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Home My WebLink AboutTR-4241Robert E Taylor 2995 Sigsbee Road P O Box 7 Mattituck NY 11952 April 2, 2013 James F. King, President Board of Town Trustees Town of Southold Town Hall Annex, 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: ROBERT E. TAYLOR 2995 SIGSBEE ROAD, MATTITUCK SCTM NO. 126-6-9.1 AMENDMENT TO WETLAND PERMIT NO.4241 ECEIVr: ApR - 3 2013 Southold Town Board of Trustees point to which it will extend. is now fifteen (15) feet. Dear Mr. King, In accordance with this morning's telephone call to my home from the Board of Town Trustees office (Amanda, speaking) a five (5) foot long portion of my existing Return/Bulkhead is now permitted to be removed and replaced with vinyl bulkheading continuous with the new, ten (10) foot extension to this same Return/Bulkhead. There is no change from the original overall length with this extension or the intended The total length of the extension Sincerely yours, Robert E. Taylor James F. King, President Bob Qhosio~ Jr., Vice-President . Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. · ' P.O. Box 1179 South01d, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st 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 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 February 20, 2013 Mr. Robed E. Taylor PO Box 7 Mattituck, NY 11952 RE: ROBERT E. TAYLOR 2995 SIGSBEE ROAD, MATTITUCK SCTM# 126-6-9.1 Dear Mr. Taylor: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 20, 2013: WHEREAS, ROBERT E. TAYLOR applied to the Southold Town Trustees for an Amendment to Wetland Permit #4241 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 30, 2013, 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 to be Consistent with the Local Waterfront Revitalization Program policy standards, 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 Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #4241 to extend the existing +/-30' return/bulkhead another +/-10' to meet proposed Marlene Park bulkhead, and as depicted on the project plan prepared by Robert E. Taylor, last dated January 30, 2013, and stamped approved on February 20, 2013. 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 This is not a determination from any other agency. Sincerely, James F. King, P~esident Board of Trustees JFK:amn James F. King, President Bob Ghosio, .Ir., Vico-President Dave Bergen John Bredemeyer Michael J. Domino lo'an Hall Annex 54375 Route 25, P.O. Box 1179 Southold, l'qY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application datedIl %&/I.z, / has been reviewed by this Board at the regular meeting of ~ ' ?.~['L~]~ ~ and your application has been approved pending the completion bf thb following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) ½ 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 Southoid. 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: $ ~), [~0 BY: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., February 12, 2013 the following recommendation was made: Moved by John Stein, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of ROBERT TAYLOR to Amend Permit #4241 to extend 30' bulkhead return 10' to meet proposed Marlene Lane Park bulkhead. Located: 2995 Sigsbee Rd., Mattituck. SCTM#126-6.9.1 Inspected by: John Stein Vote of Council: Ayes: All Motion Carried James F King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeycr Michael J. Domino PO. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (63 I) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ROBERT E. TAYLOR requests an Amendment to Wetland Permit #4241 to extend the existing +30' return/bulkhead another +10' to meet proposed Marlene Park bulkhead. Located: 2995 Sigsbee Road, Mattituck. SCTM# 126-6-9.1 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 __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: c-"J King__B. Ghosio__ J. Bredemeyer.__ Michael Domino Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other Board Of Southold,'Town Trustees SOUTHOLD, NEW YORK PERMIT NO...~I~..I DATE: ... ~1.30/93 ..... ISSUED TO ........... ROBERt.. ~AYLOR ......................................... Au horiza iou Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and CJnepter 404 of the ,L~. ws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The'~Board adopted et a meeting held on 19. ~3, and in consideration of the sum of $ 150.0.0 paid by Robert ~aylor of ...Ma/~tit~ck N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes end permits the following: Construct 58' of timber retaining wall inkind/inplace with a 30' return on the east property line.' Approx. 40 c.y. of clean backfill trucked in. all in accordance with the detai~ed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the seld Board as of this dat~. CONC. RE'T&INI NG I p~Po 3~: o 4 /,,,, ;~o' pKoR3~fl 30' cONe. WA~.t. i iiiiI P_E_COJV/C EN - CONSULTANTS, INC. 1329 North Sea Road Southampton, NY 11~J6R E~ - CONSULTANTS, INC. 1329 North Sea Road Southampton. NY 11968 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 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: February 15, 2013 Re: Proposed Wetland Permit for ROBERT E. TAYLOR SCTM#1000-126-6-9.1 ROBERT E. TAYLOR requests an Amendment to Wetland Permit #4241 to extend the existing +30' return/bulkhead another +10' to meet proposed Marlene Park bulkhead. Located: 2995 Sigsbee Road, Mattituck. SCTM# 126-6-9.1 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 actions are CONSISTENT with the Policy Standards and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York I1971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WEq DATE J~aar'¥ 20 20}5 / OWNER ~obp¢l~ E~ "'~vloC PHONE ADDRESS P. 0-Bo* 7 l,~,'l:f:'~R~ AGENT PHONE ECEIVE ND PERMIT JAN 3 0 2013 SO,hold Town Board of TrusteeS 1't952.. ADDRESS PROPERTY LOCATION TAX MAP NO. 47,B 8 g9 !26. -6 - 9.1 Signed By: PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: u.icipality 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2 PROJECT NAME ± lO' ~e-i'or,~- ~5,;ll4he~o/ E×'Fe~s~bn 4. PRECISE LOCATION: Sheet Addess and Road Intersections. Prominent landmarks etc -or i)rovide mai) 299~ ~t~sb.~ ~/ 300' Soo% of ?eco~c ~y ~o~levar~ 5. lS PROPOSED ACTION: [] New l~Expansion l~Modification/alteration 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes L_J No If no. descdbe bdefly: 9. WHAT IS PRESENt' LAND USE IN VICINITY OF PROJECT? (Choose as many as apply,} [~Residengal E]lndustrial E]Commercial r'--]Agriculture E]Park/Forest/OpenSpace E~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~Yes ~-]No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~'~Yes E]No If yes, list agency name and permit / approval: 1Z AS A RESULT OF PROPOSED ACTION WILL EXISTING P.RMtT/ APPROVAL REQUIRE MODIFICATION? ~:~ ~.o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE Applicant ! Sponsor N me Date: Signature V ' If the action is a Costal Area, 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 A~lency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. [-I17i"o WILL ,~,CTION RECEIVE COORDINATED REVIEW AS PROVIDED FOP. UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? if No, a negative declaration may be superseded by another involved agency. [~Yes [~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwriUen, if legible) C1. Existing air quality, surface or grou~clweter quality or quantity, noise levels, exlsfing ffaffic pattern, 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 bde§y: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habdats, or threatened or endangered spedes? Explain briefiy: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of ladd or other natural resou(ces? Explain bdefly: 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-C57 Explain briefly: C7. Other impacts fino~udin~ changes in use of either quantity or t~'pe of ener~l¥? Explain brieti~': D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA/CEAI? Ill ~'es, explain briefly: I--lYes []NoI E. IS THERE, OR IS THERE LIKELY TO SE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If '/es explain: [-~ Yes [~NoI PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For eac~ adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; end (t~ magnitude. If necessary, add attachraents or mterense supporting raaterials. Ensure that explanations contain sufficient detail to show that all relevant adverse impects have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance faust evaluate the potential impact of the proposed action on the environraental characteristics of the CEA. Check this box if you have identified one or mom potentk~lly large or significant adverse impacts which MAY occur. Theft proce~l dirscfly to the FUU FAF andlor prepare a positive declamdon. Check this box if you have determined, based on the information and analysis above and any seppo~lleg documentation, that the proposed actim WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the masons supporting thi= determination. Board of Trustees [] Name of Lead Aoency ~ ,,~gnature of Responsible Officer in L~.~z~Agency President Date Title of Responsible Officer Signalure of Preparer (if different from responsible officer) Board of Trustees Application County of Suffolk State of New York DEPOSES ~ .AFFIRMS THAT I/IE/SHE IS THE APPLICANT FOR THE ABOX~E DESCRIBED PERMIT(S) AND THAT ALL STATEMEHTS CONTAINED HEREIN ARE TRUE TO:THE BEST'OF HIS/HER I~IOWI,RDGE AND BELIEF, AND THAT ALL WORK I~ILL.BE DONE-IN THE MANNEP~ SET FORTH.IN'THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWIq BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTFiOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY ANDALL DAMAGES AND CLAIMS ARISING ,UNDER OR BY VII~TLrE 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 ~ PREMISES IN'CONJUNCTION WITH REVIEW OF THIS APPLICATION. Si~"atur~e U SWORN TO BEFORE ME THIS DAY O~i~,~)L ,20~_ Notary Public CONNIE D. BUNCH NotarF Public, State of New York No. 01BU6185050 Q~Jali~ e,d~in Suffolk County Corem ssion ~xpires Ap rd 14, 2 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE oF NEw YORK CO.TV OF SU~FOLr [~..~.'_¢"r ~_. lEa.loc . residing at 2995 5.,sbCe ~,~a4 ~ 0. B.~'7 I~ ~i~t.K; ~ Y i i~5 2 , being duly sworn, deposes ~d says that on the ' ~ day ~f l~e~ c ~,~ rv ,20~, de~nent mail~ a tree copy of ~e Notice set fo~ in the Bo~d of Tmst~es Application, directed to each of the above nmed persons at ~e addresses set opposite thee respective nines; ~at ~e addresses set opposite ~e nines of s~d persons ~e the address of said p~sons ~ shown on ~e c~ent ass~sm~t roll of the Town of Southold; that said Noti~s w~e mail~ at the United States Post Office at M ~',% 0. K ~ Y ] [ 9 5& ~at said Notices w~e mail~ to each of said p~sons by CERTI~ED MAIL~ETU~ ~CEI~. Sworn t.9_before me this Day of 4~ do ,20 Notary Pubfic .lames F. King. Prcsidcnl Bob Ghosio. h'. Vicc-Prcsidcm Dave Bergen John Brcdcm¢) cr Michael .I. Domino [own Hall. 53095 Main Rd. P.O. Box I 179 Southold. NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ROBERTE. TAYLOR COUNTY OF SUFFOLK) STATE OF NEW YORK) AFF! DAVIT OF POSTING I, ~ob,~cT E. -F zvi r , residing at /dba 'Z995 d MY 1195?- being duly sworn, depose and say: That on the~'~ day of ~'e~[v¢oar)/ , 201:3, I personally posted the property known as by placing~he Board of Trustees official ~>oster where it can easily be seen, and flint I have checked to be sure the poster has remained in place lbr eight days prior to thc date of the pnblic hearing. Date of hearing noted thereon to be held Wednesda~ Februa~ 20~ 2013. Dated: c:~/~D?~ ~.~ Sworn to before me this Notary Public PATRICIA RICHERT Notary PuNic, State of New York No. 30-4741154 Oualified in Nassau / Suffolk Corralled. Commission Expires /5/~,~//J~ 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 properly. OWNER(S) OF RECORD:'""~olo¢¢'J"~. '~'~'~,,/~r' SUBJECT OF PUBLIC HEARING: Amendment to Wetland Permit #4241 to extend the existing +30' return/bulkhead another +10' to meet proposed Marlene Park bulkhead. - TIME & DATE OF PUBLIC HEARING: If you have an interest in this pro you invited fo lect,are view the Town file(s) which are available for inspectionprior to the day of the hearing during normal between business days the hours of 8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1 892 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCA~ON: S.C.T~I. ~. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A o~ 8ecttsfl Uec~ L~ ~.=~a armu BY A Lr.O~i~ rKurr, o~lONAL IN THE STATE OF NEW YORK. sCOpE OFWORK - PROPOSED CONST~U(,'i'iON ~ # / WO][~.~,~SE~ a. What is the Total Area of the Project Parcels? (Include Total Area of all Parce(s located within I Will this Project Retsin AIl Storm-Water Run-Off tha Scope of Work for Propesed ConstrJcfion) Generated by a Two (2") Inch Rainfall on Sits? / b. Whal is fha Total Area of Land Cisaring (S.F. I~.es) (This item wi(I include all run-off created by site clearing and/or construction aciivi§es as well as all andJor Ground Disturbance for the proposed Site Improvements and the permanent creatio~ of construction ac[,vity? imper~ticos sur[aces.) (e,F.l~-I 2 Does the Site Plan and/or Survey Show ,NI Propcaed PROVIDE BRIEF PROJECT DESCPJIVl~ION ~P,0~.,~) Drainage Structures lndicafing Size & Location? This Item shall include all Proposed Grade Changes and J~-------~'-'~l~,~, '~.~J~"~/~' 't~ 3('~I ~f~.~."'~ffJr, y}-- Slopes Controlling Surface Water FIow. ~l~'l~' ~ ]~')~'?i°~"ff "~'b Y~',~'" 3 D°es the Site Plan andl°r Survey describe the er°si°n ' and sediment control practices that will be used to conlrol site erosion and storm water discharges. This -- ' '~ l '~//'' ~: ConstmctionPeriod. ,:. Wi, th, an ,and F,,,,.g.G.d,ng 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~ (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Bite? Is this Project within ~e Trustees judsdictle~ ~ [ ./ General DEC SWPPp Reqatmmeofs: or within One Hundred (1 Off) feet of a Wetland or Submlssle~ of a SWPPP is tequire~ for all Construction aclisi(ies involving soil Beach? disturbances of one (t) or more acres; including disturbances of less than o~e ave ~hof 7 Will there be Site preparation on Exfsting Grade Slopes ~ are par[ of a ledger common Ple~ that wi# ultlmatuly disturb o~e or more acres of laod: which Exceed Fifteen (15) felt of Vertical Rise to [ i including Constmctlen aoflvillez involving soil disturbances of less than one (1) acre where the DEC has d~tefmined that a SPDES perm;t ~s mqulred for storm water discha~es, One Hundred (100') of Horizontal Distance? L.~J v~ swPPP'e Shall meet the Mislmum Requirements of the ePeES ~enerat Permit 8 Will Driveways, Parking Areas or other Impervious ~or Storm Water Ol~rbarges ~'~ Constru~o. activity - Permi~ No. GP-0-t0-O0~.) Surfaces be Sloped to Direct S[om~-Wat~r Run-OffU Submittedt' The SW~PPio theshalIDepa,'tmenbe preparedp~for prior tu thet°commencementthe submittal of ofthecons~mcbe~NOl' T~e NOlac~vfty.Shall be IOtu and/or in the direction of a Town right-of-way? 2. The SWPPP shall descdbe ~e erosio~ and sediment c~tml practices ertl where , g Will this Project Require the Placement of Mate~al, conseuciberequired' poof-constmcbe~ s~:m ~tet management pmctlee~ Ihat ,,rS be used a~d/orth reduce ~be pollutants la aton'n wofe~ discharges end tu assure Removal of Vegetation andlor the Constru~tion of any 0 STATE OF NEW YOIL,'L, Notary Public, State of New York COUNTY OF ........................................... SS No, 01 BU6185050 Qu~a!i~ied in Suffolk County Commission Expires April 14, 2~_~0 ..... " ' ['i4~e~'~'~i';f~;~i~'f~u'~i .................. po ys e/sne ts me appticant for rernfit, And that he/she is the ............................................ ("d,~-.' ~ ~;;-~ ;~'~4i~ ~'~' ~ ;: ;~]j ................................................................ 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 statemenCs contabed in this application are true to the best of his knowledge and belie~, and that the work will be performed in the manner set forth in fl~e application filed herewifla. Sworn to before me Otis; ............. ........... ........... ...................................... .... FORM - 06/t0 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for penrdts* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfi'ont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (winch 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 acinevement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detafl~ listinfl both supporting and non- supportinp 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 th website (southoldtown.northfork.net), the Board of Trustees Office, local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# ~ ~;. 6 9. I The Application has been submitted to (check appropriate response): Town Board JAN 3 0 2013 Sau~old Town Board of Truste~ [] Planning Board ~ Building Dept. [] BoardofTrustees [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage: 0, ~ Present land use: Present zoning classification: } 1952.. L.,-,,,,., 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: ~ O. A./Y 11952 ,531 (c) Telephone number: Area Code ( ) 2 9 ~ ' 8 ~ 7 9 (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 [] Not Applicable AVach 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 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~-~ Yes ~-] No [~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Appl~e 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. Sec LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No ~-~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the 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 ~-~ No [-~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate usc and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes [] No [] Not Applicable PREPARED BY TITLE DATE 12...g,-6 -9.t PF-_C 0N I£ JAN 3 0 ~1 Southold Town Board of Trosf~ L'"'JF'. [')R:6PgSED. £XIST.Ihl'~. 6~6 CCA WtIALER-~ - NEW i%AT'E I 'P, 6 L~O-i tLAT] ~^'rH l NG (~ X ~ I~/A L~ Board of -r ENTEWSION TO 501R. VEY'Ole,'~ C, ER-i-it~iCATiON 5UI~VEY' FOR IROBEI~T TAYLOR ~Folk GounOd, ~ York I IDOUNIDAI~'t* ~Jl~'v~ ] ~un~A~ t~x MOp le,~c.o,"d of f~evla, lone q.I HAY Iff, ;2OIO HAY 20, DATE