HomeMy WebLinkAboutTR-8237A I
James F.King,President ��g11FF�l��o
Town Hall,53095 Main Rd.
P.O.Box 1179
Bob Ghosio,Jr.,Vice-President o�O Gyp
ti Southold,NY 11971
Dave Bergen =
Gy • Telephone(631)765-1892
John Bredemeyer
Fax(631)765-6641
Michael J.Domino
BOARD OF TOWN TRUSTEES
' TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEESRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE
APPOINTMENT FOR APRE-CONS EON. FAILURE
O F HEO
SHALL BE CONSIDERED A VIOLAT ON AND POSBLE REVOCATION
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
1st day of construction
%constructed
Project complete, compliance inspection
James F.King,President so Town Hall Annex
Bob Ghosio,Jr.,Vice-President �� O1 54375 Main Road
h O P.O.'Box 1179
Dave Bergen Southold,New York 11971-0959
John Bredemeyer
G Q Telephone (631) 765-1892
Michael J.Domino .c` �O Fax(631) 765-6641
cOUNTY,Nc�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8237A
Date of Receipt of Application: June 17, 2013
Applicant: Marion Lake Restoration Committee
SCTM#: 31-17-1 & 31-7-9 .
Project Location: Bay Avenue, East Marion
Date of Resolution/Issuance: July 17, 2013
Date of Expiration: July 17, 2015
Reviewed by: Board of Trustees
Project Description: Ten-Year Maintenance Permit for the wicking of
phragmites as needed, and to hand-cut the Common Reed (Phragmites australis)
to no less than 12" in height by hand and on an as needed basis surrounding
Marion Lake.
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
project plan prepared by Marion Lake Restoration Committee, received on June
17, 2013, and stamped approved on July 17, 2013.
Special Conditions: None
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
James F. King, President
Board of Trustees
I tti
James F.King,President �� Co P.O.Box 1179
Bob Ghosio,Jr.,Vice-President �� Gy Southold,NY 11971
Dave Bergen y Telephone(631 765-1892
John Bredemeyer Fax(631)765-6641
Michael J.Domino
Southold Town Board of Trustees
Field Inspection[Work Session Report
Date/Time: 1 ��
MARION LAKE RESTORATION COMMITTEE requests an Administrative
Permit for a Ten-Year Maintenance Permit to hand-cut the Common Reed
(Phragmites australis) to no less than 12" in height by and on an as needed basis
surrounding Marion Lake. Located: Bay Avenue, East Marion. SCTM# 31-17-
1&31-7-9
Type of area to be impart ad
✓_Saltwater Wetland 4Freshwater Wetland Sound Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
_Chapt.275 Chapt. 111 other
Type of Application: Wetland _Coastal Erosion _Amendment
—Administrative—Emergency Pre-Submission Violation
Info needed:
Modifications:
G
Conditions:
Present Were: . King B. Ghosio '/"D. Bergen,
J. Bredemeyer Michael Domino D. Dzenkowski other
Form filled out in the field by
Mailed/Faxed to:
Date:
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4.
ter' ArEi F O
o MARION LAKE
Area K
Area N
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Area M
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NORTH SIDE
3
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I
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[j I
James F. King, President �Pf so yo f✓ JTown Hall Annex
Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road
P.O.Box 1179
Dave Bergen Southold,New York 11971-0959
John Bredemeyer G Q
�O Telephone(631) 765-1892
Michael J.Domino COU Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 12, 2013
Mrs. Lori Luscher
Marion Lake Restoration Committee
163 West 23rd Street
Deer Park, NY 11729
RE: MARION LAKE RESTORATION COMMITTEE
BAY AVENUE, EAST MARION
SCTM# 31-17-1 & 31-7-9
Dear Mrs. Luscher:
In accordance with Administrative Permit#8237A, as issued on July 17, 2013; your
proposal to use the wicking method and a backpack applicator"low volume or direct
spray' process to control the phragmites is an acceptable method used in the Town of
Southold.
Please do not hesitate to contact our office if you have any further questions.
Sincerely,
Bob Ghosio, Jr., Vi -President
Board of Trustees
j A
OFFICE LOCATION: OF S0(/ryO MAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375-State.Route 25 Southold, NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY 11971 G Q Telephone: 631 765-1938
Fax: 631765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM E C E 0 V E
J U L 1 1 2013
To: Jim King, President. Southold Town
Town of Southold Board of Trustees soar of T us e
From: Mark Terry, Principal Planner
LWRP Coordinator
Date: July 9, 2013
Re: LWRP Coastal Consistency Review for MARION LAKE RESTORATION COMMITTEE .
SCTM#1000-31-17-1&31-7-9
MARION LAKE RESTORATION COMMITTEE requests an Administrative Permit for a Ten-
Year Maintenance Permit to hand-cut the Common Reed (Phragmites australis) to no less
than 12" in height by and on an as needed basis surrounding Marion Lake. ,Located: Bay
Avenue, East Marion. SCTM# 31-17-1&31-7-9
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the
Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. Based upon the information provided on the LWRP Consistency Assessment
Form submitted to this department, as well as the records available to me, it is my
determination that the action is EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "FF" which states:
FF. Cutting phragmites to greater than 12 inches and vegetative restoration, provided that
native wetland vegetative species are not affected or disturbed in any manner;
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
i
i
6/11/13
p E C E I V E
Marion Lake Restoration Committee
c/o Lori Luscher JUN 17 2013
163 West 23rd Street routhald Town
Board of Trpstees
Deer Park, N.Y. 11729
To the Trustees of Southold, = i
t
3
I formally request a waiver for the most recent permit application fee requesting
a 10 year maintenance agreement for the invasive weed,Phragmite. It is my
understanding that the normal fee would be $100 and have high hopes that this
fee will be waived to assist in the momentum of the group.
Thank you for the consii eration.
Lori Luscher
u
President
Marion lake Restoration Committee
.3
i
James F.King,President Of SOUL Town Hall Annex
Bob Ghosio,Jr.,Vice-President 54375 Main RoadP.O.Box 1179 !.
Dave Bergen Southold,New York 11971-0959
John Bredemeyer CA ae
G p� Telephone(631)765-1892
Michael J.Domino Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD l
Office Use Only
i
Coastal Erosion Permit Application,,-
-Wetland Permit Application V Administrative Perini
Amendment/Trans r/Ex ensron D A.Aceived Application:-(6 I— - IVE
AAeceived Fee:$ -----�
�ompleted Application 1�
__Incomplete J
p UN 1 7 2013 �
_SEQRA Classification:
Type I Type II Unlisted '
Coordination:(date sent) Southold Town
�LWRP Consistency Assessment Form 3 r f Tro to
_CAC Referral Sent:
,LDate of Inspection; D s
Receipt of CAC Report:
____Lead Agency Determination:
chnical Review:
_Public Hearing Held: 11.1
Resolution:
Name of Applicant_MA%Ri apJ LA)�-�a5 l'oRe 1,,0 d ON M 1 �k
Mailing Address G�O L--U 5c+.w Pc-- I L3 W LST d 3 PZ S-f
prey' - IJA P77- Phone Number:4f"S — �57g
Suffolk County Map Number: 1000- 3 -17-1 3 1-7-7
Property Location: 6y A V-e v 01�c Z4 a'r 43a racf N !V y
(provide LILCO Pole#,distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
�.�iard of Trustees Applicatic. -
GENERAL DATA
Land Area(in square feet):
Area Zoning:
Previous use of property:_ ( F-S F- P-1/A4 T t O +
Intended use of property: t5E / `�t a A
Covenants and Restrictions on property? Yes No
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? Yes X No
If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? Yes 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 x No
� .
Does the structure(s)on property have a valid Certificate of Occupancy? Yes No
I '
Prior permits/approvals for site improvements:
(� A ency Date
0F�0LT- 4 LLD Tiogg s 't 1 a -72-`7
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes
If yes,provide explanation:
Project Description(use attachments if necessary):
M&O-A- 1 M I IV VA 5 t y'f-
1�7 �isRl Lft�i o n�
(Te To
L__Lcd of Trustees Application
I .
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations_T4' kCT K% tit 'TM PeA
NOtTt0A/ G F g. CE P_PAJC -r CL .
At,/b f7kaF r 10VAS I V F W r=A g Lt t,- r1 1 �
Area of wetlands on lot: square feet
S
Percent coverage of lot: 10 %
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
No Yes
If yes,how much material will be excavated? N cubic yards
How much-material will be filled? 9A yards
Depth of which material will be removed or deposited: feet
Proposed slope throughout the area of operations: A
Manner in which material will be removed or deposited: MLEI'.I V A-L
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):
�£ 0 Tip U i7A-'TLa-4J I+N b /VA t,NT(u�jjk-rl e£— OF
LAKE W ��ChRJ2oS to PtS �. txJy4styf-_
VJ��pS
PROJECT ID NUMBER 617.20 SEQR j
APPENDIX C i
STATE ENVIRONMENTAL QUALITY REVIEW i
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 9 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) .
1.APPLICANT/SPONSOR 2.PROJECT NAMES/ }.
3.PaQ4WTj OCA 0 .'
/ow, a /J,a,
Munic d/✓ T�� 5T may✓ County �v`/"�G�tC Ca r.✓>� =
i
4.PRECISE LOCATION: Street Addess and Road Interse b s, Prominent landmarks etc -or provide map {:.
S.IS PROPOSED ACTION: New pansion Modification`//alteration
f
6.DESCRIBE PROJECT BRIEFLY:
-TO /A.-+t +J'A,t1J Au.D COtirf(ZoL IN bfFS%V f k/£ CZ PEtRf�CrµcT�
T- CL�qA'pj p Cq5 Q1,S F2pm 9-caR,-4- fl�N•a cT>< .
(D
V
I
7,AMOUNT OF LAND AFFECTED: '
Initially acres Ultimately acres
8.WILL PROPOSED CTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
❑Yes No if no,describe briefly:
9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
residential ID 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, tate or Local)
❑Yes If yes, list agency name and permit / approval:
APPROVAL?
❑Yes o if yes, list agency name and permit / approval.
1I22..1AS A REESULOF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
ores I -4'rvo
i CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor Na Da
Signature
If the action is a Costal Area,and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART IT- IMPACT ASSESSMENT o be com p teted by Lead A end.
A DOES ACTION EXCEED ANY TYPE tTHRESHOLD IN 6 NYCRR,PART 61TA? If yes,coordinate the review process and"use the FULL EAR
0 Yes. a No
S. WL!_ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS(N 6 NYCRR,PART 617.6? If No,a negative
declaration may be superseded by another involved agency.
QYes a No:
C-COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible)
cl_ Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic Patten;solid waste production or disposal,
po(ential for erosion,drainage or flooding problems? Explain briefly.
C2. Aesthetio.agricultural,archaeologicai,historic,or other natural or cultural resources;or eommurdy or neighborhood character?Explain brieliy:
C3. Vegetation or fauna,fish,shelifrsh•or wildflfe-species,significant habitats,or threatened or endangered species?Explain briefly:
C4. A oommunity's existing plans or goals as officially adopted,or a-change•in use or intensity of use of land or other natural resources?Exotain 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:
C7f Other impacts(induding chap es in use of either uantit.or type of ener ? Explain brief,.:- -
O.WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA CEA 7 if ss, lain WetYes a No
I- iS THERE,OR IS THERE LIKELY.TO BE,Cot OVERSY REIATED TO POTENTIAL A VERSE ENVIRONMENTAL IMPACTS? If .es Lain
a Yes a No
PART Ill-OETERMNATION OF SIGNIFICANCE(To be completed by Agency)
INSTRUCTIONS,. For eadi adverse effectidentified above,determine whether it is substwUal,large,imporfantor othenvise significant. Eadt
effect should be assetsed in cdnnedon with its(a)selling(ii.e.urban or turan,(b)probability of oocurdng;(c)duration;(d)in eversibiGtq:(e)
geographic scope;.and(f)magnitude. If necessary,add attachments or referenoe supporting matedals: Ensure•that explanations contain.- . -
suW(dent detail to show that all relevant adverse Impacts have been identified and adequately addressed. If question d of part fi was chocked
Yes,thedetenninadon ofaignitfcance mustevaluatethepotential lmpadofthepropmedaction on the environmental characteristics ofthe CEA
Check this box If you have identfied one ormore potentially large orsigniflcantadverse impacts which MAY occur.Then proceed directly to the FU
EAF and/or prepare a positive dedaraflon.
Check this box if you--have determined,based on the Information and analysis above and any supporting documentation,that the proposed aca
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 Date
President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
aok Town of Southold
1 Erosion, Sedimentation .& Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1
01 STORM-WATER,GRADING,DRA114AGE AND EROSION CONTROL PLAN t
District e3 coon — of c ct— T— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSNENT Yes No
a. What is the Total Area of the Project Parcels? j Will this Project Retain All Storm-Water Run-Off
(include Total Area of all Parcels located within 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 j
b. What is the Total Area of Land Clearing (S.F./Acres) —
clearing and/or construction activities as well as all I"
and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of
construction activity? (S.F.!Aces) impervious surfaces.)
2 Does the Site Plan and/or Survey Show All Proposed
PROVIDE BRIEF PROJECT DESCRIPTION tPd®ndmuenei Peso as Needed) Drainage Structures Indicating Size&Location?This
item shall include all Proposed Grade Changes and f--- RRAA(7— C) Slopes Controlling Surface Water Flow.
-VIM VA 3 Does the Site Plan and/or Survey describe the erosion
f4&M crS 5 and sediment control practices that will be,used to
I p r control site erosion and storm water discharges. This '—
V To �Z t £r /_ Li
item must be maintained throughout the Entire
fConstruction 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?
fj 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 Welland 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
ero part of a larger common plan that will ultimately disturb are 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
for Storm Water Discharges from Construction activity-Permit No.GP-040-001.) Surfaces be Sloped to Direct Storm-Water Run-Off
1.The SWPPP shall be prepared prior to the submittal of the NO].The Not shall be Into and/or in the direction of a Town dght-of-way?
submitted to the Department priorto the commencement of oonstruction activity.
2.The SWPPP shag describe the emston 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 pond'lons•of this permit In addition,the SWPPP shall Area?(nus item will NoT include the Imtaaation 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:Ag SWPPPs that require the po konstruction storm water management practice in a Box and the construction site disturbance is between 6,000 S.F.s 1 Acre in area,
component shall be prepared by a qualified Design Professional Licensed in New York a Storm Water,Grading,Drainage&Eroslen 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 Buitdfng Permit.
(NOTE: 'A Check Mark(i)and/or Answer for each Question Is Requ liod fora Complete Apocaff-j
SLATE OF NEW YORK, �L
COUNTY OF...........................................SS
17rat I ......
l
..........
being duly sworn,deposes and says that he/she is the applicant for Permit,..... ............. ........
(Name of ktdivtduat signing Doaatuent)
Andthat he/she is the .................... te?.....e r.......................................................................................................................
(Owner,Contractor,Agent,Corporate Officer,eta)
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 taste to the best of his knowledge and belie#,and that the work will be performed in the manner set forth in the application filed herewith.
Swom to before me this;
AA
................. .......... ..........day of.........U Y� 2012>
Notary Public: �.I.� ........ .. ................. .....................
MELISSA cGINN (Signature ofAppllcant)
FORM - 06110 Notary Public-State of NewYork
No.01 MC6252699
Qualified in Suffolk County
Commission Expires December 12,2015
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE.FIRM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purposd of
this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action_is
necessary to avoid same.
1
YOUR NAME: L-o2 Lusciti-e-fag--mAQtaN�� f-�SI'RATicr�
(Last name,first name,"rpiddle initial,unless you are applying id the name of
someone else or other entity,such as a company.If so,indicate,thb.other i
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.) 1
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
Of"Other",name the.activity.) VVW1-4 rWA J CE 01 A4412ieN !AY-E-
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 br position of that person
Describe the relationship between yourself(the applicantlagpnt/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 tliat apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation); i•'
B)the legal'orbeneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an officer,director,partner,of employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this (� day o VN and 3
Signature. OC
_ Print Name Leve, C
Form TS I
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 i
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 i
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 f
review law. Thus, each answer must be explained in detail, listing both supporting and non-.
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions,it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's �.
website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all
local libraries and the Town Clerk's office. ❑ r� 2 n 2
B. D CRIPTION OF SITE AND PROPOSED ACTION V� I5 V LS
ff
Sh�/ l-1 JUN 17 2013 ��
i
PROJECT NAME
Ewa ust 0
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: g
FRR_�*A cf-K S U HE(6-ff-T
L4AAjo lUpgDe_p
w
Location of action: ;
Site acreage: DPP S i
Present land use: PVS 1 VVI }(r E C l T,o L—
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: P
(a) Name of applicant: Loe l_17 5 c 1? C.12 MA A «X �41FE-
n CO AAA& r-
(b) Mailing address: t t 1 y 7
(c) Telephone number:Area Code(�j3t- Jr7 9
• I
(d) Application number,if any:
Will the action be d' ectly 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.
Yes ❑ No ❑ Not Applicable f
t u AIK;2tGN 1- to HLE S.2 lay E l�Vb-Ti
Ltd cLp U UFO
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 ONot 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—Policie Pages 6 through 7 for evaluation criteria
❑ Yes ❑ No Not Applicable
f'
i
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
a
Section III--Policies PageSI8 through 16 for evaluation criteria
❑ Yes ❑ No Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III
Policies Pages 16 throu 1 for evaluation criteria
Yes ❑ No Not Applicable �
I
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 HI--Policies; Pages 22
through 32 for evaluatio criteria.
❑ ❑
Yes No Not Applicable
i
j
f
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 aluation criteria. .
Yes No Not Applicable
i
f:
Attach additional sheets if necessary
Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. ee 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 outhold. See LWRP Section III_Policies; Pages 38 through 46 for evaluation
criteria.
❑ YeF] No Not Applicable
Attach additional sheets if necessary
i4i
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See Section III`Policies; Pages 47 through 56 for evaluation criteria.
Yes ❑ No Not Applicable
f
Attach additional sheets if necessary
I
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic 1
Estuary and Town wallot Applicable
t s.See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. f'
❑Yes ❑ No li f 'pp cable
ti.
Z
i'
r
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
i
Attach additional sheets if necessary
..I
Policy 13. Promote !Not
ropriate use and development of energy and mineral resources. See LWRP
Section III—Policies; s 65 through 68 for evaluation criteria. I
❑ Yes ❑ No Applicable I
l -
PREPARED BY _p�� `.F 111 C111,4-e TITLE �on/ DATE �' 1,//3
ffro
I