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Home My WebLink About1000-115.-12-10 [I Town of Sonthold ' I J U L 1 7 2006 ~~~Ti~~~6~~CY ASSESSMENT FORM \ ",.<<,,'.... . .... 1. All applicants for permits* including Town of Southold agep<::ie.s.., .s.haILq<!1mp~te'1h.is.. 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 Permit 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 South old 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 South old Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the L WRP policy standards and conditions. 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 L WRP 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 SCTM# 115 12 - 10 The Application has been submitted to (check appropriate response): Town Board Planning Dept. Building Dept. X Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: EXTENSION OF PREVIOUSLY APPROVED DOCK TO 65' AND ADDITION OF 4' X 12' FIXED "Tn AND 2 PILES; ELIMINATE STEPS TO GRADE Location of action: 700 DEEP HOLE DRIVE. MA TTITUCK Site acreage: .25 Present land use: sinale familv dwellina Present zoning classification: R-40 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: KATHRYN NIEDORODA (b) Mailing address: 13-48 209th 51. Bavside. NY 11360 (c) Telephone number: Area Code (631) 751-2020 (d) Application number, ifany: PERMIT # 6140 Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No If yes, which state or federal agency? NYSDEC. NYSDOS, USACOE 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 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 the Town of South old. See L WRP 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 South old ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See L WRP Sectiou 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 L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of South old. See L WRP Section 111- Policies; Pages 38 through 46 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP 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 L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes No Not Applicable The proposed activity will promote recreational use of marine resources, allow for boat access with minimal disturbance to bay bottom 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. Yes No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes No Not Applicable Created on 5/25/05 11:20 AM Survey of Property Surveyed: Dec. 27, 2005 Amended: Jan. 6, 2006 May 15, 2006, June 19, 2006 SCT# 1000-115-12-10 Situate: Mattituck Town: Southold Suffolk County, NY Datum: MSL - NGVD'29 Tide Range: 2.5'+/- CertIfied to: Delores Kreltsek North Fork Bank Fldelltlj National Title Insurance Gompanlj L_-- 0 C1> ~ C1> -e>,4 -.:::; -5.0 ~" -14 :r:. -b.t; -o_~ -3.2 -5.OJ 0 -4.5 -b,~ -b.e C1> _4-' -".e> -" (l -... C1> C1> " PROPOSED OWELLING SEPTIC DETAIL not to scale Fl= 11 lnv ~~ t---- B.5 lnv. ~ c[)ver inv 8,~~____.__ 77 '/~O ~~~ L'Y:~r"~;;J:~tti ""~ '0.5+/- --- m6"'-~ mln 1 min. 3' separation seasonal hign ground water . . . . ,'----------j IIIL. __.__ SG.ALE 1"= 30' -'n' .2______ -(>.4 'Z o ~. r$J <:::. o ~ ....." ...,"- I.ft . 0 O~~ 't> ' ~\ o<?~ : '1-=--=--=--=-=-~~~!::::aO,:;-k-=] "5_~ "3,~ -6.0 -4.4 -" -5." \~ (<.-;.,:- ",.c.;-. -4.2 tn' to oppo';lte 5hore 120' ",Ida ..wterVlCll;j -6., .5.1 -3.1 'm ,dl -1.1 ... Y'etlaod Bollnd~ ," R. Fox - Feb. ' :t ~. , :' ',' .o~\ r' "" 3.' I , ;~ -eXls~_=_~~~~____ Test Hole 03-03-05 hld1 tide Mc.Donald GeoSclenc.e 5-leaching pools 2 deep 8' dia. El - ~+' 3'- 1.1' 14' 3- ?U! brm'ln sllt~ sand pale I::::ro~n fine to medium ,~d I^later '" pale I::::ro,",n fine to medium ,~d 'A '37i ;'jt. a.bJ/ tlrnl?er bvl\d1ead \ , .. c - '" S87018'20"E ('1,5) ", M L:~:f ;I~~,{d? gdlstUr~c.el^llth Pl~d haLjbales during c.~nst..uc.tlon .' 15' Hetlands \, SetbClc.k {to_2.1 '/", ", IB'1) ". ,,;r;,'1" Ifl''-''' '.: ., (lOb; , ' , :N8701S'20"W "" ' , N'" 0, Rli'';3 j: ~, RI ~1,><' f\~ f'P.~~;6 36\03604 \4"e> M"l . ~ ~ Existing D",elllng public. I^later - - 218.33' Soundings 01-15-05 120' l^llde l^lClterl^la~ Q1' to opposIte shore MSl exIst. bUm. Existing DHelll"g publiC ,",ate..- ~:::! N >:I-t>. - ~~~ ~2:i , 112.) i! :"li" :~~ '122j'~< . " - , rc~,,-c;[frn.l' It; \.fV~\ \\ r', \ !~':"?_~-'- " -----------':\ \ ,\ \. l',,~.' 1 ." I \ li'i\,\ JUN 28 2006 ;1 \ ',i' \ j , 11."1) '0 50' Proposed Dwelling Proposed Septic '. I:?O() '". 1200 qal. tank t / '-, '701 ", Cf> ') (5) 2' deep POOI::_: '01 ~'~ . .-----".-/ /-'<;X Ten r -~/ DC .4~~~. \<~ \~ ) [oL.o'I(~'(;::;j S6~~ ~,--:-:<,:-~ - - ~$" ~...iJ! kl ~~~ -I:a." ), \ "',, \: __\\, pr~posed Do~k(35)\': -I-b .~;<l fi~rglass gnd , : :, ~ 4'x 'wf4'x12 " ~ (2.' abv. gr.) j" ~k , NO , . " 0 , ('(J.b' ' Lot Area~ 0.25 Ac.res. (O.B) ~$' ,.....'" .ma!>OrK:\lHQ[\o;. -- 208.69' Exlstlnq DV'lelllng V"lelrHote..- Existing Dl^lelllng pvbliC. .....ater '.' , .f: ',''lOt'''..- S6rvlc.e Proposed Pe~eable Dri~ay "".'0' ,'-2 en o U\~ p~ ~. ~j ~ ',<.J1" V"lelIO '" - 'CJ C1l C1l '3 I o C1l .7J o ~ ~ {IC).B) Proposed LOl^l Profile DOGk fiberglass q-Id 4' x 41' l^llth 4' x 12' 'T" (2.5' abv. gr J DOCK Section 1" "'" 20' . 4'x4" posts [YOL. \ edqe of --- wet1ands R Fox Foo.'05 N.Y5.DEc:.. NOTES Total Lot Nea = 10616 sf It'letlCll1d Nea '" 1651 sf Ad [aGent Area = '1025 sf Proposed fbuse of Dec.k :: 1525 5f or 16.'1% CldJoc.ent crea c.overage LimIt of Glearlnq a1d q"adlnq 15' + cild SeptIc. 100'+ "Trom I^letlana E3olXlc\clry Exlstlng D.....elllng public ,",ote..- Existing Dwellll'l9 public. .....ate..- Existing D.....elling public. ,",ote..- ~ ~~~~o'l:;~l~~~i~f~~ "'~ C.""'O$ h;...., ''''' ""'3"" 01 "", "'-~"'I ""'"""" ,..,7'~~'r~,;;:,,~ ~,:"..~;,~~.';~q ;,~~~rffEi~"'f~7i:~~:~ ~~! '\",....Hy"""'''t~_OC'''.,..'''~I~' ~J~u:~ 't::~~r~~~~i:"';= '''''XJ''''''Y_'.''''''''J'ns'''''t'DO'''tt.~~"'''''_ '0 ,:~.";.'.r;:;:"Li~..:~c~o.;~ ~~~, ~~'::;::'; ROBERT H. FOX NYS PL$# 50197 POBOX#538 RIVERHEAD, NY 631.722-3390 bi27ixob '.01.%'''' C.. S<.""~''''Q''''_'''B'''B''''pr''