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Home My WebLink About1000-74.-2-12.2Town of Southold 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 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 If any question in Section C on this form is answered "yes", then the' achievement of the LWRP policy standards and conditions contained in the Thus, the action should be analyzed in more detail and, if necessary, determination that it is consistent to the maximum extent standards and conditions. If an action cannot be certified as standards and conditions, it shall not be undertaken. affect the review law. prior to making a the LWRP policy with the LWRP policy A copy of the LWRP is (southoldtown.northfork.net), the Board of Trustees Office libraries and the Town Clerk's office. Bo gouthold's website all local The Application has been submitted to (check appropriate r Town Board [] Planning Dept. [-~ Board OfTrustees [~ Category of Town of Southold a (a) (b) (c) construction, Financial assistance (e.g. Permit, approval, license, land transaction) Nature and extent of action: Location of action: Site acreage: Present land use: p[~,~ [~,~a/q ,~ t Present zoning classification: /q- C~ 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 funding, or approval by a state or federal agency? Yes [~ No f If yes, which state or federal agency? ~EVELOPED 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 ['-] No ~7[ Not Applicable Attach additional sheets if necessary ~OwliCy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See RP Section III - Policies Pages 6 through 7 for evaluation criteria ~Yes ~ No ~ Not Applicable Attach additional sheets if nd~essary - 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 A~ach additional sh~e~¢ if ne~e~ary - ' I .... qvr ~-e~ 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 III - Policies; Pages 22 through 32 for evaluation criteria. ~ Yes [~/No [] Not Applicable Ottach 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. 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 V-~ 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. Sec LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes: No[ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES ~suOlicy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in itable locations. See LWRP Section III - 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 evaluatiou 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 A, pplicable 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