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HomeMy WebLinkAbout1000-89.-3-1.1Town of Southold
INSTRUCTIONS
LWRP CONSISTENCY ASSESSMENT FORM
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", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to malting a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. 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
O
The Application has been submitted to (check appropriate response)·
· . .
TownBoard [] PlannlngBoard~] BulldmgDept. F-] BoardofTru ee~LE~?.?~
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:
Present land use:
Present zoning classification:
Location of action:
Site acreage:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Nameofapplicant: OJ--- V' J~).~' {?') ~9~/Z)£[/ .~ L ~
(b) Mailingaddress: .~ ~ 02- 0 COC4/¥T&"[ l~'fiO/'~l'~. ,.~'T¢,
(c) Telephonenumber:AreaCode( ) 5[~ gq/- 7o[
C
(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?.
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 [] No ~ Not Applicable
; A'ttach'hdditional 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,~ Not Applicable
~_lach 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
~//~r£.~_ d~ ~ ~ ~r7 u P~z7 ~ '~,T~tS ~ D~d~rY
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 evaluation criteria.
Yes ~] No [~ Not Applicable
Attach additional sheets if necessary
olicy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
ages 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 (~_~ ?O/~(~--~x// ~{~ 7)
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 Southoid'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.
[] No ~ Not APplicable
Attach additional sheets if necessary
' 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie 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
Wttach 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
Created on 5/25/05 11.'20 AM