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Home My WebLink AboutTR-7529A 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0829C Date: December 11, 2012 THIS CERTIFIES that the construction of an 8'x12' shed; installation of post/wire deer fence and installation of electric light on the fence at the beginning of the path to the dock At 930 Clearview Road, Southold, New York Suffolk County Tax Map # 89-3-11.4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 1,2011 pursuant to which Trustees Administrative Permit #7529A Dated April 20, 2011, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. Theproject for which this certificate is being issued is for the construction of an 8'x12' shed; installation of post/wire deer fence and installation of electric light on the fence at the beginning of the path to the dock. The certificate is issued to PETER BENOTT1 owner of the aforesaid property. d Slgnat~e 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 Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ~ constructed __ Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 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 OF TOWN TRUSTEES TOWN OF SOUTHOLD December 11,2012 Mr. Peter Benotti 930 Clearview Road PO Box 1515 Southold, NY 11971 RE: PETER BENOTTI 930 CLEARVlEW ROAD, SOUTHOLD SCTM: 89-3-11.4 Dear Mr. Benotti: With regards to the final inspection that was completed on Thursday, October 4, 2012 in accordance with Trustees Administrative Permit #7529A issued April 20, 2011, the Board of Trustees observed recent disturbance/cutting of understory seaward of the fence. A Trustees Administrative Permit is required to complete minor restoration or alterations of landscaping within Trustee jurisdiction as per Southold Town Code. At this time no violation will be issued, however, if this is action is to be completed again in the future, one will be issued. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn Board of Town Trustees Town of Southold 54375 Main Rd PO Box 1179 Southold NY 11971-0959 Septembe~f'!3~O, Re Permit No:7529A (see enclosed):m 930 Clearview Rd, Southold NL~ ........ ~. Dear Sir or Madam: This work is completed. Ifa compliance inspection is necessary, we would like to have it completed in October 2012. We do request that, if inspectors tour the property, they close the fence in back and front when leaving the property. Thanks for this consideration. / Sin~ ~erN Benotti 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 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 ~ constructed Project complete, compliance inspection Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen 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.: 7529A Date of Receipt of Application: April 1, 2011 Applicant: Peter Benotti SCTM#: 89-3-11.4 Project Location: 930 Clearview Road, Southold Date of Resolution/Issuance: April 20, 2011 Date of Expiration: April 20, 2013 Reviewed by: Board of Trustees Project Description: To construct an 8'x12' shed, install a 6' post/wire deer fence and install an electric light on the fence at the beginning of the path to the dock. 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 Peter Benotti, received on April 1,2011, and stamped approved on April 20,2011. 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 will be required. This is not a determination from any other agency. Jill M. Doherty, Presidd,'nt Board of Trustees JMD:eac 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 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: P~-'~ r "'~e-~'~ CD -~L/~ Please be advised that your application dated I~lO~l I I/ c2_O II ,- has been reviewed by this Board at the regu ar meeting of ~)~p,-;'/.c20,. ,-.2~ ~./ and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project . Pro-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 aro 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: BY: Jill M. Doherty, President Board of Trustees Jill M. Doheny, President Bob Ghosio, Jr. Vice-President James F. King Dave Bergen John Breclemeyer P.O. Box 1179 Southold, NY 1L971 Telephone (631 765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: ¢~'/~,-- [/ PETER BENOTTI requests an Administrative Permit to construct an 8'X 12' shed, install a 6' post/wire deer fence and install an electric light on the fence at the beginning of the path to the dock. Located: 930 Clearview Rd., Southold. SCTM#89-3-11.4 Type,,pf area to be impacted: ~,8~ltwaterWetland Freshwater Wetland Sound __Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L~hapt.275 __Chapt. 111 other Type of Application: ~etland __Coastal Erosion __Administrative__Emergency Pre-Submission __ Amendment Violation Info needed: f O3 - off Modifications: Conditions: Pre, sent,~/Vere: J. Doherty . J. King_ fUg¢ Bredemeyer. D. Dzenkowski other Form filled out in the field by D. Bergen, Mailed/Faxed to: Date: ~_089 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: April 20, 2011 Re: Proposed Wetland Permit for PETER BENOTTI SCTM#1000-89-3-11.4 PETER BENOTTI requests an Administrative Permit to construct an 8'X 12' shed, install a 6' post/wire deer fence and install an electric light on the fence at the beginning of the path to the dock. Located: 930 Clearview Rd., Southold. SCTM#89-3-11.4 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 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brede~neyer 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 Office Use Only Coastal Erosion Permit Application, Wetland Permit Application ~/Administrative Permit Amendment/Transfer/Extension ~'Received Application: ~q } I [ I I ~'~Received Fee:$ ~ ~/~ompleted Application ~ I I i [~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent). ~:~"LWRP Consistency Assessment Form L/] i ] ~l CAC Referral Sent: ,,/~ate of Inspection: ~]l~] ~t Receipt of CAC Report: Lead Agency Determination: Technical Review: Vl~ublic Hearing Held: q', la'O! t~ Resolution: Name of Applicant Address {/~f Phone Number:( Suffolk County Tax Map Number: Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning:. GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: 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. Prior permits/approvals for site improvements: A~ gen~y. ~ Yes ~ No .... No prior pem~its/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 attactunents if necessary: · Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations. /Jb_TA/~g/~;L. ~oo.~d~ ~l~ ~ ~/~' · 0gT~ao~,. ~rtt~7~-~ (~ ,,. ,, . /tg.. 0 ~ 0 -- lif° 6 0 Area of wetlands on lot: square feet Percent coverage of lot: -~ 5"~ 5~.~ % Closest distance betweert nearest existing structure an~d upland edge of wetlands: ~1~/'~0 feet (rSg"~/'~/~TF.J Closest distance between nearest proposed structure and upland edge of wetlands: 130, feet ~/tSFOt~T~') Does the project involve excavation or filling? t~ No Yes If yes, how much material will be excavated? How much material will be filled? cubic yards 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 of t)e. eff~ect, if any, on thC wethnds and tidal ,y~_te~s- of the town that_may result by reason of such proposed operations (use attachments if appropriate): Apr 04 11 04:25p p.3 A, PP'EIql)lx~ C b'TATE ENVIRONMENTAL OUAI~ry REVI~W LJ es L~No i~ ~ II~t a~ency name a~d p~mi~ ! ap.retail: ' If the ~ofl Is · Costal Area, and you' mm a sMb agency, ~ontal AsseSsment. For~ before pr~.Ndhg vdth this PART II - IMPACT ASSESSMENT ~i'o be completed by L.~d Age_ _m~y)- A. ~ AC ~ ~ ANY 'P(PE I ~dCN. D IN 6 NYCI~. p, AJTr 617.47 o . ~. A .......... , ~ ~-~ ~ ::~:r ~ ~a ~ ~ ~ ~:.~_.~ ~ ~r~,..~? ~ .... ' ~ .... · (~(~ · - ~ ~ ~ ~ ...... ~ -~ det,md~{i~.. ?--. .................... m ~ ~u pm~me, on m~'~.{8 e8 neo~s~y, ih~ re.sins sq~ ~ Name of Lead/~ency Jill M; Doherty I~nt~or ?ype Name o~' ~e Offcer ~l./Lead Agen~ -- President ~ of Responsible Of~cer Signature of preparer (If dilfesent Eom responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN O~mct SCiOn a~k Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. scOpE OF WORK - PROPOSED CONSTRUCTION iTEM # / WORK ASSESSMENT { Yes No a. What is the Total Ama of the Project Parcels? 1 Will this Project Retain Ail Storm-Water Run-Off (Include Total Area of all Pamels located within Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed ConsthJction) ('rhis item will include all run-off created by site / r~ b. What is the Total Ama of Land Cleadng (S*F' / Ac~s) clearing and/or construction activities as well as all -- and/or Ground Disturbance for the proposed Bite Improvements and the permanent creation of construction activi[y? impervious surfaces.) (S.F. I Ac~es) 2 Does the Site Plan andlor Survey Show NI Propesed PROVIDE B]R]F~' PROJ[CT DESCP.~i~'~ON (~ ~P~- .. N~) Drainage Structures Indicating Size & Location? This Item shall thctude all Proposed Grade Changes and ~¢ ~"~.$, 3 O°es the Site Plan and/°r Survey descHhe the er°sion ~_D and sediment control practices that will be used to ~'jV~l/~t'/[ '~'-~. ~O~'{ ~,,~;~ /4 ~ ~0'~ control site eroslon and storm water discharges. This item must be maintained throughout the Entire ~/~.f/ Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural /~'~/_/.. ,~/ ~'/~C~[(~ ~.~i~/~ ~/~ ~' ofEXisting Gradelnvolving more than 200 Cubic YardsMaterial within any Parcel?~L~ -- &~'~ '~/ ~'~{ ~ t'/l'f~/ 0~1~ ~'~ 5 Will this ApplicatJ°n Require Land Disturbing Activities / '~'1 Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Sun"ace? -- /J0f~r~ /~ 7~( ~ 6 ta there a Na[ural Water Course Running through the Bite? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (t00') feel of a We~aed or Submission of a SWPPP is required for all Constrttc/h3n activities involving soil Beach? disturbances of ~fle (1} or mom acres; including disturben~es of less than one acm that 7 Witi there be Site preparation on Existing Grade Slopes am part of a larger commo~ plan that will u~tknete~y disturb one or more acres of laed; which Exceed Fifteen (15) feet of Vertical Rise to~L~ including Constmctien activities ievolvieg ~ disthY~ances of less than one (1) acm where One Hundred (100') of Horizontal Distance? -- the DEC has determined thai a SPDES permit is required for storm water discharges. SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways. Parking Areas or other Impervious for Storm Water Discharges from Construction activity. Pe~it No. GP-O-10-O01 .) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP shell be p~epared pr~r to the subr~tthl of the NOI. The NOI shall be into and/or in the direction of a Tov~ right-of-way? STATE OF..N.EW YORK, ~ ~f (Ne~e o~ I~(~uat si~n~n~ Document) And that he/she is the .................................................................................................................................................................... Owner and/or representative of the Ova~er 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 this application are tree m~ best of his knowledge and belief; and that the work will be performed in the manaer set forth in the applicafiou filed herewi~. Sworn to before me this;"~-- /] ,~t~ / ~ FORM - 061 ~ Lorraine LaRDed NOTARY PUBLIC State of New York No. 01 LA605925~ Qualified In Suffolk Coullt~ Commission Expi~'e~ May 'L~, · Ooard of Trustees Applica~ County of Suffolk State of New York DEPOSES AND AFFIRMS THAT lIE/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 CLA1MS ARISING UNDER OR BY VIRTUE OF SAD PERMIT(S), IF GRANTED. 1N COMPLETffNG THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEm AGENTj~) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPEC/T'THE PREMISES IN CONIUNCTION WITH P)E~V)~ OF THIS APPLICATIO}{,~ [/ Signature V SWORN TO BEFORE ME THIS c~(,~ DAYOF ,,kX~.~ ,2ou Lorraine LaRosa NOTARY PUBLIC, State of New York No. 01LA6059257 Qualified In Suffolk County Commission Expires May~9, ~0 ~ ~. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethias nrohibits conflicts of interest on the tort of town 6fficer~ and emoloveas. The oumose of this form is to orovide nformation which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name, first name, ~aiddle 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 (lf"Other", 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 coq>oration in which the town officer or employee owns more than 5% of the 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 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 o~vner of greater than 5% of the shares of the corporate stock of the applicant (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, parmer, or employee oftbe applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this Signature Print Name day of 200 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- suooorting 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# PROJECT NAME 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) Nature and extent of action: 0/-~(-~P/$~'~ ~ ( i 1~ ~, Permit, approval, license, certification: Location of action: Site acreage: Present land use: F I''Q 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: /t~T',' f~.. ?-~EM~/ (b) Mailing address: ~0 ~'&Ea~l//~''~ ~ (c) Telephone number: Area Code ( )_ ~2OI .~&,l ~'ffY 5 (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 : NotApplieable 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 E~f 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. Sec LWRP Section III - Policies Pages 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 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 ~r Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous S~yanCes and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. es ~-~ No ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~N [] Ye~-~ No ot 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. ~fYes ~-~ No D Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policics;/Pages 65 through 68 for evaluation criteria. [] Yes ~ NoI~(L_~ Not Apphcable-- PREPARED BY TITLE DATE Apr 04 11 04:24p p.2 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM be Town of Southold s Code of Elbics orob~ ts o~nfl cts ef Lnte rcst on 'the can of town officm and emolovces. The a~ ~,.~ ~.1' form ~ to urovMe infi,,,u~a which c~n ~1~ th~ town of ~o~s~ hie conflicts of ;i~. and tlinw ~ Io ~ ~e~er a~i~ ' name. first name, middl~ inlticl, unless you a~c a~plyia8 in/he name of s~meone elso or other entity, such as a company. If so, indicalc Ihe otber NAM~ OF APPLICATION: (Check all that apply.) Tax gtlc'~ence Building Vmi~ee Trus~e Chen~ of Zone Coastal Erosion Approval oflgst Mooring Exempt.i~a from plol or offlcis] map Plenning Do you pemoenlly (or thren~ your compa.~y, spouse:, sibling, parent, or child) hive: a ~eislioa~bip with a~y offiee~ or employee Ofl]~ Townot'Southold?" 1 '" ...... Re ~ionshlp includes by b cod. marrmge, or besmcso m~rcst. "Business tnteres~ means a business, including n 10m~fler~hip, in which the town officer or employee bas even a paflJal ownership of (or employment by) st corporation in which the town officer or cmployee owns more dten ~ of thc shm~s. YES NO If you ans-,vcaxl "YES~, complete gtc ba]ancc Df this form and dam end si8a white indicated. Name of person employed b~ thc To,*n of' Southold Titte or position ofthit person Describe thc soJafionship between yoursolf(the npplicnnt/ngenL/repr~senutlve) and thc Io-*n officer OF cmployee. Eilhcr chec[c - thc epp~prin~ line A) fltFough D) end/or describe in.i~e space provided. The town officer or employee ~ his er her spouse, sibling, parent, or child is (chcok ell gut app A) th~ owner of greater than 5% ct'the shares of the cerp~ratc ~tock of'thc applicant (when the applicant is a corporation); B) the Je~al or bencficia] owne~ ct' any intet~st ina non-corporate cnti~' (when t~ applicant is not n corporation); C) en officer, director, parmeF, or employee of the appli~nnt; or __D) the antuaf npplloant. DE~CRIP'rlON OF RELATIONSHIP Form TS l Submitted this day of 200 __ Signature Print Name JOB No 0334B1 TAX ID No 1000-89 03-114 ,/ 8.0 / / EXISTING SPOT GRADES - { 9 3 ] ELEVATIONS IN USCGS DATUM [ NGVD 1929 MSI } FiRM NUMBER 36'103C0167 G BASE FLOOD ELEVATIOff4 ZONE AE 8~ CERTIFIED ONLY ;T'O: p?'~ BEN?_ T_~t ~No TERE~. BENO'n: BANK OF g~ ERIGA. ISOA CEDAR BEACH HARBOR FiLE MAP No 90 12/20/27 CEDAR BEACH PARK - P/Q LOT 47 SURVEY OF: LOT "C" MAP OF MINOR SUBDIVISION FOR ROBERT AND ALDONA NORKUS BAMVIEW, TOWN GF SOUTHOLD SUFFOLK coUNTY, NEW YORK DATE: 04/13~05 SCALE: 1" = 40: DESTING. GRAF kAND SURVEYOR PO. BOX 7(¢4 ROCKY POINT, NZ 1 t778 ( ¢}31 ) 821-34~2