HomeMy WebLinkAboutTR-6338
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
Date October 3, 2007
# 0262C
THIS CERTIFIES that the addition on the north side of the dwelling, deck, and detached
garage
At 655 Lake Dr., Southold
Suffolk County Tax Map # 80-3-20
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 3/28/06 pursuant to which Trustees Permit #6338 Dated 4/19/06
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 the addition on the north side of the dwelling, deck, and detached garage.
The certificate is issued to CHARLES & LYNN HILL owner of the
aforesaid property.
rc77
Authorized Signature
TERMS and CONDf11QNS
1.1Ie ~
Charles anq Lynn Hill
~""'lg~ Southold '" '. N. y....~
= me coasidendoo IQt the ,........... of che &:mltdoes ~ &nd p=lbe to the tot;
1. That the said.JJoatd of TrusteU Md the TQWI1 of Southold ate rdQted f1'OQl ony aod
aU c1amages, 01: dalms foe'daaJaees, of II,I1ls u/$io& clUec:(l.r or iaditcdlr as . ~ of an.y opet-
adcKI: pedoaaccl"'f'WSlblCIt',..lWl~fA!I!I!.~~. ~~~_~~ <<bet OWl> at'Cok.
delead _y MdaU ... tuit(lnl".tedby tbltd.,atdes, e.od the ald........!.lff 8<$''I'''S fuIllhbIDtr
wilh reSP<<t cbeteto. N-th~!rtea:dusiOCl of the Baud of Trusttes of the Town of ~
. 2. That dds I'e.uDlt ~. ~d Ioc a pedod of 24 . '1IlOS. .wbid1. is ~ to be tlJe
MIl.....led tio>e'tequhed to 'Co'mplete the wotk lo...ol\'ed, buti:houfd ~ wemnt, teql1C$t
101: ... exteIl$10D _y be made to the lloerd at a ~ ~ .
.' a. That this PeQnit should be cetaloed lodefloltely, oc as loog as the ,aid Peuoltt<< wishes .
to' ,,,.In..ln the sttucQtte oc ptQject lo..-olved, to provide evidea", to a.ayooe (X)Qcecoed that aulh-
~don was od8loaUr oblf,loed.
4. ThaI the wotk /ovolved will be subject (0 the ~ e.od 8WcOftl of the Jloud 01:
its ageots, Md DOD-<lOmpllao<e with the pcovisions of the odgloadng applicatioo, maybe ause fot
rcvocaooo of this I'c<mit by ~1\lOOD of the said Board.
S. Tbac tbetc will be DO Wlttasooable lotedeceoce with oavlgatloo as a mult of the 'lI'Od<
beRIa au"thodzetl. .
. 6. That tbetc shall be AD lotedeceoce with the right of the public to pass e.od tepw aloog .
the ~ch bet1fteo bJ8b.aod loW walet IJI8lkJ. .
7. That if futw:e opendons of the Town of South91d requke the. removal audiO[ altendoos
14 the l<<adoo of.the wotk betelo ..cbotV.e<l, or If. 10 the oploIoaofcbe.Boacd of Truslea, the.
....shaU cause wueasooable ohsttud1OD to free oaviptioo, the u1d Perm/.uee will be reIJUl1'cd,
IIf'ODdue oodoe, to ROlOVe oc al~ this 'II'Otk oc project hecdo sute4 ~ ~ to the Town'
. of $o\ldiold. . . . .
B. That the said Iloud will be oodfied by tbe Pecmluee ot the ~.. of the wotk auth-
odzed.
9. Thatthe.1'etml<<ee will dltalo. aU othec permits aod ~ci.Cbat may be requlted .
....-t111 CO ..... petmk'~ _rbe IUbjec:t to revoP upoo fIIIaro CO obWn same.
':'
..
-.....__. !'I.R
r..I""""___
.
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
April 19, 2006
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Charles and Lynn Hill
655 Lake Drive
Southold, NY 11971
RE: CHARLES AND LYNN HILL
655 LAKE DRIVE, SOUTHOLD
SCTM# 80-3-20
Dear Mr. And Mrs. Hill:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, April 19, 2006 regarding the above matter:
WHEREAS, CHARLES AND LYNN HILL 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 March 28, 2006 and
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council and to 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 April 19, 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 structure complies with the standards set forth in Chapter 97 of the
Southold Town Code,
2
.
.
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
RESOLVED, that the Board of Trustees approve the application of CHARLES & LYNN
HILL to construct a 6'X 26' addition on the north side of the dwelling, 6'X 26' deck, and
a 26'X 20' detached garage on the south side of the property with the condition of
haybales during construction and all as depicted in the plans prepared by Reddan
Surveying, Inc. approved 4/19/06 by the Board of Trustees.
Permit to construct and complete project will expire two years from the date the permit
Is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
This is not a determination from any other agency.
Fees: $50.00
Very Truly Yours,
r-o<~
James F. King
President, Board of Trustees
JFKlhkc
T ~
.
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
1 st day of construction
Y:z constructed
/ Project complete, compliance inspection.
1-
.
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
TO: Ch~ th'\\
Please be advised that your application dated
reviewed by this Board at the regular meeting of
following action was taken:
~PPlication Approved (see below)
L-) Application Denied (see below)
L-) Application Tabled (see below)
3 )"2€/o (,
LJ /6'11/ 0.(
,
has been
and the
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:S{ r r;-: ( . L r:
:;>0 'tJ",-, IhJ~C."Sh ~
TOTAL FEES DUE: $ 50 ~
BY: James F. King, President
Board of Trustees
. 2006 Field Inspe.
Apnl12,
.
April 12, 2006 Field Insp.n
.
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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
Southold Town Board of Trustees
Field InspectionIWorksession Report
Date/Time: L{ - I ;) - 00
Name of Applicant: C ~~ t+,' II
Name of Agent:
Property Location: SCTM# & Street Be) -]-.J 0
655> l<<kt 0r
( p__~ JA.... ~4-
oy rJ ~""1"'<<.J
Brief Description of proposed action:
f+o\/v,+.orJ ~ ~(/\rO\y<-
Type of area to be impacted:
v' Saltwater Wetland Freshwater Wetland _Sound Front _Bay Front
Distance of proposed work to edge of above:
paft of Town Code proposed work falls under:
~Chapt.97 _Chapt. 37 _other
Type of Application: v' Wetland _Coastal Erosion _Amendment _Administrative
_Emergency
Info needed:
Modifications:
~ k,.,\/:., I~;I\ J..."".....
n~ ,All., . I ~,.~q"
, c.c.:' 1./ ./ ~ ./
Present Were: _J.King _1.Doherty _P.Dickerson _D. Bergen_J.Holzapfel
Other:
Conditions:
MailedIFaxed to:
Date:
.
.
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., April
12,2006, the following recommendation was made:
Moved by Jack McGreevy, seconded by Tom Schlichter, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A CONDITION of the Wetland, Permit application of CHARLES & LYNN HILL to
construct a 6'X 26' addition on the north side of the dwelling, 6'X 26' deck, and a 26'X
20' detached garage on the south side of the property.
Located: 655 Lake Dr., Southold. SCTM#80-3-20
The CAC recommends Approval of the application with the Condition of a 25' non-turf
buffer landward of the bulkhead and a 10' non-turf buffer on the right corner of the
property.
Vote of Council: Ayes: All
Motion Carried
.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
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 SOUTH OLD
January 20,2006
Mr. Charles Hill
655 Lake Drive
Southold, NY 11971
Re: Wetland Permit ~Dr Construction
655 Lake Drive, Southold
Dear Mr. Hill:
The office of the Board of Trustees has inspected the above referenced property at your
request for a letter of non-jurisdiction for construction of an addition.
It was found that while the proposed addition is just beyond the 100' from the proposed
addition to the bulkh"ad's edge, it is 61' to the wetlands on the adjacent property. The
Board will require you to get a Wetland Permit for the addition.
Enclosed it an application for a Wetland Permit. Please contact this office if you need any
assistance with completing the application.
Sincerely,
~~
Heather Cusack
Environmental Technician
.
.
7
110(\--<1'
CHARLES B. HILL
655 Lake Dr.
Southold, New York 11971
914 469-3095
11/8/05
.. -''-I'''~ '1"-;""
,\. ;--,
_J 1.':::J \
Board of Trustees
P.O. box 1179
Southold, N.Y. 11971
C/O Lauren.
NOY 1 5 2005
L__
Dear Sirs,
I am requesting a letter of non-jurisdiction regarding my proposed re-modeling of my
home at the above address.
As requested, I have enclosed a survey of the property with the proposed construction
outlined in red. Again- the proposed construction will be 107 ft. from the bulkhead (water) .
Please contact me at the above phone # if you have any questions regarding this matter.
** Also- all mail forwarded to me should go to P.O. box 323- White Plains, N.Y. 10605.
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MAP OCTOBER 7, 1936
FILED P 111215
S.C.T.~AIOOO-80-3-20 S B t
SITUA TED AT
655 LAKE DRIVE
BA YVIEV
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SUFFOLK COUNTY, NEV A
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LENDING INSTITUTIDNor L~HE LENDING INS '.
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THIS DRA VING IS CE~TI~lLL 8. LYNN B. HILL
oVNERS - CHARLES .
-~........
PflD'AflQ)8Y:
srJUAlE AT W
655 LAKE DRIVE, SA YVI.;...._
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MAP
SURVEY OF
PLOT 1
OF RE-SUBDIVISION OF BLOCK F
MAP OF REYDON SHDF~ES
FILED OCTOBER 7. 1,136
MAP #1215
S,C,T,M, 1000-80-3-20
SITUA TED AT
655 LAKE DRIVE
BAYVIEW
TOWN OF SOUTHOLIl
SUFFOLK COUNTY. NEW YORK
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THIS DRAWING IS CE
OWNERS - CHARLES B, HILL
:?<7/P~i ",
. ._~ .,_ fJ"Y'("
OilO~J.fi6s .j@,ti<< 11
~331SmfL:lGl ~~
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UNAUTHORIZED AL TERA nONS OR ADDlI
TO THIS SURVEY IS A VIOLA TIDN Dr
SEcnON 7C!:09 Of THE NEIJ YORK Sf A
EDUCATION LA'"
COPIES Of THIS SURVEY HAP NOT BE.
THE lAND SURVEYOR'S INKED SEAL [!;
EMBOSSED SEAl. SHALL NOT BE CONS!
TO BE VALID TRUE caP'!'.
CERTIF'ICA lIONS INDICA TED HEREON S:
ONlY TO PERSON F1JR 'WHOM THE SUR'
tS PREPARED, AND ON HIS BEHALf TO
TITLE COMPANY, GOVERNMENTAl AGENI
LENDING INSTITUTION LISTED HEREON,
TO THE ASSIGNEES Of THE LENDING I
TUTION, CERTIf"ICA TIONS ARE NOT TRA
PREPARED IN ACCORDANCE IJITH THE :
STANDARDS fOR TITLE Sl,RVEYS AS E
BY THE L,I,A.L.s. AND APPROVED AND
fOR SUCH USE BY THE NE'w' YORK ST.'
TITLE ASSOCIATION.
MAR
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l___ _' TITLE SURVEY
L --=-- -=-_
L SlNAlEAT
_~........ 655 LAKE DRIVE, BAY~
1--"
1-'=-_-
HILL
REDOAN SURVEYING, INC.
-.......
lla,'iW'\f,., lll1l!ll:,
_~.I DA'it:-'/I'~_ I sC..u:
NOTE'
SHOTS TAKEN ALONG BULK HEAD ARE TAKEN
AT GROUND LEVEL AT THE FACE AND TOP AT
THE BACK
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SURVEY OF
PLOT 1
MAP OF RE-SUBDIVISION OF BLOCK F
MAP OF REYDON SHORES
FILED OCTOBER 7, 1936
MAP #1215
S,C,T,M, 1000-80-3-2:0
SITUA TED AT
655 LAKE DRIVE
BA YVIEW
TOWN OF SOUTHOLIl
SUFFOLK COUNTY, NEW YORK
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MAR 2 2 2006
UNAUTHORIZED AL fERA nONS OR: ADDITI
TO THIS SURVEY IS A VIOLATION OF'
SECTION 7209 OF THE NE\J' YORK S1 II T
EDueA lION LA lJ
COPIES OF' THIS SURVEY HAP NOT BEA
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAl SHALL NOT BE CONSID-
TO BE VAlID TRUE COPY.
CERTlF'lCA lIONS INDICA TED HEREON SHi
ONLY TO PERSON fOR 'WHOM THE SURV:
IS PREPARED, AND ON HIS BEHALF' TO
TITLE COMPANY, GOVERNMENTAL AGENC'
LE:NDING INSTITUTION LISTED HEREON,
TO THE ASSIGNEES Of THE LENDING IN
TUlION, CERTIF"ICA lIONS ARE NOT iRAN
PREPARED IN ACCORDANCE IJITH THE H
S1 ANDARDS FOR TITLE SURVEYS AS ES
BY THE L.I,A.L..S. AND APPROVED AND A
FOR SUCH USE BY THE NE\oI YORK STAI
TITL.E ASSOCIATION.
-......
TITLE SURVEY
HILL
THIS DRAWIN[j IS CERTIFIED TO THE FOLLOWING PARTIES'
OWNERS - CHARLES B. HILL 8. LYNN B, HILL
SlUAlEAf
655 LAKE DRIVE, SA YVlEW
'fDIItolaFSIllU1KOl.D $UffQj(,
I'RO'NIIE08'r.
REODAN SURVEYING, INC.
-~
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IIlH!ll:lI.
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....
~,.
7/18/015
.
PLANNING BOARD MEMBERS
JERILYN B. WOODHOUSE
Chair
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L. TOWNSEND
.
MAltiNG ADDRESS:
P.O. Box 1179
Southold, NY 11971
OFFICE WCATION:
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: James King, President
Members of the Board of Trustees
;'1"0 r~ .
. ..
From: Mark Terry, St:nior Environmental Planner
L WRP Coordinator
Date: April 17, 2006
Re: Request for W(~tJand Permit for Hill
SCTM# 80-3-20
CHARLES & LYNN HILL request a Wetland Permit to construct a 6'X 26' addition on the
north side of the dwelling, 6'X 26' deck, and a 26'X 20' detached garage on the south side of the
property. Located: 655 Lake Dr., Southold. SCTM#80-3-20
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.
Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in
preparing its written determination regarding the consistency of the proposed action.
Please contact me at (631) 765-1938 if you have any questions regarding the above.
~
1--
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
:::;;Wetland Permit Application _ Administrative Permit
Amendment/TransferlExtension
~eceivedApplication:c~
~eceived Fee:$ .;2SO'
~mpletedApplication~
_Incomplete
_SEQRA Classification:
Type I_Type II---,--Ur~isted_
_Coordination:(date sent)
~WRP Consistency Assessment Form~Ql.,
~AC Referral sent~~'"
~ate of InspectlOn:
_Receipt ofCAC Report
_Lead Agency Determination:_
Technical Review:
-1>ublic Hearing Held: ,~
_Resolution:
MAR 2 2
j..J J-~_ ~
~) 6t:i 0\1 r r
\\ ~ ~\Y \ yjD~~
III 0
v
Name of Applicant~J.w,..--I~C'.. -+ ~Y\i1 HI 1\
Address CoSS L-(J:(:'.1Jr1'v'-<2- c;~cl'J.\D\c')lct I ~~J
Phone Number:f3)17 (f;':::,;j. S'G'S'
Suffolk County-Tax Map Number: 1000 - 90--"\-:t0
I\cnl
cell <=11'-\ -LI(Oc;-:x~S"
PropertyLocation:~5S LcJccl::n,,',*,- (", (("'-'-I,eVe)') :j 'l(j' esJ S:\,\.(i;olct/I-...jllcrn
Y7ol<.-ffrL ~<) ~I<: <;01 fMT"F ~7 {{j~"t'l-- (:~W,,)rJ- Lt/(e P/?,'
(provide LILC Pole #, distance to cross streets, and location)
(1 dY'--\
AGENT:
(If applicable)
Address:
Phone:
(~
{'l\0' 91\dD
-;;r i\ lr /
I
4It Board of Trustees AP~ation
GENERAL DATA
Land Area (in square feet): I ":, ';lfJ{J
)
Area Zoning: rl (' '') I & n T ,4-
/
~ .~ ~ (1
Previous use of property: '1; I <?Ji\ Cu '
Intended use of property:
R-.e s'\d<f~ c~ 0
Prior permits/approvals for site improvements:
Agency /J
fL(p,J....
-
Date
~Prior permits/approvals for site improvements,
/
Has any permit/approval ever been revoked or suspenrl..Ab'y a governmental agency?
,z-~ y~
If yes, provide explanati.Jn: ~
/
~
~~
Project Description (use attachments ifnecessary):
\ ,- trpf /2. G I X ;Jt.f I Or /JI}/JITI CIA
:1,- II It II of Oeck
3 - .J- h I y. /)0 I (.lR..-T/lci n,? y>>2'/'}:F
fll20 jIIR/f'Tj' .
. I
-:-:;~'": f~jl,::u,,-O,E-'JS'Y(cf1.s
6'>1 ()o~ <;/Oc OF )Jo{.., c:
I.
'I
,.
,.
I I
6>:h -)n L~ 5/lq' 0;--
../ 0 t...A,.e-->\.
I ('-., f)l.. f),It,j F,t (s (ifT'\fJ/.LT
~, cubic yards I (; / f; I)./l'1 r ,fff 10"'- I
cubic yards
,
~;!
r
4It Board of Trustees A~icat~on
WETLANDITRUSTEE LANDS APPLICATION DATA
. ,J-OaJ<,
Purpose of the proposed operations:----f-4CP i TI iJY\ T6 Hcw;e
J Cf2c-cr;r:JI 0:( i-C (Y-J./::A:ik' '
Area of wetlands on lot:
()
o
%
square feet
Percent coverage oflat:
Closest distance between nearest existing structure and upland A'
edge of wetlands:-=:;;' ( 1W; :- feet .fk"L(I/.!.,o. ''} 70 11/ <.
P(ic;..~<I'7
Closest distance between nearest proposed structure and upland
edge of wetlands: {.; / feet
II
Does the project inv~7cavation or filling?
No . Yes
If yes, how much material will be excavated?
(6
How much material will be filled?
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations: 0 % ir\c<cQc
Manner in which material will be removed or deposited: (p /~
Sf\l\a~_CL k~)CCI ~ <, \)l ( t'\A f\.cD
C;';i.- J,t:?t..ST:e.e<?
In5~eqf~
I I
Statement ofthe effect, if any, on the wetlands and tidal waters ofthe town that may result by
reason of such propos(:d operations (use attachments if appropriate):
NOf\e
,-
... Board of Trustees A~cat~on
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: A-A\ ~ ~ en hCv'",() ,J
(' ~ G-tUlc...'j (:' It/It. f).I!' F~(rn, LVC./L 0',,?s ,4J<:-4:~)
Are wetlands present 1hin 100 feet of the proposed activity:
No \/ _ Yes (!}<ui'Ld 1ft) To Ifc,L0
Does the project involve excavation or filling?
/
No 'v Yes
If Yes, how much material will be excavated? ~ \ (cubic yards), ,IJ '\
~,! (rr, 1tQ.. ~A(.[\ (I ;I{IJ)
How much material will be filled? ,~:of\~'.. C- ' (cubic yards) \LO I,'
Manner in which mate:rial will be removed or deposited:
.:)''V\.CC(( 'odJC C& 4- b l\ h" n (C
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
(\ (j X ~/h~~<'LC i( Lv I II {) ( ):;/ (!.f~e'>~ ~S
v .. 'J (<S,LT 0J>1)
lu >2.... frfLl!... ~I~"""- Cfil1j 6. ~c./ ( /'S/Lt I5/fR-c,.<;c
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TO G.../.;2..Tl&+t t? 1!r2...€t, J- ~l/ i I ( k i?'111 .4-.' " 7/k <.'4...
,
Urvr-rC rlz yl/!-otJ<.r-.L; 1'5 (([YJlf:'(-<.Hr<7
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. /
o 1'\ ~1 D; A.e..-,,\ ~rl,<, n .e'-\) '; AA.~ A
H15,R{DT(O Cui II 7f-t 151-K'~-f'/C
6Q.... klo/7Yl () c/c.r?
.-
.
.
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
BOARD OF TRUSTEES: TOWN OF SOUTH OLD
In the Matter of the Application
of
______ChQ!}~m'f:_0_~_h_VJ___jj{iL_____________
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, Ci {}Ie ~ /l (( , residing at ~' "7 C; {d // /(.
S(~ ,l f7 A~I
being duly sworn, depose and say: /
That on the g day ofc2f-'-.JL , 20rx:., I personally posted the property known as
J-I.L L ..res-, c-/.." c ~
by placing the Board of Tmstees official poster where it can easily be seen, and that I have
checked to be sure the poster has remained in place for eight days prior to the date of the public
hearing. Date of hearing noted thereon to be held 'U R-I. (1fJ'U'J 19 ,CK:f::itJ ~
01') 01. a60Lt-f &;3J ftrr,
- I
D>t"', '1- l?- 0(. S ~
(signature)
Sworn to before me this
".......y of ",,",,0<& (I V
"- -ecC~ "U~S~~
Notary Public 7
NalllIY 'llS~NewYolk
~~8.ly &607
r
'! MAILING OF NOTICE
RTIFIED MAIL RECEIPTS
COUNTY OF SUPFO
d~k'b~ ,rem';",,, r:;.,.,~ P/C ~"wAy Wi"
€J ' , being duly sworn, deposes and says that on the
0;. I if- ~ day 0 ' , 20~, deponent mailed a true copy of the Notice '
set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite there respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town of Southold; that said Notices were mailed at the United States Post
Office at , that said Notices were mailed to eac f said persons by
(certified) (registered) maiL
.0
:r
IT"
nJ
. . . .
U S postal Service",
. . TIFIED MAIL" RECEIPT
C E R M 'I Only' No Insurance Coverage Provided)
(Domestic 81
I
~
'~lW:;'i'
0.39
postage $
Certified Fee
,0
o
o
o
,0
I""
,0
C
..D
.JO
c:o
el"-
l"-
Return Receipt Fee
(Endorsement RequIred)
Restricted DellVeIY. Fee
(Endorsement ReqUIred)
Total postage & Fees $
Sworn to before me this 1':< pA..--
Day of IftJnJ , 20 '0 ~. .
(!/t!/{ tJ /6~
Notary P,ilblic CMQ.!'J
.~.lJl..71""
~~lOO7
'I'
Address: t~'7W( t?~,
50 ~{,o /Ly
~ 11Cf''7/
~~,
]
.
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 AME
II
SEQR
PROJECT ID NUMBER
PART 1 - PROJECT INFORMATION
1. APPLlirANT I SPONSOR
cl IfJ-e ,.)
3.PROJECT LOCATION:
Municipality C; 7Z) L, County
4. PRECISE LOCATION; Street Addess and Road Intersections, Prominent
landmarks atc - or provide map
o L)'L) C
xpanslon 0 Modification I alteration
6. DESCRIBE PROJECT BRIEFLY:
G I'X, ';)01 11#/J/r/ IY\ (/)1 /1o;-.r^
~;~ 6 1>~;6i !/e.-L/- or;:'
S-idf(
;?.e'-r.-
(J;- 1/(1(( se) o"!..--'
1'7.01'<-1"\
fj[J;);'j1Ifn <;,i?e O~
/-Jo "-5(.
- A-J. (, ')<;}o I 0" /YjC)(t/'I
. (l/!ofJ.ealt" .
I
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
8. WILL PROPOSED ACTION COMI'L Y WITH EXISTING ZONING OR OTHER RESTRICTIONS?
DYes E:r;;;, If no, de:,cribe briefiy: /'3 L,.1J/Z-f (HICt C.U 1 ~ ;:?<:j'l<-C L:,Ta",O
"J 1'< CI-e U.-f'fJ.
(~/J/':L\./j \..
/
C-Yh ') (;1 ,~,(, 5', P ( C'F
PRESENT LAND USE IN VICINITY
D Industrial [J Commercial
OF PROJECT? (Choose as many as apply.)
DAgriculture 0 Park I Forest J Open Space
D Other (describe)
10. DOES ACTION
AGENCY (Federal.
DYes
I VOLVE A PERMIT APPROVAL. OR FUNDING.
tate or Local)
If yes, list aglmcy name and permit I approval:
NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
11.DOES A~CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes L.:JNO If yes, list agency name and permit I approval:
.
E ULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
No
Applicant
PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Date 3p?);6
Signature
Ifthe action Is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
I
.
.
PART II. IMPACT ASSESSMENT (To be completed by Lead Agency)
A. DOES ACTION EXCEED ANY WPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes. coordinate the review process and use the FULL EAF.
DYes DNO
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No. a negative
declaration may be superseded by another involved agency.
DYes DNo
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,
potential for erosion, draina!;}8 or flooding problems? Explain briefly: I
I '
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
I ' I
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
I . I
C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain brieny:
I I
Co. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I I
CG. Long tenn, short term, cumulative, or other effects not identified in C1-C5? Explain briefly:
I I
C7. Other if"!1pacts (including changes in use of either Quantity or type of energy? Explain briefly:
I I
D. Will THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AT (CEA)? (If yes, explain briefly: I
DYes DNo
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain:
DYes DNOC I
PART III. DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For eac'h adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. 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 n:~levant adverse impacts have been identified and adequately addressed. If question d of part ii was checked
yes, the determination of signifiC(lnce must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
Check this box if you have idlmtified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL
EAF and/or prepare a positive declaration.
Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actiol
WILL NOT result in any siqnificant 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 Onlcer 10 Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency
Signature of Preparer (If different from responsible officer)
.
.
APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold' 5 Code of Ethics orohibits conflicts of interest on the nart of town officers and emoJovees The DUfDOse of
this (oim is to orovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is
necessarv to avoid same. .
\--\!' \
(Last name, fi name, J)1iddle initial, unless you are applying in the name of
someonl~ else or other entity, such as a company. Ifso, indicate the other
person', or company', name,)
YOUR NAME:
NAME OF APPLICATION: (Check all that apply.)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or officiall map
Other
(If "Other", name the activity.)
Building
Trustee
. Coastal Erosion
Mooring
Planning
v/
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? "Reliationship" includes by blood, rnarriag r business interest. "Business interest" means a business,
including a partnership, in whkh the town officer or employee h en a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% oft shares.
YES
NO
If you answered "'YES", complete the balance of this fonn and date and sign where indicated.
Name of person employed by tlle Town of Southold
Title or position of that person.
De,cribe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or de,cribe in the 'pace provided.
The town officer or employee or hi, orherspouse, ,ibling, paren~ or child i, (check all that apply):
_A) the owner of greater than 5% ofthe ,hares of the corporate stock of the applic~nt
(when the applicant i, a corporation);
_B) the legal orbeneticial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
_C) an office,r, director, partner, or employee of the applicant; or
_D) the actual applicant
DESCRIPTION OF RELATIONSHIP
Suhmitted thi,
Signature
Print Name
2000
Fonn TS I
eLK (-r'c>
. .
Board of Trustees Applica~ion
County of Suffolk
State of New York
~1~ k~ 15. ;.l.t '/ ( BEING DULY SWORN
D SES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE m 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, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH-:Z;::; ZATlON.
~ Signature
SWORN TO BEFORE ME THIS::Q"S'
DAY OF !,,\c;.r C. h..
,20 0(.0
'rA ~ l... )c.-
Notary Public
....... PATRICIA WARNER
".-'~bllc,.~te of New lbrll
Qua,,,,;jl n'A6140448
Commi . """,.In SufIriIk ColIn~
1Slf!!1.Expjres Januery 30P/c;l1 0
f
Town of South old
.
.
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for pennits* including Town of Southold agencies, shall complete this CCAF . for
proposed actions that are subject to the Town of South old Waterfront Consistency Review Law. This
assessment IS intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. * Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in SectiOn C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its silmificant
beneficial and adverse effects upon the coastal area (which includes all of South old Town).
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the L WRP policy standards and conditions contained in the consistency
review law. Thus. each answer must be explained in detail. listine both supportine and non-
sUDDortine facts. If an action cannot be certified as consistent with the L WRP policy standards and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of South old 's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# _I OC',(1
'5!() ~ ~
~l\
_ 'l F~
.:-'t-
PROJECT NAME
f.tv -Yc cT
The Application has been submitted to (check appropriate response):
Town Board 0 Planning Board 0 Building Dcpt. 0 Board of Trustees ~
1. Category of Town of South old agency action (check appropriate response):
(a)
Action undertaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction)
o
o
(b) Financial assistance (e.g. grant, loan, subsidy)
(c)
Permit, approval, license, certification:
[!}--
Nature and extent of actioo: _' ()._
a{ (/ [<-,''''' 1111 LZ~ I
f . .
Vlllrvr1\ Sic" or'fh(cs( ru,rA !;\.
.
10
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ft[ {o 0.. J fo I X )c i f..?f J~(/.I)
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Location of action:
Site acreage:
Present land use:
Present zoning c1assifi,~ation:
R<-., / Ole: )\ i'r'1(.
2.
(b) Mailing address:
If an application fqr the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: (l-/j/~ ~.') Jl/\....I n t]
PC: /5(.-.,; {)~ LtA,/(
/00.0 .;;
lit 1/
It v~
PL-9-" 113"
(c) Telephone number: Area Code ~N If (,9:: c 9 ')
(d) Application number, if any:
Will the action be direcdy undertaken, require funding, or approval by a state or federal agency?
_ Yes 0 No ~~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 South old 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 L WRP Section 111- Policies; Page 2 for evaluation
crit~.
0'Yes 0 No
I
6'$l;~..~d) ~'
L.)O h Al ')~o'"' l-
rw
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWo/ Section 111- Policies Pages 3 through 6 for evaluation criteria
o Yes 0 No 0 Not Applicable
In "'-~({ ('~:~"c G' .L',
1-\ < h,' , ('
(II" \,' jf'.
MCuf c .
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
L WRP jection III - Policie,s Pages 6 through 7 for evaluation criteria
rr Yes 0 No 0 Nol Applicable
'\1, i p..p <" " .
i~~~b~:~
; C' (1 -e-~/]
~ ~
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of lif , structures, and natural resources from flooding and erosion. See LWRP
Section III - Policies Page through 16 for evaluation criteria
DYes 0 No' Not A)'?I~cabJe ~ ;Ld'cl~ P\l..
A: Gr, \ ,LIUt- b ({:.'L."l It f\ ,t/ I \ ,
(' it;tu' (t)/;" :-") I t't" .(',t:l ({;" .l 0\ \ \
. ~....2-~_ (!" (fl./]/] VI kt--? {'nn .(- .
\
\10 ((\/1,') (Yl c ~-e(~ C,. ,)()v~
'A. ., 'b' 'lO."
i...- (J' .1/1'1 (C ... ....., l.......Vl1 , , ~. ~ -l ..l. )
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
- ~~es Pages 16 through :n for evaluation criteria
EJ Yes 0 No DNotApPlicable . .
'\hv. \ .,)r~,~' t' ~W~'~l " ~I ,~~t ,~1 ryZ\);\~(} (;~Cjl ~ ~ ~ ~~
h f [!\11 \ c; OIl. t )' . <-I, Cc () (\ry .
\ . ,. .
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.
D
D
D
Yes
No "Not Applicable
.
Ck \( (~('t1C:Vl cl:r' 'JL.. L<I~:X C ~I r (: ~t' ~
~~.e(~ . Cd,"." ~(,t-j:,',\ L(j,l J ,f4J,( l ~~-(... (j/)(7~'
tJ-~ (;~(Y3 )r, ni\'--{ "" ',[( r;-J'
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III _ Policie~
Pages 32 through 34 for €ytluation criteria. .
DYes 0 No~otAPPlicable
O\.<.A (c'l',\Yltd 1 i':n Ctnc-l!
<-l.id' (1,y" ('tf .('p(n \ (,1 ,f"
1\1 (: h'-!.r, cf~ ~. c~ )'1 ( \ n~~<<-~ e :;
,1-,... \J",,,, ,_,r r~-'t(;,,( ,
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of South old from solid waste and hazardous
sub~ces and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
o Yes 0 No 0 Not Applicable
A \ \ ~vV:U:-er'.((C1 1 t\ \\ ILk
11\0 \t!C,'7 (, <~C ::" iJ ('i'~
O'C.c('v (\~(, h<;::'n
~ , 110 \1 \) '\ rlJ' 1 I 0 -, 1
I v 11,((' .~ t"I~t~~~( ;~,~ 't-l,~~:I(-,
i I r ( If '1 ~ VI ..'11-. ,l.-"l.D tl \lc.....'-l
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 South old. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria. _ /
DYeD NoM Not Applicable
4",?' (tf',o(Q
f\C.CQ:'j 1~
0'( r.: l..-,l ,
lv' ,-: 0\,-:~('\ ,rl ( e'-, ~ () I' \ . ~'HC~I~:~"- 4) l~~: ~I'C
~f ."-..r, (\,'" C GIC ( _ (_._l')I7i~1 .((&i.",.-1
\ ( Q C t r 1 ( C .f" V/1 E', VI 'e--,
Attach additional sheets if necessOlry
WORKING COAS'-OLICIES
.
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses ir
suitable locations. S~WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria.
DYes 0 No B Not Applicable , "-
"'0("\:P~ -c~~ ~":I~ LV,) c'LL u) il 11('-[- lu
\'.J l 1,.-1 It':'" l~ ~r/('V ( j (\/ y,
~'rn,<.Sf cr,
, - -
Attach additional sheets if neces8ary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
E:strry and Town waters. See L WRP Section 111- Policies; Pages 57 through 62 for evaluation criteria.
G2l Yes 0 No 0 Not AfPlicable
\i;(J IC'fJ.(' .\:-z~ prLYYll'\<k ~)I ('-:\ (( f,~(d,-". SU.L~C ("'f('
l ~J~LC< ~\" &~~;:~\J~ r; l ),~ ~ ~ '-Y1 ,\-el, i\f -=L'--21'" ..--!
~- 0~.1 ..:J1\LI__, ,I, (-1J_'i."{'v'\.f'nJ ...2 Y:: ;. ,
I
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section 111- Policies; Pages
62 through 65 for ev~ation criteria.
DYes 0 No 0' Not Applicable
\ t\-D~~{ ~rt~~;':? ]
-t:-J.\'\(lb~: ((> . . ~
n-+
\.\~ C r
i.~~ \ tf'z j~fr~~~/~~~
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources.
~t7n III - Policies; Page,l 65 through 68 for evaluation criteria.
lli:f Yes 0 No 0 Not Applicaple^,
1~' r,~~g;~~ '\-~ ("A.I. h1h-"
~ {hw- (f~ e ~r, -{/11 A"~1
See L WRP
LC~'I \
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PREPARED BY ~" '*' (" 1; elf (! " \-\1 \ hULE (\ 1\\ (' L J
DATE~OG