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HomeMy WebLinkAboutTR-7032A James F. King,President . O\\OF so Town Town Hall Annex Jill M. Doherty,Vice President � 54375 Main Road Peggy.A.Dickerson P.O.Box 1179 Southold,New York 11971-0959 Dave Bergen G Q ',Q► • O Telephone(631) 765-1892 Bob Ghosio,Jr., D Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7032A Date of Receipt of Application: January 27, 2009 Applicant: Lorraine Connolly SCTM#: 107-9-9 Project Location: 3505 Wickham Avenue, Mattituck Date of Resolution/Issuance: February 18, 2009 Date of Expiration: February 18, 2611 Reviewed by: James F. King, President &Jill M. Doherty, Vice President Project Description: To remove.portions of an existing concrete driveway and bricked areas and add a new gravel driveway. 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'Arthur Connolly,,last dated January 9, 2009, and received on January 27, 2009. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees JFK:eac James F.King, President O�*tf so�ryo Town Hall Annex Jill M.Doherty,Vice.President h l0 54375 Main Road P.O. Box 1179 Peggy A.Dickerson Southold;New York 11971-0959 Dave Bergen Bob Ghosio,Jr. � �Q Telephone(631) 765-1892 �yCOUMY,N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 19, 2009 . Ms. Lorraine Connolly 3505 Wickham Avenue Mattituck, NY 11952 RE: 3505 WICKHAM AVENUE, MATTITUCK SCTM# 107-9-9 Dear Ms. Connolly: . The SoutholdTown Board of Trustees reviewed the site plan prepared by Arthur Connolly, last dated January 9, 2009, and.received on January 27, 2009, and determined that the construction of a new garage, renovate the existing dwelling by constructing a second-floor addition,-construct a porch addition', and relocate the house entrance from the front to the side of,the, house is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. .Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction., sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal,Erosion Hazard Area, which may result from.your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a'determination from any other agency. If you have any further`questions, please do not hesitate to call: Sincerely, . a ' James.F. King, President Board of Trustees JFK:eac t James F.King,President ��QF SO(/ryO Town Hall Jill M. Doherty,Vice-President ,`O l0 53095 Route 25 P.O. Box 1179 Peggy A.'Dickerson . Southold,New York 11971-0959 Dave Bergen Bob Ghosio,Jr. �l �Q Telephone(631)765-1892 coun Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: "D (-rc4,-(ne_' CConC)kq . Please be advised that your application dated. JCknuc_c a7 fig' has been reviewed by this Board at the regular meeting of C9Q)7" and your application has.been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) " 1st Day of Construction ($50.00) '/2 Constructed ($50.00) V" Final Inspection Fee ($50.00) Dock Fees_($3.00 per-sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter275 of the Southold Town Code. The following fee must`be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 00 TOTAL FEES DUE: $ S� BY: James F. King, President Board of Trustees osu�Foc,� James F.King,President Off' CQ P.O.Box 1179 Jill A Doherty,Vice-President O� Southold,NY 11971 Peggy A.Dickerson ti Telephone(631)765-1892 Dave Bergen ,y T Fax(631)765-6641 Bob Ghosio,Jr. Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: f� LORRAINE CONNOLLY requests an Administrative Permit to remove portions of an existing concrete driveway and bricked areas and add a new gravel driveway; and a letter of no-jurisdiction to construct a new garage, renovate the existing dwelling by constructing a second-floor addition, construct a porch addition, and relocate the house entrance from the front to the side of the house. Located: 3505 Wickham Ave., Mattituck. SCTM#107-9-9 Ty of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part o Town Code proposed work falls under: apt.275 Chapt. 11111 other Type of Application: k_, (etland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: 1 Modifications: Conditions: Present Were: (/J.King J Doherty P. ckerso D. Bergen_ B.Ghosio, D. Dzenkowski Mark Terry_!6ther �} Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- 0��il���OOg ��.93 IRA + •f as cam.\ „+ _ , +.. � ', t y k I , � �. � � I " :.. s _�►� Ear`'_ .__`'` �'� r0 _ - - - •�!!' �MM1 sJ�f 02/.11 /2009 12 56 F - sEE sEG W.too c 6„i1p f 1s,0� SEE SFF. Z. M.f00 LM x ° S .' 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'CAROL S f' :V��012 t t>Te 3 4 �3� c sA74 I _. . . . .� °}e<-�, •� six"9 - -- - - � � � �-I L� � 4 A . �. ,02 b o a' ,1 Ate"('H c.J C U}J 1�C I�l� Ate' �� �' M [� ,r a � 1 c y tt.3F o �4 �tP�Z V:l..40US A 5 � N CW IhTC�A ®~<- laL �Ic\spa ��• � ��'�-� W f��';i�f�,i�i i��!� �� c�r�c �. l�,►..t� S A�- s`�Zu eTv LP. . % 1,��, as tt�.�a 1 I 'lJ 1<I N4Y i Oft 152, 4�1 i'f�U� � �a — 143� a� Ho�> `� �foJ 1�f� , � M11 1� 4`1� ��I I®`l.9 m� D►�Iv ��Y,Cc�1.0� N� t41`fi.�.d�i i59 i sr 1 �t g' +'� �j � p� m�1 1�t��r � t. {-7a rwr- - _ 25 Q'1� ;�.�� 14.��4m* Za I.J�4��f� wIp °,� ' ,,w ,?r ` 5� 1z t� A . ®f-41dC l�l=�` Is ��s 'i��T �r' F4 .t �i�av�p 2b(1�5e,: 1_.m OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 - 54375 State Route 25 �OSVfFO(�CO Southold,NY 11971 Main.Rd.&Youngs Ave. �O G,y Telephone: 631 765-1938 Southold,NY 11971 1 Fax: 631 765-3136 0 - y 2 oy LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN,OF SOUTHOLD To: Jim King,President Town of Southold Board of Trustees (i f • From: Mark Terry,LWRP Coordinator Scott A.Hilary,LWRP Coordinator FED 1 8 2009 Date: February 10, 2009' Re: Chapter 268,WATERFRONT CONSISTENCY REVIEW - Administrative Permit for LORRAINE CONNOLLY SCTM#107-9-9 " LORRAINE CONNOLLY requests an Administrative Permit to remove portions of an existing concrete driveway and bricked areas and add a new gravel driveway; and a letter of no jurisdiction to construct a new garage,renovate the existing dwelling by constructing a second-floor addition, construct a porch addition, and relocate the house entrance from the front to the side of the house.Located: 3505 Wickham Ave.,Mattituck. SCTM#107-9-9 . 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 us, it is our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT'with'the LWRP. The following BMP is recommended: 1) Establish a minimum 20' non-turf vegetative,buffer landward of the 1.5' Tall Concrete Wall, 1' Tall Frame Tie Wall and Flush FR. Tie Curb as depicted on site plan-stamped January 27"2009. Pursuant to Chapter 268,the Board of Trustees shall consider this recommendation-in preparing its written " determination regarding the consistency of the proposed action. l " r. 01 f 21/2009 22,35 0000900000 AIADGJM PAGE 02 Jaynes F.King,1're6ident ��a�SdQ�/ Town Hall Jill,M.Doherty,Vice-president 53095]Route 25 179 Peggy A.Dickerson J• Southold, Now York 11971.0969 Dave Bergen igs Bob C4nua.bj,. Jr, Tel ephom(631)765-1392 Fax(631)765-6641. ]BOARD OF TOWN TRUSTEES TOWN 0?80=01LD Office Use Only Coastal Erosion.Permit Application/ Wetland P=rdt Application ���.dministtative Permit / _AmendmentJTransfartEX uslorA I itceived Application: 7 ceived Peer -7C v (S 0 �Cornpleted.Xpplication_ ' Incomplete, _SE QRA Classification: t/441 197 Type I T 11�.Unlisted,—" 2009 Coor ftdori:(date sent)__. S ✓,WRP Consistency Assessment Form CAC Referral gent: v Trpst�e fe of Inspection- S _Receipt of CAC Report: _Lead Agency Determination' Technical Review: lic Hearing 14ol Resolution: Narne of Applimt LPRRAL" __V co"I'JOL-Ly .Elddress_3GO15 W1e_-KWAM &ye-1 , M�t5:TT rrL)Gt� q52 � , �>v� �er:c l _ 298-CA" I Suffolk County Tax Map l!�lum.ber: 1000 4-7 35$�l O—(, ]Property Location:__35aS' W L G te- -- iL." L� _ M tKTrrtUG1<'-- V4%-4 11�15 2 (provide LILCO Pulp 9, distance to cross stTeets, and location) AGENT:_ A (If applicable) �-------�---� - - _.... Address: a. ---Phone: ----- 01/211/2009 22:35 0000000000 AlADGJM PAGE 03 Lrd of Trustems Application GENERAL DATA Land Area(in square feet): Area Zoning: �-�—'�IDTA�-- _ Previous use of property: l'D�~�1 Intended use of property: Covenants and.Restrictions: Yes -7 LTG If"Yes",please provide copy. Prior permits/approvals for site improvements: Agency Date Scx iFk.D -t'Cr"- 3?4 C MAY 2 'Zoo I U��i' o� A2r�tY t-v'T�tT -- zt2oo1 &PTZ. fib, 20�1 NY D_.R__ Lrt�T 1- q�a8_a2gj"? PES 14,200 3 No prior peT.mi.ts/approvais for site improvements. Has-any permit/approval ever been revoked or su ended by a governm.en.tal agency? No. Yes If yes,provide explanati.ou; Project Description(use attachments if necessary): �� } • ._..�....._._.._._.. ��.�__�2�%'mil��•��..h��.( ��"'' � Ca>" -� ` �r{� ��� �� OP _ Zsc � Q •__...�.....�. _.:may z��.��_�-_ �_ �=�-�o�``zo,_��� �� :�� `�;,��1 _••-__ .L'5�3.y� • _+ 1 t✓ --�, , �..�5� ..� �T -JL._:..r- �Y/ �r� .`..f�\.z7.i-- k .,......-..,..-.......,.._—...,_.—�. _...N_�` ._,..._ �°'� _�ym•---�f_:�..C_._.P_.,Ja�..,1.._��1�� �'"' v�1G.�� �• t ' 1 t� `'. .. 'i321.G 3 1 • s 4 h l�F x ..�.._....._..._......- 11� 1 tt s� 01/21/2009 22:35 0000000000 A1ADGJM PAGE 04 ""nard of Trustees Appliaat:ir;r WETLAND/'} RUSTEE LANDS APPLICATION DATA.. Purpose of the proposed operations: MO�1 .Area of wetlands on lot: O square feet Percent coverage of lot: D % Closest distance between nearest existing structure and upland edge of wetlands: I A 1. 1 . feet Closest distance between nearest]proposed structure and upland edge of wetlands: I 3-1 feet Does the project involve excavation or filling? No— Yes If yes,how much material will be excavated? Ws. cubic yards How much material will be .filled? 1-411S. cubic}yards Depth of which axaterial will be removed or deposited: A � feet Proposed slope tlarou.ghout the area of operations: 'tv jt�-. Manner in which material will be removed or deposited:_ Jj /j&. a� Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by....... . ...... . ....... ...... _.. .,.m reason of such proposed operations (us ..... e attachments if appropriate}: N0W 01/21/1009 22:35 0000000000 AIADGJM PAGE 05 PROJECT ID NUMBER 811.20 SEAR APPENDIX C STATE ENVIRONMENTAL OUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 PROJECT INFORMATION (To be completed by A licanl ar Project Sponsor) 1.APPLICANT J SP6?i@ 2 2.PROJECT NAME 60 T'J' J O L L y 3.PROJECT LOCATION: Municipality Q��T t�1.)� County 4.PRECISE LQCATTON; Street Addess and Road Intersections. Prominent Ipndmalks eta -or provide map •INIA-tT rr��c..,t�.i� t tQi SZ _ 5.IS PROPOSED ACTION: New ❑Eupermon I4f Modification J alteration 5.DFSCP:1i3E PROJECT BRIEFLY: �44 5 eE 7.AMOUNT OF LAND AFFECTED; Initially acres acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTIPG ZONING OR OTHER RESTRICTIONS? Dyes g No If no,describe briefly: 3.WHAT t$ PRESENT LAND USE IN VICINITY OF PROJECT? (Chows as many as apply)T Ra3itlential rzl Industrial Commercial ClAgricuiture ©Park/Forest J Open Space Q Other (describe) 10.'DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNfviENTAL AGENCY (Federal, State or Lou,) Eyes ®No If yea, list agency name and permit ! approval: t�1 Doc pgLwr LAN b 50Jr+1a L__� BU14�! _ �. 5x'EI�i UP ti , IF ROVAL? -� [W rYos ZINo Ii yes, list agency name and permit ! approval: 12. AS A LEASULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes I&No 1 CERTIFY THAT.THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE' Applioant l.Spppypr Name DafA: SI nature �. If the mctlOn is a Costal area,and you ar@ a state agonCy, complete the Coastal Assessment Form before proceeding with this assessment 01/21/2009 22:35 0000000000 A1AUGJM PAGE 06 PART ll • IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.47 If yes,coordinate the review process and use the FULL FAF. ®Y®s ®No B. WILL ACTION RECEIVED COORDINATED REVIEW AS PROVIDED FOR UN1.15TED ACTIONS IN 6 NYCRR.PART 617.6? if No,a negative decisration may be superseded by another involved agency. ® Yaa ® No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING:(Answers may be hanbwrlhen,If legible) Ci, Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: f 02. Aasthatie;RrgrbcLj ral,archaeological,historic,or other naiural or cultural rescurces;or community or neighborhood character?Explain briafiy: I C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species explain hriafiy: CS. A community's;ewisllrig plans or gcals as officially adopted,or a change En ugr or inb'risity of use of land or other natural resoureas7 Explain brlETly, C51, Growth,subsequent development,or related activities likely to be induced by P p the ro osed action? ain briePl Y.• Ex—pi C6, Long term,short term,cumulative,or other effects not ldcntiPred in C1-05? Explain briefly; CT. Other impacts(including Chan es in use of either quantity or!XEO of energy? Ex laln briefly: t. D. WILL THE PROJECT HAV8 AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CSA)? Ifves,explain bsitti Yes ©No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Yet.ex lain; Yes 1:1 No PART III DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS; For each adverse effect Identified above,determine whether it is substantial,large,important or otherviisesignificant. Each effect should be assessed in connection with fts(a)ratting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and (f)magnitude, If necessary,add attachments or reference Supporting materials, Ensure that explanations contain Sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed, if questton d of part iI was checked Y��t'ietArFni�tion,Qfsigcti€rs2Fr2Erust$v�it�ate-thepotentla�irstpact o�Nlubpesed-acliorttxt-t#icenvironmentt}I-characteristic-cvFthe�64—� Check this box if you have identified one or more potentially large or significant adverse Impacts which MAY occur,Then proceed directly to the FULl. EAF and/or prepare a positlGe dectaration. determination x rf ou liana deferinfsisci-based'on the.intomiatlon and'anal srs above and an cup ortIn docurrte ation,that Uie proposed a WiLL,NOT result In an s' nificant adverse environmental im aots AND provide, on attachments as necessary, the reasons su orting this Name of Lead Agency D®e Print or Type Narita o espotwsr 0 151111car n Bad Agerfr Title cf Responsib aDWICer Signature-of Responsible Officer in Lead Agency Vgnature of reparer{i[ Brent from rasponsib o beer) 01/21/2009 22:35 0000000000 A1ADGJM PAGE 07 'Board of Trustees ,A.pplicat��;a County of Suffolk State of New York Lor ra",r,e tv` Vi C.ov\n o It BEING DULY SWORN ..DEPOSES AND AFF.TRIVIS THAT MSI-M IS THE APPLICANT FOR THE.ABOVE. DESCRIBED-PERMIT(S) AND TRAT 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 TfUS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR,I3Y VIRTUE OF SAID PERMIT(S), IF GRANTED, ,IN C:OMPT ETI T"Q TEES APPLICATION, I Hl~R1EBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRIWSENTATIVFS(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO 13EFORE M.E THIS a DAY OF otar}r Public �' '�" 01/21/2009 22:35 0000001 oaa A ADGJM PAGE 08 70ard o - tiger AIpPliaatil- AUTHORIZATION (where the applicant is not the owner) residing at (print owner of property) (m—ailing address) _-- - coo hereby authorize, (Agent) Ito apply for pdrmit(a) from the Southold Board of Town Trustees can my be3ialf. (Owner ss signatuxe) 01/21/2009 22:35 0000000000 AIADGJM PAGE 09 AEI PLICAN '/A.GEAIURE- ' SEN`I'ATIVE TRANSACTIONAL DISCLOSURETORM The Town Lft i791ifj&Rde ofatitere i on the 4f town effacers and ervgplovees The purpose of this fhun is to provide information�;h art the town ofpossibli conflicts of interest.and allow it to take whatever action- jjccLqVpry to avoid same. `.. YOURNAMS; CCAJ1140L-U\4 1.01�1L-.1%jig V (Last nnrne,first name,;piddle initial,unless you arc applying in the name of someone else or other entity,such as a company,if so,indicate;the,otber Person's or cornpsay's name•) NAME OF APPLICATION- (Chopk all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official neap __ Planning _ Other (11"Other^,name the activity.) Do you persoaally(or through your ompany,Spouse,siblir:g,pa.mat,or child)have a relationship.a�ith any officer or employee of the Town,of Southold! "Relationship"includes by blood,marriage,or business interest"Business intarest'l means at business, including a partnership,in which the town officer or employee has even a partial,ownership of(or'employment by)a corporation in which the town officer or employee owns more then 5%of the shares, YfS _ NO if you answered"YES",complete the balance of this form and date and sign where indicated, Name of person employed by the Tower of Southold Title or position of that person Describe the relationship between yout-tif(the appltcarit/Iigentlrepr'esehtativc)and the town officer or employee.Either check the appropriate line A)through D)andlor describe in the space pr0ided. The town otTiccr or employee or his or her spouse,sibling, parent or child is(check alkliat apply): Ja)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' eno0eial owner of any interest in a non-corporate entity(whan the applicant is not a corporation); C)an officer,director,,partner,or employee of the applicant;or �A)de actual applicant. DESCIt1nJON OF RELATIONSHIP � r Submitted tllic alv day of 200 Signature_ Il?-. Print Name LaZRAtK V Cs�NN�Lt3Y corm'Ts>i 01/21/2009 22:35 0000000000 A1ADGJM PAGE 10 Albert Y.Krupaki,Presidents �'� 'town Hall James King,Vice-President �`�' �� 53095 Route 25 Artie Foster F.O.Box 1179 Ken Poliwada Southold,New York 11971-0959 Peggy A. Dickerson , ®� Telephone(691)765-1892 Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHO LD OTHXJt POSSIBLE AGENCIES YOU'MIGHT HAVE TO APPLY'l O N.Y.S. Dgpt. of Environmental Conservation (D.EQ SLENY,Bldg. 40 Stony Brook,NY J.1790 2356 (631)444.0355 Mon., Wed.,Fri., 8:00 AM-3:00 P.M. Suffolk County Dept. of Health Services County Center Riverhead,NY 11901 852-2100 U.S.Army Corp. of Engincers New York District 26 Federal Plaza New York,NY 14278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. 518-474-6000 01/21/2003 22:35 0000000000 a1ADG M PAGE 11 Town of Southold Lam'.'CL)NSI$TENCY ASSESS NT FO 1 A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete dlis 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 ti dlhin the Coastal frosion a° m and.Area, 2. Before answering the questions in Section C, the preparer of this fon-n Should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold 1_.oca1 Waterfront Revitalization Program, A proposed action will be evaluated as to its significant beneficial and adverse effects upon tb.e coastal area swhi.ch includes all of Southold Town). 3. if arty question in Section C on.this forth is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and coadition5 couiained in the consistency review law. Thus, each answer mint be explained in detail, listing both-supporting and non- supporting facN. If an action can.i.iot 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.north:fork..n.et), the Board of Trustees Ofihce, the Planning Uepartnnnt, all local libraries and the Town C krk's office, B. BESCRIMON OF SITE E AND PROPOSED ACTION SCTMO I OCO -9 PROJECT NAME C-0" tJ O L-.L`T The,Application has been submitted to(check appropriate resp onse): Towns Board ❑ Flanning Board El Building Dept. U Board of Trustees 1. Category of Town of Southold agency action(check a.ppropriate'respon>e): (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) Fern-4 approval,license,certification: E�71 Nature and extent of.action: t� 01/21/2009 22: 35 0000000000 A14DGJM PAGE 12 Location of action: 3SO Mt`CC'C V4, �J ky l R S Z Site acreage: 3 21 "L-116 'S 6 Present lade use: -22s ive—n k Present zoning classification: �71�'K�.�L--- _ 2. If an application .for the proposed action has been filed with the Tovni of Southold agency, the following information shall be}provided: (a) Name of applicant: G(71.. *4 Q�VY (b) Mailing address (c) Telephone number: Area Code (d) Application number, if any:, _.. Will the action bc directly undertalcen,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes, which state or federal a.gcncy?__)J`>P �- C. Evaluate the project to the following policies by analyzing how the project will farther support or not Support the policies. Provide all propo"d 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 develnpment 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 L W)),'P Section III -Policies; Page 2 for evaluation criteria. Yes ❑ No Not Applicable —ALL- R2.0 "�-�'�TC' Z� �'1.tV►��1J t�-t�3'?� RAP lZ��oV tt�J Attach additional shret5 if necessary Policy 2. Protect and preserve historic and archaaeological, resources of the 'Town of Southold. See ➢.,l R'P Section 11-Policies Pages 3 through G for evaluation criteria ❑ Yes ❑ No 5d Not Applicable 01/21/2009 22:35 0000000000 A1ADGJM PAGE 13 ^�-T_!�►�t'�i�,tTtc��1 _'�Y�,2�''NIoV�NI�- _tJc�- �?�Zvia�s MLA.�`2►J�.S ANt �L�"P A� V�lt'�'� �p-32V�o� i'�b►c`2�oL.5 _ Attach additional she is if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of S®uthMal. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria Yes 7 No Zj Not Applicable DP05-,j> CSZ 1AE L4 0iJ.S LA-. �JP-t=*z r' 'B`P Ta*jc>VLM--r 1J-0M-fed ua.->S .Mk,*---2►A.w YI�t�ID �fZ�"'PIydGLNb W41�.t j�ryZV1DJ$_ MAT'cZula�-5 We._ _ Attach addicioraal sheets if r:cccssary NATURAL COAST POLICIES Policy 4. Mixtimize loss of life, structures, and natural resources from flooding and erosion. See EWIP Section III-Policies Pages 8 through 'l.6 for evaluation criteria Yes No Not Applicable A�..t_ �'G��os� MOD►n_L�lo�1S -i'l7 ������`� W t��. �1 r' ��.,._...�. t V 1TZD_�.l Mom'..L Y 2'M�V N 1�lOM ^Pe'RV l F�1S tiq,���''YL�A�,S Attach additional sheets ifnseessary M ;!policy S, Protect a►id improve water quality and supply in the'Town of Southold. See 1LWRF Section III Policies Pages 16 through 21, for evaluation criteria Yes ❑ No v5s-%Not.Applicable JR��`_ -Wit•��?�" �T1,1� ic�luL6Z�1�1 �YT�`'1`�,�/,1A! '' IJ:�ii-►�c�N l0►�T' 1`"(�1�5 VJrM4 "Pr2V10�5 M 22iAL-S lttacl3 acirlitional ,Beets if necessar, Policy C. Pretect and, restore the quality and function of the Town of ,Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. Sce L``t' RF Seetiou III Policies; Pages 22 tlaraargh 32 for evaIuation criteria. 01/21/2009 22:35 0969000000 AIADGJM PAGE 14 ( 0 Xcs No Not Applxable rC �?uV tCLotl)✓tv'1~LT t3 Y �`Z�'�MbV t1.1t- IN-S�cIWS. Attach additional sheets if necessary Policy 7. Protect and 'improve air quality in the Town of Southold, Sec LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. D'Ves No g Not applicable A., �D P OD%�1 cam-['t�,1�S 'ta PeQ ^[N� t?1.,ly�QA►�I61zo.z� T3 Y ����J�; �, P�-2y►c��s tii cA���a� Attach additional sheets ifnocessM V Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See.1,MR.P Section III Policies; Pages 34 through 38 for evaluation criteria, ❑ Yes ❑ No ® Not Applicable &.,-" _M Tgapm .Y W l"I- "'�lJz ef l ► �bV t 1_1. Nt�1r1 'Q ``r�J 1�NlDG�1J� via S I-A •mcz1r�4S 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. ❑ Ve.0 flog Not Applicable -t�►c �t.Ir�j1CZA 1.� C"Zi;Y Z+�oy►�� our�i2.ytca.is M�1�C�� ►.5 PM _QCL W k-i4 ,00 S. Attach additional sheets if noccssary 01/21/2009 22:35 0000000000 AIADGJM PAGE 15 WOWUNG COAST PQLICIEn � policy 10. Protect Southold's water-dependent uses and }promote sating of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable _ �Lam.. P2oposr-1D �M c7 Ste_-�c.�.ti rb�is `ice P2oPt362�`r w►�- -� �C�t� �►ytR��M�Qai � 0 >�� -�2Vl.bJ'S M �1�i.�S_-. attach additional sheets if necessary Policy It. Promote sustainable use of living Marine resources in Long Island Sound, the Peconic Estuary and Town waters. Sec LWIIP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No*9 Not Applicable _ c>`.�. P2ap ►H.o�t-�c�.-t� ib �iZoQ— Y w4�►--'" ^err Attacli additional sheets if necessary Policy 12. Protect agricultural lends in the Town of Southold. Sce ,LWR.P Section JH —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ Nos Not Applicable P 9.1c> ZSZD1-�oD i r= ►c m-�'loj i5 �R�Qc` `'f W► . �.D�.►�,N I"t�1�. 'r1�Y �-(a,J►k+�j 1.1�?�'"4�c'�►c��S 11-frtsC�fZ.►r�.�S �►aJ0 125G2LAS,,,).►vac 'VCr t'V3'" LOJS -Er�o*�MI&L. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L)V P Section I'll—Policies; Pages 65 througln 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable P4?1�S-�D t-�<0-1-) C+-) W�1.r.- Fs i?-�=-C �"1_> tT1V l R�I�t-c-'Y�C (�Y "CMay a N �1—P�zy IcJ�S MdT`rL1�A•.-5 AL � PREPARED BY .V`� �.e,�-w 7'I'TLE '"''� DATE L 1 oq ir C_EQyE - JA N 1 6 2009 -< -- -- - ���c - , �`?. U Vowo, �?_ 11U - - - South i0 d own