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HomeMy WebLinkAboutTR-7841A James F. King, President �oF sorry Town Hall Annex 5475 Main Bob Ghosio,Jr.,Vice-President ��� dip Pap.Box 117 9 d Dave Bergen Southold, New York 11971-0959 John Bredemeyer y • Telephone(631)766-1892 Michael J. Dominoes� COU Fax(631) 765-6641 NfI��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0799C Date: September 14, 2012 THIS CERTIFIES that the installation of an 88' If stockade fence alone the south property line At 7065 New Suffolk Road, New Suffolk, New York Suffolk County Tax Map# 117-5-30 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 11, 2012 pursuant to which Trustees Administrative Permit#7841A Dated July 18, 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 installation of an 88' if. stockade fence along the south property line. The certificate is issued to STEPHEN WALSH owner of the aforesaid property. o �+ C; Authorized Signat{ •e James F.King,PresidentOG Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President !(� P.O.Boz 1179 Dave Bergen y "��: Southold,NY 11971 JohnBredemeyer pyti�� �ph� Telephone(631)765-1892 Michael J. Domino N/1 yo Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: / /Z- Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed __L Project complete, compliance inspection. INSPECTED BY: i— COMMENTS: CERTIFICATE OF COMPLIANCE• holrneowne� called ry � -Gr 6L in spe c4ian cl OJI L 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 __ Ist day of construction ¼ constructed V/Project complete, compliance inspection 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.: 7841A Date of Receipt of Application: May 11, 2012 Applicant: Stephen Walsh SCTM#: 117-5-30 Project Location: 7065 New Suffolk Rd., New Suffolk Date of Resolution/Issuance: July 18, 2012 Date of Expiration: July 18, 2014 Reviewed by: Board of Trustees Project Description: Install an 88 If. stockade fence along the south property line. 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 11,2012 and survey stamped approved on July 18, 2012. 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. Jam Fe~'ng, Pre~' sid~ Board of Trustees James F King, President Bob Ghosio, Jr., Vice-Presidcnl Dave Belgen 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/Worksession Report Date/Time: STEPHEN WALSH requests an Administrative Permit to install an 88' If. stockade fence along the south property line. Located: 7065 New Suffolk Rd., New Suffolk. SCTM#117-5-30 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: ~'/~Dhapt.275 Chapt. 111 other ~¥pe of Application: Wetland __Coastal Erosion __Amendment Administrative__Emergency Pre-Submission Violation Modifications: Conditions: T'o .5'~-..-'¢ ~r~, '~(-e ~'/'~ c~ .~_ C (~-~'~ Present Were: '/" J. King ~/B. G hosio Z~¢/e;gen, ~/~t J. Bredemeyer M~ael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: t17 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: 'P.O. Box 1179 Southold, NYl1971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees// From: MarkTerry, Principal Planner ~ LWRP Coordinator . _. 14 2012 Souttlhold Town R~rd of Trustees Date: June 13, 2012 Re: Proposed Wetland Permit for STEPHEN WALSH STEPHEN WALSH requests an Administrative Permit to install an 88' If. stockade fence along the south property line. 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 proposed action is CONSISTENT with the Policy Standards and therefore 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 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 7Administrative Permit Amendment/Transfer/Extension '~'Kece~vved Application: ~-~. ~l I I ,~ ~ceived Fee:$ ~"~ '~ ' · -Gompleted Application ~.~). ti ! ~ __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~EWRP Consistency Assessment Form (O]l][ ~P __CAC Referral Sent: ~ ~ate of Inspection: In~, I .> __Receipt of CAC Repo~: I Lead Agency Determination: __Technical Review: ..~P'ublic Hearing Held: [~ [ ~ [ t~- Resolution: NameofApplicant 37-ff. LeO/-./~/~ tO_ [A/t6, L3/~/ Address Phone Number:(6~/} Suffolk County Tax Map Number: 1000 - ~OL~ (provide LILCO P~e ~, distance to cross streets, ~d location) AGENT: (If applicable) Address: Phone: ~o of Trustees Application Land Area (in square feet):. Area Zoning: .t~/z GENERAL DATA Nrl 6 15 Previous use of property:. Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. ~. £51D6A/7-1A L Yes _ ~ No Does this project require a variance from the Zoning Board of Appeals Yes If"Yes", please provide copy of decision. - -- Will this project require any demolition as Dept. ~_Yes _~_No per Town Code or as determined by the Building Does the structure (s) on property have a valid Certificate of Occupancy ~_Yes _ 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 susp~en/ded by a governmental agency? If yes, provide explanation: ~ No~ Yes Project Description (use attachments if necessary): 13/.~T,4LL,,~.~-[o,4/ oF ~- t,~/ooO - - WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f ~O fE ~ 'f-? ~OE:~q /G/V.~ I"loA/ Area of wetlands on lot: [~ ~oo square feet Percent coverage of lot: ~ ~ % Closest distance between nearest existing structure and upland edge of wetlands: ~ ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~%O 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? ~ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: ~-- Manner in which material will be removed or deposited: 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 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. PROJECT NAME County ,5 ~.2j~"'~O L K SEQR 3.PROJECT LOCATION: PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or [~rovide map 7o 5- /v w -so£-foLK. IS PROPOSED ACTION: [] New [] Expansion [] Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: Hf H 7 AMOUNT OF LAND AFFECTED: Initially (7 acres Urimately 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 [~lndustrlal ~Commercia, []Agriculture E~ Park / 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) ]Yes J~No If yes, list agency name and permit / approval: Yll DOES ANY ASPE'-C~OF~TRE~ACT[O~ HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes ~7~No If yes, list agency name and permit / approval: ~ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / 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 ~ART II - IMPACT ASSESSMENT ITo be completed by Lead A~ency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, ox~diuate the review ixocess aad use the FULL EAF. B. 1/~1~-AcT~NREC~EC~RD~NA1-e-DREV~EWASPR~v~D~DF~RUNUSTEDACT~NS~N~NYCRR~PART61?~6? IfNo. anegatlve dedaratio~ may be superseded by aonther Immlved egoncy. [~Yes [~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOClAIED WITH THE FOLLOWING: (Answers may be ham~dtton, if legible) CI. Existing air quarry, sudace or groundwater quality or quantity, noise levels, existing traffic pattern, sor~l waste production or disposal, potential for erosion, drainage or floe~eg problems? Ex~ath bdefiy: C2. Aesthetic, agdcu#ural, archaeological, hlatedc, or other natural or cultural resources; er coelrmmi[y or ne~hbodlond character? Ex.in b~iee/: C3. Vegetation er fauna, fish, ~hoflfish or wi~ife s~ecles, slgnlficont habitats, or Ihreatesed or endangered species? F-qflain briefly: i , ...................... I C4. A commun ty s existing plans or goals as o fl'~atly adopted or a change in use or kRensity of use of land or ether natural resouroes? Er. plain b~egy: C5. Growth, subsequent development, or related activities likely to be Induced by the proposed action? Explain briefly: ' C6. Long term, shod tenn, cumulative, ar other effec~'~ not identiged in C1 ~;57 Explain briefly: ! I C7. Other impacts (induding changes in use of either quantity or l~1~e of enorg}~? E-~lain brieflyl 0. I/VILL THE PROJECT HAVE AN IMPACT ON THE E NVIRONME NTAL ';~.~ARACTERISTIC~ THAT CAUSED THE ESTABUSHMENT OF A CRITICAL E. I~ THERE. OR IS THERE UKELY TO BE, CONTROVERSy RELA ,'~_D TO POTENTIAL,~SE ENVIRON~IENTAL IMPACTS? PART III - DETERMINATI°N OF SIGNIFICANCE (To be completed by.a~enc~y) . ~ INb-'ll~UCTION$: F~eachadvemee~entident~fiedabeve'detsm~new~ether~tis$ub~ta~tia~a~e~r~s~n~nL EaCh effe~ should be assessed kt ce~oection with its (a) satang (i.e. u~oan or rural); (b) ~.~ ~occunfag; (o) derailed; (ali i~eversiblli~, (e) ~,eographlo soepe; and (0 magnitude, ff necessary, add attachments or re~orenee r~oo~ng malmlals. Ensure. that e~tiens oofltsin Ched~ this t~x If you have detenalae~ based on the inf0mtafk~ and anal~ above and any ~ d~ ~t ~ ~ a~e~ WILL NOT result in any significant adverse emamnmefltal in.acts AND provide, off attachments es ~ece~ap/. Ihe masons suppofflng thl: determination. Board of Trustees v/~/~. ~ ;Z.~/~_ Name of Lead Agency Date Pdnt or Type.t(ame of Responsible O~cer lo Lead A~oncy ~ of Responsible Officer Signatu~ of Responsible Officei-in ~ed/~3.~'~T Signature of Preparer (If diffemnl from responsible office0 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 PI.AN Disbtht Section Block LOt CERTIFIED 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 Area of the Project Parcels? /~J,/~/ (Inctude Total Area of all Pamcls located within 1 Will this Project Retain All Ston'n. Water Run-Off Generated by a Two (2') Inch Rainfall on Site? fi////~ j~j the Scope of Work for Pmpoesd Construction) (This item will include all mn-off created by site b. What is the Total Ama of Land Cleadng (S.F. / AC~eS) clearing and/or construction activities as wall as ale -- and/or Ground Distuthance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.l:.lAcres) 2 OoestheSitePlanand/orSurveyShowAtiProposed /~ PROVH)E BI~,]~' PRO]E,C'T DF~CRHq'ION gh,~d. A~dttk~'.,~ ~,;.. ~t Drainage Structures Indicating Size & Location? This item shall include ail Proposed Grade Changes and /~,~'--~,~/../.._ ~¢)Q ~-(~. C./~/0~0~' fC~/~/C-~ Slopes Contmlling Surface Water FIow. 3 Does tho Site Plan and/or Survey descdpe the erosion ji///A J ~"'.~'=1 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 ~ Existing Grade Involving more than 200 Cubic Yards~L~ -- of Material 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 Trustees jurisdiction V 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? dislurbances of one (1) o~ mom ac~s; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes ~ arepanofala~gercomrr~)nplanthatwiilullimateydisturboneormoreacmsofland; which Exceed Fifteen (15) feet of Verticel Rise to [ v including Construction activities involving soil disturbances of less than one (1) acm where One Hundred (100') of Horizontal Distance~ ~ -- the DEC has determined that a SPDES pem~t is required for storm water discharges. ' O SWPPP's Shell meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Stom~ Water Discharges f~om Construction activity - Pem~it No. GP-O.il0-O01 .) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP shall be prepared pdor to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? 2. The SWPPP shall describe the erosion and sedi~nt control prac§ces and where 9 Will this Project Require the Placement of Material, required, post-construction storm water management practices thai will be used and/or Removal of Vegetation and/or the Construction of any ~ ~ constructed to reduce the poilulants in storm water discharges and to assure item Within the Town Right-of-Way or Road Shoulder~ --v STATE OF NEW YORK, ~ ~ COUNI~/' OF ...~k~.,'~ ..-~2~.L .t...'7. ......... SS That I, ..~....~._~ ......... ....~......~...-._~...~. ~...~ing duly sworn, deposes and says that hedshe s the applicant for Permit, Owner and/or representative of lhe Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to fl~e best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me lifts; ................... ..................... day or.. ........ .. .......... · - ,j. ,~AT~.Nk~EN" L. MOLL~'l';;~'t'~];';';,;~i .......................... FORM - 06110 ~ew York No. 01MO6112016 Qualified in Suffo k County Commission Expires June 28, 20,.L~ County of Suffolk State of New York BEING DULY SWORN DEPOSESIAND 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 H1S/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 ,20 12-- APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethics omhibits conflicts of interest on the tvart of town officera and emulovees. The numose of this form is to omvide information which can alert the town of~ossible eonflict~ of interest and allow it to take whatever action is necessary to avoid same, (Last name, first anm~, ~iddle initial unless you arc 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 alt 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 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/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 shares of the corporate stock of the applic0at (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, partner, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF R.ELATIONSHIP Form TS 1 Submitted this ~.,~.~dty of A4tal ~ .. 200 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- suooortim, 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# l/7 O J'- 30 PROJECT NAME /~/A 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: /M,5~'-ALLAF/o/V ol~ ~' ~[IV~A~_ t~-~F ot: v~oot~ STociK~D~ Location of action: Site acreage: . Present land use: l~ t; .5'IOEIVT"[ di 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 of applicant: ~ ~'~?/~/4.ffg/O. (b) Mailingaddress: ¥7 ~r~'['''°gv'tg''~L~ ~["~,. ~[---~-' t~/ tg'.'~, (c) Telephone number: Area Code ~; ? [ 3(-- 3 -- O ~ [ 5-'- (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~] No [x~] If yes, which state or federal agency?_ C. Evaluate thc 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 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 [] 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 ApplOle 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. V~ yeJ~ 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 Peconie 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 y 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 PREPAREDBY.J 5T~t~t-JeA/ 19. ~,~L..5£{ TITLE C;~XA//Vt~t~ DATE 202.~ 83'47'20. W ~' /d/~ C~ O.L ORCHARD STRF_,F_,T 202.68' 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 5, 2001 AUGUST 14, 2007 LOCATE PILES JUNE 4, 2009 fiNAL SURVEY FEBRUARY 28. 2012 SET CORNER MONUMENTS AREA = 20,265 sq. ff. 0.465 ac. NO TES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM. EXISTING ELEVATIONS ARE SHOWN THUS:-m~ Nathan Taft Corwin III Land Surveyor o1-154