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Home My WebLink About1000-78.-2-31Town of Southold A. INSTRUCTIONS 1. LWRP CONSISTENCY ASSESSI~ ~ F(J~ 8 200§ : All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town ofSouthold Waterfi'ont 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 evahiated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Tovm). 3. If any questiou in Section C on this form is answered "yes", then the proposed action may affect the actfievement 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 maximmn extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, Lt shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (soutbokttown.northfork.net), the Board of Trustees Offic~ librafies and the Town Clerk's office. ~[! P_~g~e~i~l~ :al B. DESC~I'TION OF SITE ~D PROPOSED ACTION ~ ~v~ ]~ SCTM~ g~ - ~ ~I ~ AUG. 5 The Application has been subn~tted ~o (cheek appropriate response): ~ ~ ~0~r~ 0~ Tr~s~ TownDoard ~ Plannin~Dept. ~ ~uild~Dept. ~ B~ardofTrus~ees ~ 1. Cate~o~ of Town of Sonthold agency action [cheek appropriate response): (a) Action undeRaken dkeetly by Town a~eney (e.~. e~pital ~ eon~t~etion~ plannin~ activity, a~eney re~lation, l~d ~saetion) (b) Financial assistance (e.g. grantl loan, subsidy) (c) Peimit, approval, license, certification: Nature and extent of action: Locationofaction: /.~CO b'~'~,~ ~a,ar~ Site acreage:__~ ~ Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: ~/'t~/O'~'L. ~ ~tk~lf/~ ]3~ ~//6~ ~ (b) Mailing address: /~,-g"0 t~/-~'~W ~0~ /~ (c) Telephone number: Area Code ~$ t ~ 7~ ff '- ~:~ q 0 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [--q No [~ If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Sonthold 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~VRP Section II1 - Policies; Page 2 for evaluation criteria. ~]Yes ~'] No [--~ot Applicable Aitach 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 Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~-] Yes [-~ No [~Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes No [~Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water qnality and supply in the Town of Sonthold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria Yes [-'] No [~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Itabitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes ~ No [~ot Applicable 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. [--] Yes ['-] No [~ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardons substances and wastes. See LWRP Section III - Policies; Pages 34 througb 38 for evaluation criteria. F-] Yes ~] No [~t-t-~Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal ~vaters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 throttgh 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 u~table locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [--] No [--~oot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes ~'~ No [~Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes ~ No ~NNot 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. Yes [-~ No [~Not Applicable Created on 5/25/05 11.'20 AM 765 - 5020 BOX 9O9 N ROAD JTHOLD. N )~ 11971 The local/ohS of wells end cesspools shown hereon ore from f/eld observelions end or from dole ob/e/ned from o/hers. o.~AY 0 5 tg~ us.~..~ 9/5 ~ -~ SURVEY OF LOT 15 MAP OF "WEST CREEK ESTATES F/LED AUGUST 19, .1963 FILE NO. 3848 A T SOUTHOLD TOWN OF SOUTHOID ,SUFFOLK COUNTY, 1000 - 78 - 02 -'31 Scale 1" = 40' March 1, 1991 APt~IL 1, 1991 Aug. 12, 1991 Nov. 23, 1991 (found.) April 20,1994 (final) Prepared in accordance with the minimum standards for title surveys sa 'established by the L.I.A.LS~ and approved and adopted for such use b~ The New York State Land Title Association. ( VACANT ) LOT ~ FND LOT ~ ( DWELLING ) LOT ~ AREA = 22,999 sq. ft. ./:, f The water a~oply and sewage disposal systems for this residence will conform to the standards of The Suffolk County Department of Health Services. wEST cREEK