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Home My WebLink AboutTR-7749A James F. King, President �QF so(/ry Town Hall Annex 0 Bob Ghosio,Jr.,Vice-President .`� lQ 54375 Main RoadP.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer Michael J. Domino • �O Telephone (631) 765-1892 Fax(631) 765-6641 COU�' BOARD OF TOWN .TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0825C Date: December 11 2012 THIS CERTIFIES that the construction of a 30' long peraola to the entrance of the existing dwelling At 1700 Cedar Point Drive East, Southold, New York Suffolk County Tax Map# 92-1-3 Conforms to the application for a Trustees Permit heretofore flied in this office Dated February 21, 2012 pursuant to which Trustees Administrative Permit#7749A Dated March 21, 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 construction of a 30' long pergola to the entrance of the existing dwelling. The certificate is issued to LEO & VIRGINIA ALESSI owners of the aforesaid property. ysw Authorized Signature Jill M. Doherty,President QF so P.O Town Hall Annex James F. King,Vice-President ,`O 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. co Q John Bredemeyer ra Telephone(631) 765-1892 4 cou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: l U=j�, 4 3 2-a t. / Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1" day of construction % constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: 8 6l ft t CERTIFICATE OF COMPLIANCE: 6�C -7ty James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: /-eo e ' Please be advised that your application dated ['"'-~¢'o~,,y'L ,~/.,,::,,~D/o~ has been reviewed by this Board at the regular meeting of /Y~¢.~/,~/,. ,-2~!~, 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) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50.00) ,~ X 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: TOTAL FEES DUE: BY: James F. King, President Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer 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 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 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 Permit No.: 7749A Date of Receipt of Application: February 21, 2012 Applicant: Leo & Virginia Alessi SCTM#: 92-1-3 Project Location: 1700 Cedar Point Drive East, Southold Date of Resolution/Issuance: March 21, 2012 Date of Expiration: March 21, 2014 Reviewed by: Board of Trustees Project Description: To construct a 30' long pergola attached to the entrance of the existing dwelling. 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 Robert I. Brown, Architect, P.C. of Fairweather Design Assoc., last dated November 7, 2011, and stamped approved on March 21,2012. 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. JaYmes F. King,~r~sident Board of Trustees JFK:eac James F King, President Bob Ghosio, Jr., Vice President Dave Bergen John Bredemeyer Michael J Domino P.O. Box I 179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: LEO & VIRGINIA ALE$$1 request an Administrative Permit to construct a 30' long pergola attached to the entrance of the existing dwelling. Located: 1700 Cedar Point Dr. East, Southold. SCTM#92-1-3 T~warea to be impacted: ater Wetland Freshwater Wetland Distance of proposed work to edge of wetland. P..~Ct of Town Code proposed work falls under: v Chapt.275 Chapt. 111 other ~,/T~Ae of Application: Wetland __Coastal Erosion d ministrative__Emergency Pre-Submission __ Info needed: Sound Bay __Amendment Violation Modifications: Conditions: Present Were: ~.lCJng &.Ghosio ¢"-J. Bredemey~r_ ,/ Michael Domino __ D. Bergen, D. Dzenkowski Form filled out in the field by Mailed/Faxed to: Date: other New York State Departrr of Environmental Conserv on Division of Environmental Permits, Region 1 SUNY @ Stony Brook 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444-0365 · Fax: (631) 444-0360 December 23,2011 NO PERMIT NECESSARY-TIDAL WETLANDS ACT Joe Martens Commissioner Mr. Leo Aiessi 75 Manor Road Red Bank, N.J. 07701 Re; UPA#I-4738-02872/00004 Facility: Alessi Property 1700 Cedar Point Drive E, Southold, N.Y. SCTM#1000~92-1-3 Dear Mr. Alessi: The Department of Environmental Conservation (DEC) has completed a review of your proposal to add a pergola to the front of your home. Based on the information you submitted, this department has determined that the project is listed in the Tidal Wetlands Land Use Regulations (6NYCRR Part 661.5(50)) as a use not requiring a permit. Therefore, no permit is required under the Tidal Wetlands Act (Article 25) of the Environmental Conservation Law. Be advised, any additional work or modification to the project as described, may require DEC authorization. Please contact this office if such activities are contemplated. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits o/~approvais from other agencies or local municipalities. ' Sihcerely, J,ohn Wieland Deputy Permit Admin'istrator cc: Habitat-TW, File N OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, lXPf 11971 Telephone: 631 765-1936 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 19, 2012 Re: Proposed Wetland Permit for LEO & VIRGINIA ALESSI SCTM#1000-92-1-3 LEO & VIRGINIA ALESSI request an Administrative Permit to construct a 30' long pergola attached to the entrance of the existing dwelling. Located: 1700 Cedar Point Dr. East, Southold. SCTM#92-1-3 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. It is recommended that the board establish vegetated buffers both (undisturbed and landscaped) landward of the wetlands incorporating existing vegetation to preserve the water quality of Cedar Creek. 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 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 ...~ece~vved Application: &~l~.~3~ ~/~Received Fee:$ %'~- _ . 7Completed Application '..t~0.~\,~;~a Incomplete SEQRA Classification: Type 1 Type II Unlisted Coordination:(date sent) 7LWRP Consistency As?.~.soment Form ~1 ~ CAC Referral Sent: -/Date of Inspection: .~!~ q,!~)2 Receipt of CAC Report: Lead Agency Determination: Technical Review: /'/Public Hearing Held: ~>!}~,4\ ~ ~ Resolution: Name of Applicant Address 75- Phone Number:(']-'~°~ ~ q/:,~ - ~.~ Suffolk County Tax Map Number: 1000- ~- {- .~ Property Location: / '7/~/7 ~?j.~a.~ 7~a~- $~,~o.~_ ~"o.~L~-- .~ (provide LILCOPole #, distance to cross streets, and location) AGENT: (Ifapplicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: ~- ~ ~? Previous use of property: . Intended use &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. Yes / No Prior permits/approvals for site improvements: Agency Date __ No prior permits/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 attachments if necessary):. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: w' /~/~ ( ~ square feet Percent coverage of lot: ~, 0 % Closest distance between nearest existing structure and upland edge of wetlands: 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? How much material will be filled? t~ /~ cubic yards cubic yards Depth of which material will be removed or deposited: ~ [c~ ~- feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ~t.~ d Statement of the effect~ if ~ny, qn th~ wetlands and tid~! waters of the town that ~ay re_suit_by 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. APP~LICAN~T / SPONS~R t 2. PROJECT NAME , 3.PROJECT LOCATION: PRECISE LOCATION: Street Addess and Road Intersections. Prominent landrr~rl~ etc -or provide map SEQR IS PROPOSED ACTION: E~New El]Expansion [~]Modiflcation/alteration 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially C~ acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~l'Yes [] Ho If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~Residential E~lndustria, E~Commercial I~Agriculture I--1Park t Forest / Open Space [~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes I~ NO fl yes. list agency name and permit / approval: 11. uul:~ '~~7~,~'E A CURRENTLY VALI~PERMIT OR APPROVAL? E~Yes [~No if yes, list agency name and permit / approval: 12. AS A RESU T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE A~plicant / Sponsor Name ,,~,/~ Date: If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ITo be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, cooedinate the m'Aew process and use the FULL FAF. I---lYes I'~No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIITr_D FOR UNLISTED ACTIONS IN 6 NYCRFL PART 6t 7.6? If No, a negative dedaratio~ may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or gmufldweter quality or quantity, n~se levels, existing fralfic paffem, solid waste preduc~en or disposal, potential for erosion, drainage ar flooding problems? Explain briefly:. I C2. Aesthetic, agdcuiforsi, archaeok~inal, histmtc, or other naklml or cultural resenmes; o~ cernmuetb/or nelghbodloed cfiarac(er? Explain briefly: I C3. Vegetation or fauna, fish, ~ellfish or wildlife species, significant habitats, or Itweetened or endangered species? Explain bdefly:. I C6. Long term short term cumulative, or other effects ~' ktentifiud in I C7. U~r impacts (including changes in use of either qua,qiity or type of energy? Explain b~iefl~ F- I$ THERE, OR IS THERE UKELY TO BE1 CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVlRoNMEtqTAL IMPACTS? I~ ~ expla~: PART la - Dr: ~ r.R~INATION OF SIGNIFICANCE (To be cornpleted by Agency) . INSTRUCTI(~$: For each adverse effect identified above, de~ermine whether it is sul3stantial, laq]e, important or olhenvise signlficanL Each effect should be assessed in connecao, with Its (a) se~ing (i.e. uroan or rural); Co) prebabaty o~ occunlng; (e.) dura~n: (d) ]n~wsiblr~, (e) geographk= soope; and (t) magnitude. If necessar/, add attachments or reference suppo~ materials. Ensure that explanatlefls confaln ma~:lent detail to show that all mlevanf[ adverse impacts have beefl idenlifmd a~ ~ ~. If que~lo~ d of part Il was checked WILL NOT result in any signE~ant adverse envbenmental impacts AND pmvffie, off attachments as ~ecessaly, the masons suplxh'tfi~g th{~ determination. Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency TrUe of Responsible Officer Signature of Responsible Officer in Lead ,6~ency Signetore of Preparer (If differ~mt from responsible officerJ 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 elstdct secuon BI~ Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, scOpE OF WORK - PROPOSED CONSTRU~TIIlON I'I']SM # / WORKA~SF_~SI~_AN]T Yes No a. What is the Total Ama of the Project Pamels? I Will this Project Retain All Storm-Water Run-Off (Include Total Area d/ail Parcels located within the Scope of Wolk for Proposed Construction) /' ~ ~[ Generated by a Two (2') Inch Rainfall on Site? r~ b. What is the Total Aroa of Land Cleating (s.v. / Ac~s) (This itam will include all ron-off craated by site cleadng and/or construction activities as well as all -- and/or Ground Distuthance for the proposed z~ 0~4q'~ ,~ ,_[:-~. Site Improvements and the permanent creation of construction activity? (S.F./Ac~sU) impervious surfaces.) 2 Does the Sita Plan and/or Sui'vey Shew All Propesed PROVIDE BRIF_~ PROJECT DESCRIPTION ~ ~ P=~,- N~) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and -- ~c41~./~g~ _~ t5 *',~, ~.~1[~.o._ ~& StspesControllingSaffaceWatarFIow. and sediment control practices that will be. used to ~ ' ~ ~ ~ ~~ r~~ 'f 3 OoestheSitePlanandlorSurveydescdbetheerosion control site erosion and storm water discharges. This -- ~,~ ~ 3~ ~.. g ' ,4~ c~ ~'t o~e-Lc~w.~..~ Constractionitem must be Peded.maintained throughout the Entire 4 Wi, this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards~ __ of Matedal within any Parcel? 5 Will 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 Site? Is this Project within the Trustses jurisdictionL~ General DEC SWPPP Requil~ments: or within One Hundred (1 Off) feet of a Wetland or disturbances of one (1) or mom acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes constmctsd to reduce the pollutants in slonn water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ -- Sq'ATE OF NEW YORK, a at I, ..V./..g...c....c. zo.z 2 ....... ......... t mg du y swo ,, deposes say that he/she is the applicant rem, ii And that he/she is the ...... .~¢./..~-~.~ ........................................................................................................................ Owner and/or representative of the Owner or OwneB, and is duly authorized to perform or I~i~r!~aid work and to make and file this application; that all statements contained in this application are tree to []tSl~{~l~,b~O~l~g~'~ltl belief; and that the work will be performed in the manner set forth in the application filed herewith. Qualiqed'~" ~o,mu~uUOin Suffolk C0untv Sworn to befgrle me this; C0mmis$i~n -[xpims'Apri~ 9, FORM - 06/10 of Trustees Applicati0 County of Suffolk State of New York ~/[ ~ ~! ~D', rq //0Fk ~--~- ~, BErG D~Y SWO~ DEPOSES ~ ~F~S THAT ~/S~ IS T~ ~PLIC~T FOR T~ ~O~ DESC~ED PE~T(S) ~ t~t ~L STATE~NTS CONWED ~ ~ TR~ TO t~ BEST OF ~S~R ~OWLEDGE ~ BELmF, ~ ~t ~L WO~ ~L BE DO~ ~ t~ ~R SET FORTH ~ T~S ~PLICATION ~ AS MAY BE ~PRO~D BY t~ SOUTHOLD tO~ BO~ OF TRUSTEES. t~ ~PLIC~T AG~ES TO HOLD t~ tO~ OF SOUTHOCD ~ t~ tO~ TRUSTEES ~ESS ~ F~E FROM ~Y ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY VIRT~ OF S~ PE~T(S), ~ G~TED. m CO~LET~G TinS ~PLICATION, I ~BY AUTHO~E W~ ~US~ES, t~ AGENT(S) OR ~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY TO ~SPECT t~ P~MISES ~ CON~CTION ~TH RE~W OF T~S ~PLICATION. ~' ~' Signatu~ swoa~ TO UE~O~ ~ TinS ~ ~ ~ ~ OF ~t,~ ,20/a '~t~ary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the vail of town officers and emolovees. The oumose of this form is to on>vide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is (Las(name, first name, x~ddlc initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check ali 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 iiqteresL "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 applicant/agent/reprosentative) 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 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, partnei', or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM 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- suooorfin~ 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# t/'~O-~' - ~-~ -~ ~ The Application has been submitted to (check appropriate response): TownBoard [-~ Planning Board [~ Building Dept. [] aoardofTrustees 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) Permit, approval, license, certification: ,/~.~"~;~ ~/, ~ ["~, Nature and extent of action: (' ~ 2 ~u~ ,~7,~t~__ Site acreage: 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) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code (//2)3'`9` U -? -) C / (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 ~ 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 [~ 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 III - Policies Pages 16 through 21 for evaluation criteria 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 Appi~e 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. [] Ye~-~ No [] Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 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. ~ Yes ~ 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 I/] Not Applicable PREPARED BY TITLE /o ~/?A/~t~ DATE ,->~- ~ ! -/4~, APPROVED BY BOARD OF TRUSTEES T(::~AAd OF SOUTI"K)I.D \( BASED ON SURVEY OP [OJ5 89 ¢ 90 MAP OF CEDAR 5BACi-I PARK 5IT UATB: BAY'VI BW TOWN: .50UTHOLD SUFFOLK COUNTY. NY SURVEYBD 04 25-2005 SUFFOLK COUNTY TAX# i000 92 i-3 FOR: LEO ¢ VIRGINIA ALE55i BY: JOHN C. EHLER5 LAND SURVEYOR [] =MONUMENT ~ =¢/B LANDS F~.AG5 AREA = I .22 AC. TO TlR LINE5 51TE PLAN I '= 30'-0" - - FLOOD ZONE "X" FLOOD ZONE "AE (EL.8')' FIXED DOC~ .-'" / ' / -'~x, .. / %545°t G'24"W LIGHT TIMISER~Q~-~ . .~ ~ % 22.25 RET, WALL .~'~ .../.. '" 2/ ~-RAM? ,.A' .A/~/ ~.~-~-- FLOAT -' // A-' 51 7°07122"W " 2'9.28' 5G8°29'3 I'W 79.05 . IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDE~ THE DIRECTION OF A LICENSED ARCHITECT, TO ALTER ANY ITEM ON THIS l~F~a,W!!iG IN ANYWAY. ANY A ~HOR!ZED ALTERATION ~US~ BE NOTED, SEP4,.ED, DESCRibED ;N ACCO~DA~C~ A' E.q.:51 F..E~iFDFNCE · 0/0~,'20 i EOESEFLT I. BR.OWN AECIdlTECT= ?.C. W/ FAIIEWEATHEiE D~IGN A~OC. 20,5 DAY ~,VENUE SURVEY OF LOTS 8q ~. ciO P'IAP OF CEDAR BEACHPARK FILED /2EC.,EI'.4BEt~. 20, IqD-l, HAP No. qO 51TUATE-' BA'CVIEIN TOINN: 5OUTHOLD 5,UFt=OLK COUNT'Y, N'r' SUP.'v"EYEC' 04-2.5-2005 5,UPFOLF-. COUNTY' TAX # IOOO-q2-1-~ NOTE~: · I'dONUhdENT POUND Pi~TLAND PLA® At;2-.EA = 5~,244 5.P. OR 1.22 AC.t;;~.E5 TOPO P-JEFEt:~ENCES N®VD '2q DATUf-4 (oP-,APHId_, SCALE I"= DO' E OH N C, }zHt_. ER~., A.ND ~ l., F.V E,5' OR EAST MAIN ~TRF, E~ N.Y,S I_IC. NO. 50202 RIVERHEAI), N.Y. 11901 369-8288 Fax REF.-C:XUsersH oh nXl)ropb{~x[OS~,OSX05-173 alessiVI5-173.pro