HomeMy WebLinkAboutTR-7458AJill 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 (63 I) 7656641
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
Project complete, compliance inspection.
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
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.: 7458A
Date of Receipt of Application: November 18, 2010
Applicant: Kevin O'Connor
SCTM#: 70-4-33
Project Location: 105 Hill Road, Southold
Date of Resolution/Issuance: December 15, 2010
Date of Expiration: December 15, 2012
Reviewed by: Board of Trustees
Project Description: To remove the phragmites and re-vegetate with native
plants; with the condition of the removal of the goose fence.
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 prepared Creative Environmental Design, received on November 18,
2010, and stamped approved on January 3, 2011.
Special Conditions: The removal of the goose fence.
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.
Jill WI. 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 1179
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 /~o~/IP_o,~f' ! ~ o-~O zc) has been
reviewed by this Board at the regular meeting o~_~,t~pj~l~': o~/~nd your
application has been approved pending the completion of the fc~llowing items checked
off below.
__ Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($§0.00)
__ 1st Day of Construction ($S0.00)
__ ½ Constructed ($50.00)
t Inspection ($§0.00)
Final
Fee
__ Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town of
$outhold. The fee is computed below according to the schedule of rates as set forth in
Chapter 275 of the 8outhold 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 FEE8 DUE: $ .~c~
BY: Jill M. Doherty, President
Board of lrustees
Jill M Dohe~xy, President
James F King, Vice-President
Dave Bergen
Bob Ghosio, Jr
Johll Bredemeyer
P.O Box 1179
Soulhold, NY 11971
Telephone ( 631 ) 765-1892
Fax (631) 765-6641
Southold Town Board of Trustees
Field Inspection/VVorksession Report
Date/Time:
Creative Environmental Design on behalf of KEVIN O'CONNOR requests an
Administrative Permit to remove the phragmites and re-vegetate with native
plants. Located: 105 Hill Rd., Southold. SCTM#70-4-33
TypC~altwarea to be impacted:
ater Wetland Freshwater Wetland Sound Bay
Distance of proposed work to edge of wetland
Town Code proposed work falls under:
pt.275 Chapt. 111 other
Type of Application: ~'~Wetland __Coastal Erosion
~Administrative__Emergency __Pre-Submission __
Amendment
Violation
Info needed:
Modifications:
Conditions:
Present Were. V~j King ~J.D'oherty ~/~J. Bredemeyer(./~D. Bergen__
B.Ghosio, D. Dzenkowski other
Form filled out in the field by
Mailed/Faxed to:
Date:
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: December 8, 2010
Re: Proposed Wetland Permit for KEVIN O'CONNOR
SCTM# 1000-70-4-33
Creative Environmental Design on behalf of KEVlN O'CONNOR requests an Administrative
Permit to remove the phragmites and re-vegetate with native plants. Located: 105 Hill Rd.,
Southold. SCTM#70-4-$3
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the
Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. Based upon the information provided on the LWRP Consistency Assessment
Form submitted to this department, as well as the records available to me, it is my
recommendation that the proposed action is CONSISTENT with the denoted following Policy
Standards and therefore is CONSISTENT with the LWRP.
It is recommended that the Board require type of species and detailed specifications (spacin¢l),
includin.q survival requirements, for the planted ve.qetation.
Creative Environmental Design on behalf of KEVlN O'CONNOR requests an Administrative
Permit to replace the existing wooden pool deck with a masonry patio. Located: 105 Hill Rd.,
Southold. SCTM#70-4-33
The above action is Exempt from LWRP review.
Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in
preparing its written determination regarding the consistency of the proposed action.
Cc: Lori Hulse, Assistant Town Attorney
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hail, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application3./
Wetland Permit Application ~ Administrative Permit
Amendment/Trans fer/l~xtension
eceived Application:
itb //o
~//Received Fee:$ _~)o. fi~ ~ /
~Completed Application
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
7LWRP Consistency Assessment Form
~C Referral Sent: (~[
~te of Inspection: ~)-I~
Receipt of CAC Report:
~ad Agency Determination:
Technical Review:
~blic Hearing Held:
Resolution:
$outhhold lown I
Name of Applicant
Address
Phone Numb~:(b~ 5~ 7 - [~ /
Suffolk County Tax Map Numbs: 1000- 7~ - Or[~
Property Location: /O ,5' 4,11
(provide LILCO Pole #, distance to cross streets, and location)
(If applicab-'i~)
^ddress: O f,t .
~rd of Trustees Appllcatio0
Previous use of property:
Intended use of property:
Covenants and Restrictions:
GENERAL DATA
Land Area (in square feet): ,~/
Area Zoning: ~ ~'<~'g~/L~'/(J
Yes <~ No
If "Yes", please provide copy.
Does this project require a variance from the Zoning Board of Appeals __
If "Yes", please provide copy of decision.
Yes
Prior permits/approvals for site improvements:
Agency
Dat, /
/o/ /78
No
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or susp~ded by a governmental agency?
__~'~No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
I
ir~ of Trustees Applicatlo
WETLAND/TRUSTEE LANDS APPLICATION DATA.
Purpose of the proposed operations:
Area ofwetlands on lot: ~/ ~) squarefeet
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: ~,5' feet
Does the project involve excavation or filling?
No ~ 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: ,
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
feet
._Statement o f_t_h¢. _e_ff_e_c_t, _if_ .an_ _Y~.9.n_ .~. ~?t_!~_d_s.. a~d_t!d.~._W?_te_r_s _o.f~e. _town. ~a_t ~ay__r_e?_ul_[ b_y_
reason of such proposed operations (use attachments if appropriate):
6t7.20
PROJECT ID NUMBER APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor)
3.PROJECT LOCATION: U
Municipality ~~ County
4. PRECISE LOCATION: Street Addess and Road Intersection,, Prominent landmarks etc -or provide map
5. IS PROPOSED ACTION: r--] New i'~ Expansion ~'~iflcaflon / alteration
I I
g.J
SEQR
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED:
Initially · ~ acres Ultimately · ~' acres
8. iLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~ [] NO If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
~idential E~ Industrial [~ Commercial E~]Agriculture [] Park / Forest / Open Space ~'~ Other (describe)
10.' DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal. State or Local)
[~]Yes ~ If yes, list agency name and permit / approval:
11. UUY-5 ANY A~HEC. I OF THE ACTION HAVE A CURRENTL~'~TA-LID PERMIT OR APPROVAL? E~Yes [~No If yes. list agency name and permit / approval:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE ~S TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor Name Date: II/
Signature ' ~~ / ~)
If the action4~-a-~7,~al Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY t. OCATIOH: S.C.T.M.a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
STORM-WATER, GRADING; DRAINAGE AND EROSION CONTROL pLAN
District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NL~Y YORK.
scOpE OF WORK - PROPOSED CONSTRUuFION ftlEM# / WORKASSESSMENT [ Yes No
a. What is the Total Ama of the Projec~ Pameis?
I
Will
this
Project
Retain
All
Stoml-Water
Run-Off
(Include Total Ama of all Parcels located within
the ScopeofWorkforProposedConstraclion)--"' ~q
/.
Generated by a Two (2') Inch Rainfall on Site?
(This item will include all ran-off created by site
b. What is the Total Area of Land Cleadng ~' (S.F]/ _ )~A~ clearing and/or construction activities as well as all
constraction and/or Ground Distuthance far the proposed activity? ~'~(s/~? imperious Site Improvements and the permanent creation of surfaces.)
2 Dees the Site Plan and/or Survey Si~ow AIl Prodesed
PROVIDE B~JEF PROJ~'T D[SCBJ[FTiON (~'ae~'~p.~.N..~) Drainage Stmctures lndicating Size & Location? This
Item shall include all proposed Grade Changes and
Slopes Controlting Surfaca Water Flow.
,~ ~--(.~ .~ C~ ~'~/~ ['~ L,~J i ;"~q Jr- 3 D°es the Site Plan and/°r Survey descn'be the er°ai°n
and sediment control practices that witi be used to
I control site erosion and storm water discharges. This
~'~'~ ~ ~)~_~ ( '(.~ ~.~ item must be maintained throughout the Entire
Constraction Period.
4 Will this Project Require any Land Filling, Grading or
Excavation where there is a change to the Natural N
Existing Grade Involving more than 200 Cubic Yards
of Material within any Parcel?
5 Witi this Application Require Land Disturbing Activibes r_-.l k
Encompassing an Area in Excess of Five Thousand
(5,000 S.F.) Square Feet of Ground SurMca?
6 is there a Natural Water Course Running through the ~
Site? Is this Preject within the Trustees judsdiclion
General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or
Submission of a SWPPP is required for all Cons~ction activities involving soil Beach?
disturbances of one (1) o~ more acres; indudleg disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes r'-"1
are bert of a lerger commofl p~an Ihat will ultimtoe~y disturb one or more acres of land; which Exceed Fifteen (15) faet of Vertical Rise to ! ~ .~"
including Cons~uctlen activities involvleg soil disturbances of isss than one (1) acm where One Hundred (100 ) of Horizontal Distance?
the DEC has determined thai a SPDES pem~t is required/or storm water discharges.
SWPPP'I Shall meet the Minimum Requirements of the SPDES General Pem~it 8 Will Driveways, Parking Areas or other Impervious ~ \~..~
ior Storm Water Discharges from Construction acflvrty - permit No. GP-~-I 0-001 .) Surfaces be Sloped to Direct Storm-Water Run-Off
I-I
t. The SWPPP shall be prepared ~ to the submiflal of the NOI. 131e NOI shall be into and/or in the direction of a Tov~ right-of-way?
submitted to the Department p6or to the commencemect of construction activity.
2. The SWPPP shall descitbe the erosion and sediment control p~actk~s and where 9 Will this Project Require the Placement of Material,
required, post-constnJction stem wofe~ management practices thct will be used and/or Removal of Vegetation and/or the ConsthJction of any i L~"~
constructed to reduce the pe~utocts in storm wa~- discharges and to assure Item Within Ele Town Right-of-Way or Road Shoulder
STATE OF NEW YORK, <7 -k'~ I/~
COUNTY OF .....~.~.l..t~... ............ SS
That ,, .~[k...~......~d6~.(...~..~.... being duly swom, deposes and says that he/she is the applicant for Permit,
And that he/she is the ...... ,~[-~.~ ......................................................................................................................................
Owner and/or representative of the Owner or Owners, and is duly authorized to p~.ffod:4_~8~%~ ~,N~.~[Id tile said work and to
application all statements contained ~n th~s apphcaaon are une ur~t~. ~l.~D~'ouaeage and belief; and
hat the work will be performed in the manner set fom. h in the application fded herew/llnalified in Suffq~ Cc,:..
................... .[..~.. ..................... day or.......-21.~.., ......................... ~20~.0 ' , 'k, / ) k ~
lic: ................
FORM - 06/t0 ~ '~N
of Trustees Applicat~n
County of Suffolk
State of New York
~i)AJ [d ~-~.(" ~ ~21/LC~Di (' Z BEING DULY SWORN
DEpOSeS m) ~Fnms mAT m/sm ~s Tm ~PPLIC~T rO~ Tm ~O~
DESCmED PE~T(S) ~ T~T ~L STATEmNTS CONT~D m~ ~
TR~ TO T~ BEST OF ~S~R ~OWLEDGE ~ BEL~F, ~ T~T ~L WO~
~L BE DO~ ~ T~ ~R SET FORTH ~ T~S ~PLICATION ~ AS MAY
BE ~PRO~D BY T~ SOUTHOLD TO~ BO~ OF TRUSTEES. T~ ~PLIC~T
AG~ES TO HOLD T~ TO~ OF SOU~OLD ~ T~ TO~ TRUSTEES
~ESS ~ F~E ~OM ~Y ~ ~L D~AGES ~ CL~S ~S~G
~ER OR BY VIRT~ OF S~ PE~T(S), ~ G~TED. ~ CO~LET~G T~S
~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~ AGENT(S) OR
P~SES ~ CON~CTION ~~.
SWORN TO BEFO~ ~ THIS ]~ DAYOF~, ,20 lO
Nota*ty~blic
LAUREN [VI. STANDISH
~!otary Public~, State of New York
No. 0~ST6164008
Q~a!ified?n Suffolk County
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
The Town of Southold's Code 0~'Ethics orohibits conflicts of interest on the oart of town officers and emolovees. The nurooSe of
this form i~ to provide information which can alert the town of vossible conflicts of inter*st and allow it to take whatever action is
ne~ssarv to avoid same.
(Last name, first name,~niddle initial, unless you am 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
(lf"Otber", 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, marriage, 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 thsjJ~res.
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
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% of the shares of the corporate stock of the applicont
(when the applicant is a corporation);
B) the legal or beneficial owner 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
Submitte~
Signature"-
Print Name
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 detail~ 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# /tS--~ O
PROJECT
The Application has been submitted to (check appropriate response):
f
Town Board [] Planning Board ~'~ Building Dept. [~ Board of Trustees'~
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:
Site acreage: f ?! ~)
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.' -'r-'~'GLD'cd C CJ~ELI](3Lt );C~
(c) Telephone number: Area Code ~l 7Z q ' ) ~2 J
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~ No'4~ 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 ~Not Applicable
At~ach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Pol~c, ies Pages 3 through 6 for evaluation criteria
[] Yes ~ No~t-~ 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 - Poli~s Pages 6 through 7 for evaluation criteria
[] Yes [] No~L~] 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 Pa.g, es 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[-~ 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 A
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~valuation criteria.
[] Yes [] NoJ/I Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and waste~/ See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
~ Yes ~ NoF~iZ_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 Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
V-] yeJ-~ No ~Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIE~
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See~P Section III- Policies; Pages 47 through 56 for evaluation criteria.
[] Yes ~-~ No~]~l 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 wa/rets. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria.
~ Yes ~ No~1 ' I 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 eval~ion criteria.
~ Yes [] No~YI Not Applicable
Attach additional sheets if necessary
Policy 13. Pro.m.ote appropriate use and development of energy and mineral resources. See LWRP
Section III - Polic~ges 65 ihrough 68 for evaluation criteria.
[] Yes ~ No ~ Not Appbcable
TITLE
DATE/_~/~O
5,t)P-.V~"K OF PROPERT"f
511'UATE: 50UTHOLD
TOI'NN= 50UTHOL[2
SUFFOLK C, OWNT"K, NY
N
APPROVED BY
SOARD OF TRUSTEES
TOWN OF $OUTHOLD
SouthhCd Town
Board of Trustees
JOHN C. EI~.~,RS LAND SURVEYOR