HomeMy WebLinkAboutTR-7707A James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
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
CERTIFICATE OF COMPLIANCE
# 0756C
Date: June 8, 2012
THIS CERTIFIES that the installation of nine (9) concrete piers (12" dia.) under
existing 6"x6" posts to stabilize the foundation of the existing building.
At 205 West Road, Cutchogue, New York
Suffolk County Tax Map # 110-7-12
Conforms to the application for a Trustees Permit heretofore f'ded in this office
Dated December 22, 2011 pursuant to which Trustees Administrative Permit #7707A
Dated January 18~ 2012 was issued and conforms to all of the requirements and
conditions of the applicable provisions of law. The project for which this
certificate is being issued is for the installation of nine (9) concrete piers (12" dia.) under
existing 6"x6" posts to stabilize the foundation of the existing building.
The certificate is issued to PEQUASH RECREATION CLUB, INC. owner of the
aforesaid property.
Authorized Signature
James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall, 53095 Main Rd.
P.O. Box tl79
Southold, NY 11971
Telephone (63 I) 765-1892
Fax (631 ) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION: ~' (7 /IZ
'~ 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
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631) 765-1892
Fax (631) 765-6641
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
Ist day of construction
¼ constructed
__ Project complete, compliance inspection
James F. King, President
Bob Ghosio Jr., Vice-President
Dave Bergen
John Brcdemeyer
Michael J. Domino
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
Permit No.: 7707A
Date of Receipt of Application: December 22, 2011
Applicant: Pequash Recreation Club, Inc.
SCTM#: 110-7-12
Project Location: 205 West Rd., Cutchogue
Date of Resolution/Issuance: January 18, 2012
Date of Expiration: January 18, 2014
Reviewed by: Board of Trustees
Project Description: To install nine (9) concrete piers (12" dia.) under existing
6"X 6" posts to stabilize the foundation of the existing building.
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 indicated on the
foundation plan prepared by Mark K. Schwartz, AIA dated Apdl 7, 2011 and
stamped approved on January 18, 2012.
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.
James'. ~ Presi' ~
Board ~f Trustees
Jill M Dohe~ly, President
Bob Ghosio, Jr., Vicc P~esident
James F King
Dave Bergen
John Bredemeyer
P.O. Box 1179
Southold, NY 11971
Telephone (631 765-1892
Fax (631) 765-6641
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time: /////~/,L, /~?¢O
Walter J. Krupski, Jr. on behalf of PEQUASH RECREATION CLUB, INC. requests
an Administrative Permit to install nine (9) concrete piers (12" dia.) under existing
6"X 6" posts to stabilize the foundation of the existing building. Located: 205 West
Rd., Cutchogue. SCTM#110-7-12
T~aOf area to be impacted:
Itwater Wetland Freshwater Wetland Sound Bay
Distance of proposed work to edge of wetland
P~cOf Town Code proposed work falls under:
hapt.275 Chapt. 111 other
T~A~ of Application: &etland__Coastal Erosion
ministrative Emergency Pre-Submission __
~Amendment
Violation
Info needed:
Modifications:
Conditions:
redemeyer ~i _
Form filled out in the field by
~D. Bergen,
~/'other
ilO. 2P''°'r'~/~j o
Mailed/Faxed to:
Date:
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cot. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Jim King, President ,JAN 1 ] 20]2
Town of Southold Board of Trustees .
From: Mark Terry,
Principal Planner
LWRP Coordinator
Date: January 11,201~
Re:
Proposed Wetland Permit for PEQUASH RECREATION CLUB, INC.
SCTM#1000-110-7-12
Walter J. Krupski, Jr. on behalf of PEQUASH RECREATION CLUB, INC. requests an Administrative
Permit to install nine (9) concrete piers (12" dia.) under existing 6"X 6" posts to stabilize the foundation
of the existing building. Located: 205 West Rd., Cutchogue. SCTM#110-7-12
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 266, 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 Hall, 53095 Main Rd.
P.O. Box I 179
Southold, NY 11971
Telephone (63 I) 765-1892
Fax (631) 765-6641
BOARD OFTOWNTRUSTEES
TOWN OFSOUTHOLD
Office Use Only
~_Coastal Erosion Permit Application
Wetland Permit Application X Administrative Permit
AmendmenffTrans fer/Extension
tl(Received Application:
~Received Fee:$ ~) ~ , .
~-/"Completed Application
Incomplete
SEQRA Classification:
Type I Type I1 Unlisted
Coordination:(date sent)
'~LWRP Consistency Assessment Form
CAC Referral Sent:
~"l~ate of Inspection: !
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Hearing Held:
~:m~blic
Resolution:
Name of Applicant
Suffolk County Tax Map Number:
'
Prg~<yLocation: ~05 ~
(provide LILCO Pole #, distance to cross streets, and location)
-(If applicable)
Address:
Phone:
~d of Trustees Applicatio~
Land Area (in square feet):.
Area Zoning:.
GENERAL DATA
Previous use of property:
Intended use of property:
Covenants and Restrictions:
I t,/AF C ,EATtO/dA t_ C CUB
Yes X, 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:
Agency Date
No
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
x/~ No__ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):. IMg?~z..c A//tqq (9)
of Trustees Applicatio~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purposeoftheproposedoperations: ~--l'3Btt l~.~ -q~611463./-~ OF
ConCreTe
Area of wetlands on lot:
Percent coverage of lot:
O
square feet
%
Closest distance betwe~n~j~earest existingrstructure and upland
edgeofwetlands: /O feet (.JXJOTe-: ~-~.(STiM6 ~CTtO-~c'IlJ~.~ tEE..Srr$ Otc/ A
Closest distance betw~nearest proposed
edge of wetlands: ~/A feet structure and upland
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: feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
Statement of the effect~ if any, 09 Ih?. wetlands and.tidal waters_ _of .tl)_e town tha_t _may resu!t_.b_y
reason of such proposed operations (use attachments if appropriate):
617.20
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)
1. APPLICANT / SPONSOR 2. PROJECT NAME
SEQR
4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or provide mai}
5. IS PROPOSED ACTION: [] New [] Expansion '~Modification/aiteraUon
DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED:
InitiallyllO0~"r'a~m.~ Ultimately /JO0 -~ ~''r~. ~ /~ U/J~'j.~_,~7~
8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
,~Yes [] No If no, describe briefly:
9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply,)
~Residential []Industrial []Commercial E~Agriculture E] Park / Forest / Open Space
[O~her (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
]Yes ~7~No If yes, list agency name and permit / approval:
11 UL)~.~ ANY A~PbC~OF THE ACIION HAVE A CURRENTLY VALID PbA]'JIT OR APPROVAL?
]Yes ~].No If yes, list agency name and permit / approval:
CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
If the action Is a Costal Area, and you are a s~te agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART II - IMPACT ASSESSMENT ITo be completed by Lead A~lency)
A. DOES ACTION EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR. PART 617.47 If yes, ccerdinate the review process and use the FULL EAF.
[~Yes
WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative
d<~=leration may be ~Jbecseded by another Ir~,~lved agency.
C. COULD ACT1ON RESULT IN ANY ADVERSE EFFECTS ASSOCIATED ~MTH THE FOLLOWING: (Answe~ may be haxtwdffea, If legible)
C1. ~ air qua~y, surface or gro~a~m' quality or qua~ffiy, no~ levels, exis~lg Iraf~ pattern, so~d waste Ixodu~ or dispona[,
potential for ereMon, drainage or flooding p~ms? Explale bde~.
C2. Aeslheflc. ag~ k,~ll~'al, arcbeeologlcal, historic, or other natural or cultural resoumes; or community or neighlxxbeeq cbemc~er? Explain bdelly:
~3. Veu~ii of' fauna, fish, ~.L,~'~',,~h er wildlife species, slgfllficant halfifats, er Ihmofe~ed or endangered species? Expinln briefly:.
C4. A c':",--'",,ll~"~ '~L-'~ .a Plans or goals as ,.-T,,A,r,,., adopted, or a change In use or latenslty of use ~ land or other mtural ~? Explain ixiefl¥:
C5. GrOWth, subsequent de',.~lopment, or ~elaled ~cfivi{ies likely to be induced by the ~oposeq actkm? Ex~ain ~efly:
C6. Long term, shortterm, cumulalive, arothereffectsnotidentiliedinCI.C§? Explainbdelly:
· V~ILL THE PROJECT NAVE AN IMPACT ON '~IE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
PAra' m - I~= ~ a~,~NATION OF $1~FICANC~ 0'o be oo~ by/~]e~-y) .
INSTi~JC'i"ION$: F~ea~hadverseeff~t~de~ti~ed~b~ve~de~erminev~m~her~sst~ia~a~ge~m~mtant~r~s~nL EaCh
eFm<~ should be assessed in oom~<~lon with Its (a) se~ng (i.e. u~oan or mmQ; (b) prol~l~y of oocunlng; (c) du~ (~ ~1~ (e)
geogralY~c e~3pe; and (f) magnitude. If nece~_ __~y, add attachme~fa or mfemn~e ~ matedaM. Ensure ~ explenat~,s contain
mdlldent de~ll to show #mt MI relevant ndveme Impa<=ts have been idefl[tind and adequaM/,y addressed. If,qu~ d of part Il was checked
lffiTLL NOT result in any significant advef,se eflMroflmeflfal impac(s ANO pfxT,,,dde, off atfadm,mflfa as neeessaty, tbe masons suppmtlng rid
dntenT~rmflm~.
Board of Trustees
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
S/g~lature of Respons/ble Ol~er in Le,ad .~ency/
President
Date
~ of Respons/ble Officer
Slgna~re of Preparer (If different ~rom responsible officer}
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPEK~Y LOC~O~ S.C.T.¥.#: THE FOLLOWING ACTIONE MAY ~QUIRE THE SUBMISSION OF A
I~00 J 10 ~ I ~ STO~WAVE~ G~ING, D~HAGE ~D ER~mN ~R~
D~ 5~ BI~ ~ CERTIFIED BY A DESIGN PROFESSION~ IN THE STATE OF N~ YO~
SCOPEOFWO~- PRO~S~ CONS~U~ON l'i'~ /WO~~ [ Y~ No
a. What~t~To~a~t~Pm~Pa~? ~, I ~ll~PmJ~Re~inNlS~WaterRu~
the S~pe of WoA for Pm~sed ~s~on) (This i~m ~11 inclu~ all mn~ cmat~ by site
b. ~t b ~ To~l Ama of ~ C~aHng (S.F./~) ~eaHng and/~ consign a~vi~ as ~11 as all
ancot Ground D~n~ ~r the pm~sed Site Improvemen~ and ~e ~nt =~ of
~s~n a~? impe~s su~.)
(s.F./~) 2 ~ the Site Plan and/or Su~ey Sh~ ~1Pr~
PRO~E B~ PRO~ D~ON ~P~-~ Dmin~e~resl~i~ng~ze&L~a~n?~
Item shall include all P~ G~e Cha~es and
~/~ ~ g~"~tsr/dG 3 D°~eSitePlanandlorSuwey~cfl~ee~im
a~ s~iment ~ntml ~s ~at will ~ us~ ~
~ //~ ~ /~ ~ ~, item must be main~in~ th~ghout ~e Enare
Cons~on Ped~,
4 Will ~is Pmj~t R~uim any Land Filling, Grading or
Ex~vation where them is a cha~e ~ ~e NaOmi
Existing Grade Involving m~ ~an 2~ Cu~c Ya~s
of Material wi~in any Parcel?
5 WKI ~is ~]i~on R~uire Land Distu~ing A~ivi~es
(5,000 S.F.) Square Feet of Ground Su~?
6 is ~em a NeUral Water Coume Runni~ ~r~gh ~e
Site? Is ~is Pmje~ wi~in ~e Trustees jufisdicfi~
dism~an~s of one (1) or ~m a~s; including d~mman~s of ~ss ~an ~e acre mat 7 ~11 there be Site preparation on Existing Grade Sl~es
SWPPP'. Shall ~t ~ Minimum Requlm~n~ ~ the SPDES ~neral Pe~it 8 ~11DHv~ays, Pa~ing Ames or o~er Impious
~'ATE OF N~ YO~
O~c~ ~or rcprcsc~a~vc o[ ~c O~]cr or O~)c~, ~d is duly ~u~o~zc~ to pc~om~ o~ have ~o~cd ~c sad work ~d ~o
m~c ~d ~]c ~s ~ppEca~on; ~at ~1 s~cmcnL~ con~nc~ in ~s appEca~on ~c ~e m ~)~ ~st or his ~owl~d~
~a( ~¢ wo~k ~1 b~ p¢~o~¢d in ~c re=mCr set ~o~ ~n ~c ~ppEca6oo filed hcrc~.
Sworn to before e ~is;
FORM - 061t0
No. 01 KE5006(~84
Oualified in Suffolk County -~ ,i lC:;
Commission Expires Janu-ry 4, ~ ,~'
~oard of Trustees Applicat~n
County of Suffolk
State of New York
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF 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 THE
PREMISES IN CONJUlqCTION '¢~qTH REVIEW OF THIS APPLICATION.
fe'q)a,rt/ 4' c, : C /u c.
SWORN TO BEFORE ME THIS 22'~'~DAY OF /)fcem6 -- ,20 II
CYNTHIA d. KESSLER
Notary Public, State of New York
No. 01KE5006684
Qualified in Suflolk Counter _"1/~/~'
Commission Expires January 4,
of Trustees Applicat~'
AUTHORIZATION
(where the applicant is not the owner)
(print owner of property)
residing at 27~ ~O~J/f
(mailing address)
do hereby authorize
(Agent)
~'~' to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
?e~/~'# Pe-creew77o~ CLu~/~c.
Owner s sig~at~e0 '
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
The Town of Southold's Code of Ethics nrohibits conflicts of interest on the tort of toWn Officers and emolovees. The nurooso of
this form is to orovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOURNAME: /19~F'~,~.f/./ /~.ff__/~Or T"lOt,~ (_"L~.Ji$,
(Last name, first name,~iddl¢ initial, anless you arc applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, nlarciage, or business interesL "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 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 applicanl/agentJmpresentative) 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 applic0nt
(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 coq)oration);
__.C) an officer, director, partner, or employee of the applicant; or
D) the actual ~pplicant.
DESCRIPTION OF RELATIONSHIP
Form TS 1
To~vn 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
PROJECT NAME F~¢aax~ ~c~4~fiT/l:}.J CLOt,/
The Application has been submitted to (check appropriate response):
TownBoard [] Plann g Board [] BnildingDep,. [] oardo, T s,ees
Category of Town of Southold agency action (check appropriate response):
(a)
(b)
(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:
A 15e/ z Fee-r-.
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/tq
(b) Mailing address: qg9
(c) Telephon/enumber:AreaCode~?)./ ~qg- VO 2-g OiL dy/-.~g~- 2-
(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 NotApplicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Policies Pages 3 through 6 for evaluation criteria
~-~ Yes [] No ~ Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
[] Yes [] No ~7~ 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
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 ~NotApphcable
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 Ap~ble
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria.
~-~ Yes ~ No ~/Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
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 III - Policies; Pages 38 through 46 for evaluation
criteria.
~-~ Yes~ No ~Not Applicable
Attach additional sheets if necessary
W~)RKING COAST POLICIE~I~
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
At~ach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
~-~ Yes [] No [~Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
~ Yes [] No ~x-X-~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~EL] Not Apphcable"
TITLE f~'~)t;A ~/ DATE
,~c~.._-.~TtV~,J ¢c~.~ /MC.
OTHER POSSIBLE AGENCIES YOU MIGHT HAVE TO APPLY TO
N.Y.S. Dept. of Environmental Conservation (DEC)
SUNY, Bldg. 40
Stony Brook, NY 11790-2356
(631) 444-0355
Mon., Wed., Fri., 8:00 AM-3:00 PM
Suffolk County Dept. of Health Services
360 Yaphank Ave., Suite C
Yaphank, NY 11980
852-5700
U.S. Army Corp. of Engineers
New York District
26 Federal Plaza
New York, NY 10278
917-790-8007
N.Y.S. Dept. of State
Coastal Management
99 Washington Ave.
Albany, NY 12231
518-474-6000
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EXISTING FP
FOUNDATION
APPROVED BY
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.TOWN OF SOUTHOLD
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REVISIONS: