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HomeMy WebLinkAboutAprea, Thomas John Bredemeyer, President �g11FF01,tc Town Hall Annex Michael J Domino, Vice-President h°° °oy 54375 Route 25 James F King P.O. Box 1179 Charles J Sanders • Southold, NY 11971 Dave Bergen y�Of ,p �aTelephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: THOMAS J. APREA requests an Administrative Permit to install two (2) free-standing, open sided carports with one 20'x21' carport to be located in front of the garage, and second 21'x40' carport to be located on the parking patio. Located: 500 Beach Court, ` East Marion. SCTM# 37-7-9.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other t Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation I Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: j Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by i i Mailed/Faxed to: i Date: 1 V) Lp 01 11 5.00' S 36'32'30" W EAC E � OL S 14'34'30" I D puT TO vIAt1 .54 Fig WITH u.Em N 44'02 E " TOPIng ,� 147.00' N 36'57'30" W rN 36' '30" E RAW 31 .69 ANW40A ASPHALT W&, IYAY WOOD DECK *4t4 v �1 CONC. PATIO t/T- 9 4S 37,, �Kk►iJ� . 3�2 Z PPCW Ftp 1-1/2 S10RY FRAME HOUSE & GARAGE wDECKwOOO DEMr dN ti PL4ISTIC OEac - APR 1 5 2015 } f ,. II 1/ _ AW RIM Lit � I y W Y F - .- -�,,,;..�- "fir=--... ,a__--•" >-.. ^--- `tib..-`�y` �<: 7r ., ate,_. �• �',. • .� APA 1 5 2015 - RnarA rf 7+,�...r� ��tiDSQ�, * C v4kcr, TU x� ow r w gin .. SLOP-, e "40; A 4f ORX� If COUNTY OF SUFFOLK K E -Z-— Real Property Tax Service Agency Y A Q n Town Hall Annex 54375 Main Road C � P.O. Box 1179 .� Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 ��.__1----- V\v� ble-- :`..1; L- D OF TOWN TRUSTEES y TOWN OF SOUTHOLD I APR 1 6 2015 �} l� Sl - epartment G YS ani w� ,S � tiDUI �_uG i ovm,or Sour Toro of uuii ding bepartment Permit Requirements — SCTM#: Property Owner Name: Date Sent to Bldg. Dept.: / r 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 Will the proposed project require a Building Permit? Will the proposed project require a Gariance determination from. e Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature kfWeviewer Date 13 AVAILABLE COLORS I - Nationwide Sales 1 EagleCarports QuakerBlack Barn Red ; { "Flying high with great deals w Pebble Beige Sandstone Rawhide J i'' {. r" k t d x •,V / --tea, ."•ir�w BrownClay Earth E2 rz a sc P r i✓t Vintage Burgundy Slate Blue Evergreen 20 YEAR LIMITED �t ° WARRANTY e ROOFING MATERIAL. Eagle Carports,,Inc.'has various manufacturing �' White g *Colors bghrly in color and gloss facilities'throu hout' the US,which enables us to ., metapanels.; Ld{str{bute nationwide. We e e ck - _ I le Ca offer b 3 i � t X11, At Eagle, sports, Inc., o r th Be typo ti. Coating System with a variety of bright, colorful, ' `' '.;,3.... -.`— finishedpanels. All our panels are rolled and T . • �4 Ya qq t 1.. formed in our distribution centers so that we keep cost down and pass the savings on to our _ I customers. Our Panels are rolled, Rib-formed, E Locked Seam panels in 29 gauge steel. ;rev � Begcof pol is a complete coating system, consist corrosion-resistance rimer an exce LOCAL DEALER INFO 49 backer thational,extet or.durable topcoat and'funct{onal - - -- - - - - = — ---- P. ance betwetogether, provides an optimum bal- - - en properties and performance. - �•',,,�t , �: % ' CALL US TOLL FREE 800-579-8589 Y � 1 vvvvvv.eaglecarports xom � t { f EagleCarports 4 .-".. lin=--���s � �����a�_ o P. . , Ea le Car .or#s Inc swas,foundediin;19,97 • 'I .;arid is'-a,privately held NorthECarolina Corpora_�" =- — �'� '�-�.� "T�'ti - �: „ , 91 I . I� I 191 = � 4,� 1 r �; _� fel tion The-,company was created to provi'de the M -� rgest selection of.quality steel carpprts, ga � 0"5 - - f ��� - — .:� =rages,horse,barns, and storage buildings1Uand 1�a y-_ v_. ul lilt r ,;I Jjl. .I - Classic Barn Horse Barn Boxed E�.ave RV Corer Reg. Stele RV Cov 1t 4..- _ ' a' ;,,rhas,grown into one of the largest)manufacturers h j1 Air 9� -�7 ! \4 of<metal-buildings in the UnitedI;States., ➢I ll ,. ��,. � ' �w �i .1 I �-n- . _ G%� ,..�a51•.. .1. •>=,`r y�t?..)„ -'�µ.• +•�- �Here yat Eagle we put ouriknowledge�to.wonk�p 'T _ '•U�,i` ��� 1 F. y u�by'manufacturing most materials used m ourh ra` -� �, y - � _ �_,...- products ourselves We sa.ve,cost,;by creating — _- - - ��y , .• _ tr I _ , -- 3�our�own=tubing}vand,_roii-farming our own panels � :� .� �_�..f ter. � �°. � �^�'��R-_^� ���ey - •` '�� '-" h^� "`"""" We also work_`l and tosgive our,customers more Rc«:Sn lc Ga�.i<,e. ( ustom>rLd.Urllln=l3 ldin, „t- _ 3o�c ci I"a e triple Wide. ave Side L ntr R. F Boy E a choices at,prices"that fit within-most �a �, - � , ,budget. We have alar e,varlet of-col' l, g . Y' ors 9� H TM f„ ava9ldble, 13 in total'. { Lam/ y e a� . _ , , .Our wide selection of. ru ed all-steel structuresI � . ' are the; erfect solution fors overin ; our. car -. p C 3 g Y recreatiional vehicle,,boat, farm equipment,or 7 I r 1 Rc ulai.Strlc.Carport B.F. C,ar:>�c Side}.nn� Boxed 1_.ave Garage Carport with Storage anything else which needs"protection from the , y I;, _ _ n , � harsh outdoor elements. Our products enable you mak � ��;. � �I �,�., � -•• �� . r. l• �, , ,to conveniently andeconomically=storeand pro- r 4 Y -,. - _ =� - : _ � " Three ROOF TV1�eS AVallab�w tect your investment, whether.under one:of our n u, !Y. 1 v - -o — - Lhstanda`rdlcar ort or �t y �I ( xf T �_�� r full p -- rns9de°of one;of ouyou cov I l�� I � enclosed-garages Eagle Carports has 5 rrll- ' `r ilk fir., b d a , _may' { �•yJ _�. _.-.. meq,,, K" _ � _ ,,_ "�"� r .'>.�.�-n �c..`�.r`"�`..=•o..i EThe:str,engthl�of3stee1:9 i:our..build9ng:;system also i � w - o- makes~a=durable solution°built to last. We have engineer drawings ava labfe which enable us o ter: - / _ _ �= r your r tate codes„We can certify `'- j Al *13o�ed Favegular lVerncal R0 f meet local and - y ,,,our units for:uppjbt .J 50 jmph winds`, and 65 psf of 0 lb our i ono matted where ou live we can r s spnow Jo yd:Snvestment-against year round. � � _Y ” T � •i 11 t 11 JF Y 40 Wide Buildings � MasterCard - weather. 20 Year Limited Warranty on Roofing Maternalfor-14rod 12 Ga_u 1' © Ea le Garr ortsIn c. 02/10 John M. Bredemeyer III,President OF SOUTy� Town Hall Annex Michael J.Domino,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Telephone(631) 765-1892 Charles J. Sanders,Trustee yCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application administrative Permit Amendment/Transfer/Extension /Received Application: / / APR 1 5 2015 �eceived Fee:$ /00 j ✓ Completed Application _Incomplete _SEQRA Classification Type I Type II Unlisted _Coordination:(date sent) �LWRP Consistency Assessment Form 1 /5— CAC Referral Sent: Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: V'-Public Hearing Held: / Resolution: Name of Applicant Mailing Address f?o 41`J3 C-3/-3-"77-D5*-9�/ PhoneNumber:(C-)(3/- 3-�-/ 9-�-2-- Suffolk County Tax Map Number: 1000'- 3 7 -�7 - 9 • Property Location: Sop /3z54te-1 1 AJ y (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: If T rd of Trustees Applicati GENERAL DATA Land Area(in square feet): �P�j O 0 -� Area Zoning: Previous use of property: Intended use of property: P2- Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will thisg require ro'ect ire a Building Permit as per Town Code? Yes 'V---No P J q 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 apy 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? 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: fn CI kde- J.'ro a V61n s Project Description (use attachments if necessary): -Two oc/',J_9 �ayg o o D7, o ti 51 D6 &1�'S 7, X- T 5co 1 v` o g �P "y 5 vs n �,�AJ 77.,44-- 4i171-i T,c 7a Bo of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: D 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: em o /—'-' feet Does th7No ject involve excavation or filling? 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: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): QIP n,14E- 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 1 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:� A Project Location(describe,and attach a location map): �9 ,Soo C_/ 7— Brief Brief Description of Proposed Action: �zE_ IA"-7 TND Name of Applicant or Sponsor: Telephone:63 -3Sss-^/9 f-2— E-Mail: E-Mail: /lw 440 ( /�t/U .�� Lt Address: .o � c - City/PO: State: Zip Code: E/tea rJ Pa !3 a& 3 -_>� W'93 9 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinadce, 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: ❑ 3.a.Total acreage of the site of the proposed action? o acres b.Total acreage to be physically disturbed? o acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? o acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial esidential(suburban) El Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑ ❑ 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? ❑ ff 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO ES 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? ff ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? IT ❑ 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 technologies: El' El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ET ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a'structure that is listed on either the State or National Register of Historic NO YES Places? ff ❑ 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 J 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? F-1If 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 El Forest ❑Agri cultural/grasslands ❑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? —ff ❑ 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, _ff a. Will storm water discharges flow to adjacent properties? E3NO YES F] b.Will storm water discharges be directed to established conveyance systems(ru and�s-t-o�r,m�rains)? If Yes,briefl describe: _ NO �ES 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)9 If Yes,explain purpose and size. ET 1-1 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: ET F] 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: ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 46SigApplicant/sponsor e: Date: .46- Signature: nature: 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 1:1regulations? EK 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 ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. .Will the proposed action impair the character or quality of important historic„archaeological, El 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 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? 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 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, t 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 Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 rd of Trustees Applicatic County of Suffolk State of New York 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 SOUTHOLD 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, INLUDING 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 P perty(dwner SWORN TO BEFORE ME THIS i5 DAY OF ,20):S om AV otary/1A 'lie CYNTI.CUSATI Notary Public,State of New York No.O1CU6100501 Qualified in Suffolk County Commission Expires Oct Z0 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE.FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part 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. � YOUR NAME: (Last name,first name,.;niddle 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.) ('NS��— TN�� p✓ �a�'°S 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 a 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 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 �-� day of 2r i_ 200lS Signature Print Name �o Derr Form TS I 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# P-" D - 37 - 7 --9 ,-1 PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees LJ 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: eo-A TS' 2e?x z/ `�`�'�_ b'i��. / S o�✓ .S/D,E o.� /-1�u5 t b iv �/�.P���, �'�76 w�s 'T 7�3 Tari X-1 E •tv c s Location of action: �ol> �,` S IVA091 0 Z Site acreage: S .4C R ES Present land use: 2 E S �— Present zoning classification: 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: 25&2 lie (b) Mailing address: �� -� �'b S �` (0 N (c) Telephone number: Area Code( X31- 3 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No 2� IfY es, 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 devetopment 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 2Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Poli -ies Pages 3 through 6 for evaluation criteria 1:1Yes 11No 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 Pa es 8 through 16 for evaluation criteria F] Yes 1:1 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 t;Not gh '1 for evaluation criteria Yes 1:1 No 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. ❑ ❑ t. , Yes No Not App..--.)Ie Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No[�Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No 19 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 1 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 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Tow7' Not ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes El No 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 eva:Not tion criteria. El Yes 1:1 No Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pdges 65 through 68 for evaluation criteria. ElYes ElNo Not Applicable PREPARED BY`-7� �`S �I /2 TITLE DATE lj`L"l