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Home My WebLink AboutTR-7781A James F.King,President ,of SO yQ Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen J�S Southold,New York 11971-0959 John Bredemeyer pQ Telephone(631) 765-1892 Michael J.Domino Q a Fax(631) 765-6641 COUNTN,Oc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0778C Date July 24, 2012 THIS CERTIFIES that the storage shed elevated 2'-3' on posts At 7065 New Suffolk Rd., New Suffolk Suffolk County Tax Map#117-5-30 Conforms to the application for Trustees Permit heretofore filed in this office Dated 3/19/12 pursuant to which Trustees Wetland Permit#7781A was issued on 4/18/12 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 A storage shed elevated 2'-3' on posts. The certificate is issued to STEPHEN D. WALSH owner of the Aforesaid property. i4A--If 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 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 1 st 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.: 7781A Date of Receipt of Application: March 19, 2012 Applicant: Stephen D. Walsh SCTM#: 117-5-30 Project Location: 7065 New Suffolk Road, New Suffolk Date of Resolution/Issuance: April 18, 2012 Date of Expiration: April 18, 2014 Reviewed by: Trustee Dave Bergen & James King Project Description: Ten-Year Maintenance Permit to hand-cut an area approximately 15'x30' of Common Reed (Phragmites australis ) to 12" in height by hand, as needed; and construct a storage shed elevated 2'-3' on posts. 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 application received on March 19, 2012 and survey stamped approved on May 4, 2012. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar ( Juniperus virginiana), Northern Bayberry ( Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). Inspections: The approved operations must be commenced within two (2) years from the date of the resolution. The permittee is required to provide the Trustees with before and after photos of the trimmed area within this time period before any further maintenance is conducted. When the proposed shed is completed, there is to be a final inspection performed within this time pedod. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southoid Town Code, a Wetland Permit will be required. This is not a determination from any other agency. J me~s F. King~,, P~nt Board of Trustees James F King. President Bob Ghosio. Jr. Vice-President John Bredemeycr Michael J Domino 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: STEPHEN D. WALSH requests an Administrative Permit to trim the phragmites to 12" by hand as needed, and construct a storage shed elevated 2'-3' on posts. Located: 7065 New Suffolk Rd., New Suffolk. SCTM#117-5-30 .-i'~ype of area to be impacted: '~altwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: K Wetland __Coastal Erosion __Administrative__Emergency Pre-Submission __ Sound Bay __Amendment Violation ,nfoneeded: p,,,~,~.,(~, u,o(...~.o-..- 4,~egJl-,- Modifications: Conditions: Present Were: J. King __B. Ghosio __ J. Bredemeyer Michael Domino Form filled out in the field by D. Bergen, D. Dzenkowski other Mailed/Faxed to: Date: N 117 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 APR - 9 2012 To: Jim King, President Town of Southold Board of Trustees ~ i From: Mark Terry, Principal Planner LWRP Coordinator Date: April 9, 2012 Re: Proposed Wetland Permit for STEPHEN D. WALSH SCTM#1000-117-5-30 STEPHEN D. WALSH requests an Administrative/Ten-Year Maintenance Permit to trim the phragmites to 12" by hand as needed, and construct a storage shed elevated 2'-3' on posts. Located: 7065 New Suffolk Rd., New Suffolk. SCTM#117-5-30 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 action is CONSISTENT with the LWRP subject to the following: 1. The establishment of a landscaped buffer following the removal of the common reed. A landscaped buffer is defined as; LANDSCAPED BUFFER -- A land area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar to that found within the immediate proximity of the parcel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed of pervious material for access to the water body. [Added 12-15-2009 by L.L. No. 15-2009] 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 (63 I) 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 Amendmen'dTrans fvr/Extension ,.-~ec~d Applicatio~n~, ?} iq h ~ ~l~.eceived Fee:$ ~'~) - ' · ~<fmpleted Application~_ Incomplete SEQP..A Classification: Type I Type II Unlisted__ Coordination:(date sent) ~EWRP Consistency Assessment Form CAC Referral Sent: ~J~ate of Inspection: t.-'['~ll ~ [ ~c9 __Receipt ofCAC Repo~' ' __Lead Agency Determination: Technical Review: ~P~ublic Hearing Held: ~ [IQ Resolution: Name of Applicant 5 T'J~-]r~:/~j .~. Address tTt7 Phone Number:(63)/ Suffolk County Tax Map Number: 1000 - ] I ~) ~ ~ - ~0 PropertyLocation:, 70~_5~ A/~IA~ .-~tzlc~ok K t~ ~ A/l~W .Jc, f::l~/- /<?. AZ.),/'. l/~'~'-~ (provide LILCO~Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: BoaOof Trustees Application Land Area (in square feet): ~/~ Area Zoning:. A ~ Previous use of property: Intended use of property:_ GENERAL DATA ! I~ 6 5/D~A/]"7,,~ L Covenants and Restrictions: Yes X No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __Yes r'~ If "Yes", please provide copy of decision. Will this project require any d/emolition as per Town Code or as determined by the Building Dept. Yes ~ No on property have a valid Certificate of Occupancy .X Yes __ Does the structure (s) Prior permits/approvals for site improvements: Agency Date No 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): T~ .r . . _ L o C-,~Fi oA/ ,e t°fR_ovA L Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ] c~ Ooo square feet Percent coverage of lot: 2~O % Closest distance between nearest existing structure and upland edge of wetlands: ~ t/ feet Closest distance between nearest proposed structure and upland edge of wetlands: ]~- 2.O feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: (~ Manner in which material will be removed or deposited: cubic yards cubic yards feet Statement of the effect, if any, on [h_~ wetl_ands and tidal wa_ters of the town that may result by reason of such proposed operations (use attachments if appropriate): · PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 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;Tt~ECT NAME SEQR 3.PROJECT LOCATION: Municipality /¥~W 4. PRECISE LOCATION: Street Addess and Road Intersec§o~s, Prominent landmarks etc -or provide map S. IS PROPOSED ACTION: [] New ~ Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: F6 S 7--_ 7. AMOUNT OF LAND AFFECTED: Initially ~ acres Ultimately (~ acres 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 [~lndustria~ ~CommercJa[ {~Agriculture r--"~ParklForestlOponSpace [~ Other (describe) 10/DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ]Yes ~lNo If yes, list agency name and permit / approval: ~I. UU[:3 AN'( ASFEL;I UI- IHE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? F--~Yes [~No If yes, list agency name and permit / approval: i12, AS A RE?~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~t'es 12~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name ate: 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 (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, co~dinate the renew pm(ess and use Ifm FULL EAF. WILL ACTION ~ COORDINATED REVIL:W AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR~ PART 617.67 If No, a negative C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Aaswees ma}' be handwritten, If leg!hie) C1. F_xisang air qua#!y, sudace or groundwater quality or quantity, noise le~ls, existing traffic paffem, so!id waste preduc~en er disposal, potential for ereslen, drayage er flooding problems? Explain briefly: I C2. Aes~Mic, agricultural, archaeotuglesl, historic, or e~hor natural or cultural resources: or communi(y or neighbefbe~xl charas~e~? Explain briefly: ~3. Vegetation or fauna, lish, ~hst(fish or wildllfe species, xignfficant habltals, er Ihreatened or endangered species? F_Jq31ain briefly:. C5. Growth, subsequent development, o~ relai~d activities !ko y to be induced by Ihe proposed action? Explain bdetly: " I ............ , ........ I I I C7. O~her liii~,a,,~a {including changes in use of either quantily or type of ene~g)-? Explain bdefly: .... ' ...... I I D. VVILL THE PROJECT HAVE AN 'MP.~;T ON TH~'ENVIRONMENT2'CHARACTERISTIC~ THAT CAUSED THE ESTABLISHMENT OF A CRITICAl[ F-- I~ THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL AOVER~E F_N~RONMENTA(. IMPACTS? If PART III - DI: ! I~utlIINATK)N OF SIGNIFICANCE (To be completed by Agency) . IN~TRUC'TION$: Foreach~dvemee~ectiden~edab~ve~detem1inew~ether~tissub~tantia~ts~or~ses~n~ Each effec~ should be a~eesed in connection with its (a) setting (i.e. urban or rural); (b) pre~ of ocse~ng; (c) duralio~; (d) I~evemibllit3q, (e) ~eographl¢ scx~pe; and (f) magnitude. If necessao,, add attachments or refereflse suppedlng materials. Ensure that ex~ contsin EAF and/or prepare a Ix~6ve dedara~m. WIM. NOT result In any slgnifiuanl adverse envlmnmenta! Impacts AND pmeide, ~ at~ashme~ts as nece~ary, Ihe masons sup~ ~1~ deleffnlnation. Board of Trustees Name of Lead Agency Pfln! or Type Name of ResponsE)lo Officer in Lead Agency ig ~at ~e ot Reap Officer In Lead ~rency / President Da(e T~le of Responalbie Officer Signaa~e of Preparer (If diti~n! ~om responsibk~ officer} Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM P~)PERTY LOCATION: S.C.TJ~.~. THE FOU.OWING ACTION8 MAY REQUIRE THE 8UI~41551ON OF A /OO O 1 / ~'~ O~OO ~_.~o~ STORM-WATEI~ GRADIN~I DRAINAGE AND EROSION CONTROL PLAN ~ ~ Bred; i.~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE 81'ATE OF NEW YORK. scOPE OF WORK - PROPOSED CONSTRUCTION ITlfiM# / WORK_ASSESSMENT J Yes No a. What is the Total Ama of the Pmject Parcels? I WillthisProJectRetalnAIIStunn-WatsrRma-Off (Include Total Area of all Parcels located within the Scope of WUd( for Propesed Cmastmcfion) lO0 ,5,..?, Generatad by a Two (2') Inch Raintall en Site? X b. What is the Total Ama of Land Clearing (S.F. /~) (This item will include all rma~off cmatnd by site /¥//~ clearing mad/or construction activitiss as well as all and/or C-,mend Disturbance for the proposed Site Improvements and the permanent cmatiee of construction a~vtty? Impervious surfaces.) (&F. / Ac~e~) 2 Doen the Site Ptan and/or 8u~ey Show N, Profaoeed /V./~...., PROV1])te. BRW.~' PROJ~eq' DESC'I~gI'ION 0.,~,~,~e~.~ DralnageStmctureslndlcallng Slze&Lacation?'fi~is U Item shall include all Proposed Grade Changes and '-~/~ l fflf.,j_t [~ /~ C'S A4 ~ L I"I~t I TI~ ~¢ A l~A c) ~J iV '~.. 0[-' SIodes Controfling Surfaca Water Flow. .,,._ 3 Does the Site Plan and/or Survey dasc~be the erosion and sediment conb'ol p~acitcas fi~at will be used to control site erosion mad storm water discharges. This item must be mstntained throughout the Enare Construction Pedod. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural ~ [.~ / /..-- ~ J--- ~-~ (:~ /.. .~J 2~ ~-- .~ ~0/~ Exisit ng Grade Involving more ll,~n 200 Cubic Yards / 5 Will this Application Require Land Disturbing Activities r~ ~_~ ~._ ~.~ V &T~ ~) 0/~::;~:: ~-Of.J~l,/D Encompassthg an Ams th Excess of Five Thousand (5,000 S.F.) Square Feet of Gmmad Surface? 6 Is there a Natural Water Course Running through the r-'-I ,.~ Site? Is this Project withth the Trustees judsdiction U General eEC SWPPP Requlmmento: or within One Hundred (100') feet of a Wetland or Su~'fllislin of a ~NPPP is required ~or all Ccflstrudion activities invoking so~ Beach? Iliturper~eso~one(t}cxmomac~s; Includir~dlstud)ancesoflessthan(3~acm~hat 7 Will them be Site preparaflon ma Existing Grade SIopes am part of a la~er common plan that wfl ultimately disturb one or nx)m acres of lind; which Exceed Fifteen (15) feet of Ver'~cst PJse to inckMIng Ce~struct~n a~itiss inv°lvl~3 s°il dliR~bences °f k~'=s t hen °~e (1) acm where One Hundred (100') of Hodzontal Distance? the DEC has de~ that a SPDES permit is required for storm water dischan3es. k~ Stem Water Dh~eharges eom Co~t~uctton scarify, permit Ne. GP~4e~OI.) Surfaces be Sloped to Direct Storm-Water RumOff 2. The SWPPP shall de~¢n~)e Ihe en3sto~ and sedknent contr~ pracaces and where 9 Will this Project Rsquim Ihe Placemmat of Matedal, required, post-cor~m4:fion storm ~4er managemem prances ~hat wi~ pe used and/or Removal of Vegetotion and/or the Construction of any STATE OF NEW YORK, COUNTY OF .~.~.~ ........................~-- SS ...... :.....~.;~.~.~;.,~.~.) .................. mg y , deposes and says dst be/she is the applicant for Permit, Owner and/or representative of the Ovnter or Owners, and is duly authorized to perform or have. d:~..~y~t to make and file this applicon; that all statements contained in this application are true to the best ~;~h'~ ~'~h'~;"and that the work will be B/~ formed in the manner set fo~,h in the application filed herewith. Qualified in Suffolk County Sworn to before me i ~ I Cemmi$$i0n [xoir0s Marc, ~. ~..~[..~ ~ FORM - 06/10 ~ard of Trustees Applicat~ County of Suffolk State of New York -5 ~-~'t°./~/V O. Iv'ilL,5/-/ 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 FIlS/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. Signature SWORN TO BEFORE ME THIS :~lic(~ DAY OF ~ 6t r'~/~,20 I ~ SANTA RODRIGUEZ Notary Public, State cf New York No. 01R~)6~!03639 Qualified in Suffolk Counb~-~ ~, Commission Expires Mmch 9~-'2~) ! APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the hart of toWn Officers and emoloveas. The nuroose of this form is to nrov de nformation which can alert the town of oossible conflicts of interest and allow it to take whatever action is ne to avoid same. (Last name, first name, ~niddle initial, unless you are applying in me name or someone else or other entity, such as a company. If so, indicate ~he other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If"Other", name the activity.) ?/0,//~1 Building Trustee Coastal Erosion Mooring Planning 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, n~arriage, or buginess 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 57~e shams. YES NO t"~. If you answered ~'YES", complete the balance of this form and date and sign wher~ indicated. Name of person employed by the Town of Southold Title or position of that person Describ~ 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 thc 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, parlnei', or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this ~d~yof /4A/O--chi ~ 200 /~..- Signature ~tg. tA,~_~.~-- -- Print Name .5 7'~."°/c/t::~'/~ /9- v~ L'5 ['~ 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, li~ting 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# /t 7 PROJECT NAME The Application has been submitted to (check appropriate response): TownBoard ~-~ Planning Board ~'~ Building Dept. ~-~ BoardofTrustees 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: Location of action: Site acreage: .. q--~ Present land use: IO. F-5/O~N F{A;L Present zoning classification: A/~?~ 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: ~5~ ~t~t~A/ (b) Mailing address: L/7 I~T-olVlgA ~vA L 5/~/ (c) Telephone number: Area Code (). 3 ~ 3 ---O .9__ [~'- (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No/~7] 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 ~7] 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 [~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 III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not AppOle 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 ~J 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 POLICIEO Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Sec 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 Southoid. 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 ~ Not Applicable 03/0~/2012 1§:42 8318683520 BAYPORT-BLUE POINT~RAR¥ #3282 P.001/001 March5,2012 Town of Southold~Board of Tram Trustees Town Hall Annex Building 54375 Route 25 PO Box 1179 Bouthold, NY 11971 Dear Trustees: I recently purchased the house at 7065 New Suffolk Road, New Suffolk. I would like to make an appointment to meet ~ you at this address in regards to three items within my property's boundaries. I would like to dis=use the maintenance of the phregmites, some tree pruning, and the location of a legal size storage shed in the rear of my property. Please =ante~ me (cell # 631-921-8598) at your convenience to arrange a meeting to disc, ues these issues.Thank you. Sincerely, Stephen D. Walsh < 0 0 _X/o/~ Ld~'~NC~ ~. TUTttILL 0~ M~R~N~ SCHOOL HOUSE CREEK 202.6 SURVEY OF PROPERTY SITUATED AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-117-05-$0 SCALE 1'=30' APRIL 3, 2001 AUGUST 14, 2007 LOCATE PILES dUNE 4-, 2009 F1NAL SUR~'Y FEBRUARY 28, 2012 SET CORNER IdONUIdENTS AREA = 20.265 sq. ft. 0.465 ac. .~. NO TES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 192g DATUM. ~h, :~c EXISTING ELEVATIONS ARE SHOWN THUS:~ StORy ~ )~ ~ ~ ~ ~ ~ ,"* ~ 2¢12 83'47'20"W ~°PO$6D *,q~d o.~ o.,.~. ..: APPROVED BY "~ 202.68' ~ ~ c ~Ej ~ ~ OF TRUSSES ~-- ~ath~ Ts~t Oorwin Ill ~----.-- L~d Surveyor ORCHARD STREET ~~~~ ~-~-'~-~