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Home My WebLink About1000-86.-6-253[~own of Southold A. INSTRUCTIONS LWRP CONSISTENCY ASSESSMENT FORM All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form/~hould review the exempt minor action list, policies and explanations of each policy contained Town of Southold Local Waterfront Revitalization Program. A proposed action will be as to its significant beneficial and adverse effects upon the coastal area (which includes If any question in Section C on this form is answered affect the achievement of the LWRP policy standards and review law. Thus~ each answer must be explained in supl~ortim, facts. If an action cannot be certified as consi~ conditions, it shall not be undertaken. then the proposed action will contained in the consistency both and non- the LWRP policy standards and A copy of the LWRP is available in the following (southoldtown.northfork.net), the Board of Trustees libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED PROJECT NAME The Application has been submitted t6 (check Town Board [] Planning Boar~ [-~ Buildin 1. Category of Town of Southold a (a) (b) online at the Town of Southold's website . the Planmng Depart~nent' all local Board of T~fi-stees __ Action undertaken directly by Town agene~,-(e:g, capital construction, planning activity, agency regulation, land transaction) Financial assistance (e.g. grant, loan, subsidy) (c) Nature and extent of action: Permit, approval, license, certification: 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: (b) Mailing address: (c) Telephone number: Area Code ( ) '734- (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, wkich 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 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. LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [~/Yes [~ No [~ Not Applicable Enhance visual quality and protect scenic resources throughout the Town of Southold. See 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 E~ Yes [] No [] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southoid. See LWRP Section III - Policies Pages 16 through 21 for ,~valuation 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 Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section II1 - Policies Pages 32 through 34 for evaluation criteria. [~//Yes ~-~ No [] Not Applicable Attach additional sheets if necessai'y Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous S~yenCes and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. s [] 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 At'tach additional sheets if necessary WORKING COAST POLICIES ,Policy 10. Protect Southold's water-dependent uses and promote siting of new *vater-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 Pecouic 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 additionb.1 sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~Yes [] No ~-~ Not Applicable PREPARED BY Amended on 8/1/05 TITLE DATE CRUICKSHANK MAY 1 3 2009 ', Southhokl Town Boor~l of Trustees R/CHMOND A?? ROX' ® 8 I0 CHIMNEY &3'xzo' 127.8' SHED EL. 3.73 iOZS' 6 4 WETLANDS DELINIA TION N 8 21.3' 6J. 6' POLE 4 I0 ~ 12 8 SET dECk< ROAD SET c3 SURVEY OF DESCRIBED PROPERTY SURVEYED 7/28/98 Guarantees indicated here on shall r~ SITUATE SCALE 1"~40° only to the person for wh~m the survey AREA--oR 111,952.47 S~s prepared, and on his behalf fo the PECON/C, 2.570 ACRES title .,:~,~:.v, co~?~.~a ~.,,~v. TOWN OF SOUTHOLD ~',i,~;~ in;fit~ticn, i~ ll,fe~ h~recn, and qHFFOI~ COUNT~ N. ~' to Ihe c:s~',enees of th= lend[;~g institutlo~ ~ 1000-086-06-25 Guarantees are not transP rabla to additional instituti~s or s~bs~qu~nt o~O FOR MARK S. LO~NHEIM Unauthcrlzed alteration or additlon to this s~rve¥ is a v;olation of Section 7209 of the New York State Education Law. NOTE: 1. LOCATE WETLANDS DELINIATION AS SET BY LAND USE CO. 16 OCT. 98 2. ADD EL. 10 CONTOUR 27 OCT. 98 5. REVISE 1st. FL. & ADD CONTOURS 01 FEB. GUARANTEED TO MARK S. LOH~NHEIM WALTER M. CHAD~CK FIDELITY NATIONAl TITLE INS. CO. NORTH FORK BANK TOI~ OF SOUTHOLD AND WALTER H. CHADWICK Copies of this survey map not bearin9 the Land Surveyors embossed seal sbalt not be considered to be a valid true mpy, CM 4 ELEVA T/ON BENCH DERIVED FROM E 326 (EL. 20.118 E 326 DESTROYED. ELEV. SOURCE FROM SUFFOLK COUNTY DEPT. OF PUBLIC WORKS WA TERWA YS DIV. 1999 WETLANDS DELINIA T/ON 1. S 78' 16' 05" E 10.3.16' 2. N 83' 12' 04' E $4. 70' $. S 89' .36' 55" E 41.75' 4. S 40' J6' 25" E 56.25' 5. 5 21' 10' 12" E 6. S 00' J5' 56" E Jg. JS' 7. S I0'.32'24" W$8.76' 8. S 11' .37' 46" W 58.26' 9. S 74' .39' 49" W .31.49' 10. S 05' 44' 15" W 11. S 31' 38' 03" E 64.74' SURVEYED BY ~.TANL. FY J.., 15'AKSEN, JR. O. BOX 294 / / / / ? /- /