Loading...
HomeMy WebLinkAboutTR-7902A James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bvedemeyer Michael $. Domino Town Hall, 53095 Maia Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765- t 892 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 v/ __ Pre-construction, hay bale line __ Ist 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.: 7902A Date of Receipt of Application: September 4, 2012 Applicant: Cleaves Point Condominiums SCTM#: 38-7-14 & 15 Project Location: 2820 Shipyard Lane, East Marion Date of Resolution/Issuance: September 19, 2012 Date of Expiration: September 19, 2014 Reviewed by: Board of Trustees Project Description: To install three signs at locations along the property Fines. 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 project plan prepared by Chades Gueli, received on September 4, 2012, and stamped approved on September 19, 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. 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 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 Please be advised that your application dated ~'/~)2-~ / has been reviewed by this Board at the regular meeting of ~l/Iq/.[,~- and your application has been approved pending the completi6n 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) v/ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: James F. King, President Board of Trustees ,lames F Kmg, President Bob Ghosio, Jr, Vice-President Dave Bergen John Bredemeyer Michael J. Domino P.O. Box 1[79 Southold, NY 11971 Telephone (631 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field InspectionNVorksession Report Date/Time: CLEAVES POINT CONDOMINIUMS requests an Administrative Permit to install three signs at locations along the property lines. Located: 2820 Shipyard Lane, East Marion. SCTM# 38-7-14 & 15 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 __Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: 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: .4- N 38.02 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 SouthoId, NY 11971 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 8EP 1 ,; 2012 From: Mark Terry, Principal Planner LWRP Coordinator Date: September 13, 2012 Re: Proposed Wetland Permit for CLEAVES POINT CONDOMINIUMS SCTM#1000-38-7-14 & 15 CLEAVES POINT CONDOMINIUMS requests an Administrative Permit to install three signs at locations along the property lines. Located: 2820 Shipyard Lane, East Marion. SCTM# 38-7- 14 & 15 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "G" which states: G. Minor temporary uses of land having negligible or no permanent impact on coastal resources or the environment; 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 Applicatioj} --Wetland Permit Application V Administrative Permit / Amendmenffrransfcr/~xtension V/Received Application:~ .~. ,~ ~Received Fee:$ .~. ~t~ ~Completed Application~ Incomplete ' SEQRA Classification: Type I Type II Unlisted___ ~L°°rdinati°n:(date sent) WRP Consistency Assessment Form --CAC Referral Sent: t~//~ t Date of Inspection: Receipt of CAC Report:_ Lead Agency Determination:___ Technical Review: ~-Pubtic Hearing Held: q It~ II~ Resolution: I ,~/¢.,~' ,,~" (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Boar~of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: GENERAL DATA ~/No Intended use of property: - . Covenants and Restrictions: Yes If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Yes ~No 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 v'~Yes __No Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements, Has any permWapproval ever been revoked or suspended by a governmental agency? I/' No Yes If yes, provide explanation: Project Description (use attachments if necessary):~ff,~l.,~a:~:=~.~__ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: T~ t6,~ ~ Area of wetlands on lot: 2 ~' ~ _square feet Percent coverage of lot: [ % Closest distance between nearest existing structure and upland edge of wetlands: '~. ~> ~ feet Closest distance between nearest proposed r0.zaOa~ and upland edge of wetlands: i ~' feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavatedg~ cubic yards How much material will be filled?(~' cubic yards 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: 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 617.20 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. APPLICANT / SPONSOR 2. PROJECT NAME SEQR 3.PROJECT LOCATION: County Municipality 4. PRECISE LOCATION: Sffeet Addess and Road intersections. Prominent landmarks etc -or provide ma~ 5. IS PROPOSED ACTION: [~New r~F. xpansion r-[Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ~ acres Ultimately ~ acres 8. WIL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER RBSTRICTIONS? ~Yes [] No If no, describe briefly: 9 W AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply) [~Residential []Industrial [~Commercial E~Agriculture [~ Park / Forest / Open Space [~Other (describe) 10. DOESACTIO~NACTIO INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Feder~--State or Local) ---]Yes ~/]No If yes, list agency name and permit / approval: 1~. uub5 ANY_~_.~EL;I L)P I h~. AL;I ION HAVE A CURRENTLY VALID PERMIT 0M APPROVAL? [~]Yes L._~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 PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART Il - IMPACT ASSESSMENT (To be completed by Lead A~lency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? ff yes. coordinate the review process and use the FULL FAF. I--I B. V~LL ~*CTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.6? If No, a negative dectamtion may be supemeded by another involved age~y. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. F-xisti~g sir quality, sur[ace or gmendwater quality or quantity, noise levels, existing traffic pot{em, solid waste pmductien or disposal. potenUal for erosien, drainage or flooding problems? Explain briefly: C2. Aesthetic, agdcut{ural, archaeological, historic, or other natural or cultural resources; or community or neight)othend character? F-~ain bfie6y: I C3. Vegetation or fauna, r~sh, shellfish or wildlife species, significant habitsls, or threatened or endangered species? Explain b[ietiy: I C4. A cornrnent{y's existing plans or goals as off. ally adopted, or a chenge in use or intensity of use of land or Diner natural resoumes? Explain Ixiefly: Cfi. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long ten'n, shod ten~. cumulative, or other effects not iden¢ified in C1 -C57 Explain bdefly: C7. Other im D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA [~] Yes r~No E. IS THERE, OR IS THERE LIKELY TO BEr CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL MPAC'rS? If yes PART III - DI= I I=RMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreach advemeeffec{identifled above, determinewhelheritissubstantial, la~ge impertent or otherwise significant Each effec~ should be assessed in connection with its (a) setting (i.e. urban or mini); (b) probability of o(~cun'ing; (c) duration; (d) irreversil~ility; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference suppo~ng materials. Ensure that explanations contain suffictent deteil to show that all relevant adverse impacte have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impac~ of the proposed adzion on the envimnmentel characteristics of the CEA. Check this bex if you have Identified one or mom potent{ally large or signEmant adverse impacts whleh [%tAy occur. Than proceed directly to the FUU FAF and/or prepare a posi'dve doolamtion. Check thts box If you have date~mleed, based o~ the information and analysis atx)ve and any supp~ documentation, that the proposed actler WILL NOT result in any slgnl~cent adveme environmental Impacts ANO provide, on attachments as necessac~', Ihs masons suppoding thi.~ determination. Board of Trustees ~ .~j~ ~ ~_g / ~. Name of Lead Agency . Date 'n~ ype Name of Responsible Officer in I,.ead Agency Title of Responsible Officer Signatu~ of Responsible Officer in Lead ,~'e ncy 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 STORM-WATER,, GRADING,, DRAINAGE AND EROSION CONTROL PLAH District sscuon e~ck cot CERTIFIED BY A DESIGN PROFESSIONAL iN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUuI'ION ITEM# / WORKASSE~SMENT [ Yes No a. What is the Total Ama of the Project Parcels? I Will this Project Retain All Storm-Water Run-Off (include Total Area of all Pameis located within ~ ~ ~'~" Generated by a Two (2") Inch Rainfall on Site? /,- the Scope of Work for Proposed Const~cf~on) (This ftem will include all run-off created by site r~ b. What is the Total Area of Land Cleating (S.F. /^cres) clearing andlor co~structon actvities as well a~ all and/or Ground Distu~oance for the proposed Site Improvements and the permanent creation of construction activiiy? ~;~ impervious surfaces.) (a.F.t ^~,,,) 2 Does the Sita Plan andlor Survey Show AIl Proposed PROVIDE BRW~' PROJ~J~r D~CI~F]3ON (;~';d.~.,~e~.NeK~ DminageStructureslndicatingSize&Locaton?This Item shall include all Proposed Grade Changes and -- Slopes Controlling Surface Water Flow, $ 3 Does the Site Plan andlor Survey descdbe the erosion I...Ot2.~t-,.~d.t ~//~.,~.~ [~r. Jr, t.~..~_~ andsedimentcontrol~rac~ce, thaiwill.osedto contro~ s~e erosion and storm water discharges. This -- ~/~)~ A~ '/X~J~ c~J ~'/Z~'~ ~:~Z.,~. itemrnustbemaintainedthroughouttheEntira / Construction Pedod. 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~ __ of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand U (5,000 S.F.) Square Feet of Ground Surface? 6 is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jur;sdicton 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 or~ (1) or more acres; including disturbances of h~ss than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of lind; which Exceed Fifteen (15) feet of Vertical Rise toI I including Construction activities invoh'ing soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance?I~1 -- the DEC has determined that a SPDES permit is required for storm water discharges. SWPPP'$ Shall meet the Minimum Requirements of the SPDES Generel Pemlit 8 Will Driveways, Parking Areas or other Impervious I--"--I for Storm Water Discharges from Construction activity - Permit No. GP-0.t0-001.) Surfaces be Sloped to Direct Stom'~Water Run-Off 1. The SWPPP aha# be prepared pdor to the subr~ttal of tl~ NOI. TF~ NOI shell he into and/or in the direction of a Town right-of-way? -- submitted to the Depar~ent pdor ts the commencemeat of construction activity. 2. The SWPPP shall descdhe the ems/in and sediment control practices and where 9Will this Project Require the Placement of Material, required, post-constmctis~ strum water management practices that will be used aed/or Removal of Vegetation and/or the Construction of any constructed to reduce the pellofants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ __ compliance with the terms and conditions of this hermit. In addition, the SWPPP shall STATE OF NEW YORK, COUN2~' OF ........................................... SS That I,. ............................................................................... being duly sworn, deposes and says that he/she is the applicant for Permit, And that he/she is the ............................................ (~;'~'~YK~;;('Ed~'4'~'~;;~i ................................................................ Owner and/or representative of the Owner or Owners, m~d 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 the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fried herewith. Sworn to before me this; ............................................... day of ............................................. 90 ..... Notary Public: .......................................................................................... FORM - 06110 Cleaves~Po~nt Condominiur~s 2820 Shipyard Lane East Marion~ N.Y. 11939 631.-477-8657 cleaveSpOintC~optonl'mc.net Septembe~ 5,.2012 '. To:SOuthold Bqai'd of Trustees Main St. · . Southold, NY R~ ... Adding Si~nage · ·2820 Shipyard Lane, East Mar~on - - ' To w~laa it rs~y ooI1~/1, · Tiffs is to i~form you that Charles G-ueli, t~e Property Manager at. Cleaves Point Condominixma~, is authorized'to submit applications for permits on'b~ha]f of our c6mmunfiy.. Plea~ let ns how if you reqtti~ any further authorization. ~ 'Mcm~r dfthe'BO~d of Dircc~rs Cleave.point Condominiums ~0/~0 39~d ~ O INIOd S3A~B3D Z§98LLD~£9 90:~I ~O~/GB/GO Boar~of Trustees Application County of Suffolk State of New York ~,~/_ ~r~ ~'~,~e~ / 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 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ~)/~ ,20 / ~ Notary Public VICKI IOTH Notary Public. State of New York No. o1'ro6190696 · Qua f ed in Suffolk County J. Commission Fx~ires July ~8, 20J_~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the tort of town officers and emolovees. The ouroose of this form is to provide information which can alert the town of~ossible conflicts of inter~st and allow it to take whatever action is necessary to avoid same. (Last name, fl'mt name, rgiddle initial, unless yOU are applying in the name of someone else or other entity, such as a company. If so, indicate the other peraon'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 (1 f "Other", name the activity.) '~'/~.~d.~ 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 interesL "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% oftbe shares. YES NO lfyou answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Toxvn of Southold Title Or position of that person Describe the relationship between yourself (the applicanffagenffrepresentative) 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): __?) the owner of greater than 5% oftbe shares of the corporate stock of the applic0nt (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 RELATIONSHIP Form TS I Submitted this Signature Print Name __day of 200 Town of Southold INSTRUCTIONS 1. SEP 4 2012 All apphcants for permits* including Town of Southold agencies,! shal! complete this CC~ for proposed actions that are subject to the Town of Southold Waterfront!Con~i~l~ReOiew-I;a~/i This assessment is intended to supplement other information used by alawnot?Sauti/old 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~ listin~ both sunoortin~ and non- sum}orting 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. scm# :5% PROJECT N.adVIE DESCRIPTION OF SITE AND PROPOSED ACTION 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: F-~ Nature and extent of action: Location of action: Site acreage: Present land use: ~s~ Zn)/t~ ~'r {, Present zoning classification: /~tx/?ti'-~ ~///~ If ~ application for ~e proposed action h~ been filed M~ ~e To~ of Sou~old agency, ~e follo~ng ~o~ation sh~l be prohded: (a) N~eofapplic~t: ~c~g ~r~T ~~/~'t~ ¢) M~ling address: 2 ~ ~ o ~ ~~ ~ (c) Telephone number: Area Code ( ) (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 ~/NNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Po)icies Pages 3 through 6 for evaluation criteria [] Yes ~] No~LKI 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,ges 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 Applic~ 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 waste. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [~ Yes ~ No[~1~ 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.[] J-~ ~t/N Ye~ , No otApplicable 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 Peeonie Estuary and Town wa/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 evaJaation criteria. ~-~ Yes ~-] No[~[-E3 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polic~ages 65 through 68 for evaluation criteria. Yes I I No M Not Applicable DATE Z m ,/ APPROVED BY BOARD OF TR! !$TFFq TOWN Of NO TRESPASSING 35456 PROPERTY PROTECTION SIGNS No Trespassing / Private Property Keep unwanted persons out 40712 44538 40710 40713 79456 40706 42922 42924 43354 42923 ' 35q34i '. '- :-~433~-! i ~ 35458 79436 :~ "20]2 Su rveillan~e~ ~rCl~inle Watch ~eter crimperS.:', :; ..... 440O3 mmU.Am CRIME mu.~ WATCH 44326 ~hat s a sign ~ I without a~po~? on a Post ~hen yOU buyl any ~Giant Message Sign. 'Must ship track not UP~.