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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 f / [')lC, 7 D~COMic , I .2~. Q. ~.A.5_!_J__ LL.U 5 AT CUTL~OGU~ GUIZVI~yF=I~: Ju~4E- ~, 1966 VALI TUYL a 50LI ,~t~u?OrZT. ~r~w yo~z~c CLU~ UTC ~] ~ dOkJ Id ~Ay VAId -i-UYL_ a 50LI ~z~ZHFOrZT. u.~v yo~c 38'-4' 31'-2" ' ' ~ EXISTlJ~ {~-- ............ ~XIS'TI~'~- 0 .... '~2 ...... ' ~ ....................... :)~IS"TiNG'' - '1  (~ EXISTING FOUNDATION UNEXCAVATED ~ 12"dfa CONC PEEP, UNDER EXISTING " !I 3' BELOW GRADE CONCRETE 't ~ (TYPICAL) PIE~. _' %¢ ." ',[o 38' 7'-11" 12"dia, CONC, PIER UNDER EXISTING 6X6 POSTS 3' BELOW GRADE (TYPICAL) EXISTING BLOCK ~WALL FOUNDATION PLAN Z SCALE: 1/4" = ].' EX. RAMP EXISTING FP FOUNDATION APPROVED BY BOARD OF TRUSTEES .TOWN OF SOUTHOLD _L REVISIONS: