HomeMy WebLinkAbout1000-21.-2-12rI~Wn of SouthoId
INSTRUCTIONS
1.
LWRP CONSISTENCY ASSESSMENT FORM~-~
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 ~ ~ Review Law. This
assessment is intended to supplement other information used of Southold agency in
making a determination of consistency. *Except actions including Building Permits
and other ministerial permits not Hazard Area.
Before answering the questions in Section C, the
minor action list, policies and explanations
Waterfront Revitalization Program. A
beneficial and adverse
form should review the exempt
, contained in the Town of Southold Local
action will be evaluated as to its significant
all of Southold Town).
If any question in Section C on this
affect the achievement of the
review law. each
suooortino facts. If an action,
conditions,
is answered "yes" or "no", then the proposed action will
standards and conditions contained in the consistency
be in detail~ listine both suooortiw, and non-
as consistent with the LWRP policy standards and
A copy of the LWRP is
website (:
local libraries and the
in the following places: online at the Town of Southold's
the Board of Trustees Office, the Planning Department, all
B. DESCRIPTION OF
scm#
PROJECT NAME
The Apg
Town Board ~
1. Cate
(a)
submitted to (check appropriate response):
Board [--] Buading Dept. ~
Board of Trustees
undertaken directly by Town agency (e.g. capital
planning activity, agency regulation, land transaction)
(c) Permit, a ropj~ license, certification:
Nature and extent of action:
Location of action:
Site acreage: 1~ ~ ~<>
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: ~.C_~ ~2~, x~_~.,~3
(b) Mailing address: .z72_o ~ ~,~ ~ '~[ -
(c) Telephone number: Area Code ( )_ ~,~ t - '~ ~.. q. ,~':r-o c>
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~-] NoD 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 Southold 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 LWRP Section III - Policies; Page 2 for evaluation
criteria.
[--]Yes ~ No ~NotApplicable
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
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 ifnecessar-j
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. ~ 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.
No 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 [] 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 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 waters, public lands, and public
resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
Ye~ N~O-~ Not Applicable
Attach additional sheets if necessary
'v~0RKING 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 56 for evaluation criteria.
~] Yes ~ NOXNot 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.
...k__t
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.~(2Not 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
PREPARED BY
SURVEY OF PROPERTY
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-21-02-12
SC~4~,F,: 1'=20'
JUL)' 18, 2005
N
· =MONUMENT
· =PIPE
(6Zl) 765--5020
P.O. BOX 909
SOUTHOLO, N.E 9~ 05--200