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Home My WebLink About1000-55.-5-9.1 BOARD MEMBERS Southold Town Hall &Ojv Leslie Kanes Weisman Chair erson 53095 Main Road d P.O.Box79 Southold,NY 11971-0959 Patricia Acampora office Location: Eric Dantes Town Annex/First Floor,Capital One Bank QS Gerard P.Goehringer 54375 Main Road(at Youngs Avenue) Nicholas Planamento Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD M'_�y Tel.(631)765-1809■Fax (631) 765-9064 ~yauhol�l lawn Planning Board MEMO TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: May 3, 2017 SUBJECT: Request for Comments ZBA # 7080 JEMCAP SD1, LLC The ZBA is reviewing the following application. Enclosed are copies of Building Department's Notice of Disapproval, ZBA application, current map on file. Your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. APPLICANT TAX # ZBA# HEARING CODE DATE OF PREPARER ZONE DATE SECTION STAMPED OF SURVEY DIST SURVEY/SITE PLAN, JEMCAP 1000- 7080 NOT ART XI SEC JANUARY 13, JOHN SD1, LLC 55-5- SCHEDULED 280-49 2015 METZGER 9.1 AWAITING SEQRA Your comments are requested 1 week prior to hearing date. Thank you. Ends. FORM NO. 34 ., TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: February 2 2017 RENEWAL:April 20,2017 TO: Jemcap SD LLC 46770 Route 48 Southold,NY 11971 Please take notice that your application dated January 17,_20_17 For permit to construct additions and alterations to covert an existing building to a gas station with convenience store and apartments at Location of property: 46770 CR 48 Southold NY County Tax Map No. 1000 -Section 55 Block 5 Lots 9.1 Is returned herewith and disapproved on the following grounds: The proposed construction in the Business District is not permitted pursuant to Article XI Section 250-49. which states, "No building or remises shall be used and no building or part thereof shall be erected or altered in the B District unless the same conforms to the Bulk Schedule and Parking and Loading Schedules incorporated into this chapter b reference with the same force and effect as if such regLilations were set forth herein in full." Accordin to Bulk Schedule a minimum sin le side and setback of 25 feet is required. The existing altered building notes a single side yard setback of 19.7 feet. Furthermore the proposed proiect and use re uire s ecial site flan approval from the Sou Id Town Zonin Board of Appeals and site lan approval from the Southold Town Planning ------------------------------- Authorized Signature Cc:File, ZBA,Planning Note to Applicant: Any change or deviation to the above referenced application may require, further review by the Southold Town Building Department, Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 9 0,70street Ca 4 8 Hamlet 5()U1-toCD SCTM 1000 Section 55- Block Ste' Lot(s) Lot Size 3_4 IZ3 Zone I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED -- - BASED ON SURVEY/SITE PLAN DATED --1 C7 . Owner(s): i C Mailing Address: v �,� cr, 0--�x • •^ [��,_,,-. 11f l OCR t r o `7 t 5 9 60 Telephone: Fax: Email: NOTE:In addition to the,above,please complete below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc.and name of person who agent represents: Name of Representative:Re . p � far( Owner( )Other: 571 o z,��> Address: tyl 'KA Telephone: Fax Email: fe 6AQD02q- Please clreck to specify rvlro yore)uislt rrespondence to he mailed to,front the above marries; ( )Applicant/Owner(s), ( Authorized Representatives ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED -1 --C-7 and DENIED AN APPLICATION DATED, 1-1 7--1`7 FOR: (413uilding Permit ( } Certificate of Occupancy ( }Pre--Certificate of Occupancy ( } Change of Use ( }Permit for As-Built Construction ( } Other: Provision of the Zoning Ordinance Appealed. (indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: Section: W- Li 9 Subsection: Type of Appeal. An Appeal is made for: ( A Variance to the Zoning Code or Zoning Map. ( }A Variance due to lack of access required by New York Town Law--Section 280--A. ( }Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal( }has, (ehas not been made at an time with-respect to this property,UNDER Appeal No(s). Year(s). . (Please be sure to research before coinpleting this question or call our office for assistance) Name of Owner: ZB File# `� f J { Sr � �� s ' r REASONS FOR APPEAL (Please be specific, additional sheets inay be used with pr•eparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: G- 3.The amount of relief requested is not substantial because: 6t4 4.The variance will NOT have an adverse effect or i ct on the physical or environmental conditions in the neighborhood or district because: 5.Has the alleged difficulty been self-created? { Yes,or No Why: Are there any Covenants or Restrictions concerning this land? }No € Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. Signature of Applicant or Authorized Agent Agent must submit written Authorization from Owner) Sw to before me this day o ,20�_. Notary Public BETSYA. PERKINS Notary public, State of New York No,o1PE613o636 Qualified in Suffolk Coun Commission Expires July ul 1 re: J'emc ap SD LLC 1000 -55--5--9.1 Pursuant to Town Law section 267b-3 the variance should be granted for the following reasons: 1. Town Law Section 267--b(3) (b) (I)No undesirable change will be produced in the character of the neighborhood or a detriment to nearby properties, if the variance is granted. The property is located in Business (B)Zoning Use District and the existing building is proposed to remain. The existing- setback of the structure is set back from the side yard at 19.7 when 25 is required. The location of the existing structure is sufficient to provide conforming buffers. The preservation of the existing structure will maintain the character of the commercial district and the nearby adjoining farmland. The existing property will be greatly improved and additional existing buildings will be removed. 2. Town Law Section 267-b(3) (b) (2)The benefit sought by the applicant can not be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing building is structurally sound and would require limited alterations. The existing building could not be altered to conform to the side yard setback without great expense, such that the building would need to be demolished. Further the location of the building provides for greater parking and vehicle circulation. The east side of the existing building is proposed as the landscape buffer. 3 . Town Law Section 267-b(3) (b) (3)The area variance is not substantial The application of the balancing test weighs in favor of the grant of the variance. The variance is not substantial and will preserve an existing building. Moreover, the proposed site plan has been reviewed by Planning staff, in pre-- submission review, and the site plan is well designed. 4. Town Law Section 267-b(3) (b) (4)The variance will have no adverse effect or impact on the physical or environmental conditions in the neighborhood or district. The existing building and uses on the property have been continuous throughout the years. There is no adverse environmental condition or constraints which would cause adverse impacts on the neighborhood or district. Gas stations are heavily regulated and monitored. by New York State and County. The use of the building as a general store/retail with bathrooms have less impacts then the multiple uses which have occurred on the property. 5. Town Law Section 2 6 7-b(3) (b) (5)The alleged difficulty was not self-created. The existing building was constructed with different zoning setback requirements and the building has a Co. The applicant proposes to preserve the building. 6. Town Law Section 267-b The variance requested is the minimum variance practicable given the personal benefits anticipated by the applicant. The non--conforming setbacks for the existing structure is the minimal variance practicable given the alternatives, the demolition of an existing functional building. We respectfully request that the appeal be granted,together with any further relief that is deemed necessary and reasonable. Sworn to before me this �_ day of April 2 17 ri cia C. Moore Esq. , agent BETSY A.PERKINS Notary Public, State of New York No,01 PEO130030 Qualified in Suffolk Coun Commission Expires July Igo ,L? APPLICANT'S PROJECT DESCRIPTION (For ZB A Reference) Applicant:.Jemcap SM LLC Date Prepared: Aril 3 2017 I. For Demolition of Existing Building Areas Please describe areas being removed: NONE See attached plans II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Interior alterations to existing building and exterior renovation Dimensions of new second floor: Accessory apartment added over existing building Dimensions of floor above second level: none Height (from finished ground to top of ridge): y /of chplje�,-�) Lo, W . .W Is-basement-or lowest-floor area being constructed?—Ifyes,please-provide-height-(-above-ground)- µ No measured from natural existing grade to first floor: III. Proposed Alterations or Interior Structural Changes without enlargement/extension (attach extra sheet if necessary) -- Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: existing one story retail building renovations: proposed alterations to existing building-and second floor addition to existing building Number of Floors and Changes WITH Alterations: two story Continue: IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: Total Misting: House and existing buildin 2 543 6.85% Proposed increase of building coverage: 0 (removal of a building) Square footage of your lot: 37,123 sq-ff. Percentage of coverage of your lot by building area: Building 1.,516.04 (3.38%) canopy: 801 x 441=3 520 s .ft. 13% lot covers e V. Purpose of New Construction Requested: to construct new gas station and convenience store with an accessory apartments above. VI. Please describe the land contours (flat, slope%, etc.)as exist and how it relates to the difficulty in meeting the code requirement(s): flat Please submit seven(7)photos, labeled to show all yard areas of proposed construction after staking corners for new construction), or photos of existing building area to be altered (area of requested changes). 7/2002; 2/2005; 1/2006 QUESTIONNAIRE SPECIAL EXCEPTION FOR FILING WITH YOUR.ZBA APPLICATION 1. Has a determination been made regarding Site Plan review? Yes N V IMC )k If no,please inquiry with the ZBA office and if site plan is required,you may apply t' the Planning Dept. at the same time so both applications can be reviewed concurrently. 2. Are there an. proposals to change or alter land contours? a. X No Yes please explain on attached sheet. 3. Are there areas that contain sand or wetland grasses? A/b a. 2.)Are those areas shown on the survey submitted with this application? b. 3.) Is the property bulk headed between the wetlands area and the upland building area? c. 4.) if your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the trustees: and if issued,please attach copies of permit with conditions and approved survey. 4. is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? W 0 5. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? " Please show area of the structures on a diagram if any exist or state none on the above line. 6. Do an you have construction taking place at this time concerning your premises? /V`0 If 5' y yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: 7. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to obtain copies of them. land adjoining or close to this parcel? /V� if 8. Do you or any co-owner also awn other � g yes, please label the proximity of your lands on your survey. 9. Please list present use or operations conducted at this parcelC-9DIA(W Y( r,�,e�(C-J e V & 19!��CA 5 Am2r. -4 and the proposed use ' . �'� vAr:j�c,l . (ex:gisting single family,proposed:same with garage,pool or other or vacant proposed office with apartmend above,etc.) Ate ed signature and Date FORM NO, 4 t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEE OS OFFICE CERTIFICATE OF OCCUPANCY No. A 255.5 Date • • . . . • . . . , . .... Pq�qb* . . 2.3'. •, 10fo,0. THIS CERTIFIES that the building located at / ■ ■ AUNIq■Rq4Av • . • • . . Street GL N�. ■ •�i + . . • ■ ■ • • Block No. . .�i`-. ► • ■ • • .■ •LI L NCi'i • • ■ • •y1.•1�4 . • *Xr ■ . ■ • ■ • ■ • conforms substantially to the Application fox Building Permit heretofare filed In t 's ice ted . . , �.'t.L . . . . . . O, 14 . pursuant to which Building Permit No. .. . da . , . dated . . . . . .. . . . .F'Rb• . ■ .V.. . . ., 19.6 ., was issued, and conforin.s to all of the require- ments -of the .applicable provisions of the law. The 'o-ccupancy for which this certifleate is issued is • .Buss i.,ties■ -Bai ,ding(of-f „CO). . ■ • • . . . . ■ • ■ . • ■ ► • . . . ■ . • . ■ ■ ■ • . • . • • •. . ••■ s• a • 0 JL�+sf1cate i►7 ■7r7ued to . • •�i: • • ■ ►■• • ■ a a i%qA • •► ■ . • ■ •• • . •'■ The 4e .i •s •■ ■•.■ .• • + s (owner, lessee or tenants of the aforesaid building. .Suffolk Count Department of Health Approval S. 21.vo. .9 .t.Q.O.t. 3, 6.6 .by: .R.o. .'��,lla, . � p Building Inspector r� i. E i �j L ti 5l • +• i • ` ' { i FoRm No,, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold. N.Y. CIMIFICATR OF CKXWANCY No Z--23295 Date OCTOBER_19F 1994 THIS CERTIFIES that the building ADDITION Location of Property 46770 COUNTY RMV #48 BOUTHOLD_f NEW YWK House No. Street Hamlet Counter Tax Map No, 1000 Section 55 Block 5 Lot 911 Subdivision Filed Map No, Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated DECRISEER7F 1993 pursuant to which A Building Permit No. 21849-E dated DR 20 1993 was is sued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued .is HMMICRP RAMP ADDITION TO IMISTING R'BTAIL HUSINKSS BUILDING AS APPLX-RD FORM The certificate is issued to PXH P DPRRT`INS (owners) of the aforesaid building, SUFPOLX COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE No. N/A PLUMBERS CERTIFICATION DATED N/A f ldinc i Spector Rev. 1/81 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicalrt for arty special use permit, site plan approval,use variance,area variance or subdivision approval on property svithin an agricultural district OR within 504 feet of a faun operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: (2711 4 15 �,.,L C 2. Address of Applicant: V452 -7-7 D tZt V9 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed _ Project: k&A anVMleWce 5-hW A age, (Y r- 6. Location of Proper : (road and Tax map numbe 70 D 7. Is the parcel within 500 feet of a f operation? {vr*Yes { }No 8. Is this parcel actively farmed? Yes { )No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS I. - A 'N 2. V\ 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. 3 Full Environmental Assessrnent Form Part r-Project and Setting Xnstructi"ons foi-Completing Part X Part I is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach*any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part I is accurate and complete. A.Project and Sponsor Information. Name of Action or Project:, _ �J e-61 5D LCC— Project Location(describe,and attach a general location map): L4 8 Brief Description of Proposed Action(include purpose or need): C)ekc, S-tkfio-11 0-,AcA C z n V" i c_ii ce Lka &AA*- a6c 0 0 t/ Dame of Applicant/Sponsor: Telephone: ! .� _ � 3-c:' L L - E--Mail: GcAwre_ 0,*! ' Address: �.' l 0qe) City/PO: State: t Zi rode 45 ckt, k 6 1 a ---------- Project Contact(if not same as sponsor;give name and title/role): Telephone: - r~7(oY- q 3-3-C) al 00 E-Mail' V CM()DtNVQ)(C byy) Address: S 10 �VkM\ c� City/PO: State: Zip Code: Property Owner (if not same as sponsor): Telephone: E-Mail: Address: _--.--- -- fate: Zip Code. city/PO: Page I of 13 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,Ioans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Bate Required (Actual or projected) fie a.City Council,Town Board, [ Yes[ErNo or Village Board of Trustees .City,Town or village 1Z -1 `7 Ib es[:]No -. ( ��-Lv - c Planning Board or Commission c.City Council,Town or YesE]No �50 1 -7 Village Zoning Board of Appeals d.Other local agencies 0yesEK0 e.County agencies es[]No #'� - ,' �` r�► �l f.Regional agencies E]Yes2&o g.State agencies L-,TsEff o h.Federal agencies ❑YesBffo L Coastal Resources. L Is the project site within a Coastal Area,or the waterfront area of a Designated Inland waterway? []Yes L Ko ri. Is the project site located in a community with an approved Local waterfront Revitalization Program? es�1No P J y PP M. Is the project site within a Coastal Erosion Hazard Area? C7 YesM<o C.Planning and Zoning C.I.planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the C]YesONo only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part I C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include'the site esEJNo where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action &esE:]No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ayes M o Brownfield Opportunity Area('BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plans): c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, []Yes o or an adopted municipal farmland protection plan? If Yes,identify the plans): Page 2 of 13 r ■ C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. esONo If Yes,what is the zoning classification(s)including any applicable overlay district? do- b. Is the use permitted or allowed by a special or conditional use permit? esLJNo c.Is a zoning change requested as part of the proposed action? E]Yes o If Yes, L what is the proposed new zoning for the site? C.4.Existing community services. a.In what school district is the project site located? b.what police or other public protection forces serve the project site? c.which fire protection and emergency medical services serve the project site? d.what parks serve the project site? D.Project Details D.X.Proposed and Potential Development a.what is the general nature of the proposed action(e.g.,residential,industria commercia � ecreational if mixe include all components)? CO-inveyl t _ � b.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres c.Is the proposed action an expansion of an existing project or use? Yes[]No L If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? �/o C, _. e �r Units: A d.Is the proposed action a subdivision,or does it include a subdivision? []Yes Mgo If Yes, i.Purpose or type of subdivision?(e.g.,residential.,industrial,commercial;if mixed,specify types) it.Is a cluster/conservation layout proposed? I]Yes o "0* Number of lots proposed? iv.Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? ElyesRpo L If No,anticipated period of construction: months it. If Yes: ■ Total number of phases anticipated • Anticipated commencement date of phase I (including demolition) month year • Anticipated completion date of final phase month year • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: Page 3 of 13 f.Does the project include new residential uses? Dyes o If Yes,show numbers of units proposed. One Famil Two Famil Three Multiple Famil four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? ETyes❑No If Yes, z.Total number of structures U. Dimensions(in feet)of largest proposed structure: 310� height; width; and s length zu.Approximate extent of building space to be heated or cooled: 115c>0... square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any []Yes&No liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i. Purpose of the impoundment: u. If a water impoundment,the principal source of the water: El Groundwater Q Surface water streams[]Other specify: X. If other than water,identify the type of impounded/ ontained liquids and their source. vuL 6L iv.Approximate size of the proposed impoundment.0 fA Volu e: million gallons;surface area: acres u Dimensions of the proposed dam or impounding structure: �J A height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project operations a.,Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? []YesBRo (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.what'is the purpose of the excavation or dredging? ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? Volume(specify tons or cubic yards): + Over what duration of time? iii.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. iv.Will there be onsite dewatering or processing of excavated materials? Yes No If yes,describe. v what is the total area to be dredged or excavated? acres vi. what is the maximum area to be worked at any one time? acres viz.what would be the maximum depth of excavation or dredging? feet VX will the excavation require blasting? []Yes[]No i-c. Summarize site reclamation goals and plan: b.would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment []Yes@ao into any existing wetland,waterbody,shoreline,beach or adjacent area? N/A) If Yes: z.Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 it Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: ill. will proposed action cause or result in disturbance to bottom sediments? OYestgllo If Yes,describe: No will proposed action cause or result in the destruction or removal of aquatic vegetation? Q YesErNo If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): proposed method of plant removal: ■ if chemical/herbicide treatment will be used,specify product(s): v Describe any proposed reclamation/mitigation following disturbance: c.will the proposed action use,or create a new demand for water? [JYesBRO If Yes: "C� i.'Total anticipated water usage/demand per day. gallons/day ii.will the proposed action obtain water from an existing public water supply? des E]No If Yes: • Name of district or service area: 5c,w • Does the existing public water supply have capacity to serve the proposal? `' Yes ]No • project site in the existing district? FB/yes[::]No Is the prof g • Is expansion of the district needed? ❑Yes�o • Do existinglines serve the project site? PrYesE]No P J iii. Will line extension within an existing district be necessary to supply the project? an. ❑Yes-�No If Yes. • Describe extensions or capacity expansions proposed to serve this project ■ Source(s)of supply for the district: iv.Is a new water supply district or service area proposed to be formed to serve the project site? []Yes o If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: ■ Proposed source(s)of supply for new district: v If a public water supply will not be used,describe plans to provide water supply for the project.: vi.If water supply will be from wells(publid or private),maximum pumping capacity: gallons/minute. d.Will the proposed action generate liquid wastes? �,, Ye5"-_:. •� If Yes: i. Total anticipated liquid waste generation per day: 2�4 �D gallons/day 6 P q g P ii.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): � iii,will the proposed action use any existing public wastewater treatment facilities? A [:]Yes • o If Yes: ■ Name of wastewater treatment plant to be used: • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? []Yes[]No • Is the project site Mi the existing district? [1Yes[3No ■ Is expansion of the district needed? []Yes E]No Page 5 of 13 • Do existing sewer lines serve the project site? []Yes o ■ will line extension within an existing district be necessary to serge the project? []Yes No If Yes: • Describe extensions or capacity expansions proposed to serve this project: iv.Will a new wastewater(sewage)treatment district be formed to serve the project site? []Yes RJKo If Yes: ■ Applicant/sponsor for new district: ■ Date application submitted or anticipated: • what is the receiving water for the wastewater discharge? v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): vi.Describe any plans or designs to capture,recycle or reuse liquid waste: e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point []Yes No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point '-7 5 source(i.e.sheet flow)during construction or post construction? If Yes: L How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) u.Describe types of new point sources. iii.where will the stormwater ninoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-si a surface waters)? ■ If to surface waters,identify receiving water bodies or wetlands: # • will stormwater runoff flow to adjacent properties? ❑Yes o i4. v.Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? []Yes[ f. Does the proposed action include,or will it use on--site,one or more sources of air emissions,including fuel []Yes ❑ combustion,waste incineration,or other processes or operations? If Yes,identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) it. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) m. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, []Yes Bfqo or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet []Yes[]No ambient air quality standards for all or some parts of the year) it.In addition to emissions as calculated in the application,the project will generate: ■ Tons/year(short tons)of Carbon Dioxide(CO,)) • Tons/year(short tons)of Nitrous Oxide(N20) ■ Tons/year(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) ■ Tons/year(short tons)of Hazardous Air Pollutants(HAPs) Wage 6 of 13 h.will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, []Yes ' No landfills,composting facilities)? If Yes: L Estimate methane generation in tons/year(metric): ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity,flaring): i.will the proposed action result in the release of air pollutants from open-air operations or processes,such as OYesPrNo quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial Elyesrqfio new demand for transportation facilities or services? If Yes: L when is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑weekend ❑Randomly between hours of to . ii.For commercial activities only,projected number of semi-trailer truck trips/day: in.Parking spaces: Existing Proposed Net increase/decrease iv.Does the proposed action include any shared use parking? []Yes[]No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private transportation service(s)or facilities available within%2 mile of the proposed site? s❑No vii will the proposed action include access to public transportation or accommodations for use of hybrid,electricWVes❑No or other alternative fueled vehicles? viii.will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing []YesM/No pedestrian or bicycle routes? k.will the proposed action(for commercial or industrial projects only)generate new or additional demand []YesffNo for energy? If Yes: L Estimate annual electricity demand during operation of the proposed action: h.Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via gridllocal utility,or other): iii.Will the proposed action require a new,or an upgrade to,an existing substation? []Yes[ANo 1.Hours of operation. Answer all items which apply. L DuringConstruction: ii. During operations: ■ ■ Monday�-Friday: �-- Monday-Friday. ■ Saturday: ■ Saturday: 6V 1 AM ■ Sunday: ■ Sunday: � A2,D P rn ■ Holidays: Holidays: 6 aPy_i --to am Page 7 of 13 m. will the proposed action produce noise that will exceed existing ambient noise levels during construction, UYes ErNo operation,or both? If yes: L Provide details including sources,time of day and duration: ii. will proposed action remove existing natural barriers that could act as a noise barrier or screen? El Yes El No Describe: n..Will the proposed action have outdoor lighting? -Wes E]No If yes: L Describe sources),location(s),height of fixtu�ref(s),direction/aim,and proximity to nearest 1cupied structures: h. will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes BPo Describe: o.Does the proposed action have the potential to produce odors for more than one hour per day? D Yes Mo If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) es E]No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: L Product(s)to be stored CA a 5r>(t Ae U. Volume(s) per unit time A,��, (e.g.,month,year) r iii. Generally describe proposed storage facilities: - �;�c�c.�r� 'f - cz)da m3ACIJ28 —Ain t YL - r q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, D Yes ETRo insecticides)during construction or operation? If Yes: i.Describe proposed treatments): ii.will the proposed action use Integrated Pest Management Practices? ❑Yes []N r.will the proposed action(commercial or industrial projects only)involve or require the management or disposal ]Yes - o of solid waste(excluding hazardous materials)? If Yes: i.Describe any solid waste(s)to be generated during construction or operation of the facility: Construction: tons per (unit of time) • Operation: tons per (unit of time) ii.Describe any proposals for on--site minimization,recycling or reuse of materials to avoid disposal as solid waste: ■ Construction: _ • Operation: in.Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8 of 13 1 s.Does the proposed action include construction or modification of a solid waste management facility? ❑Yes No If Yes: i. 'Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life: I years t.will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous E]YesEfNo waste? If Yes: i. lame(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ii. Generally describe processes or activities involving hazardous wastes or constituents: iii.Specify amount to be handled or generated tons/month iv. Describe any proposals for on--site minimization,recycling or reuse of hazardous constituents: v.will any hazardous wastes be disposed at an existing offsite hazardous waste facility? []Yes No If Yes:provide name and location of facility: If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site a.Existing land uses. i. Check all uses that occur o ,adjoining and ne,9 the project site. ❑ Urban ❑ Industrial JA Commercial Residential(suburban) ElRural(non-farm) Forest TAgriculture ❑ Aquatic C] Other(specify): ii. If nix of uses,generally describe: b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/--) • Roads,buildings,and other paved or impervious try .- surfaces • Forested C? • Meadows,grasslands or brushlands(non 0 agricultural,including abandoned agricultural) • Agricultural includes active orchards field greenhouse etc. ( � �g ) • Surface water features (lakes,ponds,streams,rivers,etc.) • wetlands(freshwater or tidal) C • Non-vegetated(bare rock,earth or fill) • Other Describe: Page 9 of 13 C.Is the project site resent/ used b members of the community for public recreation? E]Yes � No P J presently y �' i.If Yes:explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed []Yes o day care centers,or group homes)within 1500 feet of the project site? If Yes, i.Identify Facilities: e.Does the project site contain an existing dam? []Yes No If Yes: r.Dimensions of the dam and impoundment: • Dam height: feet • Dam length: feet • Surface area: acres • volume impounded: gallons OR acre--feet ii. Dam's existing hazard classification: M.Provide date and summarize results of last inspection: f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes o or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? []Yes[]No • If yes,cite sources/documentation: u. Describe the location of the project site relative to the boundaries of the solid waste management facility: in.Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin E1Yes2Mo property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: L Describe waste(s)handled and waste management activities,including approximate time when activities occurred.- he Potential contamination history. Has there been a reported spill at the proposed project site,or have any E]YesErNo remedial actions been conducted at or adjacent to the proposed site? If Yes: e site listed on the NYSDEC Spills Incidents database or Environmental Site []YesffNo r.Is any portion of the p Remediation database? Check all that apply: [] Yes—Spills Incidents database Provide DEC ID number(s): El Yes—Environmental Site Remediation database Provide DEC ID numbers): Neither database it.If site has been subject of RGRA corrective activities,describe control measures: rile Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? 11YeS o If yes,provide DEC ID number(s): iv.If yes to(i),(ii)or(iii)above,describe current status of sites): Page 10 of 13 u Is the project site subject to an institutional control limiting property uses? ElYesUNo ■ If yes,DEC site ID number: ■ Describe the type of institutional control(e.g.,deed restriction or easement): ■ Describe any use limitations: ■ Describe any engineering controls: ■ will the project affect the institutional or engineering controls in place? []Yes[]No ■ Explain: E.2. Natural Resources On or Near Project Site a.what is the average depth to bedrock on the project site? A feet b.Are there bedrock outcroppings on the project site? []YesWo If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: gV 6 4 _ � % d.what is the average depth to the water table on the project site? Average: Z_0_11f- feet e.Drainage status of project site solls:9 well Drained: , °/ of site C] Moderately well Drained: of site [] Poorly Drained %of site f..A.pproximate proportion of proposed action site with slopes: 0-IOW ZO Vo of site E] 10-15%: %of site D 15%or greater: %of site g.Are there any unique geologic features on the project site? ❑Yes' o If Yes,describe: h.Surface water features. L Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑YesD36o ponds or lakes)? ii.Do an wetlands or other waterbodies adjoin the project site? ❑Yes�o Y J If Yes to either i or ii,continue. If No,skip to E.2.i. Are a the wetlands or waterbodies within or adjoining the project site regulated b an federal, ❑Yes[Ko rrr. A any of J g P J g Y Y state or local agency? iv.For each identified regulated wetland and waterbody on the project site,provide the following information: Streams: Name Classification Lakes or Ponds: Name Classification • wetlands: Name Approximate Size Wetland No.(if regulated by DEC) u. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired []Yes BXo waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway? []Yes M<o j.Is the project site in the 100 year Floodplain? []YespKo k.Is the project site in the 500 year Floodplain? []Yes Bfo 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? es[]No If Yes: i.Name of aquifer: Page I I of 13 e m. Identify the predominant wildlife species that occupy or use the project site: n.Does the project site contain a designated significant natural community? []Yes ON If Yes: L Describe the habitat/community(composition,function,and basis for designation): it. Source(s)of description or evaluation: W.Extent of community/habitat: Currently: acres ■ Following completion of project as proposed: acres • Gain or loss(indicate+or acres o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑Yes o endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑Yes o special concern? q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes a If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources on or clear Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to DYesE390 Agriculture and Markets Law,Article 25:AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? []YeSDKO i.If Yes:acreage(s)on project site? R. Source(s)of soil ratings): c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National []Yes�o Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature h. Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? []Yes o If Yes: i.CEA name: it. Basis for designation: M.Designating agency and date: Page 12of13 d e.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district Yes o which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: L Nature of historic/archaeological resource: []Archaeological Site ElHistoric Building or District h.Name: iii. Brief description of attributes on which listing is based: f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for []Yes 040 archaeological sites on the NY State Historic Preservation office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes o If Yes: L Describe possible resources): h.Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,states or local e4fes[]No scenic or aesthetic resource? If Yes: J.Identify resource: 0 D u.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): C..._- C_ VI. S th. Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the wild,Scenic and Recreational Rivers []Yes ❑ Program 6 NYCRR 666? If Yes: L Identify the name of the river and its designation; ii. Is the activity consistent with development restrictions contained in 6NYCFtR Part 666? ❑Yes❑No F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name ' Dater Signature Title PRINT FORM Page 13 of 13 Board of Zonine Anneals ADilxeation AUTHORIZATION (where the Applicant is not the Owner) � ..�.tit..E��1 ; �-k = - residing at (Print pro Warne (Mailing Address) perty'owner"s ) do herebyauthorize ti -- t I c (Agent) to apply for variances on my behalf from the Southold Zoning Board of Appeals. r -(Or wner's Signature) (Print Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohihits conflicts of interest on the Dart of town officers and emvlovees.The purpose of this form is to provide itti0rnj4a1un:vvhiris can alert the town of nassihle conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME ■ �`J�}5".t� �"�}".^� t�...�r�t L"��1,h�_t....�_•7 rr `� j �� ,�.r t�T�' �+'� �� 'LC` (Last name,first game,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone�. s Coastal Erosion Approval of Plat-. Mooring Other(activity) PJ 5- _ Planning 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? "Relation ship"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. Marne 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'clieck 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 that 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 6irlsoralicstt) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this Y of r 20 Signature Print Name ►Di'. 4 AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soutl)old's Code of Ethics prohibits conflicts of interest on the art 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 : Gt Ce a (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance E/ Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 ich the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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) Q an officer,directory partners or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ,20Z Signatur Print Name c,,e 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 mitior• exempt actions including Building Pei-mils and other ministerial per mils t7ot located withitx the C'oaslal.Erosiotx Hazar d Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects u on the coastal area(whi fch 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- 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 LVW 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# - -- PROJECT NAME C f 4 1 L C-L, The Application has been submitted to (check appropriate response): Town Board PlanningBoard Building Dept. Board of Trustees g p 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: _ eAcc, nq /z) A)neA f \a6� c e P-TJ en, & A;� d cr -ec • • r ■ i Location of action: C------------ 1 W Cda Site acreage: 37 , 1-2� 3 ----- Present land use: Ic cat - • rt h Present zoning classification: — B 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: ZX-jE�- c c�p i (b) Mailing address: ` cam. +r I clk-C\ (Cl cx:Lb 0(C\ (c) Telephone number: Area Code ' G, - ------CP (d) Application number, if any: 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? 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. R00yes No 'Not Applicable Cx ��VP C,1W -)sR QtM )Mecl. Q C 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 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III--w-Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable v 6=�:Z Ct. 1 w 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 S 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 through 21 for evaluation criteria Yes No Not Applicable Attacli 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 foi•evaluation criteria. Yes No Rj'40N,ot Applicable 1 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 thiiough 34 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes No Not Applicable N-0 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 foi- evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary WORDING COAST POLICIES Policy 10. Protect Southold's water--dependent uses and promote siting of new water-dependent uses in suitable locations. See LwR.P Section III--Policies; Pages 47 through 56 for evaluation critei"ia. El Yes No KI Not Applicable 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. Yes No [�jNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section M—Policies; Pages 62 through 65 for evaluation criteria. f Yes Na Not Applicable u rP noe Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LwRP Section M—Policies; Pages 65 through 68 for evaluation criteria. Yes No Not Applicable PREPARED BY TITLE w -�` DATE Amended or7 811I45 7 7. S �. ,. at� r SY moo f,4z * ., - € �.: ."��: , r . ...,. 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N .e..s<.t - .,r--.r �e:.. 5�div:sirz Yf �.r•aw+.r...�`'� s. ":r i:'. MG: _�;, ,der,..'"d�'-"'-%s? tea. E ne vs Q - r. � rtrr.ort pxnssr r � �•4�,J.. do rY ' :!' y L�!��. :t`...:r.S..:...r.::..'r'% !'��'::`�.-F-::...:.•y.:�::•:.:.. �yy�yy ,y �ti 4 .S ll .iK' �1�..'• ."1B..M::�1[5..1.. �i.Y.1...:. r.Yn:''�:••...:+:'..��::.'' ti bins wo 1 Lvrn �. ,�ev� 4 •T.L•T.!: _ f a .r - .+3' - $. a .... cr � :: .„ �. u• vv t.a. s. x . .. ..............�„,..,,..E -C _.- 052 .S E n r z, r Off" �,o, MATCH 11.14 N 337 082 uj �r�a i 233A Y r r (C[7UN}Y GF SUAr-0LK• S. a �. r III �r�sZ4r•. 3 _ I _ I 5 J I EXISTING DRIV Q�` QPO� ENTRANFRAN I I.; Lu I E�� rr"'tr. CONj y REIMOVED 4ILITY I?LOCDLE ATEOD BE '` F !�O U� r, j 1 ®tip' yl0 PVC�• R a3 2�}q 8-0"ht. r U / �ZZ a NEW SIGN 5.(t . EX15TING DRI EWAY ! Q s ENTRANCE- NEW UTILITY POLE LOCATION p v � t AIR tb #1 1 ti � � G t,3mFg W,K:r'[-L 10-0"0xB'-O"DEEP DRAINAGE �. + nnufybu ASPHALT PA ED FOOLS,TYPICAL ALL;81YD PVC DRIVING 5UR ACE PIPING BETWEEN EACH P CC V P•-'t pkN'f' ,•' 111 .-. PROPERTY LOCATION / Lt'_ AREA OF BURIED FUEL TANKS- (/ CONNECT TO "Q i,.�.. o� ADJOINING O 1 TANKS TO 51T ON CONCRETESLAB v PARKING LOT �•�" �.. COVERED BY POURED CONCRETE SLAB r d 1. O •` i•%'a /jam/'/\�: �1,:�.•� ..'i y' OUTLIt OF EX5TING A5PF1AL7 PAVED \ r'/"/ ,�i/ DRIVING SURFACE '1 / 13ulnIC6t5Tswcn+2es PROPO5Eb PUMP `i TO 5E TAMED 'CANOPY w/FIRE w z y,#I o '/;'SUPPRE5510N; v Q f� 0 SITE PLAN SCALE,f•.r•.p• ED ;I .. •//i%�!r i f/%/''./ .3.• I w oG SCTM:1000.55-5.9.I / z Infor n>at:on taYen Irom Survey ppreprred by / '/ O E€ Pecon:e Slncyers.P.C.5outl,nld,New York IL dated Januvy 13.2015 SITE DATA: DRAINACE CALCULATIONS: I -~. •//;' �'F/ Fnal Plot Sue: 37,123 sq.ft. Baocd an 2'P.an,Ull Evr,r. 00 PVC PIFiNG \ 8wlda:g Area: I.,I r.04 sq.k 3.38'b ParlJng: 21501•9G sl x!=BG35 c.1. #7 I BER Mi DRAINAGE + 1 Pawng t Curb:na 21.601.a6=cl.k. 57; POOH ' f- 5:davalf_.: - 740 sq.rt. 2% 50vii'l:: 7-10 5f X r i<s=r 25 c.l. CI3 EaMscaprng: 13055 5,11t. 3517. Root 1516.04 sf X,Z=252.67 c.l 20NIIIG INFOPJAAT[ON: Landscape:13055 5F % =435,16 cf z EXISTING BUILDING TO CT SM M moo 6.0'•0 Leach-.Pool n,-3.14 X 4foot-=50.3 cult 'O c' W N I REMAIN;PROPOSED 5trea Address: 45770 P,outc ALS.S0AW0 Pool 252G7150.3=5-02 k,decp-U.I.tl'-O'(:.6•Gdtetr n I #I O Zoning 0"t"4t: B-General Bvsmcss /'' - I ALTERATIONS Front Yard SelbacF urted,Wrizbla Park,nn•g3 5der✓aEi f LaMscaping Toal d 4 5 1.6 e.f. #°J A B IU'-O'0 Leaching Pool=(Irr�a-3.14 X Sloata=78-5 cilr -/ Front Yard 56tbAa i'ropas:d:71 Ica Area 4191.19 I i a3.5=53.4 ILdeep•Ilse(7)Id-o'B.d'-O'decp ` i�r�%' C 5•dr.Yard Setback Rcq�:red: 25 125 rent \.- /' - N S:da Yord Setback Proposed:66.5'119.G'tprc-c.isbngl #4 _ 4'-0"POURED CONCRETE Rear Yard Setback Re:qu:rrr)o 351u:t GROUlIDWATER MANAGEMENT?ONE IV SIDEWALK CONTINUOUS Rear yard 5cL ack Proposed:52 feet on-ty: .03 GPO/SO.FT. ASPHALT PAVED - z Uchen: -0'GP075O.FT. DRIVING SURFACE AROUND STRUCTURE J PAPJ.IadG ANALYSIS: ltydraui,c:.05 GFIVM.PT. #3 N2 G FRIDGE F E D in in Total Bu ldmg: 1,516.04 5q.lt. ...... O Resdeowl(2 M-1701 2 Req:Ared 2 Proposed 5paces - r - - _ 5 Z Conucn cc_',tcre. 9P.ega,red 12 Prcpoxd paces - - O Plus 2 IS nd:up Auceaa,ble - I i .,` , NIP P O V Gas Station• 3 Per(Yur 36 PraFosW tips<zs E a�.*,r .. .. - z_ Employees. per Space prundtd I O Lcad,ng Berth 13'-DSt,dcX 14'-O•hvahtX 45'0'long 1 Proposed I :+• RE'IDENTIPL +i l,' .`DAD�� I U �. J' eunD1NG wFo: oy?urlL cf au1 D Ny ENVELorE �_ �,..__ DUVIPSTER W/ u a Fuss n,01; A-Co---'.store: s5o q.t. � ! �' FENCE ENCLOSURE z o s D B-A!te j.t: :50 sq.ft. Z C-Access to Second Floor Vcst.bvl. 220 sq.It, D•Mchnlncal Room: e-0 Ptr lrI 6G aq.It- PVC G - E-O11" 30 yq.ft. TO ROOF DP,YWELL F-Emrloyne F._5troom: 30 sq.k- O G-ha,�d,cap Acce5:,b1e Rcstroom: 104 sq.ft. GRA55 4 PRIVACY A5 PER z 5ccond Ploor: D Z ReS�derttlal Unit 1: '1509q.rc.+r- LANDSCAPE PLAN I O Res,denbal U t 2: 750 sq•ft.+!• V O erg .naa•: _ NEW G'-Or'TALL PRIVACY FENCE. :�x."'."0--o—D—D—o—o—o- r:no._• 5Bl'15'S0'ki' 1�0.00' EY15TING STOCKADE PENCE PAGE; 1 5 1 ur,AVrnt'recn u�F.tenx ea.tcs:v0..r 70 rd,=Aa,lt+rx••Ecru MATrnr+,ntu.•rxrs 13 A nn Anrvr W.W.7 W-I'nr,it r:s r.'.wrar 0 z to Q U N C) GG h Ad6 �,ao / A G 3 z PO EA57IN DPJV, s� , � c O�(N��P•Ol ENTM, O�(N Q�O Ol 09R N DPJV - 3 D�t AD ONQG.? AS C l G ft uJ EXISTING UTILITY POLL:TO BE +T REMOVED 4 RILOCATED iT '" 4•. 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