HomeMy WebLinkAboutTR-7302AJill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631 ) 765 - 1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUT~tOLD
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.
L
APPROVED BY
~OARD OF TRUSTEES
TOWN OF SOUTHOLD
Ext.9. Bedroom
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
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
Permit bio.: 7302A
Date of Receipt of Application: April 27, 2010
Applicant: Annette Campbell
SCTM#: 137-4-27
Project Location: 1185 Fleetwood Road, Cutchogue
Date of Resolution/Issuance: May 19, 2010
Date of Expiration: May 19, 2012
Reviewed by: Board of Trustees
Project Description: To remove the existing 10'9 %" x 10'3" enclosed pomh
and construct a new addition 29'x10'3", with the condition of the installation of
gutters, leaders and drywells to contain roof runoff and in accordance with
Chapter 236 of the Town Code-Storm Water Runoff.
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
site plan prepared by Nigel Robert Williamson, received on April 27, 2010, and
stamped approved on May 19, 2010.
Special Conditions: The existing structure is not to be demolished and if there
is a reason for the structure to have to be demolished, new permits must be
applied for prior to demolition. The installation of gutters, leaders and drywells to
contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm
Water Runoff·
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.
· Doherty, President
Board of Trustees
JMD:eac
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall, 53095 Main Rd.
P.O. Box I 179
Southold, NY 11971
Telephone (631 ) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application dated iQ-0(': I c~ ~ c~,O/O has been
reViewed by this Board at the regular meeting of' '1/'~c~¢ I ~/. o3OIO and your
application has been approved pending the completiofi of {fie following items checked
off below.
Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($50.00)
__ Ist Day of Construction ($50.00)
__ ~ Constructed ($50.00)
Final Inspection Fee ($50.00)
__ Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town of
Southold. The fee is computed below according to the schedule of rates as set forth in
Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will b'e necessary.
You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTALFEES DUE:$
BY: Jill M. Doherty, President
Board of Trustees
Jill M. Doherty, President
James F. King~ Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
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:
Nigel Robert Williamson on behalf of ANNETTE CAMPBELL requests an
Administrative Permit to remove the existing 10'9 3/2' X 10' 3" enclosed
porch and construct a new addition 29'X 10'3". 1185 Fleetwood Rd.,
Cutchogue. SCTM#137-4-27
T__.T.T.~ of area to be impacted:
Itwater Wetland Freshwater Wetland Sound __Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
:;~-_.Chapt.275 Chapt. 111 other
Type of Application: 7(,,Wetland __Coastal Erosion __Amendment
__Administrative__Emergency Pre-Submission Violation
Info needed:
Modifications:
Present Were: ~J.King /",&Doherty ,Y'--J. Bredemeyer ,'~ D. Bergen__
B.Ghosio. ~ D. Dzen~wski --~ther
Form filled ou,~t in tcb.~ field by
~.J~
Mailed/Faxed to:
Date:
G~3 D3 J3 k3 /...3
LOCATION PLAN
Mr. 8, Mrs. J. CAMPBELL
1185 FLEETWOOD ROAD
CUTCHOGUE N.Y. 11935
S.CIM.
1000 -137- 4-27
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. 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, President
Town of Southold Board of Trustees~
From: Mark Terry, Principal Planner
LWRP Coordinator
Date: May 14, 2010
Re:
Proposed Wetland Permit for ANNETTE CAMPBELL
SCTM# 1000-137-4-27
Nigel Robert Williamson on behalf of ANNETTE CAMPBELL requests an Administrative
Permit to remove the existing 10'9 %"X 10' 3" enclosed porch and construct a new addition
29'X 10'3". 1185 Fleetwood Rd., Cutchogue. SCTM#137-4-27
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 EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "BB" which states:
BB. Additions to an existing dwelling constituting less than 25% of the existing structure
where the addition is greater than 75 feet from a natural protective feature, except where
the parcel is located in a coastal erosion hazard area;
Cc: Lori Hulse, Assistant Town Attorney
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Halt, 53095 Main Rd.
P.O. Box I 179
Southold, NY 11971
Telephone (63 t) 765-1892
Fax (631) 765-6641
BOARD OFTOWNTRUSTEES
TOWN OFSOUTHOLD
Office Use Only
Coastal Erosion Permit Application
Wetland Permit Application ~ Adminis~'ative Permit
R Amendment/Tra,~. ~er/l~xtension
eceived Application: l~[~7]l 0
~-~Recelved Fee:$ ~') 0
~_-'Completed Application
___Incomplete
__SEQRA Classification:
Type I Type II Unlisted
~Coordination:(date sent)
~-LWRP Consistency Ayessment Form
~CAC Referral Sent: ~
~a'te of Inspection: ~? t,O~]tO
__Receipt of CAC Report:
__Lead Agency Determination:__
Technical Review:
~lblic Hearing Held: .~.] ;~9
__Resolution:
,
Name of Applicant { ,T'. . .
Address
Phone Number:(~/6) '437.
Suffolk CountyTax MapNumber: 1000- 157 '4 "27
Property Location: liB[' ['t.~;~l'l. loo~ ~.~ ~au~
N. ~, ~ ~ I ~ - s s~eets
(pro~de~ILCO Pole g, dist~ce m ~os , ~d location)
(If applicable)
Address: ~,t~. ~:>~. 17£8 ~or~t.~ Id. cl. 1197/
Phone:
of Trustees Applicati¢
Land Area (in square feet):
Area Zoning: ~- .40
Previous use of property:
Intended use of property:
GENERAL DATA
Covenants and Restrictions: Yes ~. No
If "Yes", please provide copy.
Prior permits/approvals for site improvements:
Agency Date
Dy..
__ 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):
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of thc proposed operations: tJ t~l ~.
Area of wetlands on lot: 14t ~o o square feet
Percent coverage of lot: 4'7 ~ %
Closest distance between nearest existing structure and upland
edge of wetlands: .~l '~ O" feet
Closest distance between nearest proposed structure and upland
edge of wetlands: ~3 '- 0~ feet
Does the project involve excavation or filling?
No N Yes
If yes, how much material will be excavated?
How much material will be filled? 0
cubic yards
.cubic yards
B~ 0" feet
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:~%f..g,l~,~
._Statement ofthe e fl_et_t, if MY? 0_n the wet_!_arn_ ds and_tid~ wa__ter5 _of the_ _town that ~aY_ r~_e§ul[ b~y_.
reason of such proposed operations (use attachments if appropriate):
of Trustees Applicat~
County of Suffolk
State of New York
-6 v/,O t./iSc~-~ BEING DULY SWORN
DEPOSES AND AFFIRMS THtAT HE/SHE IS THE APPLICANT FOR THE ABOVE
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 1N 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 TFI~
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
~ '-' Sig~atu"~ ~ ' F
SWORN TO BEFORE ME THIS
~Notafy Public
DAY OF '~D_t ~ ,20 ]0
STYLIANI V. PIKRAMENOS
Notary Public
Qualified in Nassau County, NY
Commission Expires /0 / / /.//
Lie,, No. 01P151748~1 -
AUTHORIZATION
We, Mr. & Mrs. J. Campbell residing at 1185 Fleetwood Road. Cutchogue.
New York 11935
Hereby, authorize Nigel Robert Williamson, Architect to apply for permit(s)
from the
S~r?old Town Tm?ees on our behalf.
/
(Owners signature)
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of toWn Officers and emolovees. The anrooSe of
ii~i~ form is to nrovide inforination which can aler~ the town of vossible conflicts of intereSt and allow it to take whatever action is
!lec~ssary to avoid same.
YOUR NAME: (Last naatc, firs(name, ~riddle initial unless you are applying in me nam
someone else or other entity, such as a company. If so, indicate the other
pcrsoa's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievmme Building
Variance Trustee
Change of Zooe Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map _ Planoing
Other
(I f"Olhcr", name tile activity.)
Do you pcrsooally (or through your company, spouse, sibfing, parent, or child) have a relafionship with m~y officer or employee
of thc Town of Southold? "P. elationship" includes by blood, marriage, or business interest. "Business interest'* means a business,
including a parn~crship, in which the Iowlt officer or employee has even a partial ownership o£ (or employment by) a corporation
in which the town officer or employee owns more thaa 5% of tile shares.
YES NO '~
If you answered "Y ES", complete the balance of this form and date and sign where indicated.
Name of person employed by die Town of Southold
Title or position of that person
Describe the relationship between yourself (thc applicant/agcal/reprcscntative) and the towa officer or employee, Either check
the appropriate line A) through D) and/or describe ia the space provided,
The town officer or employee or Iris or her spouse, sibling, parent, or Child is (check all that apply):
A) Ihe owner of g~catcr limn 5% of the shams of tl~e Cmlmrate stock of the apptic0nt
(when Ibc applicaat is a corporatioo);
B) the legal or beneficial owner of any inlerest in a non-corporate eatity {wbea the
applicant is not a corporafion);
__C) an officer, director, partner, or employee of the applicant; or
D) the actual applicant.
I)F. SCI~.II' FION OF p. EI.ATIONSIlII'
Forul 'IS I
617.20
tie Appendix C
Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNMSTED ACTIONS Only
,PART I - PROdECT INFORMATION (To be
rt. APPUCANT/SPONSOR
3. PROJECTLOCATION: 118~ F~'l"b, loor', P.~,qDt C.,UrCH.,=~C;UE Id.~. 119..~.g'
4. PRECISE LOCATION (Street ad~,,~ and road intersections, prominent landman~.s, etc., or provide map)
5. PROPOSED ACTION IS:
6. DESC~t~= PROJECY ~JI:FLY:
[] Modificatien/alteration
7. AMOUNT OFIAND A, ,'-r~CYeu: I~ ~
tnltiallyl~TW O. O1:X47 acres Ult~mate~ ~.OO~T
~' [] Y- [] .o ~ No. ~e~.~
WILL PROPOSED ACTION COMPLY WITI.I EXISTING ZONING OR Ol'HER EXISTING LAND USE RESTRICTIONS?
9. WHAT IS PFu=S~_NT be. ND USE IN VICINITY OF F~:~OJECT?
[] Agriculture [] Pad</Forest/O~n Space [] Other
10. DOES ACTION INVOLVE A PF..R~;T APPROVAL, OR FUNDING, NOW OR ULTIMATELy FROM ANY OTHER GOVERNMENTAL AGENCY
11.
(FEDERAL, STATE OR LOCAL)?
[] Yes [] No If Yes, list agency(s) name and pan'nit/approvals:
DOES ANy ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[~No ff Yes, list agency(s) name and pannit/approvals:
I C~.t<¥#- y THAT THE INFORMATION ....
· t I ~ ~3RO¥1umu ABOVe. IS TRUE TO THE BEST OF MY KNOWLEDGE '
Sign.___~re:
OVER
1
PART II - IMPACT ASSESSMENT olom leted b Lead A en
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, cneMinate the revinw prusess and use the FULL EAF.
D D"o
B. WiLL ACTION RECEIVE COORDINATED REVIEWAS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative
declaration may be supemeded by another involved agency.
DYes DNo
C. COULD ACTION RESt/IT IN ANY ADVERSE EFFECTS ASSOCIATED Wfll-I THE FOLLOWING: (Answem may be handwritten, if legible)
C1. Exis~ng air quaity, surface or groundwater quarry or quandty, noise levels, existing traffic pattern, ~waste production or disposal,
potential for erosion, drainage or flooding problems? Explain ~
C2. Aesthe~.*c. agricultural, amhaeological, historic, or o~er natural or cultural resources; er communil~ ~- neighbodloud character? Explain briefly:.
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened er endangered species? Explain brla~.
C4. ^ cummunity'$ existing plans or goals as officially adopted, m' a change in use or intensity of use of land or olher natoral resources? Explain b~infiy:
C5. Growth, subsequent development, or related activities hlxely to be induced by ~he proposed action? Explain bde~y:
C6. Long temt, short term, cumulative, or other effects not identified in Cl-C57 Explain
C7. Other impacts (including changes in use of eifher quantity or type of energy? Explain briefly:
D. WILL THE PROJECT NAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)?
[] Yes [] No IfYus, explain bdefiy:
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] No if Yes, ex~lain bdefly:
PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: F~eachadvarsee~ectiderd~edab~ve~detem1inewhetheritissut~stentia~terge~imp~rtant~r~therwisesignIfica~1t~ Each
effect should be assessed in connection v~h its (a) setting (i.e* urban or rural)~ (b) probability of °CCUrdng; (c) duration; (d) irreversibility; (e)
geographic scope; and (t) magnitude. If ._~ec~____=a~,, add attachments or reference suppo~ng materials. Ensure that explanations contain
sufficient detail to show that all retevant 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 ofthe proposed action on lhe environmental chamct~ ofthe CEA.
[] Checkthis box ifyou have identified one ormom pofential~large or significant adverseimpactswhich MAY occur. Then proceed directly to the FUL
FAF and/er prepare a positive declaration.
[] Check this box if you have doferrnined, based on the infom~stJon and analy$;s above and any suppo~deg documentation, that the p~pneed acifo
WILL NOT mault in any significant adverse environmental impacts AND provide, mt attachnrents as necesse~, the masons suppmtieg
defarmination.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency
Signature of Res~f~e Offiner in LemJ Agency Signature of Preparer (If different f~xn re~ible
PART II -:IMPACT ASSESSMENT (To be completed by Lead Agency) *
A. OOE8 ACTION EXCEED ANY TYPE 11T~RESHOLD IN 6 Nyc4~R, PART 617.47 If yes, ~,:KR-u~a~e the req~w p~,~,~_ _ _~ afld ues the FULL EAF.
B. WLLACTION RECEIVECOORDINATEDREVEWA8 PROVIDED FORUNU~'ib. uACTION8 IN6 NycRR, PART 617.67. IfNo, a negative
C. C~LD AC'rlON I~SULT IN ANY ADN~=RSE EFFECTS A~TED wrrH 1N.E FOLLOIMNG: (~swem ma~ be haNdwrRte~ if ~)
C3. V ~t~3~ nr fauna, fish, *~R,~,',~. or wlldl~e spedes, s~h~mt habaats, or f~eatened or e~d~, ~? ~n ~
i:,°
I ' '
O. ~ THE PROJECT HAVE AN IMPACT ON 'IHE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED ~ ESTAI~USHMENT OF A C~ITICAL
E. I~ 'I~-IERE, OR IS THERE UKELY TO BE~ CONTROVERSy RELA'I~D TO*'POTENTIA~ ADVERSE F_.N V I Re f; [ ,',',',',',',',','~_ .'TAL IMPACT~ ff yes =_ >~-.*-:.'-.~:
PART HI - DI~ I t~l(Milt~k~ON OF SIGNIFICANCE (To be oompleted by Age~)
ef~ should be assessed In ~o~neclion with Its (a) setting (i.e. ud~an ~. m~); (b) prc~ of oc~mlng; (0) dura~; (el) ~ (e)
geographio ___,~,e~; and (f) magnitude, ff necessary, add attadmmnts or refe~mc~ suppo~ng materials. Ensure that e~phmatlom~
eufl~lent detalLt° sh°w that all relevant adverse Impacts have been Ide~ecl and adequa~ ~. If ques~cm d d part Il wa~ checked
]me, the,cletemdnatlon of~gnlflcancemustevaluate the potentiallmpac~ofhproposed ac:ffonon the enWonmen~d charac~rlsllcs offf~eCEA.
E.a~' and/or p~epare a pesalve.declara~on.
Chec~ I1~ box If you have demmlned, based o. the infom.~ and an~dyMs above and any suppo~ ~, ~t ~ ~ m
WILl. NOT result In any significant adverse envlronme~al Impaets AND pro~Je, on atia~amenls aa nesessa~, the masons suppor~g tM
determination. ·
Name of Lead Agency Date
Jill M. Doherty
: Title of Responsible Officer
' P~t?Type Name ofF~esponsib O~cer ~fl Ce AgencyPresident
I~./' ~- ( . Signa[vre of Preparer (It dlff~t from responslt~e officer)
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 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 detafl~ 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 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# } 3"/ - '~ 2-/
PROJECT NAME
The Application has been submitted to (check appropriate response):
TownBoard [~ Plann~gBoard[~ BnildingDept, [] ~oardofTrnstees
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:~~ff-~'£ 'W~r¢ o'6~~%~_
Site acreage: O. 75~ .Oe::2t~£
Present land use: ~ ro[fi
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) Mailingaddress: I~'.~ V~ol.~-l' ~Vl[~.j~- ~ fu~l~,c f.~k. ldo IiOOI
(c) Telephone number: Area Code (ft~ 4 ~7- &Sales
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes [] No~] Ifyes, which state or federal agency? MAg.,5. ~x.~.~.
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. 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 D 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
' "~ ~ . ~ ' t~
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI
- 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 Apl~ble
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section IIl- 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.
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of.thc Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluatiOn
criteria.
~ Yef-~ No ~ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIEO
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 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
PREPARED BY /~,.Cg-~. ~t~" /~tt.t..~r~.t~ TITLE ~I~'~C-.~' DATE~~:~
Nigel Robert Williamson
Architect
P.O. Box 1758
Southold, NY 11971
631.765.4156
April 27, 2010
Board of Town Trustees
Town of Southold
53095 Main Road
Southold, NY 11971
Re: Proposed addition to residence at 1185 Fleetwood Road, Cutchogue, NY 11935
Dear Board Members:
We are proposing to remove the existing porch and add a new addition which will be the
same depth as the existing porch, but extend the full width of the existing house.
We are submitting the following documentation for a determination from the Board as to
jurisdiction.
1. Application for Administrative Permit
2. Location Plan
3. Survey
4. Short Environmental Assessment form
5. Authorization
6. Floor Plan Sketch D.
7. Photographs showing view 1, 2, 3, 4, 5, & 6.
Should you need additional information please do not hesitate to contact me. I thank you
for your consideration of this matter.
Yours faithfully,
Nige~obert Williamson