HomeMy WebLinkAboutTR-7916A James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Towa 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
X
Pre-construction, hay bale line
1 st day of construction
½ constructed
Project complete, compliance inspection
James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall Annex
54375Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone(631) 765-1892
Fax(631) 765-6641
Permit No.: 7916A
Date of Receipt of Application: October 4, 2012
Applicant: Theodore & Darlene Stepnowsky
SCTM#: 97-8-14
Project Location: 3300 Skunk Lane, Cutchogue
Date of Resolution/Issuance: October 17, 2012
Date of Expiration: October 17, 2014
Reviewed by: Board of Trustees
Project Description: To complete the removal of one Black Locust tree to be
cut off 2" below grade and removal of 5 overgrown shrubs; complete removal of
one Honey Locust located about 5 feet off of the deck; reseed area near deck
disturbed by removal of Locust tree; reseed approx. 22'x24' area south of house
where Black Locust tree was removed; relocate approx. 1 cy of top soil to fill in
area where tree was removed and reseed area; reseed area topsoil was
removed from.
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 Theodore & Darlene Stepnowsky, received on October
4, 2012, and stamped approved on October 17, 2012.
Special Conditions: No other landscaping waste be put on adjacent property, all
to be kept on own property
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 l0/LI//Z._ / , has been
reviewed by this Board at the regular meeting of ' f ~/I ~///,2- and
your application has been approved pending the completion of the following items
checked off below.
Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1st Day of Construction ($50.00)
__ lA Constructed ($50.00)
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
James F King. President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
PO. BOX I 179
Soulhold. NY 11971
Telephone (631 765-1892
Fax (631) 765-6641
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time:
THEODORE & DARLENE STEPNOWSKY request an Administrative Permit
for the removal of one Black Locust tree to be cut off 2" below grade and
removal of 5 overgrown shrubs; complete removal of one Honey Locust
located about 5 feet off of the deck; reseed area near deck disturbed by
removal of Locust tree; reseed approx. 22'x24' area south of house where
Black Locust tree was removed; relocate approx. I cubic yard of top soil to
fill in area where tree was removed and reseed area; reseed area topsoil
was removed from. Located: 3300 Skunk Lane, Cutchogue. SCTM# 97-8-14
,,~,~e of area to be impacted:
altwater Wetland Freshwater Wetland __Sound Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
/v,,,Chapt.275 Chapt. 111 __other
Type of Application: Wetland
~Administrative__Emergency
Coastal Erosion
Pre-Submission
Amendment
~ Violation
Info needed:
Modifications:
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:
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
To:
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
Jim King, President
Town of Southold Board of Trustees
From: Mark Terry, Principal Planner
LWRP Coordinator
MEMORANDUM
OCT I 6 2012
Date: October 16, 2012
Re:
Proposed Wetland Permit for THEODORE & DARLENE STEPNOWSKY
SCTM#1000-97-8-14
THEODORE & DARLENE STEPNOWSKY request an Administrative Permit for the removal of one
Black Locust tree to be cut off 2" below grade and removal of 5 overgrown shrubs; complete removal of
one Honey Locust located about 5 feet off of the deck; reseed area near deck disturbed by removal of
Locust tree; reseed approx. 22'x24' area south of house where Black Locust tree was removed;
relocate approx. 1 cubic yard of top soil to fill in area where tree was removed and reseed area; reseed
area topsoil was removed from. Located: 3300 Skunk Lane, Cutchogue. SCTM# 97-8-14
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 Policy Standards and therefore, CONSISTENT with the LWRP provided that the
Board clarify that the "5 overgrown shrubs" to be removed are located adjacent to the deck and not
within the wetland buffer..
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 11971-9959
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 ~ Administrative Permit
- -Amendment/Transfer/Extension
'~r~Received Applicatio~
~Received F¢¢:$/~
g: Completed Application iO/q,I t&
incomplete
__SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
~_LWRP Consistency Assessment Form
CAC Referral Sent:
~' Date of Inspection:
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
~LPublic Hearing Held: loll 7//,),
Resolution:
OCT - 4 20)2
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property:
Intended use of property:
Covenants and Restrictions:
If "Yes", please provide copy.
Yes ~ No
Does this project require a variance from the Zoning Board of Appeals __
If"Yes", please provide copy of decision.
Yes ,K 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 )( Yes
Prior permits/approvals for site improvements:
Agency Date
No
X 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):
PROJECT DESCRIPTION
Removal of 1 Black Locust to be cut off 2" below grade and removal of 5 overgrown shrubs.
Removal of 1 Honey Locust which is about 5 feet offof deck, is overgrown, and messy.
Reseed area near deck from cut down locust tree, prefer to remove if possible.
Reseed area south of house, area of black locust. AREA 22X24 about 528 sq. ft.
Moved 1 cu. yd. of top soil ( on site ) used for black locust to be cut 2 ins. below grade.
Reseed this area which is 247,30 about 720 sq. ft., where 1 cu. yd., of top soil was removed.
of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purposeoftheproposedoperations: '~O ~ ~ n/]"~ t,./ ca tff. '7'D
Area of wetlands on lot:
Percent coverage of lot:.
square feet
Closest distance between nearest existing structure and upland
edge of wetlands: t.{-/ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: /~/oAJ~ feet
Does the project involve excavation or filling?
X No Yes
If yes, how much material will be excavated? $d0M/ffcubic yards
How much material will be filled? ~0 ~0~ cubic yards
Depth of which material will be removed or deposited: ~q feet
Proposed slope throughout the area of operations: 5'O cTFt-} - 5'r>c>rt~ o3~- sT
Manner in which material will be removed or deposited: ~ ~-C--/.4 I'I,D t.~
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
6t7.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
t. APPLICANT / SPONSOR / 2. PROJECT NAME
3.PROJECT LOCATION: 3~OO ~gO~% ~ /
Municipality ~ ~ 0 / ~ ~ t I~5S /Cou.~
SEQR
PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide man
IS PROPOSED ACTION: ~ New [~] Expansion [--] Modification / alteration
DESCRIBE PROJECT BRIEFLY:
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 []industrial [~Commercial r~Agriculture F--] Park / Forest / Open Space [~Other (describe)
10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUND}NG. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, Stateor Local) .~)~
r~Yes E]No If yes. list agency name and permit/approval:
-- ~'D'OES' ANY A:JHEUI OI- [HE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes r~No If yes, list agency name and permit / approval:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor Name "/~'O J~)l[~--*L~- ~-/~.p/~)(J~)5~L~-- Date:
If the action is a Costal Area, and you ars 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 ff yes, soordleate the review p~o~esa and usa the FULL EAF.
EIb? IZ]"°
B. WILL ,~CTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTEO ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative
declaration may be superseded by another involved agency.
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwrttinn, if legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
potontlal for erosion, drainage or flooding problems? Explain bfletiy:
I ,
C2. Aesthetic, agricultural, erchaeo{~icat, historic, or other natural or cultural msoumes: or community or neighbodmod chamctsr? Explain bdefly:
I 1
C3. Vegetation or fauna, fish, shellfish or wildlife species, stgnlrmant habitats, or threatened or endangered species? Explain briefly:
I
C4. A community's existing plans or goals as offlcia,y adopted, or a change in use or intensity of usa of land or other P. atursl resources? Explain Ixlefiy:
C5. Growth, subsequent development, or related activities likely Io be induced by the proposed action? Explain bdefiy
C6. Long teon, sho~l term, cumulative, or other effects not identified in C1~:;5. Explain briefly:
C7.. Other impacts Iincludin~l chan~es in use of either quantity' or t;~pe of ene;~l}~? Explain bdefl;/: - '
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRiTICAl.
ENVIRONMENTAL AREA ICEAI? lit yesl explain briefly:
I--lYes r~No
E. IS THERE, OR IS THERE UKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~t~s explain:
E:]ves IZ]N° I
PART III - D~-~ ~,MINATION OF SIGNIFICANCE (To be completed bY Agency)
INSTRUCTIONS: F~reachadve~ee~eofidenti~edab~ve~deten`n~newhethertiissubs~§a~a~im~nt~r~cos~n~nL Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of oncuning; (c) duration; (d) Irrev~; (e)
geographic s~ope; and (0 magnitude. If necesoafy, add attachments o~ reference supporting matslials. Ensure that explanations contain
sufficient detail to show that all relevant adveme impacts have been identified and adequately addmscod. If question d of part ii was checked
yes, the deton~ination of slgnlficonce must evaluate the potential impaof of the preposed action on the environmental chara<:tads~ of the CEA.
Check thle bex If you haue detemflned, bsaed on Ihe Infonnatlen and anstysis above and any suppo~ng documentstion, that the4~reposod actior
WILL NOT result in any aignacent adveme environmental impacts AND pro~, on aifachme~s aa necessary, the masons suppeding thl,,
Board of Trustees
Name of Lead Agency ~
~n! or ~ype Name of Responsible Officer in Lead Agency
~' Signature of Responsible Offic~,,k~'Lead Agency
Da~e
President
Title of Responsible Officer
Signature of Preparer (If different from responsible officer)
of Trustees Application
County of Suffolk
State of New York
--'~"'O~0~-~' ~7-F-4°/q'DS/C)/ 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.
SWORN TO BEFORE ME THIS
DAY OF
,20
C
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
Tho Town of Southold's Code of Ethics prohibits conflicts ofintcmat on thc om of town Officers and emolovecs. The oumose of
this form is to orovide information which can alert the town of oossible conflicts ofintem~t and allow it to take whatever action is
(Last anm¢, first name, ~nid'dl¢ initial, unlcss you are applying in thc name of
someone else or other cotity, such as a company. If so, indicate, thc other
person's or company's name,)
NAME OF APPLICATION: (Cbeck 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 thc 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, n~arriage, or business interest. "Business interest' means a business,
including a partnership, in which thc town officer or employee has cvcn 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 thc Town of Southold
Title or position of that person
Describe the relationship betweco yourself (thc applicant/agentJrepresentativc) and thc town officer or employee. Either check
the appropriate linc A) through D) and/or describe in thc 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 thc 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 thc applicant; or
D) thc 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 Haxard 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 supi~ortine and non-
sum~ortin~, 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
PROJECT Nnm
The Application has been submitted to (check appropriate response):
TownBoard ~ Planning Board ~ Building Dept. [] Board ofTrustees
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
consixuction, planning activity, agency regulation, land transaction)
(b) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action: f ~ ' _ .
Location of action:
Site acreage:
Present land use:
Present mn~g cl~sificafion:
If ~ applimfion for ~e pro~sed action h~ ~en filed ~ ~e To~ of Sou~old agency, ~e folloMng
iffo~ation shill be prodded:
(a) N~e ofapplic~t:
(c) Telephone number: Area Code ( ) ~ 31- ~7 ~ q~---~ ~' 3
(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 [X---~ 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 V~ 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. Sec 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 App~ble
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.
~ Ycs~ No ~ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIE~
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent ases 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 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 Southold. See LWRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
Yes [-q No [] sot 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
DATE
Z