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HomeMy WebLinkAboutTR-7687A 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 Ghesio, 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 Permit No.: 7687A Date of Receipt of Application: October 27, 2011 Applicant: Dougal Fraser SCTM#: 118-4-7 Project Location: 7555 Nassau Point Rd., Cutchogue Date of Resolution/Issuance: November 16, 2011 Date of Expiration: November 16, 2013 Reviewed by: Board of Trustees Project Description: To install a 35'X 8' wooden deck along the landward side of the existing dwelling. Findings: The project meets ail 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 site plan prepared by Robert I. Brown Amhitect dated October 25, 2011 and stamped approved on November 16, 2011. 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 ¥] Doherty, Preside~{ BoaYd of Trustees 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 Please be advised that your application dated lO / ~"] ~ I I has been reviewed by this Board at the regular meeting o7 ! !'!~ _~! Il and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ¼ Constructed ($50.00) v/ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above, COMPUTATION OF PERMIT FEES: TOTALFEESDUE:$ ~-0,~ BY: Jill M. Doherty, President Board of Trustees Jilt M Dohetly, President Bob Ghosio, Jr. Vice-President James F King Dave Bergen Johtl Bredemeyer PO. Boxl179 Southold, 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 DOUGAL FRASER requests an Administrative Permit to install a 35'X 8' wooden deck along the landward side of the existing dwelling. Located: 7555 Nassau Point Rd., Cutchogue. SCTMl18-4-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment ~Ad ministrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: J. Doherty B. Ghosio J. King_ J. Bredemeyer.__ D. Dzenkowski __other Form filled out in the field by D. Bergen, Mailed/Faxed to: Date: N 118 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MJkILI NG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM Toz Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 14, 2011 Re: Proposed Wetland Permit for DOUGAL FRASER SCTM# 1000-118-4-7 Creative Environmental Design on behalf of DOUGAL FRASER requests an Administrative Permit to install a 35'X 8' wooden deck along the landward side of the existing dwelling. Located: 7555 Nassau Point Rd., Cutchogue. SCTM118-4-7 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 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 Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY I 1971 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 Rece~vved Application: ,~/-Received Fee:$ ..-4~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). --'/L'~WRP Consistency Assessment Form. CAC Referral Sent: t.~e of Inspection: .t~eceipt of CAC Report: Lead Agency Determination: Technical Review: --,,/l~ublic Hearing __Resolution: t Name of Applicant ~.~ Address 7.~'.~-' /0/',~]~..t t~.~.,ti~ ~! ~/g~t~t~! Phone Number:~:~ 7.~tt~ ~} 2-- Suffolk County Tax Map Number: 1000- Property Location: (provide LILCO Pole it, distance to cross streets, and location) AGENT: (If applicable) ' t Address: Board of Trustees Application Land Area (in square feet): Area Zoning: GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. Yes ~No 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 Yes No / No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende~/d by a governmental agency? ~-~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: I f~ Area of wetlands on lot: 2..~oO square feet Percent coverage of lot: , (.9~'" % ~ Closest distance between nearest existing structure and upland edge of wetlands: L~'/ feet Closest distance between nearest proposed structure and upland edge of wetlands: ,~--~-' 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? ]v'/,~) cubic yards Depth of which material will be removed or deposited: A//~. Proposed slope throughout the area of operations: /~/~ Manner in which material will be removed or deposited: feet Statement of the effect, !f any, on thC wet_l..ap_ _ds and tidal waters of ~ town tha_t._may re§ult by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION PLICANT / SPONSOR 3.PROJECT LOCATION: 4. PRECISE LOCATION: Street Addess and Road Intersection.~ 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME county Prominent landmarks etc-or provide map SEQR 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres · CO ~' 8. WILL P OPOSED ACTION COMPLY W~TH 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.) ~dential [~ Industrial ~-~ Commercial [~ Other (describe) [~Agriculture [~] Park / Forest / Open Space 10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~es [] yes, agency name permit apnroval: No and / 31. UL)I~5 ANY A~P'E(JI DP IHE ACTION HAVRE" A CURRENTLY VALID P~RMIT OR APPR~(/AL? [~Yes [--~o If yes, list agency name and permit / approval: 12. AS A RES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/~onsor Name"~tl~ ~¢_~;~.~0~.1£~..~.~ Date: '~[7~7/'J' ~ction is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coo~linate the review process and use the FULL EAF. r']Yes [~No S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative dedamgo~l may be superseded by another involved agency. El'r- I lNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be bendwfiifon, If legible) CL F_.~sfing air quality, surface or gmondwater quality or quonffiy, noise levels, existing Iraffic pattam, soEd waste production or disposal, potential ~' erosion, drainage or flooding problems? Explain ~ I C2. Aesthetic, agricultural, archaeological, historic or o~her natural or cu#ural resoum~; or community er naighbon'qond cheracol? Exptsln Ixie~y: I I C3. Vegetation or fauna, fish, ~ellfish or wildlife species, signffinant habitats, or f~reatoned or ondongeeed spedes? Explain bflefly: nlty' ex~ Plans or goals as offmtslly adopted, or a change in use ~x intensity ~ use of land or othe~ ~ml ~? ~ln ~e~: CS. O~o~h, .~lbsoqnaet davolepmont, or rotstad a~vi~e~ itkel¥ to bo ieduced by th~ ~o~or~l a~t~l? ffmq~in br~#y: C6. Long te~m, shortterm, curnulative, or o/her effects not identifled in Cl ~5? Explainbdefly: I C7. Other impacts i~nctudin9 changes in use of either c~uantit./or t~ of enarg~/? Explain bliefl,t/: O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ~oCsNMEi~.iAi~oAF~ ICEAI? lif ~'es, ex~lain briefly,: I F-- IS THERE, OR IS THERE EKELY TO BE1 CONTROVERSY RELATED TO POTENTIAL ADV-r-RSE ENVIRONMENTAL IMPACTS? If yes explain: PART III - De I e.R~INATION O~: $~NIRCANCE (To be unmpleted by.a~ency) . INSTRUCTIONS: For each adverse effect identified above, determine whether It is substeatisl, large, Impedant orotheneise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural) (b) probability of occurring; (c) duration; (d) rmvemibitity; (e) geographic r,~=ope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that eq31anattens contain aufl'ldent detall to show that all mleva~ advame impacte have been idenfiflad and adeq~ ~. If queatten d of part i wse checked yes, the determination of significance must evaluate the potentialimpac~ of lhe proposed at, isa on the environmental charucteflatics of the CEA. EAF and/or Ixepare a pas#lye dedaraifon. Check this bex E you have ddtunained, beasd un the Information and analysis abeve and suy supporting decumentelten, tbet the prulx~sed ac~ia WILL NOT result in any significant adverse environmental Impacta AND prmdde, on allachments as neceasary, the masons suppo~ng thi~ determinattun. Board of Trustees Name of Lead Agency Jill M. Doherty Print or Type Name of Responsible Officer ie Lead Agency ~.~- -Sig na~a~L~-° f Res~x)Yis~le Officor in Lead Agency President Title of Responsible Officer Signature of Preparer (If different from respensib!e 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 Dith~ct SeCtion .loci; ~oi CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. sCOpE OF WORK - PROPOSED CONSTRUCTION I'I'I~VI # / WORKASSESSMENT { Yes No a. What is ~ Total Area of the Project ParceLs?~)/"~/¢~ I Witl this Project Retain Ail Storm-Water Run-Off (Inctude Total Area of all Parcels located within ~[; ~)(~ ? the Scope of Work for Proposed Consth:cfion) Generated by a Two (2') Inch Rainfall on Site? b. What is the Total Ama of Land Cleedng (s.~. / Acre~)[ (ThiSclearingitemand/orWill includeconstructionall run-OffactivitiesCreated,bYas wellS/teas all -- and/or Ground Disturbance for the proposed C~ site Improvements and the pe~rnanent creation of coesiruction activity? impervious surfaces.) (s.F.,^~l 2 Does the Site Plan andlor Survey Show Ail Propesed PROVIDE BRIEF PROJECT DESCRIFTION (r~o,,~de ~,~0,~ Pm ~ Needed) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and iN r'I d,L 8~'.~" ~,t ~:)D~,~.~ Slopes Controlling Surface Watar FIow. {J~ ~.~.~ 3Does the Site Plan and/or Survey descdbe the erosfon and sediment cont{'ol pract{ces that Will be used to control site erosion and storm water discharges. This -- item must be maintained throughout time Entire Construction Period. 4 W/ti this Project Require any Land Filling. Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 W/Ii this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the r~l Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or Within One Hundred (100') feet of a Wetland or -- Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; incJuding disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes ~ am part of a iorger common plan thai wi~ ultimately dielurb one or more acres of lend; which Exceed Filteen (15) feet of Ver'dcal Rise to ! .,~ including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has de,ermined that a SPDES permit is required for storm water discharges. SWPPP'$ Shall meet the Mfoimure Requirements of the SPDES General Permit 8 Will Driveways. Parking Areas or other Impervious k~r Storm Water Discharges from Construoflon activity - PemUt No. GP-0-'I0-00'I.) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP shall be prepared prier to Ihe subreitbe of the NOt. The NOI shall be into and/or in the direction of a Town right-of-way? STATE OF NEW YORK, ./-'Ii ~ Owner and/or representative of the Owner or Owners, and is duly authorized to perform orl~'0~'~J~l~l~ ~9[k and to make and file this apphcafion; that all statements contained in this application are true to the be~t ~,i~d~o%liefi and ' ' · - - uuatit~ed n Suff0l that the work vail' be performed ~n' the manner set forth in the app cabon filed herewith. C0''''~;"~:,,,,,,,o~,u, ..... ~plres ~tpnlk ..~Qun~9, 20 I'~-'''~ NotmT Pub ic ~~... ~...:....~.h.. ................................... FORM - 06110 of Trustees Applicat County of Suffolk State of New York DEP~OSES 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 IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN 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 CONJUNCTION WITH REVIEW OF THIS APPLICATION. SigT ¢ _3 SWORN TO BEFORE ME THIS Olc)~- DAY OF OCqtC71Da~'~ ,20_ ([ "N6fary Public Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I,~rO~ ~~residing at ~.~.~.~ ~-~/ (p in't owner of property) (m~ill~g address) ( Agent ) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~-r~er's~ignature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold'~; Code of Ethics nrohibits conflicts of interest on thc var~ of town officers and cmnlovccs. The nuranso of this form is to provide information which can alert thc town of oossiblc conflicts of interest and allow it to take whatever action is (Last name, first name, oiddl¢ initial, unless you am applying in the name of someone else or other entity, such as a company. If an, indicat~ thc 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, 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 the shares. YES NO ~ lfyou 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 shams of the corporate stock of the applic0nt (when the applicant is a corporation); B) the legal or'beneficial ownqr of any interest in a non-corporate entity (when thc applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of. 204 ! Signature Print Name .~,a Crc o,~,W~toUt,.~ Form TS I 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 PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board [--] BuiidingDept. ~] Board ofTrustees Category of Town of S outhold 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) Permit, approval, license, certification: Nature and extent of action: Site acreage: - ~ ~a 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) Nameofapplicant: _~'~. F4~laflOr~,.lO~ad;r.~ ~.~ (-~ff'R,~ '~-~¢... '~/1~. ~RA~ (c) Telephone number: AreaCode( ) (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 [or evaluation criteria. Yes [-~ No [~ot 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 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 [~ot 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 throujgh 21 for evaluation criteria [] Yes [] No[~LZ--lNotApplicable At~ach 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 App~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 D No [2 ot Applicahle 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 WORKING COAST POLICIF~ 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 Peconie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes ~ No 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 evaluation criteria. [] Yes V-~ No ~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 ~/Not Applicable '~9,5~2 5Q..:fiT. = G.4 % ~9,592 ,SQ, FT. =7.1% (]'iOHIrlO~ :!0 NAA~ IT IS A VIOLATION OF'THE /" ~- ~-' '. L~W FOR/',INy PERSON, ' ' ' /~LESs ACTING UNn=~ A~CHITEc~ T¢., ~ NOTED S --~ " ' , EALE~ FRASER RESIDENCE D