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HomeMy WebLinkAboutTR-7721 �gUFFO(�- James F.King,President Town Hall,53095 Main Rd. G Bob Ghosio,Jr.,Vice-President co, Box 1179 Dave Bergen W Southold,NY 11971 John Bredemeyer + Telephone(631)765-1892 Michael J.Domino ��Qj �`a�� 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 ✓ Project complete, compliance inspection AOM�}�1'` -F•:9",i�`I``l�i'r��„� �.V�i ./,/rrr-�:, ���.f�..}F�ira w V — Z w -x BOARD OF.SOU•THOLD TOWN TRUSTEES SOUTHOLD ,NEW YORK - •,,1, ` PERMIT NO: 7721 DATE FE$RUARY 22,2012 ,�,,,•� ISSUED;TO STEPHEN G.IL AT:' PROPERTY ADDRESS: 845 ROGERS RD.,SOUTHOLD �.../ SCTM#66-240 1►N, ,•,,c1 - AUTHORIZATION �'�� Pursuant to the provisions ofCHapter'275'and Chapter 111 of the Town Code of the Town of Southold .; and in accordance with the Resolution of the Board of Trustees'adoptedat the neeting field'on Februa 22 2012 in consideration of application fee in the sum of$250.00 paid by Stephen G.Latham and subject to the Terms an r = Conditions ds;stated in the'Resolution the-.Southold Town�Board ofTrustees authorizes"and-permits the followdm = Wetland Permit to replace a storm=damaged timber bulkhead with 150' of vinyl sheath*n f and 2' higher than existing and with a 17' return; replace 4'X4' platform and stairs; replenish t beach with 400=cy:sand,•'iustall£rip=rap='/z to 1 ton stone armor seaward,of-the bulkhead; and install a fence a minimum 10' landward of the bulkhead,with the Condition of a 10'wide non-tu buffer along the landward side of the bulkhead,and as depicted on the project plan received on February 8,,2012 and sta"mpedlapproved o i'February 22 2012: IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, = ` ,. and+these presents to'-be'subscribed:b'y a. iatority of"the said Board as of this date _ O •{ice' J �: � '� .. .... .... .. ~`• ' } �� %,zS��:�•�x`�°'�r:-acts-"�u`:CCaYe%Eiiii°ru"�3i... ... 'r '�Xru' - \,.{2/P..,`.2iTa'7e�;z� YY`ir`u�i�' ... .eu'�u�7?�.�uea�3';ra."u273�S�u'fiucusi3e1�s1rtfu7r' �'� � a,• ? • s r •r�i�lll 1lli�-^ '�il, 1�•1i4 // 111i\ �'+li I 1lIN'� 'i 1 111.W ''w (1�al / :::::.... ♦,1.... .£- ram.N` •!e!�e�. "-,A1..�.• f :>:,.�•�:i" rr..1::� , TERMS AND CONDITIONS The Permittee, Stephen G.Latham,residing at 60 Rogers Rd., Southold:.NY 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 Town 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 proj ect 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,to remove or alter this work project herein statedmithout expenses to the Town of Southold. 8. The Permittee is required'to provide evidence that a copy of this:Trustee permit has been recorded.with the Suffolk,County Department of Real Properties:Office as a:notice covenant and deed restriction to the deed of the subject parcel: Such:evider ce shall be provided within ninety(90)calendar days of issuance of thispermit. " 9. That the said Board will be notified by the Permittee of the completion of the work. authorized. 10. 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. James F.King,President QF S0(/lyo Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O ll 54375 Main Road P.O.Box 1179 Dave Bergen l Southold,New York 11971-0959 John Bredemeyer Michael.J.Domino �� Telephone(631)765-1892 O�y C4U Fax(631) 765-6641 NT`I,�� BOARD OF TOWN TRUSTEES February 22, 2012 TOWN OF SOUTHOLD Mr. Stephen G. Latham P.O. Box.595 _ Southold, NY 11971 RE: 845 ROGERS RD., SOUTHOLD SCTM#66-2-40 Dear Mr. Latham: The Board of Town Trustees took the following action during its regular meeting held on Wed., February 22, 2012 regarding the above matter: WHEREAS, STEPHEN G. LATHAM applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated December 21, 2011, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local.Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 22, 2012, 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, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the . Southold Town Code, and, 2 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, and, NOW THEREFORE BE.IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of STEPHEN G. LATHAM to replace a storm-damaged timber bulkhead with 150' of vinyl sheathing and 2' higher than existing and with a 17' return; replace 4'X4' platform and stairs; replenish beach with 400 cy. sand; install rip-rap Y2 to 1 ton stone armor seaward of the bulkhead; and install a fence a minimum 10' landward of the bulkhead, with the Condition of a 10' wide non-turf buffer along the landward side of the bulkhead, and as depicted on the project plan received on February 8, 2012 and stamped approved on February 22, 2012. 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, James King, Preside Board of Trustees JFK/Ims James F.King,President H Town Hall Annex Bob Ghosio,Jr.,Vice-President u• of 54375 Route 25,P.O.Box 1179 Dave Bergen 0 � �'� Southold,NY 11971 John Bredemeyer �i7j 'n� Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 _. . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: On Please be advised that your application dated I QJ A--k I I( has been reviewed by this Board at the regular meeting of CIO A.) I Z_- 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) 1 st Day of Construction ($50.00) Y2 Constructed ($50.00) r� 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 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: r TOTAL FEES DUE: $ O BY: James F. King, President Board of Trustees �Og�yfFO(kC _ Peter Young,Chairman - Town Hall,53095 Main Rd. ti Lauren Standish,Secretary �r nr P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 1 1 [ Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 11, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by Derek Bossen, it was RESOLVED to SUPPORT the Wetland Permit application of STEPHEN G. LATHAM to replace, in-place, storm damaged timber bulkhead with 150' of vinyl sheathing and approx. 2' higher than present bulkhead; replace storm damaged 4'X 4' platform and stairs; replenish beach with 400 cy. sand; and install rip-rap 'h to 1 ton stone armor seaward of bulkhead. Located: 845 Rogers Rd., Southold. SCTM#66-2-40 The CAC Supports the application, however, recommends rip-rap rather than the proposed structure. Vote of Council: Ayes: All Motion Carried �gUFFQt,� Jill M.Doherty,President �Q� C40 P.O.Box 1179 Bob Ghosio,Jr.,Vice-President y� Southold,NY 11971 James F.King Telephone(631 765-1892 Dave Bergen ,y Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field InspectionMlorksession Report Date/Time. //L /o X f STEPHEN G. LATHAM requests a Wetland Permit to replace, in-place, storm damaged timber bulkhead with 150' of vinyl sheathing and approx. 2' higher than present bulkhead; replace storm damaged 4'X 4' platform and stairs; replenish beach with 400 cy. sand; and install rip-rap 1/2 to 1 ton stone armor seaward of bulkhead. Located: 845 Rogers Rd., Southold. SCTM#66-2-40 e of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Par�,of Town Code proposed work falls under: _Chapt.275 Chap/t. 111 other Type of Application: V Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: 644dllad G 4 r c!S f�rC � S��taC�t �i el, SC�U�1 A -�-✓c CV Modifications: Conditions: Present Were: King B. Ghosio AD. Bergen, i/ �'`' �' a; J. Bredemeyer m other A .C&411 Form filled out in he field by if/(2 Mailed/Faxed to: Date: OVA Z'y - + l Stephen G.Latham t K_ 845 Rogers Road,Southold SCTM#66-2-40 j 1/11/2012 `art i ;CF '' r t•IL1 Ar Tr ,� � ►i 1 ow ' ice` IN K 4 — T y.. low, Y� r IWON WJMPA f" OF d 40� \ \ma). '00 60`1'0 0�i s \ . .00 ti 1plo ` •QQ\ NOTES: F E B - 8 2012 0� � / �•�p.'� V�� 1. ELEVATIONS REFER 70 HIGH WATER ELEVATION 2. LOT AREA. 12,000 S.F. / 0.275 ACRES BULKHEAD PERMIT PLANS SC&E: PROPOSED PLAN 02-06-12 SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY rET: TAX MAP N0. 1000-68-02-40 OF 2 m 6•-0' N— 4•-0' �'I N I � PROPOSED 4X4 CCA POSTS PROPOSED 2X2 CCA RAILS AT 4' O.C. SPACING 26' PROPOSED TREX/ALUMINUM DECKING SURFACE TOP OF PROPOSED BULKHEAD 3/4' GALVANIZED HARDWARE PROPOSED 2X12 CCA STRINGERS PROPOSED 4X8 CCA PROPOSED BULKHEAD SYSTEM EXISTING SAND BOTTOM PROPOSED 4X4 CCA POSTS EXISTING SAND BOTTOM PROPOSED 2X2 CCA RAILS AT 4' O.C. SPACING 3/4' GALVANIZED HARDWARE PROPOSED 2X12 CCA \ ,�\/ /'l/' STRINGERS TYPICAL SECTION — LANDING TYPICAL SECTION — STAIRS N.T.S. N.T.S. A n PROPOSED 20' LONG CCA TREATED TIMBER PILE, 6' O.C. PROPOSED ALUMINUM OR CCA `_PROPOSED 6'z6'CCA TIMBER TOP CAP WALE TYPICAL OF 3 PROPOSED 20' LONG CCA PROPOSED 18' LONG C—LOC TREATED TIMBER PILE. 6' O.C. SERIES 9900 VINYL SHEETING PROPOSED 4'X6' REAR WALE VIbM SH ANC DEM PROPOSED 4'X13' REAR WALE NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY w AND INSTALL NEW BULKHEAD -- —_--- of 'o IN THE EXACT SAME POSITION i PROPOSED 8'TIP CCA PROPOSED 6'x6'CCA LAY—LOG PILE WALE TYPICAL OF 3 PROPOSED 8'TIP CCA PILE, 6' PROPOSED RIP RAP NO ; (1/2 TO 1 TON SIZE) O.C. S' LENGTH. BOLTED TO LAY—LOG WITH 3/4' 0 1. ELEVATIONS REFER TO HIGH WATER ELEVATION GALVANIZED THRU—BOLTS. EXISTING BULKHEAD "' EXISTING SAND BOTTOM 2. LOT AREA; 12,000 S.F. / 0.275 ACRES TO BE REMOVED IN ._0w PROPOSED 20' LONG 1' DIA. ITS ENTIRETY. I \ \ \//\\//\\�\/\\/ GALV. TIE ROD, 6' O.C. �j Y BULKHEAD PERMIT PLANS SCALE: N.T.S. PROPOSED SECTION DATE: PROPOSED IS' LONG C—LOC 02-06-12 SERIES 9900 VINYL SHEETING TYPICAL SECTION A—A SOUTHOLD, TOWN OF SOUTbIOLD N.T.S. SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-66-02-40 2 of z \ ao \ \ 00• \moo rrl O• ° 0d�o 3��� _• i• { c to.a\ \ //� OL� NOTES: 1. ELEVATIONS REFER TO HIGH WATER ELEVATION a 2. LOT AREA: 12,000 S.F. / 0.275 ACRES O BULKHEAD PERMIT PLANS SCALE: 1' 30 PROPOSED PLAN 02-0 02-OB-12 SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEEP: TAX YAP NO. 1000-86-02-40 1 Op 2 r 9 PROPOSED 4%4 CCA POSTS II^II PROPOSED 2X2 CIA RAILS AT 4'O.C.SPACING 2e' PROPOSED TREX/AULI NUN DECKING SURFACE TOP OF PROPOSED BULKHEAD 3/4'GALVANIZED HARDWARE PROPOSED 2%12 CCA STRINGERS PROPOSED 4Xe CCA PROPOSED BULKHEAD SYSTEM EXSTING SAND BOTTOM \\\PPROPOSED 4%4 CCA POSTS EXISTING SAID BOTTOM T e PACING 0D.C. �A � \�/ \/ 3/4'GALVANIZED HARDWARE PROPOSED 2%12 CCA STRINGERS TYPICAL SECTION — LANDING TYPICAL SECTION — STAIRS N.T.S. N.T.S. PROPOSED 20'LONG OC1 TREATED TIMBER PILE,6'D.C. PROPOSED ALUMINUM OR CCA • PROPOSED 61x6'CCA TIMBER TOP CAP WALE TYPICAL OF 3 PROPOSED 20'LONG CCA PROPOSED 1B'LONG C-LOC TREATED TIMBER PILE.6'O.C. SERIES 9900 VINYL SHEETING PROPOSED 4'%6' FEAR WALE NtM SHfmhG Mm PROPOSED 4'%e' REAR WALE JNOM REMOVE DUSTING BULKHEAD STRUCTURE IN TIS ENTIRETY AND INSTALL NEW BULKHEAD T+ IN THE EXACT SURE POSTION PROPOSED B'TIP CCA T PROPOSED OW CCA LAY-LOG PILE WALE TYPICAL OF 3 PROPOSED B'TIP CCA PILE,6' PROPOSED RIP RAP NOTES: O.C.S'LENGTH.BOLTED TO r (1/2 1T7 1 TON SIZE) LAY-LOG WITH 3/4' Q 1. ELEVATIONS REFER TO HIGH WATER ELEVATION GALVANIZED THRO-BOLTS. EXISTING BULKHEAD TO BE REMOVED IN FxIsnlRc sANo ITOTroM 2. LOT AREA: 12,000 S.F. / 0.275 ACRES PROPOSED 20'LONG 1'DIA ITS ENTIRETY. 2-0 CALV.TIE R00,6'O.C. / / \ / BULKHEAD PERMIT PLANS SCALE: N.T.S. PROPOSED SECTION DAB` PROPOSED LONG C-EIN 02-08-12 SERIES 8900 VINYL SHEETING TYPICAL SE�ON A_pA-A SOUTNOLO, TOWN OF SOUTHOLD R.T.s. SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-66-02-40 z OF 2 PLAN FOR PLACEMENT OF 1/2 to 1 TON STONE RIP RAP LOT 7 1�E MAP OF fig' BEIXED0 OLocK STATES �go SITUATE �p0 SOUTHOLD �1 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-66-02-40 SCALE 1"=40' MAY 14, 2010 ?Ova Lo'f 8 y rya DECEMBER 15, 2011 REVISE PLAN AREA = 12,000 sq. ft. Nbo �y 0.275 ac. PROPOSED CROSS SECTION OF RIP- RAP & BULKHEAD PLACEMENT ti o'o PROPOSED 1 O' NON-TURF °o. �.O p�0 co`Y 0�0 PENCE BUFFER 0 5 TOP PROPOSED BULKHEAD 2' HIGHER THAN TOP EXISTING BULKHEAD + pro 59' TOP EXISTING BULKHEAD 21 PROPOSED RIP RAP (V (I/2 TO I TON ROCK) HIGH WATER 02 S`A� 00���.::::•:• des/ LOW WATER TO BE REPLACED WI HKW HEAD NE EXISTINC VINYL ' o + 0e° BULKHEAD CONSTRUCTED WITH HOT-DIPPED 4O FILL FOR e% ::::;: 1 .moo. p�Q , GALVANIZED HARDWARE AND 20' TIE RODS BEArH REPLENTISHMENT TC DEADMEN A5 5HOWN ON ATTACHED o� $A� ;' 0 BULKHEAD PLANS oT / �� PREPAF E IN AG. ,QQRDATICEf E MINIMM SED AD �G� D � LO� ADO + N.Y.S. Lic. No. 50467 / i UNAUTHORIZED ALTERATION OR ADDITION / TO THIS SURVEY IS A VIOLATION OF ESECTION 709 OF DUCATION2LAW THE NEW YORK STATE Nathan Taft Corwin III NOTES: / COPIES OF THIS SURVEYOR'S INKED MAP NOT BEARING Land Surveyor 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' EMBOSSED SEAL SHALL NOTT BE CONSIDERED EXISTING ELEVATIONS ARE SHOWN THUS: 5.0 TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SWILL RUN T.B. — TOP OF BULKHEAD ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: Stanley J. Isaksen, Jr. L.S. B.B. — BOTTOM OF BULKHEAD TITLE LER COMPAANYµGOVERNMENTALL D ON HIS AGENCY AND To THEJoseph A Ingegno LS. T.J. — TOP OF JETTY LENDING INSTITUTION LISTED HEREON,AND Title Surveys —Subdivisions — Site Plans — Construction Layout TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727 ' THE EXISTENCE OF RIGHT OF WAYS OFFICES 1.004TED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 I OFFICE LOCATION: OF $U(/jo MAILING ADDRESS: Town Hall Annex �Q yl0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 v' Telephone: 631 765-1938 G • �OQ Fax: 631 765-3136 CnUff N,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM JAN 8 2012 To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: January 18, 2012 Re: Proposed Wetland Permit for STEPHEN G. LATHAM SCTM#1000-66-2-40 Note: It is unclear who owns the parcel to the south (Figure 1) of the subject parcel (black arrow)where 400 c.y. of fill is proposed. It is recommended that the Board clarify this. ,3 Figure 1. 2004 Aerial Photo STEPHEN G. LATHAM requests a Wetland Permit to replace, in-place, storm damaged timber bulkhead with 150' of vinyl sheathing and approx. 2' higher than present bulkhead; replace storm damaged 4'X 4' platform and stairs; replenish beach with 400 cy. sand; and install rip-rap '/to 1 ton stone armor seaward of bulkhead. Located: 845 Rogers Rd., Southold. SCTM#66-2-40 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 to replace, in-place, storm damaged timber bulkhead with 160' of vinyl sheathing and approx. 2' higher than present bulkhead; replace storm damaged 4'X 4' platform and stairs; replenish beach with 400 cy. sand and install rip-rap %to 1 ton stone armor seaward of bulkhead CONSISTENT with the denoted following Policy Standards and therefore is CONSISTENT with the LWRP provided the following: 1. Note that site inspection indicates that storm water controls.are not installed. The downspouts are not connected to drywells. It is recommended that the Board require. a. The installation of drywells to control runoff from the roof and prevent surface runoff from entering the water body and Rodgers Road. The property is sloped to both of these areas. 2. It is recommended that the trees northwest of the bulkhead be preserved. 3. The source and composition of fill material to beach used on the beach has not been identified. It is recommended that the material be identified Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. 'Cc: Lori Hulse, Assistant Town Attorney Jill M.Doherty,President ��OF SD 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 OI�C�U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _ oastal Erosion Permit Application etland Permit Application Administrative Permit Amendment/Transfer/Extension v eceived Application: _✓Received Fee:$ completed Application I —_---_----- _Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) —,EWRP Consistency Assessment Form DEC 2 1 2011 -,C"AC Referral Sent: I1df-e of Inspection: I _Receipt of CAC Repo _Lead Agency Determination: �._.__..._.__.•.-`-; --- _Technical Review: ublic Hearing Held: Resolution: Name of Applicant �ii/ Address�y ,�pC���S 61)-Z) &9S CJ /�T 71 Phone Number:( Suffolk County Tax Map Number: 1000 - J76 Property-Location: <P-44— �� O—IY,�94-2) (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: l�� Board of Trustees Application i I I GENERAL DATA Land Area(in square feet): D :5Q P7— f I Area Zoning: se -1716 — Previous use of property: xt�--5 Intended use of property: A ez-75'12 e Covenants and Restrictions: Yes /Y 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. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes __rX _No Prior permits/approvals for site improvements: Agency Date i i i 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: I Project Description(use attachments if necessary): ��L)qae /N lA��'5721 -/ a i/�,B�,e f y�K/ � al/77-1 i�d�o� VIV'Z- i /J(JG,[�i�✓�A-Y� /� B� /�PP.�OX. � /lam/��,P �/ ��s�,(/i�UL,�f���' • I I� !/L,�./✓G - Tc> / 7dr/ 57`o.v� ,��1� v� -, I� i' Cv_----7L 7*JD 17eH 7— - - -------- �f - - - VET 7qjy7,e7A)b 'PE7Ar G- - Ir RUC—TL-f�'�h s - P-11T/& - ------- -- - ------- NS t_ �-- /P-�RP. -7— can/ I' Da)AJ �,P�Y � �' /D/Z7/Y t T- A oz- � J/��3 l: 4-73,7-66 -17 6 C) /0 6,0,n I, f 73-72E: ice_ - i� �I, �0773/6a,3/-a pal 07-/4-/�->WA-y /—�Z73�-d�77�/DD6I-b 641 A� 5� r - D F7 oJ�Tnw - 5 EA - Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:& PL,4EL 1��.P c !F -�eff _D �L 70 AeqG&:�` 5�NL 1JE1LJ � � ► s Area of wetlands on lot: 6 square feet �a u'�Fo t--D k H Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet W F7L_A-mil DS Closest distance between nearest proposed structure and upland o D F ci z- Hz,=A> edge of wetlands: feet W TL,4-AJ D s Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? �2 cubic yards DE4-6 HEN / LOSS J4P10/4_6 x How much material will be filled? i4 D cubic yards Depth of which material will be removed or deposited: - feet Proposed slope throughout the area of operations:4.C�yC-L W v z,"'D 7z) ��y Manner in which material will be removed or deposited: SiYf7-u- E-A-er� V�o v ,v G cQy r PH c C1&8 C-,Q-T �RR; 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: lv 117 �9�I104ex -�Zo v G'd l3 D Are wetlands present within 100 feet of the proposed activity? No__Ik_Yes Does the project involve excavation or filling? No Yes If Yes,how much material will be excavated? //a (cubic yards) �✓Ec to iFH How much material will be filled?06�� /�D (cubic yards) � �-bt) � DP `TO W��5 i Manner in which material will be removed or deposited: ?�( l)I 6&6 t-7Cyi I I Describe the nature and extent of the environmental impacts to the subject property or i neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) j N i i0 #'E-7x/ A)e0U S Y im 1G�,y V L �4�i7f-i or, ZtIL k 64C-,9b 1 /�✓L) ��,E ��A/c-- /S /A/STp-t-l-� I-LL Jill M.Doherty,President y Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President �. P.O.Box 1179 James F.King dj, • Southold,NY 11971 Dave Bergen Telephone(631)765-1892 John Bredemeyer y' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of STEPHEN G.LATHAM J A N 1 8 2012 COUNTY OF SUFFOLK) --_ -- - - - STATE OF NEW YORK) r C. AFFIDAVIT OF POSTING C, ,-4-714 residing at/dba 4 ,Ode- Sorb /G1 7> , /(J being duly sworn, depose and say: That on the &-tay of 0;0 A1A1A&y, 2012I personally posted the property known as Sr S 420�A_S' 261,4n , A,?y 11971 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,January 18,2012 on or about 6:00 PM. Dated: s sgnatu Sworn to before me this day Q,, 20 X� Notary Public :yad. C�•�';ti;1t�yy�A w/CJ.� i f • I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: T,sit/ ,h4,,C C %D, aka/ �S�T•4 IV/ �IZ3g x/ 342 1�4kl ILIle s . x/ f 7- �O�J�l=l6c-r7 /v)/ i/?7/ ° --Z.- ..- . << BAN - 3 20112 STATE OF NEW YORK COUNTY OF SUFFOLK S�Z�e' —AJ 4 ,residing at v.iA4&[.b AJ lr97/,being duly sworn, deposes and says that on the 24 day of 20 i/ , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at t a y n ti,-p - Aj N/ , that said Notices were mailed to each of sai persons by CERTIFIED MAIL/RETURN RECEIPT. -� Swo to before me this Day of 20 j Notary Pub c NO.Cti::yip;i:•�.9••Vie.» klw'Iel tab County a CWMM'isail�r. 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A? y E A r°n¢ `o a � ti ■ ■ ■ N a l PROJECT ID NUMBER 617.20 SEQR I 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) I 1.APPLICANT/SPONSOR 2.PROJECT NAME C - - PC-A 3.PROJECT LOCATION: Municipality niciPid . County 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc_ -or provide_ map v�4 A) /i�7/ 5.IS PROPOSED ACTION: ��Tlew ❑Expansion ❑Modification/alteration j 6.DESCRIBE PROJECT BRIEFLY: -7 7- o% 75T6 e-r( DF TiHL6e e- gULe_fiG-�D cJ 5 r9 D O Al ,BEAK ON S77g1_L ,PAP 49AP �� 7-6 .1 12W ;SF711Wo e-h D P '7� ,8 cif �. 770 r1-5`L P i C 177LC tF-,¢-a-)m I i i � I I 7.AMOUNT OF LAND AFFECTED: I Initially a 0 6-acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? rvf Yes ❑ 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) F_'CKes ❑No If yes, list,agency name and permit approval: IV Y'S 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? FYes ❑No If yes, list agency name and permit / approval: aC�vY�rl�ivz P�e��7- .0�- �i3�' 2'6: c6: ism �o ��yt� d F- s s��b 1 O/U qC'r�F/�`✓/7� (AVS'T�LL ,�(P/�-/� Y2 `773 /DAJ keH19� 3 PD•r/C- cJ Al . 6�G-4-C'� 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Dyes No I CERTIFY THAT THE NFORMATION PROVIDED ABOV IS TRUE TO THE BEST OF MY KNOWLEDGE I Applicant / Sponsor Name r //// e ,�r_ _ Date: /z_�`�/� Signature i If the action is a Costal Area, and you are a state agency, j complete the Coastal Assessment Form before proceeding with this assessment " � I PART 11- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? if yes,coordinate the review process and use the FULL EAR Yes Q No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes Q 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. C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,'shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as offidally adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If yes,a lain briefl : 0 Yes 2]No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes r; 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 orothervvise 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;(e) geographic scope;and(0 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. ff question d of part d was checked yes,the determination of significance mustevaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially largeor 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 actin WILL NOT result in any significant adverse environmental Impacts.AND provide,on attachments as necessary,the reasons supporting thi determination. Board of Trustees G'/�Al 1-3j Z Name of Lead Agency d— Date Ate/ G� President Print or Type Name of Responsible Office Lea, Agency Title of Responsible Officer Signature of Responsible Officer in Lead Age n Signature of Preparer(If different from responsible officer) Town of Southold N Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Ol /OD o f/o k • Da go STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN D s—i tract sec��on oc Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Hai OO Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F./Acres) (This item will include all run-off created by site X b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed �� Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (P—Ide Additional Pages asNeeded) Drainage Structures Indicating Size&Location?This p Item shall include all Proposed Grade Changes and X — 1�= eo/� 02HYM,4�n Slopes Controlling Surface Water Flow. � 3 Does the Site Plan and/or Survey describe the erosion CJUG� �7� oU 7 ft t//d/YL Sf L J / and sediment control practices that will be used to /�� control site erosion and storm water discharges. This 4DO a item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or �,! p,.{1Nf�. ��%r4l-C- Excavation where there is a change to the Natural /DO�yD D �191�fl 1x / Existing Grade Involving more than 200 Cubic Yards p� � /mil ti _ of Material within any Parcel?/P �� /D� S�R/� 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand T� (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 — i 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. F-1 (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious 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 NOI shall be into and/or in the direction of a Town right-of-Way?Off F 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 El compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(This Item will N07 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 between 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(J)and/or Answer for each Question is Required for a Complete Application) i STATE OF NEW YORK, 5, _ 4 COUNTY OF................� �... ..........SS That I,.....i.".f:�........�.!.0.......................................tit...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 ...... Cr/C�iJ1//�i . . .. ... ..................................................................................... . (Owner,Contractor,Agent,Corporate 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 t 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 s; t ..............�ram................ ....day of. ........... .20J.1 NotaryPublic: .......................... �`..:�........................................::....... �...... ......... ...........:.,... .................. ............ 5 f3I w (Sig lure of Applicant) I FORM 06/10 of Ile-iVork 1-9 C.w t V and of Trustees Applicati Jt AUTHORIZATION (where the applicant is not the owner) 6 I, !- 6vgCiI;-: ��`J residing .at � � � (pr nt owner of property) (mailing address) do hereby authorize �� z�.✓ ��'�i (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf.+ (Owner's signature) 8 �� . Board of Trustees Application County of Suffolk. State of New York —Z-47W I`/ 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 4N 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 WITH REVIEW OF THIS APPLICATION. .� Signature SWORN TO BEFORE ME THIS 1 1 DAY OF � � ,20!/ i I Notary Public WARILYN DALY tot aru PL"Ll- e, State of NNav Ycric c °�GyyQ r xt t-le-st✓.§es er County i I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emtilovees.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: ' (Last name,first name,4iiddle initial,unless you are applying.in the name of 4 someone else or other entity,such as a company.If so,indicate.the.other person's or.company's name.) l 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 T% L �� 7— Title or position of that person :5,4 �T Describe the relationship between yourself(the applicant/agentlrepresentative)and the town officer or employee.Either check I 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); j 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 i Ze-6 T% /S M' SD,c/ 1 < 50v i Z-1> Submitted this y-o Signature Print Name Form TS 1 3 I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for i 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. I 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 j affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all i local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION f I SCTM# d 4 D — i I 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): I (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation, land transaction) ❑ f (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval,license,certification: Nature and extent of action: V�AJ i 7" c� w/T,1- a--) a Vb o S'A/0 ,A/sr,-G ,2/ Z,'910 TO /7d d Location of action: GLS ,�-e� cJ•• �Jt.� �V /l i Site acreage: 75 11d-,-5 ' i Present land use: /�51 D .4e I 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: Sc-P til �1e l� �o "� (b) Mailing address: v �c17-W c�,D (c) Telephone number: Area Code (d) Application number, if any: i Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes No❑ If yes,which state or federal agency? �G i I 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. ii I I DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, f 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. II ©Yes No ❑ Not Applicable j L —/�l�stlT D ice_ 57z)ee-/ Attach additional sheets if necessary Policy 2. Protect and preserve historic and"archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable it i I i I 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 j ❑ Yes ❑ No Not Applicable i i I i Attach additional sheets if necessary i NATURAL COAST POLICIES j I Policy 4. Minimize loss of life, structures, and.natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable 5 r Dc a/C 4u e u I I 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 NYes ❑ ❑Not'Applicable 00Z—4-Al i Attach additional sheets if necessary I 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 Apl __ ble it1 k-! � UAL �4 RJd� � T.45 i i Attach additional sheets if necessary Policy 7. Protect and improve air quality in. the Town of Southold. See LWRP Section III - Policies SI Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ Na Not Applicable i 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'1—'1 Not Applicable i I i j. 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. 1. Yeo No❑ Not Applicable i i i Attach additional sheets if necessary ' i WORKING COAST POLICIE f 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 ❑.NoVNot Applicable i i. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island,Sound, the Peconic 4 Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ❑ Not Applicable I 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. i ❑ Yes ❑ NoONot 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 Not Applicable I I PREPARED BY TITLE DATE Z/j//