Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
TR-8549A
*rj� W1111 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Lids .r� .,.. Dave Bergen, Trustee � Charles J. Sanders, Trustee ®l�C®Usti BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE # 1108C Telephone (631) 765-1892 Fax (631) 765-6641 Date: May 11, 2015 THIS CERTIFIES that the demolition and removal of 12'x24' first floor concrete base of existing two-story covered open porch; reconstruction in-place with wood framed first floor on concrete footings; a 5' wide non -turf buffer along landward edge of wetlands; installation of gutters to leaders to drywells At 575 Hoey Lane, Southold, New York Suffolk County Tax Map # 66-1-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 2, 2015 pursuant to which Trustees Administrative Permit #8549A Dated January 21, 2015, 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 the demolition and removal of 12'x24' first floor concrete base of existing two-story covered open porch; reconstruction in-place with wood framed first floor on concrete footings; a_ 5' wide non -turf buffer along landward edge of wetlands; installation of gutters to leaders to d=ells. The certificate is issued to HAROLD & PENINAH NEIMARK owners of the aforesaid property. Authorized Signature Al John M. Bredemeyer 111, President Town Hall, 53095 Main Rd. Michael J. Domino, Vice -President ��® ®Gy P.O. Box 1179 James F. King Southold, NY 11971 Dave Bergen O ♦ Telephone (631) 765-1892 Charles J. Sanders A -g-®? Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: d� Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, silt fence 1 St day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: /nJ y- 1- CERTIFICATE OF COMPLIANCE: CC # : C15-27255 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the .Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 07/07/2015 under Liber D00012823 and Page 006 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 07/07/2015 SUFFOLK COUNTY CLERK JUDITH A. PASCALE Type of Instrument: DECLARATION Recorded: 07/07/2015 Number of Pages: 5 At: 03:08:18 PM Receipt Number : 15-0089516 LIBER: D00012823 PAGE: 006 District: Section: Block: Lot: 1000 066.00 01.00 005.000 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 TP -58.4 $0.00 NO Notation $0.00 NO Cert.Copies $6.25 NO RPT $60.00 NO Fees Paid $131.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County FE of This document will be public record. Please remove all Social Security Numbers prior to recording. 3 RECORDED 2015 Tjjj 07 03 08. '8 11 -fl JUDITH A. PASCALE Ct-ERK OF SUFFOLF-.' ryCOUNTY L L�0�.��.�t.L82- 3 P { 06 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp f Recording / Filing Stamps Page / Filing Fee C2 _ Handling 20. 00 TP -584 Notation EA -52 17 (County) EA -5217 (State) R.P.T.S .A. Comm, of Ed. Affidavit Certified Copy NYS Surcharge Other 5. 00 15. 00 FEES Sub Total Sub Total Grand Total Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec. /Add. TOT. MTG. TAX Dual Town Dual County Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or, two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. 4 Dloon 06600 0100 005000 5 Community Preservation Fund2956018 2956018 RealPi S RPConsideration Amount � LPA I I�lIII IIIII IIID IIIII IIIII Illi) IIT IIII IIII Age 07-JUL-15 CPF Tax Due $ Verifi - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address - RECORDr & RETURN TO: f Vacant Land QL 1-1 e- to i n 4. TD J C� �� L i �� " �� TD ©©�� ��� l�•J� TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title ComRany Information 310 Center Drive, Riverhead, NY 11901 Co. Name www.suffolkcountyny.gov/clerk Title # S Suffolk County Recording & Endorsement Page This page forms part of the attached L) C, G 16-- K.0 I o el made by: (SPECIFY TYPE OF INSTRUMENT) jdVo �� L. 1 vv -1,r The tG-premises herein is situated in "PC h I n Ulk i\� et ,), 6L r � ' SUFFOLK COUNTY, NEW YORK. TO In the TOWN of �:6 —VA®(CA In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. iz•oioa..ioioakk (over) DECLARATION OF COVENANTS r! THIS DECLARATION made this y /�YLpe)J % day o f oS s 2 0 l �, b f' �PPV)7 Y]6.d'g Ci��r1< residing at r � ��n®ri'� ��®®6C/�� Aid r12/s� f 1 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 Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section, Block I Lot �� 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 5-4),od" mi cs, "non -turf buffer" adjacent to and landward of 'f�y.j;;� NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: ;t 1) Upon the substantial completion of the aforementioned permitted / rl f ®ems activities there shall be established and subsequently maintained br, f t o-y1jW& :ejoe O -V eve:°! 'arms, a- 5__.00+ Loll s "non -turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the Si -e p)4_w PE 14Y ruani Z 201 _rA 04 eer y.Zd ® P) ':30_"UeLr4 ® dam, -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 T-hday of�✓j , 20 f_,. r STATE OF IYCW YOPk ss: COUNTY OF SU -MO l k elk OWNER'S SIGNATURE OWNER'S SIGNATURE On the 1 th day of ju I y , in the year 20 1 `j , before me the Undersigned, a Notary Public. in and for said State, personally appeared -aro_�`� a" NA t 'n;AG�1 NdMat"V, personally known to me or proved to me on the basis of ,wrksatisfactory 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 signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. n ,' c'C,t. ' Notar Public TRACEY L. DWYER 2 NOTARY PUBLIC, STATE OF NEW YORK NO. 01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 2L).16 :J J � J f (� /f.Jr r /r ;t 1) Upon the substantial completion of the aforementioned permitted / rl f ®ems activities there shall be established and subsequently maintained br, f t o-y1jW& :ejoe O -V eve:°! 'arms, a- 5__.00+ Loll s "non -turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the Si -e p)4_w PE 14Y ruani Z 201 _rA 04 eer y.Zd ® P) ':30_"UeLr4 ® dam, -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 T-hday of�✓j , 20 f_,. r STATE OF IYCW YOPk ss: COUNTY OF SU -MO l k elk OWNER'S SIGNATURE OWNER'S SIGNATURE On the 1 th day of ju I y , in the year 20 1 `j , before me the Undersigned, a Notary Public. in and for said State, personally appeared -aro_�`� a" NA t 'n;AG�1 NdMat"V, personally known to me or proved to me on the basis of ,wrksatisfactory 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 signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. n ,' c'C,t. ' Notar Public TRACEY L. DWYER 2 NOTARY PUBLIC, STATE OF NEW YORK NO. 01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 2L).16 SCHEDULE A ALL that certain .plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, Iying and being in the Village of Southold, Town of Southold, County of Suffolk and State of New York, known as and by Lot No. 3, as shown on a certain map entitled, "Map of Town Harbor Terrace" owned and developed by Kathryn D. Hoey and Genevieve T. Daly,- which said map was filed -in the Office of the Clerk of the County of Suffolk on October 21, 1968 under File No. 5192, which lot is bounded and described as follows: BEGINNING at a point on the North side of Private Road, known as Hoey Lane, distant 483.40 feet east on a course, North 55 degrees 33 minutes 5.0 seconds East as measured along said North side of Hoey Lane from its intersection with the east side of Town Harbor Lane, said intersection being the southwest corner of land now or formerly of Lippert; RUNNING THENCE along other land of Kathryn Hoey and land now or formerly of Woodward North 33 degrees 01 minutes 50 seconds West, 239.71 feet and North 35 degrees 28 minutes 20 seconds West, 62.40 feet to land now or formerly of Lewis; RUNNING THENCE along said land North 75 degrees 43 minutes 30 seconds East, 101.88 feet to a monument; RUNNING THENCE still along said land North 73 degrees 10 minutes 50 seconds East, 58.22 feet to the ordinary high watermark of Hippodrome Creek; RUNNING THENCE along said line a tie line course and distance South 29 degrees 53 minutes 00 seconds East, 199.93 feet to the North side of Hoey Lane: RUNNING THENCE along Hoey Lane; RUNNING THENCE along Hoey Lane the following three courses and distances: 1. South 55 degrees 33 minutes 50 seconds West, 75.00 feet to a monument; 2. South 34 degrees 26 minutes 10 seconds East, 50.00 feet to a monument; 3. South 55 degrees 33 minutes 50 seconds West, 65.00 feet to a monument at the point or place of BEGINNING. Being and intended to be the premises acquired by deed dated Oct. 24,1968 and recorded Nov. 1, 1968 in Liber 6448 cp 92. The policy to be issued under this report will insure the title to such buildings and FOR improvements erected on the premises which by law constitute real property. CONVEYANCING ONLY TOGETHER with all the right, title and interest of the party of the first part, of, in and to the land lying in the street in front of and adjoining said premises. - bcr'!cfA 2c i, Ore 4AUD RN —T Mill, Ll 7P _Q 21 P�14 non • John M. Bredemeyer [1l, President Michael J. Domino, Vice -President James F_ King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY l 1971 Telephone (63 1) 765-1892 Fax (631) 765-6641 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 -con struction,4iay-ba L -line 1St day of construction %constructed Project complete, compliance inspection • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee OF SO!/r�o ti O ' ,COUNT I 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8549A Date of Receipt of Application: January 2, 2015 Applicant: Harold & Peninah Neimark SCTM#: 66-1-5 Project Location: 575 Hoey Lane, Southold Date of Resolution/Issuance: January 21, 2015 Date of Expiration: January 21, 2017 Reviewed by: Trustee 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 Project Description: To demolish and remove 12'x24' first floor concrete base of existing two-story covered open porch; reconstruct in-place with wood framed first floor on concrete footings; with the conditions to establish and subsequently maintain a 5' wide non -turf buffer along the landward edge of wetlands; the installation of silt fencing; and the installation of gutters to leaders to drywells to contain roof runoff in accordance with Chapter 236 of the Town Code. 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 site plan prepared by John J. Condon, P.E., last dated February 2, 2014, and stamped approved on January 21, 2015. Special Conditions: To establish and subsequently maintain a 5' wide non -turf buffer along the landward edge of wetlands; the installation of silt fencing; and the installation of gutters to leaders to drywells to contain roof runoff in accordance with Chapter 236 of the Town Code Inspections: Pre -Construction Silt Fence Inspection & 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. ?_ *"� 6 John M. Bredemeyer 111 President, Board of Trustees • John M. Bredemeyer Ill, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen a 0 CIO � W BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall Annex 54375 Route 25, P.O. Box 1 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 TO: Dani Ls�cc Ar- Ganoldt-Pe-ala�1 Leimr, Please be advised that your=application dated f has been reviewed by this Board at the regular meeting of 1 921 Xi and your application has been approved pending the completion oft following items checked off below. Revised Plans for proposed project S i I-� Akncv- V Pre -Construction Uay-Bate-Line Inspection Fee ($50.00) 1 st Day of Construction' ($50.00) Yz Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 5D.- Db BY: John M. Bredemeyer III, President Board of Trustees ip John Bredemeyer, President SUFF91t Michael J. Domino, Vice -President James F. King Charles J. Sanders '$y Dave Bergen r; Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: ( / 3, o -Lot Daniel Fischer on behalf of HAROLD & PENINAH NEIMARK requests an Administrative Permit to demolish and remove 12'x24' first floor concrete base of existing two-story covered open porch; reconstruct in-place with wood framed first floor on concrete footings. Located: 575 Hoey Lane, Southold. SCTM# 66-1-5 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 Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Present Were Bay Constable J. BredemeyeryM. Domino J. King C. Sanders Form filled out in the field by Mailed/Faxed to: Date: Other D. Bergen ro 4 1 �. 1 CJI e qi§ F -or trap— ,., ••• - -- a-- --a-- ••-- --•-- nonce•vn" COUNTY OF SUFFOLK ._..�._... —zz— ,.._ n+1 O ^-•- - - - -- - ,`� Real Properly Tax Service Agency �.-� ""a' �n. ......, ,. _- _ �� --�-- o�w---••-- .we...__. _ _' �� cewxr waw uwmw,nr++sm a tOYTMOLDEtCTCIOpN .v mvvuo- eu, y� m�PRO 66 0 OFFICE LOCATION: LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM I , To: John Bredemeyer, President Town of Southold Board of Trustees JAN 1 3 2015 From: Mark Terry, Principal Planner LWRP Coordinator L - Date: January 13, 2015 Re: Proposed Wetland Permit for HAROLD & PENINAH NEWARK SCTM# 1000-66-1-5 Daniel Fischer on behalf of HAROLD & PENINAH NEWARK requests an Administrative Permit to demolish and remove 12'x24' first floor concrete base of existing two-story covered open porch; reconstruct in-place with wood framed first floor on concrete footings. Located: 575 Hoey Lane, Southold. SCTM# 66-1-5 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 "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); The action is not located within a CEHA. 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 0 John M. Bredemeyer I1I, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: Property Owner Name: Date Sent to Bldg. Dept.: Telephone (631) 765-1892 Fax (631) 765-6641 JAN 6 2015 D BLDG. DEPT, TOWN Of SOUTHOLD The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Wfll the proposed project require a Building Permit? Will the proposed project require a variance determination from VIII�Zoning Board of Appeals? Wiil any part of this application be considered as Demolition as described under Town Code? COMMENTS: z3AI Signature of ftviewer Date 0 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion PermitApplicatio _Wetland Permit Application Administrative Permit _Amendment/Transf r/ tension Received Application: eceived Fee:$ Completed Application S _Incomplete _ _SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) -VAWRP Consistency Assessment Form I 2 5 AC Referral Sent: —T( 1Date of Inspection: _Receipt of CAC Report: _Lead Agency Detennination: Review: 2echnical ublic Hearing Held: Resolution: Name of Applicant #q ro l Mailing Address 54 3 TA j rd Sl')'ee i' • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 JAN - 2 2015 I _Brank y n IV . Y4 Phone Number: ft) Suffolk County Tax Map Number: 1000 - Property Location: V10 e to 6 01 65 I La I et -S } A 0 s e- G n l e f- 5 1012 - (provide LILCO Pole #, distance to cross streets, and location) AGENT: Uck , 1 4 o s C. ✓ (If applicable) Address: a o�e ;7 - IS S 0 L& 1V Y Phone: R 5- a 3 9) 3 23 - 3 s 6g bard of Trustees Applicat4 GENERAL DATA Land Area (in square feet): ap p r°X 3�)-4 2- o O Area Zoning: R % q b Previous use of property: 8 J n Je- , ,S, d �- Intended use of property: S bJ! � PCX k1n , 1 it e, S t cir h c - Covenants and Restrictions on property? Yes ✓ No 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 and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? v/ 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? ✓ No If yes, provide explanation: Project Description (use attachments if necessary): Brief Description of Proposed Action: + rti,o it sip a.bt.t remote- lc1' Pia a &- Lem t-e-tc ju,ati(Pt f Ion -I) of 2- 3 6 —y GdV'c,r'f-d open por^r IRle-C.6 via to S4rn C � irnG�St t'�/JJ w14,k wood Pr*ztmcd P,rSt, 0a on cbvticrerP. �in?ev7aIpt,.r /2 x 2- 1/ Yes Bj#d of Trustees Application• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 1-c rn o ye- -plat l rY► a ' �'' 4. lqd co hr be le, �asc. 2- S Vo ry cOyGrem dor c„lz -P1 o e ✓ W#4-" WDdd Area of wetlands on lot: square feet Percent coverage of lot: p % Closest distance between nearest existing structure and upland edge of wetlands: 46 feet Closest distance between nearest proposed structure and upland edge of wetlands: 4 U feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? O cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: b feet Proposed slope throughout the area of operations: / I P2 '2— Manner Manner in which material will be removed or deposited: /-Ousel RepV?r2✓a,e l f 60"etek ,2ler, k av�al s�hd 4d,✓/ of "Is J�� 4, % l�jnd✓�i��,e!�d�- � �rjzG� 411d�,,� &,eIsk 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I - Project and Sponsor Information— ' {� ►- o l d w of e, i Name of Action or Project: t� p0 w A r G.a ✓s Project Location (describe, and attach a location map): I ha 1 . Ni raroe-Gree k Moe Lake- a s ws e --o iv cf'f- eL prod ahtiBrief BriefDescription of Proposed Action: pQrv%a its 1- -_Hi t re-yho vra- Icloa✓- Como -e -le- &ea c (t -q% 1,"q) of 2, s F».-�/ co,rer1e_4 Open par 1. 'r?ticeha I-rr f -to SeLrAe_ 41rrChStt-O,-7J wi+N wend Pr�tp►jc"t fir"St—ploor ors �evtiCPe_i-e %Po01--w��� >pi vy C h S ♦ O ht /2 >r z.. S! Name of Applicant or Sponsor: Telephone: _ .a _ 3 G -e✓ E -Mail: of 1f',s fah Address: ale 2-1(o City/PO: SO'-, 1--h of 1 State: tU J! Zip Code: )19-f ) 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES F] If Yes, list agency(s) name and permit or approval: ,� So "-t 1, o 1.i 7 o W n �LA.- lit ► ..L4 /✓<Y eA �- r t• 3.a. Total acreage of the site of the proposed action? a pA& fr acres b. Total acreage to be physically disturbed? 500 aor$s.-— c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? a -q' roacres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial [residential (suburban) QForest ❑Agriculture EiKAquatic ❑Other (specify): ❑Parkland Page 1 of 4 5. 'Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A ❑ © ❑ 6_ Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES � ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES ®I ❑ El ❑ ® M 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: ^ f4 NO YES 10. Will the proposed action connect to an existing public/private water supply? , i4- If No, describe method for providing potable water: ✓V NO YES EJ 0 11. Will the proposed action connect to existing wastewater utilities? //' If No, describe method for providing wastewater treatment: NO YES ❑ ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES ❑ ❑ 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: _ NO YES ❑ 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ( TS oreline ©'Forest ❑Agricultural/grasslands El Early mid -successional wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES ❑ 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a_ Will storm water discharges flow to adjacent properties?NO YES VW b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: RTNO QYES NO YES 71 ❑ Page 2 of 4 • • 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: _ _ NO YES ❑ – — impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES © ❑ El 11regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES , -2 1 ❑ A establishment of Critical Environmental Area (CEA)? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor n ': 7/4 /Y/Lr � L • )_ / 5 CH CI� Date: Signature: �L /�l Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning El 11regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the F]❑ establishment of Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ F1affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a. public / private water supplies? ❑ E] b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, ❑ (l architectural or aesthetic resources? LL�_11 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ❑ ❑ waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 0 • Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agency Print or Type Name of Responsible Officer.in Lead Agency Signature of Responsible Officer in Lead Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage EI EIproblems? 11. Will the proposed action create a hazard to environmental resources or human health? F] El Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agency Print or Type Name of Responsible Officer.in Lead Agency Signature of Responsible Officer in Lead Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 • • �dot Town of Southold Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.1: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN 1 ) T rbc e3 c on -99W- 1_ot — CERTIFIED BY A DESIGN PROFESSIONAL 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? to (Include Total Area of all Parcels located within � within ACWII.-• 'i Will this Project Retain All Storm -Water Run -Off Generated by a Two (2") Inch Rainfall on Site? the Scope Work for Proposed Construction) (S.F. I Acres) (This item will include all run-off created by site b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed 3d Q S (� _ Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F.1 Aces) 2 Does the Site Plan and/or Survey Show Ali Proposed Drainage Structures Indicating Size &Location? This Item shall include all Proposed Grade Changes and PROVIDE BRIEF PROJECT DESCRIPTION (Pm�ide mm -w Pages as Needed) I lz Slopes Controlling Surface Water Flow. � p c, r�.�t t s ,� .�= c.s ✓t c n.�� 3 Does the Site Plan and/or Survey describe the erosion 1 a V -01 o ani e?f' 5 43 f y GOyee re -.4 and sediment control practices that will be used to control site erosion and storm water discharges. This n j Ito "eAl C1 1610. 44) -VA t { tcyy 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 \ % M_x R/ `Pr�t,�t !° b w ► d vet o o d t"t Q� Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? T"L► 0.170 Mgrs V 5 Will this Application Require Land Disturbing Activities -too d --t K f Encompassing an Area in Excess of Five Thousand ❑ (5,000 S.F.) Square Feet of Ground Surface? is this Project within the Trustees jurisdiction 6 Is there a Natural Water Course Running through the F] or within One Hundred (100') feet of a Wetiand or — General DEC SWPPP Requirements: Submission Submission of a SWPPP is required for all Construction activities involving so# 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 aces of Rand; which Exceed Fifteen (15) feet of Vertical Rise to ❑ Including Construction activities involving sod disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES pemdt is required for storm water discharges. ( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction activity - Permit No. GP -0-10.001.) Surfaces be Sloped to Direct Storrs -Water Run -Off F 1. The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2. The SWPPP descn'be 9 Will this Project Require the Placement Material, shall the erosion and sediment control practices and where required, post -construction storm water management practices that will be used and/or of Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right -of -Way or Road Shoulder F] ey — compliance with the terns and conditions of this permit In addition, the SWPPP shad identify potential sources of pollution which may reasonably be expected to affect the Area? (This item win NOT irrclude the hsteeation of Driveway Aprons.) quality of storm water discharges. NOTE: If Any Answer to Questions one through Nine is Answered with a Check Mark 3. AN SWPPPs that require the post -construction storm water managementpractice in a Box and the construction site disturbance is between S,000 S.F. 31 Acre in area, component she# be prepared by a qualdied Design Professional Licensed in New York that is knowledgeable in the principles and practices of Storm Water Management. a Storrs Water, Grading, Drainage b Erosion Control Pian is Required by the Tom of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: A Check Mark (.(•) and/or Answer for each Ouestim is Required for a Compiete AppkaWn) STATE OF NEW YORK, s u r re . COUNTY OF........................5............... SS 1'hat I, .l..t�! kj..lrC.�..... L........ka. �. e wo ................... being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the ................. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perforni 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. Sworn to before me this; � n . ........................... .....(fin..... r ...........:.......� day f . • 14. S hZ( �f0 Notary fY Public:..t�tw� .... t� fly_ (Signature of Applicant) 1 3V91 U71 FORM - 06/10u BA of Trustees Application* County of Suffolk State of New York pe -0 01 cf-// 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 DONEIN 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. Signature of Property Owner SWORN TO BEFORE ME THIS 2 n J Notary Public z rkt DAY OFTC1 r\ L 6A-P'�j B�d of Trustees Application AUTHORIZATION } wre the applicant is not the owner residing at - �✓� 'r�`' `s J (print owner of property) (mailing address) '. IV , -do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics_nrohibits conflicts of interest on the part of town officers and employees. The nuroose 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 necessary to avoid same. 1 1 YOUR NAME: Vayy i e -i l.._ ��S cJ'► '/� (Last name, first name, rltiddle 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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building _ Trustee Coastal Erosion Mooring Planning 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 V//J 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/agent/representative) 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 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 Submitted this 41day of _ h J600" 20V !r Signature e _ Print Name — key Form TSI Town of Southold • A. INSTRUCTIONS C LWRP CONSISTENCY ASSESSMENT FORM 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 sigaificant 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 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 SCTM# Lb _ 0,/ JAN Eu PROJECT NAME Ale i rn a M� 1 2 2015 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees LAI- 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: 2 Nature and extent of action: Brief Description of Proposed Action: i 7 reVh0V. 36 ry G d ✓e.r,,C4 0 p'r► pa ►^C �` ��Ge a via 1'►^�G`i `� d S � 1 Orn c c1 + r-r.►c ►�S+ �5,� t W1 ''V °O°C � mrel -'+rs t `Plo o. oh C,e v1, c re.# -c r, s, a r,r .�, Location of action:AZ. ,. � rfr>"- ,� /a ry{ t4o /C/ Site acreage: -Zy ALS Present land use: RFS / V'O n V),t c.. -- Present zoning classification: /? .'1/ o 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: ya Al 1"C/ L s cltt (b) Mailing address: /0,e), 1-7or -� / 6 VOk'-14a*' Y, /19 y/ (c) Telephone number: Area Code ( ) ��/ ,�23 -38L� Z463/` or -'03 Z� (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? 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—P�ryolicies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No F/ 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 III — Policies Pages 8 through 16 for evaluation criteria F] Yes F1 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 Fx] 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 Aecable 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 M Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No � Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye�] No ® Not Applicable Attach additional sheets if necessary WORKING COAST POLICO 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 R 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 M 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 DY 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 ® Not Applicable L PREPARED BY TITLE DATE / 2- i JAN - 2 2( f Unauthorized alwadw or addkien to this survey is a violalm of Secaa+ 7208 of Ow NOW Yak Steta Educa don taw. tumnsytompombserov the t�ind�iatrw -- kind sMr r embossed.sari shMnetbaCWWMmW to be a vold kus OW. Guarmon kOMOd hereon did qIA only to to peMW WON" Of 0"" is prepared. and at hb baM ha #0 alld f" o ienduV ins6t Aon bud Imew am to the assignees of the IV IO 0 kwoulon. Guarantees are not warmforade to addiWonai instltjt:cns or a bODWO t tamers. a bNJ \ i �1 /si FJoo/ t h q � a Q a� 7f p� tag�J 40 0. X00 NEW Y �¢+ 3uri✓Ert'a� �'�"�//•t/.9�!/�%.9.PGiC�' /S/.E/.~�l�C �Zti'���y' I'S/•Lt�►s�4iS/�i tccs+T�cx/ • bf�acv �u ,.�t.� Ccv�ca�y tet/. Y_ yyate'Gb•7�X.�i�/Y�' /G1Ck;1.6G -G✓ • ft .LI6- le .i All V F64 t -,vv-- pep- sem.*_ _ P-1 0 e -P - ti 1V