The URL can be used to link to this page

Home My WebLink AboutTR-7343AJill M. Doherty, President Jomes 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 D AT.,~0,,F INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed //Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: 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 No.: 7343A Date of Receipt of Application: July 2, 2010 Applicant: Michael Lloyd SCTM#: 70-10-28.3 Project Location: 2350 Clearview Avenue, Southold Date of Resolution/Issuance: July 21, 2010 Date of Expiration: July 21, 2012 Reviewed by: Trustee Bob Ghosio, Jr. Project Description: Maintenance permit to hand-cut Common Reed (Phragmites australis) to no less than 12" in height on an as needed basis. 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 July 2, 2010. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperu$ virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). Inspections: Final inspection due after initial phragmite trimming. 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. JMD/eac AffPROVE ) BY BOARD OF IR~ CL£A,RV~£W ^VENus TOWN OF SOt THOLD PLAN O00SE CREEK CE~IFIED TO: ~ *. ~ ~ ~ D. ~ SUFF )~ COL ~ T~ ~ ~ ~ o 1 ~0 70 10 28.3 Jill 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-I 892 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 ½ constructed V// Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghesio, Jr. John Bredameyex 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 TO: Z/o?d Please be advised that your application dated ~"-cA I/ c~,. ~,~/~.) has been reviewed by this Board at the regular meeting of ,_,~-c~{,~ c~ I, o~Z~/Oand your application has been approved pending the completiot~ of th~ 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) I// Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees am 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: $. ~-'~0 ~ BY: Jill M. Doherty, President Board of Trustees Jill M Dohedy. 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: ~'~/] ~//~) Natural Images Landscaping, Inc. on behalf of MICHAEL LLOYD requests an Administrative Permit to trim the phragmites by hand on an as needed bases to no less than 12". Located: 2350 Clearview Ave., Southold. SCTM#70-10-28.3 Type of area to be impacted: __Saltwater 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 T~Ae of Application: Wetland Coastal Erosion __Amendment dministrative__Emergency --Pre-Submission Violation Info needed: Modifications: ~_...Prese~xWere: __&King __J.Doherty __J. Bredemeyer D. Bergen__ ._ ~B._G~.ho s~i¢, D. Dzenkowski other Form filled out in the field by(~ Mailed/Faxed to: Date: SOUTflOLD 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: July 19, 2010 Re: Proposed Wetland Permit for MICHAEL LLOYD SCTM#70-10-28.3 Natural Images Landscaping, Inc. on behalf of MICHAEL LLOYD requests an Administrative Permit to trim the phragmites by hand on an as needed bases to no less than 12". Located: 2350 Clearview Ave., Southold. SCTM#70-10-28.3 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 "FF" which states: FF.Cutting phragmites to greater than 12 inches and vegetative restoration, provided that native wetland vegetative species are not affected or disturbed in any manner; Cc: Lori Hulse, Assistant Town Attorney Jill M. Doberty' President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Br~lemeyer 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 Office Use Only Coastal Erosion Pennit Application., Wetland Permit Application ~ Administrative Permit ~1 _Amendment/Trans f~'rfl~xtension Received Application: Q }c~llO ~Received Fee:$ ~f ~ompleted Application ~,,J~! I~ Incomplete SEQRA Classification: Type I Type II Unlisted ___~oordination:(data sent) ~"'~LWRP Consistency Assessment Form r') _ Oateoflnsp tien: q l Receipt of CAC Report: Lead Agency Determination: Technical Review: bli H ng"c'd: q !a llo Resolution: · Name of Applicant Address Phone .umber:(~' ~ 7¢/~- ba~e'~ Suffolk County Tax Map Number: 1000- 70 ~ / O - O ~,,5 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. GENERAL DATA Y~ ,/ No Does this project require a variance from the Zoning Board of Appenls __ If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency ' Date Yes ~/No ~,/No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendS/by a governmental agency?. t/No Yes If yes, provide explanation: Project Description (use attachments ifnecessmy):/~ i:r3 ~ Board oX Trustees App£~ca==on WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeofthepmposedoperations: /~ c5 ~ / D ~ /t ) (' (' Area of wetlands on lot: ~;/~ ~ square feet Percent coverage of lot: / ~ % Closest distance between near~st existing stxucture and upland edge of wetlands: ,~9 ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: /~ j'~ feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? How much material will be filled? 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 feet Statement of the effect, if any, on the W?_!_ao__d. s_ ap .d_.~d~ .W_a_t?~ 9f.~¢_ _tpwn_~_a_t may r..ees__ul_t__by~ -'3~ason' o1~ ~U~-p~-p3~l- b-p-e~fi~n~{~se attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: Municipality ~O 0 /-~ ~ L- STATE ENVIRONMENTAL QUALITY REVIEW SNORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Al ~licant or Project Sponsor) 2. PROJECT NAME SEQR 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or 0rovide mad 6, DESCRIBE PROJECT BRIEFLY; ?. OUm OF AFFECTED: g ',em ,S' F Initially acres Ullimately acres 8.r_~_~ROPOSED ACTION COMPLY ~ ~ISTING ZONING OR OTHER RESTRICTIONS? ~Yes ~ NO If no, des~bebde~: s T IS PRESENT ~ND USE IN VIClNI~ OF PROJECT? (Ch~se as many as apply.) idential ~lndustdal ~Commer~al ~Ag~culture ~ParklF~est/O~nSpace ~Other (descrY) 10.' DOES ACTION INVOLVE A PERMIT APPROVe, OR FUNDING, NOW OR ULTI~LY FROM ANY OTHER GOVERNME~AL AGENCY (Federal. S~ or L~I) ~es ~No If yes, list a~ name and pe~it / approval: 11. U~b5 ~Y ASFE~OF rile ACTION ~VE A CURRE~LY VALID PERMIT OR APPROVAL? ~Yes ~ If yes, list age~ ~me and ~it I appm~l: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spons(~' Name _~_~,~....~. Date: Signatu~ ~_~'~"~ ~ If th® 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, c~liusts tbe re~iew pracess and use 6.re FULL EAF. 1--1 Yes F~lNo' WILL ACTION RECEIVE COORDINATED REVlL=~V AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67' If No, a negative I-I - C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answem may be ha~wK~tun, If legible) C1~ F-xt~lng air qus~y, sofface or groundwafar quslity or qusn6ty, ~tse le~ls, e~ traffic patfam, sotld ~ ~ or d~l, potential for oroslun, drainage or Itceding pro/alems? Exl~ain ~ C3. V~,~-;= [;~, or fauna, fish, ~;¥=~ ;,~, or wildlife species, slgnl~unt habitats, or Ilseafam~ or endangered species? [=~n~]q tXfafl C4. A ...... nlty'a ~'a Ptens ~ gcels as oflictaliy adut,iud, or a cha~lge In use or intensity of use of land or ofhor natural resoumes? F.~n txie~. C5, Growth, subceque~t deve;~,~.iiO,i[, or related activities likely to be indeced by ~e propped action? i=~?~ bffally: CE;. Long term, short term, cumulative, or other effects not identical in C1-C57 Ex~aln intelly: C7. Otbe~ ;,i~Fa,.,~ndudin~l c~,a r,.~ in use of either qusntt~ or ~ of energy? F ~,,~ tsts~ I, D. WIEL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAl. CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITI( E. 18 THERE, OR IS THERE LIKELY TO BEt CONTROVERSY RELATED TO'POTENTIAL ADVERSE E NVI RO~,. ,'~' E f.~', AL IMPACTS? If ~e~ ex~lain: PART itl - [~= .=~aiNA'riGN OF SIGNIFICANCE (To be completed by Agency) iN~'IRUCTIONS: For each adverse effect identified above, determine whether it is substanlfal, large, important.or other#ise slgnifiCanL Each effect shoukl be assessed in connectk~ with its (a) setting (i.e. Urban or rural); (b) pmbebilfty of occurring; (¢) duration; (d) krevemlbil~; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference suppo~ng materials. Ensure that explanations contain suffi~ent detail to show lhat all relevant adverse impacts have been identified and adequately addressed, ffquestion d of part I~ ~es checked yes, the,determination of significance must evaluate the potential Impact of the pro~ action on the e~vironmental charactadstins of the CEA. Check lhts bex If ycu have Iden~ed une or more poten0ally Iorge or slgn;fl~unt adveroe ~ ~ ~y ~. 'l~un proceed dbec0y to the FUU. FAF and/or prepare a posi0ve.declamtinn. Check thts bex If you have determined, based on Ihe informatlun and soalysls abeve and any supp~tl~tg dsoumuntatlon, that tbe ixofl~:~ed acber WILL NOT resuff in any slgni~cent adveme environmental Impala AND prodde, on altsehments as nece~____~_~_ry, the reasons supporting thl; Board of Trustees Name of Lead Agency Jill M. Doherty pHnt or Type Name~ Re~)ponsible Officer in Lead A;ency Date President Title of Responsible Officer Signature of Preparer (1~ different from responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM pROPERTY ~OCATION: S.C.T.M.W:. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER? GRADINGF DRAIqAGE AND EROSION CONTROL PLAN ~ sect~ B~X Lot CERTIFIED BY A DE81GN PROFESSIOHAL IN THE STATE OF NEW YORK. scOPEOFWOP,.[. - PROPOSED CONb'l'll(JiJrlON fi'Ii;M# / WORKASS~MIilNT [ Ycs No a. WbelistheTatalAmadtheplo]ectParcals? I WtilthisPro]antRetalnAll$itrm-WaterRun. Off (ir, dude Total Area of all Parcels located v/dhin Generated by a Two (2') inch Rainfall on Slit? the Scope of Wed; for Proposed Constmc~n) (a.F. t AO~S) C{~iS Rem will include all mn-atf created by site I'~ b. What is rite Total Area of Laud Cisedng clearing and/or con. strucflon aciiv~es as well as all and/or Ground Oislurbonce for tbe proposed Site Improvements and the pemmnont cras~on of construction activity? imper~ surfaces.) (s.F. t ,c~s) 2 Does the Site Plan and/or Suwey Show All Proposed PROVIDE BRIE~ PROJECT DESC~ui-ltON ~;,s,,,,,~ DreluageS~ucturesindlcatingSIza& Louatkm?This r~ Rem shall include all Proposed ~ Changes and -- Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey dasofbe ~e en~ion and sediment control prec~cas that will be.used to item must be maintained timmugReut the En§re Consfmuc~n Pedod. 4 Will this Project Require any Land Filling, Grading or Excavation where ~ is a change to the Natural Existing Grade {nvalvlng mom than 200 Cubic Yards of Material within any Parcel? 5 Will this Applicedon Require Land Disturbing Activities ErlCO,'npaasthg an Area in Excass of Fivo Thoasand (5,000 S.F.) Square Feet of Ground Surface? 6 is there a Natural Wait~ Cour.~e Running throngh time Site? Is this Pmjast within the Trusitas ju~sd~cCon ~neral DEC SWPPP I~quirernents: or within O~e Hundred (100') feel o~ a Wetland or Sub.salon ~ a SWPPP is required for ;dl Constn~lon ac~vilJes bwolving s~ Beach? dlstud~nces~one(1)~xrno~e=es; Inciudingdrstur~,~esofiessthano~eac~e~st 7 WllitherebeSRepreflaretiononExistingGredaSitpes ~ · re ;~=t of a larger c~,m p~n ~hat ~J ull~nate~y dlst~b me or rno~ ac~s of la~l; which Exceed Flltasn (15) fast of Ve~x:al Rise to ! indud~ng ~ aclk'~s Involving soil dl~du~ances ~' ~ than o~e (1) acre v,~em Oua Hundred (100') of Hedzontui Distance? L~J the DEC has dete~m~ed that e SPOES permit Is required for storm water dL~charge~ Slt~s Shall meet the BInhnum Requirements o~ the SPOE$ Gener~ permit 8 W~I Dflveways, Pa~ Areas or o~:mr Irnpervious ~r Storm Water Ot~harges frem Ceastn~t~n ace~ - Permit No. GP.0-1&ee~.) Surfaces be Sloped to Direct Stonn-Wat~- Run-Off U I · The ~'~c~P shal be 17~ Pri°~ I° the sutm~lal EIhe NOI- ~te NOI ~ be into and/or in the direc~on of a Town dght-o~way? 2. TheSWPPP~lldesc~elheeroslonan~sedimentc~t~pm~cesandu~em ! 9WTIJthisProjectRequlmtheplacementof,Matefiui, requb~ post-mns~ce~m s~ w~ter management ixactl~s e~at ~Wt be us~ ancot Removal of Vegetation and/or the ~ of any consln~ed to reduce Ihe pdu~'as ~ stona we~-dlschages axl to ~u~e Rem Wtihth the Town Right-of-Way or Roed Shoufl~r com;xxte~ shall be pn~md by a qualified Deign Pm~onal Uce~e~ I. New y¢~d( a Stom~Wat~, Gradblg, Dndm~e & Ero~m Cmtbol Pla. b Requ~d by ate To~m ~ S'I'AT~ OF N~W' YORK, CO~N']'Y OF ........................................... Tha ! ................ ~.~.~.~.~). ................... b~ duly s~om, depots and s~s d=t I~sl~ is ~¢ appl~cam for And that he/she is the ............................................ i~.'~~:~i ................................................................ Owner md/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in Ibis.application are line to the best of his knowledge and belie, fi and that the work will be performed in the manner set forth in the appllcadon filed herewith. Sworn to before me this; ............................................... day of ............................................. ~ ..... Notary Public: .......................................................................................... FORM - 06/10 Board of Trustees Applltion County of Suffolk State of New York 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 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 AGRI~.gS 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. SW0U T0u rOUU TH S a D^¥0r ,20 I Notary Public Board of Trustees Application AUT~ORI ZATION (where the applicant is not the owner) (print owner of property) residing at ~3~0 ~)Lc~/~/~v/ 6a)/Jc (mailing address) do hereby authorize ~Tu~ (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. [Owner' s sighature) ~ 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM Th~ Town of Southold's Code of Ethics orohibits coflfllCt~ of ~ntemst on the oart of town officers and cmnlovccs. TI~ ourneso of this form is to orovide ini'ui,siation whmh can aloft th~ town of BO.~lble ~ll~l~ of m~a~ ~ I~OW It to GO wlml~v¢~ agtion Jo ~r~T.-~-~rV tO ~void same. ¥OLra NAME: /~//f~t-/f~ c ~ L L o ~/,~') · (Last name, first nnme, Aniddle ini~nl, unless you are applying hi the nome of someone eis~ or other entity, such ns a company. If so, indica~ tbe other person' $ or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Constal 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, patent, or child) hnvc a relationship with any officer or employee of the Town of Southold? "Relationship" inc udes by b o0d, mamage, or bu~me, ss 'ntcresL "Bttsinc~s interest'? means a business, including a pa~nership, in which the town officer or employee hns even ~ partial ownership of (o~ employment by) a colporation in which the town officer or employee owns more than 5% of the shares. YES NO l~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name ofpersou employed by the Town of Southold Title br position of that person Describe the relationship between yourscif (tbe applicanl/agent/reprezantative) and the town officer or employee. Either check the appropriate linc A) through D) and/or describe in the space provided. Thc town officer or employee or his or her spouse, sibling, parent, o~ ~hild is (cbeck all'that apply): A) tho owner of greater than 5% of the shams of the corporate stock oftbe applic~ (when the applicant is a corporation); B) the legal or beneficial own~n' of any interest m a non--corpotat~ entlt~ (wben the applicant is not a corporation); C) an officer, director, parmei', or employ~ oftbe applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 -. Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pen-nits* 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 si~ificant benefieial 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, listin~l 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 Depa~haent, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): ToM Boa W P,annin Bnading Dep[ Boa of Category of Town of Southold agency action (check appropriate response): (a) Co) (c) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) Financial assistance (e.g. grant, loan, subsidy) Permit, approval, license, certification: Nature and extent of action: Site acreage: Present land use: Present zoning classification: Location of action:~7S ~ o 0 z ~-'4~ ~/~ ~ ,q 0; ~oo/-7~ ~ ~ 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 ( ) ¢/7 - 7 ~ 3 ~ (~ ~oc.~'~ (d) Application number, if any:. Will the action be dire?fl.Y-tmdertaken, require funding, or approval by a state or federal agency? Yes [] No~1 ~q 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 S0uthold 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 IH - Policies; Page 2 for evaluation criteria. ~Yes ~ No ~-~ot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See · LWRP Section III - Polici~ages 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 HI - 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~hrough 16 for evaluation criteria ~ Yes ~ No[-~//I/PffNot Applicable At~ach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southald. See LWRP Section HI - PoliCies Pages 16 through 21 for evaluation criteria ~ Yes ~ No ~pplicable 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~plicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 throngh 34 fo~/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 HI - Policies; Pages 34 through 38 for evaluation criteria. F-'-] 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 11I - Policies; Pages 38 through 46 for evaluation criteria.~ ~.~'~ ~Not Y~ - No Applicable Attach additional sheets if necessary WORKING COAST POLl'S Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent ases in suitable locations. See LWRP Section IH- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ 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 IH - Policies; Pages 57 through 62 for evaluation criteria. ~7~ Yes ~ No ~'~ Not Applicable ~ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section IH - Policies; Pages 62 through 65 formation c.r~.'teria. [] Yes [] No I ' I Not Appbcable ARach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and miner~! resources. See LWRP Section IH - Policies 65 .t. hrough 68 for evaluation criteria. [] Yes ~ No ~ I Not Applicable