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TR-9080A
Michael J.Domino, President �O��O� SUUTyO1 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams ly`, + Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1504C Date: August 23, 2018 THIS CERTIFIES that the construction of a 209.8 sqft addition with entry landing onto the landward side of the dwelling; At 3775 Wickham Avenue, Mattituck Suffolk County Tax Map 41000-107-9-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 3, 2017 pursuant to which Trustees Administrative Permit#9080A Dated September 20, 2017,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 construction of a 209.8 sq ft addition with enta landing onto the landward side of the dwelling; The certificate is issued to Giordano B2 QTip Family owner of the aforesaid property. wv Authorized Signature �j Michael J. Domino,President tio��QF Soyp� Town Hall Annex o John M. Bredemeyer III,Vice-President 54375 Route 25P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski Y� Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 #7 coum BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ,2��1 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction 'h constructed Project complete, compliance inspection. INSPECTED BY: C�• GoI�SM �� COMMENTS: t s1t 1n 6'CC0'vJ\0- ae'. v✓y �, �fM�� 6 K 0c G oQ G CERTIFICATE OF COMPLIANCE: Michael J. Domino, President �*oE SOUry� Town Hall Annex John M. Bredemeyer III,Vice-President �- l� 54375 Route 25 isp P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® �� Telephone(631) 765-1892 A. Nicholas Krupski �lif 00UN.n 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/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection Michael J.Domino, President �`y0f SOU x Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 11 Charles J. Sanders JW Southold,New York 11971 Glenn Goldsmith G Q p Telephone(631) 765-1892 A.Nicholas KrupskiD Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9080A Date of Receipt of Application: August 3, 2017 Applicant: Giordano B2 QTip Family Trust SCTM#: 1000-107-9-6 Project Location: 3775 Wickham Avenue, Mattituck Date of Resolution/Issuance: September 20, 2017 Date of Expiration: September 20, 2019 Reviewed by: Board of Trustees Project Description: To construct a 209.8sq.ft. addition with entry landing onto the landward side of the dwelling. 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 revised site plan prepared by Mark Schwartz, received on October 25, 2017, and stamped approved on October 26, 2017. Special Conditions: The installation of gutters to leaders to drywells onto the dwelling. 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. _�*�J Lau-M-2.0 Michael J. Domino, President Board of Trustees N/O/F FRANCIS KELLY r]D E AUG - 3 2017 N/O/F Southold Town FRANCIS KELLY Boardo TrusteesAw P: . mi ,!a`i•! •�•••. .r,! y,a;'ItF"'St�'i,i;�i,t�'i,��t�,•.=� f r�A•.°Ar � •dr N•."Ar.Ar. Ax. Pr Rcw.'A•.�0�.Py 10 ___— - i Fd'a.Q "t%:bn s•x a, .a°.Ax.Q•s•Aa.'b%. J aP aw e° a.q• . a a� ab x P`.• a.': 1 STORY HOUSE E ,' Qd ?% sAa. A� ..Fa�•^. °«a°•« A N '��' 'eC •?a.Qx.aQz $%. d's.Qr.."s•z. 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N ,,_ . _ • .� �_ pry., -. u: a+;" 0 ` � .at� � ;�Tiac�ky�a. dc' 'aro=,`° •,. .,- ,. ;nsn,�+:..,,,.�;;� .�" �,"-.� x,.e �'-, `4""'.:'3,. _,,.,�h��,r.; e .';5;X:2,w�'Sr'��$acs -._:.:''.,'��` . ..:.:°r..,��w., � •k tom' _,.gc" _ s .<'< �-1.'��;�� �� ~ V a>,•r�s?�.n,,v.'�. ;".�,.,w,__ - - qe..�,,+.-FI^4.-. tyttr.•��L=,,a`.� si*`t Mt�r�,' �, ,ys. _. Y ``_ �»C::�Y�,]:Fv*-�'�Y=kc"C_•..Y�;'. .-_..._>: ... _,.,.,.. .x:31�..SA, SURVEY OF PROPERTY Y x-0 OCT 2 5 2017 a SITUATE ti Srn>yMATTITUCK � 1.z sou',hnldn O TOWN OF SOUTHOLD ar 011 1S�Pn X=W L! °�• 6' SUFFOLK COUNTY, NEW YORK � ` <, APPROVED BY S.C. TAX No. 1000-107-09-06 Y !^ SCALE 1 "=20' BOARD OFTRUSTEES SEPTEMBER 8, 2016 C, \ x" \\ SyF "\ . OWN OF SOUTHOLD X=U Q5 MAY 1, 2017 ADD TOPOGRAPHICAL SURVEY (a AREA 13,649 sq , ft.�AjE � I0.31,3 CIC. 001-7x t�X(ST- nv� o\ CEO v/j2ES' 18 3• z c F. ° \ �(Z c1 l�,E f- 6 —xm x� - Sao V` x� c°` \ I. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM ,9' / xAj \ ! EXISTING ELEVATIONS ARE SHOWN THUS:XMX 30,, ��' EXISTING CONTOUR LINES ARE SHOWN THUS: — — —XX— FL p FIMR F. - iIRST FLOOR — �� 4- *2 209• SFx .167 35 i w 2. FLOOD ZONE INFORMATION TAKEN FROM: �'s�.� F FLOOD INSURANCE (•,, 2 t �� x t It `� ZONE RATE MAP No. 3610300143 H ° —• y` / � — ( 2—�p (��� p� w LL AE: BASE FLOOD ELEVATIONS DETERMINED \ C W1 �fi�nS Y ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. / -- —1 O X .�o tao OA. ✓ \ \ �9 G' �p�� �p,, .°' �x9► �'►Z°P. Sjier \'( 11.3 -� \ 0111z*qr ' 4;1 1 N?-- �1L9 A� o ti d xiaz I \ JIM o , @ max XIZD \ / 4L .a d' XIM ,., x-U2 h° -41 4. 4y • •19AP do / F �J� >, +y' P . / ILI PREPARED IN ACCORDANCE WITH THE MINIMUM ' K ��v Y STANDARDS FOR TfRE SURVEY$ AS ESTABLISHED , 0� dr BY THE LI A LS. ANO APPROVED AND ADOPTED / A� FOR SUCH USE BY THE NEW YORK STATE LAND n ~k fid' 4� / ► TITLE ASSOCIATION. ,5 N.Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Nathan Taft EDUCATION LAW. Corwin 111 THECOPILANDFSU IRVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Land Surveyor D TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY M,AY 1 0 2017 — PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL LENDING INSTITUTION LISTED HEREON, AND ANDCY D Successor To: Joseph A. IngeJ. gno L.S.TO THE L.S. TLMON. CERTIFICATIONS ACRE NOT TTRANSFFEER_ABLE Title Surve BUILDING DEPT, ys — Subdivisions — Site Plans — Construction Layout TOWN OFSOUMOLD PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT AND/OR EASEMENTS OF RECORD, IF MAILING ADDRESS1586 Main Road ANY, NOT SHOWN ARE NOT GUARANTEED. James158 Jame New York 11947 P.O. Box 16 sport, New York 11947 REVISIONS N/O/ F KATHLEEN MILNE N/O/F FRANCIS KELLY z / O4 00 w o > N/O/F FRANCIS KELLY °d°° aD?e aJ°a• / / ti S 53060" E 260.65' °° °d:° ���A° N a Ln m m v aa. Ja. o-°1`n. no-a. Dn^r° . da . Ae „oa . `°A%° � f►] m H � _ 22.T Ac - 929.9' " •� 00 s" SHED a°gin+°De•°dn.eta ^O� 4 •�°'+ - (f� .,-I`a� t-1 o 'ae °°° GAa•.�a °dca •127. V O o Y CONC. WATER v °A° �' �•�4 W n RAMP 1 STORY HOUSE ri .� °i °r; °A1n °me U LONG O a .,• PORTA AV TO REMAIN GRAVEL DRI METER d n en ON SITE FOR DURATION W W CONC. CONG r/ • / d n.w a OF CONSTRUCTION °° a SAY° e T°°' COVER COVER% PAVER C REEK r 'TO REMAIN c V �// / �' a TO REMAINON RITE EOR- -u, °d'n•°°<e•°D'a•. v DECK % / wraAnONOFCONmwcnwi r-- z i _ ° UTLI PO ° O t RES LE O a°. LIL 32A wCONC.WALK B'dia X 4'deep F D a. ° ^ — ( I o \ .°ra.° .� DRYWELL .. 264.87' SOIL CONCRETE N 53019`30" W A° . .-.- ---- Z LOCATION WASHOUT °° ° 1F IKr E--I "II N/O F w SING WU]MAN 0 HAY BAY w/SILT FENCING aI 426'+i-TO LIMITS OF CLEARING TO BE j CONKLIN AVE NO MORE THAN 20'FROM 0 PROPOSED WORK AS INDICATED ON SITE PLAN 7 h•Y �1 ~ 7 r'-`� SITE PLAN E , F o SCALE: 1 = 20'-0' Q j 21�I; P179E'a Of illl�i"^S STORM WATER MANAGEMENT DETAILS ROOF AREA:304 SO.FT. N.T.S. AT 100%WATER RUNOFF:51 CU.FT. SITE ATA: SCTM # 1000-107-09-06 W� PROVIDE(1)8'DIA.X2'DEEP DRYWELL DESCRIPTION: EXISTING: ADDITIONS- TOTAL: LOT COVERAGE: EXCAVATE: FILL: DRYWELL CAPACITY:84.5 CU.FT. PROPERTY: 13,030 SQ.FT. 0.299 ACRES O w �j NOTES: OGEE GUTTER-STANDARD 5" ESTIMATED AREA OF 1800 SQ,FT. j Z GROUND DISTURBANCE: 1).EXECUTION: Y A).DO NOT BEGIN INSTALLATION UNTIL SUBSTRATES HAVE BEEN PROPERLY PREPARED. 2).PREPARATION: A).CLEAN SURFACE THOROUGHLY PRIOR TO INSTALLATION. HOUSEI/ 1056.9 SQ.FT. 209.8 SQ.FT. 1266.7 SQ.FT. 9.7% 40 CU.YD. 10 CU.YD, �/ Y B). PREPARE SURFACES USING METHODS RECOMMENDED BY THE MANUFACTURE FOR ACHIEVING THE BEST RESULTS FOR THE SUBSTRATE UNDER THE PROJECT CONDITIONS. Fr�y�1, UQ C). PAINT CONCEALED METAL SURFACES AND SURFACES IN CONTACT WITH DISSIMILAR DECK: 453.0 SQ.FT. - 453.0 SQ.FT. 3.5% METALS WITH PROTECTIVE BACKING PAINT. Lo 3.INSTALLATION: SHED: 109.9 SQ.FT. 109.9 SQ.FT. 0.8% A).PERFORM WORK IN ACCORDANCE WITH CDA HANDBOOK AND THE DRAWINGS. 1).GUTTER TO BE PITCHED TOWARDS LEADER 1"TO 2"FOR EVERY 40'OF RUN, j"- 5 (+7 2).SHEET METAL JOIN LENGTHS WITH WATERTIGHT JOINTS. a).COPPER I LEAD:FLASH AND SOLDER GUTTERS TO DOWNSPOUTS ANDVC, B).ALUMINUM:RIVET AND CAULK WITH A BUTYL SEALANT SLIP JOINT �y/ P F l A� CONNECTORS. r� PROPOSED DRi--ELLS: 1 1 8 CU.YD. 3 CU.YD. �s4 \ 3).CONNECT DOWNSPOUTS TO STORM SEWER SYSTEM AS INDICATED.SEAL . R� C,j CONNECTION WATERTIGHT. DRY WELLS TO BE 10' MIN. 4).PROTECTION: DRAWN: MH/MS A).PROTECT INSTALLED PRODUCTS UNTIL COMPLETION OF PROJECT. k SCALE: I/4"=1'-O" AWAY FROM HOUSE TOTAL: 1829.6 SQ.FT. 14% 48 CU.YD. 13 CU.YD. {!t! �4ee ? B).TOUCH-UP,REPAIR OR REPLACE DAMAGED PRODUCTS BEFORE SUBSTANTIAL 1w wL JOB#: COMPLETION. 1 . °. O c O �� y ' t ^ ,` March 21,2017 Y- & p ° 0 0 ° MEE�fS&BOUNDS BY: NATHAN TAFT CORWIN III LAND SURVEYOR SURVEY DATE: SEPTEMBER 8,2016 d,- '�'�„ (g�,�23 '7 3 .$O�i' SHEET NUMBER: Michael J. Domino, President }Jh' Town Hall Annex rto��SUFFQ(�Lo� .i. John M. Bredemeyer, III, Vice-President 1 ti,-, 54375 Route 25 Charles J. Sanders &.,: .y P.O. Box 1179 Glenn Goldsmith C4 NY 11971 A. Nicholas Krupski a y ® oTelephone (631) 765-1892 Fax (631) 765-6641 SOAK OF'TOWN 'TRUS'T'EES TOWN OF SOU'THOLD ry� qw. TO: 600,049 Fkffiltq _rkVGF 0/0 Please be advised that your application dated AU6,0sT has been reviewed by this Board at the regular meeting of W 41 uI-7 and your application has been approved pending the completion of the following items checked off below. V Revised Plans for proposed project - -*0W1A(6-CVs tuk06 PPy�uI 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.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 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 alcove. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ k — BY: Michael J. Domino, President Board of Trustees Michael J. Domino, Presic R,,,.,, o�QSUfFOt;41 lea G J Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ?� p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 7/17 4°VO Completed in field by: ICJS�, A Michael Kimack on behalf of GIORDANO B2 QTIP FAMILY TRUST requests and Administrative Permit to construct a 209.8sq.ft. addition with entry landing onto the landward side of the dwelling. Located: 3775 Wickham Avenue, Mattituck. SCTM# 1000-107-9-6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ,/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission ✓Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: .S�fig►ahs" X "„/ag Gtdd, �`of� �I Oa landwaa'j �`°�� o Present were: , J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Presi o�QS11FFOLCOG Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders y z P.O.Box-1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupskiy p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of GIORDANO 132 QTIP FAMILY TRUST requests and Administrative Permit to construct a 209.8sq.ft. addition with entry landing onto the landward side of the dwelling. Located: 3775 Wickham Avenue, Mattituck. SCTM# 1000-107-9-6 Ch. 275=12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely, affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 NEW YORK STATE DEPARTMENT-OE ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY 0 Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec.ny.gov NO PERMIT NECESSARY E C E Barbara Marcus, Trustee July 17, 2017 Giordano B2 QTIP Family Trust AUG _ 3 2017 42 Heron Street Long Beach, NY 11561 outhold Town Re: Application #1-4738-04545/00001 Giordano B2 QTIP Family Trust Property, Wickham Ave, Mattituck -SCT M#-9:000 - Dear Ms. Marcus: The Department of Environmental Conservation (DEC) has completed a review of your proposal to construct an addition to an existing single family dwelling as shown on the site plan prepared by Mark K. Schwartz, dated 3/21/17. The proposed addition will be constructed more than 75 feet from the tidal wetland boundary. Based on the above information, DEC has determined that the project is listed in the Tidal Wetlands Land Use Regulations (6NYCRR Part 661.5) as a Use not requiring a permit. Therefore, no permit is required under the Tidal Wetlands Act (Article 25) of the Environmental Conservation Law. Be advised, any additional work or modification to the project as described, may require DEC authorization. Please contact this office if such activities are contemplated. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Since a permit is not required we are returning your check# 1030 (enclosed). Sincerely, - - -- -- ------ - - Vgr nsPermit Administrator cc: M. Kimack MHP File Ewrosic Department of ocvom°;,a,r, Environmental Conservation I roof 5'`•�i w:rp� d' �� � . . -93 !►_yam. � � ...�O.S- 21 4 r � - _ \ Ilk. 41 1 IF "A t-. +-r:`.. _ •IVa �.a "'�. 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OFFICE LOCATION: ®��®F S® y®� MAILING ADDRESS: Town Hall Annex ® P.O. Sox 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® �� Telephone: 631 765-1938 01 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: September 14, 2017 Re: LWRP Coastal Consistency Review for GIORDANO B2 QTIP FAMILY TRUST SCTM# 1000-107-9-6 Michael Kimack on behalf of GIORDANO B2 QTIP FAMILY TRUST requests and Administrative Permit to construct a 209.8sq.ft. addition with entry landing onto the landward side of the dwelling. Located: 3775 Wickham Avenue, Mattituck. SCTM# 1000-107-9-6 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 items "II" 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); Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. O 54375 NlaLn Koad Michael J Domino. Vice-President '� -� � � P O Boz t 179 James r King.Trustee So. ld,New York l L97 L-0959 Dave Bergen.Trusteev�Telephone (631) 765-L892 Charles J- Sandcrs,TrusteeFar(631) 765-6641 BOARD OF TOWN TRUSTEES OPD TOWN OF SOUTHOLD To_ Southold-Town Buildin g Department AUG � , 2017 Re: Verification of Building Department Permit Requirements BLTILDING DEPT, D Z✓ l TO%W OF SoiiWLD SCTM#: t� Property Owner Name: Date Sent to Bldg- Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verificafion of the Building Departrnent7s permitting requirements stated below: YES NO ill the proposed project require a Building Pen-nit? Will the proposed project require a variance determination from e Zoning Board of Appeals? - Will any part of this application be considered as Demolition as 'described under Town Code? COMMENTS: Si nature of Reviewer Date l SOF S0 % Michael J. Domino,Presideht' � y®lO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders co Southold,New York 11971 Glenn Goldsmith �� Telephone(631) 765-1892 A.Nicholas Krupski ®�yCOUNII Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Am endment/Transfer/Extension flD Received Application: =G3Received Fee: $ 100,®® Completed Application: S� 1.17 ouold Town Incomplete: v/ T SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: Coordination:(date sent): q-9117 LWRP Consistency Assessment Form Sent: CAC Referral Sent: jZ Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Legal Name of Property Owner(s): ��r1 �.�/�/� $� ce Y%Z,_�/���y r'O l '� Mailing Address: Phone Number: d 2 Suffolk County Tax Map Number: 1000 - A07 — Property ® 7 Property Location: 77_.:: " CA:�qA (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): ��'&A=L Mailing Address: ©. je ax 1® 77 . �1 MY zz�zz Phone Number: ���� p �— 6 40 7 boara or trustees Appiication GENERAL DATA Land Area(in square feet): 9 Area Zoning: (� Previous use of property: � S' �Z-1 Intended use of property:! Covenants and Restrictions on property? Yes _X 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.? _Yes No Does the structure(s) on property have a valid Certificate of Occupancy?_X—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 Yes If yes,provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: r0 AN C R44--P25 Ll V"ZA Area of wetlands on lot: -® square feet Percent coverage of lot: —0 — % Closest distance between nearest existing structure and upland edge of wetlands: 6�� feet Closest distance between nearest proposed structure and upland edge of wetlands: 56' feet Does the project involve excavation or filling? No ZN Yes If yes,how much material will be excavated? ® cubic yards How much material will be filled? /10 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 1 CDc 41YO a7R22 CYC 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 CompletinI4 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 l 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 Name of Action or Project: O� 92 &V 72pusf- Proj-ect Location(describe,and attach a location map): 3 AI-f X V . Brief Description of Proposed Action: c G,41.J-rNRUcr x go 9 s 14,r'®1T1Dlv Name of Applicant or Sponsor: / Telephong7 e: ^^"P' E (� j ZON Address: 40 City/PO: State: Zip Code: - o 05V a� 711 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 If Yes,list agency(s)name and permit or approval: -- D���� ❑ 7-,'&IN R611WIAIC//� 3.a.Total acreage of the site of the proposed action? acres O b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Nesidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ Z ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 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? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe desi n features and technologies: r��snycT y��� rXD Y �a,�� ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ DK 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: MIX ICS( ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? RJ ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES 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: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑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 NO YES by the State or Federal government as threatened or endangered? rvn ❑ 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? NO YES If Yes, ❑ _ a.Will storm water discharges flow to adjacent properties? VNO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ If Yes,briefly describe: NO , YES F Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: C /� 49 GDate:Z_'�1ZQZ7 Signature: 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?" 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 ❑ regulations? 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 ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect 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 LJ available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: Ela.public/private water supplies? b.public/private wastewater treatment utilities? 0. 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 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 _1 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 problems? A, 1:1 1 l. Will the proposed action create a hazard to environmental resources or human health? 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 yripacy. Town of Southold-Board of Trustees Name of Lead Agency Date 3 ®r4l?Lb President Pri11 or Type N e of es onsi e Officer in Lead Agency Title of Responsible Officer Signature of Respotlible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 90=d of Tru staeg AFFIDAVIT 0MV SWORN EL T n"T 5 TUE A#PL'CAVIF FOR THE ABOVC DEWMED P M- 11ITM AND THAT ALL VrtT*--NjEN-TS CON-r4tN.eo HERE11 IARE'r"''""'EST*1 i"1 "ER NNOWLEIDGE A.No JIF-LjEF LL IoRK VVILL BE DONS jq T,,E P AND THAT _AT "'HE AMJC-ANT AGREES To 1101,0 THE TON,%, TOMNSOARD0,FTRUSTEES. AND CLAM-r"STEES HAR."LESS AINIV MEE X OF- AND THE BOARDOF 1SARjSLNGV,NVER0RgV FROM ANY AND ALL DAM,-,GgS VMIVE OF SAM-PV:Rjtnyj-,.q-j_ IN C0&1p1X*1 fNNG T110;APPUCAMON11,I REMY AUTHOR M- -,TUE 'rRU-STESS-THEM AGVNTt*OR REPRESENTAMES,WCUMING THE CONSER VATION AM MORY COU.,-VcIL,To gNTM a-,-yo,, .IV pp .()Pr ,RTV To 1�NSPF-CfTIM PREMISES IN Wffff TIILS Appj.,C.kTION MOING A FINAL INSM--noN. I f-tJfrf*fERAVMORjZV, BOA OF IN('- THE RID 'TEROt* N1VpR0PR1f"AN-DAS8W-jREf)T0j TRUS-TE"To E-N CANIPLI"CE%Vff"-A-"COINDUMN OF ANY WEnA.-,40-0 _NSLIM "ER' -R COASTA-L 'DSION OF THE PFAMiTT. TERNM Siert &IM 4� l; �114en 0.5; .11 p zJ5 v z Of WORN TO RE: IE Mc.THIS'. DAY OF Maxe.0 MICHAEL A.KIMACK NOTARY PUBLIC,STATE OF NEW YORK Registration No.02K15056823 Qualified in Nassau County Commission Expires March 11,2018 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, 6>0.Ra444g A62 42IP owners of the property identified as SCTM# 1000- Z O O 6 in the town of New York,hereby authorizes 1-14 C' /��/til� C'Ll to act as my agent and handle all necessary work involved with the application process for permits)-from the Southold Town Board of Trustees for this property. Property Owner's §iChfature Property Owner's Signature SWORN TO BEFORE ME THIS_C ltp DAY OF 20/7 M � /Z Notary Public MICHAEL k KIMACK NOTARY PUBLIC,STATE OF NEW YORK Registration No.02KI5056823 Qualified in Nassau County Commission Expires March 11,2019 I is ARPLICANTIACENTIREPRESENTATI� TRANSACTIONAL DISCLOSURE.FO Th Town of Southold's Code of Ethics prohibits conflicts of interest on the wart of town aff icers and employees.T'he P111-pose of this form into provide information which can alert the town of no;sible conflicts of interest and allow it to take wvhatever action is neeessary,to avoid same. YOUR NAME: _ r (Last name,first name,.qf1ddle 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.) NtAME OF APPLICATION: (Check all that apply:) Tax grievance Building Variance Trus:ec Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Plan=ing Other (If-Other",name the activity.) Do you personally(or throughyour company,spouse,sibling,pwent,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, mcluding a partnership, n which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer w employee owns more than 5%of the shares. YDS NO if you anstveied"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 ipplictutt/ageiititepresentative't and the town officer or employee.Either check the appropriate line A)Brough D)and/or describe in the space provided. The town officer or employee or his or her spouse,sib ing,patent,or child is(check all that apply)- _ A)the owner of greater than 5%of the shares of the corp.>rate Mock of the applicant (when the applicant is a corporation); $)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is nit a corporation); C)an officer,director,partner,or employee of the applicant;of D)the actual applicant. DESCRIPTION]OF RELATIONSHIP Submitted tE i d y o Signature 61�- Print Nam Foran TS l APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts or interest on the pan of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. �ry YOUR NAME: �/� _ A CZ /�1 C&!'�'=/ ,e (Last name,first name_riddle 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 from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X11 Ifyou 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 thisOrday of (/e _ 209/ Signature 0 Form TS 1 = Print Name Q f Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of 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# - - PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: A 2 .4,VDJT Location of action: _ J� 7Zd37 W1 M21AJ-;O' Site acreage: Present land use: T/A�® Present zoning classification: p5A ,e� �j L� 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: 6168-DA" 67 2 Q M )5--41--116 rA4-'1J-S�'�� (b) Mailing address: .4,7 &ee t)/(/ 04�7� qq I Al- (c) Telephone number: Area Code( ) 60Z— �6 ?0' IF (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ Nom 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 W Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ YesX No ❑ Not Applicable QV' A"2 LG 1145,g- w .T 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 A plicable O�r Q !LL Ogg 4 . 0V! ! 8 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 XNot 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 A;c;a,',icable 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 ❑ NoM 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 YSJ 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 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLICI ',C 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 ❑ N' ok 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 DK 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. 1:1 Yes Yes ❑ No Ill Not Applicable cU L zoas, oAv d 4 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 g Not Applicable PREPARED BYE f/q- i�, � `C//yid C1L TITLEC9DATE