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Home My WebLink AboutTR-7065A James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghos±o, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Teleph?n~ (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 1st day of construction ¼ constructed Project complete, 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7065A Date of Receipt of Application: April 2, 2009 Applicant: Peconic Land Trust SCTM#: 117-8-18 Project Location: 650 First St., New Suffolk Date of Resolution/Issuance: April 22, 2009 Date of Expiration: April 22, 2011 Reviewed by: Board of Trustees Project Description: To add topsoil and landscape an area approx. 500 sq.ft., remove two (2) trees at the flagpole and grind the stumps; add snow fencing to improve site security; replace travel lift with concrete blocks to improve site security; and place concrete blocks to prevent vehicular access to interior site and improve security. 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 survey last revised March 29, 2009 and received on April 2, 2009. 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. Jam F~. King, Presid~t Board of Trustees James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio. Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PECONIC LAND TRUST Please be advised that your application dated April 2, 2009 has been reviewed by this Board at the regular meeting of April 22, 2009 and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pro-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ½ Constructed I$50.00) XX Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are 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 re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: James F. King, President Board of Trustees James F King. President Jill M Doherty. Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio. Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Valerie Scopaz, AICP on behalf of PECONIC LAND TRUST requests an Administrative Permit to add topsoil and landscape an area approx. 500 sq.ft., add f3 snow fencing to improve site security, replace travel lift with concrete blocks to improve site security, and place concrete blocks to prevent vehicular access to ' '/C'~ interior of site and improve security. Located: 650 First St., New Suffolk. SCTM#117-8-18 Type of area to be impacted: ~ltwaterWetland __Freshwater Wetland Sound __Bay Distance of proposed work to edge of wetland P~c_~ha Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: f'...A/Vetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: C~.King ~c-d:'Doherty__P.Dickersgn D. Ber~ler~-B.Ghosio, c'"'D, azen~oowski Mark Terry__other ~¢',¢~ ..,-">,~, -- Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- OFFICE 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 Teny, LWRP Coordinator Scott A. Hilary, LWRP Coordinator Date: April 8, 2009 Chapter 268, WATERFRONT CONSISTENCY REVIEW Administrative Permit for PECONIC LAND TRUST SCTM#117-8-18 Valerie Scopaz, AICP on behalf of PECONIC LAND TRUST requests an Administrative Permit to add topsoil and landscape an area approx. 500 sq.ft., add snow fencing to improve site security, replace travel lift with concrete blocks to improve site security, and place concrete blocks to prevent vehicular access to interior of site and improve security. Located: 650 First St., New Suffolk. SCTM# 117-8-18 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 action is 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. NEW' SUFFOLK WATERFRONq UND, INC. Board of Directors Diana Schwatka Barbara Schnitzler Joan Robbins Nancy Gleason Joseph McKay Thomas Samuels Michael Simeon Russell McCaZ]}prll ZU, 2009 Andrew Torgove Thomas Wi~hlll~S F. King, Presidem Members of Board of Town Trustees P.O. Box 1179 Southold, NY 11971 Re: 650 First Street, New Suffolk, NY SCTM # 1000-117-8-18 Dear Mr. King: Please accept this addendm to the administrative permit application for the above-noted site. We have been advised by our consultants, Maureen Cullinane (Landscape Designer and consultant to North Fork Audubon) and Anita Wright (Environmental Educator, Group for the East End), to remove the two trees at the flagpole. These trees (ailanthus altissima or tree of heaven) are considered invasive; their presence will hinder the proper growth of the proposed plantings of native species. Accordingly, we would like to remove the trees and grind the stumps as part of this administrative permit. A representative of the New Suffolk Waterfront Fund will be present at the meeting if you have any questions. Thank you for your time and consideration, Si~/c, erely, Valerie M. Scopaz, AICF VMS Planning Services Cc: Stephen Searl, Peconic Land Trust PO Box 146, New Suffolk, NY 11956 · 631-566-0806 · newsuffolkfund@gmail.com Board of Directors Diana Schwatka Barbara Schnitzler Joan Robbins Nancy Gleason Joseph McKay Thomas Samuels Michael Simon Russell McCall Andrew Torgove Thomas Wickham NEW SUFFOLK WATERFRONT FUND, INC. April 2, 2009 James F. King, President Members of Board of Town Trustees P. O. Box 1179 Soufhold, NY 11971-0959 Re: 650 First Street, New Suffolk SCTM # 1000-117-8-18 Dear Mr. King: On behalf of the New Suffolk Waterfront Fund, I am writing to request the issuance of an administrative permit for the above-noted site in order to perform routine properly maintenance and landscaping activities, some of which lie within Trustee jurisdiction. As noted on the attached site plan, the Fund proposes to do the following: Add topsoil and plantings at four discrete Ioca'(ions, of which one lies within Trustee jurisdiction: Qround the flagpole. o The enclosed plant list contains native species suitable for the exposed conditions at this site. Relocate the existing concrete barriers so as to re-define the areas where parking shall be permitted. o Approximately 10 barriers will be placed nodh and east of the terminus of Main Street. The purpose of these relocations is to improve site security by preventing vehicular access to the nodhern pad of the site and the pier. o An additional 15 barriers will be set back from (and lined- up parallel to) First Street so as to PO Box 146, New Suffolk, NY 11 956 · 631-566-0806 · newsuffolkfund@gmail.co!m Board of Directors Diana Schwatka Barbara Schnitzler Joan Robbins Nancy Gleason Joseph McKay Thomas Samuels Michael Simon Russell McCall Andrew Torgove Thomas Wickham NEW SUFFOLK WATERFRONT FUND, INC. The placement of these blocks is outside of Trustee jurisdiction and is being discussed separately with Peter Harris, Highway Superintendant, and other town officials. Place approximately 150 feet of snow fencing perpendicular to First Street, running more or less parallel to the site's north boundary, from First Street to the red building (shown as a 1 story frame garage on the site plan). o The purpose of the snow fencing is to define the southern- edge of the nodh parking field which will be used by boaters renting slips at the marina basin this summer. o The gravel within this area will be raked to remove ruts and supplemented with new gravel where needed in order to provide suitable temporary parking. o Care will be taken not to disrupt or re-grade the area around the leaching basin and drain cover which collects stormwater from First Street and empties out the north bulkhead. Since the New Suffolk Waterfront Fund has set a tentative planting date of May 9th during which volunteers from the community will assist in the planting effort, we would appreciate the Trustees addressing this request at its April 22nd meeting. If you have any questions or concerns about the plantings or the location of any of the structures within your jurisdiction, please do not hesitate to contact Barbara Schnitzler, Chairperson of the New Suffolk Waterfront Fund's Site Development Committee at the following number: glT-37g-564(. Sin~cerely, Valerie M. Scopaz, AICP Consultant Encls. CE: Stephen Searl, Peconic Land Trust PO Box 146, New Suffolk, NY 11956 * 631-566-0806 · newsuffolkfund@gmaiJ.co2m Post Office Box 569 8ridgehampton, NY 1193Z Tel: 631.537.1400 Fax: 631.5372~01 UP FOR T~E~EA~T END Post Office Box 1792 Southold. NY 11971 Tel: 631%5.64§0 F~c 631.765.64§5 President Robert S. DeLuca Chairman William S. McChesrmy, Jr. VJce Chairman Ann Colle¥ Board Members Harris A. Borer Katherine Leahy Birch W. Marco Birch Wilbelmus B. B~/an Mark Borchill Andrew Goldstein Gregoq, Hon~ksmp Ronald S. Lsuder Sandre R. Meyer Christop~r Pla Peter Scbellbach John Sbea John C Wadded Mary Walker Possible Native Plant List for New Suffolk Waterfront Flagpole Planting Eastern Red Cedar, Juniperous virginiana Northem Bayberry, My#ca pensylvanica Beach Plum, Prunus ma#tima Virginia Rose, Rosa virginiana Sweet Fern, Comptonia peregdna Wild Blue Lupine, Lupinus perennis Butterfly Weed, Asclepias tuberosa Sweet Goldenrod, Solidago odora Stiff Aster, Aster linariifolius Switch Grass, Panicum virgatum Anita C. Wdght Environmental Educator, Spring Planting Coordinator (631)- 537-1400 ext. 206 We protect and restore the environment of eastern Long Island through education, citizen action and public advocacy. founded ia 1972 www.groupfortheeantend.org 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/ __Wetland Permit Application ~ Administratiye Pen-flit __Amendment/Frans fe/r/Extension eceived Application: eceived Fee:$ ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). · '/LWRP Consistency Assessment Form CAC Referral Sent: ,~'~Date of Inspection: Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~_puuic Hemng Held: q, __Resolution: NameofApplicant ,~._~.~ ¢" .~. Address Suffolk County Tax Map Number: Property Location: ~: ~-0 (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Phone: :d of Trustees Applicatio GENERAL DATA Land Area (in square feet): I~C[l~2~,~7~r,nc~,N~ct.~wb~.~l¢4.~],~.~) Area Zoning:_ h4 -.~-~ b4~U',.~aJ~ ~ Previous use of property: /~ tk~Lt N ~c ('P/g/~tt~ Intended use of property: ~ (PP~t~ci?t~c~ Covenants and Restrictions: Yes~ ~ No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency ~t~tvt'~b ~)~- t £~45'C~:¢~ -=3~, ~2& Date . .,. __ No 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): .~:g~--~ ~ t-ffh-Oq ~ rd of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: -- d/~ -- .square feet Percent coverage of lot: -- t4/t-- % Closest distance between nearest existing structure and upland edge of wetlands: - H/% - feet Closest distance between nearest proposed structure and upland edge of wetlands: - ,~ - feet Does the project involve excavation or filling? Odi-q ~5~o F73o ' No Yes ~4 If yes, how much matehal will be excavated? How much material will be filled? Depth of which material will be,~einovcd Proposed slope t~oughout the ~ea of operations: 5'~ Ma~er in which material will be ~ deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use- ~iih~en~s ii 6'17.20 PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1.APP__~. ~.,ANT/PONSOR 3.PROJECT LOCATION: Municipali~ County SEQR 4, PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mad 5. IS PROPOSED ACTION: · [] New [] Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: ~ ~ i}.~ ~ / / Initially acres ~ UItCmately ( acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~Residentia, r~lndustdal [~Commercial r-~Agriculture ~] Park l Forest / Open Space [~ther (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. AGENCY (Federal. State or Local) ~Yes [--~No if fist name and permit / yes. agency approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 11. uL)I:~ ANY A~SPEC[ OF THE A(~IION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~]Yes [~21No ff yes, list agency name and permit / approval: 12. AS A R~,~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I~Yes I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sportier Name ,~-~"-v-~'~ Date: ! t'_~ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 6t 7.4? If yes, coordinate the review process and use the FULL EAF. E~] Yes r---] No WILL ACTION RECEIVE COORDINATED REVIEW AS PROV DED FOR UNL STED ACTIONS JN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. ["-]Yes [~No C. COULD ACTION RESULT iN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~lwrflten, if legible) Cl. Existing air qLlal[ty, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste pmducflon or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, amhaeological, historic, or other natural or cultural resoumes; or community or neighborhood character? Explain briefly: C3. Veget~fion or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity et use et land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain bdefly: C6. Long term, short term, cumulafive, or other effects not identified in C1-C57 Explain briefly: I C7. ~ther impacts (ina ud ng changes n use of ether 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 ENVIRONMENTALAREA (CEAI? Ill es ex lain bfiefl~/: []Yes []No )' : P E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~/es explain: EaYe, FqNo PART Ill - 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 ia) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; id) irreversibitity; (e) geographic scope; and if) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to shew that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked ygs, tho d otorm!n--~cn of s!gn!fic.~nce must cvc~uate4hepetcnticlim past cf thc proposed c, cfic~, Sn thc cnvlronm~nta~ char&c~'6r~at~c~ of hh6 Cr'A. Check this box if you have identified one or more potentially large or significant adverse impacts which MAy occur. Then proceed directly to the FULl FAF and/or prepare a posifive declaration. C~hec-I( ~ box if you have det~m~'~'~J'i based on the~nformation and ~nalysisabove and'a~y ~uppo~ting docu~n~t~[~,'t-I~¥~mp~ ~'c~)~ ' WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessapj, the reasons supporting thl: determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (~f different from responsib[e officer) Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency PECONIC LAND 296 IIAMP'I'ON .ROAD I TRUST P.O. BOX 1776 I SOUTi-tAMfffON, NEW YORK 11969 TEL;631.283.3195 ~ FAX: 631.204.0711 [ www.pecosdcland~eust,org April 3, 2009 TO; Lauren Standish FROM: Stephen Searl FAX NUMBER: 765-1366 New Suffolk (SCTM# 1000-117-8-18) Administrative Permit Application MESSAGE; Hi Lauren - Please find attached signed authorization forms for the New Suffolk administrative permit application. Please let me know if you need anything else (631,283.3195, ext. 22). Thanks! Stephen APR - 2009 £0/~0 The infom~ation in this fax and any attachments may be privileged and confidential, and is intended solely for the use of ~he named recipient. Any use, dissemination or copy of this fax by other than the named recipient is strictly prohibited. If you have received this fax in error, please notify us by telephone immediately so that we can arrange for the return of these documents at no cost to you, Thank you for your cooperation. Board of Trustee Application Authorization (Where the applicant is not the owner) I,'~,~,~-~,./-J.._~.; ~1~,_-~,/~.t..~ ~iding at (Mailing Address) Do hereby aulhorize · ~ ~ ~ (Agent) To apply for an administrative permiJ from the Southold Board of Town Trustees on my behalf. Owner's Signature ~_ ,,. ,t, ~... ~0/~0 BgVd lsn~i ON~] DINODBd S~0£8~9 I~:CI Board of Trustee Application County of ,Suffolk State of New York '~ ~ .,~ '~"~ '~-~,~, ¢. J~ J-~l~,, tg~7.~, 't~---~'~being duly sworn deposes and affirms that he/she is th(e-applJcar~f for the above described permit (s) and thai all statements contained herein are true to the best of his/her knowledge and belief, and thai 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 vidue of said permit(s), if granted. In completing this applJca}ion, I hereby authorize the Trustees, their agent(s) or representative(s), to enter onto my property to inspect the premises in conjunction with review of this application. ~ignature Sworn to before me this ~ Day of (-~.,~/ Notary Public ,2009 ~0/~0 39~ ~SR~± GN~ OINO03~ §~EO68E~89 ~:~ 600~/8~/~0 APPLICAN~PRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Towla of Southold's Code of Ethics orohibits conflicts of interest on the oart of town officem and emolovees, The oun)ose of thi~ form is to on)vide information which can aler~ the town of vossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ~. fO I~ ~ tqm> ~ YOUR NAME:' ' - "~ ............... (Last name, first name, ~alddle initial, unless you am applying in the name of someone,else or other entity, such as a company, lfso, indicate, the otl~r person's or company's name,) NAME 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 Of"Other", name the activity.) Do you pomonally (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 town officer or employee owns more than 5% of the shares. YES NO lfyou 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 applicant/agentJmpresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space prooided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __.A) the owner of greater than 5% of the shams of the corporate stock of the applicant (when the applicant is a corporation); __.B) the legal or beneficial owner of any interest in a non.-corpomte entity {when the applicant is not a corporation); __.(2) an officer, director, partner, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Town of Southold LWRP 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 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 ~qio/nifieant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suooortin~ facts. 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 foflowing places: online at the ~~'xxNt~)'~l~[, s website (southoldtown.northfork.net), the Board of Trustees Office, t~P ,~¢ifing l~t, all local libraries and the Town Clerk's office. The Application has been submitted to (check appropriate response): ~,/~/ Town Board ~ Planning Board [-~ Building Dept. ~] Board of Trustees 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: Location of action: 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) Name of applicant: ~4.~-. t c .... 7,;t ,~ t_ u= .......... [--~ v?_z (b) Mailing address: P.~. ~,j~'~C I~- ' e (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 71 If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy L 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 [-3 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 Attach additional 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 ~!XI Yes F~ 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 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 HI - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not App~ble 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. ~'~ 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 ~'~1 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. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~ No ~Not Applicable Attach hdditional sheets if necessary WORKING cOAsT POLICIE~I~ Policy 10. Protect Southold'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. [] Yes ~ No ~ Not Applicable At~ach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie 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 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 Applleable DATE SCALE: t" =38'*8'" ('4 / ' '\ I00 PT, SET'BAGK Pf~Oi'4 EXi¢TIN® I'HEA~OF4'I TQ p~bil'4AiN 1 SURVEY OF PROPER'FY SUI,'FOLK TOWN OF SOUINOLD SUFFOLK COUNTY, NEW YORK S,C, TAX; No, t000-117-08-18 SCALE JULY 6, 2005 NOVEMULR 19~ 2005 A)DED ARLA O* NEW YORK S]ATE L/xlq~ OlRANI OCIO8[R 25, 2006 ADDEO LOW W/*J!R MARK NOVEMOER 2i, 2007 UPBAJE SURVEY TAX No~ ~ DO0-117--8- 18 AREA 149,324,97 sq~ fl TOIAL NEW YORK SLATE LAND GRANT AREA =- i05,000.OQ sq. fi. NEW YORK SLATE LAND GRANI' LESS = 95,174.69 sq fL P/O SC. TAX No~ t000-117--8-18 AREA 2, J39 ~c~ TOTAL NEW YORK STALE LAND GRANT AND = 242,499.66 S.C. TAX No. 1D00-ll7--8-18 AREA 5.567 ac. FIDEIIYY NATIONAL TITLE INSURANCE COMPANY' OF NEW YORK P£,CON~C LAND lRUSr RELOOATE~ OONGRET~ AP?ROVED BY CHECKED T 8HEE