which Trustees Permit #6246 Dated 11/16/05 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the conversion of a sun-porch into a kitchen The certificate is issued to CURTIS & ANGELA DWYER owner of the aforesaid property. ro<~ Authorized Signature Albert J. Krupski, President James King, Vice-President Arkie Foster Ken Poliwoda Peg~o-v 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 1st day of construction ½ constructed Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ..6.~ ......... DATE: .~.o.~ r...~-6.?....~g 5 ISSUED TO cu~zs & ANCELA DWYER Pursuant 'to the provisions of Chapter 615 of the L~ws of the State of New YorE, 1893~ and Chapter ~ of the ,1~. ws of {he State of New Yorl~ 1952; and the Southeld Tov~n Ordinance tilled .'~RE~UI. ATIN~ AND THE PLACINC~ OF OBSTRUOII~NS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C, RAVEL. OR OTHER MATERIALS.F_~_ OM LANDS .UNDER TOWN WATERS?. and in accordance w~fh 'the Reselufion of The Board adopted at a meeting held on t~?.L...~.~2 ....... . ~gg.~.'.., and in consideration of the sum of $. ~.r.~(~ ..... paid by Curtis & Ansela Dw~er of ................ .~,~v:~b~.~ ................................ N. Y. and. subject to the Terms and Conditions listed on the reverse ~lde hereof, of Southold Town' Trustees authorizes end permits the foJJowlng: Wetland Permit to convert the existing sun-porch into a kitchen, with the condition drywells.& gutters are installed to contain t} roof run-off and a line of staked hay bales' is installed prior t¢ construction and all as depicted on the survey prepared by ~lJ in ~cordance with the d~tail~d specifications as presented in · the odginafin9 ~ppficatloe.$arve7 Solution-, dated 9/17/05 and amended by Michael Liegey on 11/30/05. " IN WITNESS WHEREOF, The said Board Of Trustees here- by causes ifs Corporate Seal 1o be affixed, and these presents fo b~ subse.'bed by a'majorily of the said Board as of fh|s Al_b_e._rt J..Krups. ki, J~, . Ar tie. Foster _. TERIdS a.d CONDITIONS ~ ~ Curtis & A, nge~a Dwyer . .t~t 720 Mechanic St., So~tho~ . . '~,~,r patt'~,f the con~tet-~ ,or the ~,,.~e_ ef 4. Tlmt the wodc involved wUl be subject to ~ in~ectlon smd at, royal of d~e ~ et ks agents, and noa-mm~lL~ce ~ d~e ptovisiotu of de odgl~-g appUc~don, may be _~-_~ to~ t~c~don of this ~'m~t by resc, lvde~ of the ~td Boat~L 5. 11utt there ~ be no unteasotable inte~fevence ~ ntvlpdoa es a remit o~ the week die ~ ~ will be ~ plenmml, m ~ immlt ~tdch nay'be subJea to revoke Ul~ ~ eo elxsln ~.,~: 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Michael Liegey P.O. Box 1046 Southold, NY 11971 RE: CURTIS & ANGELA DWYER 720 MECHANIC ST., SOUTHOLD SCTM#61-4-11 Dear Mr. Liegey: The Board of Town Trustees took the following action during its regular meeting held on November 16, 2005 regarding the above matter: WHEREAS, Michael Liegey on behalf of CURTIS & ANGELA DWYER 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 25, 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, WHEREAS, the structure 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of CURTIS & ANGELA DWYER to convert the existing sun-porch into a kitchen, with the condition drywells and gutters are installed to contain the roof run-off and a line of staked hay bales is installed prior to construction, and all as depicted on the survey prepared by Survey Solutions, Inc. dated September 17, 2005 and amended by Michael Liegey on November 30, 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.) Fees: $50.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Albert J. grupski, President James King. Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone (631) 765-1892 Fax (631~ 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated /0/~5-]0 ~- reviewed by this Board at the regular meeting of I!/16 fOV- following action was taken: has been and the ( ,/') Application Approved (see below) (___)Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. TOTAL. FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 765-1892 To,~m Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TO~VN 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 Don Wilder, it was RESOLVED to recommend to, the $outhold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of CURTIS & ANGELA DWYER to convert the existing sun-pomh into a kitchen. Located: 720 Mechanic St., Southold. SCTM#61-4-11 The CAC recommends Approval of the application with the Condition a drywell is installed to contain the roof run-off. Vote of Council: Ayes: All Motion Carried 'AX MAP DESIGNATION I000--061--04--0I! MAP OF PROPERTY TOWN OF SOUTNOLD SUFFOLK COUNTY, HEW YORK ~~ Su~ey Soluffon~, Inc. ~ 46 Hun~ng NUI D~ve SURVEY PREPARED FOR ' Oix Hills. NY I I74~ M UNI~IPA~ P URP OS~. ~~~ DA ~E ,~I 7~, 005 F~x 858-1 N. KS. MC. NO. 498~7 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON To: From: MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southaid, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Town of Southold Board of Trustees Mark Terry, Senior Environmental Planner LWRP Coordinator I~'O'~, Date: November 7, 2005 Wetland Permit for Curtis and Angela SCTM# 61-4-11 CURTIS & ANGELA DWYER requests a Wetland Permit to convert the existing sun-porch into a kitchen. Located: 720 Mechanic St., Southold. SCTM#61-4-11 The proposed action has been reviewed to Chapter 95, 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 proposed aetion is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRPo 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. 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 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Office Use Only __~etlatal Erosion Permit Application nd Permit Application Administrative Permit Amendment/Transfer/Extension ~ece~ved Application: I O[ e~No'~O~ ~Ae~ei~'edree:$ n~~ ~, ~Ol~I~ ~9~o.~ ~o~leted Apph~dt~n I~1~ ~Incomplete __SEQ~ Classification: T~e I T~e Il UMisted Coordmation:(date sent). ~Xg~ Consistency Assessment Fo~ ID~I~ ~AC Refe~al Sent:~ ~ate oflmpection: ~ I ~l~[ Receipt of CAC Repo~: ~Lead Agency Detemnation: Tec~cal Review: ~blic Hearing Held: ~l[l{~10~ Resolution: OCT 2~ ' Name of Applicant Address '-7 ~ Phone Suffolk County Tax Map Number: lO00- Property Location: -7~0 ~t~]O~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~&~eL (If applicable) Address: TO Phone: of Trustees Applicatio0 GENERAL DATA Land Area (in square feet): Area Zoning: /~--~ ,' dOq Previous use o f property: Intended use of property: Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval exrer been revoked or suspended by a goverrtmental agency? ~ No Yes If yes, provide explanation: / Project Description (use attachments if necessary): of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~/~ '~ square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: ~t~ feet Closest distance between nearest proposed structure and upland edge of ~vetlands: /.~a t9 feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? ~_~ cubic yards How much material ~vill be filled? t~ cubic yards Depth of which material will be removed or deposited: ,.~ Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: l'eet 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): of Trustees Applicati~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~£,r~,9Oo,~'~,q 04~ ,5't. trl~ft~rk. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the proj ect involve excavation or filling? No ~( Yes If Yes, how much material will be excavated? (t~O (cubic yards) How much material ~vill be filled? (~) .(cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) / ' PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 6t7 20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 1. APPLICANT ! SPONSOR 2. PROJECT NAME 3 PROJECT LOCATION: Municipality ~<~',0~/-,~/~ .A/*~' County ,~..~/~. PRECISE LOCATION: Street Addess and Road Intersecdons. Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION [] New [] Expansion [~Modificatiorl/alteralion 6. DESCRIBE PROJECT BRIEFLY: AMOUNT OF LAND AFFECTED: Initially ~(~_.~ -%¢~.~_.~ ~' Ultimately /--~ -~ ' ~' ' -~-'~ -~' 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~;~Yes [] No If no, describe bdefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~Res,dential [~lndustrial []Commercial ~Agriculture [~]ParklForestlOpenSpace ]Other (descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~]Yes ~;;~No If yes, I~st agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~Yes r'~lNo Ir yes, list agency name and permit / approval: I CERTIFY THAT T,HE I FORMATION P OVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name "' Date: If the action is a Cosf~'l 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 A~lency) A. DOES ACTION E CEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. i--lYes 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, il legible) C1 Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agdcugural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain bdefly: C4. A community's existm9 plans or goals as o~ficialiy adopted, or a change in use or intensity of use of land or other natural resources? Explain brie[ly C5. Growth, subsequent development, or related activifi~s likely to 60 induced hy the proposed action? Explaln flflelly: C6. Longterm, shortterm, cumulative, or other effects not identifled in C1-CS? Explain briefly: C7 Other impacts (including changes in use of either quantity or t}~pe et energy? Explain briefly: D. W~LL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA ? /If ~/es, explain bdefl¥: E. IS THERE, OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - DE~-ERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhe~heritissubstantia~~~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 (t) 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 th e proposed action on the environ mental characteristics of the C EA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed directly to the FUU EAF and/or prepare a positive declarafion. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that [he proposed actio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments ~s nece§sary, ttTe reasons supporting tM determination~ me~ 'd~A~ e~n ~ ;~,j~ /~_.~ . / i~/ g cy ~, ' 'Date Albert J./Z~upski, President James K/ng, Vice-Pres/dent 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOV~94 OF SOUTHOLD In the M[atter of the Application of ..... __ ...... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ]~l'OffIltt~/ ff~/x~'or _, residing at ]0~" 7""~.0t3 being duly sworn? depose and say: That on the da3' of ,200 , I personally posted the property lmown 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 ~ ~q6k,', ]/o, ~/D,3- ° Dated: Sworn to before me t~is dayof . 200 v BONNI£J. OOROSKI N~ Public, S~ ~ New NO. 01~095~2S, SulfQl~nt~ Tern Expires July 7, 20 ~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK 0 ! ' ,.~la.~ld. t'4Y' , being duly sworn, deposes and says that on the ~,~.~lay of ~n~c ,20 a~, deponent mailed a true copy of the Notice set forth, in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at (certified) (registered) mail. , that said Notices were mailed to each of said persons by Sworn t~before axle tWs Day o£~, Notary Public County of Suffolk State of New York of Trustees Applicatt ~t'O~ e~ ~_ ~ .~O~/ BEING DULY SWORN DEPOSES ~aND AFFIRMS 'I~IA~ 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, A_ND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TI-HS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN 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, l HEREBY AUTHORIZE THE TRUSTEES, THEm AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS BOfO~I£J. DOROtq{! Not~ry Public, $tat~ Of N~w~rll No. 01D06095328, Suffolk..ColRllf Term Expires July 7, 20 ..~,. Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oat of town officers and emt~lovees. The ouroose of thi~; form is to orovide information which can alert the town of nosslble conflicts oflnterest and allow it to take whatever action is necessary to avoid same. (Last anme,~'firs~ name,middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.} T~_x 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.) /~tff/gQt~t~¥.~' /~t./-~'x°~ flg-~.~atMld~/- 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 business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% oftbe 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 applicantffagenffmpmsentative) and the town officer or employee. Either check the appn)priate 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 shams 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-corpomte entity (when the applicant is not a corporation); ___C) an officer, director, patner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this~L_~qff~200 ~' Signature f~q' ~'~ r-. PrintNam~ '"fi'M'e.~e~k '~. L-i~e,t Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Toxvn 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 proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area Cvhich includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action ~vill 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- suooortin~ 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 To~ Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# O Iq - PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ~ Planning Board ~ Building Dept. ~ Board of Trustees [] 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: Location of action: Site acreage:. Present land use: ~¢$1 Present zoning classification: ~' If ~ application for the proposed action h~ been filed with ~e Tom of Sou~old agency, the follo~ng i~o~ation sh~l be provided: (a) N~e ofapplic~t: / aef (b) Mailing address: PO (c) Telephone nmber: ~ea Code (d) Application nmber, iffy: Will the action be directly ~de~en, require ~g, or approv~ by a state or federal agency? Yes ~ No ~ If yes, w~ch 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 ~7] 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 [~ Not Applicable At'tach 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 III - Policies; Pages 22 through 32 for evaluation criteria. 'Yes No Not App~ble 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 wORKING COAST POLICIE~ 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 Il. 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 r-] 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. F~ Yes ~ No ~ Not Applicable PREPAREDBY /~/'.~.~f ~.~y TITLE .~/~q~'Ea.~ DATE