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Home My WebLink AboutTR-7838A 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 Permit No.: 7838A Date of Receipt of Application: May 30, 2012 Applicant: John Boyle SCTM#: 18-2.34 Project Location: 24435 Route 25, Orient Date of Resolution/Issuance: June 20, 2012 Date of Expiration: June 20, 2014 Reviewed by: Board of Trustees Project Description: Provide access to a right-of-way by removing trees and planting grass and a 4' wide path through the 50' non-disturbance buffer. 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 May 30, 2012. Conditions: The last 50' of the right-of-way is left undisturbed. 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. JBao amredSc~ ePee s i~d e'~ James F King. President Bob Ghosio. Jr., Vice-President Dave Bergen John Bredemeyer 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/VVorksession Report JOHN BOYLE requests an Administrative Permit to provide access to a right-of-way by removing trees and planting grass. Located: 24435 Route 25, Orient. SCTM#18-2-34 Type of area to be impacted: *Saltwater Wetland c/Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Sound Bay Type of Application: __ Wetland __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Present Were: ~Kl?0g ~. Ghosio ~"D. Bergen, ~ Bredemeyer_ "Mi~ael Domino f D. Dzenkowski Form filled out in th,~ field by Mailed/Faxed to: Date: other John Boyle 24435 Route 25, Orient SCTM# 18-2-34 6/13/2012 John Boyle 24435 Route 25, Orient SCTM# 18-2-34 6/13/2012 1881 Town of Southold Suffolk County, NY The People of the State of New York vs. COURT COPY ~,,j~_ ~, Southold Town Police Report 10/01/2011 16:38 ~ Incident Report case Number 01-11-009053 J Case Number Report Occurred On/From Occurred To Report Type N 01-11-009063 10/01/2011 16:38 10/01/2011 16:38 Original C Incident Type Case Status Case Status Date Cleared r POLICE INFORMATION CLOSED-NO ARREST (ADMI 10/01/2011 D IlL Common Name E LAPORTA JEANNE - 1995 DIEDRICKS RD ORIENT, NY 11957 (SUFFC~I "County) N Day of Week: SATURDAY ~lcohol Related: NO T Map Reference: OR]ENTWEST ,rug Related: NO Location Type: YARD *al Damaged Property Value: $0.00 Sector: 4 804 ~1 Stolen Property Value: $0.00 Alcohol Related: NO _ il Recovered Property Value: $0,00 Person Type Business/Person Name Business Phone COMPLAINANT (CO) ALFRED LAPORTA Sr 631- Home Phone Person Address Map Reference (914) 271-9332 1995 DIEDRICKS RD Orient, NY 11957, SUFFOLK County Cell Phone Employer Address ! Map Reference (914) 393-4810 Race Sex ISSN I DL Exp, Date I DL Number WHITE ! Male Birth Date Birth City 06/05/1933 Age: 78 Body Marks: Adult/Juvenile: ADULT p Person Type Business/Person Name Business Phone E PERSON INTERVIEWED John BOYLE 631- R Home Phone Person Address Map Reference S~ (631) 323-3926 24275 SR 25 Orient, NY 11957, SUFFOLK County O .L Cell Phone EmployerAddress Map Reference N (917) 991-5687 WHITE MaKe Birth Date Birth City 06/04/1935 Age: 76 Body Marks: Adult/Juvenile: ADULT N Topic Original 1 Laporta reports that Boyle is clearing trees behind his property listed above and may not have the necessary permits. Undersigned interviewed Boyle at his residence. Boyle stated that he was not aware he needed permits to clear trees on his property. Boyle states that he will go to Southold Town Hall on Monday October 3rd, 2011 to ascertain any }ermits necessary to clear the trees on his property. Reporting Officer Department Report Status: PO RICHARD J BUONAIUTO (1000) SOUTHOLD TOWN POLICE Approved Officer Name Date/Time Verifying Officer Department Date / Time SGT THEODORE O BEEBE, JR. (5140) SOUTHOLD TOWN POLICE 10/01/2011 20:28 ] of [ ~ A-4103 Town of Southold Suffolk Counfy, NY The People of the State of New York va. PLACE OF OCCURRENCE DATE OF OFFEN~E Town of Soulhold · A -410 2 Suffolk County, NY The People of the State of New York us CITY UCENSE OR R EGISTRA~I ON NUMBER L~l~l l~l~'l-/l I I IIIIIII I TYPE OF [JC/NS/ DATE EXPIRES SEX DATE OF BIRTH OPERATOR pLATE NO. DATE EXPIRES STATE pL~,TE 3~fpE [~ N.y ~] N.J [~ N.y ~ NJ [~ [~ pASS [~ CO,MM [~ THE pERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS Town of Southold 54375 Main Rd. P.O. Box 1179 Southold, NY 11971 Office (631) 765-1892 Fax (631) 765-6641 To: Don Dzenkowski From: Lauren Fax: 765-2715 Pages: 4./ Phone: Date: 1/18/2008 Re: Complaint CC: [] Urgent [] For Review [] Please Comment [] Please Reply [] Please Recycle · Comments: A complaint was referred to our department from the Building Dept. concerning the clearing of a right-of-way possibly within 100' of a freshwater pond and within 100' from tidal wetlands. Please inspect and provide us with a copy of your written determination. Please let us know you need any further information. ,1. 22.1 2,1 'i ..................... ~ .......... ~ ........ ,~..,,~ ........ ~Re~ Properly Tox Service ~genc~ ~ SECTION NO 018 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. 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 To: From: MEMORANDUM Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator JUN 18 20t2 Date: June 19, 2012 Re: Proposed Wetland Permit for JOHN BOYLE SCTM#1000-18-2-3 JOHN BOYLE requests an Administrative Permit to provide access to a right-of-way by removing trees and planting grass. Located: 24435 Route 25, Orient. SCTM#18-2-34 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 INCONSISTENT with the Policy Standards and therefore is INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The action was conducted without the benefit of a permit. 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 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 Office Use Only Coastal Erosion Permit Application Wetland Permit Application L~Administrative Permit Amendment]Transfer/Extension ~'l~eceivcd Application:~) Received Fee:$ ~--"Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) --..-L-~VRP Consistency Assessment Form ~1~ ~' CAC Referral Sent: ~45'~te of Inspection: ~ __Receipt of CAC Report:. __Lead Agency Determination: Technical Review: --,~l~ublic Hearing Held: I0 Resolution: Name of Applicant ~C~ ~')~ ~ I~ '~i~-'~{~:>-~[o[~)PhoneNumber:(~) C~'l'-'z~ ~ ~1 Suffolk County Tax Map Number: 1000- [ ~ -- ~ -- ~ % Property Location: (pr[~ide LILCO Pole #, distance to cross streets, and location) AGENT: tN] 1~ (If applicable) Address: Phone: Land Ama (in square feet): Area Zoning: ~ . ~ Previous use of property: Intended use of property: Covenants and Restrictions: GENERAL DATA Yes ~ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __Yes No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes '~ No Does the structure (s) on property have a valid Certificate of Occupancy Yes x/4.. 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: .square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: I '~ ~ -- I '~ ~ 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? 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 the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 1 .~:~C, ANT / SPONSOR 3IPROJECT LOCATION: Municipality 2. PROJECT NAME PRECISE LOCATION: Street Addess and Road intersections, Prominent landmarks etc -or Provide mac SEQR 7 AMOUNT OF LAND AFFECTED: Initially~' ~.. ~ Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yos [] NO I[ no, describe briefly: 9 WHAT IS PRESENT LAND USE IN V~CINITY OF PROJECT? (Choose as many as apply) [~Residential E~]lndustrial E~]commercial [~Agriculture E]Park/Forest/OpenSpace E~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 ~No If yes, list agency name and permit / approval: 11. L)UI:5 ANY A~SPEC[ OF'IHE ACflON HAVE A CURRENTLY~[FD I~E~-M~OR APPROVAL? - DYes E~No If yes, list agency name and permit / approval: 12, AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT ,THE INFORMATION PRO/~J~D ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant , Sponsor Name / / .~.~; -- If tho a~tion i~ a ~ostal ~r~a, and ~ou ar~ a ~t~ a~ency, eompl~to the Coastal ~s~s,m~nt Form b~foro proceedln~ with thi~ PART II - IMPACT ASSESSMENT lTD be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF, [--']Yes [~]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declarafion may be superseded by another involved agency. E~Yes ~'lNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I 1 C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character. Exp a n briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, signiticent habitats, or hrea ened or endangered species. Exp a n bnefly: C4. A commu~ity,$ existing plans or goals a~"off~ially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5 Growth subsequent development or re ated act v t es ko y to be nduced by the proposed act p y I C6, Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: I / C7. !{h~r'il~lp~ iincludin~l chanties in use of either c~uanfit~' or t./pe of enel~)'? Exf~lain briefl)': D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR tS THERE LIKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If'/'es ex~31ain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~lmp~rtant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of o~curring; (c) duration; (d) irraversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that ail relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio~ WILL NOT result in any significent adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination, Board of Trustees [] Name of Lead Agency Date President [] print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible 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 ~ ~) I ~ ~ '~ STORM-WATER, GRADINGp DRAINAGE AND EROSION CONTROL PLAN D~tr~t S~n a,x:k t.ot C=,TIri~:U BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. sCOpE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT [ Yes No a. What is the Total Ama of the Project Parcels? (Include Total Ama of all Pamels Iocatad within 1 Will this Project Retain Ail Storm-Watar Run-Off the Scope of Work for Pmpesed Constmciton) Generated by a Two (2") Inch Rainfall on Site? ~.~ b. What is the Total Ama of Land Cleadng (S.F. / A(~s) ('Fnis item will include alt run-off created by site clearing and/or construction acfivi§es as well as all and/or Ground Disturbance for the proposed C~' o/9 ~. ~,~. ,~ J.~Ol~ site Improvements and the permanent creation of construction activtiy? impervious surfaces.) 1 ',, (s.F., ~ ' 2 Does the Site Plan and/or Survey Show .NI Proposed PROVI])E BRIEF PROJECT DESCRIPTION (~ ~ Pr - ~ Drainage S~'uctures Indicating Size & Location? This Item shall include all Proposed Grade Cha~es and Slopes Controlling Surface Water Flow. 3Does the Site Plan and/or Survey descdbe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This -- item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural ExisUng Grade Involving more than 200 Cubic Yards~ -- of Material within any Parcer? 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 Trustees judsdiction General DEC SWPpp Requlremente: or within One Hundred (100') feet of a Wetland or -- Submission of a SWPPP is required for all Construction activities inv~lviog soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre thai 7 Will there be Site preparation on Existing Grade Slopes ~ are part of a larger common plan that will ultimately disturb one or mom acres of land; which Exceed Fifteen (15) feet of Vertical Rise to ~ including Construction actbtities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges SWPPP'$ Shall meet the Minimum Requirements of the SPDES Generel Permit 8 Will Driveways. Parking Areas or other Impervious for Storm Water Discharges fr~ C~nstrucflon activity. Permit No, GP-O.10-0Sth) Surfaces be Sloped to Direct Storm-Water Run-Off~ 1. ~e SWPPP shall tm prepared prior to the submittal of the NOI. ~e NOI shall be into and/or in he d rection of a Town dght-of-way~ STATE OF NEW YORK, -; f r-' ~,~ i- ,.% L_K ss COUNTY OF ........................................... q_hat I, '--~)~X~'~[~ be dulsw ...............- --~i;i;';~';r~;za~;;;~;;'~;, .................... y om, deposes and says tha,knc/she,~ is the applicant for Permit, And that~she is the ...~....~.(O...~.,....~...~.~:.~.....~....g~:...~... ~;L.~ ~d'~A ~'.~-~3 !..~.~.0,_,,~ Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work ~ d to make and file this applic,ati~Ql statemenCs contained in this application are tree to d~e best of his knowledge and belief; and that the work will be peff~ned injthe manner set faith in the application filed herewith. Sw°rnt°bef°:iemethis;/~-~-~ /'~'x /q , /' ~ ~ FORM - 06/~.~ tT I. ~COTT,. NOTARY PUBLIC, ::,'rate .No 4725089, Suffolk ~ountl term Expires May Boa~of Trustees Application County of Suffolk State of New York 3 ~k"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 HIS/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. ~t/U~ignature's' / SWORN TO BEFORE ME THIS ~..I~ DAY OF 4~otary 1Jublic - OBERT I Sg011r, JR Y. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the vart of town officers and emvlovees. The ouroose of this form is to nrovide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is (Last name, first name, middle initial, unless you are 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, 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% o£the shares. YES NO lfyou answered 'WES", 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 appficant/agenffrepresentative) 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% oftbe shares of the corporate stock of the applicont (when the applicant is a corporation); ___B) the legal or beneficial own~'r of any interest in a non-corporate entity (when the applicant is not a corporation); ___C) an officer, director, partner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 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# I '~',9~ - I~'~ :~ ~ .~ 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: Natureandextentofaction:?~, ~ ~Cr&_~ Location of action: ~- ~,~]L [__t,.~ Site acreage: ~ I1-~ Present land use: ~//~L 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 ofapplicant:~'~,~th ~J~.k~[ ~ (c) Telephone number: Area Code (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 Pa. lles 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 throu~Ja 21 for evaluation criteria [-~ Yes [--] No~V~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 thr°ugh 32 ~ evaTn criteria'~-] Yes No Not AppliOe 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 fox, Valuation criteria. ~-~ Yes [~ No IVI Not Applicable Attach additional sheets if necessary Policy 8. Minimize env~onmental degradation in Town of Southold from solid waste and hazardous substances and waste~ See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. II Yes [ [ No it' I 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 L~3 Not Applic~able/;~ // 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. Se)~LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [~ No [~ Not Applicable Attach additional sheets if necessary Policy ll. Promote/sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town w~ters. 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 evalu~n criteria. [] Yes ~ No7~t/~ Not Applicable Attach additional sheets if necessary Policy 13. Promote ap]p'opriate use and development of energy and mineral resources. Sec LWRP Section III - Polic~ges 65 through 68 for evaluation criteria. [] Yes ~ No7~t/'l. Ld Not Applicable PREPARED BY i