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Home My WebLink About1000-17.-5-3.2Town of Southold LWRP CONSISTENCY ASSESSMENT FORM 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. 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" 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 explained in dctail~ listing both supporting and non- suooortin~ facts. If an action cannot be certified as consistent with the LWRP 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 Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# lq 5 3 "~-~ ~- t~o~ .sore ,ot.o~'-~,~ ,s. · The Application has been submitted to (check appropriate response): · own o, 1. Category of Town of Southold agency action (check appropriate respons~.~' (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transactionS' (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: .[~ Nature and extent of action: Location of action: Site acreage: , Presentlanduse: r~3e~S,o~o,A~-o-~ 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_~_vx ~ ~ ~.~, ~ ~l¢-m~ (b) Mailing address: ~{* ~rn$1rt4v-A't.~ ~3c~ , ~ec~.~y~-~.(, xt~..X'o-l~o5 2ol (c) Telephone number: Area Code (6 ~, _l~lAj - :~ 8'/0 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] NoX~] 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 ~Not Applicable ¢.xt¢,-,,,5 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 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 21rea. Before answering the questions in Section C, th~ls~lparer of this form should review the exempt minor action list, policies and explanations of each p~icy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed ~[ction will be evaluated as to its significant beneficial and adverse effects upon the coastal area (wl~ch includes all of Southold Town). 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. Thns~ each answer must be explained in detail~ listing both supporting and non- SUOl~ortin~ facts. If an action cannot be certified as consistent with the LWRP 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 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# <.- ~,t.u ...sore ,.,no~ '.4this The Application has been submi~ed to (check appropriate response): Town Board ~ Plann~g Board ~ Build~g Dept. ~ Board of Trustees Iv oo --, 7- ~ - 3. 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: Location of action: Site acreage: ~. , Present use: Present zoning cl~sificmion: If ~ application for ~e proposed action has been filed wi~ ~e To~ of Sou~old agency, ~e following i~o~ation shM1 be provided: (a) Nme of applic~t: (b) M~ling ad&ess: (c) Telephone number: Area Code (F) ~._t~ - ~ 870 (d) Application number, if any: 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? 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 ~ 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 V-] 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~-j Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southoid. 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 Habitats and wetlands. See LWRP Section IH - 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 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. [] 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 LWRP Section III .- Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~ NoTNot 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 for evaluation criteria. [] Yes ~ NoJ~Not Applicable PREPARED BY ~O. 9,~ 0~ ~{~¢~o~: ~9~ TITLE ~)o.~e.~( DATE Ex stCl. Exist Bath ExistiL'R' i New-Bath ~ Exist Cl. ~th New ~)iltia g Exist B.R. Plan, , Scale ¼"=1'-0" WEST ELEVATION Exist B.R. i~o° New Mczz. __ 2"xS' @ 16" o.c. ~. open Io below Mezz. Plan SOUTH ELEVATION wood deck I - ~t~r7 framelhouse~ Firstfloor El. 12.1 ~ PLOT PLAN Scale: I' = 20' LEGEND OF MATERIAL 'To remain New Partitions Rafters Sidings & Roof plaster board both sides C~dsrShakes DATE ISSUED 'FOR DATE ISSUED FOR BY OEStGNED DRAWN CHECKED SECT CHIEF PROJ ENGR PE LOCATION: 18603 MAIN ROAD F~ST MARION, N,Y, 11939 TEL: $23-1320 Dist. S~cL 1000 017 Block. Pcl. SCALE 'A". = I'-O' Exhibit D: Proposed Scope of Work SHEET__OF DWG NO,