HomeMy WebLinkAbout1000-117.-1-13Town 0~f Southold
A. INSTRUCTIONS
LWRP CONSISTENCY ASSESSMENT FORM
All applicants for permits* including Town of Sbuthold 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.
Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
If any question in Section C on this form is answered "yes", 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 LWRP policy
standards and conditions. If an action carmot be certified as consistent with the LWRP policy
standards and conditions, it shall not be undertaken.
SCTM I t3 I /3
The Application has been submitted to (check appropriate response):
Town Board [--]
A copy of thc LWRP is available in the following places: online at the Town ofSouthold's website
(sontboldtown.northfork.net), the Board of Trustees Office, the Planning Department, all locah
libraries and the Town Clerk's office ...... "
DESCRIPTION OF SITE AND PROPOSED ACTION
Building Dept.
Board of Trustees [~
Planning Dept.
Category of Town of Southold agency action (check appropriate response):
(a) Action undetlaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction)
(b) Financial assistance (e.g. grantl loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
Location of action:
Site acreage:
Present land use:
Present zoning classification:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant:
(b) Mailing address:
(c) Telephone number: Area Code (
(d) Application number, if any:
Will the action be directly undertaken, require fundLng, or approval by a state or federal agency?
Yes [--~ No ~ If yes, which state or federal agency?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community characters
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
[~Yes [] No [-~otA"~-pplicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. See LWRP
Section[_~ YesIII -[]Policie~,Nol ~1 Not Appllcablethr°ygh 6 for evaluation criteria
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 [~ot Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III ' Policies Pages 8 through 16 for evaluation criteria
[~ Yes ~ No ~Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
-Policies Pages 16 through 21 for evaluation criteria
Yes [-] No ~Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems iocluding
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
tlarough 32 for evaluation criteria.
~Yes ~o [~] Not 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 NoApplicable
Aitach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
[] Yes [] No ~Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal svaters, public lands, and public
resources of the Town of Soutbold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
[--] Yes [~ No ~ot 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 LWRP Section III - Policies; Pages 47 through $6 for evaluation criteria.
~ Yes [~ No ~ Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary
and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
~-~ Yes [~ No ~Not Applicable
Attach additional sheets if necessary
Policy 12. ProteCt agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62
through 65 for evaluation criteria.
[] Yes [-~ No ~Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 or evaluation crlterm.
[] Yes [] No ~Not Applicable
Created on 5/25/05 11.'20 AM
2/ Gt~A
TITLE NO. 605 S 5294
~ ~ "~c~. ~ KA THLEEN BLACKLEY
.~ ~ Ot~,. JAMES BLACKLEY
N/O/F CHARLES ~L
& A/4LDRED MAGILL
CONTOL~ t_tNES ARE REFERENCED TO
FIVE EASTERN TOWNS TOPOGRAP~C MAP
SURVEY OF
PR OPER T Y
A T NEW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, tV. Y
1000- 117 - 01- 15
1000 - 117- 04 05
Scde 1" = 30'
Jan. 7, 1988
.~01 (prop. dec,~)
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