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HomeMy WebLinkAboutTR-10936 Glenn Goldsmith,President o�0Sl1FF0(�COo Town Hall Annex A.Nicholas Krupski,Vice President $< 54375 Route 25 0 Eric Sepenoski w ,a P.O.Box 1179 Liz Gillooly �y • o�lk� Southold,NY 11971 Joseph Finora �Ol �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ?1Y N6 Completed in field by: Robert Brown Architect on behalf of CHRIS ANASTOS & ELISE ANDROUS requests a Wetland Permit to construct a 24'x24' single story garage; enlarge the existing deck from 578sq.ft. to 824sq.ft.; and install a 578sq.ft. stone patio with a paved walkway to garage. Located: 480 Inlet Drive, Greenport. SCTM# 1000-43-5-1 Types area to be impacted: / Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed ork falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 4,16 h / L c C I/Lc} L (il C�ivt Present Were: G. Goldsmith N. Kr pski E. Sepenoski L. Gillooly J. Finora I ZONED:R-40 AREA OF 1000-43•-05-01: 49,798.3 SQUARE FEET/1.14 ACRES SOUTHOLD TOWN EXISTING LOT COVERAGE: EXISTING HOUSE: 1,496.8 SF SHED: 67.7 p 0 ND INLET DECKS, PLANTER,STEPS&WALKWAY: 908.5 TRELLIS: 62.8 GULL TOTAL: 2,535.8 SF GULL POND INLET 2,535.8/39.359.5(BUILDABLE LAND) SOUTHOLD TOWN PROPOSED LOT COVERAGE: PROPOSED HOUSE 1,496.8 SF GARAGE: 576.o DECKS, STEPS AND WOOD WALKWAY: 1,388.9� 3NIl 3I1 �? ZtOZOZo s 110*00Z _ TOTAL: 3,461.7SF ,10.00 rn i10Zxo ZO S „„ �� 3,461.7/39,359.5(BUILDABLE LAND) = 8.8% ~ � �y NYSDEC EXISTING LOT COVERAGE: IMPERVIOUS: ' EXISTING HOUSE: 1,496.8 SF DECKS,PLANTER,STEPS AND WOOD WALKWAY: 577.5 WOOD CURBS AND WALLS: 59.2 EDGE OF LAWN SHED: 67.7 TRASH BIN: 1o.8 CONCRETE PAD AND BILCO DOOR: 113.2 DRIVEWAY: 3,902.3 44 CDf TOTAL 6,227.5 SF DNND CONC 6,227.5/39,359.5(ADJACENT AREA) =15.8% � � 3 A5 FLAGGED BY TIDAL WETLAND BOUNDARY NYSDEC PROPOSED LOT COVERAGE: 3 TIDAL WETLAND BOUNDARY cY) 0 AS FLAGGED BY O 0 COLE ENVIRONMENTAL SERVICES IMPERVIOUS COLE ENVIRONMENTAL SERVICES (v O O EXISTING HOUSE : 1,496.8 SF 3 =J; z 07/I I/2025 p GARAGE: 576.0 07/1 1/2025 v 0 0 DECKS, STEPS AND WOOD WALKWAY: i,o96.5 Q TRASH BIN: 1o.8 r CONCRETE PATIO,WALKWAY AND BILCO DOOR: 6o9.o A FLOOD ZONE 0L44RY MISC.CONCRETE PADS: 90.2 '� (L MODIFIED DRIVEWAY: 322.8 A l3)3y 3NpZ � Z0 E gE(EL o TOTAL 4,202.1�F 8VaNngg 3NpZ TIDAL WETLAND BOUNDARY tf, 4,202.1/39359 5(ADJACENT AREA) TIDAL WETLAND BOUNDARY Qr701-� A5 FLAGGED BY ON A5 FLAGGED BY EL C) C9 13)3� � COLE ENVIRONMENTAL SERVICES COLE ENVIRONMENTAL SERVICES 3N0Z 3 07/1 1/2025 3 j 07/I I/2025 > W J WWvq a J rn O D �- O z NLARGED ¢ DRAINAGE CALCULATIONS: PROJECT LIMITING FENCE/LIMIT AS N 111 - - - OF SITE DISTURBANCE r NEW GARAGE: 576 SF x 0.17= 98 CF N PROVIDE SILT FENCE CDURING o NEW DRIVEWAY:J 327 SF x 0.17= 56 CF �J CONSTRUCTION W OVE - W� THESE PLANS ARE AN INSTRUMENT OF SERVICE L►- EE DETAIL y EXIS - _ TOTAL REQUIRED CF=154 CF AND ARE THE PROPERTY OF THE ARCHITECT. Z LL-C3 w � PLA ER = -1 Z 0 PROVIDE(1)DRYWELL: 8'0 X 4 D=168.9 CF INFRINGEMENTS WILL BE PROSECUTED J _ Q W� A _i - n A z �33Q A� N ¢ N N W STONE p -----� DECK EL 9.0 N Q v) 2025 ALL RIGHTS RESERVED W `'� O P TIO ON � I __ N J �ING�IdH Cu- 3 o J ONCRI TE I r--- o o BASE EXIST NG = W H J O -- _ BALCONY EXISTING -' COND J :a :Z :;:;:: ;:;: pq ABOVE FLOOR CANTILEVER Q ; ,6'9i. ::::,S'V ¢ �T� pp REM51-1E TO E Robert I Brown W:• J..;.;.;. •.;.;.. .;.;•. F+-1 I ABOVE C3 W v, • r�� N Woo:: ::::':::: ::::: :::':':: o EXISTING 2 STORY WOOD FRAME Y _.• d REMOVED a o :NN XISTING - �I SINGLE FAMILY RESIDENCE ¢ W GNGD N 3 EDGE OF (LAWN S AB TO BE 1 ,402 SF FOOTPRINT 3 Architect P.C. ODII :,ti'ZI :::::::L�: 9N'dH213AG o AVED OVER o 0 N 613 GNZ 3 18'-0"MAX. C.to C. 20 Bay Ave. Greenport NY CD 'DNOD : :' : :�. LINE OF FRONT YARD PA info@ribrownarchitect.com ►- 1lbM 213gWI1 Cu z - ALKWAY c _::z.. � � �...... .; '... _ .,_ oa p W i' GRAD _ ..... .. 7•,Vm . ,i'9i::•: ld 213SWI1 ►- Cu T o0 w A339 W z �. E ; r :.. w Z = 631'477'9752 wz W NF1 /Q CO T 4414.;1 ...,..,.._ > 8df1D W38WI1 a z `*'_�~" _ I `��-' , ,- . O.. Z W 3 / f . L _ PROPOSED NEW` z '� F N � �"' � s•'MIN. W u- 2 z M,H O H J( O A E V� oa O a W W w O �1 W , ONE STORY WOC)� RENCII DRAIN O IT IS A VIOLATION OF THE LAW FOR ANY PERSON, LAl _ m ? tri= �V L7 y� FRAME GARAGE 1 + _„ - �O UNLESS ACTING UNDER THE DIRECTION OF A A O 3 z "¢ w PROPOSED ASP A T ' ¢ F LICENSED ARCHITECT,TO ALTER ANY ITEM ON DRIVEWAY EXTEN 31 N — >- O 1��� Al THIS DRAWING IN ANY WAY. ANY AUTHORIZED PERSPECTIVE VIEW ALTERATION MUST BE NOTED,SEALED,AND O ¢ w pp DESCRIBED IN ACCORDANCE WITH THE LAW, Q� LINE OF FRONT YARD F- J<v� SETBACK PSQ�P OLLO W Q S z PLAJ W W � 36" MINIMUM 2 x 2 > � FENCE POST CL o r _ { SO 6EN 10110WIRE FEWWF) W = W -' W �s Z A MLq �' FILTER CLOTH 6 CLIENT/OWNER W -^P'� = A �"`>- �' SILT FENCE DETAILS SLOP N � 3 El „001 s so M ICI 3 --� I „00,s s'zo ICI SCALE N,t E ANASTO S ,00'OOZ "' °° 3 �O �� = Z too•00 — �_ EMBED FILTER CLOTH 1. RAW'E EDGE OF PAVEMENT co 3DN33 lld� QBaM = zo^, MIN. s" INTO GROUND 4' 1N3W3Add 3G 3tJQ3 , 48o INLET LANE T LANE NOTE: SOUTHOLD, NY>o<97i E INLE R MAXIMUM DRAINAGE AREA - INLE T LAN 112 ACRE 1100 LINEAR FEET SECTION DETiAIL SCTM No. I000-43 5-1 Z PROJECT TITLE RENOVATIONS &ADDITIONS [I E C 2 2 2025 I DRAWING TITLE EXISTING SITE PLAN P R O P O S E D SITE PLAN SITE PLAN EXISTING CONDITIONS TO REMAIN EXCEPT AS NOTED. EXISTING CONDITIONS TO REMAIN EXCEPT A5 NOTED. ckeo� GENERAL INFO ,Iil�l BASED ON SURVEY BY: KENNETH M WOYCHUK LAND SURVEYOR I�II BASED ON SURVEY BY: KENNETH M WOYCHUK LAND SURVEYOR �� ,g,C •b ,� III DATED JUNE 19 2025 III DATED JUNE 19, 2025 t SCALE II , SCTM No. 1000-543.-5- 1 SCTM No. 1000 - 43.- 5 - I , * OCT.15,2025 1,=20 F = 1 . 14 A. DRAWING NO. SOUTHOLD TOWN ZONE: R-40 s AREA: 49,798.3 SF = I . 14 A. AREA: 49,796.3 S SOUTHOLD TOWN ZONE: R-40 *" ,�� ���aff,44 0 I i ISSUES/REVISIONS O Ll=�j Li SECTIONWEST ELEVATION NORTH AND SOUTH E LE VAT I O N S THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE ARCHITECT. INFRINGEMENTS WILL BE PROSECUTED 2025 ALL RIGHTS RESERVED Robert I. Brown Architect, P.C. 24'-0" 205 Bay Ave. Greenport NY info@ribrownarchitect.com 631-477-9752 I I IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY. ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. I I I O i I N I CLIENT/OWNER ANASTO S ( ( I ( ( 48o INLET LANE ( ( ( ( SOUTHOLD, NY 11971 ( ( I ( ( SCTM No. 1000-43-5-1 PROJECT TITLE -G RENOVATIONS &ADDITIONS 2025 r I DRAWING TITLE GARAGE FLOOD PLAN - a,.� __�.__ _, GARAGE DARC PLANS c� * SCALE OCT 27,2025 q •'fit DRAWING NO. OF e Ll u2 I S.C.T.M. NO. DISTRICT: 1000 SECTION: 43 BLOCK: 5 LOT(S): 1 EDGE OF PAVEMENT MANHANSET AVENUE 6 EDGE OF PAVEMENT U. GUY 5 U.P. S 87005'00"E 248.00' ► O w.M. MOM. 13S -- REMAINS ENCE --' O.4N 0'T 5 Q 3 1.B'� E 5 4 ► 2 ► S L 1 p p = w o h \� 0 0. �` ► o N S $ TIDAL WETLAND O Y AY S FLAGGED I \ r COLE ENVIRONMENTAL BE VICES `J( `.\ r o7rllnozs 5 b I 100'SETBACK If 4 i 6.3V ► a W 4 ► I H � 9sA �\ ► I Z u.P. pro 5 �r ► I a Icl o ti ::8.2' 6. 3 ? s I a a o w CN - ►m p 3 c> 1P�y W 2 I V Z w PLANT p W M.H. •.::::':::'::'::::'.:":: ► ii•9.0'•=•.;2'1I25TY•:ii::•i:• m 1 DRAIN .;.;;:7RMDWELUNG.;m Nu ::'.•..::'::'::':::'::: 2CA T. '3 CAM. / 'o ............ ASPHALTDRIVEWAY 3 '6.0 ::;,:•::'s;SHOW C h :222.*.*::.': FEMAMAP#36103C0176H TRASH6BIN WOOD WALK 3 IMBER WALL EFFECTIVE 09/25/2009 B.6W 7, TIMBERW L 9.75 025 0.28 U.P. I N 85'00"W 250.00' `� o s' 7 0 >T\ � I 1 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL I T b LAND NIFOF i LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS HYD i 1 IRREVOCABLE TRUST OF BETTY JANE SULLIVAN / AND OR DATA OBTAINED FROM OTHERS AREA:49,798.3 S.F.or 1.14ACRES ELEVA770M DATUM: NAVD88 UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC7701V 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 7HE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77IU77ON LISTED HEREON, AND 70 7HE ASSIGNEES OF THE LENDING INS777U770N, GUARANTEES ARE NOT TRANSFERABLE. 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE S7RUC7URES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 7HEY ARE NOT IN7ENDED 70 MONUMENT THE PROPERTY LINES OR 70 GUIDE THE EREC77ON OF FENCES, ADD177ONAL S7RUC7URES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE S7RUefURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE 77ME OF SURVEY SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: CHRIS ANASTOS• MAP OR ELISE ANDROUS' FILED: I . SITUATED AT.. GREENPORT TOWN OR SOUTHOLD SUFFOLK COUNTY, NEW YORK KENNETH M WOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design P.O. Boa 153 Aquebogue, New York 11931 FILE #225-125 SCALE:1"=40' DATE:JUNE 19,2025 N.Y.S. LISC. NO. 050882 PHONE (681)298-1588 FAX(891) 2e8-1588 ONEk- o 1:, v \ \\ \ 1 ru-zea ' ;' \ :\\\'*„2\ \'\'rvv\ ;�y� �•,. \'; ad Y v � ink x a BEE BEG.N0.036 3 S 1 a i o � ,,..... t\\"r \_.� \\Y\v�\ ':•�. '\ \.\ 1',\ '\`,�i, \\,`'\\�v\\` AuraN. .. �•.... lME �i,).��9�. gf 4� + � N�s s 11s d/rn�roH LINE ,'\ s\ \A V ', , v�� \ > A ToxNor h \A M[ \v !\\ i, A soutram sourwaln v A-\ v ,� '\�. \�'\vv\\v v A � A�z B.Yao) ,yl -j v\\'\ \2\VV \, v vv �V� �\\ vvvv vimv� \ ~��`` ].BAIc) ,k''•v\'+,v �\ \\�\ \\ ..... \z\ z �l\V 3 a v\) L\,. 'A" ''vvvVA 'v,\, '\;icy \�.t �� +\\'\�\ \ \ w to a \ �::. w.--- `''vc"v\its \Zof �V'v'�'v�\\i \Lj� A�� ° ,1• z n., _ s 1z \ . '[m9—r \h\�v\\v\\ \i\��\\'+ \ * * \ - s s fa1 �\' \ \IN x v a03 _�'g ro l�§ � , ''r'\\\v\'\\,\\ ez3 A ss , \ B m21 -- ry \V'^A'\\ � a \ s \Vv. 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'\�ve,`. .':v'\•�\''�.\..,, za 3 ,\\max:�r, ...\.., ���„\.."? ,,..,�,.-:•,,...�\,:nG .-.,�:x\�:a, ,:..��\�\-::x\;S.t. ��, �,4.,�C �S,,: \. �,�,�� .'#�\"�� ���� �\\��'4�\�;,, ',�\ ,, �\\ '^Y•, „*�',�\\\#�.'. uu,w..na,_mc:ua.ow,u. owav xu a vrtwenn.rc,w w - ,,• ,*.: .. - *n •,. E mo,a ,a - -- R —�.— ... :., .: 4. COUNTY OF SUFFOLK® No71cE E„ a. food sEcnaN No.`- eReal l'ropertyT:S—kce Agency v ov N �w—__ __ —__-_,-_- „" --- ,... +• Y... ,. . . BBB c,,,.+nn.s,.,,w..t+rxvul INasminmoNa Aw EonnoN oc THE M soumo�o 04$ a °' ---'-- w.o, ---`" - •• ---- «aww @7) ., NIn ClAMIY U%Nwamv+area A Tom -- __ _ 1nnrt NnRlnl i9P65w QTIE p .. - WF. c� xWlfRikATY TAX SFRJNE]BL Vuxf rs OFFICE LOCATION: o MAILING ADDRESS: Town Hall Annex t� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) 002- Telephone: 631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: March 10, 2026 Re: LWRP Coastal Consistency Review CHRIS ANASTOS & ELISE ANDROUS, SCTM# 1000-43.-5-1 This application is to construct a 24'x24' single story garage; enlarge the existing deck from 578 sq. ft. to 824 sq. ft.; and install a 578 sq. ft. stone patio with a paved walkway to the garage. The proposed action has been reviewed to Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the policies of the LWRP as follows: Policy 6. Protect and restore the quality and function of the Town of Southold's ecosystem. 6.3. Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The proposed new garage does not meet the setback requirements from a wetland, beach or bank as defined in Chapter §275-2 Definition; word usage and §275-3 Findings; purpose;jurisdiction; setbacks. D. Setbacks. (1) The following minimum setbacks apply to any and all operations proposed on residential property within the jurisdiction of the Board of Trustees: (a) Wetland boundary or bank. [1]Residence — 100 feet. If the proposed improvements to the property are permitted, a permanent non-turf buffer should be established. 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. Glenn Goldsmith,President � so Uf e Town Hall Annex A.Nicholas urupski, Vice Presidents�� a,� 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly cn r r� l� Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only 3s— r' Coastal ErosionPermit Application {F'ii Wetland Permit Application f3 P� I��j Administrative Permit DEC 2 2 2025 _ Amendment/Transfer/Extension Received Application: la 2�a)otiS Southold Town __Co Received Fee: Baard afTrustees mpleted Application: l A Incomplete: SEQRA Classification: Type I __ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): _ `A LWRP Consistency Assessment Form Sent: a1 —p� � - —CAC Referral Sent: L Date of Inspection: Receipt of CAC Report: _ Technical Review: `4 Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): � �'�� _ Mailing Address: b, Y04 Tx,. fA A tkl (.--_— Phone Number: � 11Q' Suffolk County Tax Map Number:. 1000 -��• -- ���_ -._ Property Location: LWZLMT -.`�—�- � (If necessa , provide LILCO Pole #, aistance to cross streets, and location) AGENT (If applicable): Mailing Address:_ �,S �PM4 Lr Phone Number: �J� `[``..�?•Sy _ _ Email.: L U�l �'-'�N 60VA �� Board of Trustees Appli;. ion GENERAL DATA Land Area (in square feet): " — Area Zoning: Previous use of property: Intended use of property: IS, Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? -11�Yes F-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 p J q g Pp If"Yes", please provide copy of decision. is project req�ir� any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes—0_No Prior permitslapprovals for site improvements: Agency Date IQ lfql No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No_n Yes If yes, provide explanation: Project Description(use attachments if necessary): I k L I I ',�ro k-((��,f- S�W l D �j Board of Trustees Appliil — ion WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 2MV LFPMX Area of wetlands on lot: 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: �O feet Does the project involve excavation or filling? El No Yes If yes, how mach material will be excavated? 91A- cubic yards How much material will be filled?.-- J-/- cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: —0 Manner in which material will be removed or deposited: -1rov— 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): Short Environmental Assessment Form Part I -Project Information Instructions for Comaletin2 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 I —Project and Sponsor Information Name of Action or Project: -rD Project Location(describe,and attach a location map): 1� � � f , Brief Description of Proposed Action: >�� ► �>� �r��� �'c��LE S�oi2Y C��'�z�) ,.� �� prk i�o�sT��r✓� �� s� Name of Applicant or Sponsor:`^ Telephone: E-Mail: Address: A60 rt4�� i City/PO: 215W02� State:l� 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 desc-iption 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 government Agency? NO YES If Yes, list agency(s)name and ermit or approval: ERA`-U ❑ 3. a. Total acreage of the site of the proposed action? acres b.Total acreage co be physically disturbed? �_ acres c. Total acreage(project site and any contiguous properties)owned ' ,f/—I or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,are adjoining or near the proposed action: ❑ Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial Residential(suburban) ❑ Forest [] Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 SEAF 2019 r 5. Is the proposed action, NO YES N/A a, A permitted use under the zoning regulations? ❑ ❑ b. Consistent with the adopted comprehensive plan'? ❑ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural 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: NO YES 8, a, Will the proposed action result in a substantial increase in traffic above present levels'? b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the 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: E ' 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 project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO ES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places'? b. is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Paige 2 0l'3 14.7s�oreline ify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Forest ❑Agri cuItural/grasslands ❑ Early mid-successional [(Wetland ❑ Urban Suburban 15. Does the site of t'e proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ 16. Is the project site located in the 100-year flood plan? NO YES 17, Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, - ❑ a. Will stG;m water discharges flow to adjacent properties? ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ El If Yes,briefly describe: l G�-£ �01 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e,g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE r Applicant/sponsor/name: J` Dater Signature: Title: PRINT FORM Tube 3 ot'3 Board of Trustees Application AFFIDAVIT Chris Anastos 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, 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. N/A Si a e of P operty Owner Signature of Property Owner Chris Anastos SWORN TO BEFORE ME THIS_�DAY OF / l V L'I�i ,20 2 �j NoGy Public CHRISTOPHER WATERS o Notary Public State of Florida w L Comm#HH761907 E�HCE 19��' Expires 1/28/2030 SIT HOItMATION (Where the applicant is not the owner) I/We, Chris Anastos owners of the property identified as SCTM# 1000- 1000-43-5-1 in the town of Southold .New York,hereby authorizes En-Consultants 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. N/A Pro er' igna a Property Owner's Signature Chris Anastos SWORN TO BEFORE ME THIS DAY OF /Y la r-C ,20 Notary Public r CHRISTOPHER WATERS o� 0 Notary Public c State of Florida ? Comm#HH761907 ��cE s, ,Expires 1/28/2030 APPLICA NTIAGENT/RE PRE,SENTATM, TRANSACTIONAL DISCLOSURE FORM The Town gf So rtbold's Codc of Ethio ntohibits conflicts of in=stonlhc part of town officers and cmp s The nm ^of this form is to provide information which can alert the town of nm1bic conflicts of interest and allow it to take whatcvcr action is ca:cess ry to avoid same. YOUR NAME: Anastos, Chris (Last mmne,first name,griddle 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 ThIstee x Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,mariagq or business interest."Business iracrest"means a business, irmluding 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`Ye ofthe shares. YES NO If you answered"YES",complete the balance of this form and data:and sign where indicated Name ofperson employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the appdicant/agentImpresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the spare provided. The town officer or employee or his or her spouse,sibling,parent,otr child is(check all that apply): g,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 orbeneficial owner ofany interest in a non-0orpoate entity(when the Eapplicant is not a corporation); C)an officer,director;partrn;or employee of the applicant;or D)the arxtral applicant DESCRIPTION OF RELATIONSHIP vCL Submitted this y of 206 signature Print Name hn Anastos Form TS I Board of Trustees Application AFFIDAVIT Elise Androus BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS 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. N/A Signature of Property Owner Signature of Property Owner Elise Androus SWORN TO BEFORE ME THIS DAY OF !" `a rC ,20_V, Notary Public �,�p CHRISTOPHER WATERS a Notary Public c state of Florida a Comm#HH761907 ONCE 19�� Expires 1/28/2030 Hoard of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Elise Androus owners of the property identified as SCTM# 1000- 1000-43-5-1 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for pennit(s)from the Southold Town Board of Trustees for this property. N/A Property Owner's Signature Property Owner's Signature Elise Androus SWORN TO BEFORE ME THIS DAY OF (�r'�` h ,20oZ No6ry Public V,!; CHRISTOPHER WATERS � Notary Public State of Florida Comma HH761907 Expires 1/28/2030 � v APPLICANT/A.GENTAREP E,NTATIVE TRANSACTIONAL DISCLOSE FORM this fornn is to him dde information which can alcA 1h town of Rawble conflicts of kit And summit to take whataMfftion is mom to avoid some, YOUR NAME: Androus, Elise (Last name.fast name,*Iddle 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 gc3tvanee Building Variance Trustee X Change ofZone Coastal Erosion Approval ofplat Mooring Exemption Sam plat or official reap Planning Other (If"Other".name the activity.) Do you personally(or through your company,spouse,sililing,parent,or child)have a relationship with any officer of employee ofthe Town of Southold? "Relationship"includes by blood,marriage,or busiam interest."Business uderesr 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 office or employee owns=re than 5%ofthe 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 Tittle br position of that person Describe the relationship between yourself(the applicant/agent/represmtative)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). f1A)the ownerofgneatcr than s%ofthe shares ofthe corporate stock ofthe apptintnt � (when the applicant is a empondonr B)the legal or beneficial owner of any in'etest in a rmn-cmpoiatt entity(when the ]4anoapplicant is not a corporation); ffi=,Wm=Wr,parmci,"cmpkriceofdwapplicmM � or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this of �Or cG 20 Signature P�tit Print Name Elise Androus Form T3 1 1 AFFIDAVIT B BEING DULY SWORN DEPOSES AND AFFIR_NIS 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 I30AIlD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUT'HOLD 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. Signat e of Property Owner Signature of Property Owner SWORN TO BErORE ME THIS DAY OF n 20. �S�Cc�S�-� i' �Se✓�- �: `�J'�,F�.+-�-c.e� ��� A S-j- o 0 S-7 0 i 11 0 LEAN M.RUELAS MY COMMISSION#HH 624770 4aryic t�t' EXPIRES:January 6,429 �4 AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- �C� �- — in the town of .New York;hereby authorizes 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 wner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OP ,,� MYCOMM'F-M M.RUELAS jSSON#H6? 4770 r_ EXPIRES:January 6.2029 Notary Public , _ ` ' 1, APPLICANVAGENT/RE PRE SENTA.TIVE TRANSACTIONAL DISCLOSURE, FORM c Town of Southold's Code of Ethics nrtlhibits conllicts of interest on the nart of town officers and crnployc cs.The nunwse of this form is to provide information which can alcrt the town of nossible conflicts of interest and allow it to lake whatcveraction is nemnary to aYoid same. YOUR NAME: _ �� , (I:dsf name,firginamc,ipiddic initial.unlcsiydu ate applying in the name of someone else erothrr 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 ofZonc Coastal Erosion Approval of plat Mooring Exemption from plat orzfIIcial map Planning Other (If-Other",natMe the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business hacicsi."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 townpfficcr or employee owns more than 5%of the shares. YES 17 NO F-1 _ If you answered"YES",complete tine 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 applicanVagent/representadve)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 spous-_sibling.parent,or child is(check all that apply): ELA)the owner of greater than 51%of the shares of the corporate stock of the applimit _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(what 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 ofT 20.1 Signatures Print Name �faZr�_Fj�✓ `�^rr✓ S Foun IS I ' Board of Trustees Applicai __ `i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: s �13 - s - a Ll-3 _ y _ 3`1 �13 L1 - aFs L13 - a - STATE OF NEW YORK COUNTY OF SUFFOLK , residing at ,being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of 720 Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: (;V4 S JklrP Y' ' a _" ivLNS'L APW W5 1L)0'`j -4'�- NAME: ADDRESS: ! J,)L.ivAN �i-l' Tpu;T Li' 5 -2 ?�`?�� i�� . . LN t� i 1'Y>i� , (,,1 Lib, A -: 4 LAAA VJF- 1,.00 i..HEP STATE OF NEW YORK COUNTY OF SUFFOLK residing at 2V S7 �C being duly sworn, deposes and says that on they day of , 20 2-4�v, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at RA-Mr.�<_ Il¢( p , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sibnat re Sworn to before me this 1 Day of 1� C?ol((_ °i 20 C©NNIE D.BUNCH Notary Public,State of New York No.OI BU6185050 Qualified in Suffolk County Commission Expires April 14,2 Notary Public w ® ® A ® ® rq ru B a m rTl I r` Certified Mail Fee Certified Mall Fee ox$ �� � $ 1✓ out Extra Services&Fees(checkb add fee as approp Extra Services&Fees(check box,add fee as Apprppttate) S> �li '�G�° Return Receipt(hardcopy) $ []Return Receipt(hardcopy) $ — }� ❑Return Receipt(electronic) $ Postmark ® Return Receipt(electronic) $ Postmark P Here ® ❑Certified Mail Restricted Delivery $ MAR Adult Certified Mall Restrcted Delivery $ — ,.e []Adult Signature Required $ MAR a p ❑Adult Signature Required $ ® : []Adult Signature Restricted Delivery$ ]]Adult Signature Restricted Delivery$ P U Postage ® Postage ru ru r- $ rLI Total Postage and Fees ru Total Postage and Fees 'Y $$ rZI rq Sent To�p rl.l Sent Sent t 1�1F-f) "r (,tJ�'vl r>, Ir✓ho n --------- ------------------------ 0 I� �� ------ -- ---�---------------�,,----------__---_________ � Street andApfNo.,orPOBoxN"o.+�---� - Street andApP:Na.,or PC7 Box PIo. 5 - '1 5"S I NL.C- L,V ___ --_______ __________________________ City State,ZIP+4�-` ---_____ City,State,ZIP+4® :1 B r B 0 oea•0 B E3 e e � � ® Ln y r Certified Mail Fee Oij fUL Postage Extra Services&Fees(check box a$fee a5 Appropriate) (�j Certified Fee 0 Return Receipt(hardcopy) s( Postmark r9 Pstmark t� o 0 Return Receipt(electronic) $ Certified Mail Restricted Delivery $ yet" p -y [] Return Receipt Foe ❑ v1�r1 —6 � (Endorsement Required) C3 E]Adult Signature Required $ — ,1 Adult Signature Restricted Delivery$ i C� Restricted Delivery Fee , A.. C 7 _ (Endorsement Required) Postage r O $ni Er r` Total Postage&Fees rU Total Postage and Fees "' rq $ — Sent o SentTo C`- A(�� 1f�- vi p--. b� �*jLLIVAN TF-�S r --------------- ® -_- --........._...... CJ StreeP,Apt.No.; „a C`- Street and Apt.No.,or PO Box No: ? l hvc -- c;CP+k�� iN�kdl id+�1 � ........................................ - - ------------------------------ -- -�,_ Eli 4c'1 :eo B oa•rre•r" :f0 Ae. J Glenn Goldsmith, President v,�gUfFOt � Town Hall Annex ® �� A.Nicholas Krupski,Vice President a���� �°�`-� 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly Southold,NY 11971 Joseph Finorap ® , Telephone(631)765-1892 er Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of �nr:c CHRIS ANASTOS & ELISE ANDROUS COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DAY OR LATER I, � \l mj L{lU(' residing at/dba ?---D . i,Al 6,vC 6-(-ia:,�jVt)lt T� j\JY being duly sworn, depose and say: That on the 0 day of ` �� , 20 2. , I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, March 18, 2026. Dated: (signt �e) Sworn to before me this BUNCO day ofj' ojf 0 f �Or��l► d . Notary public,State of how Yorl, No.()IDU6155050 Qualified in uffolpil 1�4,2- - - �o�rni��io5� April Notary Public , NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: CHRIS ANASTOS & ELISE ANDROUS SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 24'x24' single story garage; enlarge the existing deck from 578sq.ft. to 824sq.ft.; and install a 578sq.ft. stone patio with a paved walkway to garage. Located: 480 Inlet Drive, Greenport. SCTM# 1000-43-5-1 TIME & DATE OF PUBLIC HEARING: Wednesday, March 18, 2026 — at, or abo-ut 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 sigiificant 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•- s, upnortinQ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑/ I. 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: � 66A ��aAW ?2LsR*�g Gf Location of action: Site acreage: I dA Present land use: Present zoning classification:___ f 2--- - JD - I 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: (b) Mailing address:_ (c) Telephone number: , Will the action 7=ich aken,require funding,or approval by a state or federal agency? Yes ❑ No 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 LJNot 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 ic Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No LJ Not Applicable Attach additional sheets if neceisary • f 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 ❑ NoF�j Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages through 16 for evaluation criteria ❑ Yes ❑ No UNot Applicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 1 for evaluation criteria ❑ 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 dNot 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 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 N Applicable A licable 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 E Not Applicable Attach additional sheets if necessary WORHING COAST POLI( 3 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 E 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 Not Applicable PP 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=Not criteria. ❑ Yes ❑ Noplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; ages 65 through 68 for evaluation criteria. [:]Yes ❑ No Not Applicable PREPARED BY � %V1 � �'!�►v� TITLE �_A DATE 0 _g