HomeMy WebLinkAboutTR-6284
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
T~~
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0270C
Date November 14.2007
THIS CERTIFIES that the second-story addition to the existing dwelling. renovation of first
floor. new cesspool. and installation of a drainage system
At 1300 Strohson Rd.. Cutchogue. NY
Suffolk County Tax Map # 103-10-27
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 12/19/05 pursuant to which Trustees Permit #6284 Dated 1/18/06
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 a second-story addition to the existing dwelling. renovation of first floor. new cesspool.
and installation of a drainage system.
The certificate is issued to JERRY MATEJKA owner of the
aforesaid property.
f-~~
Authorized Signature
\,
:-~~Y. ~ ...... r V
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
.., 'c
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
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
J Pre-construction, hay bale line l~ \ S-)Il&' (!) k ? ~
1 st day of construction '.
% constructed
"-
v/ Project complete, compliance inspection. CfI~1lo1 }>~V~ ~C!.~~
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James F. King, President
Jill M. Doherty, Vice~President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
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
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
SOUTHOLD0 NEW YORK
PERMIT NO DATE: ....~r~....~.,...~.~906
Pursuant ~o f~ provisions of Chapter 615 of ~e ~ws of
the Sta~ of New York, 1893~ ~nd ~ap~er ~ of Jhe
S~afe of New York 19~2~ ~nd Jhe Soufhold To~n Ordln~nce en-
f~led .*"RE~U~TIN~ AND ~E. P~ClN~ OF,
IN AND ON TOWN WATERS AND PUBLIC ~NDS end'
~EMOVAL OF SAND, GRAVEL O~ OTHER ~ATERIALS.F~OM
~NDS UNDER TOWN WA~RS;:~. and in ac~da~ ~(h'ihe
Resol~ion of The Board ~dopted at ~ meetlng held on ....~,~.~.~.:~,'.~ .....
. ~., end in consideration of the sum of $..~59.,.~fi ..... p~id by
~e~ and %~nda ~ate~ka ..................................................
of Cutcho~ue N.Y. ~nd subject to the
Terms end ~ndilions listed on the revere side ~reof,
of ~uthold Town Tr~tees authorizes ~nd perm~H the following:
~etland Permit to ~nstruct a second-stow addison to the existing dwelling and renovate ~e flint fl~r by
226 sq.ff., abandon the cesspool and put in a new one over 100' from mhw, pe~ious driveway or ~ d~ell
is paved, gutte~ and d~eJls on the house, haybale line dudng
and all as depicted on the plans drawn by Joseph Ingegno dated November 22, 2005.
all in ~ccordance ~th the det~i~d sp~ffi~tloos es pre. hied
.~e odglnati~g app~ti~. .-
IN WITNESS WHERE., ~e s~id ~oard Of Tm~tees ~re-
by ~uses ils ~r~rale Seal fo be e~xed, and ~ese presenh to
~ subdued by a'maj~ of the said ~ard as of this date.
James F. King, President
Jill M. Doher~y, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
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
January 18, 2006
Jerry and Linda Mat~ka
1300 Stmhson Road
Cutchogue, NY 11935
Re: JERRY AND LINDA MATEJKA
1300 STROHSON ROAD, CUTCHOGUE
SCTM # 103-10-27
Dear Mr. And Mrs. Matejka:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, January 18, 2006 regarding the above matter:
WHEREAS, JERRY AND LINDA MATEJKA 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 December 19, 2005, and
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council and the Local Waterfront Revitalization Program Coordinator for their findings
and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on January 18, 2006 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 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,
?JgSOLVED, that the Board of Trustees approve the application of ,JERRY AND LINDA
MATEJKA to construct a second-story addition to the existing dwelling and renovate
the first floor by adding 226 sq.ft., abandon the cesspool and put in a new one over 100'
from mhw, pervious driveway or a drywell required to contain runoff if the drive is paved,
gutters and drywells on the house, haybale line during construction, and all as depicted
on the plans drawn by Joseph Ingegno dated November 22, 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: $100.00
Very Truly Yours,
James F. King
President, Board of Trustees
JFK/hkc
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
TO:
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
/o
Please be advised that your application dated
reviewed by this Board at the regular meeting of ///
following action was taken:
has been
and the
/
(v) Application Approved (see below)
( ) Application Denied (see below)
(__)Application Tabled (see below)
If your application is approved as noted above, a permit fee is now due. Make check or
money order payable to the Southold Town Trustees. The fee is computed below
according to the schedule of rates as set forth in Chapter 97 of the Southold Town
Code.
The following fee must be paid within 90 days or re-application fees will be necessary.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE:
BY: James F. King, President
Board of Trustees
New York State IJepartment of Environmental Conservation
Division of Environmental Permits, Region One
Bu~ldin~t 4{) - SUNY, Stray [~,rook, New York 1
Phone.: ¢31 ) 444-0365 · FAX: (631) 444 0360
· Website: www dee.stale ~ty us
,lorry :'vlatcil<:t
1300 Strohso~l Rt)atl
(.'ulchos~tlC. NY 11935
Aplflicafiotl ii 1-473S-0271~1/00004
[)car/¥h'. S
[$a::;ed on thc i.lt/rmation you have submitted, i]~c l)cparlmci~t oF ~t]vironmcntal ('onscFvation
has dctcrmi.cd flmt thc area oFyour property (listed as SCIM t~ 100{}-I(}3 10-27)la.dward oF
thc butktl~ad is beyond ArticIc 25 (Ti&l Wctl:mds :kd)jul isdictiot~. I'hcrdbrc. in accordance
witln thc current Tidal Wetlands l,and [ isc Rck,,ululions (tiNY( 'RI{ Part [si ) n,, permit is
Bc adxiscd, no construction, sedimentation, or distt, rba.ce of a.y kind ~nay take place
sea~,ard of lhe lidal ~'etla.ds jurisdictiom~l boundary, as indicuwd abm,c, witho.t a permit.
[t is yottr rcsp(msibilily Io ensure that all prccatlliolls arc taken to pFC'VOmit al~y scdimcnlaliml
other allcmlion m' distm'bacc to any ama withiH AH[dc 25 .}ttrisdiclion which may result
wctlzmd jt.isdiclion~d boundm)~ (Iht btHkhcad) alld yotll' prqjcct (i.e., a 15' t<~ 21)' wide
collsh'tidioH area) or erecting a temporary l~nce, barFicr, m' halo bay bd'lll.
pellllils et [l[3pl-o\'s. lts l~'Olll oth~21- agmlcies m- I(~cal mt m,'ipa!ifi,"~
Si?crcly
cc: BMIIP- RI
Iilc
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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., January
11,2006, the following recommendation was made:
Moved by Jack McGreevy, seconded by Don Wilder, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A CONDITION of the Wetland, Permit application of JERRY & LINDA MATEJKA to
construct a second-story addition to the existing dwelling and renovate the first floor by
adding 226 sq.ft.
Located: 1300 Strohson Rd., Cutchogue. SCTM#103-10-27
The CAC recommends Approval of the application with the Condition drywells and
gutters are installed to contain the roof run-off and a 10' non-turf buffer is installed
landward of the bulkhead.
Vote of Council: Ayes: All
Motion Carried
Jan 11, 2006 Field Inspection
Z
PLYING BOARD M~BERS
JERILYN B. WOODHOUSE
Chair
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L. TOWNSEND
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
To: Town of Southold Board of Trustees
From: Mark Terry, Senior Environmental Planner ~'~ r
LWRP Coordinator
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
Date: January 13, 2006
Re: Request for Wetland Permit for Jerry and Linda Matejka
SCTM#1000-103-10-27
JAN ":
JERRY & LINDA MATEJKA request a Wetland Permit to construct a second-story addition
to the existing dwelling and renovate the first floor by adding 226 sq.ft. Located: 1300 Strohson
Rd, Cutchogue. SCTM#103-10-27
The proposed action is located adjacent to a New York State Significant Fish and Wildlife
Habitat (description attached)
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 action is generally CONSISTENT with the Policy Standards and therefore is
CONSISTENT with the LWRP provided that the following standard best management practices
are implemented to further the intent of Policy 5: Protect and Improve Water Quality in the
Town of Southold.
1. Require erosion and sediment controls (haybales, silt fencing) to protect the
wetland system to the east of the property.
2. Require water quality protection measures for constructed areas generating
runoff (gutters, downspouts, dry wells).
3. Require a oervious driveway for the orooosed driveway extension.
Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing
its written determination regarding the consistency of the proposed action.
COASTAL FISH & WILDLIFE HABITAT ASSESSMENT FORM
Name of Area:
Designated:
Date Revised:
County:
Town(s):
7½' Quadrangle(s):
Cutchogue Harbor and Wetlands
March 15, 1987
May 15, 2002
Suffolk
Southold
Southold, NY; Southampton, NY
Assessment Criteria
Ecosystem Rarity (ER)-the uniqueness of the plant and animal community in the area
and the physical, structural, and chemical features supporting this community.
ER assessment: Bay-wetland complex, unusual in northern Long Island, but degraded in
places by marina/residential development. Calculation: 4-(16 x 9) -
Species Vulnerability (SV)--the degree of vulnerability throughout its range in New
York State of a species residing in the ecosystem or utilizing the ecosystem for its
survival.
SV assessment: Least tern (T), piping plover (E, T-Fed), and osprey (SC) nesting.
Calculation: 36 + (25/2) + (16/4) --
Human Use (ITU)- the conduct of significant, demonstrable commercial, recreational,
or educational wildlife-related human uses, either consumptive or non-consumptive, in
the area or directly dependent upon the area.
HU assessment: Commercial and recreational scalloping significant to Suffolk County.
Clamming significant at the town level.
Population Level (PL)--the concentration of a species in the area during its normal,
recurring period of occurrence, regardless of the length of that period of occurrence.
PL assessment: Concentration of osprey is significant at the county-level.
Replaceability (R)--ability to replace the area, either on or off site, with an equivalent
replacement for the same fish and wildlife and uses of those same fish and wildlife, for
the same users of those fish and wildlife.
R assessment: Irreplaceable.
12
52.5
1.2
Habitat Index -- [ER + SV + HU + PL] = 72.5
Significance -- HI x R = 87.0
Pagc I of 5
NEW YORK STATE
SIGNIFICANT COASTAL FISH AND WILDLIFE HABITAT
NARRATIVE
CUTCHOGUE HARBOR AND WETLANDS
LOCATION AND DESCRIPTION OF HABITAT:
Cutchogue Harbor and its adjacent wetlands are located west of Little Hog Neck, opening into Little
Peconic Bay in the Town of Southold, Suffolk County (7.5' Quadrangles: Southold, NY and
Southampton, NY). This approximate 490 acre habitat includes the shallow open water area of
Cutchogue Harbor (205 acres) and three adjacent, distinct tidal wetland/creek areas: Wickham
Creek, Haywater Cove, and Meadow Beach (Horseshoe Cove). The Wickham Creek area contains
approximately 70 acres of undisturbed tidal creek and Salt Marsh located behind a low beach on
Cutchogue Harbor. The Haywater Cove area consists of approximately 190 acres of Salt Marsh
islands, mudflats, open water and tidal Creek including East Creek, Mud Creek and Broadwater
Cove. All three of these tidal creeks have been disturbed to some extent by adjacent residential and
recreational development. The Meadow Beach area is an approximate 25 acre area, including a 15
acre wetland preserve owned by the Nature Conservancy, bordered by undeveloped wooded
shoreline. Much of the Cutchogae Harbor and Wetlands areareceives moderate summer recreational
use, including recreational boating in the coves and creeks.
FISH AND WILDLIFE VALUES:
The Cutchogue Harbor and Wetlands complex represents a valuable ecosystem area in northern Long
Island. Although the three wetland sites are relatively small, and subject to human disturbances, they
provide suitable habitat for a variety of coastal wildlife species, including osprey (SC), least tern (T),
piping plover (E, T-Fed) and diamondback terrapin.
Osprey have nested in the area for many years using man-made nesting platforms placed at Wickham
Creek and Meadow Beach. The Meadow Beach nesting site has been especiallyproductive in past
years, and has served as a source of young birds for the NYSDEC's "hacking" program in western
New York. A nesting platform in Haywater Cove historically has been active and is an important
potential nesting site.
Meadow Beach supported a relatively small nesting colony of least terns of 20-60 pairs during
1982-1985. These numbers declined between 1986-1991 (ranging fi~om 13-24 pairs). Least tern
have nested sporadically since 1991 (1 pair in 1993; 14 pairs in 1997). Up to 4 pairs of piping plover
nested at Meadow Beach and Wickham Creek during the early 1980s, but similarly, numbers of this
species have declined to an annual average of 1 nesting pair between 1987 and 1996. The peak
number of nesting piping plover pairs in the area during this period was 2, occurring in 1994.
Diamondback terrapin nest in the Haywater Cove area, and up to 20 nests were reported t¥om the
marsh areas at the mouth of Wickham Creek in 1996. This area may provide important breeding
Page 2 of 5
habitat for horseshoe crab, but additional documentation is required. The Cutehogue Harbor
Wetlands serve as valuable feeding areas for the species noted above, as well as for herons, egrets,
waterfowl, shorebirds, and a variety of other wildlife species. Bird species that are probable or
confirmed inhabitants of the area include green heron, yellow-crowned night heron, Canada goose,
mallard, American black duck, clapper rail, killdeer, belted kingfisher, red-winged blackbird, and
sharp-tailed sparrow. Double-crested cormorant reportedly use surrounding creeks.
Cutchogue Harbor and Wetlands are very productive areas for marine flnfish and shellfish. The
marshes, mudflats and tidal creeks contribute significantly to the biological productivity of
Cutchogue Harbor and adjoining portions of the Peconic Bays. Historically, eelgrass beds were
present in the southwestern portion on the harbor, supporting a large number of commercial scallop
houses in New Suffolk to the west.
The Cutchogue Harbor area is one of the top areas in Southold for the harvesting of scallops and
clams. The level of scalloping is significant at the county level. Clamming is significant to the
Town of Southold. There is also a conch fisheryoflocal importance. An administrative closure is
in effect between May 15 and October 31 for Broadwater Cove and Wickham Creek. East Creek
is closed to shellfishing year round. Blue crab are harvested locally for recreational purposes. The
wetlands and tidal creeks serve as nursery and feeding areas (April-November, generally) for many
estuarine fish species, including scup and winter flounder.
IMPACT ASSESSMENT:
Any activity that would substantially degrade the water quality in Cutchogue Harbor or the adjacent
wetlands and creeks, would adversely affect the biological productivity of this area. All species of
fish and wildlife may be affected by water pollution, such as chemical contamination (including food
chain effects resulting from bioaccumulation), oil spills, excessive turbidity, stormwater runoff, and
waste disposal, including boat wastes. It is essential that high water quality be maintained in the
area, through control of sewage discharges from recreational boats and upland sources.
Alteration of tidal patterns in the Cutchogue Harbor Wetlands (e.g., by modifying the inlets) could
have major impacts on the fish and wildlife species present. Dredging in Cutchogue Harbor should
be scheduled from September 15 through December 15 to minimize potential impacts on aquatic
organisms and to allow for dredged material disposal when wildlife populations are least sensitive
to disturbance. Dredged material disposal that alters creek inlets or tidal flow would negatively
impact the habitat value of this site. Such impacts are reported to exist already at a dredged material
disposal site in the Meadow Beach area, where tidal flow has been altered causing erosion of the
marsh and shoaling to the north. Barriers to fish migration, whether physical or chemical, into
Wickham Creek or Haywater Cove would have a major impact on the fisheries. Restoration of
fisheries habitat through removal of such barriers, or other means, should be considered for the
Cutchogue Harbor and Wetlands area.
Unrestricted use of motorized vessels including personal watercraft in the protected, shallow waters
of bays, harbors, and tidal creeks can have adverse effects on aquatic vegetation and fish and wildlife
populations. Use of motorized vessels should be controlled (e.g., no wake zones, speed zones, zones
Page 3 of 5
of exclusion) in and adjacent to shallow waters and vegetated wetlands.
Elimination ofsaltmarsh and intertidal areas, through loss of tidal connection, dredging, excavation,
or filling, would result in a direct loss of valuable habitat area. Dredged material disposal in this area
would be detrimental, but such activities may be designed to maintain or improve the habitat for
certain species of wildlife, especially nesting shorebirds. Construction of shoreline structures, such
as docks, piers, bulkheads, or revetments, in areas not previously disturbed by development, may
result in the loss of productive areas which support the fish and wildlife resources of the Cutchogue
Harbor area. Alternative strategies for the protection of shoreline property should be examined,
including innovative, vegetation-based approaches. Control of invasive nuisance plant species,
through a variety of means, may improve fish and wildlife species use of the area and enhance
overall wetland values.
Restoration opportunities may exist for eelgrass habitat in the western nearshore area of the harbor
mouth. Eelgrass beds require high water quality for survival, and the existence of appropriate
environmental conditions for eelgrass restoration should be carefully examined.
Nesting shorebirds inhabiting Cutchogue Harbor and Wetlands are highly vulnerable to disturbance
by humans, especially during the nesting and fledging period (March 15 through August 15).
Significant pedestrian traffic or recreational vehicle use of the beach could easily eliminate the use
of this site as a breeding area and should be minimized during this period. Recreational activities
(e.g., boat and personal watercraft landing, off-road vehicle use, picnicking) in the vicinity of bird
nesting areas should be minimized during this period. Predation of chicks and destruction of eggs
or nests by unleashed pets (e.g., dogs, cats) and natural predators may also occur, and predator
control should be implemented where feasible. Fencing and/or continued annual posting of
shorebird nesting areas should be provided to help protect these species. Control of vegetative
succession, through beneficial use of dredged material or other means may improve the availability
of nesting habitat in this area.
Page 4 of 5
KNOWLEDGEABLE CONTACTS:
Habitat Unit
NYS Department of State
Division of Coastal Resources
41 State Street
Albany, NY 12231
Phone: (518)474-6000
NYSDEC--Region 1
StYe University of NewYork, Building 40
Stony Brook, NY 11790-2356
Phone:(631)444-0354
Wildlife Manager
NYSDEC--Region 1
State University of New York, Building 40
Stony Brook, NY 11790
Phone: (631) 444-0310
Bureau of Marine Resources
NYSDEC
205 N. Belle Meade Road, Suite 1
East Setauket, NY 11733
Phone: (631) 444-0430
Finfish and Crustaceans
NYSDEC
205 N. Belle Meade Road, Suite 1
East Setauket, NY 11733
Phone: (631) 444-0436
New York Natural Heritage Program
Wildlife Resources Center
700 Troy-Schenectady Road
Latham, NY 12110
Phone: (518) 783-3932
Town of Southold
Town Hall
53095 Main Road; P.O. Box 1179
Southold, NY 11971
Phone: (631) 765-1801
Office of Ecology
Suffolk County Dept. of Health Services
Bureau of Environmental Management
County Center
Riverhead, NY 11901
Phone: (631) 852-2077
Seatuck Research Program
Comell University Laboratory of Ornithology
P.O. Box 31
lslip~ NY 11751
Phone: (631) 581-6908
NYS Sea Grant Extension Service
Comell Unive~ity Labor~ory
3905 Sound Avenue
Riverhead, NY 11901
Phone: (631)727-3910
Cornell Cooperative Extension
Marine Program
3690 Cedar Beach Road
Southold, NYl1971
Phone:(631) 852-8660
Paul Stoutenburgh
4015 Skunk Lane
Cutchogue, NY 11935
Phone:(631)734-6605
Page 5 of 5
PLANNING BOARD MEMBERS
JERILYN B. WOODHOUSE
Chair
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L~TOWNSEND
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
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
To: Town of Southold Board of Trustees
From: Mark Terry, Senior Environmental Planner
LWRP Coordinator
Date: January 13, 2006
Re: Request for Wetland Permit for Jerry and Linda Matejka
SCTM#1000-103-10-27
JERRY & LINDA MATEJKA request a Wetland Permit to construct a second-story addition
to the existing dwelling and renovate the first floor by adding 226 sq.fi. Located: 1300 Strohson
Rd, Cutchogue. SCTM#103-10-27
The proposed action is located adjacent to a New York State Significant Fish and Wildlife
Habitat (description attached)
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 action is generally CONSISTENT with the Policy Standards and therefore is
CONSISTENT with the LWRP provided that the following standard best management practices
are implemented to further the intent of Policy 5: Protect and Improve Water Quality in the
Town of Southold.
1. Require erosion and sediment controls (haybales, silt fencing) to protect the
wetland system to the east of the property.
Require water quality protection measures for constructed areas generating
runoff (gutters, downspouts, dry wells).
3. Require a oervious driveway for the prooosed driveway extension.
Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing
its written determination regarding the consistency of the proposed action.
COASTAL FISH & WILDLIFE HABITAT ASSESSMENT FORM
Name of Area:
Designated:
Date Revised:
County:
Town(s):
7½' Quadrangle(s):
Cutchogue Harbor and Wetlands
March 15, 1987
May 15, 2002
Suffolk
Southold
Southold, NY; Southampton, NY
Assessment Criteria
Ecosystem Rarity (ER)--the uniqueness of the plant and animal community in the area
and the physical, structural, and chemical features supporting this community.
ER assessment: Bay-wetland complex, unusual in northern Long Island, but degraded in
places by marina/residential development. Calculation: ~(16 x 9) =
Species Vulnerability (SV)--the degree of vulnerability throughout its range in New
York State of a species residing in the ecosystem or utilizing the ecosystem for its
survival.
SV assessment: Least tern (T), piping plover (E, T-Fed), and osprey (SC) nesting.
Calculation: 36 + (25/2) + (16/4) -
Human Use (HU)- the conduct of significant, demonstrable commercial, recreational,
or educational wildlife-related human uses, either consumptive or non-consumptive, in
the area or directly dependent upon the area.
HU assessment: Commercial and recreational scalloping significant to Suffolk County.
Clamming siguificant at the town ievel.
Population Level (PL)--the concentration of a species in the area during its normal,
recurring period of occurrence, regardless of the length of that period of occurrence.
PL assessment: Concentration of osprey is significant at the county-level.
Replaceability (R)--ability to replace the area, either on or off site, with an equivalent
replacement for the same fish and wildlife and uses of those same fish and wildlife, for
the same users of those fish and wildlife.
R assessment: Irreplaceable.
12
52.5
4
4
1.2
Habitat Index = [ER + SV + HU + PL] = 72.5
Significance = HI x R = 87.0
Page I of 5
NEW YORK STATE
SIGNIFICANT COASTAL FISH AND WILDLIFE HABITAT
NARRATIVE
CUTCHOGUE HARBOR AND WETLANDS
LOCATION AND DESCRIPTION OF HABITAT:
Cutchogue Harbor and its adjacent wetlands are located west of Little Hog Neck, opening into Little
Peconic Bay in the Town of Southold, Suffolk County (7.5' Quadrangles: Southold, NY and
Southampton, NY). This approximate 490 acre habitat includes the shallow open water area of
Cutchogue Harbor (205 acres) and three adjacent, distinct tidal wetland/creek areas: Wickham
Creek, Haywater Cove, and Meadow Beach (Horseshoe Cove). The Wickham Creek area contains
approximately 70 acres of undisturbed tidal creek and Salt Marsh located behind a iow beach on
Cutchogue Harbor. The Haywater Cove area consists of approximately 190 acres of Salt Marsh
islands, mudflats, open water and tidal Creek including East Creek, Mud Creek and Broadwater
Cove. All three of these tidal creeks have been disturbed to some extent by adjacent residential and
recreational development. The Meadow Beach area is an approximate 25 acre area, including a 15
acre wetland preserve owned by the Nature Conservancy, bordered by undeveloped wooded
shoreline. Much of the Cutchogue Harbor and Wetlands areareceives moderate summer recreational
use, including recreational boating in the coves and creeks.
FISH AND WILDLIFE VALUES:
The Cutchogue Harbor and Wetlands complex represents a valuable ecosystem area in northern Long
Island. Although the three wetland sites are relatively small, and subject to human disturbances, they
provide suitable habitat for a variety of coastal wildlife species, including osprey (SC), least tern (T),
piping plover (E, T-Fed) and diamondback terrapin.
Osprey have nested in the area for many years using man-made nesting platforms placed at Wickham
Creek and Meadow Beach. The Meadow Beach nesting site has been especiallyproductive in past
years, and has served as a source of young birds for the NYSDEC's "hacking" program in western
New York. A nesting platform in Haywater Cove historically has been active and is an important
potential nesting site.
Meadow Beach supported a relatively small nesting colony of least terns of 20-60 pairs during
1982-1985. These numbers declined between 1986-1991 (ranging fi.om 13-24 pairs). Least tern
have nested sporadically since 1991 ( 1 pair in 1993; 14 pairs in 1997). Up to 4 pairs of piping plover
nested at Meadow Beach and Wickham Creek during the early 1980s, but similarly, numbers of this
species have declined to an annual average of 1 nesting pair between 1987 and 1996. The peak
number of nesting piping plover pairs in the area during this period was 2, occurring in 1994.
Diamondback terrapin nest in the Haywater Cove area, and up to 20 nests were reported from the
marsh areas at the mouth of Wickham Creek in 1996. This area may provide important breeding
Page 2 of 5
habitat for horseshoe crab, but additional documentation is required. The Cutchogue Harbor
Wetlands serve as valuable feeding areas for the species noted above, as well as for herons, egrets,
waterfowl, shorehirds, and a variety of other wildlife species. Bird species that are probable or
confirmed inhabitants of the area include green heron, yellow-crowned night heron, Canada goose,
mallard, American black duck, clapper rail, killdeer, belted kingfisher, red-winged blackbird, and
sharp-tailed sparrow. Double-crested cormorant reportedly use surrounding creeks.
Cutchogue Harbor and Wetlands are very productive areas for marine finfish and shellfish. The
marshes, mudfiats and tidal creeks contribute significantly to the biological productivity of
Cutchogue Harbor and adjoining portions of the Peconic Bays. Historically, eelgrass beds were
present in the southwestern portion on the harbor, supporting a large number of commercial scallop
houses in New Suffolk to the west.
The Cutchogue Harbor area is one of the top areas in Southold for the harvesting of scallops and
clams. The level of scalloping is significant at the county level. Clamming is significant to the
Town of Southold. There is also a conch fisheryoflocal importance. An administrative closure is
in effect between May 15 and October 31 for Broadwater Cove and Wickham Creek. East Creek
is closed to shellfishing year round. Blue crab are harvested locally for recreational purposes. The
wetlands and tidal creeks serve as nursery and feeding areas (April-November, generally) for many
estuarine fish species, including scup and winter flounder.
iMPACT ASSESSMENT:
Any activity that would substantially degrade the water quality in Cutchogue Harbor or the adjacent
wetlands and creeks, would adversely affect the biological productivity of this area. All species of
fish and wildlife may be affected by water pollution, such as chemical contamination (including food
chain effects resulting from bioaccumulation), oil spills, excessive turbidity, stonnwater runoff, and
waste disposal, including boat wastes. It is essential that high water quality be maintained in the
area, through control of sewage discharges from recreational boats and upland sources.
Alteration of tidal patterns in the Cutchogue Harbor Wetlands (e.g., by modifying the inlets) could
have major impacts on the fish and wildlife species present. Dredging in Cutchogue Harbor should
be scheduled from September 15 through December 15 to minimize potential impacts on aquatic
organisms and to allow for dredged material disposal when wildlife populations are least sensitive
to disturbance. Dredged material disposal that alters creek inlets or tidal flow would negatively
impact the habitat value of this site. Such impacts are reported to exist already at a dredged material
disposal site in the Meadow Beach area, where tidal flow has been altered causing erosion of the
marsh and shoaling to the north. Barriers to fish migration, whether physical or chemical, into
Wickham Creek or Haywater Cove would have a major impact on the fisheries. Restoration of
fisheries habitat through removal of such barriers, or other means, should be considered for the
Cutchogue Harbor and Wetlands area.
Unrestricted use of motorized vessels including personal watercraft in the protected, shallow waters
of bays, harbors, and tidal creeks can have adverse effects on aquatic vegetation and fish and wildlife
populations. Use of motorized vessels should be controlled (e.g., no wake zones, speed zones, zones
Page 3 of 5
of exclusion) in and adjacent to shallow waters and vegetated wetlands.
Elimination of salt marsh and intertidal areas, through loss of tidal connection, dredging, excavation,
or filling, would result in a direct loss of valuable habitat area. Dredged material disposal in this area
would be detrimental, but such activities may be designed to maintain or improve the habitat for
certain species of wildlife, especially nesting shorebirds. Construction of shoreline structures, such
as docks, piers, bulkheads, or revetments, in areas not previously disturbed by development, may
result in the loss of productive areas which support the fish and wildlife resources of the Cutchogue
Harbor area. Alternative strategies for the protection of shoreline property should be examined,
including innovative, vegetation-based approaches. Control of invasive nuisance plant species,
through a variety of means, may improve fish and wildlife species use of the area and enhance
overall wetland values.
Restoration opportunities may exist for eelgrass habitat in the western nearshore area of the harbor
mouth. Eelgrass beds require high water quality for survival, and the existence of appropriate
environmental conditions for eelgrass restoration should be carefully examined.
Nesting shorebirds inhabiting Cutchogue Harbor and Wetlands are highly vulnerable to disturbance
by humans, especially during the nesting and fledging period (March 15 through August 15).
Significant pedestrian traffic or recreational vehicle use of the beach could easily eliminate the use
of this site as a breeding area and should be minimized during this period. Recreational activities
(e.g., boat and personal watercraft landing, off-road vehicle use, picnicking) in the vicinity of bird
nesting areas should be minimized during this period. Predation of chicks and destruction of eggs
or nests by unleashed pets (e.g., dogs, cats) and natural predators may also occur, and predator
control should be implemented where feasible. Fencing and/or continued annual posting of
shorebird nesting areas should be provided to help protect these species. Control of vegetative
succession, through beneficial use of dredged material or other means may improve the availability
of nesting habitat in this area.
Page 4 of 5
KNOWLEDGEABLE CONTACTS:
Habitat Unit
NYS Department of State
Division of Coastal Resources
41 State Street
Albany, NY 12231
Phone: (518)474-6000
NYSDEC--Region 1
State University of New York, Building 40
Stony Brook, NY 11790-2356
Phone: (631) 444-0354
Wildlife Manager
NYSDEC--Region 1
State University of New York, Building 40
Stony Brook, NY 11790
Phone: (631) 444-0310
Bureau of Marine Resources
NYSDEC
205 N. Belle Meade Road, Suite 1
East Setauket, NY 11733
Phone: (631) 444-0430
Finfish and Crustaceans
NYSDEC
205 N. Belle Meade Road, Suite 1
East Setauket, NY 11733
Phone: (631) 444-0436
New York Natural Heritage Program
Wildlife Resources Center
700 Troy-Schenectady Road
Latham, NY 12110
Phone: (518) 783-3932
Town of Southold
Town Hall
53095 Main Road; P.O. Box 1179
Southold, NY 11971
Phone: (631) 765-1801
Office of Ecology
Suffolk County Dept. of Health Services
Bureau of Environmental Management
County Center
Riverhead, NY 11901
Phone: (631) 852-2077
Seatuck Research Program
Comell University Laboratory of Ornithology
P.O. Box 31
lslip, NY 11751
Phone: (631) 581-6908
NYS Sea Grant Extension Service
Comell University Laboratory
3905 Sound Avenue
Riverhead, NY 11901
Phone: (631) 727-3910
Comell Cooperative Extension
Marine Program
3690 Cedar Beach Road
Southold, NY 11971
Phone: (631) 852-8660
Paul Stoutenburgh
4015 Skunk Lane
Cutchogue, NY 11935
Phone: (631) 734-6605
Page 5 of 5
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 OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office UseOnly
Coastal Erosion Permit Application
~Wetland Permit Application __ Administrative Permit
AmendmenffTrans f.e.r/Extensior~
~--Rec ei~ed Application:
~Received Fee:$ 6~ ~'~ '
~ompleted Application /~/i ~]
__Incomplete
__SEQRA Classification:
Type I__Type II Unlisted
__Coordination: (date sent)
~LWRP Consistency Assessment Fo-rm
CAC Referral Sent:
~'Date of Inspection: ]/
Receipt of CAC RepOR:
__Lead Agency Determination:__
Technical Review:
-"P'ublic Hearing Held:
__Resolution:_
I FC 1 9 2005
Nam e o f Applic ant ~:: SZ. gL'/
Address
Suffolk County Tax Map Nmber: 1000 - /~ ~ ~/~ ~ ~ 7
Prope.y Location:
(provide LILCO Pole s, and~eafion)
AGENT:
(If applicable)
Address:
Phone:
~ard of Trustees Applicat:
GENERAL DATA
Land Area (in square feet):
Area Zoning: ~
Previous use of property: .~-r~-'
Intended use o£property: ~
Prior permits/approvals for site improvements:
Agency
Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or susp~e~ded by a governmental agency?
~ No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
,ard of Trustees Applicat
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: /t~
Area of wetlands on lot: D square feet
Percent coverage of lot: 0 %
Closest distance between nearest existing structure and upland
edge of wetlands: 570, ~ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: D-~, ~ feet
Does the project involve excavation or filling?
No X Yes
If yes, how much material will be excavated? /r~ cubic yards
How much material will be filled? ['~ cubic yards
Depth of which material will be removed or deposited: ~-~ feet
Proposed slope throughout the area of operations: /~; / ~
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
PROJECT ID NUMBER
PART 1 - PROJECT INFORMATION
1. APPLICANT / SPONSOR
3 PROJECT LOCATION:
Municipality .5 C*'~'¢...'/~ ~-~
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
SEQR
4 PRECISE LOCATION: Street Adde~and Road Intersections, Prominent landmarks etc- or provide map
/¢ c-z:,
5.1S PROPOSED A~ION: ~ New ~Expansion ~Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED: ~.~b .5~..
Initially acres Ultima[et~ acres
&~yPROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
es [] No If no. describe briefly:
9~9 ~/HAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
Residential [] Industrial []Commercial E~Agriculture [] Park/Forest/Open Space
]Other (describe)
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. list agency name and permit , appr~;~Al~
11. DOE8 ANY ASPECT OF THE ACTION HAVE A OURRENTLY VALID PERMIT OR APPROVAL? E~Yes ~q~No If yes, list agency name and permit / approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
E]Yes E]No
//~F~TiFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
// / IftheactionisaC~T~Area, and you are a state agency, / /
[J complete the Coastal Assessment Form before proceeding with this assess~7~ent
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDE OR~TED ACTIONS IN g 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, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
)otential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resoumes; or community or neighborhood character? Explain briefly:
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitais, or threatened or endangered species? Explain briefly:
C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other naturaJ resources? Explain briefly:
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 impacts (includin¢ chan~es in use of either quantit~ or type of energy? Explain briefly/:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly:
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain:
[~Yes r-~No
PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: F~re~chadVersee~ectidenti~edab~Ve~determinewhetheritissubstantia~~~arge~~mp~rtant~r~therwisesignificant~ 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 id entitled one or more potentially large or significant adverse im pacts which MAY occur. Then proceed direcfiy to the FULL
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 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
print 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 OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name~
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
~--'-~ /x~.~ , residing at ,/:~)Z) ,~c77~O//r~o'- t~
~--/~t0~, c) ~_ , being duly sworn, deposes and says that on the
.~ ~ day of ,D ~-F_.. ,20 O~-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
assessme~r.o, ll of the~Town of Southold; that said Notices were mailed at the United States Post
Office a~ , that said Notices were mailed to each of said persons by
(certified) (registered) mail.
Sworn to before me this
Day of ~---~J3/ ,20 ~ff57
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-~f~q~
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application of
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
being duly sworn, depose and say:
That on thel~day o~ , 200 ~Tpersonally posted thc property Mmwn as
by placing the Board of Trustees official poster where it c~ 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
he~ing. Date of hearing noted thereon to be held I~ ~O. I~ ~ -
Dated:
Sworn to betbre me this
,.~ day or,PA/ 200 ~,
NO'r~U~ PUBLI~, &tit~ d Hew
No. 4M3'f4~, h'f~
~ E~lr~ ,~ ~4 7,~ ~' !
Board of Trustees Application
County of Suffolk
State of New York
~J-~__.]:2 y /'v'/ra):j---"'~zx,7"JzS. z~ BEiNG DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HERE1N ARE
TRUE TO THE BEST OF mS/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 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, THE1R AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES iN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
SWO, NTOBEFO ME HIS
SUSAN d. NAG¥
Notary Public State of New 't%: ~*k
No. 4896735
QuaWied Ir~ Suffolk Coun~
Comm~slon EXpires May 2o ~
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics nrohibits conflicts of interest on the part of town officers and emvloYees. The numose 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: ~,~fidn~un~ddle~it~ial, tmle~s~y ~ou are applying in the name of
someone else or other entity, such as a company. If so, indinat~ the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest'~ means a 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 ~
If you answered '~YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agentJrepresentative) and the town officer or employee. Either check
the appropriate linc A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
A) the owner of greater than 5% of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
__B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
__.C) an officer, director, parmer, or employee of the applicant; or
__D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS 1
200 ~_~-
Town 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 Sonthold 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 (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 expla'med in detail, listin~ both supportin~ and non-
suooortim, facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not bc 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
scm#
PROJECT NAME
The Application has been submitted to (check appropriate response):
Town Board [] Planning Board [] Building Dept. [--] Board ofTrustees~]/
Category of Town of S outhold 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:
Present zoning classification:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Nameofapplicant: (27'~f)--fl--)t & &/w~/¢
(b) Mailing address: /,~t~t) ~77L~
(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 [~] Nq~/ 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 thc 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
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 III - Policies; Pages 22
through 32 for evaluation criteria.
Yes No Not Ap~cable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southoid. 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.
J~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.
~ YeJ-'-] No~NotApplicable
Attach additional sheets if necessary
WORKING COAST POLICI~I~
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.
[] Not App,ieable
PREPARED
TITLE
DATE/~/~