HomeMy WebLinkAboutTR-6721
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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
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
15t day of construction
Y, constructed
L Project complete, compliance inspection.
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TERMS AND CONDITIONS
The Permittee Michael Judge, residing at 13007 Oregon Road, Cutchogue, New York, as part
of the consideration for the issuance of the Permit does understand and prescribe to the
following:
I. That the said Board of Trustees and the Town of Southold are released from any and all
damages, or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will, at his or her own
expense, defend any and all such suits initiated by third parties, and the said Permittee
assumes full liability with respect thereto, to the complete exclusion of the Board of
Trustees of the Town of Southold.
2. That this Permit is valid for a period of 24 months, which is considered to be the estimated
time required to complete the work involved, but should circumstances warrant, request for
an extension may be made to the Board at a later date,
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to
maintain the structure or project involved, to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or its
agents, and non-compliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That iffuture operations of the Town of Southold require the removal and/or alterations in
the location of the work herein authorized, or if, in the opinion of the Board of Trustees,
the work shall cause unreasonable obstruction to free navigation, the said Permittee will be
required, upon due notice, to remove or alter this work project herein stated without
expenses to the Town of Southold.
8. The Permittee is required to provide evidence that a copy of this Trustee permit has been
recorded with the Suffolk County Department of Real Properties Office as a notice
covenant and deed restriction to the deed of the subject parcel. Such evidence shall be
provided within ninety (90) calendar days of issuance of this permit.
9. That the said Board will be notified by the Permittee of the completion of the work
authorized.
10. That the Permittee will obtain all other permits and consents that may be required
supplemental to this permit, which may be subject to revoke upon failure to obtain same.
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Boh 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
September 19, 2007
Mr. Thomas C. Wolpert, P.E.
Young & Young
400 Ostrander Avenue
Riverhead, NY 11901
RE: MICHAEL JUDGE
13007 OREGON ROAD, CUTCHOUGE
SCTM# 83-2-11.14
Dear Mr. Wolpert:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, September 19, 2007 regarding the above matter:
WHEREAS, Young & Young on behalf of MICHAEL JUDGE applied to the Southold
Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town
Code, the Wetland Ordinance of the Town of Southold, application dated July 3, 2007,
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, the LWRP Coordinator issued a recommendation that the application be
found Consistent with the Local Waterfront Revitalization Program policy standards,
and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on September 19, 2007, 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,
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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 275 of the
South old Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent
with the Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees approve the application of MICHAEL JUDGE to
construct a new 85' x 4' wide beach access stairway with platforms, with the condition
that no treated lumber is to be used, the platforms are to be no larger than 4' x 4', and
re-vegetate the bluff after construction, and as depicted on the survey prepared by
Young & Young, last dated May 29,2007 and received on July 3,2007.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
Fees: $50.00
Very truly yours,
}::; K;: ~
President, Board of Trustees
JFK/eac
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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
TO: (Y) ,.do.el J uJ~ p _
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Please be advised that your application dated ..:Jvd 3 ~ 7
been reviewed by this Board at the regular meeting of
and your application has been approved pending the com etion of the
following items checked off below.
Revised Plans for proposed project
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1st Day of Construction ($50.00)
y, Constructed ($50.00)
V Final Inspection Fee ($50.00)
Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town
of Southold. The fee is computed below according to the schedule of rates as
set forth in Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be
necessary. You will receive your permit upon completion ofthe above.
COMPUTATION OF PERMIT FEES:
L7")C8.
TOTAL FEES DUE: $ JV
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BY: James F. King, President
Board of Trustees
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Telephone
(631) 765-1892
Town Hall
53095 Route 25
P,O, Box 1179
Southold, New York 11971-0959
CONSERVATION ADVISORY COUNCIL
TOWN OF SOUTHOLD
At the meeting of the Southold Town Conservation Advisory Council held Wed., August
15, 2007, the following recommendation was made:
Moved by Don Wilder, seconded by Chris Kempner, it was
RESOLVED to SUPPRQRT the Wetland Permit application of MICHAEL JUDGE to
construct a new 85'X 4' wide beach access stairway with platforms.
Located: 13007 Oregon Rd., Cutchogue. SCTM#83-2-11.14
Inspected by: Don Wilder, Chris Kempner
The CAC Supports the application with the Condition best management practices are
followed in the construction of the stairs, there should be no removal of any vegetation
from the bluff, and a licensed engineer prepares the plans for the stairs.
Vote of Council: Ayes: All
Motion Carried
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
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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
Southold Town Board of Trustees
Field Inspection/Work session Report
Date/Time: q -I J~07
Young & Young on behalf of MICHAEL JUDGE requests a Wetland Permit to
construct a new 85'X 4' wide beach access stairway with platforms. Located:
13007 Oregon Rd., Cutchogue. SCTM#83-2-11.14
Type of area to be impacted:
Saltwater Wetland Freshwater Wetland
;/
Sound _Bay
Distance of proposed work to edge of above:
ffl!t of Town Code proposed work falls under:
~Chapt.275 _Chapt. Ill_other
Type of Application: ~ etland _Coastal Erosion Amendment Administrative
_Emergency _Pre-Submission_ Violation
Info needed:
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Modifications:
Conditions:
MailedIFaxed to:
Date:
Environmental Technician
Review
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PHOTO NO.2
MICHAEL JUDGE
AT CUTCHOGUE, TIO SOUTHOLD, NEW YORK
JANUARY 10, 2006 11 :45AM
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PHOTO NO.3
MICHAEL JUDGE
AT CUTCHOGUE, TIO SOUTHOLD, NEW YORK
JANUARY 10, 2006 11 :46AM
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PHOTO NO.5
MICHAEL JUDGE
AT CUTCHOGUE. TIO SOUTHOLD. NEW YORK
JANUARY 10. 2006 11 :48AM
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PHOTO NO.6
MICHAEL JUDGE
AT CUTCHOGUE, TIO SOUTHOLD, NEW YORK
JANUARY 10, 2006 11:48AM
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PHOTO NO.7
MICHAEL JUDGE
AT CUTCHOGUE, TIO SOUTHOLD, NEW YORK
JANUARY 10, 2006 11 :49AM
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PHOTO NO. B
MICHAEL JUDGE
AT CUTCHOGUE, T/O SOUTH OLD, NEW YORK
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YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
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Telephone 631-121-2303
Facsimile 631-121-0144
admin@youngengineering.com
HOWARD W YOUNG, Land Surveyor
THOMAS C. WOLPERT, Proftssional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Proftssional Engineer
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ln1 OCT - 4 2007 lW
October 3, 2007
Southhold Town
Board of Trustees
Town of Southold Board of Trustees
Southold Town Hall
53095 Main Road, P.O. Box 1179
Southold, New York 11971-0959
RE: Proposed Beach Access Stairway
MICHAEL JUDGE
at Cutchogue, TIO Southold, New York
(05-0119)
Dear Sir or Madam:
Enclosed is our check payable to "Town of Southold" in the amount of
Fifty Dollars ($50.00) representing the final inspection fee.
This fee is submitted in accordance with your request by letter
received October 1, 2007 (copy enclosed).
We understand that submission of this fee enables you to complete
your review and issue the requested permit.
Thank you for your assistance in this matter.
Very truly yours,
~t.W~
Thomas C. Wolpert
TCW/mal
Encl.
cc: Mr. Michael Judge
+ Enc!.
Planning
Engineering
Land Surveying
Architecture
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OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
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MAIUNG ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR
TOWN OF SOUTHOLD
MEMORANDUM
James King, President
Town of Southold Board of Trustees
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To:
Re:
Request for Wetland Permit for Michael Judge
SCTM# 83-2-11.14
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From: Mark Terry, Principal Planner
L WRP Coordinator
Date: August 21, 2007
MICHAEL JUDGE requests a Wetland Permit to construct a new 85'X 4' wide beach
access stairway with platforms. Located: 13007 Oregon Rd., Cutchogue. SCTM#83-2-
11.14
Please be advised that the above referenced property is under Covenants and
Restrictions placed by the Planning Board. See attached.
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review
of the Town of South old Town Code and the Local Waterfront Revitalization Program
(L WRP) Policy Standards. Based upon the information provided on the L WRP
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
L WRP provided that the following Best Management Practices are applied to
further the policies:
1. No CCA treated lumber is used in the construction of the stairs.
2. A revegetation plan is provided for the bluff following
construction to control erosion.
3. Existing vegetation on the bluff is protected during construction
and the applicant limits the clearing of vegetation to the area
necessary to construct the access stairway.
Pursuant to Chapter 268 the Board of Trustees shall consider this recommendation in
preparing its written determination regarding the consistency of the proposed action.
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., A", futur.. .ubcHvlalon of th. land. .dJolnlna th.
.fond..crlMcl elnor .ubdl.llalon to the .outh, .nd
contllUou. then to, dealgnatotd an tbe eald Ilinor .ub-
dlvlalon ..p ee Soctlon 2, ahall be refarrocl to the
SUffoUt Co<'1lty Plannlna ClllIIIll...lon for conald.ratlon,
... Any further .ubdlvSalon of the S.ctlon dasignetod ..
S".,tlon 2 On ..Id elnor .ubdlvlalon ...p .hall have .
..p of the .ubdlyl.Son flIed In th. Office or the
Cl...1t of th. County of SutfoUt.
Th. condition. berelnebo". ..t forth .hall b. fll.d
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a. coy.nant. .nd ....trlctlan. In th. Office of ch.
SuffoUt County CI.rIt.
D.cl..ant doe. hereby fu..tbe" varr.nt, covenant and repr.-
aent that th. for..aolna covenanu and ....tdcUan. .nd .an_co
.hall bind the underalaned. be.. heir., .ucc...on ancl ...lan., .nd
IIDY .ne! "n p....on or p....on. vho .hall .uceaeel to the _r.hlp of
any of the lot. .hown on .ald .fored..crlbed pr."... In ..ld .tuor
.ubdlyl.lon by t...n.f.r c, oth.awl.e.
IN VITIlESS VIIIUDr. chit Declenat haa ...u.ed har hand and
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_ of "ffolk . and Iltat. of lCev Yon. Hid Ind.,b.rdnaft.r bei... -.: '.' !i.i.',;t;.~.'...~
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than four (4) r.Didcfttial IoU;' ". . " :1",'l[lt~if.
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which point iD Rorth 41 delr... 44 .inut~. 00 ...DIllI.
W..t 1762.19 f..t frow a aonu..nt ..t at the fnter-
. .actlon of the northeaet.rl, Una of the land _ <<
former!, of JD..ph IIDnnabury vith the northve.t.rl,
Una of Oralon load, .nd rUDnilll theM. frDII .ald
point of belianinl North '8 d.lr... 44 .inut..
00 ..cond. W..t elonl the northea.t.rly Ih..f the
land now en' fotllltrrl y of Jo.eph JID....burr, 552.30 feet
to Lema bland Sound; t........ nort....ac.rI, 01""1
Long bland Sound to the land .- or foraerl, 0'
Veronica C...boUt .t el, a tie-Una alor.8 Lon, bland
Saund beinS North 77 ftsr... 12 .inut.. 20 aHDIllI.
Ia.t 593.35 f..t; thence South .8 de,reea 53 .lnut..
00 ..cond. Ban d""l the .out.....t.rl, U... of the
lend_ Dr fotllD&,I, of V._iea Cftbotar .r 01. S1t.7S
f..t to a aonu....tj thenc. South" dalND. 12 .~..
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20 ..cond. Wrat throush the lend of Kina Steven.,
611.06 feot to the polnt or pleco of BEGIRNING,
contolnlns en eroe of 6.25 ecr.., more or 1....
Declar.nt doe. h...by warrent, cov.nant end r.pruent tMt
.... .pptoYel of the .fore.atd duerLbed lend. .. . mlnor .ubdlvla10D
by thl Plennlna Board of the Town of Southold, no further eppllca-
tlon "tll be Mdo Co that lloard or to eny other Board In the T_
of Southold to further .ubdivlde .ny of the Iota eet forth in tbe
.bove d.acrLbed unor .ubdlvlalon.
D.cl.r.nt do.. hareby further varr.nt, covenant .nd c.pre-
.ent ch.t the .for...ld d..crilled land. within the .Ioor .ubdlvl.lon
cannot b. divided into _re then four (4) lot. end thet uch lot
.hell c~rlee en are. of not 1... than 40,000 .q.ft., with one (1)
rnldenee peo: lot.
"'Deelerene do.., h.reby further varrent, covenant and repre-
eent th.c the follovl"8 conditiona .hell run with end appl, to the
aforeducribed land.:
1. Ko lot or perc.l "ithin thi. treet .hall II. .uWllricled
Dr changed in .ny "nMr at an, fucur. dete unle..
euthori~ed by the Southold ~""" Pl.nnlng Board.
2. Approval of thil .ubdllridOll .11.111" be ..d. ....J.ct t.
th. lot. ....Una the requa_nt. .nd .tend.rd. or thl
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OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
MAIUNG ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
To: Jim King, President
Town of South old Board
RFRONT REVITALIZATION PROGRAM COORDINATOR
TOWN OF SOUTHOLD
MEMORANDUM
...-
F M k T P" I PI ,1(\ \ .
rom: ar erry, nnclpa er r
L WRP Coordin tor
15)1" Ii: ~J \'1 IU~!
ln1 '!-J
I
Date: August 7, 2007
Re: Request for Wetland Permit for Mic
SCTM # 83-2-11.1
MICHAEL JUDGE requests a Wetland Permit
stairway with platforms. Located: 13007 Oregon
The in-kind replacement of and/or repair of existi each access stairway and platforms is an
exempt Minor Action and not subject to LWRP vie pursuant to Chapter 268-3; Items A and
B of the Town of South old Town Code.
The proposed action has been reviewed Chapter 268, terfront Consistency Review of the
Town of South old Town Code and th ocal Waterfront Re italization Program (LWRP) Policy
Standards. Based upon the informa . on provided on the L Consistency Assessment Form
submitted to this department, as 11 as the records available t me, it is my recommendation
that the proposed action is ex pt from review pursuant to hapter 268-3, Exempt Minor
Actions, item B which stat .
"Replacement, rehabilit ion or reconstruction of a structure or facility, in kind, on the same
site, including upgrad' g buildings to meet building or fire codes, except for structures in areas
designated by the Co stal Erosion Hazard Area (CEHA) law where structures may not be
replaced, rehabilit ed or reconstructed without a permit ".
.
.
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 Use Only
Coastal Erosion Permit Application
T Wetland Permit Application _ Administrative Permit
AmendmentfTransferlExtension
~eceived Application: '7 /;j () 1
-iteceived Fee:$ t{ m-
-----p=pleted Application~ I If J 0)
_Incomplete
_SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:( date sent) I I)
..6WRP Consistency Assessment Form..1J IS U
~C Referral Sent~1 0 ~
~te ofInspection: II (
_Receipt ofCAC Report:
_Lead Agency Determination:_
Technical Review:
-Yublic Hearing HeW::::RINJ , \:11
_Resolution:
15l,I! t ~ ft WI ~ ~
1\f\1 JUL - 3 2007 IUd)
Southold Town
Board of Trustees
Name of Applicant
189 East Lake Shore Drive #4W
Michael Judge
Address
Chicago, IL 60611
Suffolk County Tax Map Number: 1000-
13{J:J7
Property Location: Oregon Road (R.O.W.
312-475-1586
Phone Number:( )
83-2-P/O 11.10 ~ /I,jCf
off of) Cutchogue
(provide LlLCO Pole #, distance to cross streets, and location)
Young & Young A'l'I'N: Thomas C. Wolpert,
P.E.
ts(~D)
9J ") l;}
AGENT:
(If applicable)
Address:
400 Ostrander Avenue Riverhead, New York 11901
(631)727-2303
Phone:
4Ifoard of Trustees APPlica~
GENERAL DATA
Land Area (in square feet):
R-80
149,467 Sq. Ft. or 3.4 Acres
Area Zoning:
Previous use of property:
vacant
Intended use of property:
single family residence
Prior permits/approvals for site improvements:
Agenc.v
T/o Sou1:.hord Board of Town
TLU"L"e6 (hen jurissietign)
NYSDEC-Tidal Wetlands
inon-Jurlsolct:1on)
SCDHS - Water Supply &
Sewage Disposal
T/O Southold Bldg Sept.
Building Perna t
Feb. pa~'&06
Apr. 7, 2006
Mar. 28, 2006
Apr. 28, 2006
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
X No Yes
If yes, provide explanation:
Project Description (use attachments ifnecessary):
85' L x 4' W beach access stairway with platforms.
Construct one (1) new
4IJoard of Trustees APP1ica~
WETLANDITRUSTEE LANDS APPLICATION DATA
P fth d . To provide access from the single
urpose 0 e propose operatIOns:
family residence to the beach.
Area of wetlands on lot:
8100
square feet
Percent coverage oflot:
3.6 +/-
%
Closest distance between nearest existing Structure and upland
edge of wetlands: NA feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 25 +/- feet
Does the project involve excavation or filling?
x
No
Yes
If yes, how much material will be excavated?
cubic yards
How much material will be filled?
o
cubic yards
Depth of which material will be removed or deposited:
o
feet
Proposed slope throughout the area of operations: 62.5%
Manner in which material will be removed or deposited: NA
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):
The proposed operations will not have an effect on the tidal
waters of the Town.
4IJoard of Trustees APPlica~
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:
To construct one (1) new 85'L x 4'W beach
access stairway with platforms
Are wetlands present within 100 feet of the proposed activity?
No
x
Yes
Does the project involve excavation or filling?
X
No
Yes
If Yes, how much material will be excavated?
(cubic yards)
How much material will be filled?
(cubic yards)
Manner in which material will be removed or deposited: NA
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
The proposed operations will not have an effect on the
tidal water of the Town.
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter ofthe Application
of
___~~_~~_~!J1_~_________________________
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
you':J
N.y.
I, 7hotraS c. Wolpe.r-t- , residing at ejo \jOV0j tf
LIDO O~*a.rdu' Ave.nve.. Rjveth~
. "
bemg duly sworn, depose and say:
That on the ~day o. US+-, 2007, I ersonally posted the property known as
I ae e
by placing the Board of Trustees 0 lcial 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 (j Jorp au)1-,9;;) ~<'llJ '
On '0/1 (J f:iout (p,'d,O ftn.
Dated: J..
r'(U,vsl- :;;.~ e007
tiC/oJ
#~e,w~r
(signature)
Sworn to before me this
.;1./ day of Ac.q.2007
/)~--<- 0 May; __
~~ Public
ANGELA A. MANGELS
IIo1ary Public Slate of New Yen
No. 01MA61 07044
Qualified In Suffolk CountY 11
Commis81on expireS March 111.2ll.Q g
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES. TOWN OF SOUTH OLD
In the matter of applicant:
Michael Judge
SCTM#
1000-83-02-P/0 11.10
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of Trustees
to: . 1 f
Construct one (1) new 85' L x 4' W beach access stairway wlth p at orms.
2. That the property which is the subject of Environmental Review is located adjacent to
your property and is described as follows:
SCTM No.: 1000-83-02-P/0 11.10
3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or
97 of the Town Code is open to public comment on: . You
may contact the Trustees Office at 765-1892 or in writing.
The above-referenced proposal is under review of the Board of Trustees of the Town of Southold
and does not reference any other agency that might have to review same proposal.
OWNERS NAME:
MAILING ADDRESS:
Michael Judge
189 East Lake Shore Drive #4W Chlcago, 1L 60611
PHONE #:
312-475-1~86
Enc: Copy of sketch or plan showing proposal for your convenience.
.
.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
, residing at
, being duly sworn, deposes and says that on the
day of ,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 each of said persons by
(certified) (registered) mail.
Sworn to before me this
Day of ,20_
Notary Public
PROJECT ID NUMBER
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
.
SEQR
PART 1 - PROJECT INFORMATION
1. APPLICANT/SPONSOR 2. PROJECT NAME
Michael Judge Michael Judge
3.PROJECT LOCATION:
Cutchogue T/O Southold Suffolk
Municipality County
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete - or orovide map
Oregon Road (R.O.W. off of)
Cutchogue
5. is PROPOSED ACTION: ~ New o Expansion D Modification I alteration
6. DESCRiBE PROJECT BRIEFLY:
Construct one (1) new 85' L x 4' W beach access stairway with platforms
7. A~OUNT S'~4-AND AFFECTED: 3.4
Imtlally acres Ultimately acres
B. WiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes DNa If no, describe briefly:
9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? (Choose as many as apply.)
~ Residential o Industrial D Commercial DAgriculture o Park I Forest I Open Space OOther (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local) NYSDEC - Tidal Wetlands
~Yes DNa If yes, list agency name and permit I approval: T/O Southold Board of Town Trustees
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes (BNO If yes, list agency name and permit I approval:
12. AS A ~YLT OF PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION?
Oves X No
I CERTIFY. THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I Sponsor Name Thomas C. Wolpert, P.E., Agent for applicant Date:
~e(W~'4-YA ~ 06/13/07
Signature
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
. .
Board of Trustees Application
County of ~"fIolk ~
State o[Ney, '{ udt ~
Michael Judge
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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 TIllS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF TIllS APPLICATION.
x ~~~
SWORN TO BEFORE ME TIllS~DAY OF ~~
,20 0 ")
7J~ h. ~~
Notary Public
"OFFICIAL SEAL"
HaIina B. Lesnicki
Notary Public, State of Illinois
My Comm~sion Exp. 0211512010
'-
4Ifoard of TrusteesAPplica~
I,
AUTHORIZATION
(where the applicant is not the owner)
189 East Lake Shore Drive #4W
Michael Judge Chicago, IL 60611
residing at
(print owner of property) (mailing address)
.'.
do hereby authorize Young & Young
(Agent)
ATTN: Thomas C. Wolpert, P.E.
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
t Mb<\ ~
l (~\s sf/nature)
8
.
.
APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of South old's Code of Ethics orohibits conflicts ofinterest on the Dart of town officers and emnlovees. The numose of
this form is to orovide information which can alert the town of nos sible conflict,> of interest and allow it to take whatever action is
necessary to avoid same. .
Michael Judge
YOUR NAME:
(Last name, first name,l/Iiddle initial, unless ynu are applying in the name of
someone else or other entity, such as a company. ]f so, indicate the,other
person's or company's name.)
NAME OF APPLlCA nON: (Check all that apply,)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If"Othec", name the activity,)
.
Building
Trustee
Coastal Erosion
Mooring
Planning
Do you personally (or through your company. spouse. sibling, parent, or chilcO have a relationship with any officer or employee
of the Town of South old? "Relationship" includes by blood, marriage, orbus'iness 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% of the shares.
NO
x
YES
lfyou ans\\'ered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of South old
Title or position of that person
Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check
the appropriate tine A) through D) and/or descrfbe in the space provided.
The town officer or employee or his or herspouse, sibling, parent, "rchild is (check all that apply):
_A) the owner of greater than 5% of the shares of the corporate stock ofthe applicant
(when the applicant is a corporation);
_B) the legal or beneficial own~r of any interest in a non-corporate entity (when the
applicant is not a corporation);
_ C) an officer, director, partner, or employee of the applicant; or
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
S~bmitt~.I't ~~
SIgnature!
PrintNa e.1 \ u
2001.
Form TS ]
YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
.
.
Telephone 631-121-2303
Facsimile 631-121-0144
admin@youngengineering.com
HOWARD W YOUNG, Land Surveyor
THOMAS C. WOLPERT, Proftssional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Proftssional Engineer
July 2, 2007
15J~~~IWlrc~
Ul1 JUL - 3 2007 I!lJ
Board of Town Trustees
Town of Southold
Southold Town Hall
53095 Main Road, P.O. Box 1179
Southold, New York 11971-0959
Southhold Towa
Board of Tl1Istees
RE: MICHAEL JUDGE
At Cutchogue, TIO Southold, New York
(07-0112)
Dear Members of the Board:
Enclosed are the following items:
1. one (1) - Southold Town Trustees Wetlands Application,
2. one (1) - Notice to Adjacent Property Owner,
3. one (1) - Short Environmental Assessment Form,
4. one (1) - Applicant Affidavit,
5. one (1) - Applicant Authorization Form,
6. one (1) - Applicant Transactional Disclosure Form,
7. one (1) color set - Photographs Nos. 1-9, and
8. seven (7) prints - Beach Access Stairway Plan last dated
May 29,2007.
Kindly notify us of the amount of required application fee and we will
forward same promptly to your office.
If you have any questions, please contact us.
TECW1 IE_al;
nc.
Very truly yours,
1NW4 C W~
Thomas C. Wolpert
cc: Mr. Michael Judge
+ Encl.
Planning
Engineering
Land Surveying
Architecture
YOUNG & YOUNG
400 Ostrander Avenue
Riverhead, New York 11901
.
.
Telephone 631-727-2303
Facsimile 631-727-0144
admin@youngengineering.com
HOWARD W. YOUNG, Land Surveyor
THOMAS C. WOLPERT, Professional Engineer
ROBERT C. TAST, Architect
RONALD E. PFUHL, Landscape Architect
DOUGLAS E. ADAMS, Projessional Engineer
July 17, 2007
RE:
ri:~::\'- :."";,'r'- ['; I':-~
I:', : I, ' ,_,:__~.U____=-., III
. -.'. ;:; :
l,......, , ,
1: \, ,:1 '
" :, :, I.)'
J' ',; ill
U L; 'l:.::..J
L_ I
ScutliiJid TO\\'1l
MICHAEL JUDGE 80::.;j of Tws/ees
at Cutchogue, Town of Southold, New York
(07-0112)
ATTN: Lauren
Board of Town Trustees
Southold Town Hall
53095 Main Road, P.O. Box 1179
Southold. New York 11971-0959
Dear Lauren:
Enclosed are the following items:
1. application fee - our check payable to "Town of Southold" in the
amount of Two Hundred Fifty Dollars ($250.00),
2. two (2) copies - Southold Town Trustees Wetlands Application,
and
3. one (1) orig. + two (2) copies - LWRP Consistency Assessment
Form dated July 17, 2007.
We understand that submission of these documents enables you to
complete your review and schedule this application for public hearing.
If you require additional information, please contact us.
Very truly yours,
~~ e. WJ.C~
Thomas C. Wolpert, P.E.
TCW/dc
Encl.
cc: Mr. Michael Judge
+ Encl.
Planning
Engineering
Land Surveying
Architecture
Town of Southold
.
.
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for permits- including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. -Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
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 significant
beneficial and adverse effects upon the coastal area (which includes all of Southold 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 LWRP policy standards and conditions contained in the consistency
review law. Thus. each answer must be explaiued in detail. listine: both supportine: and non-
supportine: facts. If an action cannot be certified as consistent with the L WRP policy standards and
conditions, it shall not be undertaken.
B.
A copy of the L WRP is available in the following places: online at the Town of Southold ' s
website (southoldtown.northfork.net), the Board of1;~t1Fs Wffi~, ~~I . . epartment, all
local libraries anq the Town Clerk's office. I ~j< c"--':"'--'=- ,-~, i '!
DESCRIPTION OF SITE AND PROPOSED ACTIO U lli ::11
1--.1
SGuthold Town
Tr' .~
1000
83
2
11.11
SCTM#
PROJECT NAME
Michael Judge - Proposed constru
ay w/platforms
The Application has been submitted to (check appropriate response):
Town Board 0 Planning Board 0 Building Dept. 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:
[E
Nature and extent of action: '.
Construct one (1) new 85' L x 4' W beach access stairway w1th platforms.
.
.
Location of action:
Oregon Road (R.O.W. off of), Cutchogue
Site acreage: 149,467 sq. ft. or 3.4 acres
Present land use: Single Family Residence
Present zoning classification: R-80
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) 'Name of applicant:
Michael Judge
(b) Mailing address:
189 East Lake Shore Drive #4W
Chicago, IL 60611
(c) Telephone number: Area Code ( )
(312) 475-1586
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~ NoD
NYSDEC - Tidal Wetlands Permit
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 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 III - Policies; Page 2 for evaluation
criteria.
~Yes D No D Not Applicable
The proposed beach access stairway will be used by the owners 01: cne single [cllllily
residence and their guests.
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
DYes D No ~ Not Applicable
.
.
Attach additional sheets ifnecessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
L WRP Section 111- Policies Pages 6 through 7 for evaluation criteria
~ Yes D No D Not Applicable
Refer to Policy 1 response
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP
Section 111- Policies Pages 8 through 16 for evaluation criteria
~ Yes D No D Not Applicable
Refer to P011CY 1 reSponse
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of South old. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
DYes D No ~NotApplicable
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 L WRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
D
D
~
Yes
No
Not aicable
.
Attach additional sheets if necessary
Policy 7. . Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
DYes D 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 L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
,
DYes D 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.
~ YeD NoD Not Applicable
Refer to Policy 1 response
Attach additional sheets if necessary
.
. WORKING COAST POLlCt
.
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 D No D Not Applicable
Refer to Policy 1 response
Attach additklnal 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.
DYes D No EJ Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
DYes D 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.
DYes D No ~ Not Applicable
#l1n4~t.l1J~
PREPARED BY Thomas C. Wolpert, P.E.
TITLE Agent for Applicant DATE July 17, 2007
Town of Southold
.
.
"
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
I. All applicants for permits' including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. · Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
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 significant
beneficial and adverse effects upon the coastal area (which includes all of SouthoM 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-
supportine: 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 aI1fI the Town Clerk's office.
SCTM#
1000
83
2
11.11
~~l:fEllU,~
B.
DESCRIPTION OF SITE AND PROPOSED ACTION
PROJECT NAME
Michael Judge - Proposed construction of oea S"
v.,'in
ay /platforms
"I",
The Application has been submitted to (check appropriate response):
Town Board 0 Planning Board 0 Building Dept. 0 Board of Trustees ~
I. 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 action: .
Construct one (1) new 85' L x 4' W beach access stairway with platforms.
.
.
Location of action:
Oregon Road (R.O.W. off of), Cutchogue
Site acreage: 149,467 sq. ft. or 3.4 acres
Present land use: Single Family Residence
Present zoning classification: R-80
2, If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) 'Narneofapplicant:
Michael Judge
(b) Mailing address:
189 East Lake Shore Drive #4W
Chicago, IL 60611
(c) Telephone number: Area Code ( )
(312) 475-1586
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~ NoD
NYSDEC - Tidal Wetlands Permit
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 South old that enhances community character,
preserves open space, makes efficient use of iufrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation
criteria.
~Yes D No D Not Applicable
The proposed beach access sta1rway W1
residence and their guests.
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
DYes D No ~ Not Applicable
.
.
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
L WRP Section III - Policies Pages 6 through 7 for evaluation criteria
BYes 0 No 0 Not Applicable
Refer to Policy 1 response
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 111- Policies Pages 8 through 16 for evaluation criteria
EI Yes 0 No 0 Not Applicable
Refer to Polley 1 re~nse
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP Section III
- Policies Pages 16 through 21 for evaluation criteria
DYes 0 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 L WRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
o
o
~
Yes
No
NotttPlicable
.
Attach additional sheets if necessary
Policy 7. ,Protect and improve air quality in the Town of Southold. See LWRP Section III _ Policies
Pages 3i through 34 for evaluation criteria.
DYes D No EI Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances aud wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluatio!l criteria.
"
DYes D No ~ Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, pnblic lauds, and public
resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
~ YeD NoD Not Applicable
Refer to Policy 1 response
Attach additional sheets if necessary
'.
WORKING COAST POLl~S
.
Policy 10. Protect Southold's water-depeudent uses and promote siting of new water-dependent uses in
suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria.
~ Yes 0 No 0 Not Applicable
Refer to Policy 1 response
Attach additkmal sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
o Yes 0 No El Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
DYes 0 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 throngh 68 for evaluation criteria.
o Yes 0 No ~ Not Applicable
#/?nM t. 11/l-r:~
PREPARED BY Thomas C. Wolpert, P.E.
TITLE Agent for Applicant DATE July 17, 2007