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Home My WebLink About1000-115.-10-5Town of Southold A. INSTRUCTIONS LWRP CONSISTENCY ASSESSMENT FORM All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Wateffxont 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 agtion will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3' 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 explain~l in detail~ listing both supporting and non- sunoortin~ 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~own of Southold's website (southoldtown.northfork.net), the Board of Tmst~)~c~'thg~P~g!Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION ~l!J [~'i JUN 2: 201/ SCTM# I lS, OO _ ID,OO _ £.00 '~ The APPlication has been submitted to (check appropriate response): T°WnBoard [] PlaaningBoard~ Building Dept. ~ BoardofTrustees LA. IM ?/ 1. Catego~ 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 tmnsa~n): Nature and extent of action: ' I~ocation of action: Site acreage: Present land use: (~ ~ ~o4-~4t~ ~a { 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: (b) Mailing address: ( (c) Telephone number: Area Code ( ) (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 S0uthold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and m'mimizes adverse effects of development. See LWRP Section HI - Policies; Page 2 for evaluation criteria. ~--~ Yes [] No ~ Not Applicable 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 N 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 ~ 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 IH - 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 IH - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable 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. F-~ Yes N 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 IH - Policies; Pages 38 through 46 for evaluation criteria. [~ Yes[~ No [~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES P~licy 10. Protect Southoid*s water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section HI - 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. Attach additional sheets if necessary Policy 12. Protect agricultural lands in thc Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes [] No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP S~tio. m- policies; Pages 65 through 68 for evaluation criteria. Yes ~ No ~ Not Applicable PREPARED BY TITLE DATE Southhold To~vn Board o~ Trustees JUN 2 9 2011 Southhold Town Board ot Trusteos ..... ~z A VENUE ~.1.16' $22.00;- ~ ~ ~ ~ '~ ~ ~ ~ ~ 20" ~LANTER D ~ ~ ~ ~EVIOUS DWELLING) POST 5.70"/ ~ ,,~ ~~- · NOTE: SURVEY WAS PERFORMED ON 11-21-04. HWL WAS SURVEYED AT 7:50AM 11-21-04 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDMSION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR-THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES B~E~ THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. LEGEND o 20" HWL OLD FOOTINGS FROM PREVIOUS DWELLING TREE(CAlLIPER) MAIL BOX HIGH WATER LINE License No. 39831 R.J.s. 9999 SURVEY OF THE PROPERTy LOCATED AT 5550 NEW SUFFOLK AVE ~.o. MATTITUCK, NY 1195~ NOV. 22,2004 1''= 30'