The URL can be used to link to this page

Home My WebLink AboutTR-7214A John M. Bredemeyer III,President ��QF O(1 , Town Hall Annex Michael J.Domino,Vice President �I 54375 Main Road �� l° l0 James F. King,Trustee P.O.Box 1179 N ; Southold,New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee �� Telephone(631) 765-1892 i• Fax(631) 765-6641 • ••• BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0969C Date: April 23, 2014 THIS CERTIFIES that the installation of a water line from residences to road for public water; remove four(4)trees; and install a cesspool approximately 25' landward of the existing cesspool. At 200 &220 East Mill Road, Mattituck,New York Suffolk County Tax Map# 106-4-5&6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 23, 2009 pursuant to which Trustees Administrative Permit#7214A Dated December 16, 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 installation of a water line from residences to road for public water; remove four(4) trees; and install a cesspool approximately 25' landward of the existing cesspool. The certificate is issued to JAMES &MARK KING owner of the aforesaid property. . Authorized Signature 0 0 John M. Bredemeyer Ill,President ,,,,,,,,,,,� Town Hall,53095 Main Rd. Michael J. Domino,Vice-President 1, #: P.O.C�Vs■ Box 1179 1 � James F. King ■ Southold,NY 11971 lO "' Telephone(631)765-1892 Dave Bergen �''� P � ) `'i9 `a�l,0`� Fax(631)765-6641 Charles J.Sanders = 1 * ,, ) BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 4, 1 r9 ( ' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed _r_ i . Project complete, compliance inspection. . INSPECTED BY: n 6 e-,,) COMMENTS: A A ( l 4,,, r , , � CERTIFICATE OF COMPLIANCE: co James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD November 14, 2012 Mr. James King 220 East Mill Road Mattituck, NY 11952 RE: JAMES & MARK KING 200 & 226 EAST MILL ROAD, MATTITUCK SCTM# 106-4-5 & 6 Dear Mr. King: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 14, 2012: RESOLVED that the Southold Town Board of Trustees grants a Final One Year Extension to Administrative Permit #7214A, as issued on December 16, 2009. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Vice President, Board of Trustees BG:amn -~ - 2 2012 www. asmfc.or8 Workin~ towards healthy, self-sustainin8 populations for all Atlantic coast fish species or successful restoration well in progress by 20~_5 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 Fsx (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2011 Mr. James King 220 East Mill Rd. Mattituck, NY 11952 RE: JAMES & MARK KING 200 & 220 EAST MILL RD., MATTITUCK SCTM#106-4-5&6 Dear Mr. King: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., November 16, 2011: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Administrative Wetland Permit #7214A, as issued on December 16, 2009. This is not an approval from any other agency. Sincerely, Pres~lelt, B~o:rd~:f Tru{tees Jill ~Ohedy JMD:lms Received From Address u..~Ou. ~ ~ For Date 048269 AMT OF ACCOUNT AM%PAID BALANCE MON~ ORDER [] DUE Dollars $ 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 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 Hail 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.: 7214A Date of Receipt of Application: November 23, 2009 Applicant: James & Mark King SCTM#: 106-4-5&6 Project Location: 200 & 220 East Mill Road, Mattituck Date of Resolution/Issuance: December 16, 2009 Date of Expiration: December 16, 2011 Reviewed by: Board of Trustees Project Description: To install a waterline from residences to road for public water; remove four (4) trees; and install a cesspool approximately 25' landward of the existing cesspool. 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 prepared by James King, received on November 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 well be required. This is not a determination from any other agency. oherty [.Board of Trustees ~ JMD:eac James F. King. President Jill M. Dohedy, 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/VVorksession Report Date/Time: JAMES & MARK KING request an Administrative Permit to install a waterline from residences to road for public water; remove four (4) trees; and install a cesspool approx. 25' landward of the existing cesspool. Located: 200 & 220 East Mill Rd., Mattituck. SCTM#106-4-4&5 Type of area to be impacted: ,-~ Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland haf Town Code proposed work fails under: pt.275 Chapt. 111 other Type of Application: t//V~etland __Coastal Erosion __Administrative__Emergency __Pre-Submission ~Amendment Violation info needed: Modifications: Conditions: Present Were: __&King ~J.Doherty L/~P.;ickerson __ D. Dzenkowski other Form filled out in the field by D. Bergen ¢~B.Ghosio, Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, Vice President Town of Southold Board of Trustees ~ From: Mark Terry, Principal Planner ~'X~"~, ') LWRP Coordinator ~J'~ '~' Date: December 10, 2009 Re: Proposed Wetland Permit for JAMES & MARK KING SCTM#1000-106-4-4&5 JAMES & MARK KING request an Administrative Permit to install a waterline from residences to road for public water; remove four (4) trees; and install a cesspool approx. 25' landward of the existing cesspool. Located: 200 & 220 East Mill Rd., Mattituck. SCTM#106-4-4&5 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. 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 ~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 ~'~ Administrative Permit Amendment/Transfer/Extension ~ece~vved Applic~ Received Fee:~5~.~er .9 , _ _~-- ~6mPleted Application I I Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(datc sent). ~ Consistency Assessment Form ~ CAC Referral Sent: ~lgate of Inspection: I Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ,.,,Fublic Hearing Held: ! _,z~ ] [0~ 0q, Resolution: Name of Applicant Address Suffolk County Tax Map Number: Property Location: /r-///5 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: ard of Trustees Applicati~ Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Yes Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspen/ded by a governmental agency? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary):. .o',Q.: r'..~ l & Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /;~hlP v'[ ~/ Wg'~r ~ Area of wetlands on lot: ,." .squTM 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: .,4~ feet Does the project involve excavation or filling? No w'/ Yes If yes, how much material will be excavated? cubic yards How much material will be filled? ~/./~ cubic yards Depth of which material will be removed or deposited: c.~ .'~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: _Statement of the effect, if any, ?_n the wetlands and tidal waters of ~ _town._tha,t ~ay r_e_s_ul[_by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER :~ART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality -~ ~ ~,/T/~7L~)/-~ 617.20 . SEQR 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 cou.ty ~<,/~'f' o z_ ~ 4. PRECISE LOCATION: Street Addess and Road intersections, Prominent landmarks etc -or provide map 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL P OPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER RESTRICTIONS? ~ [] No Il= no. describe briefly: 9. WH iS PRESENT LAND USE IN INITY OF PROJECT? (Choose as many as apply.) 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) r~Yes F--~N o yes, agency name permit approval: list and / g-J 11. Dui5 ANY ASI~:L;I OF- D P APPROVAL? E~]Yes [~'fCf'o If yes, list agency name and permit / approval: 12.[~yesAS A RES~oT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appi,can, , Sponsor Name /~--~ 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 EX~..;EED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. j-lYes J~No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. 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 pattem, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain bdetly: C2. Aesthetic, agricufiuml, amhaeological, 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 resources? Explain bt/ally: 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 C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy? Explain bdefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL / PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irrevemibility; (e) geographic scope; and (f) 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 par[ ii was checked :,,es, the determination cf si~!,¢,'c=~ ~e= mutt cvcluct~thc pcter~tiel4mp6ct cf thc propc.$c.d c. ct~c ~, on thc ca¥i~on~.,cnt~i ch&r~c:6r[~t',c.~ of[be CC.A. Check this box if you have identified one or more poten§ally large or significant adverse impacts which MAY occur. Then proceed direct~ to the FULl EAF and/or prepare a positive declaration. WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the mesons supporting th/ 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 IBoard of Trustees ApplicOn County of Suffolk State of New York /. /C/x'd-, BEn CmmV 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), 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 o~3t-d DAY OF -D02/, ,2o07 ~Nbtary Public N LAUREN M,S'TANDI~H otmy Public, State of New York No. 01ST6164008 Ooalif ed in Suffolk County., Comm ssioo Expires April 9, 20 f~/_ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the mat of town officers and emnlovees. The numose of this form is to orovide information which can alert the town of vossible conflicts of interest and allow it to take whatever action is necessanv to avoid same. (Last name, first nome,¢iddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate·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 Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee &thc Town of Southold? "Relationship" includes by blood, toarriage, 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% oftbe 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 ~ ~- ]--- F Title Or position of that person ~'~ ~ ~ 7- ~ ~ 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% of the shares of the corporate stock of the applicont (when the applicant is a corporation); __B) the legal or beneficial own~:r 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) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this 23 day of /ffgt/(~4~',~200 c~ Signature ~ ~ ~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM 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 Water~ont 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 si..t, nificant 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- suooorfinfl 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. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#/o ~ ~/ ,5'- The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board [-'~ Building Dept. ~-~ Board ofTrustees 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: (b) Mailing address: (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 ~ 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 [?? otApplicahle 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 Ill - Policies Pa..ges 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 I 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 AOcable 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.~ee LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes I I No t I 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 Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Ye~ No ~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIO Policy I0. 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. [] No Not Applicable At~ach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic 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 Applicable TITLE f C~/A/~- ~ DATE