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Home My WebLink AboutBabkow, JohnJill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375MainRoad P.O. Box 1179 Southold, New York 11971~0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Permit No.: 7298A Date of Receipt of Application: May 3, 2010 Applicant: John Babkow SCTM#: 23-1-18 Project Location: 360 Private Road #8, East Marion /~'-'-"- I'~ Date of Resolution/Issuance: May 19, 2010 ~/~ ~.^ i~'~0~ ~ Date of Expiration: May 19, 2012 ~ ~_O~ _~.,L¢,. ~ Reviewed by: Trustee John Bredemeyer Project Description: To install approximately 120 linear feet of cedar three (3) rail and post fence, approximately 4' high. 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 Michael J. Sirico, agent, received on May 3, 2010, and stamped approved on May 19, 2010. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jill . Doherty, Presid~lht Boa~lr~l Do; Trustees JMD:eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town 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 Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. - 01, 1" = 40' )'5, 20O3 ARE R£FER£NCED TO 03 - 156 CERTIF1EO TO' DAM POND Trustee Matters Storm Water Runoff Spring/Summer 2010 With the recent heavy rainfalls, we are reminded once again of the problems Southold Town has with storm water runoff. With over 100 road ends terminating at creeks, bays, inlets, or Long Island Sound, as well as all of the lawns and homes lining our miles of shoreline, 100's of thousands of gallons of storm water runoff enters our wetlands every year. Can'ying sediment that prevents sunlight from reaching aquatic plants, nutrients from animal waste and lawn fertilizers that promote algae blooms detrimental to shellfish, hnd bacteria and other biologieals that in high doses can be harmful to swimmers, storm water runoff is one of the Trustees main public safety concerns. So important, in fact, that Southold has a Storm Water Management Code. Southold Town's Chapter 236 provides an outline for how people need to deal with storm water runoff from their properties. For example, new construction or renovation is required to contain any potential runoff to the wetlands from the construction by installing hay bales and silt fencing. This acts as a barrier and keeps our wetlands clean. Another example in Chapter 236 is that every building must have provisions to collect and disperse, ON-SITE, at least a 2 inch rainfall. This is usually handled by installing gutters, leaders and drywells to the home. The Trustees also have a standing policy of requiring pervious non-turf buffers along bulkheads and at tops of bluffs that help keep run off from entering the wetlands and prevents erosion to bluffs. These are important measures to keep our wetlands safe and clean! Before deciding to renovate or build, the Town Trustees urge you to check our website and the other department's websites to make sure what you are planning to do meet the Town's Codes. These codes have been developed for the good of all citizens. And the wildlife all around us too! Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 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 __ Ist day of construction ½ constructed Project com 31ete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer 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 TItUSTEES TOWN OF SOUTHOLD Permit No.: 7298A Date of Receipt of Application: May 3, 2010 Applicant: John Babkow SCTM#: 23-1-18 Project Location: 360 Private Road ~8, East Marion Date of Resolution/Issuance: May 19, 2010 Date of Expiration: May 19, 2012 Reviewed by: Trustee John Bredemeyer Project Description: To install approximately 120 linear feet of cedar three (3) rail and post fence, approximately 4' high. 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 Michael J. Sirico, agent, received on May 3, 2010, and stamped approved on May 19, 2010. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jill ~.. D_oherty, Presid~lht Board of Trustees JMD:eac SURVEY OF A T EAST TOWN OF SOUTHOLD SUFFOLK cOUNTY, N Y. IOO0 - 23 - 01 - 18 SCAL~ 1" = 40' MA Y 5, 2003 NOTE' LOT NUMBERS ARE REFERENCED TO " MAP OF MINOR SUBDIVISION MADE FOR DAVID GILLISPIE ON SEPT. L~ 1971 .~co}4t= S,~R~¢ORS, P.c. (63t) 765 , 50~.0 F.4X (651) P, O. BOX 909 1230 TRAVELER STREET $OUTHOLD, N.Y. 11971 03 - 156 Jill M. Doherly, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town 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 TO: Please be advised that your application dated /~v', 2, ,~O/~ ,, has been reviewed by this Board at the regular meeting of/~,~cz/'o/_ ,:~0/0 and your application has been approved pending the completi6n of'the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be Paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTALFEES DUE:$,~--)~-~° BY: Jill M. Dohedy, President Board of Trustees Jill M Dohedy, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr, John Bl~demeyer P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ~,/¢Jo~J P e ¢~o o Michael J. Sirico on behalf of JOHN BABKOW requests an Administrative Permit to install approx. 120 If. of cedar three (3) rail and post fence, approx. 4' high. Located: 360 Private Rd. #8, East Marion. SClM#23-1-18 T~/~se 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: ~hapt.275 Chapt. 111 other Typ_e of Application: Wetland Coastal Erosion __Amendment C/Administrative__Emergency --Pre-Submission __Violation Info needed: ~¢.,,.~ _ ~¥o.i~..~ ~.~,.r~/(,~ ~ ~ Modifications: Conditions: Present Were: __&King __J.Doherty ,"J. Bredemeyer __ B.Ghosio, D. Dzenkowski other Form filled.gut in/~he field by Mailed/Faxed to: Date: D. Bergen__ NO T~ ~ TO 2OO3 CERTIFIED TO~ LON~ ~OHN BABKOW F'IR,,,,eT AMERICAN TITLE INSURANCE COMPANY OF NEW YORK NORTH FORK BANK It~'~ , ~ POND Scale~ I"" gOO' 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 Jill Doherty, President To: Town of Southold Board of Trustees From: MarkTerry, Principal Planner _~ LWRP Coordinator ~'~ Board of T~uste~s Date: May 12, 2010 Re: Proposed Wetland Permit for JOHN BABKOW SCTM#23-1-18 Michael J. Sirico on behalf of JOHN BABKOW requests an Administrative Permit to install approx. 120 If. of cedar three (3) rail and post fence, approx. 4' high. Located: 360 Private Rd. #8, East Marion. SCTM#23-1-18 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "Z" which states: Z. Split rail fences or fences used to control nuisance wildlife that do not interfere with the public's rights of passage along the foreshore Cc: Lori Hulse, Assistant Town Attorney Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Application~/ Wetland Permit Application i~ Administrative Permit ~ ~endmant/Trans fer/Extansion ~Received Application: I/Received Fee:$ ~ ~o~ ' ,_,~Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ,./' LWRP Consistency Assessment Form ,/CAC Referral Sent: ~a'Dat¢ of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~flSlic Hearing Held: Resolution: Name of Applicant Address 3 {~ 0 Suffolk County Tax Map Number: 1000 - Property Location: 9Go ~ [de~)~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~ [L~ K~. I ',~ ,~(~{ co (If applicable) Address: ~"1~- Phone.~ -.--/3~1. _ ~,.t %'-/ of Trustees Applicati¢ Land Area (in square feet): Area Zoning: GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: Yes ~ No If "Yes", please provide copy. 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? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): tx ~'v r, , l ~O L,,q'c. Board of Trustees Application WETLAND]TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 1~ ~'7 square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: "~g ' feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ ~ feet Does the project involve excavation or filling? ~_ No Yes If yes, how much material will be excavated? How much material will be filled? ~ ~ff~ubic yards cubic yards Depth of which material will be removed or deposited: "" Proposed slope throughout the area of operations: ~ Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wetlands and tidal waters of the town that ma3, result by reason of su~li Pr~i~ed 0peratk~n~ (us~ AUT~IZAT~ ' (where the applicant is not the o~ner) (print o~ner of property) ( maJ.li.~g ;,~e.ss ) ( ~ent ) to apply for permit(s) fr~ the Southold Board of Town Trustees on my b~h-~lf. Board of Trustees Application Coli,iiy of Suffotk State of New York ~-' o L~ o BI~NG DULY SWORN DEI~3SF_.S AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE ~E~ PERMIT(S) AND THAT A1J. STA~ CONT~ ~ ARE TRUE TO THE BEST OF HIS/HER KNO~ AND BELII~, AND THAT Al.l. WORK WII.I. BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVEI) BY THE SOUTHOLD TOWN BOARD OF TRUS'r~-~. THE APPLICANT AGRI~'F.S TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMI.F. SS AND FRF~_ FROM ANY AND AIJ. DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GR.*'~.,.Ni~t.~. IN COMPLtfFIiqG THIS APPLICATION, I HEREBY AUTHORIZe_ THE TRUSTEES, TH~-m. AGENT(S) OR REPRESENTATIVES(S), TO EN-I~ ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONRJNCTION WITH REVIEW OF THIS APPLICATION_ SWORN TO BEFORE ME THIS DAY OF ~.,~ ,20 / 0 J Page 1 of I Board of Trustccs applicati( County of'Suffolk State of New York DEPOSES AND A~YI~MS ~ ~S~ IS ~ ~PLIC~ ~ DESC~ P~(S) ~ ~T ~L STA~~S CON ~ TO ~ BEST OF ~.~O~~ ~ B~-~ ~ BE ~ ~ ~ ~ SET FOR~.~ ~S ~P~ BE ~PRO~D BY ~ SO~HOI ~ TO~ BO~ OF ~U5 AG~ TO HOLD ~ TO~ OF SO--OLD ~ ~ TO ~ER OR BY V~ OF SA~ P~(~, ~ ~. I ~PLICATION, I ~BY A~ORIZE ~ ~US~, T~ RF:P~S~A~S(S), TO EN~. O~O L~ PROPER~ TG PR~S~ ~ CON--CT[ON ~ ~W OF ~S ~PLI SWORN IO BE[:O~ ME THIS Signature V\ . DAY OF https://uwc.webmai~~~~timum.net/attach/scan~~~~.jpg?sid=&mb~x=INB~X&charset=esca... 5/1/2010 Page 1 of I AUTHORIZATION ~nere t~he applicant is not the ~ (print owner of property) residing at do hereby to apply ~or p( SoutholdBoard of Town Trustees on my behalf. signature httt~s://uwc.webmail.ol0timum.net/attach/scan0002 ,ipg? sid=&mbox=INBOX&charset=esca... 5/1/2010 PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1.APPLICANT/SPONSOR 617.20 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 county SEQR 3.PROJECT LOCATION: Municipality ~"~..,~.,~I~B~ ".TauJv,~ 5. IS PROPOSED ACTION: ~ New Expansion Modification alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ]~1 Yes LJ No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) []Residential E~lndustrial e~commercial E~]Agriculture [---~Park/Foresl/OpenSpace r-]other (describe) 10/DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) '--']Yes If yes, list name and / agency permit approval: 11,uu~:5 ANY A~'E~JI OF THE A~rlON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes r~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~es []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicanl , SponSOrsignature ~'~ ~ ~Name--~-'~ Date: ~ I ~.~ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'a Code of Ethics orohibits conflicts of intersst on the Dart of town officers and cmolovees. The out~s~ of this form is to provide information which can alert the town of nossible conflicts of intersst and allow it to takc whatever action is necessary to avoid same. Yom Na , E: 'X' 5 CO (Last name, first name, middle initial, unless you are applying 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.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption ir'rom plat or official map Planning Other (If "Other", name the activity.i Do you personally (or through your company, spouse, sibling, parent or child] have a relationship with any officer or employee of the Town of Southgld? "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 ~ 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 applieanffagentJrepresentativel and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent or child is (check all that apply): __A) the osvner 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, pm'me?, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted t~his ~d, lly oL~_~ 20~O S ignaturqe'-~x,~oo_~l-_~ ' Print Nan~e I'~ ~c~ ~-~1 '~ ~4'- PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 if yes, coordinate the review process and use the FULL EAF. [~Yes r'~No B. WlLL A~TI~N REcE~VE ~RD~NATED REV~EW AS PR~V~DED F~R UNLISTED AcT~NS lN 6 NYCRR~ PART 617~6? IfNo, anegative declaration may be superseded by another involved agency. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be han~lwritten, if tsgible} C1. Existing air quality, surface or groundwater quality or quantity, noise levets, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, amhaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I 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-C57 Explain bfiefly: 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 PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~cant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibitity; (e) geographic scope; and (f~ magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequataly addressed. If question d of part ti was checked Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL[ EAF and/or prepare a positive declaration. check ~h~s b~x~'l~'v~'~;-~¥r~l': b~s~d on th~ ~nfo~rnat on and ~a y~ s ~bove and an~ ~uppOrtin~ docurne~t~onl t-;~¥ ~rop~- WILL NOT result in any significant adverse enviror~mental impacts AND provide, on attachments as necessaP/, the reasons supporting thi.~ determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) 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 Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detafl~ listing both supporting and non- suooorting 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 NAME The Applieatlon has been submitted to (check appropriate response): TownBoard ~ Planning Board ~ Building Dept. [] BoardofTrnstees ~---~' 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: Caa:~a, '-~,~t~_ Location of' action: Site acreage: Present land use: Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require fimding, 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 ali 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 [] 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 eriterin Yes [-] No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria 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 HI - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Ap~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 N 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. 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. ~-~ Yes~ 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 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 IH - 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 use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~-~ Yes ~-] No ~z] Not Applicable PREPARED BY TITLE