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Home My WebLink AboutTR-7195A Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer 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 CERTIFICATE OF COMPLIANCE # 0702C Date: November 18, 2011 THIS CERTIFIES that the addition of chip brush along embankment with no fill or re- grading of the property At 345 Meadow Lane, Mattituck, New York Suffolk County Tax Map # 115-5-4 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated May 5, 2009 pursuant to which Trustees Administrative Permit #7195A Dated October 21, 2009 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the addition of chip brush along embankment with no fill or re-grading of thc property The certificate is issued to OTTO FERCHAU owner of the aforesaid property. /~/uthorized Signatul~ Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~'~ Ch. 275 [I- i /I Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ~ constructed Project complete, compliance inspection. INSPECTED BY: ~ COMMENTS: ',j CERTIFICATE OF COMPLIANCE: 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 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 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 Ma~n 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.: 7195A Date of Receipt of Application: May 5, 2009 Applicant: Otto Ferchau SCTM#: 115-5-4 Project Location: 345 Meadow Lane, Mattituck Date of Resolution/Issuance: October 21, 2009 Date of Expiration: October 21, 2011 Reviewed by: Board of Trustees Project Description: To plant bushes and trees on property and chip brush along embankment, with no fill or re-grading of the property. 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 project plan received on May 5, 2009, and stamped approved on October 23, 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, 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 ?ease be advised that your application dated fflO,~ ,5"~ ~ ~' has oeen reviewed by this Board at the regular me,eting of and your application has been approved pending the c~mpletion 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) __ ¼ Constructed ($50.00) F//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: $. ~'-~--~ ~ 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 InspectionNVorksession Report Date/Time:¢/n/' / 0-- o ? OTTO FERCHAU requests an Administrative Permit to install a trench for drainage; clean and level area with approx. 20 cy. of topsoil and plant grass; and plant bushes and trees on embankment. Located: 345 Meadow Lane, Mattituck. SCTM#115-5-4 aOf area to be impacted: ItwaterWetland Freshwater Wetland __Sound Bay Distance of proposed work to edge of wetland Par~ of Town Code proposed work falls under: ~¢h'~Pt.275 Chapt. 111 other Type of Application: {/Wetland __Coastal Erosion ._Administrative__Emergency Pre-Submission __Amendment Violation Info ne~_.?ded~ _ ~ ~ Conditions: Present Were: .~King 'L/~.Doherty __P.Dickerson __ __ D. Dzenkowski Scott Hilary__other Form filled out in the field by DI~. Bergen~_~l ..Ghosio, Mailed/Faxed to: Date: SS SEED WILL NEVER GROW A LAWN LIKE THI.SI. G RA , ..~,~ ~,~, ~,,~. o~ u...,~ ~".r~ Waterl ~ve.~ime, ~ ~,~,~~o ~ve ~, . FREE. ----- O~er Your ZOYSIA Plugs NOw -- ~a~te8 9aily From Our Fa~s Order Now; www. ZoysiaFarms-oom/mag ~ PLANNING BOARD MEi~BERS MARTIN H. SIDOR Chair WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LVVRP Coordinator Date: September 23, 2009 Re; Proposed Wetland Permit for OTTO FERCHAU SCTM#115-5-4 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 7 OTTO FERCHAU requests an Administrative Permit to install a trench for drainage; clean and level area with approx. 20 cy. of topsoil and plant grass; and plant bushes and trees on embankment. Located: 345 Meadow Lane, Mattituck. SCTM#115-5-4 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 me, it is my recommendation that the proposed action is INCONSISTENT with the below Policy Standards and therefore is INCONSISTENT with the LWRP. Poficy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The adequacy of the buffer depends on the following factors: Potential for adverse effects associated with the use. Uses such as those involving hazardous materials, on-site sewage disposal, or mineral extraction have high potential for adverse effects and may require substantial buffer. The nature and importance of the wetland and its benefits. Substantial buffers may be necessary to avoid adverse effects from adjacent or nearby uses based on the nature of the land use and the characteristics of the affected wetland. Direction and flow of surface water between a use and adjacent or nearby wetland. Buffer widths may be reduced in areas where drainage patterns normally do not lead directly to the wetland and where adverse affects on the wetland, other than those due to runoff, are not likely. Buffer width necessary to achieve a high particulate filtration efficiency of surface runoff as determined by vegetative cover type, soil characteristics, and slope of land. Other management measures or design alternatives to protect wetlands from adverse effects where site constraints do not allow sufficient buffer width. 6.3 Protect and restore tidal and freshwater wetlands. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided; 1. Maintain buffers to achieve a high filtration efficiency of su~ace runoff. 2. Avoid permanent or unnecessary disturbance within buffer areas. 3. Maintain existing indigenous vegetation within buffer areas, It is recommended that the existing native vegetation remain and that a perpetual, natural ve,qetated buffer be required landward from the wetland line. NATURAL VEGETATED BUFFER -- a land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Vegetation shall be maintained to achieve a minimum percent ground cover of ninety-five (95) percent. To achieve the percent ground cover indigenous, drought tolerant vegetation shall be planted. Survival of planted vegetation shall be (ninety) 90 percent for a period of three (3) years. Maintenance activities within the buffer are limited to removing vegetation which are hazardous to life and property, trimming tree limbs up to a height of fifteen feet (15') to maintain viewsheds, replanting of vegetation and establishing a four foot (4') wide access path or stairs constructed of pervious material for access to the water-body. Further, in the event that the action is approved, to further Policy 5, "Protect and improve water quality and supply in the Town of Southold" and protect and improve the water quality and supply in the area; the following best management practices are recommended: 1. Require that ALL gutters be attached to leaders and drywells. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob ~nos~o, 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 ~V;astal Erosion Permit Applicatiog. etland Permat Apphcation ~ Administrative Permit ,/ .-~_Amendrnent/Transfi r/Extensio ~c,Received Fee:$ ~Completed App~ __Incomplete __SEQ --coordination:(date sent) ~C~°nsistencyAsse~rm /_lc~ 0 o · ~-. ~ererral Sent: ~-- ~,~te of Inspection:~ __Receipt ofCAC Rcp~ ' ~Lead Agency Determ/na~ ~Technical Review: ~-"Pffolic Hearing Hc~ __Resolution: ' Name of Applicant ~ T 7- {.) ~ r_ ff ri ' /4 fl c~ _Phone Number:(7 ,c) ~- ~ ,_ ~ 9 Suffolk County Tax Map Number: 1000- ~ Property Location:___~~~ ~_~_ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: _Phone: :d of Trustees Applicatio0 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. Prior permits/approvals for site improvements: Agency Yes t./ No Date __ No prior permits/approvals for site improvements. Has any p6rmit/approval ever been revoked or suspend/ed by a governmental agency? t/No Yes If yes, provide explanation: Project Description (use attachments Board of Trustees Applicati, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: * ~- 5 o .square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: .~ ~ feet Does the project involve excavation or filling? No ,/ Yes If yes, how much material will be excavated? How mudh material will be filled? · .2 o 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: .~, ~ cubic yards cubic yards 3 ,,-- '-t' ..~atement of~e e_..ff_ec_t~ !? my, 9n the w_.et_!_ap~s mud tidal waters_ 9f~ t0wr[~that _m_a~ r__e_s_ul_t_ ~y . reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County ~' L,, /~ ;co L i< 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: [~1 New r-~ Expansion ~ Modification / alteration SEQR 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres , ~_ Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? F~Yos [] No If no, describe briefly: WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~Res,dentia. []Industrial n~Commercial [Z]Agri¢lJlture [~ParklForestlOpenSpace [~]Other (describe) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT,~L AGENCY (Federal. State or Local) ~'~Yes ~No If yes. list agency name and permit / approval: ll. UUE3 AN'( A~P[r. CI OF [HE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? F~Yes [~No If yes. list agency name and permit / approval: t2. AS ^ RESULT OF PROPOSE° ACTION W,LL X,STING PERMIT APPROVAL REnU,RE MOD,F,CATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If tho action iea Costa! Ar~a, and you aro a etato agency, ¢omploto tho ~oa*tal A*~e$~mont Form b~[ore proceeding with this a~?o~mont PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. [---~ Yes r~No B. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. I-'1 r--I.e COULD ACTION RESULT IN ANy ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~lwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agdcultural, amhseological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdefly: C$. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or throataned or endangared species? ~xplain briefly: C4. A community's existing plans or goals as officially adopled, or a change in use or intensity of use of land or other nalural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in Cl-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefly: WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If¥? ~xp!~i~! PART 111 - 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) probabitity of occurring; (c) duration; (d) irrevemibility; (e) geographic scope; and (f} magnitude. If necessap/, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have bean id entitled and adequately addressed. If question d of part ii was checked yes. *.h-~ d -=!-~rm!n~-*.!cn of e[gn!fic.~nc~m,,u.ct cvc~uctc thc pc'.eRtJal !mpcc. t c.f '.ha prcpcc, cd ~ c.~;c. ~, c~, thc c ~,v~rc.~..T,~n t~ ch~ract~st[~ ~f ~h~ C.~A. Check this box if you have identified one or more potenlially large or significant adverse impacts which MAY occur. Then proceed directly to the FULt EAF and/or prepare a positive d$claration. C~e~k-~h~s b~-i¢~ 5~-I~-v~ 3 &i6~ nTn~d, ~)~se~'on {he information and ~naly~is'~bove ~n(~ an~; ~uppdrtin~ docu~lent-a floe, that the propose~ ac~0~' WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessap~, the reasons supporting thi.~ determination. Name of Lead Agency Date Title of Responsible Officer Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsible office0 ~oard of Trustees Applica~n County of Suffolk State of New York BEING DLrLy SWORN DEPOSES AND 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 I-IlS/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), 1~ 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 Public CONNIE D BUNCH Notaw Public~-S~te of New Ymk No. 0iBU6185050 Qualified in Suffolk County ~ommission Expires April ]4, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the hart of town officem and emolovees. The nuroose of this form is to nrovide information which can alert the town of oosalble conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: f'~ ,3 tlc 14 ,a ~' 0 r' '; o (Last name, first name, Middle initial, u~less you are applying in the name of someone else or other entity, such as a company. If~o, indicat~ the other 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 Mooting 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, r~arriage, 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 ~S 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 applicant/agent/representative) 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 entit}, (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or __$)) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this~=..~d~y of 5'~/5~'/~J;:~ 200? Signature ~.~t [}c~ J.~ ( / Print Name 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 Sonthold 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" 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, jt 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 Plannin local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME MAY - 5 2009 Southhold all The Application has been submitted to (check appropriate response): TownBoard [] Planning.Data[] BuildingOept. V] "oaraofTruste" [] 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) Co) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: . 1 Location of action: Site acreage: t Present land use: Present zoning classification: If an application for the proposed action hns been filed with the Town of Southold agency, the following information sh~ll be provided: (a) Name of applicant: o ,'7--to ~v,~a ~. a ~; (b) Mailing address: -'/o P,~ r~,~ ,~. 1~ ..t~ (c) Telephone nmber: ~ea Code ~t~ ~ 3 * - ~ ~ ~ q (d) Application nmber, iffy: Will the action be directly ~de~en, reqore ~d~g, or approv~ by a state or feder~ agency? Yes ~ No ~ If yes, whch state or fede~ agencyT 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 Il]No ~-] Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. Sec 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. Sec 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 Affable 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 L_~ 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 IH ' Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICII~ 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 ~J Not Applicable Attach additional sheets if necessary Policy 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 forF~aluation crlteria. [] Yes ~'] No ~ Not Apphcable 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 Applicabl~-'~ TITLE DATE ~ -~/~? LOT J8 S 85'22'10"E I TM 1000- 200.00' 25-05-04 8.1t LOT ~39 N 85'22'10"W 200.00' TM )O00-ffS-05-05 bJ N 85;22'I0"W AREA=20.O00 S F. FILE· MAP LOT #40 LOT 41 200.00' q) ~L~,~,"r 3 ~A.u,~' ¢,z,~-,;3. SURVE'YED FOR: OTTO FEROFLAU KARL FERCHAU LOT 56 APPROVED N/F M,~ TITUCK ESTATE... INC. BOARD'OF TRUSTEES TOWN OF SOUTHOLD DATE ~7" .~ ~? i AREA = AS SHOWN SURVEYED 8Y STANLEY J. ISAKSEN, JR. P.O. BOX 9_94 N£W SUFFOL.v,. N.Y. ~ ~6