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TR-7048A
James F. King, President Jill M. Doherty, Vice-Presiden~ Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction j~ constructed Project corn plete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Permit No.: 7048A Date of Receipt of Application: February 24, 2009 Applicant: Juliette Vassilkioti SCTM#: 31-17-2 Project Location: 2015 Bay Avenue, East Marion Date of Resolution/Issuance: March 18, 2009 Date of Expiration: March 18, 2011 Reviewed by: Trustee Bob Ghosio, Jr. Project Description: For the as-built trellis, outside shower, and to replace inkind/inplace the existing wood fence. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site p!an prepared by Joseph ^. Ingegno, last dated October 19, 2006, and received on February 24, 2009. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees JFK:eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD, OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated i~'~,_~C~xcd-~ ~ ~, c~oo?' has been reviewed by this Board at the regular meeting of 'J/'~(~,,-~-~ /.~',,,~,~J~ ? and yoUr application has been approved pending the completion of the ' following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50;00) ~/7~ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ff.) Permit fees am now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or m-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OFPERMIT FEES: TOTAL FEES DUE: $ ~'"~) BY: James F. King, President Board of Trustees James F Krug, President Jill M. Dohe~ly, Vice-President Peggy A Dickerson Dave Be~en Bob Ghosio, Jr PO Box 1179 Southol& NY 11971 Telephone {631 ) 765-1892 Fax (63 I) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: JULIETTE VASSILKIOTI requests an Administrative Permit for the as-built trellis, outside shower, and to replace inkind/inplace the existing wood fence. Located: 2015 Bay Ave., East Marion. SCTM#31-17-2 Type of area to be impa~ted~ __Saltwater Wetland ~Freshwater Wetland Sound Bay ? Distance of proposed work to edge of wetland ~ c~ / Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: ~/Wetland Coastal Erosion ~ent Administrative Emergency __ __ --Pre-SubmissionC ~,~ion Info needed: '~, ~ U,¢/~qL~.~ / Modifications: / Present Were: ~J.King __J.Doherty __P.Dickerson __ __ D. Dzenkowski Mark Terry other Form filled out in the field by ~,.~ Mailed/Faxed to: Date: D. Bergen~.Ghosio, Environmental Technician Review- FEB ~ 9 LBO -x-4157 Town of Southold Suffolk County, NY The People of the State of New York vs. UCENSE OR REGISTRATION NUMBER STATE 3~pE OF IJCENSEDATE EXFIRE~ OFE~TOR 'tHE OPERATOR OR REGISTERED OWNER OE VEHICLE DESCRIBED BELOW COURT COPY Southold Town Police Incident Report Report 02/18/2009 11:44 Case Number 01-09-001269 ber Report 01-09-001269 02/18/2009 Incident Type TOWN CODE VIOL.-OTHER Report Type Odginal C eared Occurred On/From(ADMI Occurred To 11:44 02/18/2009 11:44 02/18/2009 12:10 Case Status Case Status Date CLOSED-NO ARREST 02/18/2009 IlL Common Name 2015 BAY EAST MARION, NY 11939 (SUFFOLK County) Day of Week: WEDNESDAY Sector: 4 804 Map Reference: EM2 Total Damaged Property Value: $0.00 Location Type: CONSTRUCTION SITE Total Stolen Property Value: $0.00 Sector: 4 804 Total Recovered Property Value: ~;0.00 State Classification TOWN CODE VIOL.-OTHER 1 Statute/Ordinance Stc 275-5 Federal Classification (Larceny Only): Not Applicable (-) Attack Reason: NO BIAS/NOT APPLICABLE (-) Attempted/Committed COMPLETED I Location Type D spos t on Date CONSTRUCTION SITE Federal Disposition: FIELD ARREST/TICKET ISSUED Person Type Business/Person Name SUSPECT Lester Walsh Home Phone (631) 325-0095 Person Address 51 N Bay AVE Eastport, NY 11941 , SUFFOLK County Cell Phone Employer Address Race WHITE Birth Date 12/27/1974 SexMale ISSN IDL Exp' Date Birth City IBusiness Phone 631- Map Reference JDL Number Age: 34 Occupation: Carpenter Adult/Juvenile: ADULT Arrest CC Number: 01- - INDIVIDUAL (I) Extent of Injury: NOT INJURED Injury Type 1: NONE Medical Treatment: Not Treated Residency Type: RESIDENT Residency Status: RESIDENT N A R R ^1 Topic Original While on patrol undersigned observed Walsh making alterations to a residence at the I/L. A check with the Trustee's office shows no permits for said alterations. Walsh given summons #A 4157, and advised to contact both the Trustee and the Building Dept. for the proper permits. Reporting Officer Department Report Status: Sbc Donald Dzenkowski (2068) SOUTHOLD TOWN POLICE Approved Officer Name Date/Time Verifying Officer Department Date / Time SGT JAMES A GINAS (2691) SOUTHOLD TOWN POLICE 02/18/2009 13:35 1 2 6 I of I 9 File Edit View Toolbar Window Ready .................. ,~ ........... RealFro~ert~lax~e'vice/~ger~ ~ ~ ,~* 0~ OFF1CE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 Jim King, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Scott A. Hilary, LWRP Coordinator Date: March 10, 2009 Chapter 268, WATERFRONT CONSISTENCY REVIEW Administrative Permit for JULIETTE VASSILKIOTI SCTM#31 - 17-2 Meryl Kramer on behalf of JULIETTE VASSILKIOTI requests an Administrative Permit for the as-built trellis, outside shower, and to replace inkind/inplace the existing wood fence. Located: 2015 Bay Ave., East Marion. SCTM#31-17-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed actions are EXEMPT pursuant to § 268-3. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __Coastal Erosion Permit Application j __Wetland Permit Application ~"Administrative Permit Amendment/Transfer/Extension M~'ece~vved Application: /~\~-q~!0~ _ ,.Received Fee:$ ] - -.Gompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) --"[TWRP Consistency Assessment Form CAC Referral Sent: ~[ al)ate of Inspection: "- Receipt of CAC Report: Lead Agency Determination: Technical Review: ~Sblic Hearing Held: Resolution: ,3qbiP_..TTP_ 'x/A co LK.t oT I Name of Applicant Address kvt [ ~'~t ~t') Phone Number:( Suffolk County Tax Map Number: 1000- Property Location: (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: Phone: of Trustees App Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Yes / No Prior permits/approvals for site improvements: .A. ge~c5 Date N° prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~' No Yes If yes, provide explanation: Project Description (use attachments if necessary):.__ A']>DITt rd of Trustees Applicatio0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: 01J'I-.~OtQ[~ ~¢~/~[~, · Area of wetlands on lot: [O ~_ square feet Percent coverage of lot: ~.- % Closest distance between nearest existing structure and upland edge of wetlands: [l , '2. feet - ~ ~D Closest distance between neff,est proposed structure and upland edge of wetlands: ~_.~. 25> feet-W~-[-L[~ '~ Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? How much material will be filled? ~ ~9 cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: ~ Manner in which material will be removed or deposited: .,._ feet Statemenl of the e_ ff_ec_t~ !f any, on .th_¢ w~tjands and.tid~l_.w.a__te~ of the town that may_r__e_s_ult by reason of such proposed operations (use attachments if appropriat~ji ' 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only ~ART I - PROJECT INFORMATION (To be completed by A~)plicant or Project Sponsor) 1. APPLICANT/SPONSOR [2. PROJECT NAME JULIETTE VASSILKIOTI / VASSILKIOTI RESIDENCE 3. PROJECT LOCATION: Municipality EAST MARION County NY 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 2015 BAY AVENUE 5. PROPOSED ACTION iS: [] New [] Expansion --] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: NEW 7.5' X 9.5' WOOD TRELLIS AND PATIO, ~[¥' PAT[O, NEW 6' X 6.5' EXTERIOR SHOWER ENCLOSURE AND PLATFORM, REPLACE IN KIND AND IN PLACE EXISTING WOOD FENCE 7. AMOUNT OF LAND AFFECTED: Initially .(X)9 acres Ultimately .(x)9 ac~es 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe bdefly 9. WI-IAT iS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial Describe: [] Agriculture [] Park/Forest/Open Space [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~'Yes L-] No If Yes, list agency(s) name and permit/approvats: DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No if Yes, tist agency(s) name and permit/approvals: SOUTHOLD TOWN BUILDING PERMIT # 33973 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? ~]Yes []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor~me; MERYLR..~R~,M~ER Date: 2-23-09 If the action is in the Coastal Area and you are a state agency, complete the Coastal Assessment Form before proceeding w th th s assessment OVER Reset ~ART II - IMPACT ASSESSMENT (T~gRg'e completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. [~] Yes r-'~ No s. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If NO, a negative declaration may be superseded by another involved agency. ~-] Yes [~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W1TH THE FOLLOWING: (Answers may be han~n, if legible) C1. Existing air quality, sun'ace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste preduc~on or disposal, potential for erosion, drainage or flooding problems? Explain bdefly: C2. Aesthetic, agricultural, archaeo~ngical, histedc, or other naturst or cultural resources; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain bdefly: C5. Growth, subsequent deselopment, or related activities likely to be induced by the proposed action? Explain bde~ly: C6. Long term, short term, cumulative, or other effects not identified in C1 -C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN iMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes [] No If Yes, explain briefiy: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain bdefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irmversibility; (e) geographic scope; and (f) magnitude. If necessaPJ, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ] Check this box if have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directiy to the FULl you EAF and/or prepare a positive declaration. ] Chec~ this box d you have detarmined, besed on the in~rmation and analysts above and any supporting documentation, that the propceed achon I~LI NOT result in any significant adverse environmental impacts AND provide, on attachments as necessaP/, the reasons supporting this determinatio~ 2-23-09 Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Titie of Responsible Officer Signature of Responsible Off(er in Lead Agency Signature of Preparer (If different from responsible officer) Reset )ard of Trustees Application County of Suffolk State of New York DEPOSES A~rl5 AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAD PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS c3t/'c' DAYOF 'fie(5 ,200? Notary Public LAUREN M, Notary Public, Stat(~ o( ;'~ ', ;r~: NO. 01ST6164! h Qualified in Suffc Commiss ~ [×pir~ Feb 23 09 10~3p jv 23423423 Juriette Vassilkioti 76 Madison Avenue, Apt. 11B New York, NY 10016 Februar7 23re, 2009 We hereby authorize MERYL KRAMER, ARCHITECT to act as our agent in obtaining all permits required by TOWN, SUFFOLK COUNTY and NEW YORK STATE for the renovations and additions to my home located at 2015 Bay Avenue in East Marion, NY. Owner '- ' Date 2009-02-23 23:51 BOGUSHEVSKY,GEO 23423423 Page I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oart of town officers and emolovees. The anranse of this form is to orovide information which can alert the town ofoossible conflicts of interest and allow it to taka whatever action is necessary to avoid same. (Last name, first name,~niddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) lqAME OF APPLICATION: (Check all that apply.) Tax grievance Building ~ Variance Trustee ~ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map ' Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the to~vn officer or employee owns more than 5% of the shares. YES NO I~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanl/agenffrepmsentative) and the b~wn officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. Thc town officer or employee or his or her spouse, sibling, parent, or ~hild is (check all that apply): __A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __B) thc legal or beneficial own~ of any interest in a non-corporate entity (when th* applicant is not a corporation); __.C) an officer, director, par~ei', or employee oftbe applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I M £ R Y L K R ^ M £ R a r c h i t e c t February 24th, 2009 Lauren Standish Board of Town Trustees Town of Southold Town Hall, 53095 Main Road P.O. Box 728 Southold New York 11971 RE: Vassilkioti Bogushevsky Residence Tax Map # 1000-31-17-02 Dear Lauren: I am requesting a permit for the above referenced property. For your review I am submittingthe following documents: 1. Two copies of Completed Application for Permit including General Data, Wetland/Trustee Land Data, Notarized Affidavit, Part I of Short Environmental Assessment Form and Transactional Disclosure Forms and Authorization Letter 2. Two Site Plans 3. Application fee of $100.00 ~~ Lstions, please do not hesitate to call me. EED A[~ Cc: Juliette Vassilkioti and George Bogushevsky 455 MAIN STREET P.O. BOX 683 GREENPORT, NY 11944 631-477-8736 631 477 8936 FAX Town of Southold LNVRP 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 ~lrea. 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 making 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. DESCRIPTION OF SITE AND PROPOSED ACTION scm# ooo . -13- 09- The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [-~ Building Dept. ~BoardofTrastees Category of Town of Southold agency action (check appropriate response): (a) (b) (c) Action undertaken directly by Town agency (e.g. capital ~ conslruction, planning activity, agency regulation, land transaction) [-~ Financial assistance (e.g. grant, loan, subsidy) Permit, approval, license, certification: ~ Nature and extent of action: Location ofac on: Site acreage: Present land use: 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: (a) Nameofapplicant: \[~,]L[~::T'~_ (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 ¢ NoN lfyes, which state or fedeml 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 infrastructare, 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["~N°~N°tApplicable kO h~O~(~(-~ O~' ~'~hdy..g~l~94['~~ Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria ~ YesTq No[] NotApp,i~hle Tr*tl~ ~s W~I~C ¢ro~ 1~ Av~:0e. 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 [] ~u ~Nut Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI - 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 Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section m - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No~NotApplicable Atlach additional she~ if necessa~ Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 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 IH - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No~NotApplicable 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~Notnpplicable 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.. Se~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 wa~ers. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [-~ Yes [] No~Z}/lff~NNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section IH - Policies; Pages 62 through 65 fo~/~Jaafion criteria. [] rcs [] N ,Not Applicablc Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral Section HI - Pol,icies,)dfiages 65 through 68 for evaluation criteria, resources. See LWRP [] Yes ~-] No~,~Not~ Applicable Created on 5/25/05 11:20 AM NEW~ x~ REPLACE EXISTING PICKET FENCE IN KIND~IN pLACE NEW SHOWER/CHA,N, GING AREA ENCLOSURE 6 HIGH SURVEY OF PROPERTY SITUATED AT MARION TOWN OF SOUTNOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-$1-17-02 SCALE 1"=10' JANUARY 9, 2006 JUNE 12, 2006 ADDED HEALTH DEPARTMENT DATA AUGUST 50, 2006 ADDED PROPOSED 2nd STORY ADDITION OCTOBER 19 2006 REVISED WETLAND NOTE AREA - 4,830,81 sq. ff. (TO TIE LINE) 0.111 ac, NOTES' 1. ELEVATIONS ARE REFERENCED TO N.O.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~o EXISTING CONTOUR LINES ARE SHOWN THUS: PROPOSED CONTOUR LINES ARE SHOWN THUS: FFL FIRST FLOOR ~FL GARAGE FLOOR 2. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 9) FLOOD INSURANCE RATE MAP Ne, 36105C0177 G ZONE AE BASE FLOOD ELEVATIONS DETERMINED 3. NO ADDITIONAL FILL SHALL BE NEEDED. LOT COVERAGE DATA TEST AIOLE DATA Joseph PHONE (651)727-2090 OFF¢CE5 L©CATED AT 322 ROANOKE AVENUE RIVERHEAD, New York 11901 Fax {631)727-~727 ' LO Z