HomeMy WebLinkAbout1000-50.-2-15Town of Southold
INSTRUCTIONS
1.
LWRP CONSISTENCY ASSESSMENT FORM
All applicants for permits* including Town of Southold agencies, shall complete/tiffs CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency)R~view Law. This
assessment is intended to supplement other information used by a Town o/f/Southold agency in
making a detemaination of consistency. *Except minor exempt actions in/ct~ding Building Permits
and other ministerial permits not located within the Coastal Erosion Haza/d Area.
Before answering the questions in Section C, the preparer of this/t/oorm should review the exempt
minor action list, policies and explanations of each policy contaimSd in the Town of Southold Local
Waterfront Revitalization Program. A proposed action wi~be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which i~udes all of Southold Town).
If any question in Section C on this form is answered then the proposed action may affect the
achievement of the LWRP policy
Thus, the action should be analyzed in more
determination that it is consistent to the
standards and conditions. If an action cannot
standards and conditions,
contained in the consistency review law.
if necessary, modified prior to making a
extent practicable with the LWRP policy
certified as consistent with the LWRP policy
A copy of the LWRP is available in~ 31aces: online at the Town of Southold's website
(southoldtown.northfork.net), the Plam,'~ng D~lLa~t__m_ent, all local
libraries and the Town Clerk's office. ~~ i~::, ii -"i ~:' ¢~ -~"~ _
B. DESCRIPTION OF SITE AND PRI POS 'ACTION' ~ .... t0.,~0?~. ~0~.'~
· / ' /
The Application has been submitted to, ~tapp ,dater spolq ): L/ / (.yl~4~.'~~' ~.
Town Board I I PlannmgDept· uildingDept. I I Board of Trustees [ t ~
1. Categoc of Southold
(a) Action
(b) Financial
, planning
, action (check appropriate response):
[gency (e.g. capital
agency regulation, land transaction)
grant, loan, subsidy)
(c) Permit, a certification:
Nature and extent of action:
Location of action: /'~_ [..lJ_/IP~[.~ ~LI~, { jlZ>. , U
Site acreage: %/0C2~ .......
Present land use: ~L~ ~ ~
Present zomg cl~sification: .~ ~
If ~ application for ~e proposed ~fion has been filed with the Town of Southold agency, the following
info~ation sh~l be provided:
(a) Name of applicant:
(b) Mailing address:
(c) Telephone number: Area Code (~)~'~ I
(d) Application number, if any:
Will~ be directly undertaken, require funding or approval by a state or federal agency?
Yes[~No~'] Ifyes, which state or federal agency? p222~ ~--O. Iy~OC{)fr0g
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 ApplicabJe /~/~ltl~{c~ .
' , '/t74C J04
Aaach 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
Attach additional sheets if necessary
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
No VI Not A,,plicable
Attach additional sheets if necessary
Pofiey 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
~l x-4 Yes R No ~ Not Appbcable"
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 III - Policies; Pages 22
through 32 for evaluatio~eriteria.
V~ Yes ~ Nod-~/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. See Section III - Policies Pages; 34 through 38 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 ~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 Ill - Policies; Pages 38 through 46 for evaluation
criteria.
~-~ Yes [] No ~ot 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/~-WRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
II Yes II No I M 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 ~ot Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62
th~y~h 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 - Polic~;~s 65 ihrough 68 for evaluation criteria.
~ Yes ~ No I '[ Not Applicable