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Home My WebLink About1000-118.-4-7To~vn of Southold A. INSTRUCTIONS LWRP CONSISTENCY ASSESSMENT FORM All applicants for permits* including Town of Southold agencies, sba proposed actions that are subject to the Town of South~ assessment is intended to supplement other information used making a determination of consistency. *Except and other ministerial permits not located within the Coastal this CCAF for Review Law. 'H~is of Southold agency in Building Permits Before answering the questions in Section C, the minor action list, policies and explanations of each Waterfront Revitalization Program. A beneficial and adverse effects u of this tbrm should review the exempt contained in the Town of Southold Local will be evaluated as to its significant includes all of Southold Town). 3. If any question in C on this form is affect the achievement the LWRP review law. Thus suooortin~ facts. conditions, it shall not be A copy of the LWRP is avai website (southoldtown. north f¢ local libraries and the 'l'ox,m C lswer "yes" or "no", then the proposed action will and conditions contained in the consistency in detail both and non- as consistent with the LWRP policy standards and '.following places: online at the Town of $outhold.'s the Board of Trustees Office, the Planning Deparlfl-,e,,~, all ; office, x (7/ DESCRIPTION OF SITE AND PROPOSED ACFION PROJECT NAME The Application has been submitted to (check appropriate response): Town Board [] Planning Board[] Building Dept. [] oard of Trustees 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: . Location of action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (c) Telephone mwnber: Area Code ( (d) Application number, if any:_ Will the actio~ly undertaken, require funding, or approval by a state or federal agency.'? Yes [] No I. ZJ [f yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing ho~v the project ~vill 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 POI,I¢'Y 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 I11 - Policies; Page 2 for evaluation criteria. [--]Yes [--] No [~ot Applicable Attach additional sheets f necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Poflfcies Pages 3 through 6 for evaluation criteria [~ Yes [] No~N't Not Applicable Attach additional sheets it' necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section Ill - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy d. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section Ill - Policies Paj~s 8 through 16 for evaluation criteria [-~ Yes [~ No[-~ i, Not Applicable Policy 5. Protect and impr/ove water quality and supply in the Town of Southold. See LWRP Section 111 - Policies Pages 16 throu~ 21 for evaluation criteria [] Yes [--] No 1_2_l~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,rd Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evalua~n criteria. / Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section Ill - Policies Pages 32 through 34 for evaluation criteria. [~ Yes [] No [~ot Applicable Attach additional sheets if neccssar)' Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes/,/ See LWRP Section Ill - Policies; Pages 34 through 38 for evaluation criteria. [--] Yes ~] No~M 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 o/f Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ [---] Yes~ No~ Not Applicable Attach additional sheets if necessary · WORKING COAST POLICIES. Poli~y 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See ~,VRP Section Ili - 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 Estua~' and Tow~r,s. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [-~ No L__I Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in thc Town of Southold. See LWRP Section Ill - Policies; Pages 62 through 65 for eva~'ation criteria. [--] Yes [] Nol~/I-EI Not Applicable Attach additional sheets if necessa~ Policy 13. Promote app~,opriate use and development of energy and mineral resources. See LWRP Section' Ill - Polieies;/P~ges" 65 through 68 for evaluation criteria. F~ Yes [] No~L~J Not Applicable PREPARED BY~'~/£~ ~ '~1(4/~ TITLE ~-~ DATE "~Z/':~' /)'Z~' 50. FT. = 7. FEB - 2 2012 [)OUGLA~ F~/~,::5~..J,~L ~ CAROLiN~ FP-.A~EE · · , IT IS A VIOLATION OF THE I../:. W FOR AI',IY PERSON, UI,!LDJS ACTING UNDER TIlE [:IRECTION OF A LICENSED f' ~O FIITECT,, TO ALTER ANY ITEM ON THIS DRAWING IN /ti',: y ~,VA~ ANYA, THORIZE~ ALTERATION MUST BE NOTED, SEALED, AND D~$CR~I) Ir-,! ACCORDANCE ~' ': F~ ~ THE La.'¢l. FP-.ASE R RESIDENCE 0/251;)0 ~:.L_ r_.,~ ItT I. D?.OW'N AP. CHII-ECT ? (-