Loading...
HomeMy WebLinkAboutTR-9242A Michael J. Domino, President oN;s�FFOI�coG Town Hall Annex John M. Bredemeyer, III, Vice-President y� 54375 Route 25 Glenn Goldsmith H : P.O. Box 1179 A Nicholas Krupski �y • �� Southold, NY 11971 Greg Williams �Od „ '1a� Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection; Michael J.Domino,President O"�'QF SoU�yOI 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 �p� Telephone(631) 765-1892 Greg Williams 0 011 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9242A Date of Receipt of Application: May 25, 2018 Applicant: Mattituck Yacht Club SCTM#: 1000-126-5-8 Project Location: 9462 Great Peconic Bay Boulevard, Laurel Date of Resolution/Issuance: June 20, 2018 Date of Expiration: June 20, 2020 Reviewed by: Board of Trustees Project Description: Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed; remove the weeds and other vegetation along the rear of the property; and add 175 cubic yards of clean fill to area in order to level out the slope for storage use. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Joe Tomao, received on May 25, 2018, and stamped approved on June 20, 2018. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperus virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). The approved operations must be commenced within two (2) years from the date of the resolution. The permittee is required to provide the Trustees with before and after photos of the area within this time period before any further maintenance is conducted. 2 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. It does not imply approval from any other agency. Approval from the NYS Department of Environmental Conservation should be obtained. dBW Michael J. Domino, President Board of Trustees 5/25/2018 Town of Southold Tax Map Inquiry Tom . y F , MAY 2 5 2018 r J' 1`I _ i: .'► 1 s y ' :. X � • f e' R w f,,'.Ti! »'� .1is {'�� ��.,j '�.AC 5�� �p •� i tom.. APPROVED BY BO TRUSTEES OUTHOIQ uNT Ik... �" .✓ [�'Y. :f�F'^ " ?1 i .a+W:'slwa�wrN.lV.'l-Fv AJ.::-�'R- ao.v _�i..�.. ,e,..... http://tos.maps.ancgis.com/apps/Solutions/s2.html?appid=l b4d461 a4ebc440ba 19d25e98eb3fa90 Michael J.Domino,-] .T� JE O�QS�FFQj�COG Town Hall Annex John M. Bredemeyer III,VIe-Presment 54375 Route 25 Glenn Goldsmith � P.O.Box 1179 A.Nicholas Krupski r Southold,NY 11971 Greg Williams � dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1 ���S y'10 Completed in field by: mejIZ-1uck GG MATTITUCK YACHT CLUB requests an Administrative Permit for a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed; remove the weeds and other vegetation along the rear of the property; and add 175 cubic yards of clean fill to area in order to level out the slope for storage use. Located: 9462 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-136-5-20.1 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 v 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: DEC BoeGo.<iS 4c> &—,v IegT alone. CkAy 4o eu`p p�fagtn;°TeS ar`A oaison 1Vy; P►� �le�dS To 6dMck"n ����� tot POOL J No I have read & acknowledged the foregoing Trustees comments: Agent/Owner: efi Present were: J J. Bredemeyer �A Domino G. Goldsmith N. Krupski G. Williams Other SURVEY OF PROPERTY IN SITUATE: LAUREL DETAIL TOWN: 5OUTHOLD w E 5UFFOLK COUNTY, NY MON.FOUND PURVEYED: FEB. 20, 2015 vom s SUFFOLK COUNTY TAX # 1000 - 126 - 5 - 8 ks, CERI�0 TO: MA7=CK YACHT CLUB Inc. Zm -7 %PO 72 vo 6NAV lqkp 0 + 7L rAr +\+ A.) 844, 6�'S41 + jo,Zz� < + \+ + \+ + \+ + ks! + + +\ /+/+ 1;3 SHED tpl 671, LAN, MA op, S79ooS'401, y 109.5 cn 0 PPE 51 Dom Cl 0 AZ tit toi an C5 NOTES: EXISTING GRADE —t�120�L ol 2,If the e,1=55-2 E/j, N—York State E,,c thn La..' A STAKE FOUND � hail be Idered to be MONUMENT FOUND th. rvIM the of the Nen %.ho A­utFat h��f Profadop essional /,/ Lc��—ey— =n � 0 PIPE FOUND and on the pe—F—�the—y�po d I,h"bh.1,w the Ile'—p-11 h, �t-Et.d I. t, Ad— �tlfl— NO t t—1-lht"t— ORAPHIG 5GALE 1 40' JOHN C. EHLERS AND SURVEYOR llp" 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 0 40 E50 120 Pte ' RrVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF:C-\Users\YohnM)Mbox\14\14-210.pro 5/25/2018 Town of Southold Tax Map Inquiry f .i._OVV(l cel Sou t'fi ol 'Fax Map Inquiry n � e « ' J e S t �s rF �: rr j a ., !� > yam. Y ���yy• ,. ' ,Y r rf http://tos.maps.arcgis.com/apps/Solutions/s2.html?appid=1 b4d461 a4ebc440ba19d25e98eb3fa90 s Ill ys � � '�• a ' • r n � A r' t r _ • •�:, .moi., r s ` �. �� ~ +. _- !�' �� '!+ sd -fir •� '.. • ,�� � �let� 5 -•3 f�i'9� ' �..} i a� .�: •.��. �y,1.,. T�! �'' ! _�'�• t"`',mow y Y if itOrrj/ 7.0 let i t R 110 kilitj�l� t i . 16 IX S__ � r �all '- r •fir• •t! :R�,. 411 C, ,;,.rye a si ` �i '1?' � +s�►-. :.w� ►At# � t ♦••r��i ��• � .�/� -fit►' �.�' �' ' E i"j• � �' 'R ode ✓i'jl$' p � r ^_ •p sEE SEG No to n MNTCHZINE !!L HNE < d x mx ---- FORPCLNO b 6 111n� n 31A(cj tSIM -SEC e NO zw(c A', R id c � ©O�i m PARlc oioisTp �,/i't p• .a: � b^y'Fad .J`' ��oa' GIST H y^aycl P'L '0 _ caseNu:e/ °� ♦ pP�, F 6 s±e o �I t�''F FBT`g F.9� 6 M1 0 9 102 101 11 X12 12 b 1 1 xN 5 f ' Md.creek 15 / `•RR b CS� i®B8 b N'ry *,'B ��\1 'ae``.4/ / 40?•lA(11 O.1 o°� F.:p. \®e �+ 3, �i. •N °y r�1.f�.��`ei'.� m e` �e 8/ \p SEESEGNO 131 } FOR PCL NO 5 1 SEE SEG NO 2 + RmNo Pozsoo-0i4No 10 4 i • tA� 6 389 / e/ d1(/14 '` FOR PCL NO m 20A(c) SPE SEG NO 11254-02424Is ^ / n 2 nn 4 v b IAA(c) S 3Qf � FOR PCL NO /- SEESEGN w / 12501-02420 xl' i^0 4em R� NI v 1 r�0FE 5EC.=ND 120 •p- 'u*`" .gym ,„ ', - n- / Yr '1�,-iy ",�.:ru�xe�,:;,c,-_ .'- __ _ -- '7„ _ ':.fx;':Y'-":ani" .++f:`r,•�' _ pt � .&.K� r �'KCi •. :.m:..ry..� .,;u'•- �`�e�-:��-� �aT1OTiCE"'-�, r.C.OUNT`C O_F SR F L{C'" •1C •SECTION N0 _ �U F4 _ }©f• _ _ 'aF �SOUTHOl1;.•.'. .a..�.'R.w,'v� • - Repj,P' ?�uB'eririce ;7 ' _ °�„ _ w,,--.-�m'�:^:':M '°r.w"e2.^1-_-"�_'_ �.m,,.a�w,+wa :• _ zei.,,. _...::�:'., '.r ^'n: :. .'^i *ra.er�r..,..�e�.'.,-..:.: !M19encY. "..t"-., 'S ,ro,;�j `;. ✓.<-`^:..;,c_, tilt .< f1=1. +:- ..t se: _ �r•wa`.� .t. - 'j.' v - - �,w:,'i� -•tel -.'e^rvva- ^s MATCH 3f'.I_ •;_., '.;,fi _ 1,- ~z.. r. r + u "SEE sEC.NO+25 .,e MATCH' _� �_NE` MATCH LINE MATCH � 13A(c) 00 � PoRF(1 N0 __—�Z Z_— \``\ FORPCLNB OFFICE LOCATION: �rq S® y® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) tw ® aQ -' Telephone: 631 765-1938 Southold,NY 11971 O Fax: 631765-3136 �yenuo,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: June 14, 2018 Re: Local Waterfront Coastal Consistency Review for MATTITUCK YACHT CLUB SCTM# 1000-126-5-20.1 MATTITUCK YACHT CLUB requests an Administrative Permit for a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed; remove the weeds and other vegetation along the rear of the property; and add 175 cubic yards of clean fill to area in order to level out the slope for storage use. Located: 9462 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-126-5-20.1 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 EXEMPT from LWRP review pursuant to: §268-3. Definitions. MINOR ACTIONS items "FF which states: Cutting phragmites to greater than 92 inches and vegetative restoration, provided that native wetland vegetative species are not affected or disturbed in any manner, The placement of fill is recommended as CONSISTENT. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Michael J.Domino,President Town Hall Annex� �`�O John M.Bredemeyer III,Vice-PresidentN6154375 Route 25 Lft' P.O.Box 1179 Charles J.Sanders N Southold,New York 11971 Glenn GoldsmithO ,0 Telephone(631) 765-1892 A. Nicholas Krupski ��j'`+om� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application ,AVetland Permit Application Administrative Permit �Amendment/Transfer/Extension ID K/Received Application: MAW V Received Fee: $ 001 ;i Completed Application: Incomplete:, SEORA Classification: Type I_ Type II J Unlisted M Ay 2 5 20189 Lead Agency Determination: �Coordination:(date sent): 6�g`1� _ LWRP Consistency Assessment Form Sent: CAC Referral �..Sent:. Date of Inspection: •/fie Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Legal Name of Property Owner(s): '►/_"`` L c G�` Mailing Address: y (? /0 C,),A, / z ., <-c�C— & I ,F Z— Phone Number: �� I (�S 7 40 / v „� cam// P16) Suffolk County Tax Map Number: 1000 ' �� • '•S~"'� Property Location: (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable):, Mailing Address: Phone Number: Board of Trustees Application GENERAL DATA Land Area(in square feet): /-qG� Area Zoning: _ L/ Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes 1- 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 gy 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 ZNo 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): O l-.P e /e ve.L �L9 C-1 Aa, p Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: �t� Yz✓ Area of wetlands on lot: ��`,C�) square feet Percent coverage of lot: (�^% Closest distance between nearest existing structure and upland edge of wetlands: 12- feet s Closest distance between nearest proposed structure and upland edge of wetlands: ,/v� 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? 7 J cubic yards Depth of which material will be removed or deposited: feet 4 Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: X3/1 /7'0 e.-. 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): NDS Board of Trustees Application AFFIDAVIT 7-op, BEING DULY SWORN DEPOSES AND AI+ IRMS THAT HE/SHE 19 THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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, 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. l ature of Property O SWORN TO BEFORE ME THIS DAY OF , 20 g Notary Public BARBARA H.TANDY Notary Public,State Of New York_ No. 01TA6086001 -; Qualified In Suffolk County Commission Expires-Qi/13120�, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tile Town of Southold'`s Code of Ethics prohibits conflicts of interest on the parl'of town of 6emand emoioyees The purpose of this form is to pfovide information which can i►lert the town of possible conflicts of interest and allow if to take•whatever action is' necosgaajo avoid same; YOUR NAME: (Last name,first name,.middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name,) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other',name the activity.) Doyou personally(6r+thfrough-your'company,spouse,,sibling,,parent;;or child)have'a relationship with-any ol�fecr or employee of the'fowh of Southold? 1kelationship"includes by blood;tgarriage,,or business interest."Business.interest"means a business, ineluding,a partnerehiP,,in.which the town officer-or employee-hus'evcri a partial ownctship;of(or untploymeut'by,)'a corporation- in wliieh clic towmofflcer or cmployee,owns more tharr15%of.the slulres. 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/aggnt/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 i day of / 204 Signature Print Name Forth TS 1 61 Z20 Appendix B Short Environmental Assessment Fora: 66tructions for,Comnleting� Part 1 -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: Project Location(describe,and attach a location map): '?- 'Brief Description of Proposed Action: Name of Applicant or Sponsor: LET-Mail: elephone: C(-,Ir" P-o-1—E _ Address: ;City/PO: State:, Zip Code: 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: ❑ 3.a.Total acreage of the site of the proposed action? r acres 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 tha_taccur on,adjoining and near the proposed action. ❑Urban ural(non-agriculture) E]Industrial [-]Commercial Residential(suburban) ❑Forest ❑Agriculture vAquatic ❑Other(specify): ©rarkland Page 1 of 4 1 5. Is the proposed action, NO YES /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? 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: ff ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO JYES 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 design features and technologies: n ❑ ET 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: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? F7b.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? LJ ❑ 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 ori,or are likely to be found on the project site. Check all that apply: ❑Shoreline El Forest Agricultural/grasslands [I Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed 1&-r-1 YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO#YY 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO []YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES 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: , ❑ 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: 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 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE P /� Applicant/sponsor name: d Of��� L• Date: U Z Y Signature:_ V Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of thefollowing 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 L Will the proposed action create a material conflict with an adopted land use plan or zoning r—j/ regulations? u 2. Will the proposed action result in a change in the use or intensity of use of land? a 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? lJ 7. Will the proposed action impact existing: EJ a.public/private water supplies? I—I b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, n architectural or aesthetic resources? LJ 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? ffr El 11. Will the proposed action create a hazard to environmental resources or human health? IF 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 i pacts Town of Southold-Board of Trustees (0 / Name of Lead Agency I Date ZVi�c W �t � 0-;4 L r.,s.- President Print or Ty a Name of Responsible Of cer in Lead Agency Title of Responsible Officer Signature of Responsi rOfficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT - - 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. 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 anus_t 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 PROJECT NAME 64 C/I The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I� 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: lclt.� i 1 t Location of action: L/ C. ®cS xq-lw'l xG� Site acreage: ' r Present land use: Present zoning classification: 12_•' t(J 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: �/� % �v�(� y/'Z C 1 CIL'-6 _4_✓C (b) Mailing address:__ (c) Telephone number: Area Code �Ue- 15114-0 T�6 (d) Application number,if any: _ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ Nog 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 /"'� �.4_ 4 ZA ,,L L - �c �i-u J - C �- E, c,4 —_ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP ection III-Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ Not Applicable ✓�- Y G c�= 12 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 Q Yes.❑ No ❑ Not Applicable t- 063 � 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 a No ❑ Not Applicable L L — ✓� / c- �J d L 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 0 Yes ❑ [ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑' 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. ❑ Yes ❑,No ET Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. S e LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑'Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Ye❑ No❑ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 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. Q,Yes Q No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes 0 No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65for eva➢ D Yes ation criteria. 0 No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; P ges 65 through 68 for evaluation criteria. ❑ Yes Q No Not Applicable PREPARED BY TITLE DATE ✓ LZ11- -DIP) MATITUCK YACHT CLUB INCORPORATED P.O. Box 1126 Mattituck, NY 11952 (631)298-8974 Joseph L.Tomao,Jr. President Board of Governors (2018) Joetomao@gmail.com pplI nos May 25,2018 i By hand SLOZ 5 Z In BOARD OF TRUSTEES + TOWN OF SOUTHOLD 54375 Route 25 P.O.Box 1179 Southold,NY 11971 Re: Mattituck Yacht Club Application for I Oyear maintenance permit Enclosed herewith please find the original and one copy of the completed application packet for an Administrative Wetland Permit(10 Year Maintenance permit). I have included the following: 1) Copy of last deed 2) Certificate of Incorporation for Mattituck Yacht Club Incorporated 3) One original and 2 photocopies of survey 4) One original and two Photocopies of the site plan depicting the proposed project 5) Current photographs (5)of the area showing Tax map area,Ariel Photo NW; Ariel Photo NE; Photo East; Ariel photograph; 6) Application fee in the amount of$100.00 Please contract me at(631)298-6503 or(516)359-1917 regarding the site inspection. If you need any further information please contact me at(516)359-1917. Joseph L. Tomao, Jr. JLT/