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HomeMy WebLinkAbout1000-6.-2-1 23.4.. �menf 2 o SS"44 00 W T.._'.- mon.,m•ni 152 60 O .1� 23 9 _ :1 co co PETER P N/TZE I ° C,gEs J "'"" ' •ni S5• W // 1 j� c %' •+ manJ^'•� / / •fir"=- ,/� •• ^ co'_ _I \momum J't-. my,um•n✓ •r,`/.fo coy`" ,� � n i ,.. 1g � �� i i7•'.�Y / °%/ h e �N' // Bra' � 0 A d, •, �j/ 'c4 2.77�'ACR `�� 4. � S ' a ,.,z -tee'= 0. '�'- •� °"0 .�� ,/I ' N 66.69 r wT.`z,F �" ► � S I W 3072.85 •.P monument w/ \ 00 UTILITIES Z ,+,- 3 / q3, - �e� / I ^ ,` t'V EASEMENT \ 5 \ ma`urn•nt alb-- i°b I / �. 1< e Y M V N \ .i '•� " 8 �3 0. 0 monumemt •°i... oo„e o z 2 0 0 0 \ RESCENT 9 /\\ _ / o l40 pRo `t �1 S 50 02 10 W ' �,\ 23.4y o pole l . \ \ ,\ 5 2 6 0 monument ..0 SUBJECT P 2 O P F R T Y F� o ;' � \ p $ ` � --� 5CALE I - too, .� a f,ET 3� I \, p N APPROVED BY o PLANNING BOARD co�\ S 50°02'10"W TOWN OF SOUTHOLD NOTE5: Go, ,;r, 1 6 9. 5 3' \ T Y� - Foy PIDA�E F E B 141994 I. COORD I r'4ATE DISTANCES ARE MEASURED FROM \ / �o 550 � �, \ ` � 5751.30 � U.S. COAt5T AND OEODET i G SURVEY TRI ANOULATI ON + ��o / 5 m o n u m e nT �� \ - W 3215.60 STATION1 "PROS" �`' I �oQ%a� �� �' / 2. 51TE 15 IiN THE TOWN OF SOUTHOLD, COUNTY OF I f ��°' /` • O \ O 5UFFOL<,, TAX MAP 1000, SECTION 006, BLOCK 2, 0-7 \ O -"�-� AS , o ' :/ 0. �E _ �'( �' � LOT 15C'HOOL DISTRICT 4. L oT L ' °,�' _ �¢ ���� ' o�y;� • \ ` \ 3. TOTAL AREA: 5.�11 +/- ACRES v�L1`NU�s 2. 0-7 21, 014, I LOT 2 `�� ��'��: / �' .5 ' S �� ► ` monument 4. SITE 15 TO BE SERVICE BY MUMCIPI&-•- WATER vF;C` 1 � O `i0 � f c�a � ,� monument' � o� , Q � p AND ON SITE 5EWA5E DIA P05AL SYSTEM. W:I a 2. 77 - ACRES S.So '� • • ° `z �T -to E co�F��,,is 60`6 Q 12. 19 2. 71 A cczE> W \2 5. SITE 15 I1N R-80 ZONE 17 `� _ 0 t, o± F'T-. �� $ r 1 �" gK«�c� QQ -'pole L-OT I I L1M oF. _ �zE • 6. OWNER: Annette Zabo,honskf 1 U-PL•1�►J �: I W Sv13ZECT T4 8- f -y(__ .,>�� � 20 �,. f'' monumen 1-ishers Island, NY 06310 S 3 .0 4 ems, W F�aTrz�ct Iv cam\ r 2 '" �•1 0 < � ,•' r" r 7. BASE FOR LEVELS NOVD a +I O �L �� � . SUBJECT TO COVENANT'S& PESTMCTIONS LIBOR A O a cxES o ">� 1 wet area C h�� PAGE�L 8'-s" g� • %' -AL. ,ham �o/, BENCH MARK TOP OF MONUMENT KNOCKOUT INLET AND a ~. 3 OUTLEIT OPENINGS d. 0\ ELEV. 2 2.25 (Mean 1°w water) CID ► ll/ RIBS INSIDE is Z �1Qy_ � �- L O ! ---, • •'' 4,�' SUFFOLK COUNTY DE RTMA F H�',t.TH SE ' I 24" DIA COVER --. ...- \ Y �` � R�rlt�u�� 6" 3. 14 - / H'au a F�� lE� .�kL � \ _ _ ACRES •�\ � � ugc�, New Palk + 3_ monument 7 �� pole Thls t8 tt!Oettify that ifte3 proposed arr msl s for water au i + N \� r YYY -' z�0 t3Co, 5 $O _ S(�_ ' ! 'y c ❑ o o o ❑ o 0 o 0 o ❑ o (4) 8" DIA KNOCKOUTS = . ' ,,� �( / aW S MtaP dispogal for�/U/U�77 Zq/SoWQ U_5 Culver?\ '4 _ - �Con- �---- � /•'• In the 7=�o�.,rr/-/o[. /� ., .., With a total of �ii� aooO ? WOM OPPrOvad On the above date. ne3o faLC}}dIC� t'kl t0 °.° 8 Op • COM.,nratlon sianda,,ds in effect at t`�� tlRne of Can�tns(:+il':�n, b r,l� CAST a ❑ o 0 0 o c o " �! �SCS\, -- S, '� only in th© C4'an. .efd .:lt»Ilto,:t..t,'.ftal } ry �;�' CONCRETE COVERS `" ❑ a o 0 0 0 0 0 ' O o �V� '`�fl �$ M't}l.. t cr r`c'f^�,rt rn. T^�ip • o ° �: OPMOM plan Is duly Iliad tw 4h the Counly Clerk wi;hln ono ye-,jr of � I � %°s' 4" �-- 8'-0" DIA \ �+.� � 2 d. ^ '1 /� ze.o Qi � / tlliS 1�1tF3. •6 � � � 14 Ccroser•t is hetoby f?'vCI) for tha ftdr17, of th.s map on 1 PLAN �r -I �`•, //��J/�� ' 6y (yam N ,' -r-��, 7 faf[3 {�}p !t h • IC(3 42.63J `'V ' /• r ril�"1/i1 111ia. e,• ri7aii}'11S (..i0'wlr in tIYV t���I`oL* Ri`C the Vb`YFI i1y k.�lF%'!il �. . \ G` < in as ardance with provisions of th0 P>ubMC Health LaW aril the Jul �1- 15: W 3468.03i``` F�/ ! DOS , a Suffolk M LOCKING CASTING \• , a �� u •y &nhary Cade. TO GRADE RY WE L. �. \t`, \��` �` p r .It�SEPI�! H. Bfi E CROSS SEC70N -.\ ; 6s�D M P.E.p•E• S.C. DEFT• D FINISHED-CHIMNEY DE NOT TO SCALE �G \� P� 1vE DlrectOr. Blvfsion of Environmental >u� y HEgLTIA SERViCtJ 4 x 4 12.6/12.6 GA. WIRE MESH \ / Q c lit ti R 12^ r 6 x 6 6/6 GA. WIRE MESH '( t 4 T Ho _•tz ( • • j pole `\ 4 Y IC9 M r4" 9u _ �11- ToP1�JI l_ \• \ ® / /8 3p3 / `, Q� EQ``� �'J \� MINOR SUBDIVISION PLAN Y' sua��IL_ &F'cvNN_ � � - - / , ��4 ti �� •Q� 5 � - INLET 3^ VEMT-f"� 3" VENT OUTLET x " _ -71- ���, art: ro,,N!::� '/v ITi� V /� MADE FOR LIQUID LEVEL i I St 1�t U_ $�GN! - ` ``� in CONTINUOUS HOT 1 4" OUTLET ` _'� - I"�- GOAR�L G�;AVtrl. _ I " 1 ASPHALT SEEAL LBAFFLEINED WITH . v,/ITH c.0�,3Uts �.. � ` ,� `�s ANNETTE M. ZABOHONSKI I hereby certify that this map was made from P "' 4" SCHEDUILE40 1/8' PVC I actual surveys comoleted April 15, IQgI and monuments . INLET BAFFILE sD' cns '� -('1, �T H v - � '2 are set as shown. "Peciarat}ons of covenants and restrictions � -4 � CRESCENT AVENUE .1 DEFLECTOR C I t� ' _ z of f ectin the lots In the subdivision have been filed In the road \ \\�, -.\ N , FISHERS ISLAND NEW Y 0 R K 11 2 Tr_, S o I l- office of the Suffolk Coun Clerk in Llber IIb24 Pa 51"I �;.�'- �• �F S?2 / 4" 5-8" - I--3" _i-2!' �� %'41 Yt-:LLawli3ROwri ZVt;_QI(. 341 - 1 I L7 Y Sn ry p and Liber 11648 Page 202. �� '\`�`' 9� / monurr)fent;' SCALE 1" = 50 feet CHANDLER, PALMER, &KING CROSS SECTION 60 - 16.5 Goplzs� SP,NC�Y �I�/QV1�L� �� `� I am famillar with the standards for approval and construction PROP°s�... �~' _ �' NORWICH, CONN. TE s K ot.~`S D v y /1 t 9 i of subsurface sewage disposal systems for single family ,� 47��,,,� _---__--.__.__.._.. - s 0 25 50 /00 3�- CE�a�JOLFSi• -�r M�C� ? K�Nc� residence and will abide by the conditions set forth therein "S'°N i pee J/' Tl- I °.� �PF"IL.- l�°) 1 100)0 GALLON and on the permit to construct. 2 CONPARTMENT �� % 049521 I/25/94 11\L`�ITIoNS = 2(0 l�UCyUgT 1, 991 FEB 14 SEPTIC TAN S p°le SURVEYOR NO. DATE ,Az:b-bVrkC 15 �GEVis\p►AS 4 Al1C}UST 199Z N(OT TO SCALE APPLICANT ADDI710�j5 r P-EV1510N5 3 SEPT 1997- ADDVTIONS F-EVISIONS 2 FEB. 1993 ADDITIONS { RtrVISIONS 25 JAN. 19V,4 72.7 9c i PLANNING BOARD MEMBERS Richard G.Ward, Chairman a '. , Town Hall, 53095 Main Road George Ritchie Latham Jr. P. O. Box 1179 Bennett Orlowski,Jr. , Southold, New York 11971 ,:. Mark S. McDonald. Fax(516)765-3136 Kenneth L. Edwards �z � Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 15, 1994 Stephen L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Minor Subdivision for Annette Zabohonski SCTM# 1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 14 , 1994: BE IT RESOLVED, that the Southold Town Planning Board authorize the Chairman to endorse the final surveys dated January 23, 1994. Conditional final approval was granted on January 31, 1994. All conditions have been fulfilled. Enclosed please find a copy of the map which was endorsed by the Chairman. The mylar maps, which were also endorsed by the Chairman, must be picked up at this office and filed in the office of the County Clerk.. Any plat no so filed or recorded within sixty ( 60) days of the date of final approval, shall, become null and void. Please contact this office if you have any further questions. Sincerely, G(itf Richard G. Ward Chairman enc. cc: Building Department Tax Assessors '1624PW.5, 1 • I ;e 1 of 6 i DECLARATION )NA ARc-tf DECLARATION, made the b T11 day of �, 1993 , by ANNETTE ZABOHONSKI, now residing at Crescent Avenue (no #) , Fishers Island, New York, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owner of certain real ) property situate at Fishers Island, Town of Southold, Suffolk County, New York, as shown on the map entitled "Minor Subdivision Plan Made for Annette Zabohonski" , prepared by Chandler, Palmer & King, dated 19 April 1991, revised 26 August 1991, 14 August 1992 DISTRICT and 3 September 1992 , which map, is to be filed in the Office of 1000 SECTIONthe Suffolk County Clerk (the "Minor Subdivision Map") , said real ! 006 . 00 property being more particularly described on Schedule A hereto; BLOCK and 02 . 00 j LOT WHEREAS, the Declarant has -:made application to the 001 . 000 planning Board of the Town of. Southold .for, approval of a minor esubdivision as shown on the above referred to map to create two- > separate parcels shown as Lots 1 and 2 thereon, said Lots being Y 9PQ aTt 2 • more particularly described on Schedules B and C hereto; and IWHEREAS, for and in consideration of said granting ofl approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the ownerl and prospective owners of said Lots that the within covenants. and restrictions be imposed on said Lots, and as a condition of said approval, ' said Planning Board . has required that the within 1 Declaration_.berecorded -in the .Office of the Suffolk -County Clerk; ! and r L5 � WHEREAS, the Declarant has' considered the foregoing and JUN 3 1993 L ppSt�t�'oo u -tf,IM 1 Page 2 of 6 determined that the same will be for the best IDeclarant and subs interests , of ; equent owners of said Lots; NOW, THEREFORE, THIS DECLAMATION WITNESSETH: Ff � That the Declarant, for the Purpose of intentions car above expressed carrying out t does hereby make Publish, covenant and kn°wn, admi- agree that the said � Schedule B Lots described c and Schedule C hereto shall hereinafter be the following covenants which shall run with the l subject t bindin and and shall b g upon all purchasers Of said premises executors, le al their heirs g representatives, distributees, successors an assigns, to wit: c j 1• That prior to excavation for a � of the Lots foundation on either the exact building site must be ; professional archaeolo inspected by a gist. In additi on during any excavation, a I professional archaeologist ogist shall be present. 2• . That the area desi nated g "Area Subject to - � Covenants' as indicated on the MinorRestrictive Subdivision Map shall forever � remain in its natural state and no structure or buildin Placed within this area. g shall be . 3• That the Town of Southold or any of its designated representatives and all adjoining pr•oPert continuin Y owners shall have the g right in perpetuity to enforce th11 e restrictions of this Declaration a covenants and � nd to take any legal action they ! may deem necessary to enforce this Declaration. 4• This Declaration can be modified Of then only at the request f th ' owner of either of the Lots, majorit with the approval of a � y plus one of the Planning Board of the Town of Sl' after a public hearing. Adjoining outhold property owners shall bei i Page 3 of 6 entitled to notice of such public hearing, but their consent to any such modifications shall not be required. I IN WITNESS WHEREOF, the Declarant above named hasl executed the foregoing Declaration as of the day and year first above written. Annette Zabohonski STATE OF NEW YORK ) ss. . ' COUNTY OF SUFFOLK ) ra On the 6Th day of artery, 1993, before me personally appeared Annette Zabohonski, to me known and known to me to be the l individual described in and who executed the foregoing instrumenC land she- acknowledged to me that she exec ed the same. ' � f{-L�.x-ems.-a-<-�•L Notary Public I I f i i i STATE OF NEW YORK ss.: County of Suffolk y I, EDWARD P. ROMAINE,Clerk of the County of Suffolk and Clerk of the Supreme Court of the State of New York in and for said County(said Cg�rt b ing a C urt of Record)DO HEREBY CERTIFY that i I ve co pared the a nexed copy of �J ` and that it is a just and true copy of such original and of the whole thereof. IN TESTIMONY WHEREOF,I have her unto set my hand and affixed the seal of said County and Court this `7 day of (��" 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ." •� Clerk. Form No. 104 12-101.12/e9cs 1 Page 4 of 6 E 1 SCHEDULE A DESCRIPTION OF ENTIRE ZABOHONSKI SUBDIVISION 11 that certain plot, piece or being at Fishers Island Parcel of land situate, State of New York ' Town of Southold, Count lying ar follows: more Particulary bounded Y °f Suffolk as and described a: ` BEGINNING at Avenue, said monumentmbein ent set on the Easterly 3215. 60 feet West of g 5751.30 feet North fline of Crescen Coast and Geodetic Sine other monument markinga Point which is Y Triangulation Station 1the United State; RUNNING THENCE alongPROS and and distances; said Avenue line the following five courses (1) North 36 degrees 16 minutes 00 seconds a monument; West 78. (2) North 63 degrees 00 feet to a monument; g 30 minutes 40 seconds West (3) North 14 de 388.52 feet to a monument; green 18 minutes 00 seconds (4) North 84 East 572 .90 feet to a point; and degrees 36 minutes 00 seconds East 289. (5) South 88 degrees 17 minutes 50 seconds East 1 49 feet to a monument on the Southerly line of said Crescs 07. 03 feet to THENCE South 5 t Avenue; monument; degrees 44 minutes 00 seconds West 230. 00 feet to a THENCE North 84 degrees 16 minutes 00 sec a monument; seconds West 150. 00 feet to THENCE South 5 degrees 44 minutes 00 seconds West HENCE 258 .50 feet to a OnUMent; THENCE South 38 degrees 17 minutes 00 seconds East a monument; 3I0. 80 feet to THENCE South 53 degrees 49 the monument set on minutes 15 seconds West 170. 00 feet to the point or place OftBEGINNING1Y line of said Crescent AV nue at I I I I Page 5 of 6 \ I SCHEDULE B J DESCRIPTION OF LOT 1 I1 that certain plot, piece or eing at Fishers Island, Parcel of land situate, State of New York TOE of Southold lying aI follows: more particular County of Suffolk ar,y bounded and described a BEGINNING at a monument venue, said monument set on the Easterly 3215. 60 feet being 5751.30 feet North °fline of Crescen Coast and Geodetic of another monument marking a Point which i. Survey Triangulation Station "the United State; UNNING THENCE alongPROS and nd distances: said Avenue line the following three courses (1) North 36 degrees 16 minutes a monument; 00 seconds West (2) North 63 388.78. 00 feet to a monument• degrees 30 minutes 40 seconds West . and 52(3) North 14 degrees 18 minutes 00 seconds East feet to 3 a point; 03 .48 feet to (THENCE South 84 degrees 16 la point, minutes 00 seconds East 127. 63 feet to HENCE South 38 degrees 17 minutes 00 monument; seconds East 531.43 feet to HENCE South 53 degrees 49 he monument set minutes 15 seconds ! on the West 170.00 feet to I he Point or place of BEGINNING. line of said Crescent Avenue at I I I I I I I 11LJWoeG517 Page 6 of 6 f i' SCHEDULE C DESCRIPTION OF LOT 2 ;All that certain .being at Fishers plot, piece or parcel of land situate, Island , 1State of New York Town of Southold Count lying an ifollows: more particulary bounded Y °f Suffolk an,, ; and described a:: jBEGINNING at a monument set Avenue, said monument being °n the southerly 3072 .85 feet West 6566. 69 feet North of lane of Crescent boast and Geodetic Survey other monument markingPoint which is y Triangulation Statio ,the United States i PROS and 11RUNNING THENCE South 5 degrees 44 minutes 00 +feet to a monument; seconds West 230. 00 (THENCE North 84 degrees 16 m• 'a monument; mutes 00 seconds West 150. 00 feet to ' minutes 00 sec WHENCE South 5 degrees 44 seconds s West 258. 50 feet to a J�HENCE North 38 degrees 17 minutes 00 seconds la point; West ii 220. 63 feet to it North 84 �i Point on the degrees 16 minutes 00 seconds West 127. 63 Easterly line of said Crescent Avenue; feet to THENCE the following three c nurses and distances along said Avenue i I( (1) North 14 degrees lg a monument; minutes 00 seconds East 269, (2) North 84 42 feet to a point; and degrees 36 minutes 00 seconds East 289, i 49 feet to (3) South 88 degrees 17 minutes 50 � j seconds East 107. 03 j the monument set on the Southerly line of said Crescen at the point or place of BEGINNING. t Avenue I i f i STEPN�N , . HAM, � U,v i2O13y So„ H/q ILA P i c.N; NY l PHONE:852-2000 • SUFFOLK COUNTY CLERK'S OFFICE Edward P. RgmainP, : COUNTY CLERK RIVER11EAL,. NEW YORK 11901 own of Southold Assessor Town of Southold Planning Board Chief Deputy County Treasurer To Whom This May Concern: The Subdivision Map of : Anne.+-te, 7—abohonst Was Filed , . M"Ch 301 199q Filed Number, C1Lt81 A}•stract Number ; ZLf 2- Township , Southold - FIShPJL5 i Ski n� Owner : _ Very truly yours, County Clerk Map Department rin No. 49 12.157:6134 M.5 SUBMISSION WITHOUT COVER LETTER DATE: Z 110194 SENDER: � (eN uS SUBJECT: �cz,bfj �l 6Y\.SIC SCTM#: COMMENTS: 3 fny (CtAS FEB 14 1994 00 0� 14 JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK p rZ P.O. Box 1179 to Southold, New York 11971 REGISTRAR OF VITAL STATISTICS yO Fax (516) 765-1823 MARRIAGE OFFICER .j`0 0 Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ��77 1 J� FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JANUARY 25, 1994: WHEREAS, Annette Zabohonski has an application before the Planning Board to subdivide her 5.9 acre parcel (SCTM# 1000-6-2-1 - Fishers Island) into two lots, and a final public hearing is scheduled for same before the Planning Board on January 31 , 1994; and WHEREAS, Annette Zabohonski was the prior owner of the property on .which the Walsh Park Affordable Housing Project was built on Fishers Island, and the Planning Board and Town Board feel she provided a service to the community by selling her property at an equitable price; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes the waiver of the Park and Playground Fee for the Minor Subdivision of Annette Zabohonski, all in accordance with the recommendation of the Southold Town Planning Board. Judith T. Terry Southold Town Clerk January 26, 1994 'r; P 11 l P UBLISHER'S CERTIFICATE State of Connecticut ) County of New London, ) ss. New London On this 24th day of January A.D. 1994, personally appeared before the undersigned, a Notary Public, within and for said County and State, J . L . Zielinski , Legal Advertising Clerk LEGAL 455 of THE DAY, a daily Town of Southold Notice of Public Hearing NOTICE IS HEREBY GIVEN that pursuant to Section of newspaper the Town Law,a public hear in published at New London, County of New ear g will be held by th'Southold Town Planning Board, at the Town — - Hall, Main Road, Southold, New York in said Town State of Connecticut who being duly sworn/ day of January, 1994 on the / / question of the following: 7:30 P.M.Final approval of the minor subdivision for Annette In he Town of So on uthold, County states on oath, that the Order of Notice in the case of of Suffolk, State of New York, Suffolk County Tax Map Num- ber 1000-6-2-1; The property is borderd on the Legal Adv . #4 5 5 north by Crescent Ave.; on the east by land now or formerly of Peter P. Nitze; on the south by Crescent Ave.; and on the west by Crescent Ave. Any person desiring to be heard on the above matter i• a true copy of which should appear at the time and Place specified. Dated:January 14,1994 i By Order of the Southold Ricna d G.Wa dning Board� is hereunto annexed, was published in said newspaper in irman its issues of the 2 o t h days of January A.D. 19 94 Subscribed and sworn to before me this 2 4 t h - ----=,Y-= `� day of January A. 199 4. Janua a D li l = Notary Public. .a COUNTY OF SUf , _LK STATIE OF NEW YORK ss: LEGALS NOTICE Notice of Public Hearing Patricia Wood,- being duly sworn, says that she is the NOTICE IS HEREBY Edaitor, of THE LONG ISLAND TRAVELER-WATCHMAN, GIVEN that pursuant to Sec a public newspaper printed at Southold, in Suffolk County; tion 276 of the Town Law, a and that the notice of which the annexed is a printed copy, public hearing,will beheld by the Southold Town Planning ' hnS hcen .published in S;rid Long ISllrt(1 I ';IV Icr-WMCltrtlal) Board,at the Town Hall,Main once each week for . . , . . . • . . . . . . . . . . . . . . . . . . . weeks Road,Southold,New York in said Town on the 31st day of s rccessiv.ely, commencing on the . . January, 1994,on the question • . . . . . ' ' ' ' ' ' ' ' ' ' of the following: 7:30 P.M.Final approval of d;i y o I . . . . . . . . . . . , 19 ?� the minor subdivision for An- ; nette Zabohonski, on Fishers Island, in the Town of . . . . . . . . . . . . . . . . (/L� Southold,County of Suffolk, State of New York.' Suffolk County Tax Map Number 1 - - - 000 6 2 1. The property is bordered on Sworn 1 o before m c t,h i s . . . . . . . . . . . . . . . . . . . . . day o f the north by Crescent Ave.;on , t or he east by land now formerly of Peter P.Nitze;on . 19 • • the south by Crescent Ave.; and on.the west by Crescent Ave. 7:35 P.M.Final approval of i / the minor subdivision for .-4. . . . . . . . . . Thomas J.McCarthy,at New Notary Public Suffolk, in .the Town of Southold,County of Suffolk, BARBARA A. SCHNEIDER State of New York. Suffolk NOTARY PUBLIC, State of P ew York County Tax Map Number No. 4806346 1000-117-7-8. Qualified in Suftclk County The property is bordered on ' Umntission Expires 8/31/qy the north by `land now or formerly of William&Sotira Shibley and land now or formerly of Richard R. Freyherr; on the east by land now or formerly of Janet Shira McGowan;on the south by King Street; and on the west by Fourth Street. Any person desiring to be heard on 'the above matter should appear at the time and Place above specified. Dated: January 14, 1994 BY ORDER OF THE . SOUTHOLD TOWN PLANNING BOARD Richard G. Ward, Chairman I 1X-1/20/94 - - a i` JAN rt Ha; d } PLANNING BOARD MEMBERS CO SCOTT L. HARRIS Supervisor Richard G.Ward, Chairman George Ritchie Latham,Jr. Vy Town Hall, 53095 Main Road J7' r� u= Bennett Orlowski,Jr. P.O. Box 1179 Mark S. McDonald ` � Southold, New York 11971 Kenneth L. Edwards PLANNING BOARD OFFICE Telephone(516)765-1938 Fax(51s)7s5- 1823 TOWN OF SOUTHOLD February 1, 1994 Stephen L. Ham, I I I Matthews & Ham 45 Hampton Rd: Southampton, NY 11968 Re: Minor Subdivision for Annette Zabohonski SCTM# 1000-6-2-1 Dear Mr. Ham: The following took place at a meeting of the Southold Town Planning Board on Monday, January 31, 1994: The final public hearing which was held at 7 : 30 P.M. was closed. The following resolution was adopted. WHEREAS, Annette Zabohonski is the owner of the property known and designated as SCTM# 1000-6-2-1, located on Crescent Ave. on Fishers Island; and WHEREAS, this minor subdivision is for 2 lots on 5. 91 acres; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on October 19, 1992; and WHEREAS, as part of the subdivision -approval the Planning Board required the filing of certain covenants and restrictions which have been recorded in the office of the County Clerk; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on January 31, 1994; and r Page 2 Annette Zabohonski - Minor Subdivision February 1, 1994 WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board grant conditional final approval on the surveys dated February 2, 1993, and authorize the Chairman to endorse the final surveys subject to fulfillment of the following conditions: All conditions must be met within six ( 6) months of the date of this resolution. 1. Submission of two (2) paper prints and five ( 5) mylars, all containing a valid stamp of Health Dept. approval and a notation that a Declaration of Covenant and Restrictions has been filed. Please contact this office if you have any further questions. Sincerely, Richard G. Ward' f Chairman enc. �1 �' �9F ?I.:•r PLANNING BOARD MEMBERS Richard G.Ward Chairman ' , _ " " Town Hall,53095 Main Road `:...,n r�George Ritchie Latham,Jr. � �;-�"•" �'�'_° P. 0. Box 1179 . Bennett Orlowski,Jr. Southold, New York 11971�,2��i:;�.�„ ,�� Mark S. McDonald Fax(516)765-3136 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SOUTHOLD TOWN PLANNING BOARD MINUTES JANUARY 31, 1.994 Present: Richard G. Ward, Chairman Mark McDonald Kenneth Edwards G. Richie Latham Bennett Orlowski Valerie Scopaz, Town Planner Melissa Spiro, Planner Robert Kassner Martha Jones Laury Dowd, Town Attorney Mr. Ward: Good evening. I'd like to call the January 31, 1994 Southold Town Planning Board meeting to order. The first order of business is the setting of the next Planning Board meeting. The Board to set Monday, February 14, 1994 at 7:30 P.M. at the Southold Town Hall, Main Rd. , South- old, as the time and place for the next regular Planning Board meeting. Mr. Latham: Move it. Mr. Orlowski: Second. Mr. Ward: Seconded. All in favor? Ayes: Mr. McDonald, Mr. Edwards, Mr. Latham, Mr. Orlowski, Mr. Ward Mr. Ward: Opposed? Motion carried. ********************************************** PUBLIC HEARINGS Subdivisions -- Final 7:30 P.M. Annette ?abohonski --, This minor subdivision is for 2 lots on 5.91 acres located on Crescent Ave. on Fishers Island. SCTM#k 1000--6--2--1 . Is there anybody here this evening that would like to address the Board on this application? Southold Town Plam1 .g Board 2 January J] , 1.994 Mr. Ward: If not, what is the pleasure of the Board? Mr. McDonald: Mr. Chairman, I'd .like to make a motion to close the hear- ing. Mr. Latham: Second. Mr. Ward: Motion seconded. All in favor? Ayes: Mr. McDonald, Mr. Edwards, Mr. Latham, Mr. Orlowski, Mr. Ward Mr. Ward: Opposed? Motion carried. Mr. McDonald: Mr. Chairman, I'd like to make a further motion. WHEREAS, Annette Zabohonski is the owner of the property known and desig- nated as SCTM # 1000--6--2--1., located on Crescent Ave. on Fishers Island; and WHEREAS, this minor subdivision is for 2 lots on 5.91 acres; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environ- mental Quality Review Act, (Article 8), Part 617, declared itself lead agency, and issued a Negative Declaration on October 19, 1992; and WHEREAS, as part of the final subdivision approval the Planning Board required the filing of certain covenants and restrictions which have been recorded in the office of the County Clerk; and WHEREAS, a final public hearing was closed on said subdivision application at Town Hall, Southold, New York on January 31 , 1994; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board grant conditional final approval on the surveys dated February 2, 1993, and authorize the Chair-- man to endorse the final surveys subject to fulfillment of the following conditions: All conditions must be met within six (6) months of the date of this resolution. I . Submission of two (2) paper prints and five (5) mylars, all contain- ing a valid stamp of Health Dept. approval and a notation that a Declaration of Covenant and Restrictions has been filed. Mr. Edwards: Second the motion. Mr. Ward: All in favor? JUDITH T. TERRY TOWN CLERK Town Hall, 53095 Main Road a _ P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS ° t Southold, New York 11971 MARRIAGE OFFICER 0, %.. Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER +�n Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JANUARY 25, 1994: t _ WHEREAS, Annette Zabohonski has an application before the Planning Board to subdivide her 5.9 acre parcel (SCTM# 1000-6=2-1 - Fishers -Island) into two lots, and a final public hearing is scheduled for same before the Planning Board on January 31, 1994; and WHEREAS, Annette Zabohonski was the prior owner of the property on which the Walsh Park Affordable Housing Project was built on Fishers Island, and the Planning Board and Town Board feel she provided a service to the community by selling her property at an equitable price; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes the waiver of the Park and Playground Fee for the Minor Subdivision of Annette • Zabohonski, all in accordance with the recommendation of the Southold Town Planning Board. Judith T. Terry Southold Town Clerk January 26, 1994 PLANNING BOARD MEMBERS SCOTT L. HARRIS >- Richard G.Ward, Chairman ,iy �. Supervisor George Ritchie Latham,Jr. , , Town Hall; 53095 Main Road !' Bennett Orlowski,Jr. P.O. Box 1179 Mark S. McDonald Southold, New York 11971 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE rax(516) 765- 1823 TOWN OF SOUTHOLD TO: Judith T. Terry, Town Clerk FROM: Melissa Spiro, Planner RE: Park and Playground Fee for the Minor Subdivision of Annette Zabohonski SCTM# 1000-6-2-1 DATE: January 20, 1994 Annette Zabohonski has an application before the Planning Board to subdivide her 5 . 9 acre parcel into two lots . The final public hearing is scheduled for the Board' s January 31, 1994 meeting. Mrs. Zabohonski was the prior owner of the property on which the Walsh Park Affordable Housing Project was built. The Planning Board feels that Mrs. Zabohonski provided a service to the community by selling her property for the affordable housing project at an equitable price. For this reason, the Board recommends that the Park and Playground fee for the Annette Zabohonski minor subdivision be waived. Please let me know if you require any additional information in regard to the above , - — enc. i MINOR SUBDIVISION PLAN MADE FOR ANNETTE ZABO HONSKI CRESCENT AVENUE FISHERS._ISLAND NEW YORK SCALE 1°= 50feet CHANDLER,PALMER,&KING - -� NORWICH,CONN. 4' o 70 i 5E O 25 50-- /00 - z�. mwm•nt 2 60 t S S*4 4 00 W _ i 0p S�• moor^`•" O W r m I A �. .0 - - y P. 1 N/TZE �• °� CA .40 2 �'� • / • \•P I `� S ..W y cif c '%~ o'' mown'•`' /. 'v - m.,prm tiJ'• o c-.: moo m.n� r.`'/.f. c��j ,, OT1 ACRES fir. ' nn4 ACRES W s r 3.14 to monWnMd b'o' I - I v ti solver 9'�©p0"E co \ - - -- \ .. w 346e.W • s., 303 2 T-Zll - 10 SU�3JFCT P20PFKTY _. . �,CALE 1 " _ •100' 1 ' • O 6� i . v . � PPS u �A4Z I i Eo I i1V.1 l O.ft1 13.r• .M p� PLANNING BOARD MEMBERS 1 `v;J "� SCOTT L. RABBIS Supervisor Richard G.Ward,Chairman a George Ritchie Latham,Jr. ��� 0 Town Hall,53095 Main Road Bennett Orlowski,Jr. P.O. Box 1179 Mark S.McDonald Southold, New York 11971 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE rax(516)765- 1823 TOWN OF SOUTHOLD January 11, 1994 Stephen L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Minor Subdivision for Annette Zabohohski SCTM# 1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning. Board at a meeting held on Monday, January 10, . 1994: BE IT RESOLVED that the Southold Town Planning Board set January 31, 1994 at 7: 30 P.M. for a final public hearing on the maps dated February 2, 1993 . Sincerely, Richard G. Ward n''1 Chairman MATTIIEWS & HAM ATTORNEYS AND GOUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 yjj S 516-283-2400 PHILIP H.MATTHEWS TELEOOPIER 516-287-1076 41912.1902) STEPHEN L.HAM,III December 14, 1993 BY HAND Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision for Annette Zabohonski; (SCTM # 1000-6-2-1) Dear Melissa: I am delivering herewith a print of the referenced Minor Subdivision Plan containing the endorsement of the Suffolk County Department of Health Services. Please place this matter on your calendar to set a date for the final public hearing and advise me of that date. Also, please let me know what the park and playground fee will be for this subdivision. I understand that there was some lobbying at one point to have it waived or reduced based upon Mrs. Zabohonski 's contributions to Fishers Island. Finally, I will provide mylars and additional paper prints bearing the endorsement of the SCDHS in due course and in advance of the final public hearing. Sincerely, Stephen L. Ham, III Enclosure DEC 151993 PLANNING.BOARD MEMBERS � �Ze SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ''� ,� :•: nor Supervisor George Ritchie Latham, Jr. � Richard G. Ward `@b_ Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 July 13, 1993 Steven L. Ham, III Matthews & Ham 45 Hampton Rd. Southampton, NY 11968 Re: Minor subdivision for Annette Zabohonski SCTM# '1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on July 12, 1993 : BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from July 13, 1993 to January 13 , 1994. The Planning Board has granted this additional extension to allow your client the additional time required to obtain Health Department approval. Please contact this office if you have any questions regarding the above. Sincerely, 6 . k ��tm5 Richard G. Ward Chairman MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-288-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1070 (1e12-tee2) STEPHE\L.HAM,III June 29, 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision. for Annette Zabohonski (SCTM # 1000-6-2-1) Dear Board Members: I am writing to request a further six-month extension of sketch plan approval for the referenced minor subdivision. The current extension expires on July 13 , 1993 . As you can see from the enclosed certified copy of a recorded Declaration containing the covenants and restrictions you requested, we have been making progress. However, the Suffolk County Department of Health Services has required a further Declaration as a condition to its approval, one requiring the extension of public water to the site upon development. I have had discussions and correspondence with County representatives concerning the wording and have now worked out acceptable language for that Declaration. I will have my client sign the Declaration and cause it to be recorded if a further extension is granted. I appreciate your concern in having final maps submitted as soon as practicable. I trust you appreciate the difficulties and delays inherent in dealing with the various governmental authorities in connection with an application of this sort and in explaining the myriad requirements to my client and having her respond. If you anticipate any problem in allowing the. further extension I have requested in this letter, please let me know immediately. Very truly yours, JUN 3 01993 ` _� a.,�. _ Stephen L. Ham, III �lU7HcIi�T m Enclosure 'Lr�(t11Y� 1�t?� CIO PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman _.:�s `•��`"�' Supervisor . -• ,�� p George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 12, 1993 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Annette Zabohonski SCTM#1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, January 11, 1993 . BE IT RESOLVED that the Southold. Town Planning Board grant a six month extension of sketch approval from January 13, 1993 to July 13 , 1993 . Please note that this will be the last extension that the Planning Board will be- granting. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward �rvt f Chairman Ms MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHIMP B.MATTHEWS TELECOPIER 516-287-1076 (1912-19921 STEPHEAT L.HAM,III January 5, 1993 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohonski; (SCTM # 1000-6-2-1) Dear Board Members: The most recent extension for sketch plan approval of the referenced minor subdivision expires on January 13, 1993 . As you are aware, substantial delays were encountered as a result of your requirement for a Stage I Assessment. At present, application has been made to the Suffolk County Department of Health Services for its approval and I am awaiting approval of the form of Declaration of Covenants and Restrictions that I submitted last month. Based upon the foregoing, I respectfully request that you extend your sketch plan approval for an additional six months. Very truly yours, Stephen L. Ham, III SO�SktiUL i s1z r PLANNING BOARD MEMBERS b. c �+Iz3 s �� , � SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Rz �.' Supervisor George Ritchie Latham, Jr. . �' Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE. Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 TO: Harvey A. Arnoff, Town Attorney FROM: Bennett Orlowski, Jr. , Chairman RE: Declaration of Covenants and Restrictions Minor Subdivision Annette Zabohonski SCTM# 1000-6-2-1 DATE: December 16, 1992 Attached please find a copy of the draft Covenants and Restrictions for the above mentioned subdivision for your legal . review. All requirements of the Planning Board have been incorporated into the document. K,��✓ 5 SUBMISSION WITHOUT COVER LETTER .SENDER: SUBJECT: SCTM# : _ I COMMENTS: IS IDEC 1 5 '1992 S�tUT�-li1a�5�'t;1A'id PLrp,AaP3ifv�E{7i'.RD DECLARATION DEC. 1 5 1992 DECLARATION made the day c tip' � 992, by t°!F1fti1lii�; SUM'Si ANNETTE ZABOHONSKI, now residing at Crescent Avenue (no #) , Fishers Island, New York, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owner of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, as shown on the map entitled "Minor Subdivision Plan Made for Annette Zabohonski" , prepared by Chandler, Palmer & King, dated 19 April 1991, revised 26 August 1991, 14 August 1992 and 3 September 1992 , which map is to be filed in the Office of the Suffolk County .Clerk (the "Minor Subdivision Map") , said real property being more particularly described on Schedule A hereto; E and WHEREAS, the Declarant has made application to the # Planning Board of the Town of Southold for approval of a minor subdivision as shown on the above referred to map to create two separate parcels shown as Lots l and 2 thereon, said Lots being more particularly' described on Schedules B and C hereto; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owner and prospective owners of said Lots that the within covenants and restrictions ' be imposed on said Lots, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; and WHEREAS., the Declarant has considered the foregoing and i determined that the same will be for the best interests of the Declarant and subsequent owners of said Lots; NOW, THEREFORE, THIS .DECLARATION WITNESSETH: That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said Lots described on Schedule B and Schedule C hereto shall hereinafter be subject to the following covenants which shall run with the land and shall be -binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. That prior to excavation for a foundation on either of the Lots, the exact building site must be inspected by a professional archaeologist. In addition, during any excavation, a ' professional .archaeologist shall be present. 2 . That the area designated "Area Subject to. Restrictive Covenants" as indicated on the Minor Subdivision Map shall forever remain in its natural state and no structure or building shall be placed within this area. 3 . That the Town of Southold or any of its designated representatives and all adjoining property owners shall have .the continuing right in perpetuity" to enforce the covenants and restrictions of this Declaration and to take any legal action they may deem necessary to enforce .this Declaration. 4 . This Declaration can be modified only at the request of the then owner of either of the Lots, with the approval of a majority plus one of the Planning Board of the, Town of Southold after a public hearing. Adjoining property owners shall be i entitled to notice . of such public hearing, but their consent to any such modifications shall not be required. IN WITNESS WHEREOF,, the Declarant above named has executed the foregoing Declaration as of the day and year first above written. Annette Zabohonski .STATE OF NEW YORK ) ss. . COUNTY OF SUFFOLK ) On the day of December, 1992, before me personally appeared Annette Zabohonski, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public SCHEDULE A DESCRIPTION OF ENTIRE ZABOHONSKI SUBDIVISION All that certain plot, piece or parcel of land situate, : lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particulary bounded and described as follows: BEGINNING at a monument set on the Easterly line of Crescent Avenue, said monument being 5751. 30 feet North of a point which is 3215. 60 feet. West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE along said Avenue line the following five courses and distances: (1) North 36 degrees. 16 minutes 00 seconds West 78. 00 feet to a monument; (2) North 63 degrees 30 minutes 40 seconds West 388.52 feet to. a monument; (3) North 14 degrees 18 minutes 00 seconds East 572 .90 feet to a monument; (4) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and (5) South 88 degrees 17 minutes 50 seconds East 107. 03 feet to a monument on the Southerly line of said Crescent Avenue; THENCE South 5 degrees 44 minutes 00 seconds West 230. 00 feet to a monument; THENCE North 84 degrees 16 minutes 00 seconds West 150. 00 feet to a monument; THENCE South 5 degrees 44 minutes 00 seconds West 258.50 feet to a monument; THENCE South 38 degrees 17 minutes 00 seconds East 310.80 feet to a monument; THENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to the monument set on the Easterly line of said Crescent Avenue at .the point or .place of BEGINNING. SCHEDULE B DESCRIPTION OF LOT 1 All that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of. Suffolk and State of New York, more particulary bounded and described as follows: BEGINNING at a monument set on the Easterly line of Crescent Avenue, said monument being 5751.30 feet North of a point which is 3215.60 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE along said Avenue line the following three courses and distances: (1) North 36 degrees 16 minutes 00 seconds West 78.00 feet to a monument; (2) North 63 degrees 30 minutes 40 seconds West 388.52 feet to a monument; and (3) North 14 degrees 18 minutes 00 seconds East 303.48 feet to a point; THENCE South 84 degrees 16 minutes 00 seconds East 127. 63 feet to a point; THENCE South 38 degrees 17 minutes 00 seconds East 531.43 feet to a monument; THENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to the monument set on the Easterly line of said Crescent Avenue at the point or place of BEGINNING. SCHEDULE C DESCRIPTION OF LOT 2 All that certain plot, piece or parcel of land situate, - lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particulary. bounded and described as follows: BEGINNING at a monument set on the Southerly line of Crescent Avenue, said monument being 6566. 69 feet North of a point which is 3072 .85 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE South 5 degrees 44 minutes 00 seconds West 230. 00 feet to a monument; THENCE North 84 degrees 16 minutes 00 seconds West 150. 00 feet to a monument; THENCE South 5 degrees 44 minutes 00 seconds West 258 .50 feet to a monument; THENCE North 38 degrees 17 minutes 00 seconds West 220. 63 feet to a point; THENCE North 84 degrees 16 minutes 00 seconds West 127. 63 feet to a point on the Easterly line of said Crescent Avenue; THENCE the following three courses and distances along said Avenue line: (1) North 14 degrees 18 minutes 00 seconds East 269 .42 feet to a monument; (2) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and (3) South 88 degrees 17 minutes 50 seconds East 107. 03 feet to the monument set on the Southerly line of said Crescent Avenue at the point or place of BEGINNING. AN F �� PLANNING BOARD.MEMBERS r x vy 1,n,4: SCOTT L. HARRIS ma' s ^' Bennett Orlowski, Jr., Chairman �� ,,, _. �� Supervisor George Ritchie Latham, Jr. '�1�� i„. •� Richard G. Ward s Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 9, 1992 Stephen L. Ham, III - Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision for Annette Zabohonski Fishers Island SCTM# 1000-6-2-1 Dear Mr. Ham: The Planning Board has received the draft copy of the Declaration of Covenants and Restrictions for the above mentioned subdivision. The following must be added to the Declaration in order for it to be accepted by the Planning Board: 1. The terms for the "area subject to restrictive covenants" as indicated on the subdivision map shall be as follows: a) The entire area shall remain in its natural state. b) No structure or building shall be placed within this area. 2. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives and to all adjoining property owners to enforce the conditions and restrictions of the covenants and to take any legal action it deems necessary to enforce the conditions and restrictions of the covenants. These rights of inspection and enforcement shall be binding upon declarant, their heirs, executors, legal representatives, distributees, successors, assigns and transferees. 3 . These covenants and restrictions can be modified only at the request of the then owner of the premises, with the approval of a. majority plus one of the Planning Board of the Town of Southold, after a public hearing. Adjoining property owners shall be entitled to notice of such preliminary hearing, but their consent to such modifications shall not be required. Upon receipt of a revised draft in accordance with the above, the Planning Board will forward it to the Town Attorney for his review. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. ' Chairman / MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 11912-19921 STEPHEN L.HAM,III November 12, 1992 Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivisions for Guest and Zabohonski Dear Melissa: I have enclosed a copy of a proposed Declaration relating to each of the referenced minor subdivision applications. Please review them with the Town Attorney at your earliest convenience and let me know whether I should make any changes or additions or send them to my clients for signature. I have also enclosed a letter to the Planning Board requesting an extension of the sketch plan approval for the Guest subdivision. I would appreciate it if you would see that this request is placed on the calendar for the next hearing. Best regards. Sincerely, Stephen L. Ham, III SLH:ja _. Enclosures -_- NOV 1 6 1992 r y, c �C►i.Ii�a��f3 St?�'�N ,1 \1 1 T La 61992 LSIVDECLARATION UTHOLDTOWN ANMING BOARD DECLARATION, made the day of November, 1992, by ANNETTE ZABOHONSKI, now residing at Crescent Avenue (no. #) , Fishers Island, New York, hereinafter referred to as the Declarant. WHEREAS, the Declarant is the owner of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, as shown on the map entitled "Minor Subdivision Plan Made for Annette Zabohonski" , prepared by Chandler, Palmer & King, dated 19 April 1991, revised 26 August 1991, 14 August 1992 and 3 September 1992, which map is to be filed in the Office of the Suffolk County Clerk, said real property being more DISTRICT Particularly described on Schedule A hereto; and 1000 ' WHEREAS, the Declarant has made application to the SECTION 6 Planning Board of the Town of Southold for approval of a minor BLOCK subdivision as shown on the above referred to map to create two 2 separate parcels shown as Lots 1 and 2 thereon, said Lots being LOT 1 more particularly described on Schedules B and C hereto; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owner and prospective owners. of said Lots that. the within covenants and restrictions be imposed on said Lots, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Office of the Suffolk County Clerk; and WHEREAS, the Declarant has considered the foregoing and determined that the same will be for the best interests of the Declarant and. subsequent owners of said Lots; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said Lots described on Schedule B and Schedule C hereto shall hereinafter be subject to the following covenants which shall run with the land and shall be binding upon all purchasers of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: That prior to excavation for a foundation on either of the Lots, the exact building site must be inspected by a professional archaeologist. In addition, during any excavation, a professional archaeologist shall be present. IN WITNESS WHEREOF, the Declarant above named has executed the foregoing Declaration as of the day and year first above written. Annette Zabohonski STATE OF NEW YORK ) ss. . COUNTY. OF SUFFOLK ) On the day of November, 1992, before me personally appeared Annette Zabohonski, to me known and known to me to be the individual described in and who executed the foregoing instrument and she acknowledged to me that she executed the same. Notary Public SCHEDULE A DESCRIPTION OF ENTIRE ZABOHONSKI SUBDIVISION All that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of . New York, more particulary bounded and described as follows: BEGINNING at a monument set on the Easterly line of Crescent Avenue, said monument being 5751.30 feet North of a point which is 3215. 60 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and RUNNING THENCE along said Avenue line the following five courses and distances: (1) North 36 degrees 16 minutes 00 seconds West 78. 00 feet to a monument; (2) North 63 degrees 30 minutes 40 seconds West 388.52 feet to a monument; (3) North 14 degrees 18 minutes 00 seconds East 572.90 feet to a monument; (4) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and (5) South 88 degrees 17 minutes 50 seconds East 107. 03 feet to a monument on the Southerly line of said Crescent Avenue; THENCE South 5 degrees 44 minutes 00 seconds West 230. 00 feet to a monument; THENCE North 84 degrees 16 minutes 00 seconds West 150. 00 feet to a monument; THENCE South 5 degrees 44 minutes 00 seconds West 258. 50 feet to a monument; THENCE South 38 degrees 17 minutes 00 seconds East 310.80 feet to a monument; THENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to the- monument set on the Easterly line of said Crescent Avenue at the point or place of BEGINNING. I i SCHEDULE B DESCRIPTION OF LOT 1 11 that certain plot, piece or parcel of land situate, 'lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particulary bounded and ' described as follows: BEGINNING at a monument set on the Easterly line of Crescent Avenue, said monument being 5751. 30 feet North of a point which is 3215. 60 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS" ; and UNNING THENCE along said Avenue line the following three courses and distances: (1) North 36 degrees 16 minutes 00 seconds West 78. 00 feet to a monument; (2) North 63 degrees 30 minutes 40 seconds West 388 .52 feet to a monument; and (3) North 14 degrees 18 minutes 00 seconds East 303 .48 feet to a point; HENCE South 84 degrees 16 minutes 00 seconds East 127. 63 feet to point; HENCE South 38 degrees 17 minutes 00 seconds East 531.43 feet to monument; HENCE South 53 degrees 49 minutes 15 seconds West 170. 00 feet to he monument set on the Easterly line of said Crescent Avenue at he point or. place of BEGINNING. i SCHEDULE C DESCRIPTION OF LOT 2 11 that certain plot, piece or parcel of land situate, lying and eing at Fishers Island, Town of Southold, County of Suffolk and tate of . New York, more particulary bounded and described as ollows: EGINNING at a monument set on the Southerly line of Crescent-' venue, said monument being 6566. 69 feet North of a point which is 072 .85 feet West of another monument marking the United States oast and Geodetic Survey Triangulation Station "PROS' ; and UNNING THENCE South 5 degrees 44 minutes 00 seconds West 230. 00 eet to a monument; HENCE North 84 degrees 16 minutes 00 seconds West 150. 00 feet to' monument; HENCE South 5 degrees 44 minutes 00 seconds West 258. 50 feet to a monument; HENCE North 38 degrees 17 minutes 00 seconds West 220. 63 feet to point; HENCE North 84 degrees 16 .minutes 00 seconds West 127. 63 feet to point on the Easterly line of said Crescent Avenue; HENCE the following three courses and distances along said Avenue Line: (1) North 14 degrees 18 minutes 00 seconds East 269.42 feet to a monument; (2) North 84 degrees 36 minutes 00 seconds East 289.49 feet to a point; and (3) South 88 degrees 17 minutes 50 seconds East 107.03 feet to the monument set on the Southerly line of said Crescent Avenue at the point or place of BEGINNING. _ t G ^ z F � �� . . 0 #°° ` t �'PLANNING BOARD MEMBERS SCOTT L. HARRIS� � � � t,'`�4 � ' �' Bennett Orlowski, Jr., Chairman �,=>�. '_ •' Supervisor George Ritchie Latham, Jr. Richard G. Ward �'"� Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179. Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 October 20, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, NY 11968, RE: Minor Subdivision Annette Zabohonski SCTM#1000-6-2-1 Dear Mr. Ham: The following resolution were adopted by the Southold Town Planning Board at a meeting held on Monday, October 19, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a determination of non-significance and grant a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Ver trul yours. Bennett Orlowski, Jr� Chairman Encl. PLANNING BOARD MEMBERS G ,�` '� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman `. '_ Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road � Mark S. McDonald , P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance October 19, 1992 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law.. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will notA have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Annette Zabohonski SCTM# : 1000-6-2-1 Location: Crescent Avenue; Fishers Island SEAR Status: Type I (X ) Unlisted ( ) Conditioned Negative Declaration: Yes ( ) No ( X) Description of Action: Residential Minor Subdivision for 2 lots on 5.91 acres. Page 2 Annette Zabohonski SEAR Negative Declaration Con' t. Reasons Supporting This Determination: An Environmental Assessment has been submitted and reviewed, it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The project has been designed in a manner "to mitigate impact to the wetlands. The building envelopes have been located more than 100' feet from the wetland and a 100 ' buffer area, to remain in a natural and undisturbed state, has been located adjacent to the wetland. A Cultural Resource Assessment, Stage I has been conducted and any final approval of the subdivision will contain the following condition: - Prior to foundation excavation, the exact building site shall be inspected by a professional archeologist. In addition, a professional • archeologist shall be present during any excavation. Because there has been no correspondence received from the Department of Health Services in the allotted time, it is assumed that there are no comments or objections from that agency. Because there has been no correspondence received from the New York State Department of Environmental Conservation in the allotted time, it is assumed that there are no comments or objections from that agency. For Further Information: Contact Person: Melissa Spiro Address: Planning Board Telephone Number: (516) 765-1938 cc: Suffolk County Department of Health Services Suffolk County Planning Commission Roger Evans, DEC Commissioner Judith Terry, Town Clerk Board of Trustees Applicant MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAw 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELEOOPIER 516-287-1076 .STEPHE.NT L.HAM,III September 15, 1992 Planning Board Town of Southold Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision of Annette Zabohonski Fishers Island, New .York (SCTM # 1000-6-2-1) Dear Melissa: I have enclosed eight prints of the revised minor subdivision plan for Annette Zabohonsk' n u V I n�ll . SET 161992 SOUTHOLD TOW" pLANGII�G BOARD Sincerely, Stephen L. Ham, III SLH:ja Enclosures His MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PRIMP B.MATTHEWS TELECOPIER 516-287-1076 (1912-1992) STEPHEN L.HAM,III August 20, 1992 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohonski (SCTM # 1000-6-2-1) Dear Board Members: In connection with the referenced minor subdivision application, I have enclosed eight prints of a revised plan which incorporates the comments of Cramer, Voorhis & Associates contained in their letter to you of January 23, 1992 . Specifically, the proposed location of the house on Lot 2 has been moved farther to the east and the areas on both lots on which you may wish to impose environmental covenants have been outlined. Please proceed with the next phase of your review of this application at your earliest convenience. Very truly yours, Stephen L. Ham, III SLH:ja Enclosures H AUG 2 1 1992 i SourwoLo TO .1 PLAPjrjiN,G BOA PM 'i PLANNING BOARD MEMBERS z; t SCOTT L. HARRIS f Bennett Orlowski, Jr., Chairman }`: Supervisor George Ritchie Latham, Jr. Richard G. Ward 'cam''" Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 June 30, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision Annette Zabohonski Fishers Island SCTM# 1000-6-2=1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a .meeting held on Monday, June 29 ; 1992. BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from July 13, 1992 to January 13 , 1993 . Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr� 'M1S Chairman MATTHEWS & aAM M S ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.u968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-.287-1076 STEPHEN L.HAM,m June 15, 1992 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette ZabohgjgXi (SCTM # 1000-6-2-1) Dear Board Members: Please extend sketch plan approval for the referenced minor subdivision for an additional six months from the current expiration date of July 13, 1992. As you are aware, the Stage I Assessment is still being reviewed and it will be impossible for us to complete the process by the current expiration date. Very truly yours, Stephen L. Ham, III SLH:ja D .r . CRAMER, V GA OCIATESENVIRONMENG CONSULTANTS May 28, 1992 Bennett Orlowski, Jr., Chairman Town of Southold Planning Board Office P.O. Box 1179 Southold, New York 11971 RE: Minor Subdivision Annette Zabohonski State IA&IB Archaeological Investigation SCTM #1000-6-2-1 Dear Mr. Orlowski: Regarding your inquiry dated May 20, 1992,we have performed the preliminary review for the Stage IA and IB Archaeological Investigation dated April 1992 for the above noted subdivision. We estimate the cost to undertake the review to be $650.00. If the Planning and wishes us to proceed, please submit a copy of the purchase order aufli6rizing s Ve"0 : Verruly A T ; p k� MAY 2 9 1992 Y sOulp m PLANNING BOARD 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 F PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman 0� �� Supervisor George Ritchie Latham, Jr. ��1 �►`a® Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-l 823 May 20, 1992' Cramer, Voorhis & Associates, Inc. Environmental and Planning Consultants 54 N. Country Road Miller Place, New York 11764 RE: Minor Subdivision for Annette Zabohonski Stage IA & IB Archaeological Investigation SCTM# 1000-6-2-1 Dear Messrs. Cramer and Voorhis: The Southold Town Planning Board hereby refers the Stage IA and IB Archaeological Investigation dated April, 1992 for the above mentioned subdivision to your office for review. Please develop an estimate of what it will cost to undertake the review. If the Planning Board wishes you to proceed with the review, it will send a facsimile of a purchase order authorizing the work to be done. The actual purchase order will be sent through the mail. If .there are any questions, please contact Planning Staff. Sincerely, Bennett Orlowski, it. Chairman Encl. 1 r jt u'- H Pe UGC ! MATTHEWS & AM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III May 15, 1992 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision for Annette Zabohonski; (SC TM # 1000-6-2-1) Dear Board Members: In connection with the referenced minor subdivision, I am delivering herewith four copies of the Stage I Assessment required by your letter of February 3, 1992. Please take whatever action is necessary to see that the review process for this application proceeds . as expeditiously as possible. Very truly yours, Stephen L. Ham, III SLH:ja Enclosures BY HAND v MAI i PL A13TN ING BOARD ..;v . f t a 1 v Cm PLANNING BOARD MEMBERS '. °apT SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor� a��_; �: George Ritchie Latham, Jr. Richard G. Ward Y 4, '.-$ °' Town Hall, 53095 Main Road Mark S. McDonald z`� P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 25, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision of Annette Zabohonski SCTM#1000-6-2-1 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 24 , 1992. BE IT RESOLVED. that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, assume lead agency status on this Type 1 action. This action is classified as a Type 1 action as it is located within a Critical Environmental Area. As requested on February 3 , 1992, the Planning Board awaits your client' s compliance with the January 23 , 1992 report from the Planning Board' s environmental consultant before making a determination under SEQRA. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, J mf Chairman 1" �1 FAY L--• a� * �.t, l PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ..`;Wr Supervisor ar xz�jV 4 George Ritchie Latham, Jr. Richard G. Ward "� u" i' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 3, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Annette Zabonski SCTM#1000-6-2-1 Dear Mr. Ham Enclosed is a report from the Planning Board's environmental consultant in reference to his review of the Environmental Assessment Form (EAF) . The Planning Board requests that you comply with all recommendations included in the report. Upon compliance with the above, the Planning Board will make their environmental determination. In addition, please note that the Board is scheduled to assume lead agency status at the February 24th public meeting. . Please contact this office if you have any questions regarding the above. Very truly yours, 1<7 �e � � ;�sz�� fin, �lc� ��, , Bennett Orlowski, Jr. 4;fS Chairman Encl. A r CRAMER, VO,QRH{ &'A, SOCIATES ENVIRONMENTAL�AND; f l j�G CONSULTANTS - 1' � January 23, 1992 Mr. Bennett Orlowski, Jr. Chairman Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 RE: Review of Long EAF for Minor Subdivision Annette Zabohonski Cresent Avenue, Fishers Island SCTM# 1000-6-2-1 Dear Benny: We have reviewed the map and the Long Environmental Form (EAF) Part I for the above referenced project. In addition we have carried out a field inspection of the site on November 19, 1992. Enclosed please find a revised and corrected EAF Part I that has been prepared as a result of our investigations. Also please find and EAF Part II that identifies the proposed project's impacts and their magnitude. It is noted that three (3) categories in the EAF Part II have been identified where potential impacts could occur. It is noted that approximately 14 percent of the site is freshwater wetlands, special consideration should therefore be given to their existence and protection. The following is a discussion of those potential impacts and our recommendations on potential methods to reduce or avoid them. IMPACT ON LAND #1 - The proposed project will result in a physical change to the project site, and #2 - There are unique and unusual landforms (wetlands) on the project site. Both of these categories will be discussed together as the potential methods to reduce or avoid impacts would be similar for both. Impacts to either of these categories are not considered to be significant with the proper safeguards designed into the project. The project will ultimately result in the construction of two single family residences on a vacant piece of property. Building envelops are shown for the future residences, with the possible locations of the houses sketched in. The houses, as shown, are situated in the two high portions of the site. These high spots are probably the best locations as they would provide the greatest separation between the bottom of the sanitary leaching pools and the ground water. The house located on Lot 2 is partially situated on the western slope of the knoll, that slopes into the wetlands. It is suggested that the location of this house be shifted further to th ea- Juill IJ tt�� , ,1111;11 ,.1 ,' 'Page 1 ofj..• I 1 t 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516 331- 0,UTt10L0 TO'%'w i PLANI" G p`'r - Annette Zabohonski Subdivision January 23,1992 reduce the possibility of runoff entering the wetlands. Precautions should also be taken to reduce and avoid clearing and grading near the wetlands or on slopes that may erode into the wetlands. The limiting of clearing and grading will also reduce the potential visual impacts of development. Furthermore if a large area was cleared and graded it is likely to be established in turf or other fertilizer dependant groundcover. Reducing the amount of fertilizer/maintenance dependant area would reduce potential threat of eutrophication of the wetlands. It is recognized that the proposed lots are not intended to be build in the near future. As noted above the house locations as shown (with minor modifications) are not considered to significantly impact the site or environment. However there is no guarantee that when the ultimate location of the homes are final submitted thy will be in the same locations or that they will not have an impact if situated in another location on the lots. It is therefore suggested that the Board consider the use of restrictive covenants on each lot to define reduced building envelops on the lots. These reduced building envelops should provide general areas for the houses to be constructed that would avoid potential impacts. They should also allow for the flexibility of house size, design and layout. Clearing and grading should be kept to a minimum. It is suggested that, at the were least, the Board establish buffers adjacent to the wetlands that would remain in a natural and undisturbed state. Given the orientation of the wetlands, the existing vegetation and soil/topography the could consider using the rear yard setback (75') and the wetlands setback (100') as covenanted natural areas. IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES #12 - The proposed action may impact resources of prehistoric importance. Fishers Island has been identified as an area of "Intensive Aboriginal Habitation': Existing condition on the site and in the immediate area suggests that this property maybe extremely significant with regard to prehistoric resources. These conditions include the existence of potable water (freshwater wetlands), the proximity of tidal water for fishing and gathering, and the protected shelter formed by the topography. Similar conditions were noted on the Guest proposed project, located immediately to the west of the subject site (see CVA letter of January 22, 1991; "Re: Minor Subdivision of John S. Guest & Margaret H. Guest, Cresent Avenue, Fishers Island). The existence (or extent) and importance of prehistoric resources are usually very difficult to determine without careful scientific subsurface investigation. Given the conditions on the site it is our recommendation that a Cultural Resource Assessment (CRA), Stage I, be conducted. The CRA would determine the existence (or lack of) prehistoric resources on the site. If found it would also determine the significance and locations of the resources. Additionally it could be used to develop strategies to avoid or mitigate impacts to the resources (if present on site). It is further our understanding that the local historian also feels such a study is appropriate. It is recognized that the no houses are proposed at this time and that the action is for just the subdivision of land. The mapping of a subdivision of land, with no physical disturbance to the site will not impact the resources. The impacts (if resources exist) CRAMER, V00RHIS. &;ASSOCIATES ENVIRONMENTAL:AND;PI..A KING CONSULTANTS Page 2 of 3 V/yd Vk Annette Zabolionski Subdivision January 23,1992 will occur when grading and develop takes place. It is advisable to know where resources are as early as possible in the planning stages so that they can be avoided or impacts mitigated. It is noted that the Guests' have retained the services of an archaeologist to preform their CRA. As the two sites are adjacent, the applicant may wish to contact the Guests to see if an arrangement can be worked out to have this site done at the same time. Again, it is advisable to have the CRA completed early in the planning stages, however impacts will occur only when physical development takes place. I hope the above information is helpful to you in your decision ma process. If there is any questions with the above please feel free to contact me. Very trul rs, hom s . Cramer, ASLA Enclosures: CRAMER, VOORHIS, &:A SOCIATES ENVIRONMENTAL.AND',PLANN.J IG CONSULTANTS Page of �= W/W V�\ CRAMER, V RH OCIATES ENVIRONMENT G CONSULTANTS I,��SJ � S January 23, 1992 Mr. Bennett Orlowski, Jr. Chairman Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 RE: Review of Long EAF for Minor Subdivision Annette Zabohonski Cresent Avenue,Fis.".ers Island SCTM# 1000-6-2-1 Dear Benny: We have reviewed the map and the Long Environmental Form (EAF) Part I for the above referenced project. In addition we have carried out a field inspection of the site on November 19, 1992. Enclosed please find a revised and corrected EAF Part I that has been prepared as a result of our investigations. Also please find and EAF Part II that identifies the proposed project's impacts and their magnitude. It is noted that three (3) categories in the EAF Part II have been identified where potential impacts could occur..It is noted that approximately 14 percent of the site is freshwater wetlands, special consideration should therefore be given to their existence and protection. The following is a discussion of those potential impacts and our recommendations on potential methods to reduce or avoid them. IMPACT ON LAND #1 - The proposed project will result in a physical change to the project site, and #2 - There are unique and unusual landforms (wetlands) on the project site. Both of these categories will be discussed together as the potential methods to reduce or avoid impacts would be similar for both. Impacts to either of these categories are not considered to be significant with the proper safeguards designed into the project. The project will ultimately result in the construction of two single family residences on a vacant piece of property. Building envelops are shown for the future residences, with the possible locations of the houses sketched in. The houses, as shown, are situated in the two high portions of the site. These high spots are probably the best locations as they would,provide the greatest separation between the bottom of the sanitary leaching pools and the ground water. The house located on Lot 2 is partially situated on the western slope of the knoll, that slopes into the wetlands. It is suggested that the location of this house be shifted further to th JAN 2 7492 of . 54-2 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (5161 33174b'fo THOLD TOWN $ PLANNING BOARD Annette Zabohonski Subdivision January 23,1992 reduce the possibility of runoff entering the wetlands. Precautions should also be taken to reduce and avoid clearing and grading near the wetlands or on slopes that may erode into the wetlands. The limiting of clearing and grading will also reduce the potential visual impacts of development. Furthermore if a large area was cleared and graded it is likely to be established in turf or other fertilizer dependant groundcover. Reducing the amount of fertilizer/maintenance dependant area would reduce potential threat of eutrophication of the wetlands. It is recognized that the proposed lots are not intended to be build in the near future. As noted above the house locations as shown (with minor modifications) are not considered to significantly impact the site or environment. However there is no guarantee that when the ultimate location of the homes are final submitted thy will be in the same locations or that they will not have an impact if situated in another location on the lots. It is therefore suggested that the Board consider the use of restrictive covenants on each lot to define reduced building envelops on the lots. These reduced building envelops should provide general areas for the houses to be constructed that would avoid potential impacts. They should also allow for the flexibility of house size, design and layout. Clearing and grading should be kept to a minimum. It is suggested that, at the were least, the Board establish buffers adjacent to the wetlands that would remain in a natural and undisturbed state. Given the orientation of the wetlands, the existing vegetation and soil/topography the could consider using the rear yard setback (75') and the wetlands setback (100') as covenanted natural areas. IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES #12 - The proposed action may impact resources of prehistoric importance. Fishers Island has been identified as an area of "Intensive Aboriginal Habitation" Existing condition on the site and in the immediate area suggests that this property maybe extremely significant with regard to prehistoric resources. These conditions include the existence of potable water (freshwater wetlands), the proximity of tidal water for fishing and gathering, and the protected shelter formed by the topography. Similar conditions were noted on the Guest proposed project, located immediately to the west of the subject site (see CVA letter of January 22, 1991; "Re: Minor Subdivision of John S. Guest & Margaret H. Guest, Cresent Avenue, Fishers Island). The existence (or extent) and importance of prehistoric resources are usually very difficult to determine without careful scientific subsurface investigation. Given the conditions on the site it is our recommendation that a Cultural Resource Assessment (CRA), Stage I, be conducted. The CRA would determine the existence (or lack of) prehistoric resources on the site. If found it would also determine the significance and locations of the resources. Additionally it could be used to develop strategies to avoid or mitigate impacts to the resources (if present on site). It is further our understanding that the local historian also feels such a study is appropriate. It is recognized that the no houses are proposed at this time and that the action is for just the subdivision of land. The mapping of a subdivision of land,with no physical disturbance to the site will not impact the resources. The impacts (if resources exist) CRAMER, V RH SOCIATES Page 2 of 3 ENVIRONMENT 1 G CONSULTANTS Annette Zabohonski Subdivision January 23,1992 will occur when grading and develop takes place. It is advisable to know where resources are as early as possible in the planning stages so that they can be avoided or impacts mitigated. It is noted that the Guests' have retained the services of an archaeologist to preform their CRA. As the two sites are adjacent, the applicant may wish to contact the Guests to see if an arrangement can be worked out to have this site done at the same time. Again, it is advisable to have the CRA completed early in the planning stages, however impacts will occur only when physical development takes place. I hope the above information is helpfutto you in your decision ma ' process. If there is any questions with the above please feel free to contact me. Very trul rs, i homas . Cramer, ASLA Enclosures: CRAMER, V R SOCIATES Page of ENVIRONMENT �IG CONSULTANTS M 14-16-2 (2J87)-7c 617.21 Appendix A SEQR State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance.' The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature,yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2. is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions ,-71� 2c� i✓° ol70 Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Res nsibl�,O� icer ( Signature of Responsible Officer in Lead Agency I b Y Signature of Preparer(If di t fr6m JA responsible offilcer, r ') Date SOUt4fOLD TOvvnq 1 vets kRT 1—PROJECT INFORMATI' Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and maybe subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2 and 3. . It is expected that completion of the full EAF will be dependent on'information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. NAME OF ACTION Minor Subdivision of Annette Zabohonski LOCATION OF ACTION(Include Street Address, Municipality and County) Crescent Avenue Fishers Island, Suffolk County, New York NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Annette Zabohonski c/o Stephen L. Ham, III ( 516) 283-2400 ADDRESS 45 Hampton Road CITY/PO STATE ZIP CODE Southampton NY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS ( ) CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION Applicant proposes to divide a 5.91-acre parcel into two building parcels of 2.77 acres and 3.14 acres, respectively. The applicant or donees or legatees will construct a single-family residence, gravel drive and sanitary system on each parcel so divided. Setbacks of 100 feet from the freshwater wetlands will be maintained. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ❑Residential (suburban) ®Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 5.91 acres. APPROXIMATE ACREAGE PRESENTLY AFTER 'COMPLETION Meadow or Brushland (Non-agricultural) _ 5.11 acres 3d7 acres Forested 0 acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 0 acres acres Wetland (Freshwater or tidal as per Articles.24, 25 of ECL) 0.80 acres 0.80 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surface , 0 acres Q°i 'Q Other (Indicate type) L �` d'�' — K•' 0 acres ©' 0 acres acres 3. What is predominant soil type(s) on prog'eecteite? a. Soil drainage: RiWell drained -ijira % of site ❑Moderately well drained ��- ) ,o of site ❑Poorly drained 13,6 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY - Land Classification System? N/A acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes ONO * of construction of two a. What is depth to bedrock? c. 600 (in feet) residences at the site 2 5. Aoproximate percentage of proposed . ct site with slopes: 10-10% 10( _ ;'° Ell 0-15°% 015% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? Dyes XlNo C '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes MNo 8. What is the depth of the water table?"}-1-7'- (in feet) de 9. Is site located over a primary, principal, or sole source aquifer? tlYes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? IXYes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes ®No According to J.M.O. Consulting (Glenn Just) Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) Yes ®No Describe �ETLAty ; 13. Is the project site presently used-by the community or neighborhood as an open space or recreation area? Dyes ❑No If yes, explain unknown 14. Does the present site include scenic views known to be important to the community? ❑Yes MNo 15. Streams within or contiguous to project area: N/A a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name Ridgway Pond and swamp b. Size (In acres) - O,SoAci'*` 17. Is the site served b existing ? y g public utilities. ®Yes ❑No ( a) If Yes, does sufficient capacity exist to allow connection? ®Yes ❑No b) If Yes, will improvements be necessary to allow connection? boYes ❑No 18. Is the site located in an agricultural district.certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? []Yes MNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes MNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.91 acres. b. Project acreage .to be developed: e. 0.51 acres initially; C. 0.51 acres ultimately. c. Project acreage to remain undeveloped 5.40 acres. d. Length of project, in miles: NIA (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/A_ %; f. Number of off-street parking spaces existing 0 proposed 0 g. Maximum vehicular trips generated per hour 0 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially t Ultimately i. Dimensions (in feet) of largest proposed structure 35 height; 32 width; _15_ length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ,J_ ft. 3 I J 335, 2. How much natural material (i.e., n earth, etc.) will be removed from the 0 tons cubi a/ � yards' . , 3. Will disturbed areas be reclaimed? ,yes ❑No j/A a. If yes, for what intender purpose is the site being reclaimed? �NbSGb,�d izyL(,;u2a�p��ut` �{�vzi` b. Will topsoil be stockpiled for reclamation? Yes ❑No C. Will upper subsoil be stockpiled for reclamation? Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will .be removed from site? "�'�'� 13 'acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be emovedebe tQpment ? OYes R]No y h project. 6. If single phase project: Anticipated period of construction 6 months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? Dyes ❑No 8. Will blasting occur during construction? Dyes MNo 9. Number of jobs generated: during construction 14 ; after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? Dyes INNo If yes, explain 12. Is surface liquid waste disposal involved? Dyes ®No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? OYes ❑No Type sewage 14. Will surface area of an existing water body increase or decrease by proposal? Dyes ®No Explain 15. Is project or any portion of project located in a 100 year flood plain? Dyes ®No 16. Will the project generate solid waste? OYes ❑No a. If yes, what is the amount per month 0.35 tons per house b. If yes, will an existing solid was tie facility be used? Dyes [2No c. If yes, give name �ts �'� h - seW4':location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? 12:Yes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? .-&es No a. If yes, what is the anticipated rate of disposal? :t - tons/month./residence b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides?, Dyes ®No 19. Will project routinely produce odors (more than one hour per day)? Dyes K]No 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes IMNo 21. Will project result in an increase in energy use? ®Yes ❑No If yes , indicate type(s) PiPrtrifal and home heatinig oil 22. If water supply is from wells, indicate pumping capacity N/A gallons/minute. 23. Total anticipated water usage per day _ 300 gallons/day. F 24. Does project involve Local, State or Federal funding? ❑Yes ®N0 If Yes, explain 4 25. Approvals Required: Submittal Type Date City, Town, Village Board ❑Yes ®No City, Town, Village Planning Board CRYes ❑No minor subdivision July 19, 1991 City, Town-Zoning Board ❑Yes ®No upon sketch approva City, County Health Department IMYes ❑No Artir'lP 6 by planning Board Other Local Agencies ❑Yes O No Other Regional Agencies []Yes ®No State Agencies ❑Yes (XINo Federal Agencies ❑Yes MNo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? (]Yes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit LXsubdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other, 2. What is the zoning classification(s)of the site? R-80 3. What is the maximum potential development of the site if developed as permitted by the present zoning? two single—family dwellings 4. What is the proposed zoning of the site? N/A 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A (same as present)' 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? single—family residential .8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? IJYes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 2.77 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes ®No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ®Yes ❑No (insignificant) a. If yes, is existing capacity sufficient to handle projected demand? R]Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? . ❑Yes ®No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your'project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Nam Annette Annette Zabohonski Date July 19, 1991 Signature `� �^�'�' t-- Title authorized agent Stephen L1. Ham, II If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 i-'rr_t 2-PRi =CT IMPACTS AND k. gEIR MA ITUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinatio.ps been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. I • The Examples provided are to assist the reviewer by slowing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. y 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the projects t Impact Impact Project Change ONO ] YES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ El Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on Land where the depth to the water table is less than ❑ ❑ ❑Yes []No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. Cj ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ El Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ El Yes ❑No tons of natural material-(i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. _ ❑ ❑ El Yes ❑No • Other impacts ❑ Yes El ?1 2. Will there be an effect V. ...iy ur:.que or unusual land forms foun on the site?(i.e., cliffs, dunes, geological formations, etc.)ONO YES E' • Specific land forms: �QS ❑ / yes ❑No /K 6 2 3 IMPACT ON WATER Small. to Potential Can Impact Be 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under Articles 15, 24,25 of the Environmental Conservati n Law, ECL) Impact Impact Project Qhange 10 DYES Examples that.would apply to column 2 • Developable area of site contains a protected water body. ' ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of -a ❑ ❑ ❑Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes El No 4. Will proposed action affect any non-protected existi g or new body of water? 0 DYES Examples that would apply to column 2 (((((( ______ • A 10% increase or decrease in the surface area of any body of water ❑ ❑ El Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes []No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater, quality or quantity? VIVO OYES Examples that would apply to column 2 / _ • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No' C • Proposed Action requires use of a source of water that does not El ❑ El Yes ❑No have approval to serve proposed(project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ El Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water ,in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action::locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or pattern , or surface water runoff? 0 DYES Examples that would apply to column 2 . • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 T � Small to Poact Be Moderate Led By ` Impact ImChange • Proposed Action may cause substantial erosion. • Proposed Action is incompatible with existing drainage patterns. ❑No• Proposed Action will allow development in a designated floodway. 1..❑ ❑No• Other impacts: ❑No❑ ❑Yes []No IMPACT.ON AIR 7. Will proposed action affect air quality? XN OOYESExamples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given hour. ❑ ❑ Yes ❑No • Proposed Action will result in the incineration of more than 1 ton of refuse per hour. ❑ ❑ ❑Yes ❑No • Emission rate of total contaminants will exceed 5 lbs. per heat source producing more than 10 million BTU's per hour.hour or a ❑ El ❑Yes ❑No • Proposed action will allow an increase in the amount-of land committed El El Dyes []Nor to industrial use. • Proposed action will allow an increase in the density of industrial development within existing industrial areas. ❑ ❑ ❑Yes []No • Other .impacts: ❑ ❑ []Yes ❑No IMPACT ON-PLANTS AND ANIMALS I Will Proposed Action affect any threatened or endange ed species? �,NO DYES Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. ❑ ❑ []Yes ❑No ' Removal of any portion of a critical or significant wildlife habitat. ❑ ' Application of pesticide or herbicide more than twice a year, other ❑ Dyes ❑No than for agricultural purposes. ❑ ❑ ❑Yes []No ' Other impacts: ❑ ❑ ❑Yes ❑No Will Proposed Action substantially affect non-threaYN d or non-endangered species? O DYES I Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or 'nit;ratory fish, shellfish or wildlife species. El ❑Yes ❑No Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important ❑ ❑ ❑Yes ❑No `('4etation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land reso rces? Examples that would apply to column 2 NO DYES the proposed action would sever, cross or limit access to agricultural and (includes cropland, hayfields, pasture, vineyard, orchard, etc.) ❑ ❑ ❑Yes ❑No 8 1 2 3 Small t'o Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. • The proposed action.would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No land management systems (e.g.,.subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? P<O DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ El Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ Dyes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ El Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ El Yes []No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site-or structure of historic, pre- historic or paleontological importance? ONO YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ Dyes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ Dye's ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ 6cm ❑No archaeological sites on the NYS'Site Inventory. �� �sr Ayes • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13, Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 O DYES The permanent foreclosure of a future recreational o portunity. ❑ ❑ Dyes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 IMPACT ON TRANSPORTATION1 2 3 14. Will there be an effect to existing transportation syste s? Small to Potential 'Can, Impact Be Moderate Large Mitigated By Examples that would apply to column 2 IMN O DYES Impact Impact Project Change • Alteration of present patterns of movement of people and/or goods. ❑ • Proposed Action will result in major traffic problems. ❑ ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes ONO ❑Yes ONO IMPACT ON ENERGY 15. Will proposed action affect the community's sourc s of fuel or energy supply? Examples that would apply to column 2 O DYES • Proposed.Action will cause a greater than 5% increase in the use of any form of energy in the municipality. ❑ ❑Yes ONO - • Proposed Action will require the creation or extension of an energy ❑ 0 ` transmission or supply system to serve more than 50 single or two family El Yes ONO 3 residences or to serve a major commercial or industrial use. • Other impacts: -_ ❑ ❑ ❑Yes ONO NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibratiop as a result of the Proposed Action? Examples that would apply to column 2 /1 DYES • Blasting within 1,500 feet of a hospital, school or other sensitive facility. ❑ ❑ ❑Yes ONO • Odors will occur routinely (more than one hour per day). ' Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ONO ambient noise levels for noise outside of structures. ❑ ❑ El Yes ONO ' Proposed Action will remove natural barriers that would act as a noise screen. ❑ ❑ El Yes ONO ' Other impacts: 0 ❑ ❑Yes ❑No - IMPACT ON PUBLIC HEALTH Will Proposed Action affect public health and saf ty2 Examples that would apply to column 20 AYES Proposed Action may cause a risk of explosion or release of hazardous substances(i.e. o.il, pesticides, chemicals, radiation, etc.)in the event of ❑ ❑ ❑Yes ❑No accident or upset conditions, or there may be a chronic low level discharge or emissign. Proposed Action may result in the burial of "hazardous wastes" in any ❑ form (i.e. toxic, poisonous, highly reactive,:. irritating, ❑ : El Yes ONO infectious, etc.) Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. 0 Yes ONO I Protosed action may result in the excavation or other disturbance hazardous'Within 2,000 feet of a site used for the disposal of solid or hazar ❑ ❑ ❑Yes ' ❑NO waste. Other impacts: `- . ❑ ❑ ❑Yes ❑No I 10 1 -2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the exist'n community? Impact Impact Project Change O DYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes El No project is located is likely to grow by more than'5%. • The municipal budget for capital expenditures or operating services 0 ❑ ❑Yes ❑No will increase by more than'5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas'of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes El No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? NO DYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 art:. AA PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �� "'�, :; t•, �; (� Supervisor George Ritchie Latham, Jr. Richard G. Ward r 1 Town Hall, 53095 Main Road Mark S. McDonald r`�uf" P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision of Annette Zebahonski Crescent Avenue Fishers Island SCTM*1000-6-2-1 Dear Mr. Ham: The following resolutions were duly adopted by the Southold Town Planning Board at a meeting held on Monday, January 13 , 1992. Be it RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this unlisted action. Be it RESOLVED that the Southold 'Town Planning Board grant sketch approval on the map dated August 26, 1991. Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. Five (5) paper prints and two ( 2) mylars of the final map, containing a current stamp of Health Department approval, must be submitted before a final public hearing will be set. Please note that the Planning Board had referred this subdivision to the Suffolk County Planning Commission for their review. Page 2 Annette Zabohonski Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, , �g Bennett Orlowski, Jr. ma's Chairman PLANNING BOARD MEMBERS C" r �'; vs4 ; SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ', "�` �>Y"„�K'y"` Z-`� Supervisor George Ritchie Latham, Jr. Richard G. Ward �G"'' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 aan a ry )y 19 cf 2- RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; . 2. Your interest in assuming the responsibilities of lead agency; and 3 . Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in .your response. Project Name: Anne,-¢. Zabo11on5�[� . I Requested Action: �eSi�Qi►'�-�t`0.� minor �obi�i V�S�'aY� 2. to on , 91 Gcres SEQRA Classification: ( X ) Type I CX J CrAkc,� Er�v, Area ( ) Unlisted Contact Person: iSSA Sni�it-c n (516) -765-1938' S The lead agency will determine the need for an' environmental impact statement (EIS) on this project. Within thirty ( 30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (�( ) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other. ( See comments below) . Comments: Please feel free to contact this office for further information. Sincerely, Bennett Orlowski, Jr. �n1s Chairman cc: Pear-d of Appeals. *Board of Trustees �' D + r t�macerrc, Southold Town Board 'Suffolk County Dept. of Health Services *NYSDEC - Stony Brook NYSDEC - Albany S.9. Dept - s£ Publie Wer14s U.S. Army Gerp efEgin-er-s n r,} n� TYan =nrf-ai-ink * Maps are enclosed for your review Coordinating agencies N 14-16-2 (2/87)-7c 617.21 SEQR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant.The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature,yet flexible to allow introduction of information to fit a projector action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions title- er 2- e- b o/10 A S I� l Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer { Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date 1 5. Approximate percentage of proposed' r ct site with slopes: no-10% 10( ;o ❑10-15`,,o g% 015% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? El Yes IMNo C '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes NNo 8. What is the depth of the water table? > 17 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? nYes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? LXYes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? Dyes ®No According to J.M.O. Consulting (Glenn Just) Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes ®No Describe 13. Is the project site presently used'•by the community or neighborhood as an open space or recreation area? ❑Yes ❑No If yes, explain unknown 14. Does the present site include scenic views known to be important to the community? Dyes MNo 15. Streams within or contiguous to project area: N/A a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name _ Ridgway Pond and swamp b. Size (In acres) N/A 17. Is the site served by existing public utilities? ®Yes ❑No Ca) If Yes, does sufficient capacity exist to allow connection? ®Yes ❑No b) If Yes, will improvements be necessary to allow connection? R]Yes ❑No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes MNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes MNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.91 acres. b. Project acreage .to be developed: e. 0.51 acres initially; e. 0.51 acres ultimately. c. Project acreage to remain undeveloped 5.40 acres. d. Length of project, in miles: N/A (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/_A_%; f. Number of off-street parking spaces existing 0 proposed 0 g. Maximum vehicular trips generated per hour 0 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one per lot Ultimately one per lot i. Dimensions (in feet) of largest proposed structure 35 height; _32 width; _ 5 length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 0 ft. 3 25. Approvals Required: Submittal • Type Date City, Town, Village Board Dyes ®No City, Town, Village Planning Board ElYes ❑No minor subdivision July 19, 1991 City, Town-Zoning Board Dyes ®No upon ske c approva City, County Health Department ®Yes ❑No ArtielP h by-Planning Board Other Local Agencies ❑Yes PONo Other Regional Agencies ❑Yes ®No State Agencies ❑Yes IMNo Federal Agencies ❑Yes ®No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? 1IYes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit LNsubdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other• 2. What is the zoning classification(s)of the site? R-80 3. What is the maximum potential development of the site if developed as permitted by the present zoning? two single—family dwellings 4. What is the proposed zoning of the site? N/A 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A (same as present) C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? INY* es ❑No 7. What are the predominant land use(s) and zoning classifications within a '/, mile radius of proposed action? single—family residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/, mile? [ Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 2.77 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes ®No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ®Yes ❑No (insignificant) -a. If yes, is existing capacity sufficient to handle projected demand? k7Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes ®No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Na41. Annette Zabohonski Date July 19, 1991 Signature L• Title authorized agent Stephen . Ham, II If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 IMPACT ON WATER Small. to Potential Can Impact Be 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under Articles 15, 24,25 of the Environmental Conservation Law, ECL) Impact Impact Project Change ONO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes []No • Dredging more than 100 cubic yards of material from channel of at ❑ ❑ ❑Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ []Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ []Yes ❑No • Other impacts: ❑ ❑ ❑Yes El No 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ []Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes []No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes []No C • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes . ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ El Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes El No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes []No existing body of water to the exte;,t that there will be an obvious visual contrast to naturai conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ []Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ []Yes ❑No 7 • 1 2 3 Small'to Potential.', ,Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. • The proposed action.would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ []Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ONO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ El Yes []No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site-or structure of historic, pre- historic or paleontological importance? ONO OYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑. ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes []No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ONO DYES The permanent foreclosure of a future recreational opportunity. ❑ ❑ El Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ El Yes El No . 9 ' 1 2 3 IMPACT ON GROWTH AND CHARACTER Small t.o Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change . ONO OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services El ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes El No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ Dyes' ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO OYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact ' • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 14.14-11 ( '87)-9c 617.21 SEQR • Appendix B State Environmental Quality Review Visual EAF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead'Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-1/4 1/4-1/2 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? • An overlook or parcel of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ ❑ ❑ ❑ ❑ • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screened by summer foliage, but visible during other seasons) ❑Yes ❑No 3. Are any of the resources checked in question 1 used by the public during the time of year during which the project will be visible? El Yes ❑No . 1 ,RT 1—PROJECT INFORMATIC__ ' Prepared by Project Sponsor ' NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and may be subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2 and 3.. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. NAME OF ACTION Minor Subdivision of Annette Zabohonski LOCATION OF ACTION(Include Street Address, Municipality and County) Crescent Avenue Fishers Island, Suffolk County, New York NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Annette Zabohonski c/o Stephen L. Ham, III ( 516) 283-2400 ADDRESS 45 Hampton Road CITY/PO STATE ZIP CODE Southampton NY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION Applicant proposes to divide a 5.91—acre parcel into two building parcels of 2.77 acres and 3.14 acres, respectively. -The applicant or donees or legatees will construct a single—family residence, gravel drive and sanitary system on each parcel so. divided. Setbacks of 100 feet from the freshwater wetlands will be maintained. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ❑Residential (suburban) ®Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 5.91 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland.(Non-agricultural) 5_1 acres 4.60 acres Forested 0 acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as. per Articles 24, 25 of ECL) 0.80 acres 0.80 acres Water Surface Area 0 acres 0 Unvegetated (Rock, earth or fill) 0 0 acres acres acres Roads, buildings and other paved surfaces 0 acres 0.095 acres Other (Indicate type) 0 acres 0 acres 3. What is predominant soil type(s) on project site? Sfrse sand with small stones a. Soil drainage: 5)Well drained 1 nn % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY Land Classification System? N/A acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes MNo of construction of two a. What is depth to bedrock? c. 600 (in feet) residences at the site 2 2. How much natural material (i.e., earth, etc.) will be removed from the +cam:' 0 tons/cu6i�- yards 3. Will disturbed areas be reclaimed? OYes ONO ®N/A a. If yes, for what intender:' purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? OYes ONO c. Will upper subsoil be stockpiled for reclamation? OYes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will'*be removed from site? 0.51 acres. 5. Will any mature forest (over 100 ears old) or other local) * on development Y y-important vegetation be removed by this project.? OYes %]No 6. If single phase project: Anticipated period of. construction 6 months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month 'year. d. Is phase 1 functionally dependent on subsequent phases? OYes ONO 8. Will blasting occur during construction? OYes IMNo 9. Number of jobs generated: during construction 14 ; after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? OYes INNo If yes, explain 12. Is surface liquid waste disposal involved? OYes ®No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? k7Yes ONO Type sewage 14. Will surface area of an existing water body increase or decrease by proposal? OYes ®NO Explain 15. Is project or any portion of project located in a 100 year flood plain? OYes ONO 16. Will the project generate solid waste? EYes ONO a. If yes, what is the amount per month 0.15 tons per house b. If yes, will an existing solid waste facility be used? OYes EXNo c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? IXYes ONO e. If Yes, explain Fishers Island Transfer Station will be used 17. Will the project involve the disposal of solid waste? ®Yes ONO a. If yes, what is the anticipated rate of disposal? 0.35 tons/month./residence b. If yes, what is the anticipated site life? ? years. 18. Will project use herbicides or pesticides?, OYes ®No 19. Will project routinely produce odors (more than one hour per day)? OYes X]No 20. Will project produce operating noise exceeding the local ambient noise levels? OYes IMNo 21. Will project result in an increase in energy use? ®Yes ONO If yes , indicate type(s) P1 Petri cal and home heating oil 22. If water supply is from wells, indicate pumping capacity N/A gallons/minute. 23. .Total anticipated water usage per day U0 gallons/day. E 24. Does project involve Local, State or Federal funding? OYes ®No If Yes, explain 4 K-( 2-PR CT IMPACTS AND MA ATUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check.column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change ❑NO OYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length),.or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes nNo • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ []Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated. floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect V. ...,y ur:.que or unusual land forms found on L- the site?(i,e., cliffs; dunes, geological formations, etc.)❑NO ❑YES C • Specific ,land forms: ❑ ❑ ❑Yes ❑No 6 r[Momd l to Potential Can Impact Be rate 'Large Mitigated By act Impact Project Change • Proposed Action may cause substantial erosion. • Proposed Action is incompatible with existing drainage patterns. ❑ ❑Yes ❑No• Proposed Action will allow development in a designated floodway. ❑ ❑Yes ❑No• Other impacts: ❑ ❑Yes ❑No❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ONO OYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given hour. ❑ ❑ El Yes ❑No • Proposed Action will result in the incineration of more than 1 ton of ❑ refuse per hour. ❑ ❑Yes ❑No • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes ❑No Beat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed to industrial use. ❑ ❑Yes ❑No • Proposed action will allow an increase in the density of industrial development within existing industrial areas. El ❑ ❑Yes No • Other impacts: j ❑ ❑ ❑Yes ❑No ' IMPACT ON-PLANTS AND ANIMALS 3 Will Proposed Action affect any threatened or endangered species? ONO. OYES ` Examples that would apply to column 2 ' Reduction of one or more species listed on the New York or Federal list, using the site, over or near site or found on the site. ❑ ❑ ❑Yes ❑No ' Removal of any portion of a critical or significant wildlife habitat. ' Application of pesticide or herbicide more than twice a year, other El ❑ Dyes ❑No ❑ than for agricultural purposes. ❑ ❑Yes ❑No Other impacts: ❑ ❑ Dyes ❑No Will Proposed Action substantially affect non-threatened or non-endangered species? ONO OYES Examples that would apply to column '2 Proposed Action would substantially interfere with any resident or ❑ Migratory fish, shellfish or wildlife species. ❑ ❑Yes ❑No Proposed Action requires the removal of more than 10 acres of 'nature forest (over 100 years of age) or other locally important ❑ ❑ El Yes ❑No %'egetation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? Examples that would apply to column 2 ONO AYES the proposed action would sever, cross or limit access to agricultural ',1nd (includes cropland, hayfields, pasture, vineyard, orchard, etc.) ❑ ❑ ❑Yes ❑No 8 IMPACT ON TRANSPOR,„,ION 1 2 3 J 14. Will there be an effect to existing transportation systems? Small to Potential Can Impact Be Moderate Large Mitigated By Examples that would a I ONO OYES Impact Impact Project Change Pp y to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ • Proposed Action will result in major traffic problems. El El Yes ❑No ❑ El Yes ❑No ❑ ❑ ❑Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? Examples that would apply to column 2 ENO OYES • Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. El ❑ El Yes ❑No • Proposed Action will require the creation or extension of an energy ❑ El transmission or supply system to serve more than 50 single or two family ❑Yes ❑No 3� residences or to serve a major commercial or industrial use. • Other impacts: s ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? Examples that would apply to column 2 ENO AYES • Blasting within 1,500 feet of a hospital, school or other sensitive facility. ❑ El Yes ❑No • Odors will occur routinely (more than one hour per day), El ❑ �_ Proposed Action will produce operating noise exceeding the local ❑Yes ❑No I ambient noise levels for noise outside of structures. ❑Yes ❑No ' Proposed Action will remove natural barriers that would act as a noise screen. ❑ ❑Yes ❑No ' Other impacts: ❑ El ❑Yes ❑No IMPACT ON PUBLIC HEALTH 7- Will Proposed Action affect public health and safety? Examples that would apply to column 2 ONO AYES Proposed Action may cause a risk of explosion or release of hazardous substances(i.e. oil, pesticides, chemicals, radiation, etc.)in the event of ElYes ❑No accident or upset conditions, or there may be a chronic low level discharge or emission. Proposed Action may result in the burial of "hazardous wastes" in any ❑ form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, ❑ ❑Yes ❑No ' infectious, etc.) Storage � e facilities for one million or more gallons of liquified natural ❑ ❑ -as or other flammable liquids. ❑Yes ❑No i Proposed action may result in the excavation or other disturbance ' ,Within 2,000 feet of a site used for the disposal of solid or hazardousEl w ❑ ❑ Yes ONO aste. Other impacts: I ❑ ❑ ❑Yes ❑No ' 10 DESCRIPTION OF EXISTIP.— _'ISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the' surrounding environment. Within *'/a mile *1 mile Essentially undeveloped ; ❑ ❑ Forested ❑ ❑ Agricultural ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *'/z mile ❑Yes ❑No *1 miles ❑Yes ❑No *2 miles ❑Yes El No *3 miles ❑Yes ❑No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number bf viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite _ .❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ E 2 PLANNING BOARD MEMBERS " t ^ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman •, �"° Supervisor George Ritchie Latham, Jr. � Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 Suffolk County Planning Commission H. Lee Dennison Executive Office Building -12th Floor Veterans Memorial Highway Hauppauge, NY 11788 ATT: Charles G. Lind, Chief Planner Subdivision Review Division Gentlemen: Pursuant to Section A14-24, Suffolk County Administrative Code, the Southold Town Planning Board hereby refers the following proposed subdivision to the Suffolk County Planning Commission: Map of ,gnnQ{-�-� �}�onSk� Hamlet/Locality ��s�trs =51gv�c� S.C.D.P.W. Topo No. : Zoning R - so S.C. Tax Map No. : Major Sub. Minor Sub. Site Plan Cluster MATERIAL SUBMITTED: e� Ske}c.1� a Plat ( 3 copies)=Road Profiles (1) Drainage Plans (1) Topographical Map (1) Site Plan (1) Grading Plan ( 1) Other Materials (specify and give number of copies) t :Jar„n�n�a `�oacc�r r-esol�k�on c� e� i� 14 qz j Waiver of Subdivision Requirements - See attached sheet_ CONTINUED REFERRAL CRITERIA: SEQRA STATUS: e'<k-,Mx\ Rau. 1. The project is an (Unlisted) ( e I) (Type II)Action. 2. A (Negative Declaration) (Positive Declaration) (Determ. of Non-Significance) has been adopted by the Planning -Board. 3. E.I.S. statement enclosed. (Yes) (No) 4. The proposed division has rec ved approval from the S.C. Dept of Health. (Yes) o) . Comments: _`71,is aanlicct `r'trn i iiuS (Pror.&CS-4 in a co�c�cinc QP We request acknowledgement of receipt of this referral (Yes) No) Referral received 19 by Suffolk County Planning Commission and assigned File NO. Very truly yours, Bennett Orlowski, Jr. Chairman .o _ t 1 July 19 , 1991 Southold Town Planning Board Town Hall Southold, New York 11971 Re: Minor Subdivision for Annette Zabohonski (SCTM # 1000 - 6 - 2 - 1) Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, L, � TE-ephed L. Ham, III , as authorized agent of Annette Zabohonski rat,-;� . R' X}PLANNING BOARD MEMBERS SCOTT L. HARRIS ' , `.;'� '' r Bennett Orlowski, Jr., Chairman Supervisor�, 1 George Ritchie Latham, Jr. Town Hall, 53095 Main Road Richard G. Ward Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 14, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Minor Subdivision of Annette Zebahonski Crescent Avenue Fishers Island SCTM#1000-6-2-1 Dear Mr. Ham: The following resolutions were duly adopted by the Southold Town Planning Board at a meeting held on Monday, January 13, 1992. Be it RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this Type I action. (Parcel is located within a Critical Evironmental Area) . Be it RESOLVED that the Southold Town Planning Board grant sketch approval on the map dated August 26, 1991. Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board. Five (5) paper prints and two (2) mylars of the final map, containing a current stamp of Health Department approval, must be submitted before a final public hearing will be set. Please note that the Planning Board had referred this subdivision to the Suffolk County Planning Commission for their review. Page 2 Annette Zabohonski Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, ;- Bennett Orlowski, Jr. Chairman MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAw 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS .TELECOPIER 516-287-1076 STEPHEN 1..HAM,III January 7, 1992 Planning Board Town of Southold Main Road C .w Southold, NY 11971. Attn. : Melissa Spiro Re: Minor Subdivision for Annette Zabohonsky (SCTM # 1000-6-2-1) Dear Melissa: In accordance with your request, I have enclosed our check for $400 in payment of the fee to the Town's environmental consultants. Sincerely, Stephen L. Ham, III SLH:ja Enclosure �nn ;`� . PLANNING BOARD MEMBERS cca s :'"c `'i" ,y �,• 'i�, •"�� � SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward 5+-; t y Y' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 7, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, NY 11968 RE: Annette Zebahonski SCTM#1000-6-2-1 Dear Mr. Ham: The Planning Board has received a cost estimate of $400. 00 from their Environmental Consultant for review of Long Environmental Assessment Forms. The above mentioned sum must be paid in full by your client before we can authorize our consultant to proceed with the review. The check should be made payable to the Town of Southold. When the consultants complete their review, the Planning Board will consider their findings in making a determination of whether the project will have a significant environmental impact. Very truly yours, Bennett Orlowski, Jr. Chairman TRUSTEES may► Gy John M.Bredemeyer,III,President C* SUPERVISOR Henry P. Smith,Vice President o ,? SCOTT L.HARRIS Albert J.Krupski,Jr. �,j, • �� John L.Bednoski,Jr. �1Q1 �a0 Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD TO: Planning Board Melissa Spiro FROM: Southold Town Trustee RE: Annette Zebahonski SCTM #1000-6-2-1 DATE: December 27, 1991 In reference to the attached report of Bruce Anderson of August 29, 1990 "please be advised the Board of Trustees authorized this report at the request of Brad Burnham of Fishers Island who was acting on behalf of Mrs. Zabahonski and wished to expedite this application. Since Mr. Andersons report remains timely, this office has no objection to it being used for your current review of the subdivision proposal before you. Should any questions arise, please do not hesitate to contact this office. y 1a1(RZ Uri 8Jq 1 w14y RR D d [ J ,U IL07)-�Ur I Sd ACC 3 01 M SOUTI TOWN, I . PLANNING BOARD sUfFat TRUSTEES , John M.Bredemeyer,III,President tin x:. .fie SUPERVISOR CA > Henry P. Smith,Vice President �. f y ,.� SCOTT L. RABBIS Albert J. Krupski,Jr. _ John L.Bednoski,Jr. ''���� �®� Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD TO: Planning Board Melissa Spiro FROM: Southold Town Trustee RE: Annette Zebahonski SCTM *1000-6-2-1 DATE: December 27, 1991 In reference to the attached report of Bruce Anderson of August .29, 1990 please be advised the Board of Trustees authorized this report at the request of Brad Burnham of Fishers Island who was acting on behalf of Mrs. Zabahonski and wished to expedite this application. Since Mr. Andersons report remains timely, this office has no objection to it being used for your current review of the subdivision proposal .before you. Should any questions arise, please do not hesitate to contact this office. DEC 3 0 1991 SOUTHOLD TOWN PLANNING BOARD t v�� -4 TRUSTEES v2 = SCOTT L. HARRIS Supervisor John M. Bredemeyer, III, Presidency ` Henry P. Smith, Vice President Albert J. Krupski, Jr. 1 � [ `►' Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold, BOARD OF TOWN TRUSTEES Fax (5 6) 7 5�rk 971 823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 TO: Planning Board FROM: Board of Trustees RE: Annette Zabahonski, SCTM #1000-100-6-2-1 DATE: October 30, 1990 The following action was taken by the Southold Town Board of Trustees on Thursday, October 25, 1990: RESOLVED that the Southold Town Board of Trustees approve the environmental report dated August 29, 1990 as submitted by Consultant, Bruce Anderson. If you have any questions, please do not hesitate to contact this office. JMB:jmt cc: Bruce Anderson CAC File if 3 � Bruce Anderson , E Environmental Consultant € `,• " OCT - 2 11990 i TC�"1iPj aY S�DU76 OLD ugus t 29 , 1990 John Bredemeyer , President Southold Board of Trustees Town Hall Southold, NY 11971 Re: Annette Zabahonski Fishers Island SCTM# 1000-100-6-2-1 Dear Mr. Bredemeyer, Attached is a natural resources inventory and site review of the above referenced subdivision . Sincerely, Bruce Anderson 475 Rambler Road, Southold, NY 11971 (516)' 765-4071 Bruce Anderson Environmental Consultant Natural Resources Inventory-�.._�- r__n Site Review Property: Annette Zabohonski Fishers Island SCTM# 1000-100-6-2-1 Agent: Brad Burnam •joa�1�'�•����� • ""'^�`"� Fishers Island Description: Subject property is characterized as "U" shaped and having a drainage swale which bisects the property running in an east-west direction. Two separate wetland areas are found within the property boundaries . The first wetland was found within a small depression on the eastern portion of the property . The wetland is characterized as a small shrub swamp containing primarily highbush blueberry with a stand of winterberry around its perimeter. Subject wetland was not flagged because its portion extending into subject parcel is quite small and not expected to influence subdivision yield to a significant degree. Nevertheless , its presence may influence the eventual development of the adjacent property to the east as well as the regulation of single family dwellings eventually built on this site. The second freshwater wetland is found within the western portion of the drainage swale.. Subject wetland is situated adjacent to Crescent Avenue beginning at a point approximately 50 feet from a monument where a culvert is located extending approximately 300 feet south along the road. The wetland also extends approximately 200 feet east of the road side. The shape of the wetland appears to be oval . Subject wetland is also characterized as a shrub swamp but mature species of black tupelo and red maple are present along the eastern portion of the wetland. Large stands of elderberry, sweet peperbush, and highbush blueberry are found around the perimeter of the wetland. The central portion of the wetland contains thick stands of soft rush, wool grass and marsh St. Johnswort . While no standing water was found in the wetland, soils have remained sufficiently wet as to support small patches of duckweed as well as a variety of mosses . The two wetlands are separated by habitat generally characterized as a late successional field. Within this area thick stands of blackberry , sumac and honeysuckle are found. Black cherry and choke cherry are also present . One unusual feature of this area includes the presence of a large black willow tree. While black willow is typically associated with wetlands the surrounding (and predominant) vegetaion can not be characterized as wetlands . 475 Rambler Road, Southold, NY 11971 (516) 765-4071 Vegetation along the southern portion of the site adjacent to the power lines is characterized as exotic. A large stand of maple ( species unidentified) is found within this area . Also there is a mature catalpa tree (also exotic) found within this area. Japanese honeysuckle occurs sporatically throughout this area. The following is a list of species found within wetlands and their adjacent areas : Wetland Areas Smilax rotundifolia green brier Ilex verticulatum winterberry Vaccinium corymbossum highbush blueberry Osmunda cinnamomea cinnamon fern Lemna spp. duckweed Onoclea sensibilis sensitive fern Viburnum recognitum arrowood Juncus effusus soft rush Nyssa sylvatica black tupelo Acer rubrum red maple Sambucus canadensis elderberry Scirpus cyperinus wool grass Clethra alnifolia sweet pepperbush Hypericum perforatum marsh St. Johnswort Carex spp . needle sedge Cephalanthus occidentalis buttonbush haircap moss Adjacent Areas Rhus typhina smooth sumac Rhus glabra staghorn sumac Prunus serotina black cherry Prunus virginiana choke cherry Smilax rotundifolia green brier Vitis lambrusca fox grape exotic maple Rubus idaeus red raspberry Lonicera tartarica tatarian honeysuckle Celastrus scandens bittersweet Salix nigra black willow 475 Rambler Road, Southold, NY 11971 (516) 765-4071 a Recommendations The delineation of wetlands in the planning process serves the immediate purpose of determining yield for a subdivision of land. However , the regulatory. burden of the eventual residents on this property may be avoided by delineating building envelopes greater than 100 feet from wetlands in the planning process . Thus , it is recommended that building envelopes be delineated on the subdivision map with sufficient setbacks from the wetland boundary as to avoid wetland jurisdiction from both the NYSDEC and the Southold Board of Trustees . The drainage swale is perhaps the most striking of natural resource features found on site. Lots should be arranged such that the swale area is retained in its natural condition to the greatest extent practicable. In doing so', the wetlands will be adequately protected from construction impacts such as erosion and siltation and accidental overclearing as well as long term development impacts such as runoff which may contain fertilizers and pesticides . Since no sketch plans have been submitted showing the wetlands and future homesites , it is not possible to address design aspects in a detailed way at this time. 475 Rambler Road, Southold, NY 11971 (516) 765-4071 O �G o� TRUSTEES ti _ SCOTT L. HARRIS John M. Bredemeyer, II1, President Oy S �� Supervisor " Henry P. Smith, Vice President �J�l �aO Albert J. Krupski, Jr. Town Hall, 53095 Main Road P.O. Box 1179 John L. Bednoski, Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 September 21, 1990 Mr. Bruce Anderson 475 Rambler Road Southold, NY 11971 RE: Annette Zabohonski, Fishers Island SCTM 41000-6-2-1 Dear Mr. Anderson: ` Please be advised that the environmental review fee of $140.00 has been received by this office for the above-referenced project. Upon completion of your review, kindly submit your report to this office as soon as possible. Sincerely, 6/ ill Thorp, Clerk to the Board " jt cc: Bradford Burnham Sly p�� _ d7 SEP e�t 7 Ln.% TOWN OF SOOTHOLD. 1. -L"IATTHEIVS HAM ATTORNEYS AND COUNSELLORS AT LAN9 45 RA.ISPTON ROAD SOUTHAMPTON,N.Y. 11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAm,1a September 16, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision for Annette Zabohonski (SCTM # 1000-6-2-1) Dear Melissa: I have enclosed twelve new prints of the referenced Minor Subdivision Map. This version of the Map deletes, in accordance with your request, the extraneous marsh symbols. Sincerely, Stephen L. Ham, III . SLH:ja Enclosures 911S191 — Q1'1111N Dactc c\ at.�eii`�iN ce rt O �j '*✓a pcA�N�rvOt T ARp ' ' MATTHEWS & HAIL �5 ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 . STEPHEN L.HAm,III September 16, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Minor Subdivision for Annette Zabohonski -(SCTM # 1000-6-2-1) Dear Melissa: I have enclosed twelve new prints of the referenced Minor Subdivision Map. This version of the Map deletes, in accordance with your request, the extraneous marsh symbols. Sincerely, Stephen L. Ham, III SLH:ja Enclosures SEP ? 1991 Sontu�ANryIRD BTD��ryI OgRO e i 4�77ZF 4i � PLANNING BOARD MEMBERS �i- b: i { SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman z ► �k _ f�' Supervisor George Ritchie Latham, Jr. �,� Town Hall, 53095 Main Road Richard G. Ward Mark S. McDonald P.O. Box 1179`� Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 TO: John Bredemeyer, III President, Board of Trustees FROM: Bennett Orlowski, Jr. ,8v� Chairman �s DATE: August 27, 1991 RE: Minor Subdivision for Annette Zabohonski Crescent Avenue, Fishers Island x SCTM# 1000-6-2-1 Enclosed please find a copy of the map for the above mentioned subdivision for your review of the wetland delineation. This application was received by the Planning Board on July 24, 1991, and at this time has not received any approvals. The Planning Board awaits your review prior to making a determination on the sketch map. F MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAw 45 HAMPTON ROAD �lS SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,Ia _ April 29, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Application of Annette Zabohonski Dear Melissa: I have enclosed a preliminary minor subdivision plan for Annette Zabohonski. In accordance with our telephone conversation this morning, I would appreciate it, if you would review the plan and advise me of any deficiencies before I submit the requisite number of copies with a formal application. (Among other things, I know I will have to advise the surveyors of the correct spelling of Mrs. Zabohonski's name. ) n(� ( Sincerely, +u '6ric-� feu ie+.o o t vnA` anc\ cce1\Pc1 Stephen L. Ham, III ur�1� I .�e� v\c1 p�cG� �o� s-t- 1De ;(kdJ'catPd SLH:ja Enclosure MATTREWS & HAM /�/ ATTORNEYS AND COUNSELLORS AT LAW / 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TEI,ECOPIER 516-287-1076 STEPHEN L.HAM,ra April 29, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Melissa Spiro Re: Application of Annette Zabohonski Dear Melissa: I have enclosed a preliminary minor subdivision plan for Annette Zabohonski. In accordance with our telephone conversation this morning, I would appreciate it if you would review the plan and advise me of any deficiencies before I submit the requisite number of copies with a formal application. (Among other things, I know I will have to advise the surveyors of the correct spelling of Mrs. Zabohonski's name. ) sincerely, ��2 tiat-'t., Stephen L. Ham, III SLH:ja Enclosure APR 3 0 1991 THIS MINOR SUBDIVISION IS FOR LOTS ON ACRES L OCATED ON ��-e.sce ( \ff,. aN dei Yuri SCTM#: 1000- 6 ., - MINOR SUBDIVISION (NO ROAD) Complete application received ✓� 14jct— gee 71a3/11 ✓cE�f% .aaOt�"'a�;'1.��`c u.� �K pplication reviewed at work session lye- Iro.` OK IMro. Applicant advised of necessary revisions I Revised submission received uo qL oK Inro. Sketch plan approval ��q3 -with conditions — n Lead Agency Coordination 1 ( qz SEQRA determination Sent to Fire Commissioner /l1(+ Receipt of firewell location Notification to applicant to include on final map Sent to County Planning Commission jh1vqZ. �•` oK Receipt of County Report Iro.` oK Review of SCPC report M �� C,0 Draft Covenants and Restrictions received rr t l?v IiTj OK Draft Covenants and Restrictions reviewed I;,Er�lbvyq.A tEjoK Filed Covenants and Restrictions received � ��,� �I�)a3 R�.A CT?`l Receipt of mylars and paper prints with ►z��s/53— , Health approval d Final Public Hearing set ¢oi. ('&t/y {)� Cle�� ,i3j)tiH Approval'of subdivision r �— -with conditions �T— Endorsement of subdivision 2-114194 p "A.5 gl2.7(1( �b �ruS�ePs for re,o►ew we � i II V",j �1,lJ11 �U f l\�1 G'�7 MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD SOUTHAMPTON,N.Y.n968 516-2 -2400 /0 83 `5 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III July 19, 1991 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision of Annette Zabohonski (SCTM # 1000 - 6 - 2 - 1 ) Dear Board Members: In connection with the referenced minor subdivision of premises at Fishers Island, I have enclosed the following: 1. Application for Approval of Plat, together with copy of deed. (The deed covers a significantly larger tract than the 5.91-acre parcel that is the subject of this Application. The applicant no longer owns any contiguous property. The subject premises constitute a portion of Parcel II as described in the deed. ) 2 . Questionnaire, duly acknowledged, together with copy of Certificate of Occupancy for existing structures. 3. Letter re grading, roads, etc. , 4 . Full Environmental Assessment Form, with Part I completed and signed. 5. Check to . the Town of Southold in the amount of $2, 000. 6. Twelve prints of a survey showing the proposed lots. 7. Letter of authorization, signed and acknowledged by Annette Zabohonski. Please advise me immediately if any further information or documentation is required before you can commence the review process for this application. ---_ --- - Very truly yours, i Stephen L. Ham, III JUL 2 2 '991 SLH:ja °- Enclosures r PEE SI N I IG,B�Q A RED TOWN 0 S 0 U, BOLD SU' "FOL-k--1.0�T T . Southold, N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms . If your answer- to any of the following questions is yes, please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are there any wetland grasses on this parcel? Yes No (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) 2. Are there any other premises under your ownership abutting this parcel? Yes No 3. Are there any building permits pending on this parcel? ' Yes No 4. Are there any other applications pending concerning this property before any other department or agency? (Town , State, County, etc. ) Yes No 5. Is there any application pending before any other agency with regard to a different project on this parcel? Yes No 6 . Was this property the subject of any prior application to the Planning Board? Yes No 7. Does this property have a valid certificate of occupancy, if yes please submit..a copy of same Yes No I certify that the above statements are true and will be r_elie_ld , ; on by the Planning Board in considering this application. L 41-w Z� July 19 , 1991 Signature of property owner or authorized agent date Stephen L. Ham, III , as authorized agent of Annette Zabohonsk! . 1 Attachment to questionnaire for...-the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss : On the th day of July 1 " 91, before me personally came Stephen L. Ham, III to me known to be the individual described in--and who executed the foregoing instrument, and acknowledged that he executed the same. E JOE MIEN WTAR`(Pmr,State of Wo Yof%' No,5Z-4916M Notary ublic Qwfifled in o#+�cCounty q( ' �4s Expires Dec�mt�r Yb;1 APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: authorized agent of the The undersigned/applicailt hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.). 2. The name of the subdivision is to be Minor..Subdivi s•i orx.of.Aunor-.te..7a.1lohorisk i ... .............. ......................... ....... . . ...... .. .. .. .. ...... .. .... .... . ... ... .... ... . 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber .52.43. .. . . .. .. ..... . .. . Page ... .. .43.2. .. . . . . . . ... On Oetober..9.,.. 1962 Liber . .. .... .. .. ...... .... .. . Page . . . .. .. .. .. .. .. .. . . ... On . . . .. .. . . .. . . .... .. . . . Liber . ... . .. .. .. .. .. . . .. .. .. . Page .. On Liber ... .. .. .. .. .. .. .. .. .. .. . Page . .. .. .. . . ... . . . .. .. .. . On Liber . .. .. .. .. .. .. .......... . Page . .. .. .. .. . . .. . . .. .. .. . On . .. .. .. .. .. .. .. . . . . ... xxxilbxxiKOklxixl�xx . .. . . . . .. . . . . .. .... ... . .. .. . . . . . . . . ... . x>xxx9bMdbx . .... .. .. .. .. . ... .. .. .. . . . . . . . . .. .. . . .. .. .. . . .. . ... ........ . . .... . . . ... . . . .. .. . . .. .. . . . . .. .. .. ......................... . . . . . .. . . .. . . . . .. . . .. .. ..... .. .. . .. . ... . . .... . .. . 5. The area of the land is . .. ...5:,9.1. .. .. . acres. 6. All taxes which are liens on the land at the (late hereof have been paid.mxx. .. .. .. .. .. . . . . . . . . . . .. . . .. .. . . .. . . .. .. .. ..... . . . . .... . . . .. . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . .. .. .... . .. .. . . .. . 7. The land is encumbered by . .. . . ...11.Q.. .. . . .. . . . . .. . . .. . . . . . . . . .. . . .. .. mortgage (s) -as Ws. .--€el 1 T �•. . . . . . . . .. . . . . . . .. . of $. . . . . .. .. . . . . . unpaid amount $ . .... . . . . . . :. . . . . . . . . held by . . . . . .. . . . . . . . . . .. . .. . . .. .. :. . . . address (b) mortgage recorded in Liber . . . .. . . Pa-e . . . . . . . .. . . . . . . . . .. . . .. . in original amount of . . . .. . . .. paid amount $. .. . . . . . . . . . . . . . . . .... helditi r- y,. -Irldresa .. . . .. . . . . . . .. . .. . . . . . . . . JUL 221,991 .r l'`7 Tie--�Pf-hTFF1Pfl--i ra T '� D�ac� , b of unpaid amount $. . . ... . ....... .. . .. i f 8. There are no other encumbrances or liens against the land,exee . ... . . .. . . . . . . .. . . .. .. .. .. .. .... ..... .. .. .......... 9. The land lies in the following zoning use districts . .. .. . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex- cept wetlan.ds..flagge.d. and .poted. .gn .map. .submitted herewith 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (&XNMKO lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . .. .. .. .F1$hers, •Island 13. Water mains will be laid by . ..N/'A (existing,) and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by i s t i n .. .. .. .. .. .. .. . ... lines. and (a) (no) charge will be made for installing said 15. Gas mains will be installed by NIA and (a) (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public streets in the Suffolk County Highway system, annex Schedule "L"' hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold .IIighwav system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the land which are not located and shown on the plat. 19. Where the plat sho%vs proposed streets N%•liicli are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing maps at their conjunctions with the proposed streets. 20. In the coarse of these procee(l"'.s, the applicant will offer proof of title as required by Sec. 335 of the Itea1 Property Law. 21. Submit a copy of proposed deed for lots sho' in;; all restrictions, covenants, etc. annex Schedule "D". 22. The applicant estimates that the cost of grading and required public improvements will be' $. •0.. ..... as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . .NI.A. .. .. . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE . ..July 19 19 91 Annette Zabohonski .. . . .. .. .. .. .. .. .. .... ..... ............. . . (Name of Applicant) By A*4o%L' .autb.or.i.zP_ agent (Signat re and Title)Stephen L. Ham, III 45 Hampton Road Southampton: NY 11968 (Address) STATE OF NTEW YORK, COUNTY OF . .. .. . .SUFFOLK, ,, ,,,, ,, ,, ,, ,, ss: On the . .. 19th .. .._ , , day of. .. .. ,July , 19.9. . ., before me personally came .$t.Qphen .L:.JiaRl,. .11.1. .. . . .. .. . ... . . . to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . .. ..b .. .. . executed the same. E JANE 41EN (� diR'f PUBUt:,State of!�YrrM . . . ' Notar} ublic .No;52-49164M QtaiiPred in SuWk Nunty CWdWsSiM EXOM Decamher A, STATE OF NEW YORK, COUNTY OF . . . . . .. . . . . . . .. . . .. .. .. .... . ss On the . .. . . .. . . .. .. .. . day . . . .. . . .. . . . of . .. . . .. . . ... . .. 19. .. .. ., before me personally came • . . . • . • . • •. . . . . . . . . . .. .. . to me known, who being by me duly sworn did de- pose and say that . .. .. . . .. .. . resides at No. . .. .. .. .. . . . . . . . . .. .. . . .. . . .. .. .. .. . .. . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . .. . . . . . . .. .. . . . . .. .. . . .. . is the . .. .. . . . . . of . . . .. ... . .. .. . . . . . . . . . .. . .. . . .. . . . . .. .. .. .. . . . . .. .. . . .. . . .. . . . . . . . . . . . . . . . the corporation described in and which executed the foregoing instrument; that . .. .. . . . . .. . knows the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. and that . . . . . . . . . . . . signed . .. . . . . .. . . .. . name thereto by like order. . . . . .. . . . . .. . . .. . . .. . . . . . . . . ... . . . . .. . Notary Public . i July 19 , 1991 Southold Town Planning Board Town Hall Southold, New York 11971 Re: Minor Subdivision. for Annette Zabohonski (SCTM # 1000 - 6 - 2 - 1) Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, L• �,aC Stepheii L. Ham, III , as authorized agent of Annette Zabohonski . 14-16-2 (2187)-7c 617.21 S EQ R Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature,yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1.: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2.and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Z cZ t7 o A o /l s /\ 1 Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Respon3ible_`Office� ;1 = i i - II 11 j Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from j s tonsible officer) Date 1 r PART 1—PROJECT INFORMATION ' Prepared by Project Sponsor , NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these question's will be considered as part of the application for approval and may be subject to further verification and public review. Provide any addition information you believe will be needed to complete Parts 2 and 3.. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION Minor Subdivision of Annette Zabohonski LOCATION OF ACTION(Include Street Address, Municipality and County) Crescent Avenue Fishers Island, Suffolk County, New York NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Annette Zabohonski c/o Stephen L. Ham, III ( 516) 283-2400 ADDRESS 45 Hampton Road CITY/Po STATE ZIP CODE Southampton NY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION Applicant proposes to divide a 5.91—acre parcel into two building parcels of 2.77 acres and 3.14 acres, respectively. The applicant or donees or legatees will construct a single—family residence, gravel drive and sanitary system on each parcel so divided. Setbacks of 100 feet from the freshwater wetlands will be maintained. ' Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ❑Residential (suburban) ®Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 5.91 acres. APPROXIMATE ACREAGE PRESENTLY AFTER 'COMPLETION Meadow or Brushland (Non-agricultural)_ 5_1 1 acres 4.60 acres Forested 0 acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0 .80 acres 0.80 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surfaces 0 acres 0.095 acres Other (Indicate type) 0 acres 0 acres 3. What is predominant soil type(s) on project site? coarse sand with small stones a. Soil drainage: RDWell drained I On % of site ❑Moderately well drained % of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY Land Classification System? N/A acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes MNo * of construction of two a. What is depth to bedrock? c. 600 (in feet) residences at the site . 2 5. Approximate percentage of proposed pr 't site with slopes: n0-10% 100 ; Ell 0-15% % ❑15% or greater % 6. Is project substantially contiguous to, or contain a building;��site, or district, listed on the State or the National Registers of Historic Places? El Yes NNo C '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes MNo 8. What is the depth of the water table? > 17 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? nYes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? - EXYes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes ®No According to J.M.O. Consulting (Glenn Just) Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes ®No Describe 13. Is the project site presently used.-by the community or neighborhood as an open space or recreation area? ❑Yes ❑No If yes, explain unknown 14. Does the present site include scenic views known to be important to the community? Dyes MNo 15. Streams within or contiguous to project area: N/A a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name Ri dgwai Pond and swamp b. Size (In acres) N/A 17. Is the site served by existing public utilities? ®Yes ❑No Ca) If Yes, does sufficient capacity exist to allow connection? ®Yes ❑No b) If Yes, will improvements be necessary to allow connection? R]Yes ❑No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes MNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes MNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.91 acres. b. Project acreage .to be developed: C. 0.51 acres initially; C• 0.51 acres ultimately. c. Project acreage to remain undeveloped 5.40 acres. d. Length of project, in miles: N/A (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N/A %; f. Number of off-street parking spaces existing 0 proposed 0 g. Maximum vehicular trips generated per hour 0 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one per lot Ultimately one per lot i. Dimensions (in feet) of largest proposed structure 35 height; _32 width; 75, length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 0 ft. 3 2. How.much natural material (i.e., rock, earth, etc.) will be removed from the site? 0 tons/cutii�: yards 3. Will disturbed areas be reclaimed? ❑Yes ❑No ®N/A a. If yes, for what intender purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will1.be removed from site? 0.51 Q acres.* 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes KINo 6. If single phase project: Anticipated period of construction 6 months, (including demolition). 7. If multi-phased: N/A a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including.demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ❑No 8. Will blasting occur during construction? ❑Yes MNo 9. Number of jobs generated: during construction 14 ; after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? El Yes INNo If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes ®No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? Eyes ONo Type sewage 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes ®No Explain 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes ®No 16. Will the project generate solid waste? OYes ONo a. If yes, what is the amount per month 0.35 tons per house b. If yes, will an existing solid waste facility be used? ❑Yes [2No c. If yes, give name • location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? CXYes ❑No e. If Yes, explain Fishers Tsland Transfer Station will be 'used 17. Will the project.involve the disposal of solid waste? ®Yes ❑No a. If yes, what is the anticipated rate of disposal? 35 tons/month./residence b. If yes, what is the anticipated site life? ? years. 18. Will project use herbicides or pesticides?• ❑Yes ®No 19. Will project routinely produce odors (more than one hour per day)? Dyes I]No 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes MNo 21. Will project result in an increase in energy use? ®Yes ❑No If yes , indicate type(s) Pi Pr t-.ri na l and home heating oil 22. If water supply is from wells, indicate pumping capacity N/A gallons/minute. 23. Total anticipated water usage per day 300 gallons/day. E 24. Does project involve Local, State or Federal funding? OYes ®N6 If Yes, explain 4 25..Approvals Required: Submittal Type Date City, Town, Village Board ❑Yes ®No City, Town, Village Planning Board ElYes ❑No minor subdivision July 19, 1991 City, Town-Zoning Board ❑Yes ®No upon sketch approval City, County Health Department IX]Yes ❑No Article 6 by Planning Board Other Local Agencies ❑Yes MNo Other Regional Agencies ❑Yes ®No State Agencies ❑Yes IX1No Federal Agencies ❑Yes [@No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? IoYes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit CNsubdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other. 2. What is the zoning classification(s)of the site? R-80 3. What is the maximum potential development of the site if developed as permitted by the present zoning? two single—family dwellings 4. What is the proposed zoning of the site? N/A 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A (same as present) C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes []No 7. What are the predominant land use(s) and zoning classifications within a '/, mile radius of proposed action? single—family residential 8. Is the proposed action compatible with adjoining/surrounding land uses within a Y mile? [ Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? two a. What is the minimum lot size proposed? 2.77 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes ®No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ®Yes ❑No '(insignif ieant) a. If yes, is existing capacity sufficient.to handle projected demand? k7Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes (K]No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Nam Annette Zabohonski Date July 19, 1991 Signature " L, Title authorized agent Stephen . Ham, II If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 I' _J 2-PROJECT IMPACTS AND WEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) I e In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. if impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change ONO DYES Examples that would apply to column 2 Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes El No 3 feet of,existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material-(i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes ❑No • Construction in a designated floodway. ❑ ❑ El Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect t.. _..iy uri.que or unusual land forms found on the site?(i,e., cliffs, dunes, geological formations, etc.)❑NO ❑YES. • Specific land forms: ❑ ❑ ❑Yes El No 6 Small. to Potential Can Impact Be IMPACT ON WATER Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) ❑NO OYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ' ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ El Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ El Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ El Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ El Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ❑NO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ El Yes ❑No C • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes El No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation czusing any contamination of a water ❑ ❑ El Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes []No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to naturai conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes El No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion.of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No { 6. Will proposed action alter drainage flow or `patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 r,oderate 3 Potential Can Impact Be 'Large Mitigated By Impact Project Change Proposed Action may cause substantial erosion.Proposed Action is incompatible with existing drainage patterns. ❑Yes ❑NoProposed Action will allow develo ment in a desi nated floodwa ❑ ❑Yes ❑No pg y ❑ ❑Yes ❑No Other impacts: ❑ ❑Yes ONO IMPACT ON AIR 7. Will proposed action affect air quality? ONO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle. trips in any given ❑ hour. El ❑Yes ONO • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ refuse per hour. El Yes ONO • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ heat source producing more than 10 million BTU's per hour. ❑ ❑Yes ONO • Proposed action will allow an increase in the amount of land committed ❑ ❑ ~ to industrial use. ❑Yes ONO • Proposed action will allow an increase in the density of industrial ❑ development within existing industrial areas. ❑ ❑Yes ONO • Other impacts: I ❑ ❑ ❑Yes ONO , IMPACT ON-PLANTS AND ANIMALS ;. Will Proposed Action affect any threatened or endangered species? ONO. DYES Examples that would apply to column 2 Reduction of one or more species listed on the New York or Federal ❑ list, using the site, over or near site or found on the site. ❑ ❑Yes ❑No Removal of any portion of a critical or significant wildlife habitat. ❑ ' Application of pesticide or herbicide more than twice a year, other ❑ ❑Yes ONO than for agricultural purposes. ❑ ❑ ❑Yes ONO ' Other impacts: I ❑ ❑ ❑Yes ONO Will Proposed Action substantially affect non-threatened or non-endangered species? ONO DYES Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or Migratory fish, shellfish or wildlife species. ❑ ❑ ❑Yes ONO Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important ❑ ❑ ❑Yes ❑No vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? Examples that would apply to column 2 ONO AYES The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) ❑ ❑ ❑Yes ❑No 8 1 2 3 Small to Potential.) Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ El Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. • The proposed action_would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes El No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ❑NO ❑YES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their r enjoyment of the aesthetic qualities of that resource. [i • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ❑NO ❑YES The permanent foreclosure of a future recreational opportunity. ❑ ❑ El Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 9 - - i IMPACT ON TRANSPORTATION 1 2 3 14. Will there be an effect to existing transportation systems? Small to Moderate' Potential total Can', Impact Be LargeMitigated By Examples that would apply to column p I 2 ONO DYES Impact Impact Project Change, • Alteration of present patterns of movement of people and/or goods. ❑ • Proposed Action will result in major traffic problems. El []Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No ❑ ❑ El Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? Examples that would apply to column 2 ONO DYES • Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. El El ❑Yes ❑No =_ • Proposed Action will require the creation or extension of an energy El ONO ❑ ~' transmission or supply s stem to serve more than 50 single or two family x� ❑PPY Y residences or to serve a major commercial or industrial use. Y • Other impacts: a ❑ El ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ONO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive facility. ❑ ❑ El Yes []No • Odors will occur routinely (more than one hour per day). �- • Proposed Action will produce operating noise exceeding the local ❑ ❑ El Yes ❑No ambient noise levels for noise outside of structures. ❑ El El Yes ❑No ' Proposed Action will remove natural barriers that would act as a noise screen. ❑ ❑. ❑Yes ❑No ' Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 7• Will Proposed Action affect public health and safety? Examples that would apply to column 2 ONO AYES Proposed Action may cause a risk of explosion or release of hazardous ❑ substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of El ❑Yes ❑No accident or upset conditions, or there may be a chronic low level discharge or emission. Proposed Action may result in the burial of "hazardous wastes" in any ❑ �� form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, ❑ 0-Yes ONO infectious, etc.) j Storage facilities for one million or more gallons of liquified natural has or other flammable liquids. ❑ ❑ ❑Yes ❑No I Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ❑NO tivithin 2,000 feet of a site used for the disposal of solid or hazardous Waste. -- Other impacts: ❑ ❑ El Yes ❑No 10 •• 1 2 IMPACT ON GROWTH AND CHARACTER 3 Small to Potential . Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change . ❑NO ❑YES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes []No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services l] ❑ ❑Yes ❑No will increase by more than'5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes El No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ ❑Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes El No • Other impacts: ❑ ❑ El Yes El No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO OYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude,that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. _ (Continue on attachments) 11 14.14.11 ( 's7)-9c 617.21 SEQR • Appendix B State Environmental Quality Review Visual EAE Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead'Agency) Distance Between Visibility Project and Resource (in Miles) 1. Would the project be visible from: 0-1/a 1/4-1/2 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available. ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic'qualities? • An overlook or parcel. of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or.highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ ❑ ❑ ❑ ❑ • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal? (i.e., screeried by summer foliage, but visible during other seasons) El Yes ❑No 3. Are any of the resources checked in. question 1 used by the public during the time of year during which the project will be visible? ❑Yes ❑No 1 1 e DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the'surrounding environment. Within *'/a mile *1 mile Essentially undeveloped ❑ ❑ Forested �, ❑ ❑ Agricultural } ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile ❑Yes ❑No - *1 miles ❑Yes ❑No *2 miles ❑Yes ❑No *3 miles El Yes El No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ . E 2 Annette Zabohonski Fishers Island, New York 06390 May 13 1991 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Minor Subdivision of Premises at Crescent Avenue, Fishers Island, New York (SCTM # 1000-6-2-1) Dear Sirs: Please be advised that Stephen L. Ham, III of Matthews & Ham, 45 Hampton Road, Southampton, New York, is authorized to act as my agent concerning all matters relating to the referenced minor subdivision involving my property at Fishers Island, New York, including the execution by him of all documents and the taking by him of all other required actions on my behalf in connection with the application for such minor subdivision approval. Very truly yours, Annette Zabohonski ACKNOWLEDGMENT STATE OF NEW YORK ) j 2 2 !991 ss. . COUNTY OF SUFFOLK ) �F- On the day of May, 1991, before me personally came Annette Zabohonski, to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that she executed the same. \ I EfL.EEM G. WALL Notary Public, State of Naw 'Yvw► No. 52-9509185 Qualified in ':•,?;•;ik Countyq/7 Notary Public rwn f�oirwsA 33. 19..� Q 'W .