HomeMy WebLinkAbout1000-61.-4-11Town of Southold
INSTRUCTIONS
LWRP CONSISTENCY ASSESSMENT FORM
All applicants for permits* including Town of Southold agencies, shall
proposed actions that are subject to the Town of Southold Waterfront
assessment is intended to supplement other information used by a
making a determination of consistency. *Except minor exempt actions
and other ministerial permits not located within the Coastal Erosion
CCAF for
This
Southold agency in
£ermits
Before answering the questions in Section C, the preparer
minor action list, policies and explanations of each
Waterfront Revitalization Program. A action
beneficial and adverse effects upon the
form should review the exempt
in the Town of Southold Local
be eval,at~ as to its significant
of Southold Town).
If any question in Section C on this form is
affect the achievement
review law. Thns~ each answer must be ¢
Supportin~ facts.
conditions, it shall not be undertaken.
. then the proposed action will
conditions contained in the consistency
as consistent with the LWRP policy standards and
A copy of the LWRP is available in the
website (southoldtown.northfork.net),
local libraries and the Town Clerk's
DESCRIPTION OF
SCTM# 01 q-
PROJECT NAME
The Application has been submitted to
Town Board ~] Planning Board
1. Category of Town of l
(a) Action undertaken
construction
(b) Financial;
places: online at the Town of Southold ' s
of Trustees Office, x~e planning Department, all
Building Dept. ~
action (check appropriate response):
~ Town agency (e.g. capital
gency regulation, land ffansaction)
(e.g. grant, loan, subsidy)
Board ofTrnstees ~
(c) Permit, a
Nature and extent of action:
license, certification:
Location of action:
Site acreage:.
Present land use:_~~
Present zoning classification:
(a) Name of applicant:
(b) Mailing address:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
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(c) Telephone number: Area Code (~ '7(t~'-~
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~-~ No~2] 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 IH - Policies; Page 2 for evaluation
criteria.
[] Yes [] No .~ Not Applicable
Attach additional sheets if ne~es~ry
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section IH - 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.4rea.
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 Ixw. al
Waterfront Revitalization Program. A proposed action will be evaluated as to its ~i,qnifleant
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 detail~ listing both supoorting and non~
suooortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall, not be undertakera
A copy of the LWRP is available in the following places: online at the Town of Southold ' s
website (southoldtown.nortlffork.net), the Board of Trustces Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
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PROJ CTN
The Application has been submitted to (check appropriate response):
· o oaed [] P, n. ag oar .ila gDep ?3
Category of Town of Southold agency action (check appropriate response):
(a) Action tmdertaken 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:.
720
!
(a) Name of applicant:
Co) Mailing ac[dress:
Present land use: 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:
(c) Telephone number: Area Code (/,~)
(d) Application number, if any:
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· 6, fir
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes FI No~7] Ifyes, 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 HI - Policies; Page 2 for evaluation
criteria.
[] Yes [] No .~ Not Applicable
Aaach additional sheets if necessary
Policy 2. Protect and preserve historic and arehaeoiogieal resources of the Town of Southold. See
LWRP Section HI - 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 Sonthoid. See
LWRP Section IH - 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. Sec LWRP
Section III - Policies Pages 8 through 16 for evaluation criteria
[] Yes [] No ~ Not Applicable
At~ach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. Sec LWRP Section IH
- 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 Soutbold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. Sec LWRP Section 1II - Policies; Pages 22
through 32 for evaluation criteria.
Yes No Not Applicable
Attach additional s he~'~ if necessary
Policy ?. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
~ Yes F~ 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 11I - Policies; Pages 38 through 46 for evaluation
criteria.
[] Ye~ 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 IH- 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 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 m - Policies; Pages 65 through 68 for evaluation criteria.
~ Yes ~ No [] Not Applicable
PREPARED BY
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MECHANIC STREET SOUTH//
x7.6
MAP OF PROPERTY
TOWN OF SOUYNOLD