HomeMy WebLinkAboutTR-7150A 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.: 7150A
Date of Receipt of Application: August 18, 2009
Applicant: Peter & Wendy Rosenberg
SCTM#: 135-1-12
Project Location: 22035 Soundview Ave., Southold
Date of Resolution/Issuance: August 19, 2009
Date of Expiration: August 19, 2011
Reviewed by: Board of Trustees
Project Description: To replace the collapsed cesspool located on the landward
side of the existing dwelling.
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
application received on August 18, 2009 and survey stamped approved on
August 19, 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~
Board of Trustees
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town HallAnnex
54375MainRoad
P.O. Box 1179
Southold, NewYork 11971-0959
Telephone(631) 765-1892
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
COASTAL EROSION MANAGEMENT PERMIT
Permit #7150C
Date: August 19, 2009
SCTM#135-1-12
Name of ApplicantJAgent: Patricia C. Moore, Esq.
Name of Permittee: Peter & Wendy Rosenberg
Address of Permittee: 22035 Soundview Ave., Southold
Property Located: 22035 Soundview Ave., Southold
DESCRIPTION OF ACTIVITY: To replace the collapsed cesspool located on the
landward side of the existing dwelling.
CONDITIONS: None
INSPECTIONS: Final inspection.
The Coastal Erosion Management Permit allows for the activities as indicated on the
application received on August 18, 2009 and survey stamped approved on August 19,
2009.
,
Jam F~. ~ing, Presi~tt
Board of Trustees
JFK:lms
68/17/2889 14:44 631852~
NASTEWATER MGNT
PAGE 01
COUNTY OF SUFFOLK
STEVE LEVY
SUFFOLK COUNTY EXECUTIVE
DEPARIMENT OF HEALTH SERVICES
HUMAYUN J, CHAUDHRY, D,O., M.S.
COMI~SSION~JR
8~ptornber 22, 1997
SUFFOLK COUNTY DEPA.RTMENT OF Ii~ALTH SERVICES
OFFICE OF WASTEWATER MANAGEMENT
GENERAL GUIDANCE M~MORANDUM ~
GUIDELINES FOR ]PERMIT REFERRAL
FOR APPROVAL OF SEWAGE DISPOSAL SYSTEMS AND WATER SUP]PLIES
FOR EXISTING, RENOVATED~ OR/LELOCATED SINGLE-FAMILY RESIDENCES
L AU'I'HO~ffI'Y
The. Suffolk~County 8auitm~.. Code sets forth requircmants for approval of water supplies and sewage disposal
sysTeras, lac statutory anmorR7 ~m' these guidclincs can be found ~n Articlc 5 SacQon 760-502, Article 6
Section 760603, and Article 7 Section 760-705A, Detailed specifications can be found in Standards {~o~
_Approval of Plans and Con~ction-Sewa~.e Disvosal Systems for.$.iilgle-Family Residences.
IL PURPOSE
This d~um~m is invaded to ai.d build~, ,g.and pl.anzUa~, deparlmen.ts of local jurisdictions in determining when
~ ~I~puc~t lXopesmg renovations, auntuons, a,ltentt]o~, relocattOri or reconstructio~ to pre-existing single-
Iamu¥ restdances should be reqmr~d to obtain a.p~mit by thc D~artmant of Health Se~ices. If required,
perrmts must be secur~o prior to commencement ot any eonslruction,
IH. DEPARTMENT APPROVAL REQUIRED
The Dopar~nant will require submission of an application, and will issue plan approval for sewage disposal
system(s) and/or water supply for a single-family residence under the following circumstances:
A. I~LOCATION:
1. When any pan of an existing sewage disposal system must be relocated for any reason related to
renova~an or rec. o..nstruetinn of the si~gle-f~nily residence. One example of this condition is
expansion ora butldm~ footprint closer to the s~go disposal system.
2. When any part of an existing scwa~ disposal system must be relocated to accommodate construction
ofnon-habttable accessory structures such as swimming pools, sheds, otc.
3. When any p~r[ of an existing sewage disposal system must be relocated due to municipal zoning
changes, lot linc changes, or other regulations which may require relocation_
B. EXPANSIONS/ADDITIONS:
1. When a new and separate sewage disposal systerri is to be installed or n new exterior waste line is to
be added due to construction of addJlions, conversions, renovations, or to accommodate accessory
buildings.
General (~uidance Memozendum #8, Page 1 of 2
88/17/2889 14:44
WASTEWATER
PAGE 82
C. EX~ST1NG 8YSTEM$:
1. When a residence is proposed to bc reconsh'ucted after a fire, demolition, or other desiruction.
Installation of new ~Wage disposal facilities and/or water supply may be required by the
Deparlmcnt.
2.Whc~ a~ addition or ranovagon is proposed for a smicture that bas a c~'iticate of occupancy dated
prior to 1973 and any increase in the number of bedrooms is proposed.
3. _Wh_ an.a..n_.addi~o.n or tnmoya, teen is, proposed for a sh'ucture that has a c~dificato of occupancy dated
~,.eci,anff~h~ ~.~gmthat .was ,os,sue, el an Appro~.al .of Couslruc~..d W. orks by this Dvparlraent
*~, ,;,, ~ ,n numvor or oonrooms p~nmnon, no new appncat~on shall be required if the
proposed total number ofbedroums does not exceed the number specified on the previoua approval.
4. Any accessory apartment application that results in the conditioos in either it~n 2 or 3 above.
5. &~ss~ ~nb'oU~el'-'a~ng~'r~--°~.'ati-c-a'''.' _ ~a~d~i_'_'tion or..con.v, ersi~ !.s proposcd ~ it is determined by a licensed
e,~ v.,, o~,vmu ~,~ mvoiveu agency mat ttm exlsung sewage (ltSpOst~l system is inadequate and
must be upgraded or replaced.
6. When there is a change in use of the dwelling unit. Examples of this would be addition or
conversion of space for a..!.~lional office er a business use. /
,. ~ "-----.__ -
~h~erDtheP ~a~., ant' will. ~ require alas'oval of existing sewage disposal sys~ for single-family residences
A, .W~,.en a a,e~,., age disposal..syste.m, is replac~ or wh? expansion., pools are installed solely as the result of
muure .o~ me sewage .a~sp, osai slrstom and not related to building modifications Rc'~laosm~,
,ex,~__.a~s_,o~s~ ~ requn-ecl to oe per~.ormed by a contractor licensed by Suffolk Coun~ O~ of C~'uv~
-. - ...... ~equu'eCl.to follow installation procedures stated m ,~taudarda for A~oroval of
riam an.ct uonstrucuon-aewage Diiooua] Sv.*~-~ for ~i~I~-~amilv
B. When additional plumbioi fmtures are installed, without change in use or additien of bedrooms or
dwellin§ units, andpiped through an existing exterior waste line.
C. Whe~ the footprint.or gte.ss floor area. of thc residence is increased without change in usc or addition of
. . ~ ~, - ~mseo ucslgn protessuorial or involved en that ·
existing sewage d~sposal system is adequate and does not r~quire upgrading or replacamm~g~, cy th
V. APPLICATION FEES
A. When a permit is required, each application is to be ao¢ompanied blt a check or money order, payable to
~Seuei~s°l~f.o,~;d~atEen~,~w~cre~2cefxit~sti~¢ordin, to .the current Icc sehedule. Thc minimum applicatio~
be - = . _,. g sewage &sposal and water su'"l-, a-stems arc =-'----' --
a~equam Additional .fcc$ ma,, ~-o --- ' a ~ .. . i-,i-, .~ .~ ~crmmen to
· ' ., ,,* ,~,/ulrcu, uepenanlg On the extent of required construction and
inspections by thc Deparanant.
Issued by: Stephen A. Costa, P.E., Chief
Office of Water and Wastewater Management
REV. June 7, 1999, $tmuary, 2002, September 30, 2004
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southnld, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application ~..---~
Wetland Permit Applicationt-.-~'~,~,i,,iAdministrative Permit
Amendment/Transfer/Extension
~Received Application: ~1
V/ Received Fee:$~O0 ~
.~Completed 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:
~l~ublic Hearing Held:
Resolution:
Name of Applicant. \
Address ~,,~o2 0~3--- ~(DU,'~rT//t//f~ //~ .
Suffolk County Tax Map Number: 1000-
Property Location: ~ ~ ~-~
(provide(~O Pole #, distal, ce to cross skeets, and location)
(If applicable)
Phone Number:(
Address: %
~~,.~'~C
rd of Trustees Applicati(
Land Area (in square feet):
Area Zoning: ~-
GENERAL DATA
Previous use of property:
Intended use of property:
?-
Covenants and Restrictions:
If "Yes", please provide copy.
Yes /X No
Prior permits/approvals for site improvements:
Agency
Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a govemmental agency?
/~ No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
rd of Trustees Applicati~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
/
Area of wetlands on lot: /D C) square feet
Percent coverage of lot: /~ %
Closest distance between nearest existing structure and upland
edge of wetlands: d~ t~ feet
Closest distance between nearest proposed structure and upland
edgeofwetlands: feet C.t° /r~ t~rc~ ~
Does the project involve excavation or filling?
No X Yes
If yes, how much material will be excavated?
How much material will be filled?
cubic yards
cubic yards
Depth of which material will be removed or deposited:
Proposed slope throughout the area of operations: /-~y-nJ
Manner in which material will be removed or deposited:
feet
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 attachments if appropriate):
of Trustees Applicati,
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:
Are wetlands present within 100 feet of the proposed activity?
No .,,k/ Yes
Does the project involve excavation or filling?
No ~( Yes
If Yes, how much material will be excavated? (cubic yards)
How much material will be filled? (o. f ?
(cubic yards)
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
617.20
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)
,.,/,~APPLICANT / SPONSOR 12. PROJECT NAME
3.PROJECT LOCATION: ~ ~)3..~ ...~,j~..j': ~ ~
SEQR
Municipality ~..)
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or orovide mad
5. IS PROPOSED ACTION: [] New []Expansion ~]Medification/alteration
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED:
Initially , ~)~ acres UI6mately , ~ -~" acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
L~ Yes ~J No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
r~Residential []Industrial [--']Commercial ~--'~Agriculture ~] Park / Forest / Open Space r~other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal. State or Local)
r'-']Yes [~No if yes, list agency name and permit / approval:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~Yes r'~No If yes. list agency name and permit / approval:
12. AS aRESULT OF PROPOSED ACTION WiLL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
E~]Yes[~] No
~ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor N~me Date:
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 617.47 If yes, coordieata the review process and use the FULL EAF.
~-~ Yes [~No
WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative
declaration may be superseded by another involved agency.
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain bdefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
C3. Vegetation 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 of use of land or other natural resoumes? Explain briefly:
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
C$. Long term, chert term, cumulative, or othar affects not identified in Cf-CS"/' Explain briefly:
C7. Other impacts (including changes in use of eithar quantit,/or t/De o[ ener~l¥? Ex~lain briafl¥:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA {CEAI? IIf }ras, explain brieti}~:
[-I Yee r--I"o I
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If }'es ex~lain':
[~Yes [~No
PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~cant~ Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibilify; (e)
geographic scope; and (t') magnitude. If necessary, 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 environ mental characteristics of the C EA.
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
EAF and/or prepare a positive declaration.
Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actiol
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi~
determination.
Name of Lead Agency
Date
Title of Responsible Officer
Signature of Preparer (If different from responsible officer)
Print or Type Name of Responsible Officer in Lead Agency
Signature of Responsible Officer in Lead Agency
06/16/2009 12:27 FA~ 631 765 4643
~o~ard
MOOP. E LAW OFFICES ~ Trustees
of Trustees Applic~tO
~]002
AbTuORI ZATION
(where the applicant is not the owner)
I, 'f~--~'~ /~3IE~ residing .at~O~ ~ I~
(print o~er of property) (mailing a4~ess)
Sout~of Town Trustees on my behalf.
//~/,~ ~c~, '. '
·
do hereby authorize
(Agent)
to apply for permit(s) from the
8
03/18/2009 12:26 FAX 631 765 4643 MOORE LAW OFFICES ~ Trustees ~001
PATRICIA C. MOORE
At'~mey at Law
61020 Main Road
$outhold, NewYork 11971
Tel: (631) 765-4330
Fax: (631) 765-4643
FACSIMILE COVER SHEET
The pages c~mpdsing this facsimi~e trensmissi~n c~ntain c~n~dentia~ inf~rmati~n fr~m Patricia C~ Moore. This
informatil,~n is intended solely for use by the individual entity named as the recipient hereof. If you are not the
intended recipient, be aware that any disclosure, copying, distflbution, or use of the contents of this
transmis~ion is prohibited. If you have received this transmission in error, please notify us by telephone
immediately so we may arrange to retrieve this transmission at no cost to you.
TOTAL NUMBER OF PAGES INCLUDING COVER SHEET ~
IF TRANSMISSION IS FAULTY OR INCOMPLETE, PLEASE CALL BACK AS SOON AS
POSSlI~LE.
comments:
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 emnlovees. The ouroose of
this form is to omvide information which can alert the town of oosslble conflicts of interest and allow it to take whatever a~uun ~s
(Last name, fa'st name, ~aiddle' ' ~less yl~u ap.p y,.n~ . ~.~
someone else or other entity, such as a company. If so, ~nmcat~ me omer
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee ~. ,
Change &Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If "othef', name thc activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
" ' interest" means a business,
of the Town of Southold? Relationship' mc odes by b nod, mamage, or business nterest. Business
incloding 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 ~
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 ~tween yourself (the applicanffagenffrepresentativn) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
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% oftbe shares 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-corporate entity (when the
applicant is not a corporation);
C) an officer, director, partner, or employee of the applicant; or
__.D) thc actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS I
Subroitted th)s~y of ~9% 200.~
Signature / ~a~---- -' - ~
Print Narnt~g'Oc%'7'~L t c,/~ C
~oard of Trustees Applicati6n
County of Suffolk
State of New York
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 SAID 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.
(-~-~ Signature
SWORN TO BEFORE ME THIS
" Notary
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 HazardArea.
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" 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-
suooortiw, 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 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
SCTM# \35 - ~. '~ '
The Application has been submitted to (check appropriate response):
TownBoard ~ Planning Board ['~ Building Dept. [] BoardofTrustees~
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:.
C. I9
Location of action:
Site acreage:
Present land use: 1~/~44/r
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:
(b) Mailing address:
(c) Telephone number: AreaCode ( ) 7//- -
(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?
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 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
Amach 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
~ 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
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 App~able
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 [] 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 additional sheets if necessary
WORKING COAST POLICIE~
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
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic
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.
D Yes No Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate usc and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 for evaluation criteria.
[] Yes ~ No ~) Not Applicable
PREPARED BY ~~
TITLE
DATE
N
· tk
t,O~~
~tooD
FLOOD ZONES FROM FIRM
36105C0158 G May 4~ [9,98
AREA=4,065 $0. FT.
TO TIE LINE
SURVEY OF PROPERTY
A T SOUTHOLD
TO~N OF SOUTHOLD
SUFFOLK COUNTY,. N. Y.
I000-135-01-12
SCALE: 1'--20'
SEPTEMBER 25, 2006
ELEVATIONS REFERENCED TO N.
ANY ALTERATION OR AODIIION TO fi'tiS SURVEY IS A VIOLATION
OF SECTION 72090F 17'IE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTIFICATIONS
HEREON ARE VALID FOR R'tlS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COP/ES BEAR THE IMPRES~D SEAL OF THE SURVEYOR
WHOSE ~GNA TURE APPEARS HERE6¥V.
APPROVED ~¥
BOARD OF T~U$~ ~,
TOWN OF SOUTHOL-
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(651) 765-5020 ~ ~~ ~7
P.O. sox 909 ~ ~~ /
12J0 TRA ~LER S~ ~ ~
SOUTHOLD, N. ~ 11971 ~ ~--~
N
i ir
SOdND
50NO
SURVEY OF PROPERTY
A T SOUTHOLD
TOBrN OF SOUTHOLD
SUFFOLK COUNTY,. N. Y.
1000-155-01-1R
SCALE: I'--RO'
~EPTEMBER 25, 2006
FLOOD ZONES FROM FIRM
J6103C0158 G Moy 4, 1-998
AREA-4,06§ 80. FT.
TO 11E LINE
~ ,i~W ~
$O~3ND V
ELEVATIONS REFERENCED TO N.G.V.D.
ANY ALTERATION OR ADDIUON TO THIS SURVEY IS A VIOLATION
OF SEC770N 72090F THE NEW YORK 5TAT~ EDUCATION LAH(
EXCEPT AS PER SECTION ?209-SUBDIVISION 2, ALL CERTIRCATIONS
HEREON ARE VALID FOR IHIS MAP AND COPIES THEREOF' ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON. ,;~