HomeMy WebLinkAboutTR-7352 Jill M.Doherty,President y Town Hall,53095 Main Rd.
James F.King,Vice-President u P.O.Box 1179
Dave Bergen �, Southold,NY 11971
Bob Ghosio,Jr. � Telephone(631)765-1892
John Bredemeyer Fax(631)765-6641
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
1 St day of construction
constructed
V Project complete, compliance inspection.
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BOAS'OF SOU'�HOLD TOWN-.TRUSTEES
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S'OUT'I,�'OL'TS;=NEW YORK ,
��• PERMIT NO 7352 :r ,f , DATE
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ISSUED:TO...A&
�E KOEHLER
GREENPORT
PROPERTY.ADDRESS: 1595 BAY.SHORE ROAD, .
a�/ SCT1V`#53-4':5 a
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Pursuant;t,o the provisions of Chapter 275 and/or Chapter 111 of the Town Code of tote Town-of
•'•'., Soathold'and m accordance the,Resolution of the Board of Trustees adopted at the meeting held on s,
July 21 2010,and,iniconstderation of apphcahon fee m the sum:of$250 00 paid by A&E Koehler and subject
, .
,1, to;the Terms and`Copditions as stated in fhe Resoluttori,the Southold Town Board of Trustees autlionzes
w i 3
permits the following 1 ' r `}
f,VVetla &-Piintlitf to re akir_the exstn 1stone r -rap .� and as}de cd eP 1r.
plan prepared'by J Grammas Consultants,last dated`May 24 ;2010, and re edceav on
e+..,. •.
+�•111 � �) t�;:s �.,4 i ��' s ..',?( t ii�y,`, •i)4 55. •t•'•j
IN WITNESS WHEREOF,theaaad Board of Trustees hereby causes its Corporate Seal to be affixed,
f' and these presents,to be subscnbed by,a mafority of the'said Bo'ard�as of this,. afDA
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TERMS AND CONDITIONS
The Permittee A.&E Koehler,residing at 1595 Bay`Shore Road,Greenport,New York as part
of the consideration for the issuance of the.Permit does understand and prescribe to the
following:
1. That the said Board of:,Trustees and the Town of Southold are released from any and all
damages, or claims for damages,of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will,at his or her own
expense,defend any and all such suits initiated by third parties and the said Permittee
assumes full liability with respect thereto,to the complete exclusion of the Board of
Trustees of the,.Towri of.Southold,:.-
2. That this Permit is valid for a period of 24 months,which is considered to be the estimated
time required to complete the work involved,but should circumstances warrant,request for
an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely,or as'long as the said Permittee wishes to
maintain the structure or project involved,to provide evidence to anyone concerned that
authorization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or its
agents, and non-compliance with the provisions of the originating application may be cause
for revocation of this Permit by resolution of the said Board.
5. That there will be..no unreasonable interference with navigation as a'result of the work
herein authorized.
6. That there shall be no interference with the right of the public to pass and repass along the
beach between high and low water marks.
7. That if future operations of the Town of-Southold require the removal and/or alterations'in
the location of the work herein authorized,or if, in the opinion of the Board of Trustees,
the work,shall cause unreasonable obstruction to free navigation,the,said Permittee will be
required,upon due notice,ta;remove or alter this work project herein'st#d without
expenses to the Town of Southold.
8. That the said Board will be notified by the Permittee of the completion of the work
authorized.
9. That the Permittee will obtain all other permits and consents that may be,required
supplemental to this permit,which may be subject to revoke upon failure to obtain same.
Jill M.Doherty,President QF SO�r�o Town Hall Annex
James F.King,Vice-President ,`O �� 54375 Main Road
Dave Bergen P.O.Box 1179
Southold,New York 11971-0959
Bob Ghosio,Jr. G Q
John Bredemeyer �� Telephone(631) 765-1892
COUNTY,� Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 21, 2010
Mr. & Mrs. Eugene Koehler
108 Allen Blvd.
Farmingdale, NY 11735
RE: A & E KOEHLER
1595 BAY SHORE ROAD, GREENPORT
SCTM# 53-4-5
Dear Mr. & Mrs. Koehler:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, July 21, 2010 regarding the above matter:
WHEREAS, A & E KOEHLER applied to the Southold Town Trustees for a permit
under the provisions of Chapter 275 of the Southold Town Code, the Wetland
Ordinance of the Town of Southold, application dated May 25, 2010, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council and to the Local Waterfront Revitalization Program Coordinator for their findings
and recommendations, and,
WHEREAS, in accordance with Chapter 268, said application was found to be Exempt
from the Local Waterfront Revitalization Program policy standards, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on July 21, 2010, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
2
WHEREAS;the structure complies with the standards set forth in.Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of A & E KOEHLER to
repair the existing stone rip-rap, and as depicted on the site plan prepared by J
Grammas Consultants, last dated May 24, 2010, and received on May 25, 2010.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of$50.00 per inspection. (See attached schedule.)
Fees: $50.00
Very truly yours,
Jill WDoherty
President, Board of Trustees
JMD/eac
Jill M.Doherty,President y Town Hall,53095 Main Rd.
James F.King,Vice-President P.O.Box 1179
Dave Bergen � ` " Southold,NY J 1971
Bob Ghosio,Jr. �fJ � Telephone(631)765-1892
John Bredemeyer Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: 1�1 E I�oe�n�er
Please be advised that our application dated �yo2J C:2ol O has been
Y pp /
reviewed by this Board at the regular meeting of TLAI IV dl c;b o and your
application has been approved pending the completi n of the following items checked
off below.
Revised Plans for proposed project
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
1 st Day of Construction ($50.00)
% Constructed ($50.00)
Final Inspection Fee ($50.00) jai-CUT
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
Chapter 275 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:
TOTAL FEES DUE: $
BY: Jill M. Doherty, President
Board of Trustees
a�,�gpFFO�kca
Gs
Peter Young,Chairman H Town Hall,53095 Main Rd.
Lauren Standish,Secretary u.. P.O.Box 1179
G Southold,NY 11971
Telephone(631)765-1892
Fax(631)765-6641
Conservation Advisory Council
Town of Southold
At the meeting of the Southold Town Conservation Advisory Council held Wed., June 9,
2010, the following recommendation was made:
Moved by Jack McGreevy, seconded by Doug Hardy, it was
RESOLVED to SUPPORT the Wetland Permit application of A & E KOEHLER to repair
the existing stone rip-rap.
Located: 1595 Bay Shore Rd., Greenport. SCTM#53-4-5
Inspected by: Audrey Horton, Jack McGreevy
The CAC Supports the application with the Condition the rip-rap is landward of the mean
high water and the location is in compliance with the Public Trust Doctrine.
Vote of Council: Ayes: All
Motion Carried
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Jill M.Doherty,President Off' CQ P.O.Box 1179
James F.King,Vice-President �� Gy Southold,NY 11971
Dave Bergen too ? Telephone(631)765-1892
Bob Ghosio,Jr. oo >� Fax(631)765-6641
John Bredemeyer y '�
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time:
A & E KOEHLER request a Wetland Permit to repair the existing stone rip-
rap. Located: 1595 Bay Shore Rd., Greenport. SCTM#53-4-5
Type f area to be impacted: /
altwater Wetland Freshwater Wetland Sound y Bay
Distance of proposed work to edge of.wetland
Part,of Town.Code proposed work falls under:
f-Chapt.275 Chapt. 111 other
Type of Application: L.--4etland _Coastal Erosion _Amendment
—Ad ministrative_E merge ncy Pre-Submission Violation
Info needed:
kA �1 A�_U 7'-r- S i '-W� C L (oa�'r\ (f—"
ZAM AZ
Modifications:
Conditions:
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Present Were: J.King _J.Doherty_J. Bredemeyer �/ D. Bergen_
B.Ghosio, Dzenkowski other
Form_filled out in the field by
Mailed/Faxed to:
Date:
r
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Southold Town Police Report 04/10/2010 09:39
Incident Report case Number 01-10-002638
I Case Number Report Occurred On/From Occurred To Report Type
N 01-10-002638 04/10/2010 09:39, 04/10/2010 09:39 Original
C Incident Type Case Status Case Status Date Cleared
I TOWN CODE-OTHER FIELD ARREST/TICKET ISSU 04/21/2010
D I/L Common Name
E 1595 BAY SHORE RD GREENPORT, NY 11944(SUFFOLK County)
N Day of Week:SATURDAY Sector:3 803
T Map Reference:GPT4 Total Damaged Property Value:$0.00
Location Type:WETLANDS Total Stolen Property Value:$0.00
Sector:3 803 Total Recovered Property Value:$0.00
0 State Classification Attempted/Committed
F TOWN CODE-OTHER COMPLETED
F Statute/Ordinance Location Type Disposition Date
E Stc 275-5 WETLANDS 04/10/2010
N Federal Classification(Larceny Only):Not Applicable(-) Federal Disposition:FIELD ARREST/TICKET ISSUED
S Attack Reason:NO BIAS/NOT APPLICABLE(-)
E
P Person Type Business/Person Name Business Phone
E SUSPECT John KOEHLER 631-
E Home Phone Person Address Map Reference
S A (516)779-2727 22 LILY DR S.SETAUKET,NY 11720,SUFFOLK County
0 1 Cell Phone Employer Address Map Reference
N
Race Sex SSN DL Exp.Date DL Number
WHITE Male
Birth Date Birth City
05/16/1958
Age:51 Body Marks:
Adult/Juvenile:ADULT
N Topic Original
A
R While on patrol undersigned observed the defendant building a stone revetment within 100' of a tidal
R wetland without a permit. Summons#A4282 issued.
A 1
T
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E
APR 2 2 2010
Souii;f3oI3 1mv�l-_ . I
0
Reporting Officer Department Report Status:
Donald dzenkowski (2068) Approved ,
Officer Name - Date/Time
0
Verifying Officer Department Date/Time o
SGT JAMES A GINAS (2691) SOUTHOLD TOWN POLICE 04/21/2010 13:45 0
N
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1 of 1 °D
Town of.Southold
A 4 2 8 2 Suffolk County;NY
SSS��7 (�777111 The People of the State of New York vs.
� °
f 0 E y e� NAME _ MIDDLE INITIAL
S ET >DRE S `
APi.NO.
CI
<71 STATE \ ZIP
l�
UCENSE OR REGISTRATION NUMBER
STATE TYPE OF LICENSE DATE EXPIRES SEX DATE OF BIRTH f0PERATOR .
✓ / /� M16 ly HICLEONO
THE OPERATOR OR REGISTERED OWNER OF VEHICLE DESCRIBED BELOW,-
1 PLATE NO.
ATE EXPIRES
STATE PLATE TYPE '
❑"N.Y. ❑N.J. ❑N.Y. ❑N.J. ❑ ❑PASS COMM ❑
VEHICLE MAKE
❑ DODGE
❑ BUICK ❑ CHEV ❑ CADILLAC ❑ -PONTIAC =` -
❑ FORD ❑ OLD ❑ PLYM
❑ TOYOTA ❑ OLKS ❑ "'
BODY ❑ R ❑ 4DR ❑,-BUS ❑ MCY ❑ S.W.
TYPE TR UCK ❑ TRAILER ❑ VAN ❑ - . ._-
VIN NUMB
THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS
PLACE OF OCCUR CE ® ) /1J�9�i �✓ PCT -
ZDATE. F OFF NSE ME PM - CITY,TOWN,VILLAGE,OR ET SUFFOLK COUNTY NY
c 1d et A" ❑
IN IOLATION OF SECTION SUED. OF THE❑VEHICLE AND TRAFFIC LAW OF THE STATE OF NEW YORK.
' ❑OTHER(SPECIFY) Do i S. ElCOM El BUS ❑HAZ
DF VEH MAT
�' ❑ SP EDINGI OTHER OFFENS �
MPH IN A MPH ZONE // MISDEMEANOR ❑
FACTUAL PART(NOT FOR NB)
THE ABOV MED DEF��IIDANT DID ON THE STATED DATE,TIME AND PLACE
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The Foregoingis/b7{�end on(Peenlo9nal knowledge)and/ ounce bertg In.WaChed whom eP.si i n(s)of
dated�/v 1
or
- PARKING SCHEDULED FINE$ CONTACT COURT❑
- - THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT
SOU
THOLD TOWN JUSTICE COURT,53095 ROUTE 25,SOUTHOLD,NY 11971
ON /
DATE.....GRANGE(N;FORTVB)
J� / V AT
- FALSE STATEMENTS HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR PURSUANT TO SECTION 210.45 OF THE P.LN.Y.S.
• COMPLAINANT DATE /.�� n//
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BADGE,p/�
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COURT COPY
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New York State Department of Environmental Conservation
Division of Fish, Wildlife & Marine Resources, Region One
Marine Habitat Protection
SUNY @ Stony Brook, 50 Circle Road, Stony Brook, New York 11790-3409
Phone' (631) 444-0295 FAX: (631) 444-0297 Alexander 8.Grannis
Website- www.dec.state.py.us Commissioner
WARNING LETTER
May 18, 2010
John Koehler
22 Lilly Drive
South Setauket,.NY 11720
Re: 1595 Bayshore Rd, Greenport .(Suffolk)
Dear Sir/Madam;
- During a recent inspection, Department staff noted a potential violation at 1595 Bayshore
Rd, Greenport (Suffolk County), Specifically, the reconstruction of a rock revetment
approximately 63' long x 7' wide, adjacent to a regulated tidal wetland and without the required
NYS DEC permits. This is a regulated activity within the Department's Tidal Wetland jurisdiction
and therefore, requires a permit from the Department.
Conducting regulated activities without the required NYSDEC permits is a violation of
Article 25 of the State's Environmental Conservation Law. Such violations may be subject to a
maximum penalty of$10,000 per day per violation.
At this time, the Department is issuing this warning letter in lieu of further enforcement action
against you. We now consider this violation resolved. You are reminded, however, that any future
regulated activity will require the appropriate permits.
Thank you for your cooperation in this matter.
Sincerely,
Karen
Graulich�
Regional Manager
Marine Habitat Protection
Region 1
W10AF03
cc: ECO Gadomski
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KOELIEHR RESIDENCE
BAYSHORE R.O.
SO UTHOLD, N.Y.
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EXISTING
DWELLING
A.L.W.
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EXISTING DECK
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PORTABLE
WOOD DECK EXIST. STONE RIP RAP
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WALL TO BE REPAIRED
COW,. WALK I o o v o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
EXI5TIN6 Q
iCONC. RETAININ6
WAu. IN A REAR ELEVATION
10.4' i0.4' O
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D J RAMMAS GON5ULTANT5
(531 b Sr-) l J M4 RJLTON 5T. (k7r. IOq),FARMINWALE,NY 11135-3461
I-631-3q3-6505 FAX 1--631-5q-'-650&
E-MAIL: WOC.OA01-44M
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O b FAME NO. DATE REMARKS
16.4 I REV151 ON5
SOUTHOLD
kj 111m PLANS/IRE AN mTRIma of
APPROVED B 5ERVM MV ARE M PROPERTY
C OF nE AR-HTMT,INHaW@�M
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ZONE: AE HIM BE PROSEQl .
SECTION= 53 BOARED O F TRl9 `'
BLOCK: 4
coNrnACTOR SNAu.vERl�r ALL � �'' ,
L _ _ _ _ _ _ LOT: 5 TC��'�N OF SO U T H.0 D FHW COV171ONS XV v11�1ow
_ AND BE RESPOWABLE FOR FED
N44012'40" W 100.00, SITE ANALYSIS: wom
�1}^` E '�C� �C7 �� � s
IN No AUOw�INceS�BE MADE
__ � FOR Axr ,ar. oR
LOT AREA: Ibg34 5 •`�q� (Y17�1 y /
EDGE OF PAVEMENTSr-.
NOR N66LF�GT ON HS PART. �F N
E.XI5TIN6 FIRST FLOOR AREA: 1,465b1 5F. ._.._ \
EXI5TINS&ARASE AREA 400 SF. PROPOSED REPAIR TO EXI5TIN6 STONE
BAY SHORE ROAD TOTAL AREA 1,68s81 SF. RIP RAP WALL AT:
N 5 I TE LAN EXIST. LOT GOVERASE: 11.13% KOEHLER I`E�.�(DEI�tGE
PROPOSE3� DECK: 531 b SF.
15a5 5AYSHORE Rv.
91'M PLAN PREPARED FROM SURVEY BY 6REENPORT, N.Y.
PEC.ONIC SURVEYORS,PAC. PROPOSED LOT C.OVERA66 1427 % C ENERAL NOTES
Pro. BOX qOq, 12W TRAVIELER STREET 2
rsovn4o D,NEW YORK imi 5ET5ACK5 t 5G TM # 5 3—4—5
JV M T. NETZFER,LWA91� LAND SURVEYOR I. ARCHHTECT 15 NOT TO BE RESPONSIBLE FOR THE
®WAT : MAY 26,2004 EXIST1nK
WPDATED: .1JPE q,2004 f s CONSTRUCTION MEANS,METHODS,TEGFMIGalJES,
FRONT YARD: 30D, NO CHANSE SEa)EWZS,PROCEDURES OR THE SAFETY
SIDE YARD: 105' (ONE SIDE) No CHANSE �ONS AND PROGRAMS INCIDENTAL PLOT PAN, SECTIONS Q NOTES
2. BY AC<AEFrANC.E AND OR USE:OF THESE DOCU-
MENTS USER ASREE5 TO IDEIMINIFY,HOLD HARM-
LESS AND TO PROVIDE A D IN BEHALF
OF ARCHITECT FROM ANY AND ALL CLAIMS OR DATE: 5-24-10 DRAWING NO.
Lm6ATION KWH MAY RE5ULIT FROM THE USE
HEREOF.
3, UNAVTHORIZW ALTERATION OIR ADDITION TO SGALE: AS NOTED
PLAN 15 A VIOLATION OF SECTION'T2oq OF s I
THE NEN YORK STATE EDUCATION LAW
DRAWN: DO
4. COPIES OF THIS PLAN NOT BE,ARINS THE PRO-
FESStOINAL ARC.+HTECI'S INKED OR Et-005SEEP JOB No. 00�41 4
SEAL 15 NOT A VALID TRU CO E PY. Dr. I
Nye `w
s Aj.A ___�SUHVEY OF PROPERTY
*�
s , A T�ARS77AMOMAO E
TO WN�OI' SO UTHOL
d .d S'Z�FFOLK C0°UT Y
�� , N. Y.
1000-53-04-05
s �
dzo SCALE: 1 —20
MA Y 26, 2004
JUNE 9, 2004 (additions)
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\ ��`°�I I �, / •D1 L 0 T NUMBERS REFER TO "AMENDED MAP A ' OF PECONI
QA Y ES TA TES" FILED IN THE SUFFOLK COON TY CLE F NEW
OFFICE ON -MAY 19, 1933 AS FILE NO. 1124. yP�
i I I ELEVA TONS REFERENCED TO N.G. V.D.
FLOOD ZONE FROM FIRM
11 36/03CO159 G MA Y 4, I998
O p ���� S
p. ANY.ALTERATION DR ADDITION TO THIS SURVEY IS A VIOLATION
1
AREA=16;935 SQ.' FT. OF SECTION 72090F .THE NEW PORK STATE;EDUCATION LAW. .C.P
TD TIE UNE EXCEPT AS PER SECTION'7209,=SUBDIVISION '2.. ALL CER77FICA]IONS (63 AX (631) 765-1797
\ HEREON ARE VAL/P FOR THIS MAP AND COPIES'.THEREOF ONL Y•IF P.O B
m=MONUMENT SAID MAP OR COPIES BEAR°'THE.IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET
=PIPE WHOSE SIGNATURE APPEARS.HEREON.
t SOUTHOLD, N.Y 11971 04—174
Y J, !/T `Yf �
OFFICE LOCATION: O��pF SO MAILING ADDRESS:
Town Hall Annex Q P.O. Box 1179
54375 State Route 25 Southold; NY 11971
(cor. Main Rd. &Youngs Ave.)
Southold, NY 11971 • Q Telephone: 631 765-1938
Fax: 631 765-3136
�yC4UNTY,Nct�
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Jill Doherty, President ML
Town of Southold Board of Trustees
;;;�From: Mark Terry, Principal PlannerLWRP Coordinator - ;
.e
Date: June 14, 2010
Re: Proposed Wetland Permit for A& E KOEHLER
SCTM# 1000-53-4-5
A & E KOEHLER request a Wetland Permit to repair the existing stone rip-rap. Located: 1595
Bay Shore Rd., Greenport. SCTM#53-4-5
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 from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "EE" which states:
A. Maintenance or repair involving no substantial changes in an existing structure or
facility;
'Cc: Lori Hulse, Assistant Town Attorney
• ��pg+�PFO�kLa
Jill M.Doherty,President ti - Town Hall,53095 Main Rd.
James F.King,Vice-President µ. P.O.Box 1179
Dave Bergen dA Southold,NY 11971
Bob Ghosio,Jr. �/ � Telephone(631)765-1892
John Bredemeyer Q� �'� Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Qoastal Erosion Permit Application
_Wetland Permit Application Administrative Permit
_Amendment/Transfer/E tension
v/Received Application: it
Received Fee:$ �kir
L,,Completed Application��
_Incomplete
_SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
✓YIRP Consistency Assess ent Form
MA( 252010
—JeAAC Referral Sent: e� i
___P�dfe of Inspection: RCouti old Tc;,;i
_Receipt of CAC Report: Ecard of Trustees
_Lead Agency Determination:
_Technical Review:
_tic Hearing Held:
Resolution:
Name of Applicant � 'oe Ile 6e Aqpfs
Address W ez-
Phone Number:( ) 6 3& 6,
Suffolk County Tax Map Number: 1000 - 3-f7 +
Property Location: /egg 3.19 '� ,�� A"wn eLlrr
(provide LILCO Pole#, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
�1
oard of Trustees Applicat L
GENERAL DATA
Land Area(in square feet): ��, 3�
Area Zoning:�Ae /8 EN z E LI C ,
Previous use of property:
Intended use of property: r4, ..
Covenants and Restrictions: Yes No
If"Yes", please provide copy.
Does this project require a variance from the Zoning Board of Appeals Yes _� _No
If"Yes",please provide copy of decision.
Prior permits/approvals for site improvements:
Agency Date
)- 7/
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
No Yes
If yes,provide explanation:
Project Description(use attachments if necessary): LEp A
5iott�.
P 6 P
Board of Trustees Applica"-n
WETLAND/TRUSTEE LANDS APPLICATION DATA.
Purpose of the proposed operations: 10 Ae-PA J e- ,'-S j, A
5To&Jf— 2 ; P
Area of wetlands on lot: square feet
Percent coverage of lot:
Closest distance between nearest existing structure and upland
edge of wetlands: 50 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:
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):
9oard of Trustees Applica`n
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: /O &V i AI U 6 %O Y1AW-AA, I
2 �� �.t � Elf h� O.5�'o•.,f
Are wetlands present within 100 feet of the proposed activity?
No Yes
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)
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts reasonably anticipated.resulting
from implementation of the project as proposed. (Use attachments if necessary)
N 0 N/L
i
I
PROJECT ID NUMBER 617.20 SEQR
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor)
1.APPLICANT/SPONSOR 2.PROJECT NAME ���
.- "
3.PROJECT LOCATION:
Municipality Qe, "t"6), County ,
4.PRECISE LOCATION: Street Ad ess and Road Intersections. Prominent la arks etc -or provide map
5.IS PROPOSED ACTION: ❑ ew ❑Expansion ❑Modification/alteration
6.DESCRIBE PROJECT BRIEFLY:
7:AMOUNT OF LAND AFFECTED:
Initially ® acres Ultimately '® acres
8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
XYes ❑ No If no,describe briefly:
9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal,. State or Local)
14;21,Yes XNo If yes, list agency name and permit / approval: 7 ( �,eAr,�J OJT L
11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes 5�!1
0 If yes, list agency name and permit / approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
Dyes ❑No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant Spo s Name �Ol� �f���. Date:
Signature
If the action is a Costal Area,and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
i
I
PART 11 IMPACT ASSESSMENT(To be completed by Lead A enc
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617A? If yes,coordinate the review process and use the FULL EAR
Yes ❑✓ No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.E7 If No,a negative
declaration may be superseded by another involved agency.
aYes ' a No
i
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible)
C1. 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:
No
i
C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly:
No
C3. Vegetation or fauna,fish,shellrish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:
No
C4.A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other naturalresources?Explain briefly:
No
i
C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Ex lain b n riefly
:
. i .
[NNo
C6. Long term,short tens,cumulative,or other effects not identified in CI-05? Explainbriefly:
I
No I
C7. Other impacts,(Inciud'ing changes in use.of either qua;itv or type of energy? Explain briefly
No
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA CEA? If Yes,explain briefly:
Yes a No
E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? if Yes es a lain:
0 No
PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) I
INSTRUCTIONS; Foreach adverse effect identified above,determine whether it is substantial,large,important.orotherwise significant Each
effect should be assessed in connection with its(a)setting(i.e.urban or rural),(b)probability of occurring;(c)duration;(d)irreversibility;
geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that (e)
sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii twas checked
yes,the determination ofsignificanoe mustevaluafe the potential impact ofthe proposed action on the environmental characteristics of the CEA.
Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FUL
EAF and/or prepare a positive declaration.
Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin
WILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting thi
determination. .
Board of Trustees
Name of Lead Agency
Jill M. Doherty President
P nt or Type Name of Respo sable Officer m Lead Agency i
Title of Responsible Officer
Signature of esponsible O r in Lead.Agency Signature of Preparer(Ifdifferent from responsible officer)
i
�g�}FFO�k
Jill M.Doherty,President y Town Hall,53095 Main Rd.
James F.King,Vice-President u..- P.O.Box 1179
Dave Bergen ,f `F Southold,NY 11971
Bob Ghosio,Jr. flT . Telephone(631)765-1892
John Bredemeyer �'� Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
OLL,
C E v E
BOARD OF TRUSTEES: TOWN OF SOUTHOLD F-
--------------- �
--------------------------- i i
In the Matter of the Application of
J U N 1 6 2010 Il '
A & E KOEHLER southold Toyvn
Board of Trustees
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, j dp—f7'ZF—Ic ,residing at/dba =�,=2 LAI � &4 .
being duly sworn, depose and say:
71 f
That on the/0 day of`/ tt A/P , 2010, I personally posted Pe property known as
lv 9,5 V42 Zd . A/
by placing the Board of Trustees official poster where it can easily be seen, and that I have checked
to be sure the poster has remained in place for eight days prior to the date of the public hearing.
Date of hearing noted thereon to be held Wed.,June 16, 2010 on or about 6:00 PM.
Dated: � 10 D
((sinat
sworn to before me tNs
/a day othfie 200 Y)
Notai Public STEPHANIE A.,HANSt3N
NOTARY-PUBLIC Statepf il/p!g
No Q1 W10077120 ,
_ t1on
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JUN 16 2010 CO '
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Southold TOwn �� u-1 U-)
OFFICIAL USE
Board of Trustees t� I postage $
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1. Arttcle Addressed to: D. Is delivery address different from item 1? ❑Yes
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1. Article Addressed to: If'YES,enter delivery address below; ❑No
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JUN 1 6 2010
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I City,Stat. 4 i�� l
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STATE OF NEW YORK
COUNTY OF SUF rFOLK
eh l&L ,residing at SD
,being duly sworn, deposes and says that on the
c2b LA- day of ,20l D, deponent mailed a true copy of the Notice
set forth.in the Board of T stees Application, directed to each of the above named
persons at the addresses set opposite there respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessmen roll of the Town of Southold; that said Notices were mailed at-the United States Post
Office at-f} to y , that said Notices were mailed to each of said persons by
(certified) (registere )mail.
Sworn to before me this
Day of , 20 (�
Not Pu is
NOTICE TO ADJACENT PROPERTY OWNER ��` ✓{
I� JUN 1 6 2010 L'
BOARD OF TRUSTEES TOWN OF SOUTHOLD
Southold Town
In the matter of applicant: Board of Trustees
SCTM# S Ste_
YOU ARE HEREBY GIVEN NOTICE.-
1. That it is the intention of the undersigned to request a Permit from the Board of
Trustees to:
2. That the property which is the subject of Environmental Review is located
adjacent to your property and is described as follows:
3. That the project which is subject to Environmental Review under Chapters
96,111 and/or 275 of the Town Code is open to public comment on:
DATE: z 0
You may contact the Trustees Office at 765-1892 or in writing.
The above-referenced proposal is under review of the Board of Trustees of the Town of
Southold and does not reference any other agency that might have to review same
proposal.
PROPERTY OWNERS NAME:
MAILING ADDRESS: 9 �Ce„I �� G- e ����
PHONE #: f�Z2 r_d! ^a
AGENT:
MAILING ADDRESS:
PHONE #:
Enc: Copy of sketch or plan showing proposal for your convenience.
KOEHLER RESIDENCE
ID) __ o---� I
May 26, 2010
JUN 1 6 2010
Soreham Living Trust #53-4-6 _
21 Hunt Street Southold
Board of Trustees
Bethpage, New York 11714
Re: E.&A. Koehler Certified Mail 70090080000195558481 RRR
#5647
Request Permit from the Board of Trustees
To Whom It May Concern:
I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held
by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York
on Wednesday June 16, 2010 for public comment regarding the repair at#5647 of the Rip Rap
Wall.
I have also attached our Site Plan which shows the area for repair for your convenience.
Very truly yours,
John Koehler
1595 Bayshore Road
Southold, New York 11971
Office: 631-694-4720
Fax: 631-694-4649
KOEHLER RESIDENCE
rn
May 26 2010 JU
Y N 1 6 2010
Nicholas & Paraskevi Parliavos #53-4-31 SouthoTI Town
217-04 43 d Avenue Board of Trustees
Bayside, New York 11361
Re: E.&A. Koehler Certified Mail 70090080000195558504 RRR
#5647
Request Permit from the Board of Trustees
Dear Nicholas & Paraskevi Parliavos:
I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held
by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York
on Wednesday June 16, 2010 for public comment regarding the repair at#5647 of the Rip Rap
Wall.
I have also attached our Site Plan which shows the area for repair for your convenience.
Very truly yours,
John Koehler
1595 Bayshore Road
Southold, New York 11971
Office: 631-694-4720
Fax: 631-694-4649
---.-
KOEHLER RESIDENCE f ([��E �►
LI JUN 1 6 2010 i
May 26, 2010
Southold Tnm
t Board Ms. Annette Golden #53-4-4 of Trustees
1445 Bayshore Road
Southold, New York 11971
Re: E.&A. Koehler Certified Mail 70090080000195558467
#5647
Request Permit from the Board of Trustees
To Whom It May Concern:
I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held
by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York
on Wednesday June 16, 2010 for public comment regarding the repair at#5647 of the Rip Rap
Wall.
I have also attached our Site Plan which shows the area for repair for your convenience.
Very truly yours,
John Koehler
1595 Bayshore Road
Southold, New York 11971
Office: 631-694-4720
Fax: 631-694-4649
KOEHLER RESIDENCE
r
!'May 26, 2010 JUN 1 6 2010 Maureen Higgins #53-4-32.1 southoid Tom-n
37-05 2215t Street
Board of Trustees
L—�_- �
Bayside, New York 11361
Re: E.&A. Koehler Certified Mail 70090080000195558474 RRR
#5647
Request Permit from the Board of Trustees
To Whom It May Concern:
I have attached a "Notice to Adjacent Property Owner" regarding the public hearing to be held
by the Southold Town Board of Trustees, at Town Hall, 53095 Main Road, Southold, New York
on Wednesday June 16, 2010 for public comment regarding the repair at#5647 of the Rip Rap
Wall.
I have also attached our Site Plan which shows the area for repair for your convenience.
Very truly yours,
John Koehler
1595 Bayshore Road
Southold, New York 11971
Office: 631-694-4720
Fax: 631-694-4649
Board of Trustees Applic on
County of Suffolk
State of New York
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 TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION H VIEW OF THIS AP ICATION.
ignature
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SWORN TO BEFORE ME THIS DAY OFQ►ia 5201Ajo V44_4",
Nota lic
IAUREN M.STANDISH
Notary Public,State of New York
No.01ST6164008
Qualified in Suffolk County
Commission Expires April 9,2 t
I
Board of Trustees Applici ' )n
AUTHORIZATION
(where the applicant is not the owner)
& 1-7
I. residing .at _6 PE60 CG_N
(print owner of property) (mailing address)
do hereby authorize ,d/p
(Agent)
to apply for permit(s) from .the
Southold Board of Town Trustees on my behalf.
9�
Owner' s s' nature)
k
8
I
I
i
APPLICANUAGENUREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of
this form is to pLovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same. ��✓r ,
YOUR NAME: �I l�
(Last name,first name,diddle 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 has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES NO.
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted t 's ss taf 200 /D
Signature
Print Name KoeW
Form 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 significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. .Thus, each answer must be ez^plained 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 t r'P�0mpartinent, all
Ll
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION ! ;1 MAY 2 5 2010
SCTM# Southold ov,;;
PROJECT NAME &i's% ./' 7V/V6-� , /:,L)
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:
Location of action:
Site acreage, g S
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: •J o/b/ /�O617q CC L
(b) Mailing address: 14-66 W ato o ey" y
(c) Telephone number:Area Code
(d) :Application number,if any:
Will the action be di ctly undertaken,require funding, or approval by a state or federal agency?
Yes ❑ No 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.
i
❑Yes NoLP
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
rsul
❑ Yes No. Not Applicable
I
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 2<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 XNot 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 of 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 licable
i
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
Yes No Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
❑ Yes ❑ No Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the.Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria.
❑ YesF1 No�Not Applicable
Attach additional sheets if necessary I
i
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'WORKING COAST POLI S
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 of Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town Ovate s. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria.
❑ Yes ❑ No Not Applicable
I
i
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages
t
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.
❑ Yes ❑ No Yl.'Not Applicable
PREPARED BY TITLE p1te-9. DATE JT"460