HomeMy WebLinkAbout1000-74.-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