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HomeMy WebLinkAboutTR-10998A Glenn Goldsmith,President$QFFO(,I-C�4� Town Hall Annex A.Nicholas Krupski,Vice President ;��� Gy�? 54375 Route 25 Eric Sepenoski c U P.O. Box 1179 Liz Gillooly o • ty Southold,NY 11971 Joseph Finora 'yh01 �ap�Yy. Telephone Fax(631)765 6641892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection i I I h� for1% , 0a o bottom-of I � ---_ b� c1 ' -- North - L (ack-C-herr O t �c l , 'Silt � �a r I R as' h lack Che ' ,' NO `S Top of Bluff' lack Ch rry Nli7pIF lack Cher s" - - 4' Wide Pathway to Creek - - Vegetable aS aa• Or AS I Garden 1�/_ -- tia ewe nt -pro/ Lawn Area top of bluff_- - Maple pool YT t ry _ -----DECK - _=_- - 'O•:, -- ---- -- • -O- -- - _< PoO� Fence �� N L -------------- lawn area j �- 1 'MMMM7908 ai MAIM& a aoutho ■ 9 APPROVED BY Revision BOARD OF 1 RUSTEES Lands%cunpe Plan : - - 2171 TOWN OF SOUTHOLD ■ DATE D t . 12202 e Ca I e: Landskcanpe Design by: David C - �4 ■ ■ ■ AUG ; 2 2026 1 /16" - ' 1 rIt old Town onrd ofTn^tees Glenn Goldsmith,President _.`�QF S®(/� Town Hall Annex 54375 Route 25 Nicholas Krupski,Vice President ,`O� ® P.O. Box 1179 Eric Sepenoski J Southold, New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Joseph Finora • a0 Fax(631) 765-6641 Cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10998A Date of Receipt of Application: July 25, 2026 Applicant: Russell & Julianne Karsten SCTM#: 1000-66-2-2.2 Project Location: 57908 Main Road, Southold Date of Resolution/Issuance: August 12, 2026 Date of Expiration: August 12, 2036 Reviewed by: Board of Trustees Project Description: Ten-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed, and wild rose ramble to 48" in height. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Creative Environmental Design, received on August 12, 2026, and stamped approved on August 12, 2026. § 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 any 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). Inspections: The approved operations must be commenced within three (3) years from the date of the resolution. The permittee is required to request a Trustee inspection upon completion of the initial cutting. 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. Glenn Goldsmith, President Board of Trustees SOUTHOLD' T RUSTEES No. 109cA8A Issued Date V Address. !S49 o $ KQ .*^ RO&A� snL;ri.o%*a .THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Glenn Goldsmith,Preside:,, Town Hall Annex A.Nicholas Krupski;Vice President �� <. 54375 Route 25 Eric Sepenoski y ,?,a P.O.Box 1179 Liz Gillooly �yp�`, Southold,NY 11971 Joseph Finora �� + Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: '� Completed infield by: 1 Creative Environmental Design on behalf of RUSSELL & JULIANNE KARSTEN requests a Ten-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed, and wild rose ramble to 48" in height. Located: 57908 Main Road, Southold. SCTM# 1000-66-2-2.2 Type of 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.: �b jet +0 V".e-�L o YJtaV—f Present Were: G. Goldsmith N. Krupski E. Sepenoski �/ L. Gillooly J. Finora n.tD,e -.e t]:. - •en.-' s wror ecr EEc 4o Dx Ee e% - - i� f SCC•.� Qw +,y!-' dace � :2 � T�r.E ,,��, � • OP�'•.e Y` ` � � • 21 , U ..t{, s'{,tv`1J ✓1\13, 's ` A... �,n,....�•nrr,,.,...�,n.. ._ — .. „ CWNT1(OF SUFFOLK O N NONCE K •^ •�Dua„� Toro seaari,o — —_ .tip.=. —�— �.,� „�w�� �,ef l)'-lit lclYlce:\�ell<\' �,•F„f� rtRR�wNe�uEw Y __ __ W E mnnra 4vr.rxic,n n ...0 souYNOEo 066 �• ' n-'• 4un wauV• ,�• W,U 1 tl1ED - s OFFICE LOCATION: \\OF SO(/jyO MAILING ADDRESS: Town Hall Annex �O l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) H Southold, NY 11971 Telephone: 631 765-1938 G.c� • Q C4UNT`I,� 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: August 10, 2026 Re: LWRP Coastal Consistency Review RUSSELL & JULIANNE KARSTEN, SCTM# 1000-66-.2-2.2 This application is for a Ten-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed, and wild rose ramble to 48" in height. The proposed action has been reviewed to Chapter §268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the.information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT with the policies of the LWRP as follows: Chapter §268-3 Definitions MINOR ACTIONS FF. 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 proposed action of cutting phragmites is exempt from the LWRP review. 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. 2 i ��® Glenn Goldsmith,President ®fS® , Town Hall Annex U A.Nicholas Krupski,Vice President ,` ` 54375 Route 25 P.O.Box 1179 Eric Sepenoski ] t Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples ' y® Fax(631) 765-6641 � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office,Use Only Coastal Erosion Permit Application Wetland Permit Application ' Administrative Permit , JUL 2 5 2026 _—Amendment/Transfer/Extension -- Received Application: Southaio lbvvii Received Fee: $ — �_eo�qrd ofTni, �^ Completed Application: Incomplete: SEQRA Classification: Type I__ Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ —Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: __Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Mailing Address: s�r(�( 9 M Pi") �O w sx"}moo ' , N T � � q Phone Number: — �5 - Cagy 1.1-211- Suffolk County Tax Map Number: 1000 f —)- ' Property Location: _ o r-0t, (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): \I it�' Mailing Address: y '0 � , ,)& k l'n . T C C_o�'j Phone Number: Email: Q-fc �0 YRVNon � COS >ard of Trustees Applicati II GENERAL DATA Land Area(in square feet): _ Area Zoning: — 5 Previous use of property: ,2� Intended use of property: i Covenants and Restrictions on property? Yes j No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? __❑_Yes _Z_No If"Yes", please provide copy of decision. his project reoldre 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? fz 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?7V�L No_n Yes If yes, provide explanation: Project Description(use attachments if necessary): b�i1����������_ RGt Q L t "A —Vb ` U o Iu G J4 i ti )ard of Trustees Applicati WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: pAtow N _1�6 1M0-n�&'c vl OAr_tCJ'- J�J 'ek 0J, "a ue—WAD_e , ( -eh ? ( a-Vl L Area of wetlands on lot: E�L O O 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: - feet Does the project involve excavation or filling? _ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: _ Manner in which material will be removed or deposited: fi-tt IMa-(-,n �(?_t 11 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): 61 Z20 Appendix B' Short Environmental Assessment Form Instructions for Completing 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information C' re—r-o' V c.- �U i 0.Nni� t\fir 4 Avi i Name of Action or Project: Project Location(describe,and attach a location map): 0 R Cs Brief Description of Proposed Action: Name of Applicant r c r e-ra-K V Telephone: l C ON 0.1 E-Mail: qt V fz�� .C Off Address: . �o� oo City/PO: State: Zip Cade: � �� tfInS 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 El 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? acres b.Total acreage to be physically disturbed? .12 i acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Che 11 land us at occur on,adjoining an ar the proposed action. Urban Rural(non-agriculture) Industrial Commercial Residential(suburban) Forest ❑Agriculture Aquatic []Other(specify): Parkland Page 1 of 4 5. Is the proposed action, NO I 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? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO 1 YES b.Are public transportation service(s)available at or nearthe site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? FI 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: ❑ ❑ 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: ET h 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14.rldfntify the typic bitat types that oc t�e.g n,or are likely to be found on troject site. Check all that apply: S reline Forest EAgricultural/grasslands Early mid-successional LtTWetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO ES by the State or Federal government as threatened or endangered? ETFI 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 urces? 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 drains)? 5 O n7ES If Yes,briefly describe: Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: Ea ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applican spons C _ GJS� Date: j/I t/ Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? EY El 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 El 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, 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. IJCheck 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 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 AFFIDAVIT BEING DULY Swolu t DEP ES AND AFFIRMS THATHEISHE ISTHE APPLICANT FOR THiE ABOVZ DESCRIBED PERMT(S)AND THAT ALL STATEM. FNrS COJ%iTAINED HEWN ARE TRITE TO THE BEST OF I3LWER KNOWLEDGE AND BELWF,AND THAT, -; ALL WORK WELL HE DOME IN TIIE MANNER SET FtDRTIi:IN'THIS APPLICATION, AND A5 MAX BE AkpRovico By TaE souTHOLD TOWN BOARD OF TAIWEEs. THE APPLICANT AGRM To HOLD THE TOWN OF SOU TlOLD AND THE ° � BOARD OF TRU57-EES IIa►RMLESS AND FREE FROM ANY.ANDALL I)AMAGF.S ANII+CLALMS A'RIMG'KTi ER OR BY VIRTUE OF SAID PERMIT(SN F GRAB+M. IN COMPLEMG THIS APPLICATIoN;I HEREBY AUTHORIZE THE Tftus EIE,fi,TFIm AGENT,(S)OR REpRUEN1'ATIVES,INCLUDING THE CONSERPATIoN ADVISORY CO1UNC111,'TO ENTER ONTO MY PROPERTY To MPECP THE PREMISES Eq C()N,i'UNCnom WITH THIS APPLICATION, MCLURM A FINALlNSPt=OX-I FURTHER A-11TFIOWU THE BOARD OF 4 TRUSTEES TO pAWER ONTO RAY PROPERTY ANWAS"UIRPD TO INSURE C"j).wLIANcZ Willi ANY CONDI'x'fON OF ANY*JMF'LAND OR COASTAl, E'R0614ON PERIHTF ISSUED BY THE SOARD OF TRUsTEEES DURING THETERM � OF TM PERMIT. { Sisumm ofPropeny Ownar S j ewl rc of ptbpectp 0+,vier SWORN TO HFS0n ME THIS I DAY OF - 1 I i + r'YMk�ik-Sr�rdlirwYmk i Notary+Pubic Rio fcwRav i 11r Cannr�kn t�r+�c,Ape 27,x4so j 19 i i J AMMOPMATION (Wb=t1 �ppl]cant IA Q tlP owmm.ofdw,prapmo ail WifiCd as SCTMA 1000-!•rs'� "" c)k 3'+iea+'YD*.he -tea ae1,is my agent and hurdle s]i Deownry wock involved With fhc zppfimtiaa pro trig Pigs)fmm Uw Sbudold Toov, Baud of Tdrubm fat this ptap � party F+rnas"m i bun -- Pmpeety owmes$i lu� r S:WORN TO BEFORE ME THIS .2o DAY OF ► *Ore Ih 9AW d Now yes Natal 40�,�yrcan�rrAx+� It 3Qw APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSUR9 FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees.The numose of this farm is to provide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (1-- YOUR NAME: A �1 CiY`a h�LUI L2 (Last name,first name,itiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee h even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%oft a shares. YES F-1 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): fj,A)the owner of greater than 5%of the shares of the corporate stock of the applicant Q (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 o Signature Print Name P"1 Fortn TS 1 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 si fi fi�cant beneficial and adverse effectsupon 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# t mo PROJECT NAME A-e The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g..capital ❑ construction,planning activity,agency regulation, land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: VWIA�4 lf/M e0 4,0 6L P—e'v/nl;4 0,�'L4 —0—'ej Location of action: ��c� �l 1�►,�� Site acreage: Present land use: 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:b P\\l N V�) C3 C�4K'ca)\CQ- �S C, r° (b) Mailing address:_ ® , � � _, t�Cn r l ll C`�b (c) Telephone number: Q2?-�-I. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ Nop If yes,which state or federal agency? _ C. Evaluate the project to the following policies by.analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned!for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No - Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No P-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 8 through 16 for evaluation criteria ❑ Yes ❑ 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 through 21 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 • 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 ❑N0 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.0 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. ❑Yes ❑ No j 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 Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ 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; Pages 65 through 68 for evaluation criteria. rul ❑Yes ❑ No Not Applicable PREPARED BY b Ay i t) G N c) t.� TITLE e S DATE 1 C_Va,V,Ve_, CS f �