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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!.~~ ~O~. o~ \. (\! .-^f-J'"' U7{). ~pt 11//~/D1 () . /(, ~~T C~,# 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 Z 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/~/~