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HomeMy WebLinkAboutTR-7942 Michael J.Domino, President ��®� S®Ur�® Town Hall Annex John M. Bredemeyer III,Vice-President �® l® 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith P Tele hone(631) 765-1892 G � app A. Nicholas Krupski 'O Fax(631) 765-6641 �ycoUMT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1377C Date: August 8, 2017 THIS CERTIFIES that the installation of an 18'x36' gunite in-ground swimming pool with associated patio fence and pool equipment area; replace the decking, railings ailings and relocate stairs on existing deck; new entry on existing bilco doors;with the condition of establishing and subsequently maintaining a non-turf buffer on the northeasterly corner of existing property; At 1405 Anchor Lane, Southold Suffolk County Tax Map#1000-79-4-4.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 24, 2012 pursuant to which Trustees Wetland Permit#7942 Dated November 14, 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 installation of an 18'x36' gunite in-ground swimming pool with associated patio fence and pool equipment area; replace the decking,railings ailings and relocate stairs on existing deck; new entry on existing bilco doors;with the condition of establishing and subsequently maintaining a non-turf buffer on the northeasterly corner of existing property. The certificate is issued to FOROSICH FAMILY IRREVOCABLE TRUST owner of the afores id propea-ty. Authorized Signature 0 � Ur� , Michael J.Domino,President ,of so � Ol0 Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders' N Southold,New York 11971 Glenn Goldsmith i5k ® �Q Telephone(631) 765-1892 A.Nicholas Krupski lif'COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: IA- lv t Q V Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: G`'�C���=�~ �LQW COMMENTS: CERTIFICATE OF COMPLIANCE: r RECORDED Number of pages ;..-01 ' 7Ui _4 02;40-.39 PM T(.D TH P- PASCALE C1_EM, OF This document will be public IFFO `'• COUNTY i iC ii`t1_ record. Please remove all I ,.=, i9'�'i ` TO -, Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/ Filing Stamps 3 FEES c" Mortgage Amt. Page/Filing Fee 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation C or _ EA-52 17 (County) Sub Total Spec. /Add. TOT. MTG.TAX EA-5217(State) s ' Dual Town Dual County R.P.T.S.A. a �� Held forAppointment Comm. of Ed. 5. 00 Transfer Tax Mansion Tax Affidavit The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 �a() family dwelling only. Sub Total YES orNO Other — Grand Total If NO, see appropriate tax clause on page# of this instrument. o7. 2- o , 17 4 Disl 1000 07900 0400 004001 5 Community Preservation Fund 3441437 Real Prod T S Consideration Amount$ Tax Servi, RP PA 1111111111111111111111111111111111 Agency CPF Tax Due $ Verificati UL-17 • pp Improved 6 Satisfactions/DischargRICORD&RETURNpe yOwners Mailing Address ,A�// Vacant Land 11M .0 e C S1,r P TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached e� l �.f' T! t� made �� by: C.//J (SPECIFY TYPE OF INSTRUMENT) � a,S� C � The premises herein is situated in SUFFOLK COUNTY, NEWYORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 07/24/2017 Number of Pages : 5 At: 02 : 40 :39 PM Receipt Number : 17-0124096 LIBER: D00012921 PAGE : 703 District: Section: Block: Lot: 1000 079 .00 04 .00 004 . 001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 . 00 NO Handling $20. 00 NO COE $5 . 00 NO NYS SRCHG $15. 00 NO TPr-584 $0 .00 NO Notation $0 . 00 NO Cert.Copies $0 .00 NO RPT $200 .00 NO Fees Paid $265 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County DECLARATION OF COVENANTS THIS DECLARATION made this day of 2017, by11 __ __L i n GL F rosj ck residing at �U5 Rnc-kor G-0-Aelg JWJ hereinafter referred to as "DECLARANT (S) " : W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner (s) of certain real property located on J 905- 19nCko(' �e- So Akc)1J Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section , Block -I Lot ya � which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 4o b easked/ corner "non-turf buffer" adjacent to and landward of ?c�' IJ NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows : 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained on sterly foC'L(- o-� exiSkno aro Rer" V ec. "non-turf buffer" as defined by C apter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." and as depicted on the S-4-ep1c n preppEd 6)1 rre,�x -,'%re- 6n Vir'oriine_nQ h2s"in,' - Tw 3checUe f�} DESCRIPTION ALL that certain plot,piece or parcel of land, with the buildings and improvements thereon erected,situate, lying and being in the Town of Southold, County of Suffolk and State of New York,known and designated as Lot 15 on a certain map entitled,"Map of Harbor Lights Estates, Section 1,"and filed in the Office of the Clerk of the County of Suffolk on June 8, 1965 as Map No.4362 ALL that certain,plot,piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on,the easterly side of Lot No. 2 as shown on Map of Harbor Lights Estates,Section 1,Map No. 4362,distant 25 feet northerly from the southeasterly corner of said Lot 2;running thence North 25'degrees 54 minutes 50 seconds East along the easterly side of said Lot 22,25 feet;thence South 64 degrees,05 minutes 1.0 seconds East 31.28 feet;thence South 16 degrees 01 minutes 00 seconds West 25.37 feet; and North 64 degrees 05 minutes 10 seconds West 35.64 feet to the point or place-of BEGINNING. raild nll�i4�l(2) see Exhibit ••A„ attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees . IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this G day of 20_q. OWNER'S SIGNATURE OWNER'S SIGNATURE STATE OF NEW YORK ) COUNTY OF SaFFpLe ) ss: On the �c7 day of in the year 20__L7, before me the undersigned, a Notary Publid in and for said State, personally appeared .LvtJ A rofoslr-w , personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signatures on the instrument, the individual or the persons on behalf of which th individu 1 ( acted, executed the instrument. Kim E.Fuentes Nota Public Notary Public,State of New York Qualified in Suffolk County LIC.#01 FU4811709 Commission Ex fires April 80 2 LESie G�ry Y,k , 6 ,4 Pf FLCWER,PMBUAL v! AuRm Joy ill HaD-EFA FSA"M VOL ro WXBLUEr,O +ART 10 5MA PECnas LANE 13MORZY,PYQ" ��� 9 A Mauro WATBER 2 St A&R SWEET CAETHRA 51 5"w,EvE:RGREfN 15ROAUE* C,boxw000 GREEN VELVET boxwoop.Camcm 2 JApxf--,E Pun,MawAN FirE 2 TREE,OLOMLE, OAV,RED 1 1 TPB-=EvszaR 0 ARwffAF,GREEN GWIr CWEWAY A"M ,k-k' ja 0 on, W.R 7� it tis ,41VAPPRox 1160 sa FT. -F 44 V6 NO V 161 .. ........... '0 U N�, -T, 4 mffm Lw' t", 30-i 'A&17 ;,2 a IC' A(A-1,L L?,E 5(vV 1000-79-04-4.1 1405 AqcHy Lai, HA Lic465,5aimLD, NY Rev& Scale: Landscape Plan: RM2 Landscape Design by Md WanWcz it 11 1 Date: ITUO12 118 Rodney Sirmons J)-,11)" C Creative Environmental Design FF James F.King,PresidentpA� ��Gy Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Boz 1179 Dave Bergen Southold,NY 11971 John Bredemeyer � � a Telephone(631)765-1892 Michael J. Dominoj .f>• 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 1" day of construction % constructed Project complete, compliance inspection I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7942 DATE: NOVEMBER 14, 2012 ISSUED TO: FOROSICH FAMILY IRREVOCABLE TRUST PROPERTY ADDRESS: 1405 ANCHOR LANE, SOUTHOLD SCTM# 79-4-4.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 14.2012, and in consideration of application fee in the sum of$250.00 paid by Creative Environmental Design and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install an 18'x36' gunite in-ground swimming pool with associated patio, fence, and pool equipment area; replace the decking, railings and relocate stairs on existing deck; new entry on existing bilco doors; with the condition of establishing and subsequently maintaining a non-turf buffer on the northeasterly corner of existing property; and as depicted on the site plan prepared by Nancy Dwyer Design Consulting, Inc., last dated October 24, 2012 and stamped approved on November 14,2012; and as also depicted on the site plan prepared by Creative Environmental Design, last dated November 7, 2012 and stamp approved on November 14, 2012. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. 0 0 TERMS AND CONDITIONS The Permittee Forosich Family Irrevocable Trust residing at 1405 Anchor Lane, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F. King, President hof soUTy Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� OHO 54375 Main Road P.O. Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael J. Domino �0 Telephone(631) 765-1892 COUNVI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 14, 2012 Mr. David Cichanowicz Creative Environmental Design PO Box 160 Peconic, NY 11958 RE: FOROSICH FAMILY IRREVOCABLE TRUST 1405 ANCHOR LANE, SOUTHOLD SCTM# 79-4-4.1 Dear Mr. Cichanowicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 14, 2012 regarding the above matter: WHEREAS, Creative Environmental Design on behalf of FOROSICH FAMILY IRREVOCABLE TRUST applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 24, 2012, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 14, 2012, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 r 0 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of FOROSICH FAMILY IRREVOCABLE TRUST to install an 18'x36' gunite in-ground swimming pool with associated patio, fence, and pool equipment area; replace the decking, railings and relocate stairs on existing deck; new entry on existing bilco doors; with the condition of establishing and subsequently maintaining a non-turf buffer on the northeasterly corner of existing property; and as depicted on the site plan prepared by Nancy Dwyer Design Consulting, Inc., last dated October 24, 2012 and stamped approved on November 14, 2012; and as also depicted on the site plan prepared by Creative Environmental Design, last dated November 7, 2012 and stamp approved on November 14, 2012. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Ve truly yours, James F. King President, Board of Trustees JFK/amn �o�g11PFQt,Cca� James F.King,President y Town Hall Annex Bob Ghosio,Jr.,Vice-President a • 54375 Route 25,P.O.Box 1179 Dave Bergen .j� Q� Southold,NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: LjoLc- flykrnw4nla i De i�an n beba14 o-F F rasl'c'b Ram I'e >�v, Ties I Please be advised that your application dated 2 Z has b en reviewed by this Board at the regular meeting of 2 and your application has been approved pending the completlob of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 151 Day of Construction ($50.00) '/2 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: rY'V'W Tn(SPec-hdl7 -tic- fSP . Db TOTAL FEES DUE: $ Sc) , t2 BY: James F. King, President Board of Trustees • �O�gpFFQt,fco • ti Peter Young,Chairman w -�! Town Hall,53095 Main Rd. Lauren Standish,Secretary T P.O.Box 1179 • `F Southold,NY 11971 y�3p1 � Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold The meeting of the Southold Town Conservation Advisory Council scheduled for Wed., November 7, 2012 at Down's Farm Preserve was cancelled due to damage to residential areas as well as power outages caused by Hurricane Sandy and a Nor'easter on the day of the meeting. Several of the Conservation Advisory Council members conducted their inspections and provided the following recommendations/comments: FOROSICH FAMILY IRREVOCABLE TRUST for the installation of an 18'x36' gunite in- ground swimming pool with associated patio, fence, and pool equipment area; replace the decking, railings and relocate stairs on existing deck; new entry on existing bilco doors. Located: 1405 Anchor Lane, Southold. SCTM# 79-4-4.1 The CAC did not make an inspection, therefore no recommendation was made. NOV 1 3 2012 Slaf Wt� James F. King,President P.O.Box 1179 Bob Ghosio,Jr.,Vice-President �Z Southold,NY 11971 Dave Bergen i Telephone(631 765-1892 John Bredemeyer MI M Fax(63 1)765-6641 Michael J. Domino y�of # Baa. Southold Town Board of Trustees Field Inspection/Worksession Report —o Date/Time: *01/ 7 /Z y • 5 Creative Environmental Design on behalf of FOROSICH FAMILY IRREVOCABLE TRUST requests a Wetland Permit for the installation of an 18'x36' gunite in-ground swimming pool with associated patio, fence, and pool equipment area; replace the decking, railings and relocate stairs on existing deck; new entry on existing bilco doors. Located: 1405 Anchor Lane, Southold. SCTM# 79-4-4.1 Type of area to be impacted: _✓✓Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Pert of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: L/-Wetland Coastal Erosion Amendment —Administrative Emergency_Pre-Submission Violation Info needed: Modifications: b)/) Conditions: Present Were: ---- J. King ZB. Ghosio '-- -D. Bergen, Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: _ 1 .� 1 t f=x�,.�i� �R��"c ' ♦ !.�.1. alp-i '" �r - � Y 1 ,L w ' _ p•� r �O 21. 152 . m �Wq tWtl .W4 �a4tl �� �.iNtl �W.I I n z.. m nWq F + , ^ xmcE COUNTY OF SUFFOLK -- _ _•�'• —_—_,_ RW P.aperty TU SeMm�porcY ♦ .a 79 OFFICE LOCATION: tf SO(/TyO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CA Southold, NY 11971 Q Telephone: 631 765-1938 o�yCOUlm,N Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ) i= (: NOV 1 4 2012 To: Jim King, President _ Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 14, 2012 Re: Proposed Wetland Permit for FOROSICH FAMILY IRREVOCABLE TRUST SCTM# 1000-79-4-4.1 Creative Environmental Design on behalf of FOROSICH FAMILY IRREVOCABLE TRUST requests a Wetland Permit for the installation of an 18'x36' gunite in-ground swimming pool with associated patio, fence, and pool equipment area; replace the decking, railings and relocate stairs on existing deck; new entry on existing bilco doors. Located: 1405 Anchor Lane, Southold. SCTM# 79-4-4.1 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 provided that: 1. A pool de-watering well is required. 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 oF soory Town Hall Annex Bob Ghosio,Jr.,Vice-President ��� Ol0 54375 Main Road Dave Bergen P.O.Box 1179 Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino %� �� Telephone(631) 765-1892 I�COU ' 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 _Received Application: _Received Fee:$ — �( _Completed Application _Incomplete r -. .. -.::_.... :.1 f _SEQRA Classification: Type IType IIUnlisted_ „j 1_ OCT 2 4 2012 _Coordination:(date sent) _LWRP Consistency Assessment Form _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: _Resolution: Name of Applicant Mailing Address LfD lA a-yy')( Phone Number:Q�) jqq -3� g Suffolk County Tax Map Number: 1000 - J9 --4 -L{. Property Location:_ 1 14ns L1� (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Creative Environmental Lvmvl PO Box 160 Address: Fboonic,NY 11958 Phone: j 1 r Iy(�Cle V Boa of Trustees Application • GENERAL DATA Land Area(in square feet): -7 Area Zoning: �F,2-0 Previous use of property: Re S Intended use of property: 12 z S Covenants and Restrictions on property? Yes ---�o If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review. Does this project require a variance from the Zoning Board of Appeals? Yes ✓dNo If"Yes", please provide copy of decision. Will this project require y 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 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? V/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): 1 N $ LIJI ul Creative EnvironmentaC De*n T.O. Bo., 160 Teconic, 9VT 11958 631 734-7923 CreativeeMLdes_Wn@yahoo.com October 25, 2012 Rodney Sirmon aka Forosich Family Lv Trst SCTM # 79-4-4.1 Description: Installation of a 18' X 36' gunite in ground swimming pool with associated patio, fence and pool equipment a*as per plan submitted. Board of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: tl`���1 tc Jti or . K h Area of wetlands on lot: ��0y square feet Percent coverage of lot:-- ,, 07 Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: & feet Does the project involve excavation or filling? No z Yes If yes, how much material will be excavated? -'rO cubic yards How much material will be filled? t::5PO cubic yards Depth of which material will be removed or deposited: C`3 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: -�ic V-- Lo c'D n-✓ - 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 • 61720 • SEQR 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 - Ant IL C I L I-E,4�J U cal(_"(, 2.PROJECT NAME (1 S; 206IS1 SlR (v7C) 'U 3.PROJECT LOCA ION: Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map � G-14 I 9 yo5 6 fc� L''� S.IS PROPOSED ACTION: Flew ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: 1 N 77�u-awn a,v J/n�� A 18'Y 36 6 D ti,Tz= �w. PA1—o 7.AMOUNT OF LAND AFFECTED: Initially IV 3 acres Ultimately . 03 acres &WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? III��ff11... I I Yi Yes ❑ No If no,describe briefly: TI i rrrrrr9---.fififiVVV�IIIHHH AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) esidenlial ❑Industrial ❑Commercial Agriculture ❑Park/Forest/Open Space ❑Other (describe) I i 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) X as ❑No If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF TH ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes F�,_JNO If yes, list agency name and permit / approval: i 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑yes LBO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant DL4 iLZ Dale: Sp me Signature /Q 5 If the actionis a , and you are 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 617.4? If yes,coordinate the review process and use the FULL EAF. Ej Yes a No 8. V41LL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. El Yes ❑✓ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten.it legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic patter,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a-change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7.-Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If es,explain briefly: ElYes ❑✓ No E. IS THERE,OR IS THERE LIKELY TO Bg,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes Iain: Yes a No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: Foreachadverse effect Identified above,determine whether itissubstantial,large.importantorotherwise signifiicant Each effect should be assessed in connection with its(a)sefting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain - - sufficient detail to straw that all relevant adverse impacts have been identified and adequately addressed. Kquestion d of part ii was checked yes,the determination of significance mustevaluate the potential impactof the proposed action on theenvironmental characteristics of the CEA Check this box ffyou have identified one ormon s potentially large or significant adverse impactswhidt MAY occur.Then proceed directtyto the FU EAF andfor prepare a positive declaration. Check this box If you have determined,based on ape information and analysis above and any supporting documentation,that the proposed scUot WILL NOT result in any significant adverse environmental Impacts AND provide, on attachments as necessary, are reasons supporting thi determination. Board of Trustees o Ale 1/ 7 2 O/ Z Name of Lead Agency Date J)} m c-; f' . KI)L)6. President Print or Type Name o Responsible Officer' Lead Agency Title of Responsible Officer �Y�a n% ' SVIalure of Kesponsible Officer in LeaoiRgency Signature of Pmparer(If different from responsible officer) ear Town of Southold ®g Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM �i PROPELOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Gl 1Ay (F,ID STORM-WATER,GRADING,DRAINAGE AEROSION CONTROL PLAN 1 ae3 tr �Tx� TW— CERTIFIED BY A DESIGN PROFESS, NDONAL 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? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within I - # O Generated by a Two(2')Inch Rainfall on Site? the Scope ofWork for Proposed Construction) b. What is the T (s F/ ) (This Item will include all runoff created by site — ❑ rvg clearing and/or Construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent Creation of r Construction activity? impervious surfaces.) (S.F./Acres) PROVIDE BRIEF PROJECT' DESCRIPTION (Pravda Additional Pages as Naedos 2 Does the Site Plan and/or Survey Show All Proposed ❑ Drainage Structures Indicating Size&Location?This SSU l ICi i c,n G r Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. Does the Site Plan and/or Survey describe 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 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 V (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the ❑ j 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? disturbances of one(1)or more acres; including disturbances of less 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 land; which Exceed Fifteen(15)feet of Vert'icel Rise to including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has detemined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of has SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious ❑ for Storm Water Discharges from Construction activity-Permit No.GP-040-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOT.The Nor shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of censbuction activity. 2.The SWPPP shag describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction Stam water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants In storm writer discharges and to assure Item Within the Town Right-of-Way or Road Shoulder 1/ compliance with the terms and conditions of this permit.In addition.the SWPPP shall Area?(Tho Item will NOT it cn,a the Imtapatlen of Driveway Aprons.) identify potential sources of Pollution which nsY reasonably be expected to affect the quality of slam water discharges. NOTE: If MY Anawe W Guaetions One through Nine Is Answ wire•Check Mark 3.A I SWPPPs that requite the pustronstmction storm water management practice in a sox and the construction sive diaturbanee Is between sone S.F.A 1 Acre in aria, component shag be prepared by a qualified Design Professional Licensed in New York a Storm-Write,Grading,Drainage A Erosion Control Plan is Required by the Town of li that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: AOh Mad(./)and.Arnwerforeahh Oueydomi Requi .Cmpl AppkoI STATE OF NEW YORK, i COUNTY F...........................................SS That I, `. ........«c..YS.a.a.d.w*.�."1.......being duly swum,deposes and says that he/she is the applicant for Permit,m (Nae of indvidual sigrwg Dowmenl) And that he/she is the ............................. .. .. . .. ...................... .................................. (Owner. ...AgentCorporate glicer,ek.) Owner and/or representative of the 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 the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Swom to tbeffoore me this; f .......... 1)..... da of.O.`-'�!r.!�............... ,201j, Notary Public: .. . .!TL••� CONNIE D. BUNCH I .... ary.f'ubNc;'Slateot Nevr-1'ork Nn 050 (Signal of Appr q FORM - 06/10 Qualified in Suffolk County Commission Expires April 14,201)0 I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS I' Name: Address: i i STATE OF NEW YORK COUNTY OF SUFFOLK �f!t� �tG�,vp;,,,tcZresidingat 1�-(2-� a1-,ZS�/t^-KdI,,�A4u: �v� ct,N , being duly sworn, deposes and says that on the day of t4zJ. 20 i Z, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment cel�of the Town of Southold; that said Notices were mailed at the United States Post Office at , r that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of N VV 20_ Notary Public VICKITOTH Notary Pubic S'zte rt Ngw Yois No.01iuolS'59G Quau ied,In Sui, 'cunt" Coma„sia i.xuirt ' 94 ?(t PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Lim t on the day of 2Q__, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 20 Notary Public , NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. . OWNERS OF RECORD: r°evoocio�bl T •'y SUBJECT OF PUBLIC HEARING: For the installation of an 18'x36'gunite in-ground swimming pool with associated patio, fence, and pool equipment area; replace the decking, railings and relocate stairs on existing deck; new entry on existing bilco doors. TIME & DATE OF PUBLIC HEARING: We&%e*, Avember 151, 2oi2 -on or vlxx� 6:oo PA If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business days between the hours ofp8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 wo! Tra ft"s Anlieation • County of Suffolk Stott ofNew York l�L-&le4l° SI'REING 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. / Sipiture SWORN TO BEFORE ME THIS ( DAY OF �U 201 Notary Public CAROL HYDELL NOTARY PUBLIC-STATE OF NEW YORK NO.OIHY0189695 QUALIFIED IN SUFFOLK COUNTY/ COMMISSION EXPIRES OGW20 t. Boaoof Trustees Application • County of Suffolk State of New York C<< Iy t} -u I t Z 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 PPLICATION. 11 � ''i'gnature of Property wne SWORN TO BEFORE ME THIS c4M� DAY OF © 20 /c). l Notary Public CONNIE D. BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14, 4116 DCT-20-2012 03 :04 AM P. 01 DOAK Trustoos Afflicotion • M' AUTHORIZATION (whcm the applicant is not the owner) �er�s%c�, r�ri%y 1'✓r�,r� cab/c jr�vs� I, —raiding at_1 Hos to .� 10. (Print owner bf property) (mailing address) ��51 ►� / (l -do.hereby authorize (Agent) to apply for permit(s)from the F Sputhold Board of Town Trustees on my behalf. .y � (Owner's ignaturb) r: 4-. L„ 9:. 5.. ? At: j . tMP APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM I i The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is riecessary to avoid same. Cmative Envimnrtlental Design YOUR NAME: PO BOX bQ (Last name,fust name,Atoftiiffloy tjftss yfW tjapplying 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.) I 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 l� 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/agentlrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. I 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 applicant (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 Submitt Z e) L 2002-- Signature 002_Signature Print Name Form TS 1 Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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. 2. 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) 3. 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 supporting 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 Souethhoolld's ffre website (southoldtown.northfork net), the Board of Trustees Oe _ 1J e1 local libraries and the Town Clerk's office. U B. DESCRIPTION OF SITE AND PROPOSED ACTION w�l ► OCT 24 2M SCTM# -_ _ ► PROJECT NAME CIU RD�i�/ 1 S ; f tVt�'V) L— °era ; The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees L✓I 1. 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: L� ► N ST71 C cc 1� �1 / i 1 S lL+� Ir 5 Q-ll Location of action: AAL,AL, O(- "V—, Site acreage: e 15-0 Present land use: Pe S A e Present zoning classification: ?R S -20 2. 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: (b) Mailing address: (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 Q/ 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 LJ 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 II—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 throng 1 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 evaluatio criteria. ❑ ❑ Yes No Not Applieft • 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 U/Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wasteZot ee LAW Section III—Policies; Pages 34 through 38 for evaluation criteria. 1:1 Yes 1:1 No 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. ❑ Yei:l No UNot 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 of Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town w�ate . See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agri ultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for eval anon criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote a prop .ate use and development of energy and mineral resources. See LWRP Section III—Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPAREDBY �,�u', G L 4 ,� ,o; TITLE DATE Creative Environmental Nsip PO Box 160 Peconic,NY 11958