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HomeMy WebLinkAboutTR-9128A Michael J.Domino,President V��Of SU(/T�Q Town Hall Annex 25 John M.Bredemeyer III,Vice-President �O l0 54375 Route P.O.Box 1179, Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams 'Q Y Fax(631) 765-6641 lyCOUNT BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1545C Date: December 20,2018 THIS CERTIFIES that the construction of a 10'x18' (180 sq. ft.) second-floor open deck onto the front of the dwelling; At 7625 Skunk Lane, Cutchogue Suffolk County Tax Map#1000-104-4-27.2 Conforms to the application for a Trustees Permit heretofore filed in this office dated October 23, 2017 pursuant to which Trustees Administrative Permit#9128A Dated December 13, 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 10'x18' (180 scLft) second-floor open deck onto the front of the dwelling; The certificate is issued to Elsie Tietjen Living Revocable Trust owner of the aforesaid property. m m Authorized Signature Michael J.Domino,President �� pE SO Town Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 P.O. Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski GQ � O Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: VCh. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: �Q� SOUTy Michael J.Domino,President Town Hall Annex�O� 0l0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith • �O� Telephone(631) 765-1892 A. Nicholas Krupski ��yCOUNT l 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 p P P Michael J.Domino,President ��OF soyo Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G • Q Telephone(631) 765-1892 A.Nicholas Krupski 'O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9128A Date of Receipt of Application: October 23, 2017 Applicant: Elsie Tietjen Living Revocable Trust SCTM#: 1000-104-4-27.2 Project Location: 7625 Skunk Lane, Cutchogue Date of Resolution/Issuance: December 13, 2017 Date of Expiration: December 13, 2019 Reviewed by: Board of Trustees Project Description: To construct a 10'x18' (180sq.ft.) second-floor open deck onto the front 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 site plan prepared by Mark K. Schwartz, AIA, dated September 13, 2017, and stamped approved on December 13, 2017. Special Conditions: None. Inspections: Final Inspection If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. e o Michael J. Domino, President Board of Trustees 1W 1 tU SITE DATA: SCTM # 1000-104-04-27.2 DEMTH 00=f20091 ff DESCRIPTION: TOTAL: LOT COVERAGE: EXCAVATE: FILL- PROPERTY- 27386.0 SQ.FT. 0.62 aces - - PROPERTY WETLANDS: 7796.0 SQ.FT. r� ®�gd�5��d ®� egg` BUILDMUE PROPERTY_ 19590.0 SQ.FT. 0.45 aces i"`11,TI RO ® E D 8Y ESTIMATED AREA OF BOARD'OF 1RUSTEES GROUND DISTURBANCE TOWN OF SOUTHOLD DA 2 EXISTING HOUSE: 672.0 SQ.FT. 3.4% DATE "ry �7C Z�JI EXISTING DKK 242-4 SQ..Fr. 12% F _- PROPOSED DKK 180.0 SQ_FT. 0.9% 2 CU.YD, i CU.YD. ¢+ U H ^ TOTAL 1094.4 SQ.FT. 5.5% 2 CU.YD. 1 CU.YD. So i [MEETS&BOUNDS BY. MICHAEL WICKS LAND SURVEYOR SURVEY DATE: AUGUST 20.1997 u ^ VAN TUYL&SON SURVEYORS c a CommucnoN DUMPff6t PORT-A-AV TO REMAIN S 1702515011 E )uRRAn°`"O� FOR N °�o"'NSitwOC'nom PHRAGMITFS 256. ` • rJ - - -- - - - --- -- - - -- --- N 81' �� (-�� 00 Let- cu POND aLCK 7,V ° 4, Lu O z �IsnNa •-•W uT EXISTINGLAWN ; �'1 Q W '%_; _ DRIVEWAY AREA r > 94 Soar ._• r-J� J� �J-� Q LAWN AND PHRAGMREt LAWN AS LOCATED�n017�L kLMACK N 12018rolr ��(-� (��(-� j Q 50.0r At - Y m 4 V1 p36'3o„ m A I EXISTING DRIVEWAY in x HAY BAY w/SIT FENCING I� LAWN NOMORETr)WOR FROM L.` PR°POSm WORRAT 6 0�' N 14 13 3 0 W _ ------ - -- LNaa1ED ON ME PLAN ° 1 rr ' It li ; i 0--( U 110.01 SITE PLAN DRAWN: MR/MS SCALE: I,4•=I'-0• SCALE: 1" = 30'-0' [IQa r ept JOB 41 -- '- J SHEET NUMBER: S-1 REVISIONS: H iti OO/OD/2009 DEPf- 'T ImFlo. 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Board of Trusloes Augug09,2o17 SHEUNUMEER: A-1 REVISIONS: HEALTH W/OW2009 DEPT �a s , nl t ul t ul , III 1 111 , 111 c , I11 t III U m n t I11 HI N �7 ti 1 III m;I � 1 111 6________-�q III EXISTING GARAGE mz ----------- ----------- ----------- ----------- --------- -----------^-------------------------------_ I lu 1 , t---------- t - t V 1 111 t , �-----------� III 1 , � I 1 III t , A Par ' W � ' ' d 1 t nl Q - ------------------------------------i r_r r r 1 --------------------------------------------- ----- ---- a tt 5-1/4X94/2 WOLAMNUZED PARALLAM UPSET BEAM _^ 6X6 ACQ BOXED IN 6X6 BRACING(TYPICAL ) 1 Q ,a ' FOUNDATION PLAN IN I::; N rD SCALE: 1/4" = 1' ;; I = ►; y 1, 2X10 PERMITER �i z RIM BOARD 6X6 ACQ DsBOXED 1N I,I't }.y nPRODECT NORTH ---=, 51/4X9-1/2WOLAMNUZED PARALLAM UPSET BEAM L=--- �` (�-- _=-=_ =_--= �, E �� iI IE f 171 0" f P-/�1I f F OCT 232017 r 181-01f DRAWN.-IvIFi/MS SCALE: 114"=10'1 Southold Town 1013#: A 0oard of T ustem—__--J AIgust09,2017 SHEBTNUMBER: -- -- ---- - –l-i-2- REVISIONS: AMTH _.RFPr 00/00/2009 Y 9 �'i 0 d W m v r v •G r � EXISTING HOUSE "'""'-'"- EXISTING DECK W -- ---- ----------- ---------- ------ ----- ----------- ---------- ---------- ------ ----------- - --- -- ----- ----- --- EPLACE EX.WW DOWS w/NEW DOOR.GC TO VERIFY EX.HEADER w(ARCHMCT PRIOR TO CONSTRUCTION 21 FWG4368S-FWG8068L-FWG4368 S _ - (2)2X4 POST INSTALL 20ga.X 1-I/4"STRAPPING (TYPICAL) OPENING(2 EA.SIDE)T2�LONG O EACH SIDE AND AT POSTS ►r� a FLOOR P � � e PROPOSED DECK o E (C E V E r�} ~' x SCALE: 1/4" = V OCT CT FFT 2 3 2017 e es PROJECT FORTH -Seuthcid Town nRAwx: 1t�iMsnar f Tris ees __�1 SCALE[ IM '.0^ 70B R• August09,2017 H�-O" SHED NUMBER. REVISIONS: HEALTH 00/00/2009 DEPT, v REPLACE EXISTING WINDOWS w/NEW DOOR(SEE PLAN) GC TO VERIFY EX.HEADER w/ EXISTING ARCHITECT PRIOR TO CONSTRUCTION : CONDITIONED SPACE MATCH EX.RAILING NEW DECK TO I ATTACH TO HOUSE(TYP)IL u y 54 CKI a � — Its 2X8 ACQ DJ @16"OC IMAMa z y r— -1/4X9-1/2 WOLMANIZ " - 2X10 RIM BOARD g(NPICAL), KINGPARALIAM Q 6X6 BRACING U EA.SIDE a c¢ Q 6X6 ACO POST Q EXISTING I BOX IN w/ 1X AZEK GARAGE -- ----- - -- -- ---------- � r W o Q _ n' 12-di... p°p EXISTING �` p a CONC, , PIER 2'X2'Xl' p., x0 seo< I I I , �`� I f ( CONT,.FTG.tiIf # , I I W 1 I I I � r ` ► l �� - ,� SECTION A A + 1 SCALE: 1/4 = 1 I - tii , I ,� s.� � tt; � `►� �.� I ; i �, it i I y n iO TYPICei WINDOW OPENING PANEL r PANSPM E�iVLLOR T SMALLER THA wrtx yea II&H11 me¢�e�r�ew�n if i I H :4 TYPICAL DOOR OPENINGR�mO° Z PANEiSPAN GREATER THAN 9FEET � ' � ��� m a-m�asn�wraeim 0 AND EQUAL OR d•eLLca �Y�wm,sne1�ssi[a taewoo�er J� �U. THAN 6FEEF �l� v]Q x>m TYPICAL MULTIPLE OPENINGS PAWS.SPAN GAP OR WORN tt`, i nt V E W AND EQ AN OR SMALLER TM �o< E t �.3 LLQ t7 4i d Fes.( U THAN B FEET � / WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL rA U �j AS PER SEC.1609.1.2,2015 IBC:ALTERNATIVE FOR OPENING PROTECTION OF NO � T USING IMPACT GLAZING) �- 0 CT 2 3 2017 t WimsoR E DEBRIS PwTECDON FASTENING SWEDUIE FOR WOOD STRUCHIRN-PANELS WOOD STRUCTURAL PANELS WITH A MINIMUM THIOWESS OF 7/16" I AND momcM PANEL SPAN OF 8 FEET SHALL BE PEAAIITTm FOR omamG PwrEc TON IN ONE AND TWO-STORY BUIIDINGS PANES SHALL BE PRECUi'-to COVER GLAZED OPENINGS WITH ATTACHMENT HARDWARE PROVIDE.(REEFS TO SECTION 1609.1.4,1609.6.S AND TABLE 1609.1.9 OF N.Y.S.RESIDENTIAL DRAWN: MH/MS COPSnWMON COM THS 6 NOTA SUBSTITUTION FOR DESIGN-PRESSURE ALLOPEd1NG5 MUST HAVE DE SIGN-PRFS,URE UPGRADES WHERE APPLICABLE ALL PANELS MUST QE CLTTTOSIZE AND READYTO USE ON ANY NEW WINDOWS AND DOORS.SHUTTERS MUST BE MARKED FOR WHAT OPENING IT IS TO COVER. SCALE: 1/4'-1'-0" HARDWARE MUST ACCOMPAWStMTERS FOR INSTALLATION. Smalwld To-in JOB If. Boar.o TTr-s! e August 09,2017 SHEETNUMBER: A-4 REVISIONS: HEALTH 00/0=009 D WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION.FOLLOW MANUFACTURES RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY 4'MAX 4'MAX. C DIA AWILMUM 4'DIA MAXIMUM POST GIRDEA/11EADEA �. • POS7/COWMN , CONCRETE — IETE F Y FOOTING DFlR PEftf R!.lANNF(TFIN O ��M ae LOCATION USP NUMBER DCSCRIPD APPliG710N STeu aen4X4 AU140RWF19 /BEAM ANCHOR YTO N USEMIN(2)1/C DIAGALV.BOLTSWTHWASHERS AND NUTS 6X6 POST V660RVVE66 /BEAM--R YTO FACS FOODN 1-VYSPACE V b •�-i MINIMUM 1.11 ^✓m FIANORNLf � '� W CODER c j v " p StiN, e0 POST a. w GIRDER/HEADER I Q U r• ���r+ e BAWSIERf RUWKX KNST POSTKOUJrm 'G • CONCRETE PEA a y ATrarHmrn anA tl6tlG8oLLLS?DIdE� ALL HANDRAILSSHALLBE CONINUOUSTHE FULL LENGTH PDSL'ro4RTR rrsuu OFTHESTAIRL HANDGRIP PDRTIONOF ALL HANDRAILS SHALLNOTBELMTHMI-V4'NORMORETHM r[N jWCXtIONj USP NUMBER DESCRIPTION P TR7N CROSS SECTIONAL DIMENSIDN.OR THESHAPE SHALL USE AN.(2)Vr DIA.GALV.BOLTSWATH WASHERS AND NUC (RIB PAUM OR 44 /BEIM LY TO Q/HELL PROMDEANEQUNAIFNTGRIPPINGSURFACF DI PAIL /B ANIX YTO 1 ..-_FLASHING TUCKED UNDER F OF SID01G AND YY ERRRSTCOMN ORDWHEADER SIDING BELOW 03 A)AGBOLTS W/WASH9LT r"�'� O EDTOBLDG.®3rOC PLASTIC ASE mR STAIR TREAD N PLASTICBASEDIRECTLY ON POSTKOWMN • UNIX BASE ED SOIL(ORf.ANKtREAOVED) 0 RLN BOARD •� IEVFI.BASE FITCONSTRUCTIONTUREAND PWM8 STRNGLRBRACE FI4QOR J(2 FBEASPERMANUFACIUREPL7IURUCTIOM BIQCIGI=lNr FORNGEROMmNuamw uceoLts N NUMBHL N RUMORS/B0. 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SOIL COMPACTION: SI PLOCKI PMTS -16d COMMO eACH TOE PD� IodR.Fd•IlpaNdegrmP+bLegerm meaankM1od6a 'NALL OCT Z 3 2017 R d4 ,03/oHkhr kvdmoend.,RbeykaWM, )_Aminkarndroind.RaidaR Mau bekmnikd bdwmaah haBmnK and kd�r. 11.CONTRACTOR TO PROVIDE�ILTESTTO VERIFY E%ISTING CONDITIONS MINIMUM 30005 ��� .16d comma � FACE ` mRkmoe d3/amdi meaRhdrwouytmndaalauel mbe hmerzd b WO&V tl/r dk,b.R, %wad.m-1 Nm CAPACITY- _ I poMondd+eproNeaodad.kreodepMdatkartSA6 N16•o,e )OHTCN'EDGER PER TOE ]DRAWN: MH/MS hdRwNdn7/BkWlbdtruakeu*kopmVl ar Me TO REAM 3.Bd 10IST NAR - PaNRalhanddepMdNBtamrewF«dkad 3/B ).Ca7oaN WerS aU7L beandMnun 6•elalegrde 2)NEW FILL TO BE CLEAN OF ORGANIC MATERIAL CONTRACTOR TO VERIFY IXITTING SOIL BAND PEA EN SCALE: 1/4"=1'•0" kd.me Wd the h nd ka Man I-V4 bdw b6"Ow lv CONDITIONS PRIOR TO FILL REMOVE AND ADD ADDITIpIJALFlLLAS NEEDED. TO)OOT 3-16a CO )plsT NUL 70B#: FAedpo ,fflM paeNe The ndnknlao wAAkdMe An Alda to be-PPa W-ft h-M-and md—EadM Jam dOB dm be ant..dUTTO, - —., h.dreRlabaeMaeerea,lc8bel•vshdksma OndM0. 3).COMPACTION OF NEW FILL SHALL BE AT LEAST'95%PROCTOR DENSITY ASTM n ORTOPPLATE -16d TE)'^LL t16)�idlcid 1}�o I A 09,2017 Inadmlmrd2d/4 hd.es Edges flan have a mkd— (PER , ndmdpDl me.er. uce dmpbA mn6•eF and erdwrs WMZ-MAumppk padedlve mattng«aqua) AND ASTM 0ISSN).COMPACT THE SOIL AT I£LIFTt"CAL)_CONTRACTOR TO HAVESHEE'CNUMEER• 1 { °f Rw®'ta°"'�ACC. FILL TESTED BY A PROFFESSIONAL AGENCY FOR COMPACTION. ^.. �lj( f ii(i<I1__,.._••?;;�__-� _ _ u Fac� Michael J. Domino, Pre; �QSUF -r0 Town Hall Annex John M.Bredemeyer IIl,Vice-rresident �� Gym, 54375 Route 25 Charles J. SandersN z P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski ?� ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 14A//I Y -4, Completed in field by: � � Michael Kimack on behalf of ELSIE TIETJEN LIVING REVOCABLE TRUST requests an Administrative Permit to construct a 10'x18' (180sq.ft.) second-floor open deck onto the front of the dwelling. Located: 7625 Skunk Lane, Cutchogue. SCTM# 1000-104-4-27.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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: V�y /Vl NJl sL � I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: I/J. Bredemeyer L-"'M. Domino L-,-""G. Goldsmith '---"/N. Krupski 1__/C. Sanders Other Page 1 of 2 r' •; PROPOSED DECK: 180.0 SQ FC. 0 9h ,a�� f ! � TOTAL' 1094.4 SQ.Ff. 5 OCT 2 3 2017 ; MICHAEL WICKS LAND SURVI MEETS&BOUNDS BY: VAN TUYL&SON SURVEY( Southold Tun pard�f Trus ee I I CONSTRUCTION DUMPMR PORT-A-LAV TO REMAIN S 1TO P./�7 O25'50t1 G C DURATIONNO'FCONSTRUCTION ON SITE FOP. 00 CF OSITE NSfRUCTIONN PHRAGMRES i 256. 5� 4 N 71' EEHOUsE ~\/r ROPOSED.6 _i-�, POND O .-J-� CK - 74' 84' ` �J-, EXISTING DELI( \ `� Lij -�wAs(RuIT EXISTING LAVVN z DRIVEWAY AREA 1 SOIL LAWN AND PHRAGMITES AS LOCATED BY MICHAEL KI CK (AWN 08/2017 o1$,0„ W z ¢ 50.or 603 i . NZ m IYI 8,,0//F I I n 0 - EXISTING DRIVEWAY 0 HAY SAY W/SILT FENCING ~ LIMH NO TS MORE CLETHAN TO BE I p i LAWN x NO MORE THAN 20'FROM PROPOSED WORK AS INDKATED ON 517E PVW 01Dj N 14013130" W 110.0' SITE PLAN , SCALE: 1" = 30'-0' • i - sufFoc� 1 -, Michael J. Domino,Pre! t O�Q CSG Town Hall Annex John M.Bredemeyer 111,Vice-president 54375 Route 25 Charles J. Sanders o P.O. Box 1179 � z 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: Completed in Work Session by: Michael Kimack on behalf of ELSIE TIETJEN LIVING REVOCABLE TRUST requests an Administrative Permit to construct a 10'x18' (180sq.ft.) second-floor open deck onto the front of the dwelling. Located: 7625 Skunk Lane, Cutchogue. SCTM# 1000-104-4-27.2 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 (3)Elsie Tietjen Liv.Rev.Trust Taken Oct 23,2017 Looking SSE w x (A)Elsie Tietjen Liv,Rev.Trust Taken Oct 23,2017 Looking South i IRiiiNIV'til. _ i.4 _ v IWIM pil --- taken(1)Elsie Tietjen Liv.Rev.Trust 17 1 Looking k, „. 4 any �• ti e'� ,d.,_ ���� Taken • ,« w Y ssMY g57625 Skunk Ln « tAL -Owl- . y a, a< G a R y` r - ` r . r a r , wh _ 200 ft Ln7LE GEEK GNU 2t LD amou12AA 01 ------ ,1Nc y9 15 I--, 22 113 n4 13 /7 wo ip t, lbBROADWATERS COVE m 14 TOWN OF SOUTHOLD 25 Nt 12 04.) Z7A(c) 2 4 4 HAYWATER COVE 3 :01 Q-P, (21) J-; Vl�11 OFFICE LOCATION: ��®� S®UryO ' MAILING ADDRESS: Town Hall Annex '`® �® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) sss ar Southold, NY 11971 ® �� Telephone: 631 765-1938 ® Fax: 631 765-3136 COUPM LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD . MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: December 6, 2017 Re: LWRP Coastal Consistency Review for ELSIE TIETJEN LIVING REVOCABLE TRUST SCTM# 1000-104-4-27.2 Michael Kimack on behalf of ELSIE TIETJEN LIVING REVOCABLE TRUST requests'an Administrative Permit to construct a 10'x18' (180sq.ft.) second-floor open deck onto the front of the dwelling. Located: 7625 Skunk Lane, Cutchogue. SCTM# 1000-104-4-27.2 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 action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. 1 UNV SAJ13 Nlatn Kosd Michael J Onm;rno. Ulce-PrestdeneP.O Boz 1179 James f. King. Trustee SO( >Id- Ncw York 11971-0959 pa,e Bergen_TrusteeTelephone(6310 765-1.892 Charles J. Sanders.Trustee Fax(631) 765-6641 . BOARD OF TOWN TRUSTEESD TOWN OF SOUTHOL,D D To- Southold-Town Building Department NOV e 1 2017 Re= Verification of Building Department Permit Requirements B •DINGy9 - _ TOWN OF 3®U'I`lldOLD Property Owner Name. - T, E-d Date Sent to Bldg- Dept--- The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department`s permitting requirements stated below- N-0 Will the proposed project require a Building Pen-nit? Will the proposed project require a variance determination from /hEe Zoning Board of Appeals? Will any-part of this application be considered as Demolition as 'described under Town Code? COMMENTS_ Date - nature of Revie er x 3 NS.P � ksC Michael J.Domino,President Town Hall Annex 04 A t , r * r 54375 Route 25 John M. Bredemeyer 111,Vice-President 4 :„;, # s• `t P.O.Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith a Y { Telephone(631) 765-1892 r= ti . _ A.Nicholas Krupski L.. .t , 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 Amendment/Transfer/Extension n s, Received Application: /0�2�'17 �' `� E - DD Received Fee: $ 10000 _ Pn t Completed Application: __I 1° 1 OCT 3 Incomplete: 2017 _SEORA Classification: Type I— Type II_ Unlisted--- Lead Agency Determination: saat7nI Te,Tmxn �Coordination:(date sent): E�oar i of Trus ee LWRP Consistency Assessment Form Sent: —y�—CAC Referral Sent: y Date of Inspection: IZ`S�l Receipt of CAC Report: Technical Review: Public Hearing Held: (Z Ij/ Resolution: Legal Name of Property Owner(s): Mailing Address: �_ �� � 604 , ,5j22MV4_ 5 C Phone Number: Suffolk County Tax Map Number: 1000 - 40 4— 12,74 Z _ Property Location: '76 �j ��U/(/, �l�fi�� C'(J� O E7 U (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): /L'�/, L ,t1_ ,x/1174 94 Mailing Address: P 6. �[Z[ 1�— �QG 1�y �L , _. Phone Number: — , �_-__���i -- i ____ Board of Trustees Appli< ion GENERAL DATA Land Area(in square feet): -2If 5� Area Zoning: R— 4 Q Previous use of property: ' T _ 44'Z& Intended use of property: _ .l'`j� -:'Al�L��. a M1 _1A1 Covenants and Restrictions on property? Yes _JK 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 _X 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 _JX 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 pen-nit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description (use attachments if necessary): ('04/ V CT� /O. O �X s, �p o O 2 p' ®- Board of Trustees Applii ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TCZAjE&H1 C S D Area of wetlands on lot: '7 _(,_Q square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:_�� feet Closest distance between nearest proposed structure and upland edge of wetlands: '7 feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: _ 5 feet Proposed slope throughout the area of operations: ALN'17-- Manner in which material will be removed or deposited: eyho- "-W 1/&27-4-V 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): ___...A0._Q �5C7-011 J'LILJ' C6�(/J'T UCS D� Z tiO Board of Trustees Appl.i< ion AUTHORIZATION (Where the applicant is not the owner) I/We, r_s'1 � x owners of the property identified as SCTM# 1000- /04 DQ- ?7. Z in the town of Ncw York, hereby authorizes z_ to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature C1 Property Owner's Signature SWORN TO BEFORE ME THIS G .DAY OF DCA 4 'V ,20 PATRICK WIEDOWER NOTARY PUBLIC otary Public SOUTH CAROLINA MY COMMISSION EXPIRES 711112023 Board of Trustees Appli,, Aon AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOU THOLD AND THE BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE,PERMIT. Signature of Property O*&-r Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF ' 20 PATRICK WIEDOWER NOTARY PUBLIC Notary Public SOUTH CAROLINA MY COMMISSION EXPIRES 7/11/2023 APPLICANT/A.GENT/REI'RESENTATWE TRANSACTIONAL DISCLOSURE FORM Tie own ttf utholc's C%de of Ethics prohibits coLiflicts of interest on the incl of town itfticers and maloyecS.1111p,nurticisc or this forn is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is ngcessary"to avoid same. YOUR NAME:' 1 k- N / (Last name,first name,ipt die 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 u Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ _. Planning Other (If"Other",name the activity.) Do ybu 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 it business, including a partnership,in'which the town officer or employee has even•a purdal ownership of(or employment by)a corporation in which the town officer or employee owns more than 50/o of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applieant/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 S%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 Or RELATIONSHIP Submitted this day of ID 20- Signaturc Print Name Form TS 1 �� l T/F T iv ____-__ .APPI,ICANT/A.GEN`.I'/I2.I+PRESENIA TIS TRANSACTIONAL DISCLOSURE FORM T u ' o wt c f',outlnnitl's_ OLD 1?fiti�r nrnhibit;c.�1tilcts of intcrest on the tatiri oftown officers ancE en)plSry ti)is tory,is to provide information which can n1crt.the townof I�nssi[�le c r ct�yf'ihtet .s and aliozv it total:a wltatcvcr action is pecessary to avoid sam YOUR NAME: kl'IX4Clk i-f/ CFS , (Last name,first name,ipiddle 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 tht(Algh your company,spouse,sibling,parent,or chil(l)have a relationship with luny officer or employee of the Town of Southold? "Relationship"includes by blood,njarriage,or business Interest."Business interest"means it 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%ofihe shares. YES NO Y 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/igent/representative)and the town officer or employee,Dither check tine 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 treater than 5%of the shares or the corporate stock of the applictmt (when the applicant is a corporation); B)the legal or benclicial 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 22 day of 0 C 20/7 Signature _��-1 v Print Name Form TS I 617.20 Appendix B .Short Environmental Asse.vwnent 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 1 -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Descri tion of Proposed Action: C p/l/,1~y-,�UCy�/Ui1/ ate~ 4 /a, ® ,dam P1,1 oA, �- ,I,IPr�AV& A100S.9 Name of Applicant or Sponsor: 'Telephone, _ / 6�i�7 Al Address: a �CSC _`D- 47 City/PO: State: Zip Code: L Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NU 1'E5 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: N Y1`O eC> rD wN RZP6. A95a07" ❑ .® 3.a.Total acreage of tire site of the proposed action? _ _ acres b.Total acreage to be physically disturbed? 0®OC7 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? - ( ,C2 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agi-iculture) ❑industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I o1'4 5. Is the proposed action, NO YES N/A a. A permitted Use Linder the zoning regulations? E] 0 b.Consistent with the adopted comprehensive plan? G. Is the proposed action consistent with the predominant character of the existing built-o—r-n-att-ir-al— NO VE landscape? ❑ -19 T Is the siteof theproposed action located—in—,o-—rdioes it—ad adjoin,n,­a—statel i—ste-d—Critical F nv'—il o-11 T'11—en ta-I 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? 0 El 1-4 0— c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? N71 le-"*-j ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technolo 9 ❑ DON 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water-, 11. Will.the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:,___.,____ 10-- ;< EJ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO -YES' Places? 9 F] 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? S.,I If Yes,identify the wetland or waterbody and extent of alterations in square fleet 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: ;R Shoreline C1 Forest El Agricultural/grasslands El Early mid-successional I;Zr 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? MF] 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? "NO F-JYFS b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: gNO F-JY I'S Ra gy c 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.r etention pond,waste lagoon,clam)? If Yes,explain-purpose and size: 19 f las the site of the proposed action or an adjoining property been the location of an active or closed NO M 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/sponsor name: //V///PAV , L_ _. /_/V,4 Date: _2/Z _ Signature: — Part 2-Impact Assessment. The Dead Agency is responsible for the completion of Part 2. Answer all of the fallowing questions in Part 2 using the information contained in Part i 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 tt��tt 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 M4 (� reasonably available energy conservation or renewable energy opportunities? _ — t___J 7. Will the proposed action impact existing: j t/j F] a.public/private water supplies? Irl( I� _ _ L 1 _ b.public/private wastewater treatment utilities`? El 8. Will the proposed action impair the character orquality 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)? _ t Page 3 of 4 No,or 'Moderate l 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? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ 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 occurTing, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. F1Check 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 imp ts. Town of Southold-Board of Trustees �Z �// 7 __--------__ -- Name of�..ead A nate President _.. Print or"f pe Name of Responsible C fiver in lead Agency Title of Responsible Officer Signature of'Respons le 0ilicer in bead Ageney Signature of Preparer(if different From Responsible Officer) PRINK Page 4 of 4 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 pranosed action will be evaluated as to its kg ificaizc beneficial quid 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 in nst be explained in detail, listing both sunlaor-ting and .non- supinorting 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#_ 04 4 O4 -� PROJECT NAME — � 22A0"2; . �Z YlAI& &4 VOCA X9-4 ZRV57- 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 L_J 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: � � ata Az/?© � __. Location of action: 26� D-:: (J/]/ise'-'-,ZAI core- 01 Site acreage: �. Present land use: PEPID 6 IV77M Z-- Present zoning classification: Q 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: / % /�►/ ,�i� //O Cmz4g- IvRU57— (b) Mailing address: 1!5t4 A!5 N -7c 2 99691 (c) Telephone number: Area Code( ) (d) Application number,if any: Will the action be directly undertaken,require fiuiding, or approval by a state or federal agency? Yes 11 NoK If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best]Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes [:] No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the .Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes 1:1 No W1 Not Applicable , , ' /_ate/ -&C�,0 e,12 .�.�GYA 0--/ �G/�. ro o� o ��. 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 1-1 No Z Not Applicable ON Viar-0.4Z allAZZY -0 z6A&C e'5—MVRC'69 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LNVRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ NoK Not Applicable 0171 0,.20_`' 1J' �,RrJl/� pL- OoQ z0 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 ge ❑ Yes No ®Not Applicable P1209-25e/- GO/LL ONlO Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Irish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. I-1 �._.J Yes No Not Applicable 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. F] Yes F] No� Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWR ' Section III—Policies; Pages 34 through 38 for evaluation criteria. F] Yes F-1 No I'leR-1 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 LWR-P Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye� No Not Applicable Attach additional sheets if necessary WORDING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent rases in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes F1 No X 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 X Not Applicable Attach additional sheets if necessary pIT Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes F] NoK Not Applicable o ro UN Akc).Pr—g7y w,�, l 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 PREPARED BY_jjj0V 4ZL.,Q.���� TITLE � N� DATE��21