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HomeMy WebLinkAboutTR-7496A Jill M.Doherty,President so yo Town Hall Annex Bob Ghosio,Jr.,Vice-President . �� l0 54375 Main Road P.O.Box 1179 James F.King Southold, New York 11971-0959 Dave Bergen G Q Telephone(631) 765-1892 John Bredemeyer �� • �O Fax(631) 765-6641 �yOUNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7496A Date of Receipt of Application: March 15, 2011 Applicant: Frederic Endemann SCTM#: 117-5-51.1 Project Location: 840 Old Harbor Rd., New Suffolk Date of Resolution/Issuance: March 23, 2011 Date of Expiration: March 23, 2013 Reviewed by: Board of Trustees Project Description: To remove two (2) trees. 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 hydrographic map dated February 22, 2011 and stamped approved on March 23, 2011 and re-vegetation plan prepared by J.M.O. Environmental,Consulting Services last revised March 21, 2011 and stamped approved on March 23, 2011. Conditions: Re-vegetate area with Spartina Alterniflora 12" on center and two (2) rows of Groundsel Bush 20' on center. Inspections: None 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. Jill .Doherty, de Boa of Trustees F6- �9I-- - .. 0601-oi OAK 6e22-oi _ RD. 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P • PROPERTY 6fAP p) . n .�Ix.f um p�lzaa ---- -- -- ..,. ,l..—..—- .6rz..m a vxurssw a 1� '�o•o A ramcf m 1000 1z.1 ud SCALE OF 13ANK "0 V LE D �B NAR 22 2011 BOARD 011-- TRUSTEES TOWN OF SOUTHOLD PROP CAPE F0 AMERICAN BEACH GRASS DATE 12110.0 LO PROP(2)ROW5 OF ko Ln RO.U.N.05EL BUSH t '0 Applicant: Frederic Endemmm SACC HARCS HALT M( Lt 0 Purpose: Erosion contro1 SHW 3'27 i Location: 840 Old Harbor Road 1 Datum:Appamt Low Water MmW 2�5 i Locus: ?f28121.70"W 46:'59'44.13"N <\ Ut u S.C.T.MNo.1000-11?-05-51.1 PROP. ARF-A TO BE A L F- z PLANTED WITH SPARTMA ALTERIFLORA 12 OC, P FIBE R BIOLOGS z PROP W0 LCWBILL BLKQ 0 X Iny, lu U- toresheathonthe landward side,3V of timber existing bulkhead usingv Applicant proposes sheathing,to construct 146!of low sill bulkhead using vlaYl sheathing,to install a Coir Fiber Biolo&Ir just landward of new bulkhead and to Plant the area landward of the structure with Spartina afternIflora i C-4- jr on center. During cGristirudion activities 8"slit boom"shall be employed. At a canal off of IU New York. Schoolhouse Creek,Town of s"hold,Suffolk County, SHEF-T ZOP 2 aw HYDROGRAPHIC MAP N "Old Harbor Docks" toy vllok Surveyed: 02-22-11 0�of&NEB w E SCT# 1000-117-5-51.1 ovE�N Town: Southold / S Suffolk County, NY \ / Datum: M L!N001 = 30 MAR 1 6 2011 or s�R ` .� . ; _ ro Timber 8u►khecad �° IN 2- o }r117- 11� l�b N N / 0 ® ° � � �o , J\, /` was � �`., ` W W N X. 6\ s'� � b b � Zwrww ° 22 �o'o N zr 3>N / s , v\ ' ��13% WN h fi 9N� 9 �6u1> iS � % ` � 9 13 u' >ol�i` ° \ � �oOq�9 iANi �c4 r � T \ \ \ •r „ �n uo�iCV' ro \ \ SEA (�;� H. ;ice LEVEL ��® �'�-- !�'' O \ q, MAPPING \ Q ✓,.1 of Box#366 y �� A uebo ue NY 11931 ROBERT H.FOX NYS PLS#50197 �` ; �� y:i^� fi � 1y � a ii[• � .��4 1�41/. �� '•i y r I' v�j `� `R `1\ r _ - j +\, i � _� `.+��, Ire •��.^ �, !! _• �. i ��� �. � .ems. _ ��` r� ^ J / � Y -� �,' .i y i. ,� Jam` :-r+•aw .: _ _ •, .`� "', � � .�` � .� it L •� 4 4. f r 1 _ , 1 L' 1 `` � `�. �[-J- �y�_R 'h` 1 •- �4 ';Y i w 1 "-" 4 y 'i"p'�� - i. _ r ., ;r 'i �. - `.`+,' � :�'�����'��" •Air y"�`. "�,� J . i;- mow PIK. .I i ,'i ce {�; •�+ _ '.�'? /•�� �� c i:,>� /S001, ((1 1 Aw ices '° �` ~ jig . �' i''-�' s!•• ` �� �-��` ��R-'1 J�� A '� C I R� -.tom n 44 AL ' - '! � a�-�i sue,� '�4� / - "—. A,• .�.� �;- f,. �;� '� it, � h P � .. 'S aT_t ,Y tic , - t -.v ,` ��. �• / r� i A � F _ 4-1 r y .� , MAR-23-2011 02:02 FROM: TO:7656641 P.2/3 r j, .moo@ Environmental Consulting Services -- Match 22, 2011 `fry MAR 2 2 2011 J Ms.Jill Doherty Board Of Town Trustoes Town of Southold 53095 Main Road, RO. Box 1179 Southold,N.Y. 11971-1179 RE:Application for Frederic Endemann 840 Old.Harbor Road,New Suffolk S.C.T.M.NO. 1000-117-05-5 1.1 Dear Ms. Doherty: Enclosed please find a revegetation plan for this,project. Should you or any members of the Board have any comments Or questions regarding this matter please feel free to contact me at any time. S• ly, Tenn E. ust GEJ:arh Phone (631) 653-0607 * Fax (631) 653-3348 121 ,Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 4 t L k � iMAR 15 2011 L '-t Office Use Only Coastal Erosion Permit Application i r.., �-'Ir"v 's�� v:..._.,.__..,.. _, Wetland Permit Application Administrative Permit Amendment/Trans er/Extension Received Application:;,, Fee:$S� _Completed Application _Incomplete SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) LVM Consistency Assessment Form CAC Referral Sent: --"' _ �;7lsate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: Public Hearing Held: l Resolution: Name of Applicant Frederic Fndemann AddrP.O. Box 745, Cutchogue, N.Y. 11935-0745 Phone Number:( ) 7 3 4-5 4 41 Suffolk County Tax Map Number: 1000-1 17-0 5-51 .1 Property Location: 840 Old Harbor Road New Suffolk (provide LILCO Pole#,distance to cross streets,and location) AGENT:JM0 Environmental (If applicable) Address: P.O. Rox 447, Ouogue, N.Y. 1 1 C199-0447 Phone: 6 g 0 6 n 7 I V _B ��� Boa_ of Trustees Application GENERAL DATA Land Area(in square feet): 49 ,898 Area Zoning: Residential Marina , Docking Previous use of property: Docking Intended use of property: Covenants and Restrictions: Yes x No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes x No If"Yes",please provide copy of decision. Prior permits/approvals for site improvements: Agency Date Southold Trusteesdredging 1986 Replace S- deeks 2010 Tow sill bulkhead No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Now_Yes If yes,provide explanation: Vegetation removed with no approval Project Description(use attachments if necessary): Applica Boa:: _. ':)f Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Tree removal Area of wetlands on lot: square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 6 feet Closest distance between nearest proposed structure and upland edge of wetlands: na feet Does the project involve excavation or filling? x No Yes If yes,how much material will be excavated? 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: 1 a Manner in which material will be removed or deposited: na 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): The removal of the two trees should have no negative impact on the waters or wetlands of the Town r Board' of Trustees Application County of Suffolk State of New York PD fit�c 6_ E dv D F_nAv,U BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES - J HARMLESS ANDFREE FROM MW AND—ALL DAMAGES AND CLAIlVIS 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 WITH REVIEW OF THIS APPLICATION. s Signature SWORN TO BEFORE ME THIS DAY OF Notary Public AUCIAWALKER Notary putt'�,,�S�tste of New York No.01 A6153064 (juatified in Suffolk County commission Expires Sept. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM o For UNLISTED ACTIONS y PART I-PROJECT INFORMATION To be completed b A 2lIPROJEC NAME Project S onsor PPROJECT SPONSOR Tree removal mann CATION: Suffolk New Suffolk county 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 840 Old Harbor Road S.C.T.M.No 1000--117-05-51.1 5. PROPOSED ACTION IS: 10 New Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to remove two trees. 7. AMOUNT OF LAND AFFECTED: 0 acres Initially 0 acres Ultimately 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Industrial Commercial Agriculture Park/Forest/Open Space Other R1 Residential Describe: Marina DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? Yes 0 No If Yes,list agency(s)name and permittapprovals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No If Yes,list agency(s)name and permit/approvals: Southold Town Trustees&N.Y.S.D.E.C.for the construction of a low sill bulkhead 1if. AS A RESULT OF PROPOSED ACTION WIL ISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes �No I CERTIFY THAT TH6 FOR TIONt�OVIDfl)ABO IS TRUE TO THE BEST OF MY KNOWLEDG f l Applicant/sponsor name: Glenn us as a nt Date: Signature: lete If the action is in the Coastal dCoastal Assessment Form ba y re p oceeding with this aou are a state ssessment the OVER 1 [:Reset PART It- IMPACT ASSESSMENT(To be completed by Lead A ent: A DOES ACTION EXCEED ANY TYPE i THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the re Yes QNo view process and use the FULL EAF. . . B. VYILt.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. 0 Yes ' a No 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 C2.Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: No C3. Vegetation or fauna,fish,shellfish orwildlife species,significant habitats,or threatened or endangered speces?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 natural•resources?Explain briefly: [NO, C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: No . • C6.Long term,short term,cumulative,or other effects not identified in GI-05? Explain briefly: No C7. Other impacts(inducing changes in use,of either quantity or type of energy? Explain briefly: �Na D VAL-L THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTALARFA CEA? if es,ex lain briefly. aYes , a No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es lain: ❑Yes a No PART III-DETERMINAMON OF SIGNIFICANCE(To be completed by Agency): INSTRUCTIONS; Foreach adverse effect identified above,determine whether it is substantial,large,importantorotherwise significant Each effect should be assessed in connection with fts(a)setting(Le'.urban or rural);(b)probability of occurring;(6)duration;(d)irreversibility;(e) geographic scope;and(0 magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain SWdentdetail•to show that all relevant adverse impacts have been identified-and adequately addressed. if question d of part if was checked yes,the determination ofslgnificance mustevaluate the potential impact of the proposed action on the environmental characteristics ofthe CFA. Check this box If you have Identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULI 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 acio WILL NOT result in any slgriiflcant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting thi determination. Board of Trustees-------- - - - - -- ----------- -- -- _.. — Name of Lead Agency Date Jill K Doherty President not or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in LeadAgency Signature of Preparer(Ifdifferent from responsible officer) eon Town of Southold U Erosion, Sedimentation .& Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 01�j 1000—1 1 7—0 5—51 .1 STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN TiisstrT e�lon -uo-c - - o—t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORIK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within 4 9 IF>�R S f Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site b. What is the Total Area of Land Clearing (S.F./Acres) clearing and/or construction activities as well as all - E] and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? n impervious surfaces.) (S.F./Acres) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and — F_]_ Applicant proposes to Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ❑ rt-mnva two trePB and sediment control practices that will be.used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?' Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ❑ are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious v for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the Not.The Not shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(Ibis Item will NOT Include the Installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance Is betweeh 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: 'A Check Mark(4)and/or Answer for each Question is Required for a Complete Application) STATE OF NEW YORY, __ COUNTY OF j5�!. ?�k:....................SS That I,... � .�.................................................being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the a ��� .............. .. ... ... .... ....... ....... .............................................................. (Owner,Contractor,Agent,'Corporele Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this.application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ...............................................day of.............................................20..... NotaryPublic: .......................................................................................... ............................................................................ (Signature of Applicant) FORM - 06/10 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) EVC� F �. tND�MAN� residing at NHS L IC.1-40GvriN� 1f93s (print owner of property) (mailing address) do hereby authorize .S M.b v c.s . (Agent) to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) 1 J.M O Environmental Consulting Services To whom it may concern: Please be advised that we have authorized the firm of J.M.O. Environmental Consulting Services to act as our agent on our behalf-in applying for certain approvals through your agency and others involved with this project. J.M.O. Consulting Services has been retained to coordinate all approvals necessary through your and other involved agencies, as well as our architect, engineer and contractors. We request that all communications, correspondences, notices, approvals and calls be addressed directly to the offices of J.M.O. Environmental Consulting Services. Signature �1 Dated PI/AM 2--0o 9 Phone (631) 653-0607 a Fox (63) Box 44 8 121 Jessup Ave e 2nd Floor Quogue, New York 11959-0447 i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics rohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. ^ YOUR NAME: f^v�ojr%n 0-0. (Last name,first name,ipiddle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate thd.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%ofof 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 this / a oftogrUK, 20Y I Signature Print Name MOPti Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form,should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si nib beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non-. supRorting 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# 1 1 7 -0 5 510 PROJECT NAME 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 actions C Harbor Road, New Suffolk Site acreage: 1 1 4 5 ac Present land use: Dockinq 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: Froaeric Rndemann (b) Mailing address: 'P.O. Rox 749 Cutchogue, N.Y. 11935-0749 (c) Telephone number: Area Code( ) 6 31 -7 3 4-5 4 41 (d) Application number,if any: Unknown Will the action bedirectly undertaken,require funding,or approval by a state or federal agency? Yes ❑ NoU�- 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 The proposed project shall have no impact upon theD character of the rommnni ty or c� n_spa _cam_ Tt is felt that this project is consistent with this policv 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 LYes ❑ No ❑ Not Applicable The proposed project will have no impacts upon the historic or archaeological resources of the Town. It is .felt that this project is consistent with this policy 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 ❑ Not Applicable ThP proposed project shall have no impacts upon the visual auality or scenic resources of the Town. It is felt that this project is consistent with this Policy. 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 U Yes ❑ No ❑ Not Applicable ThP proIP_ f as proposed should not cause the loss of life, or cause erosion or flooding. It is felt that this protect is consistent with this policy. 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 oln Yes ❑ No ❑Not Applicable The prosed project shall have no impact upon the quantity or quality of potable water in Southold Town. It is felt that this project is consistent with is o icy. 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. [1 ❑ ❑ Yes No Not Al -able The project as proposed should not result in the physical loss or degradation of the ecological components of the adjacent waterway. Nor should it impact vulnerable fish, .wildlife or plan species or any rare ecological communities . It is felt t. at t. is project is consistent witn tnis PoIlcy 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. 1;4—yes ❑ No[:] Not Applicable The proposed project shall have no impact upon the air quality of Southold Town. Tt is felt that this project is consistent with is .o icy 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. 54Yes ❑ No ❑ Not Applicable The proposed project will not involve the u--,L- of or the disposal of solid waste or hazardous substances and wastes. It is felt that this project is consistent with this policy 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. [A- YeF-1 No❑ Not Applicable The proposed project shall have no impact upon the public access to or the recreational use of coastal waters public lands or the public resources of the Town of Southold. It is felt that this project is consistent witK Ms Policy Attach additional sheets if necessary WORKING COAST POLICI 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. L-UTes ❑ No ❑ Not Applicable The prc)lc-c-t- a 'proposed sbal l have no negative impacts upon Southold' s water-dependent uses. It is felt that this project is consistent with this Policy 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. U�Yes ❑ No ❑ Not Applicable The project site currently promotes the use of living marine resources in the Peconic Ray system. It is felt that this project is consistent with this policy 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 It is felt that this policy is not applicable to this project since the project does not involve agricultural_ lands. 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 9 Not Applicable Since the project does not involve the development of or use of energy or mineral resources it is felt that this Policy io not applicable to this project PREPARED BY Glenn F. - Just TITLE Agent DATE 3/1 5/1 1