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1000-2.-1-15.1
/ 28-4 I p�-2 26-5 ml 25-M8 MA i� \7-3P 26-6 \ /27-3A \ 25-12 L6 27 25-13 J ru4�.96� 28- / �-2 2`� II /l 726 / / 8-9 It IR P 26-II Doefon 27 27-8 /� ® P -15 26-7 8 83• 2P-Y> 29-10 '` Urry 354. •a `' !�/�(• 30-3 / 54.83• `4 o•r 28-II \` _ 29-II `- �' REFERENCE LIBER IIg19 PAGE 152 55 » cn /?g-1 \ 3o-a 30-2 3C-1 TAX MAP - DISTRICT 1000 , SEC 2 o ISo,�t a 29-9 30-5 8 L O C K I , LOT I G. O O 2 Q7 ,U 85 5'r�' \�•� � J - �30\� e �.O\ 2 pod 8 29-2 I 29-6 ' 29-3 13o a 30-10 30-7 29-78 •11 :::::;':; ft_��L_�t=� n tlon 29-4 61-1 1_�w_,• v H L_1" -Tc C�� = 4 -8 29-5 30-1`,` � ;,;'.N.�7a,2676• �..::..:.,:'.::.:• ::•:::•:..'::;:•:: ` , 30 �ryM ry \ � O 3 , � 1/ \\�. 30 co to \c �p C ✓ ✓✓ r XL o m /J/' 1 `✓ems ' : - y 6°2"� v c; •jam• \ :.,•:•�. TAX MAP - P15TRICT 1000 SEC. 2 ti� ( v _' //w� 0 00 •z6' BLOCK I , LOT 1 O15.001 ��? �``� \0 �$o2 s79 � .54-30 __ YY 202.05' V-11 10 C.) I� 9aL 2 �PF 00� �9 � I h 2 . N ✓'�. `� � •a h6°p 69 ✓�,✓p N',� 'C P t✓.2 p9 huh, ,/ •O• OA ,GjA 23• 3h 1000i �\\ �Z D\STR\S 0�OT O cl -or 1 ' Z � SEG. 222•�,�.E� N �32� C�4 APPROV.rD BY PLANNING POARp TOWN OF SOUTHOLD DAT EB 24 I.INF FEARING DISTANCE I. �c�J�1�Z �� �-Yr� Z� La7- -15 TAX L01 ICo I) FM ' 8 1992 L- - 1 H L-..t r v � 1�1 2 N 41'34 '00"W 38.37 N 2 ' 4fa ' 10"E 42.93 a N 7 a'S7 ' 10"F 55.7 i �--"�--�� �� C'` �'�u��--•� Z�€�o� SOUTHOLD TOWN r N 12'01 '60"E a3.24 �7 L�'� �,� E' TA X L OT 5 15 1 , 15.2, 1 G.2, 1 8) PLANNING BOARD + / I• Z+ F F 70' ' "4P 40F 41 .9fi 1. 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ADDITIONS a F-C, 3oO1 9$ JAN. 8) 199Z REVISIONS I`EB. 10, 1992 � � 55 PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman j . ` s :r��:'::,r, ,. "?` +', Supervisor George Ritchie Latham, Jr. Richard G. Ward o;< -� Town Hall, 53095 Main Road Mark S. McDonald == 'f 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 February 25, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Lot-line change for Porter & Mary Goss and Michael Laughlin SCTM* 1000-2-1-15.1 & 16 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 authorize the Chairman to endorse the final surveys dated February 10, 1992. All conditions of final approval have been met. Enclosed please find a copy of the map that was endorsed by the Chairman. Very truly--y/oours, Bennett Orlowski, Jr. .mf Chairman Encl. cc: Victor Lessard, Principal Building Inspector Scott Russell, Assessors Office FZ� 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 L.HAM,III February 14, 1992 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Re: Lot Line Change: Porter J. Goss & Mary R. Goss and Michael L. Laughlin (SCTM # 1000-2-1-15 1, 16. 1 & 16.2) Dear Board Members: In connection with your resolution adopted at the September 30, 1991 hearing with respect to the referenced lot line change, I have enclosed the following: 1. Five prints of the final map containing, among other things, the information you required with respect to the newly assigned tax map numbers and recording information for the deed effecting the lot line change. 2. Certified copy of deed, dated January 31, 1992 from Michael L. Laughlin to Porter J. Goss and Mary R. Goss, recorded on February 7, 1992 in Liber 11414 page 192, containing the required merger language. If the enclosed documentation is in order, please have the Chairman endorse the several prints of the map to indicate that the conditions have been met and that final approval has been granted. If you require any further information or documentation before such action can be taken, please notify me immediately. Sincerely, Stephen L. Ham, III SLH:ja 0 ' Enclosures FM 18 n OLD ^n ( � 6 1 PLANNING BOARD MEMBERS !. ry `I c+i SCOTT L. HARRIS Supervisor Bennett Orlowski, Jr., Chairman Su�'. _� _�.���,•��'�'� 'ti 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 October 1, 1991 Stephen L. Ham III -= Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Proposed Lot-line change Porter & Mary Goss and Michael Laughlin SCTM#1000-2-1-15.1 & 16 Dear Mr. Ham: The following took place at a meeting of the Southold Town Planning Board on Monday, September 30, 1991. The final public hearing, which was held at 7: 45 P.M. , was closed. The following resolution was adopted: WHEREAS, Porter & Mary Goss and Michael Laughlin are the owners of the property known and designated as SCTM#1000-2-1-15.1 & 16, located at the east side of a private road on West Harbor on Fishers Island; and WHEREAS, this lot line change, to be known as Lot line change for Porter & Mary Goss and Michael Laughlin, is to subtract a . 66 acre of land from a 5. 47 acre parcel now owned by Michael Laughlin and add it to an adjoining 1.16 acre parcel now owned by 'Porter and Mary Goss; 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 March 11, 1990; and WHEREAS, a final public hearing was closed on said lot-line amendment application at the Town Hall, Southold, New York on September 30, 1991; and Page 2 Porter & Mary Goss and Michael Laughlin 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 November 21, 1990, and authorize the Chairman to endorse the final surveys subject to fulfillment of the following conditions. These conditions must be met within six ( 6) months of the date of this resolution. 1. The submission of corrected surveys showing the tax map numbers of both lots and the tax map number and area of the portion of the lot to be conveyed. 2. The filing of new deed pertaining to the merger of . 66 acre from the lot owned by Michael Laughlin and designated on the survey as SCTM#100072-1-16, with a 1.16 acre parcel owned by Porter and Mary Goss and designated as SCTM#1000-2-1-15.1, resulting in a merged parcel of 1.82 acres. A copy of the filed deed must be submitted to the Planning Board and the Liber and page number, of the filed deed must be placed on the survey. Please contact this office if you have any questions regarding the above. Very truly �y/ours, Bennett Orlowski, Jr./ Chairman 11 Q6PA.54 DECLARATION DECLARATION, made the 27 14 day of July, 1991, by PORTER J. GOSS and MARY R. GOSS, both now residing at 3869 Gulf Drive, Sanibel Island, Florida, and MICHAEL L. LAUGHLIN, now residing at 330 Kershaw Street, Aiken, South Carolina, hereinafter referred to collectively as the Declarants. DISTICT 1000 WHEREAS', the Declarants are the owners of certain real SECTION property situate at Fishers Island, Town of -Southold, Suffolk 002 . 00 BLOCK County, New York, as shown on the map entitled "Proposed Lot Line 01 . 00 Change - Properties of Porter J. and Mary R. Goss and Michael L. LOT 015 . 001 Laughlin" , prepared by Chandler, Palmer & King, dated March 28, 1990, revised 7 September 1990 and November 21, 1990, which map is to be . filed in the Offices of the Town Clerk and the Building Department of the Town of Southold, with the said Porter J. Goss and Mary R. Goss being the owners of Block 27, Lot 6 as shown°, DISTRICT thereon and as more particularly described on Schedule A hereto 1000 SECTION and the said Michael L. Laughlin being the owner of Block 27, Lot 002 . 00 5 as shown thereon and more particularly described on Schedule B BLOCK 01 . 00. hereto; and . LOT WHEREAS, the Declarants have made application to the 016 . 000 Planning Board of the Town of Southold for approval of a lot line change as shown on the above referred to map, to wit: the 'V .« "''�'' transfer of a . 66 • +/- acre parcel as shown thereon by the owner t•s�10Ep�. �U of Block 27, Lot 5 to the owners of Block 27, Lot 6, which . 66 acre parcel is more particularly described in Schedule C hereto; rN and. 11 6P6455 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 owners 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 Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Lots; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said premises described on Schedule A and Schedule B 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 helrt, executors, legal representatives, distributees, successors and assigns, to wit: 1. That no Lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold Planning Board. 2 . That clearing and grading within each Lot shall be limited to that necessary for siting and constructing a house with the intent of preserving as much of the natural vegetation on the 2 30SPb456 site as possible, and to minimize stormwater runoff and erosion. Notwithstanding the foregoing, the Declarants and subsequent owners of the Lots shall be permitted to continue to trim and clear vegetation on the Lots so as to preserve the views from their dwellings and otherwise to maintain the Lots in a neat and orderly manner so long as they do so , in compliance with all State and local laws, ordinances, rules and regulations then in effect. 3 . That no new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the shoreline of Fishers. Island Sound. 4. That no stormwater runoff resulting from the development and improvement of the subdivision or any of its Lots shall be discharged into the tidal wetlands bordering the Lots. 5. That these Covenants. and Restrictions can be modified only at the request of the then owners 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 public hearing but their consent to such modification shall not be required. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of ' th nd year first above written. Port Goss Mary .R. ss r Michael L. faughlin 3 11306PG457 STATE OF ELM3±11A ) COUNTY OF ,.)cf CA¢ "%L . ) a On the �7l"' day of July, 1991, before me personally appeared Porter J. Goss and Mary R. Goss, to me known and known to me to be the individuals described in and who executed the foregoing instrument and they ac➢cn me tat t y executed the same. Notary Public A��(( z.. �' DOHERTY del. ew \fOtZIL N916IFY 60lie State of NOOOV96 No,4805569 STATE OF A ) Oualllito In Sutfolk County (����tl`l` ss• Term Expires 12131n70%� COUNTY OF J ) On the -c:)? f` day of July, 1991, before me personally appeared Michael L. Laughlin, to me known and known to me to be the individual described in and w ge th fo ego'ng instrument and he acknowledged to me a he uted acne Notary Public WgIfFy Public State of Neiy York,, , . No,4806559 ( Ousllfito In Suffolk County. Term Expires_12/3114rs/ i STATE OF NEW YORK ss.. County of Suffolk 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 C rt bei a Col f Record)DO HEREBY CERTIFY that I Ave compared the an exe copy of ,l glw eC&V vel P a 0, 'F 4 A- ✓_^ and that it is a just and true f 1 opy o such original _ '/t,,tt—,O/L and of the whole thereof. IN TESTIMONY WHEREOF,I have hereunto set gny hand and affixed the seal of said County and Court this .30 day of 19 19 1 / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �,�t,.f Form No. 104 Clerk. 12-109..1 y89cs L 11306P6458 SCHEDULE A BLOCK 27 - LOT 6 A certain tract or parcel of land .with the building thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as- follows: BEGINNING at a monument on the Northeasterly line of a road, said monument being located 4118. 16 feet North of a point which is 711. 31 feet West of a monument marking the United States Coast and Geodetic Survey Tria `�julation Station "NIN" and running thence . Northwestwardly along "said road line following the arc of a curve to the left having a radius of 364.36 feet for a distance of 136. 08 feet to a point; thence North 41 degrees, 34 minutes and 00 seconds West 38.37 feet to a point of curve to the right having a radius of 275.84 feet; thence. Northwardly . along said road line following the arc of said curve for a distance of 196.77 feet to a point on said road line which is 4443 .41 feet North of a point which is 874. 32 feet West of said monument marking the United States. Coast and Geodetic Survey Triangulation Station "NIN"; thence North 79 degrees, 26 minutes and 20 seconds East 104.76 feet to. an iron pipe; thence South 39 degrees, 41 minutes and 30 seconds East 320.99 feet to a point; thence South 56 degrees 05 minutes and 29 seconds West 174.69 feet to the monument on the said Northeasterly line of the road at the point of beginning. 5 11306PE459 SCHEDULE B BLOCK 27 - LOT 5 A certain tract or parcel of land with the buildings thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a monument on the Southwesterly line of a road, said monument being located 4536. 01 feet North of a point which is 127. 64 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence Southeastwardly along said road line following the arc of a curve to the left having a radius of 169. 09 feet for a distance of 53.73 feet . to a monument thence South 20 degrees, , 39 minutes and 30 seconds West 136. 83 feet to a point; thence South 60 degrees, 43 minutes and 00 seconds West 247.30 feet to an iron .pipe; thence South 82 degrees 54 minutes and 30 seconds West 202.85 feet .to a point; thence North 39 degrees, _ 41 minutes and 30 seconds West 320.99 feet to an iron pipe; thence South 79 degrees, 26 minutes 20 seconds West 104.76 feet to the Easterly line of a road at a point of a curve to the right having a radius of 275.54 feet, said point being located 4443 .41 feet North of a point which is 874.32 feet West of said monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" ; thence Northwardly along said road line following the arc of said curve for a distance of 112 .79 feet to an iron pin on the Southeasterly line of said road; thence North 22 degrees, 48 minutes and 10 seconds East 42. 93 feet to a point of curve to the left having a radius of 415.99 feet; thence Northeastwardly along said road line following the arc of said curve for a distance of 34.78 feet to a point; thence South 83 degrees, 14 .minutes and 20 seconds East 354.83 feet to a point; thence North 74' degrees, 57 minutes and 10 seconds East 55.71 feet to a point; thence North 37 degrees, 00 minutes and 15 seconds East 142. 69 feet to a point; thence North 12 degrees, 01 minutes and 50 seconds East 43 .24 'feet to a point on the Southwesterly line of the first mentioned road; thence South 79 degrees, 48 minutes and 40 seconds East 41.96 feet along said road line to a point of curve to the right having a radius 'of 147 . 65 feet; thence Southeastwardly along said road line following the arc of said curve for a distance of 154.25 feet to a point; thence South 19 degrees, 57 minutes and 10 seconds East 123 . 04 feet along said road line to the point of beginning. 6 11306P6"46+3 SCHEDULE C Portion of Block 27 - Lot 5 to be transferred to Block 27 - Lot' 6 A certain tract or parcel of land with the buildings , thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a point on the Easterly line, of a road, said point being located 4443 .41 feet North of a point which is 874.32 feet West of a monument . marking the United, States Coast and Geodetic Survey Triangulation Station "NIN" and running* thence North 79 degrees, 26 ' minutes .and 20 seconds East 104 .76 feet to an iron pipe; thence South 39 degrees, 41 minutes and 30 seconds East 320.99 feet to a point; thence North 22 degrees, 41 minutes and 46 seconds West 354 . 00 feet to a point; thence North 85 degrees, 45 minutes and 13 seconds West 150.29 feet to the said Easterly line of the road at a point of curve to the left having a radius of 275.54 feet; thence Southwardly along said road line following the arc of said curve for a distance of 112 .79 feet to the point . of beginning. 7 a,yr.,_., •.1!'! •ti•` - L .!.�•l+. `1. � ' � .?i,,, .S. j%!�.�;' 'P 7 .t �}C`•:'EJ,u,!�l�fiJi,t�.4^� � >�'..-. �_�� P' :i, .rt r 4i. " � I .a f .i'.r P -yam F �'i '!r (� �•'j� "l s _ _ DECLARATION OF ' PORTER" J-. GOSS ,and MARY it._ G09S _ :p - ' � _ - ' _ -. - :� - - : _ .. � .: - _-AND . .� - - :,- �_ -� •_ - -;- � _ " - - � =_ _ -. -_. - . I:AIIG MIN tv F'.-JF Ate-%_ .. - w-fit0.•[W.rv__ J� —__ -..�_ rYa ..��v-- v.. may.A..:+-a aL,.i'"..Y. _ a..•i:b•...•�MN'..:.2+4' _ a:A-•Y+I.Y.•...�.1. �i-H'..w..� �_ ..— - - DULY j , - REcaRD A�,� RETr+Rt 16� :zZ of _ MATTHEWS' � HAM 3 - :45 HAMPTON-ROAD r l I (�. `SOUTHAMPTON .NEW-;PORK 41968 114116".192 CORRECTION DEED� r\ I�•d $Q 00 Form 8002*I-89-20M—l3argnin and Sale Deed,with Covenant against Grantor's Acts—Individual or Cor _ion. (single sheet) (No Con kONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. siderati n) THIS INDENTURE,made the 31 sr day of January , nineteen hundred and ninety-two BETWEEN MICHAEL L. LAUGHL'IN , now residing at 1401 Cooksbridge Road , Aiken , South Carolina 2Y801 party of the first part, and PORTER J . GOSS and MARY R. GOSS , both now residing at 3869 Gulf Drive , Sanibel Island , Florida 33957 , as joint tenants with right of survivorship , r• L.. G tt , party of the second part, WIITNESSETH,that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the See Schedule A hereto a 1 i 'TOWN 1NG OARS *�rsony I r� •` 7 REAL ESTATE : �RAN� ER TAX r t SUF -01-1 ' NTY TAX MAP DESIGNATION Dist. 1000 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances Sec. 002 . 00 and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of Rlk. 01 .00 the party of the second part forever. s - STATE OF NEW YORK ss.. County of Suffolk I' 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 C uQ rt being a Court of Record)DO HEREBY CERTIFY that I have compared the arpexed copy of :0AA rE�-��� //L/ �-�P �r a. �r and l and that it is a just and true copy of such original of the whole thereof. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed�the seal of said County I and Court this day of �{�--- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r'�.; ..„? .l�: .�l�r �,,as�.� • . . . . � Clerk. Form No. 104 12-109..12/89cs STATE OF� X� , COUNTY OF i� S i'�4ss: STATE OF NEWly, 1K, COUNTY OF ss: 1 On the 11 day of January 1992 , before me On the of 19 , before me � personally came personally came Michael L. Laughlin .Nf!14 to me known to be the individual described in and who to me known to be the individual described in and who .pm� executed the foregoing instrument, and acknowledged that executed the foregoing instrument, and acknowledged that he executed the same, executed the same. Notary Pu lic STEPHEN L.HAM,III Notary Public,State of New York No.52.4680120 Qualified in Suftalk County Commission Expires July 31,19l STATE OF NEW YORK, COUNTY OF ss: STATE OF NEW YORK, COUNTY OF ss: On the day of 19 , before me On the _- Ada of 19 , before me personally came personally1t�ame � to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that he resides at No. whom I am personally acquainted, who, being by me duly sworn, did depose and,say that he resides at No. that he is the of that he knows the corporation described in and which executed the foregoing instrument; that he to be the individual knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- execute the same; and that he, said witness, tion, and that he signed It name thereto by like order. at the same time subscribed"h name as witness thereto. jDargain anb gbale Meeb SECTION WITH COVENANT AGAINST GRANTOR'S ACTS TITLE No. BLOCK LOT COUNTY OR TOWN MICHAEL L. LAUGHLIN TAX BILLING ADDRESS TO PORTER J . GOSS and MARY R. G 0 S S Recorded At Request of Ticor Title Guarantee Company RETURN BY MAIL TO: Stephen L. Ham, III Matthews & Ham Diriribinrd by 45 Hampton Road 1091 Southampton, NY 11968 TICOR TITLE GUARANTEE Zip No. W U W W O O z O _-..2 oC W O W N s W V Q d N N H � r d NW W 11414PG194 SCHEDULE A TO DEED Grantor: Michael L. Laughlin Grantee: Porter J. Goss and Mary R. Goss Deed dated: January 31 , 1992 A certain tract or parcel of land with the building thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a point on the Easterly line of a road, said point being located 4443 .41 feet North of a point which is 874.32 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence North 79 degrees, 26 minutes and 20 seconds East 104 .76 feet to an iron pipe; thence South 39 degrees, 41 minutes. and 30 seconds East 320.99 feet to a point; thence North 22 degrees, 41 minutes and 46 seconds West 354. 00 feet to a point; thence North 85 degrees, 45 minutes and 13 seconds West 150.29 feet to the said Easterly line of the road at a point of curve to the left having a radius of 275.54 feet; thence Southwardly along said road line following the arc of said curve for a distance of 112.79 feet to the point of beginning. BEING AND INTENDED TO BE a part of the same premises transferred to the grantor herein by deed dated September 4, 1969 and recorded in the Office of the Suffolk County Clerk on September 9, 1969 in Liber 6619 page 223 . { SUBJECT TO a Declaration dated July 27, 1991 and recorded in the Office of the Suffolk County Clerk on July 30, 1991 in Liber 11306 page 454, and to other convenants, agreements, restrictions and easements of record. By accepting this deed, the grantees herein understand, intend and agree that, upon the recording of this deed, the above-described premises will merge with and become a part of other premises of the grantees adjoining on the south and west, said other premises bearing Suffolk County Tax Map No. 1000-002.00-01.00-015.001 and being shown and designated as Block 27, Lot 6 on Map of Fishers Island Development Corporation, which Map was filed in the Office of the Suffolk County Clerk on September 25, 1991 as Map No. A421. This deed is being recorded to correct the identification of the parcel with which the above described premises are merged, said other parcel being incorrectly identified in the deed to the same premises dated October 31, 1991 and recorded on December 17, 1991 in Liber 11387 Page 438. This deed supersedes said previously recorded deed. 134 - ►' MJ .,:l.. U.- D YHOLD 100 NNING BOARD PLANNING BOARD 7 SEPTEMBER 1991 j Mr. Orlowski: 7:45 p.m. Porter and Mary Goss and Michael Laughlin - This proposed lot line change is to subtract a . 66 acre of land from a 5.47 acre parcel and to add it to a' 1.16 acre parcel -on Fishers Island. SCTM #1000-2-1-15.1 & 16. We have proof of publication in both papers and at this time everything is in order for this hearing. Do you have any objections to this lot line change? Are there any endorsements for this lot line change? Steven Ham: For the applicants. This is a related application as you know and I urge you to approve this. Mr. Orlowski: O.K. , any other 'endorsements? Hearing none, is there anyone out there neither pro nor con but may have information pertaining to this lot line change that may be of interest to the Board? Hearing none, any questions from the Board? Board: No questions. Mr. Orlowski: I ' ll make a motion to close the hearing. Mr. Latham: So moved. Mr. Edwards: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in.- favor? Ayes: Mr. Edwards, Mr. Latham, Mr. McDonald, Mr. Ward, Mr. Orlowski. Mr. Orlowski: Opposed? So ordered. Mr. McDonald: Mr. Chairman, I would like to offer the following resolution. WHEREAS, Porter & Mary Goss and Michael Laughlinare :the owners of the property known and designated as SCTM #1000-2-1-15.1 & 16, located at the, east side of a private road on West Harbor on Fishers Island; and WHEREAS, this lot line change, to be known as Lot line change for Porter & Mary Goss and Michael Laughlin, is to subtract a .66 acre of land from a 5. 47 acre parcel now owned by Michael Laughlin and add' it to an adjoining 1.16 acre parcel now owned by Porter and Mary Goss; 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 March 11, 1990; and PLANNING BOARD 8 SEPTEMBER 1991 WHEREAS, a final public hearing was closed on said lot-line amendment application at the Town Hall, Southold, New York on September 30, 1991; 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 November 21, 1990, and authorize the Chairman to endorse the final surveys subject to fulfillment of the following conditions. These conditions must be met within six ( 6) months of the date of this resolutions. 1. The submission of corrected surveys showing the tax map numbers of both lots and •the tax map number and area of the portion of the lot to be conveyed. 2. The filing of a new deed pertaining to the merger of . 66 acre from the lot owned by Michael Laughlin and designated on the survey as SCTM#1000-2-1-16, with a 1.16 acre parcel owned by Porter and Mary and designated as SCTM #1000-2-1-15.1, resulting in a merged parcel of 1. 82 acres. A copy of the filed deed must be submitted to the Planning Board, and the Liber and page number of the filed deed must be placed on the survey. Mr. Latham: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion?_ All those in favor? Ayes: Mr. McDonald, Mr: Latham, Mr. Orlowski, Mr. Edwards, Mr. Ward. Mr. Orlowski: Opposed? So ordered. Hearings Held Over. From Previous Meetings: Mr. Orlowski: Eleanor Sievernich - This minor subdivision is for two lots on 3.748 acres located on the east side of Cox Neck Lane in Matti.tuck. SCTM #1000-113-8-5 . There are no questions or comments on this subdivision so I will entertain a motion to keep this hearing open since it is subject to a Article 78 proceeding at this time. Mr. Ward: So moved. Mr. Latham: Second. PUBLISHER'S CERTIFICATE State of Connecticut ) County of New' London ) ss. New London On this 21st day of October Legals "'10 A.D. 1991 , personally appeared before the undersigned, LEGAL 462 Townof Southold Notice of Public Hearing a Notary Public, within and for said County and State, NOTICE IS HEREBY GIVEN that pursuant to Section 276 of the Town Law,a public hearing will be held by the Southold J. L. Legal Adv. Clerk Town Planning Board, at the Zielinski , Town Hall, Main Road, South- old, New York in said Town on the 30th day of September 1991 on the question of the following: of THE DAY, a daily 7:40 P.M. Final approval for the lot line change for Porter J. and Mary Goss on Fishers Is- land, in the Town of Southold, County of Suffolk and the state newspaper published at New London, County of New of New York Suffolk County Tax Map Number.1000-2-1-13 714. The property is bordered on the norm by land now or for- London State ofwho being duly sworn, for- merly of James Gannon and' i r Stt f Connecticut, wife; on the east by a private road; on the south by Rocky Ledge Inc.,; on the west by Fishers Island Sound west states on oath, that the Order of Notice in the case of Harbor. 7:45 P.M. Final approval for the lot line change for Porter & Mary Goss and Michael Laugh- lin on Fishers Island, in the Town of Southold, County of Suffolk and the State of New York, Suffolk County Tax Map Number.1000-2-1-15.1 &16. a true co of which The property is bordered on copy the north by land now or for- merly of Charles J. Harrington; on the northeast by a private road; on the southeast by a is hereunto annexed, was published in said newspaper in private road; on the southwest by a private road. Any person desiring to be heard on the above matter its issues of the should appear at the time and 21st place specified. Dated:September 16,1991 By Order of the Southold Town Planning Board days of September A'. D. 1991 . Bennett Orlowski,Jr. Chairman l 1 Subscribed and swo to before me this 21st day of October A. D. 19 91. Notary Public. COUNTY OF SUFFOLK Berth Lewendoski;on the south S'I'A'1'1: O 1= .NEW YO IZ K by land now or formerly of Har- riet K. Botta, and by land now or formerly of Ellen M. Black Guyton; on the west by. land Patricia Wood,' being duly sworn, says that she is the now or formerly.of ElizabethV. Editor, of 1'I-IE LONG ISLAND TRAVELER-WATCHMAN, Fox. a public newspaper printed at Southold, in Suffolk County; 7:35 P.M.linFinal approval for and that the notice of which the annexed is a printed•the lot line change for Bax- p copy, ter/Terp at Cutchogue, in the ; 1111% kern •1)ublished in said Long Island 'I'raveler-Watchman Town of Southold, County of i (Mce each week for. . . . . . . . . . . . . . . . . . . . . . ./„ • . weeks Suffolk and the State of New York.Suffolk County Tax Map / Number 1000-102-5-9.3. succrssivrly, commencing on the . . . . . . . . . . . . . . . . . . . . . . The property is bordered on the northeast by land now or formerly of North Street Real- tl'�Y o 1 • • • • 19 . � . , ty; on the east by land now or formerly of Stanley G.&Helen l l� B. Case; on the southeast by 9 • • • • Main Road (NY.S.'25); on the south by land now or formerly of Richard Cron; on. the southwest by Griffing Street;on, Sworn<�r•n l c b e f ct rr m c l h i s the northwest of School House / • . • • . . . . . . . day of Lane. 7:40 P.M. Final approval for 19 �✓ the lot line change for Porter J. and Mary Goss on 'Fishers 'Island,in the Town of Southold, County of Suffolk and the State r of New York. Suffolk County G/ C ��� . . . . . . . . Tax Map Number 1000-2-1-13& • . . . . . . , . , . , , 14. Notary Public The property is bordered on the north by land now or BARBARA A. SCHNEIDER formerly of James Gannon and NOTARY PUBLIC, St^te of New York wife; on the east by a private No. 480G846 LEGALS NOTICE road; on the south by Rocky Q ualificrl in Suffolk Co nt� Notice of Public Hearing I-edge Inc.; on the west by Commission Expires� 3 Fishers Island Sound West NOTICE IS HEREBY GIV-1 Harbor. EN that pursuant to Section 276' 7:45 P.M. Final approval for of the Town Law,a public hear-� ,the lot line change for Porter&, ing will be held by the Southold; Mary Goss and Michael, Town Planning Board, at the, Laughlin on Fishers Island, in! Town Hall, Main Road, the Town of Southold, County! Southold, New York in said of Suffolk' and State of Newt Town on the 30th day, of, York,Suffolk County Tax Map, September, 1991 on the question Number 1000-2-1-15.1 & 16. of the following: I The property is bordered on', 7:30 P.M. Final approval of the north by land now or the major subdivision for Mat-i formerly of Charles J. Harr- , tituck Creek Estates located at( ington; on the northeast by a Mattituck, in the Town of private road;on the southeast by Southold, County of Suffolk I ,a private road;on the southwest " and the State of New York.Suf- by a private road. folk County Tax Map Number Any person desiring to be 1000-107-1-2. heard on 'the above matter The property,is bordered on 4 should appear at the time and the north by Mill Road; on the ' place above specified. northeast by Reeve Road;on the Dated: September 13, 1991 southeast by Grand Avenue,by BY ORDER OF THE land now or formerly of Eugene SOUTHOLD TOWN O.Graf,by land now or former- PLANNING BOARD ly of Florence Paulak, by land Bennett Orlowski, Jr.• now or formerly of William & Chairman -- —— — 1X-9/19/91(65) # STATE OF NEW YOR K) UTH A.POLIWODA )SS: Notary Public,State of New York COUNTY OF SUFFOLK) No.4982430 oualified in Suffolk County �ission Fxoires June 3,1993 �-- of Mattituck, In said County, biWng duly sworn,says that he/she Is Principal Clerk of THE SUFFOLK TIMES, a Weekly Newspaper, published at Mattituck, In the Town of Southold, County of Suffolk and State of New York,and that the Notice of which the annexed Is a printed copy,has been regularly published in said Newspaper once each week for weeks su essively, commencing on the _ day of Principal Clerk Sworn to before this � day of SEP 2 4 1991 a SOUTHOLD TOWN 9 PLANNING GUARD . Botta,and by land now or formerly of north by land now or formerly of _ Ellen M. Black Guyton;on the west James Gannon and wife;on the east LEGAL NOTICE by land now or formerly of Elizabeth side by a private road;on the south by . Notice of Public Hearing V.Fox. Rocky Ledge Inc.; on the west by NOTICE IS HEREBY GIVEN that 7:35 P.M.Final approval for the lot Fishers Island Sound West Harbor. '.` the pursuant to Section 276 of the line change for Baxter/Terp at 7:45 P.M.Final approval for the lot Town Law,a public hearing will be- Cutchogue,in the Town of Southold, line change for Porter&Mary Goss held by the Southold Town Planning County of Suffolk and.the State of and Michael Laughlin on Fishers - Board,at the Town Hall,Main Road, New York.Suffolk County Tax Map Island, in the Town of Southold, Southold,New York in said Town on Number.1000-102-5-9.3. County of Suffolk and the State of the hold day of York inSepte said ow on The property is bordered on the New York.Suffolk County Tax Map : northeast by land now or formerly of Number.1000-2-1-15.1&16. the question of the following 7:30 P.M. Final approval of the North Street Realty; on the east by The property is bordered on the major subdivision for Mattituck land now or formerly of Stanley G.& north by land now or formerly of Creek Estates located at Mattituck,in Helen B. Case; on the southeast by Charles J..Harrington; on the north- the Town of Southold,County of Suf Main Road(N.Y.S.25); on the south east by a private road;on the south- folk and the State of New York.Suf- by land now or formerly of Richard east by a private road;on the south folk County Tax Map Number. 1000 Cron;on the southwest by Griffing west by a private road. Street; on the northwest of School Any person desiring to be heard on 107-1-2. The property is bordered on the House Lane. the above matter should appear at the north by Mill Road;on the northeast 7:40 P.M.Final approval for the lot time and place specified. ' by Reeve Road; on the southeast by line change for Porter J. and Mary Dated:September 13,1991 Grand Avenue,by land now or for- Goss on Fishers Island,in the Town BY ORDER OF THE merly of Eugene O. Graf,by land of Southold,County of Suffolk and SOUTHOLD TOWN now or formerly of Florence Paulak, the State of New York.Suffolk Corm- PLANNING BOARD Tax Map Number. 1000-2-1-13& Bennett Orlowski,Jr. by land now or formerly of William ty Chairman&Berth Lewendoski;on the south by 14. land now or formerly of Harriet K. The property is bordered on the 7159.1TS19 _ i �- f PLANNING BOARD MEMBERS i, r,, t,a �'' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman I A ;1 Supervisor ✓',� George Ritchie Latham, Jr. ' � " ' , Y, }' Richard G. Ward �yj 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 September 10, 1991 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Proposed Lot line change Porter & Mary Goss and Michael Laughlin . . SCTM#1000-2-15. 1 & 16 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on September 9, 1991. Be it RESOLVED that the Southold Town Planning Board set Monday, .Septebmer 30, 1991. at_ 7: 45 P.M. for a final public hearing on the maps dated November 21, 1991. Very truly yours, Bennett Orlowski, Jr. ' Chairman ' S MATTHEws & HAM (LF ATTORNEYS AND COUNSELLORS AT LAW v �� 45 HAMPTON ROAD Sou=AmproN,N.Y.11968 v FY 1 516-283-2400 PHILIP B.MATTHEws TELECOPIER 516-287-1076 STEPHEN L.HAM,III August 27, 1991 Matthew Kiernan, Esq. Deputy Town Attorney Town Hall Main Road Southold, NY 11971 Re: Lot Line Changes for Goss and Laughlin Dear Matt: I understand from the Planning Board staff that you are considering alternatives to assure that any approved lot line changes do not result in the creation of additional building lots and that one of those alternatives might be the filing of an affidavit or declaration of merger. In the past, when this issue has arisen, I have worked , out an arrangement with the Planning Board under which the Board has granted conditional approval subject to the inclusion in the deed effecting the land transfer of language making it clear that the property conveyed is to be merged with the adjoining land of the transferee. I believe this is the best approach since it does not require any additional recorded documents and at the same time preserves control by the Planning Board. As you know, an affidavit of merger ,would not be in recordable form anyway and it seems unduly burdensome to require the filing of yet another declaration. This is especially true in those cases like the ones referenced above where we have already filed a declaration covering other issues, noted the recording information on the final maps, and submitted those maps to the Planning Board for final approval. I trust that you . will take these thoughts into consideration when you respond to the Planning Board . staff s request for advice on this matter. Sincerely, Stephen L:-Ham,__vIII SLH:ja cc: Valerie Scopaz Robert Kassner ✓ AUG 2 8 1991 1 MATTHEws 8c HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD V S SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III August 26, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Attn. : Robert Kassner Re: Lot Line Changes: Porter J. Goss and Mary R. Goss °(SCTM # 1000-2-1 13 & 14) ; Porter J. Goss & Mary R. Goss and Michael L. Laughlin (SCTM # 1000-2-1-15. 1 & 16) Dear Bob: In accordance with your request, I have enclosed original affidavits of merger relating to the two referenced lot line change applications. , Sincerely, J7W� Stephen L. Ham, III SLH:ja Enclosures AFFIDAVIT STATE OF NEW YORK ) ss. . COUNTY OF SUFFOLK ) STEPHEN L. HAM, III, being duly sworn, deposes and says: 1. I am the authorized agent of Porter J. Goss and Mary R. Goss, owners of premises known as Block 27, Lots 6, 7 and 8, Map of Fishers Island Development Corporation, which premises and Block 27, Lot 5 on such Map are the subject of an application to the Planning Board of the Town of Southold for a lot line change. The foregoing lots are shown on a certain map prepared by Chandler, Palmer & King and submitted to the Planning Board of the Town of Southold in connection with such application. 2 . The proposed. lot line change will be effected by the transfer of a 28,836 ± square foot portion of Block 27, Lot 5 to Porter J. Goss and Mary R. Goss by Michael L. Laughlin, the owner of Block 27, . Lot 5. Such portion is identified on the map of Chandler, Palmer & King as "Area to be deeded by Laughlin to Goss" . 3 . I hereby affirm on behalf of the owners that, upon approval of the lot line change and upon the property transfer described above, the 28,836 ± square foot portion of Block 27, Lot 5 so transferred will merge with and become a part of Block 27, Lot 6 and will not thereafter constitute a separate buildable parcel. 4 . I make this affidavit in order to induce the Planning Board of the Town of Southold to grant its approval to the proposed lot line change in accordance with the application therefor. Stephen L. .Ham, III Subscribed and Sworn to Before Me this 26th Day of August, 1991 E. JANE ALLfN ,.. rZc (%SCE=1_/ 4VOiARY PUBLIC,state Of NeW yoth Nn.52.491�;�R6 Notary Public Qualif,ct in Suffolk CduntY (;xyt.5sWil Expires December L$, 1 AFFIDAVIT STATE OF NEW YORK ) ss. : COUNTY OF SUFFOLK ) STEPHEN L. HAM, III; being duly sworn, deposes and says: 1. I am the authorized agent of Porter J. Goss and Mary R. Goss, owners of premises known as Block 28, Lot 7, Map of Fishers Island Development Corporation, which premises and an undesignated lot between such . lot and the lot designated as Block 4 ,28, Lot 6 on such Map are the subject of an application to the ' Planning Board of the Town of Southold for a lot line change. The foregoing lots are shown on a certain map prepared by Chandler, Palmer & King and submitted to the Planning Board of the Town of Southold in connection with such application and are designated as Lots 13 and 14 in District 1000, Section 2, Block 1 on the Suffolk County Tax Map. 2: The proposed lot line change will be effected by the transfer' of a . 10 acre portion of the undesignated lot to the lot designated as Block 28, Lot 7. 3 . I hereby affirm on behalf of the owners that, upon approval of the lot line change and upon the property transfer described above, the . 10 acre portion of the undesignated lot so "transferred will merge with and become a part of Block 28, Lot 7 and will not thereafter constitute a separate buildable parcel. 4 . I make this affidavit in order to induce the Planning Board of the Town of Southold . to grant its approval to the proposed lot line change in accordance with the application therefor. Stephe L. Ham, III Subscribed and Sworn to Before Me this 26th Day of August, 1991 nr)fAn"1 PUBLIC,S'atE'If No. 2-4916,426 Notary Public Qtlaidoi in FMION County 91 Gt�r�is:�ron FxtNres Ll.ctaP,ar�. 1':y'� 1 / MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 'N,e ,c�l� 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 �1 J 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III August 8, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Re: Lot Line Change for Porter J. Goss & Mary R. Goss and Michael L. Laughlin (SCTM # 1000-2-1-15. 1 & 16) Dear Board Members: I am submitting herewith for final approval five prints of the Map reflecting the proposed lot line change referenced above. Also enclosed is a certified copy of the Declaration you required to be filed in connection with this matter. The Liber and page of the Declaration are set forth on the final Map. Please place this matter on your calendar for the final hearing on the next available date. In the meantime, if you require any further information or documentation before the Map can be approved, please notify me as soon as possible. Very truly yours, Stephen L. Ham, III SLH:ja Enclosures MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW i 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,m April 22, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Re: Lot Line Changes: Porter J. Goss .and Mary R. Goss (SCTM # 1000-2-1 13 & 14) ; Porter J. Goss & Mary R. Goss and Michael L. Laughlin (SCTM # 1000-2-1-15.1 & 16) Dear Board Members: By resolutions adopted on February 25, 1991, you required that certain conditions to approval of the referenced applications for lot line changes recommended by the Suffolk County Planning Commission be set forth as covenants and restrictions in Declarations to be filed with the County Clerk. Among the covenants and restrictions was a requirement that clearing and grading be limited to that necessary for siting and constructing a house, with the intent of preserving as much of the natural vegetation on the site as possible, and to minimize stormwater runoff and erosion. I am writing to request a modification of that requirement permitting the owners to continue to clear and trim vegetation to preserve existing views and allow for normal property maintenance. As you know, no new building lots will be created by approval of these lot-line changes. There is no new construction planned. The owners do not, however, wish to give up any rights they now have to control the growth of vegetation that could impair their water views or interfere with the growth of more desirable vegetation. I propose the following language as an addition to that language already approved by your staff and the Town Attorney as paragraph 2 of each of the draft Declarations I submitted in compliance with your resolutions of; February 25, 1991:- , APR ��q; Continued Planning Board April 22, 1991 Town of Southold Page 2 "Notwithstanding the foregoing, the Declarants and subsequent owners of the Lots shall be permitted to continue to trim and clear vegetation on the Lots so as to preserve the views from their dwellings and otherwise to maintain the Lots in a neat and orderly manner so long as they do so in compliance with all State and local laws, ordinances, rules and regulations then in effect. " Naturally, we will consider any reasonable alternative to the above language and I will be happy to discuss any proposals with your staff and the Town Attorney. Thank you for your attention to this matter. Very truly yours, -�� Stephen L. Ham, III SLH:ja BY HAND rr;r` 2 3 i � -Ric- 1 f�{ .0' i .r S Sal "F�p.� � 1 7 i�tPlVi3fdu•h�YP" ( tl"S f F� 8 Mill, +itld+'d'*� 'P,wfii4� f9�T:C 48h'FF'P R45F4P1P"KP •+ `max *`.M;CR. ., ::..........ADD NEW „NE L.. GA1 IV DECLARATION::::::::::::::::::: �",�� •"�'1'...r' r rt � � 1 I adi$. .J3�j `^�f]"��'+��" �. ry:�; �;}i•� r� �7rda,�`y�'' �Y+}uin�'�i�. rd" '{�"•�.„-_ ILE NUr°IBER :::::N14t73800--0031<-::::::::Town of SOUTHOLD, SUFFOLK County r k, _EAD AGENCY : 4L73800::::::::::::::E::::::::::::::::Towr7 of SOUTHOLD, SUFFOLK County ......................... •.......I................... . ....................................... c_ IcE BOARD . ::::::::Planning , ...................................................................................................................... . . ..T.... TIT LC . .:..P. a M Goss & M. Laughlin ............................................................. ::::::::::::::::::::::::::::::::::::::::::.............:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::......::::::::::::::::::::::..:::.:................................................................... .................. ESCRIPTION : Lot line change to split 0. 66 ac from FIDCO Lot #27. 5 & add to #27. 6. „n hid n „4 . ................................................................. .. ....................................................................................................... L E C E .::::::::::Vykiga:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ........................................................................................................ :::::::::::Negative Dec..larat ........... .................................................. : 4 ...........................................................:.............................. ..........................................................:............. ........................... .....................................................................::::::: : :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::y. ATus.....N.............:.:'::::::::::::::::::::::::::::::::::::::::::::::::::: .................................................................. . . ....................... . ................................ ........................................................................................................................................................................................................... ..............:................. ..:::::::::::::::::::::::::::::::: :::::::::::::E::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ni ..........l.: Con J i t i oned...........:..:..................... Use the above number in all correspondence about this action ! To the Lead Agency : The above information confirms that filings on the described Negative Declaration were officially received by, and entered in the SEnR Repository on the date(s) shown in the box headed DATE RECEIVED above. The date and time in the second line show when this doal.Arrient was printed. Please check the information above carefully. For corrections or questions contact Charles Lockrow, (513)4-57-2224., or write to: SEAR Repository NYSDEC Division of Regulatory Affairs 50 Wolf Road, Room 514 Albany, NY 12233 Town of SOUTHOLD ApR — 4 1991 Planning Board 53095 Main Road-P. O, Box 1179 Southold, NY 11971 7 CRAMER, V RH OCIATES ENVIRONMENTTDiIG CONSULTANTS March 11, 1991 �� Mr. Bennett Orlowski, Jr., Chairman let Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Porter J. and Mary R. Goss SCTM# 1000-2-1-13 & 14 Porter J. and Mary M Goss and Michael Laughlin SCTM# 1000-2-1-15.1, 15.2, 16 & 18 Dear Benny: As per the your request,we have completed a preliminary review of the above referenced projects in accordance with your correspondence of February 19, 1991. Tasks and completed activities are identified as follows: - 1. Review Part I LEAF's The parcels have been field inspected by CVA, and the LEAF's have been reviewed and amended as necessary. Copies of same are attached. 2. Prepare Part II LEAF's The Part II LEAF checklist has been completed for both projects and are also attached. Additional information concerning our findings are included below. 3. Advise as Necessary The parcels have been inspected and environmental references concerning the site and area have been consulted. The project represents a transfer of 0.66 acres of land from FIDCO Lot #27.5 (Laughlin) to FIDCO Lot #27.6 (Goss). In addition, and in consideration of this transfer, a 0.1 acre parcel between FIDCO Lots #28.7 and #28.6 will be transferred from Goss to Laughlin. The proposed actions represent a change in existing lot lines. No building is proposed on the portions of the lots effected by the requested changes. We are in full agreement with the projects as proposed. We recommend that the board adopt negative declarations with regard to these projects. I hope this letter provides the board with the information heeded a •continue review of this project. We would be pleased to provide additional input upon r ue ase do not hesitate to call if you have any questions. Very t urs, Thom W. Cramer, ASLA enc: Part I/II LEAF's Determinations of Significance MAR. T 199! 54 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 r SEQR NEGATIVE DECLARATION Notice of Determination of Non-Significance Lead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Date: March 11, 1991 This notice is issued pursuant to 6 NYCRR Part 617, and local law# Chapter 44, of the implementing regulations pertaining to Article 8 (State Environmental Quality Review) of the Environmental Conservation Law. The lead agency has determined that the proposed action described below will not have a significant effect on the environment. Title of Action: Porter J. and Mary R. Goss and Michael Laughlin Lot Line Change SCTM# 1000-2-1-15.1, 15.2, 16 & 18 SEQR Status: Type I Action Location: Located on a Private Road east of West Harbor, Fishers I Southold, New York Project Description: The project involves a request for lot line change. The change will split 0.66 acres from FIDCO Lot #27.5 and add it to FIDCO Lot #27.6. No additional structures are proposed. Land is zoned R-120, single family residential. Reasons Supporting This Determination: This determination is issued in full consideration of the criteria for determination of significance contained in 6 NYCRR Part 617.11. In addition, a Long Environmental Assessment Form Parts I, II has been prepared by the Town, and has been fully considered by the Planning Board in the preparation of this determination. This Negative Declaration is issued in compliance with Part 617.8(e)(1)(ii), and in full consideration of the documentation and other relevant information provided. The following specific reasons are offered in support of this determination: 1) The subject site will remain in it present state, no additional development of the parcel is proposed. The proposal would split 0.66 acres from FIDCO Lot #27.5 and add it to adjacent property (FIDCO Lot #27.6). 2) No further uses are proposed for the site; therefore, the project will not increase the intensity of land use. 3) The project will not increase demand for services, or set an unwarranted precedent. 4) The site does not contain any unique and/or significant environmental resources that will be impacted by the action. For Further Information: Contact Person: Bennett Orlowski, Jr. Chairman Address: Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Phone No.: (516) 765-1938 Copies of this Notice Sent to: Commissioner - New York State Department of Environmental Conservation, 50 Wolf Road, Albany, New York 12233-0001. Regional Director - NYSDEC, Building 40, The Loop Road, SUNY at Stony Brook, Stony Brook, New York 11794 Southold Zoning Board of Appeals, Southold, New York Southold Town Board, Southold, New York Suffolk County Department of Health Services, Riverhead, New York Applicant Ll PLANNING BOARD MEMBERS +' SCOTT L. HARRIS F:a ,`'. 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 March 12, 1991 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Proposed Lot line change for Porter & Mary Goss and Michael Laughlin SCTM#1000-2-1-15. 1 & 16 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, March 11, 1991. Be it RESOLVED that the Southold 'down 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. Very truly yours, EM0V/7Uf_0A"/t'," , Bennett Orlowski, Jr. /4"1 Chairman Encl. i PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. .•�y�``"'� .. � Richard G. Ward � % Town Hall. 53095 Main Road Mark S. McDonald P.O. Box 1 179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold. New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 NEGATIVE DECLARATION Notice of Determination of Non-Significance Lead Agency: Planning Board of the Town of Southold Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Date: March 11, 1991 This notice is issued pursuant to 6 NYCRR, ,art 617, and local law # Chapter 44, of .the implementing regulations pertaining to Article 8 (State Environmental Quality Review) of the FnvironmenO Conservation Law. The lead agency has determined that the proposed action described below will not have a significant effect on the environment. Title of Action: Porter J. and Mary R. Goss and Michael Laughlin Lot Line Change SCTM# 10004-1-15.1, 15.2, 16 & 18 S,EQR Status: Type I Action Locution: Located on a private Road east of West Harbor, Fishers I Southold, New York Project Description: The project involves a request for lot line change. The chance will split 0.66 acres from FIDCO.Lot #27.� and add it to FIDCO Lot #27.6. No additional structures are proposed. Land is zoned R-120, single family residential. Reasons Supporting This Determination: This determination is issued in full consideration of the criteria for determination of significance contained in 6 NYCRR Farb 617.11. In addition,'a Long Environmental Assessment Form. Parts L I1 has b%en prepared,by the Town, a:id has veer, fully considered by the Planning Board in the preparation of this determination. This Negative Declaration is issued U compliance with Part d17.d(e)(1)(ii), and in full consideration of the documentation and other relevant information provided. The following specific reasons are offered in support of this determination: 1) ThM subject site will remain in it present state, no development of the parcel is proposed. The proposal would split the northern 0.1 acres from. the parcel for dedication to the property owner across the road in consideration of other lands which are also the subject of a lot line change. 2) No further uses are proposed for the site; therefore, the project will not increase the intensity of land use. 3) The project will not increase dernand for services, or set an unwarranted precedent. 4) The site does not contain any,unique and/or significant environmental resources that will be impacted by the action. For Further Information: Cofnrcrcr Person: Bennett Orlowski, Jr. Chairman Address: Southold Planning Board Town H1ll, 53095 Main Road P.O. Box 1179 Southold, New York 11971 'hone No.: (516) 765-1938 Copies of this Notice Sent to: Commissioner- New York State Department of Environmental Conservation, 50 Wolf Road, Albany, New York 12233-0001. Reggional Director -NYSDEC, Building 40, The Loop Road, SUNY at Stony Brook, Stony Brook, New York 11794 Southold Zoning Board of Appeals, Southold, New York Southold Town Board, Southold, New York Suffolk County Department of Health Services, Riverhead, New York Applicant i. "r i'7S...o�, f: :,y., r...�'. .,:f i.t... 44c a ...;..', i{ ,.vc r c:(i;h- 7•_v�`!c w±> �oAry__C.1..�h'�'?:eru�,t.?rrA4„,�*-_."«'i.I.F.1-Y u3'�Ea.?.�,..,�.sa_"r.,.Y}'!�' CRAMER, VOORHIS,&ASSOCIATES ENVIRONMENTALAND4PIANNLNG CONSULTANTS March 14, 1991 Mr. Bennett Orlowski, Jr., Chairman Southold Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Porter J. and Mary.R. Goss SCTM# 1000-2-1-13 & 14 Porter J. and Mary R. Goss and Michael Laughlin SCTM# 1000-2-1-15.1, 15.2, 16& 18 Dear Benny: As per the your request,we have completed a preliminary review of the above referenced projects in accordance with your correspondence of February 19, 1991. Tasks and completed activities are identified as follows: 1. Review Part I LEAF's The parcels have been field inspected by CVA, and the LEAF's have been reviewed and amended as necessary. Copies of same are attached. 2. Prepare Part II LEAF's The Part II LEAF checklist has been completed for both projects and are also attached. Additional information concerning our findings are included below. 3. Advise as Necessary The parcels have been inspected and environmental references concerning the site and area have been consulted. The project represents a transfer of 0.66 acres.of land from FIDCO Lot #27.5 (Laughlin) to FIDCO Lot #27.6 (Goss). In addition, and in consideration of this transfer, a 0.1 acre parcel between FIDCO Lots #28.7 and #28.6 will be transferred from Goss to Laughlin. The proposed actions represent a change in existing lot lines. No building is proposed on the portions of the lots effected by the requested changes. We are in full agreement with the projects as proposed. We recommend that the board adopt negative declarations with regard to these projects. I hope this letter provides the board with the information needed to continue review . of this project. We would be pleased to provide additional input upon request. Please do not hesitate to call if you have any questions. Very t , mas W. Cramer, SLA enc: Part I/II LEAF's Determinations of Significance 1 54 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 Al 1—PROJECT IN I( AMATIOvi 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 considered 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 Lot Line Change - Properties of Porter J. & Mary R. Goss and Michael Laughlin LOCATION OF ACTION(Include Street Address,Municipality and County) Private Road, Fishers Island, County of Suffolk (SCTM #'s 1000-2-1-.15.1, 15.2, 16 & 1.8) NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Porter J. Goss and Mary R. Goss (516 ) 283-2400 ADDRESS c/o Stephen L. Ham, III, Esq. , 45 Hampton Road, Southampton, NY 11968 CITY/Po STATE ZIP CODE Southampton INY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION transfer of .66-acre parcel of land from Michael Laughlin to Porter J. Goss and Mary R. Goss to effect lot line change between these adjoining property owners; transferred parcel will merge with other lands of Goss and no new building sites will be created -_RAWSFe9_ F 'FI OC-C:> LoT *= Z7- 5 'ro -I--1r?eo loT-W Z 7. to ©r- 0.&Co ACA-� 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: .66 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) - - acres - . acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) wN �� � � n acres • �� acres 3. :What is predominant soil type(s) on project site? •� �� Flvr' � V Grp, a. Soil drainage: ❑Well drained % of site P ❑Mod erlie y' wWell dralne vi-o_- 'S /o of site i5-3S% ❑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? acres. (See 1 NYCRR 370). f� 4. Are there bedrock outcroppings on project site? ❑Yes ONO a: What is depth to bedrock? (in feet) MAR 2 1991 2 5. Approximate percentage of proposed to with slopes: ®0-10% 10 ^C �10-15% % • 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? ❑Yes MNo '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes ®No 8. What is the depth of the water table?unknown (in feet) NA 9. Is site located over a primary, principal, or sole source aquifer? MYes ONo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ( Yes ONo 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 Cv a ,p Ez,y CVA 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? OYes ®No If yes, explain 14. Does the present si a include scenic views,known to be important to the community? ❑Yes o unknown 15. Streams within orcontiguous to project area: none 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 b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes ❑No a) If Yes, does sufficient capacity exist to allow connection? ®Yes []No already connected �l b) If Yes, will improvements be necessary to allow connection? ❑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 X]No 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? K]Yes []No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes ®No B. Project Description 1. Physical dimensions and scale"04 project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 5.0 acres. b. Project acreage to be developed: 0 acres initially; 0 acres ultimately. c. Project acreage to remain undeveloped * acres. *no new development proposed d. Length of project, in miles: N.A. (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed —I11.A. %; f. Number of off-street parking spaces existing 0 ; proposed I g. Maximum vehicular trips generated per hour '" ^ NA (upon completion of project)? ** no change h. If residential: Number and type of housing units: Initially One Family Two Family Multiple Family Condominium Ultimately �. i. Dimensions (in feet) of largest proposed structure ` �' .eight; width; �A length. J. Linear feet of frontage along a public thoroughfare project will occupy is? —�[- - ft.-_t 1O5 3 *** no new structures proposed . .... .. .. .. i .. .. _ ..m �..-.. ... . _. ...._ .tit 2, How much natural MC rial (i.e., r. n, etc.) will be removC from the 0 tonslcubig yards 3. Will disturbed areas be reclaimed? Dyes ONo FVN/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ONo c. Will upper subsoil be stockpiled for reclamation? OYes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes CNNo 6. If single phase project: Anticipated period of construction N.A. months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated N•A• (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? ❑Yes ONo N.A. 9. Number of jobs generated: during construction N.A. after project is complete 10. Number of jobs eliminated by this project N.A. 11. Will project require relocation of any projects or facilities? ❑Yes ONo If yes, explain N A 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? OYes I-XINo Type 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? OYes ONo unknown 16. Will the project generate solid waste? ❑Yes ®No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? OYes ONo ° c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? OYes ONo e. If Yes, explain 17. Will the project involve the disposal of solid waste? OYes UNo a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? Dyes [ZNo 19. Will project routinely produce odors (more than one hour per day)? OYes ®No 20. Will project produce operating noise exceeding the local ambient noise levels? OYes MNo 21. Will project result in an increase in energy use? OYes R]No If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity N_A. gallons/minute. 23. Total anticipated water usage per day N•A• gallons/day. E 24. Does project involve Local, State or Federal funding? OYes ®No If Yes, explain _ 4 25. Approvals Required: C Submittal Type Date City, Town, Village Board ❑Yes ®No City, Town, Village Planning Board ®Yes ❑No lot line change approval 11/90 City, Town Zoning Board ❑Yes QNo City, County Health Department ❑Yes ®No Other Local Agencies []Yes ®No. Other Regional Agencies ❑Yes IMNo State Agencies ❑Yes ®No Federal Agencies Dyes 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 Ospecial use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ®other lot line change 2. What is the zoning classification(s)of the site? R-120 3. What is the maximum potential development of the site if developed as permitted by the present zoning? single—family residence on each of the affected lots 4. What is the proposed zoning of the site? N.A. S. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N.A. C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? I0Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? single—family residential; R-120 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/, mile? ®Yes ONO' 9. If the proposed action is the subdivision of land, how many lots are proposed? _ N.A. - a. What is the minimum lot size proposed? N.A. 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)? Dyes ®No a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No N.A. 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes IMNo a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No N.A. 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 Name Porter J. Goss and Mary. R. Goss Date 12/.31 / 0 Signature -' . L . �.u•, Title Authorized Agent steph n L. Ham, III 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 Pal 2—M :CT WTACTS AND T NE,R k',.' "DDE ResponsibiUty of UW Agency General Infornutlon (Read Carefully) t5ei t5_L,fd�l$ • In completing the form the reviewer should be guided by the question. Have my responses and A-term tions been reasorublef 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 Eumples 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 andlor 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 ttuesholds 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 siie 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 Moderate Large Mltlgated By IMPACT ON LAND - - rmpac,'! Impact Project Ctunge 1 . Will the proposed action resuk in a physical change to#1 project site? NO OYES Exa.mpIks that would apply'to column 2 . • Any construction on slopes of 15% .or greater, (15 foot rise p& 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 . ❑ ❑ Dyes ❑No 3 feet • Construction of paved parking area for 1.000 or more vehicles. 0 ❑ ❑Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ Dyes ❑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 than1,000 ❑ ❑ ❑Yes CNo tons of natural material(i.e., rock or soil) per year. • Construction dr expansion of a sanitary landfill. ❑ ❑ Dyes ❑No • Construction in a designated floodway. ❑ ❑ Dyes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect t�- -,,y unique or unusual land Lwms found on the site?(i.e., cliffs,:dunes, geological formations, etc.) NO OYE$.. •' t*1fk lard f ... �: z. OYes ❑ i5`.. 1 2 3 Small to Potential Can Impact 1k IMPACT ON WATER Moderate Large Mitigated By 3 Will proposed action affect any water body designated as protected? Impact Impact Project Gunge (Under Articles 15, 24, 25 of the Environmental Conserve ,ion Law, ECL) NO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ Dyes Z-"o • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes CNo protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes CNo • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes CNo 4. Will proposed action affect any non-protected existin;gr new body of water? O 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 CNo • Other impacts: ❑ ❑ ❑Yes [No S. Will Proposed Action affect surface or groundwater quality or quantity? NO DYES Exampks that would apply tq column 2 • Proposed Action will require a discharge permit. ❑ ❑ Dyes ONo • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes L No have approval to serve proposed(protect) 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 ❑ ❑ ❑Yes ❑No supply.system. • Proposed Action will adversely affect groundwater. ❑ ❑ Dyes ❑No • Liquid effluent will be conveyed off the site to facilities wh.'h presently ❑ ❑ Dyes CNo do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per D ❑ DYes CNo day. • Proposed Action will likel- cause siltation or other discharge into an D ❑ ❑Yes CNo existing body of water -aent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ D Dyes ❑No products greater than 1,100 gallons. ® Proposed Action will allow residential uses in areas without water ❑ ❑ [:)Yes CNo and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ [Dyes ❑No j require new or expansion of existing waste treatment and/or storage I i facilities. • Other impacts: ❑ ❑ Dyes UNo f Will proposed action alter drainage flow or pattern , or surface water runoff? _ OYES ' Eic ,plea tfat'"ivoutd`iftly to•co um 2 '`.. ,.'., :. • Prhr,6sed-Action would chjmR-e-.ffood water.-flows; �� ••❑Yes jNo r 1 2 t Small to Potential Can Impact -t be I Moderate Large Mitigated d By Impact Impact Project " uNQ4 Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes _.IN0 Proposed Action is incompatible with existing drainage pattems ❑ ❑ ❑Yes _ JNo Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes _--JNo Other impacts: ❑ ❑ ❑Yes _ ::)No IMPACT ON AIR ' Will proposed action affect air quality? 10 DYES Esampks that would apply to column 2 I Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes - ]No + hour. 1 Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ ❑Yes _ ONo refuse per hour. 1 Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes - :)No heat source producing more than 10 million BTU's per hour. Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes DNo to industrial use. Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes ONO development within existing industrial areas. Other impacts: ❑ ❑ ❑Yes ONo IMPACT ON PLANTS AND ANIMALS S. Will Proposed Action affect any threatened or endang ed species? NO DYES Wmpks that would apply to column 2 ' • Reduction of one or more species listed on the New York or federal ❑ ❑ ❑Yes DNc list. using the site, over or near site or found on ?fie site. • Removal of any portion of a critical or significant wildlife habitat ❑ ❑ ❑Yes ONc - • Application of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes ONc than for agricultural purposes. • Other impacts: ❑ ❑ Oyes ]Nc 9. Will Proposed Action substantially affect non-threatened or non endangered species? NO DYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes ❑Nc migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more ' than 10 acres ❑ ❑ ❑Yes ❑Nc of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land reso ces? O DYES Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes [INC f land (includes cnapFind; haltfieLds. Pasc4r!e: Y( !#rd, orcfutcd,:�etc.).. 2 a Small to Potential Can Impact be Moderate Large Mitigated By Impact Impact Project Ihangs e Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land ^ 0 The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes CNo of agricultural land or, if located in an Agricultutal District, more than 2.S acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ Oyes ON* 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;! OYES (If necessary, use the Visual EAF Addendum intNO tion 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ONO cw in sharp contrast to current surrounding land use patterns, whethir manmade or natural. • Proposed land uses, or project components visible to users of ❑ ❑ Oyes ONO 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 ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. . • Other impacts: ❑ ❑ ❑Yes ONo IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure f historic,.pre- historic or paleontological importances NO 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 ❑Nn project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ONO 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 NO OYES )The permanent foreclosure of a future recreational o rtunity. ❑ ❑ ❑Yes ❑No A major. redpdion Qf.an peen.space.important-to the community. ❑ '0 ❑Yes• Dig.. + "Othtr.'impattl. ❑: ❑ ❑�'ed:.:: ❑No' 1 2 3 IMPACT ON TRANSPORTATION Small to Potential Can Impact 54 14 Will there be an effect to existing transportation systems? Moderate Large Mitigated By NO OYES Impact Impact Project Ching( (samples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods ❑ ❑ OYes CNo • Proposed Action will result in major traffic problems. ❑ ❑ OYes ❑No • Other impacts: ❑ ❑ OYes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sourkes of fuel or energy supply? NO DYES Examples that would apply to column 2 1 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ OYes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ OYes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: O O OYes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibrafipp as a result of the Proposed Action? NO - OYES" r Examples that would apply to column 2 • Blasting within 1,5oo feet of a hospital, school or other sensitive ❑ ❑ OYes ❑Nc facility. • Odors will occur routinely (more than one hour per day). ❑ ❑ OYes ❑N( • Proposed Action will produce operating noise exceeding the local ❑ - O .0Yes ❑N( ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ OYes ON noise screen. • Other impacts: ❑ ❑ OYes ❑K IMPACT ON PUBLIC HEALTH 17 Will Proposed Action affect public health and safeW. NO OYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ Dyes Or substances(i.e. oil, pesticides,chemicals,radiation, etc.)in the event of 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 ❑ ❑ ❑Yes ❑I form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ OYes ❑ gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ ❑Yes ❑ within 2.000 feet of a site used for the disposal of solid or hazardous f`wO�ttier '.iaipa�t3:' © QYes 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Bo OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By la Will proposed action affect the character of the existin community? Impact Impact Project Change 0 OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ DYes DNo project is located is likely to grow by more than S%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than S% 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 ❑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 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(sl 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) rr 00 `Gyc � z PLANNING BOARD MEMBERS C SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman BYO Supervisor George Ritchie Latham, Jr. 1D� 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 TO: Matthew Kiernan, Assistant Town Attorney VV FROM: Bennett Orlowski, Chairman�A DATE: March 6, 1991 RE: Proposed lot line change for Porter and Mary Goss and Michael Loughlin SCTM* 1000-2-1-15. 1 & 16 Please review the attached covenants and restrictions for legal sufficiency. 3 7 —� _ Qof . . 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 L.HAM,ni March 1, 1991 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change for Porter & Mary Goss and Michael L. Laughlin; SCTM # 1000-2-1-15. 1 & 16 Dear Sirs: In accordance with your letter to me of February 26, 1991, I am enclosing a proposed form of Declaration containing the requested covenants and restrictions for the referenced lot-line change. Please review and have the Town Attorney review this draft Declaration and advise me of its approval or of what changes or additions, if any, must be made. Very truly yours, Stephen L. Ham, III SLH:ja Enclosure BY HAND DECLARATION DECLARATION, made the day of March, 1991, by PORTER J. GOSS and MARY R. GOSS, both now residing at 3869 Gulf Drive, Sanibel Island, Florida, and MICHAEL L. LAUGHLIN, now residing at 330 Kershaw Street, Aiken, South Carolina, hereinafter referred to collectively as the Declarants. WHEREAS, the Declarants are the owners of certain real DISTRICT Property situate at Fishers Island, Town of Southold, Suffolk 1000 County, New York, as shown on the map entitled "Proposed Lot Line SECTION SECTIO Change - Properties of Porter J. and Mary R. Goss and Michael L. 002 . 00 BLOCK Laughlin", prepared by Chandler, Palmer & King, dated March 28, 01.00 1990, revised 7 September 1990 and November 21, 1990, which map is LOT to be filed in the Offices of the Town Clerk and the Building 015 . 001 Department of the Town of Southold, with the said Porter J. Goss and Mary R. Goss being the owners of Block 27, Lot 6 as shown DISTRICT thereon and as more particularly described on , Schedule A hereto 1000 SECTION and the said Michael L. Laughlin being the owner of Block 27, Lot 002 . 00 5 as shown thereon and more particularly described on Schedule B BLOCK hereto; and 01. 00 LOT WHEREAS, the Declarants have made application to the 016 . 000 planning Board of the Town of Southold for approval of a lot line change as shown on the above referred to map, to wit: the transfer of a . 66 +/- acre parcel as shown thereon by the owner of Block 27, Lot 5 to the owners of Block 27, Lot 6, which . 66 +/- acre parcel is more particularly described in Schedule C hereto; 1 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 owners 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 Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Lots; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said premises described on Schedule A and Schedule B 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 no -Lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold Planning Board. 2. That clearing and grading within each Lot shall be limited to that necessary for siting and constructing a house with 2 the intent of preserving as much of the natural vegetation on the site as possible, and to minimize stormwater runoff and erosion. 3. That no new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the shoreline of Fishers Island Sound. 4. That no stormwater runoff resulting from the development and improvement of the subdivision or any of its Lots shall be discharged into the tidal wetlands bordering the Lots. 5. That these Covenants and Restrictions can be modified only at the request of the then owners 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 public hearing but their consent to such modification shall not be required. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day and year first above written. Porter J. Goss Mary R. Goss Michael L. Laughlin 3 STATE OF FLORIDA ) ss. . COUNTY OF ) On the day of March, 1991, before me personally appeared Porter J. Goss and Mary R. Goss, to me known and known to me to be the individuals described in and who executed the foregoing instrument and they acknowledged to me that they executed the same. Notary Public STATE OF SOUTH CAROLINA ) ss. . COUNTY OF ) On the day of March, 1991, before me personally appeared Michael L. Laughlin, to me known and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged to me that he executed the same. Notary Public 4 SCHEDULE A BLOCK 27 - LOT 6 A certain tract or parcel of land with the building thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a monument on the Northeasterly line of a road, said monument being located 4118. 16 feet North of a point which is 711.31 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" ' and running thence Northwestwardly along said road line following the arc of a curve to the left having a radius of 364.36 feet for a distance of 136. 08 feet to a point; thence North 41 degrees, 34 minutes and 00 seconds West 38. 37 feet to a point of curve to the right having a radius of 275.54 feet; thence Northwardly along said road line following the arc of said curve for a distance of 196.77 feet to a point on said road line which is 4443 .41 feet North of a point which is 874.32 feet West of said monument marking the United States Coast and Geodetic Survey Triangulation Station :.: "NIN" ; thence North 79 degrees, 26 minutes and 20 seconds East 104.76 feet to an iron pipe; thence South 39 degrees, 41 minutes and 30 seconds East 320.99 feet to a point; thence _South 56 degrees 05 minutes and 29 seconds West 174.69 feet to the monument on the said Northeasterly line of the road at the point of beginning. 5 SCHEDULE B BLOCK 27 - LOT 5 A certain tract or parcel of land with the buildings thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a monument on the Southwesterly line of a road, said monument being located 4536. 01 feet North of a point which is 127.64 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence Southeastwardly along said road line following the arc of a curve to the left having a radius of 169. 09 feet for a distance of 53.73 feet to a monument; thence South 20 degrees, 39 minutes and 30 seconds West 136.83 feet to a point; thence South 60 degrees, 43 minutes and 00 seconds West 247.30 feet to an iron pipe; thence South 82 degrees 54 minutes and 30 seconds West 202 .85 feet to a point; thence North 39 degrees, 41 minutes and 30 seconds West 320.99 feet to an iron pipe; thence South 79 degrees, 26 minutes 20 seconds West 104.76 feet to the Easterly line of a road at a point of 'a curve to the right having a radius of 275.54 feet, said point being located 4443 .41 feet North of a point which is 874.32 feet West of said monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" ; thence Northwardly along said road line following the arc of said curve for a distance of 112.79 feet to an iron pin on the Southeasterly line of said road; thence North 22 degrees, 48 minutes and 10 seconds East 42 .93 feet to a point of curve to the left having a radius of 415.99 feet; thence Northeastwardly along said road line following the arc of said curve for a distance of 34.78 feet to a point; thence South 83 degrees, 14 minutes and 20 seconds East 354.83 feet to a point; thence North 74 degrees, 57 minutes and 10 seconds East 55.71 feet to a point; thence North 37 degrees, 00 minutes and 15 seconds East 142 . 69 feet to a point; thence North 12 degrees, 01 minutes and 50 seconds East 43 .24 feet to a point on the Southwesterly line of the first mentioned road; thence South 79 degrees, 48 minutes and 40 seconds East 41.96 feet along said road line to a point of curve to the right having a radius of 147 . 65 feet; thence Southeastwardly along said road line following the arc of said curve for a distance of 154.25 feet to a point; thence South 19 degrees, 57 minutes and 10 seconds East 123 . 04 feet along said road line to the point of beginning. 6 SCHEDULE C Portion of Block 27 - Lot 5 to be transferred to Block 27 - Lot 6 A certain tract or parcel of land with the buildings thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a point on the Easterly line of a road, said .point being located 4443 .41 feet North of a point which is 874.32 . feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence North._ 79 degrees, 26 minutes and 20 seconds East 104.76 feet to an. iron pipe; thence South 39 degrees, 41 minutes and 30 seconds- East 320.99 feet to a point; thence North 22 degrees, 41 minutes- and 46 seconds West 354 .00 feet to a point; thence North 85 degrees, 45 minutes and 13 seconds West 150.29 feet to the said Easterly line of the road at a point of curve to the left having a radius of 275.54 feet; thence Southwardly along said road line following. the arc of said curve for a distance, of 112 .79 feet to the point of beginning. 7 \ .s t. PLANNING BOARD MEMBERS sf ' '`p' SCOTT L. HARRIS ,v;c r�x•' '' Bennett Orlowski, Jr., Chairman s9° •:; ' 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 TO: Matthew Kiernan, Assistant Town Attorney FROM: Bennett Orlowski, Chairman DATE: March 6, 1991 RE: Proposed lot line change for Porter and Mary Goss and Michael Loughlin SCTM# 1000-2-1-15 .1 & 16 Please review the attached covenants and restrictions for legal sufficiency. fi 1\1 MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW _ 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 e_: MAR - 4 1991 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,1II March 1, 1991 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change for Porter & Mary Goss and Michael L. Laughlin; SCTM # 1000-2-1-15. 1 & 16 Dear Sirs: In accordance with your letter to me of February 26, 1991, I am enclosing a proposed form of Declaration containing the requested. covenants and restrictions for the referenced lot-line change. ,rP.lease review and have the Town Attorney review this draft Declaration and advise me of its approval or of what changes or additions, if any, must be made. Very truly yours, Stephen L. Ham, III SLH:ja Enclosure BY HAND MAR - 4 1991 DECLARATION <<i , DECLARATION, made the day of March, 1991; by PORTER J. GOSS and MARY R. GOSS, both now residing at 3869 Gulf Drive, Sanibel Island, Florida, and MICHAEL L. LAUGHLIN, now residing at 330 Kershaw Street, Aiken, South Carolina, hereinafter referred to collectively as the Declarants. WHEREAS, the Declarants are the owners of certain real DISTRICT Property situate at Fishers Island, Town of Southold, Suffolk 1000 County, New York, as shown on the map entitled "Proposed Lot Line SECTION 002 . 00 Change - Properties of Porter J. and Mary R. Goss and Michael L. BLOCK Laughlin", prepared by Chandler, Palmer & King, dated March 28, 01 . 00 1990, revised 7 September 1990 and November 21, 1990, which map is LOT to be filed in the Offices of the Town Clerk and the Building 015 . 001 Department of the Town of Southold, with the said Porter J. Goss and Mary R. Goss being the owners of Block 27, Lot 6 as shown DISTRICT thereon and as more particularly described on Schedule A hereto 1000 SECTION and the said Michael L. Laughlin being the owner of Block 27, Lot 002 . 00 5 as shown thereon and more particularly described on Schedule B BLOCK hereto; and 01 . 00 LOT WHEREAS, the Declarants have made application to the 016 . 000 planning Board of the Town of Southold for approval of a lot line change as shown on the above referred to map, to wit: the transfer of a . 66 +/- acre parcel as shown thereon by the owner of Block 27, Lot 5 to the owners of Block 27, Lot 6, which . 66 +/- acre parcel is more particularly described in Schedule C hereto; 1 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 owners 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 Declarants have considered the foregoing and determined that the same will be for the best interests of the Declarants and subsequent owners of said Lots; NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarants, for the purpose of carrying out the intentions above expressed, do hereby make known, admit, publish, covenant and agree that the said premises described on Schedule A and Schedule B 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 no Lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold Planning Board. 2. That clearing and grading within each Lot shall be limited to that necessary for siting and constructing a house with 2 the intent of preserving as much of the natural vegetation on the site as possible, and to minimize stormwater runoff and erosion. 3 . That no new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the shoreline of Fishers Island Sound. 4. That no stormwater runoff resulting from the development and improvement of the subdivision or any of its Lots shall be discharged into the tidal wetlands bordering the Lots. 5. That these Covenants and Restrictions can be modified only at the request of the then owners 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 public hearing but their consent to such modification shall not be required. IN WITNESS WHEREOF, the Declarants above named have executed the foregoing Declaration as of the day and year first above written. Porter J. Goss Mary R. Goss Michael L. Laughlin 3 STATE OF FLORIDA ) ss. . COUNTY OF ) On the day of March, 1991, before me personally appeared Porter J. Goss and Mary R. Goss, to me known and known to me to be the individuals described in and who executed the foregoing instrument and they acknowledged to me that they executed the same. Notary Public STATE OF SOUTH CAROLINA ) ss. . COUNTY OF ) On the day of March, 1991, before me personally appeared Michael L. Laughlin, to me known and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged to me that he executed the same. Notary Public 4 SCHEDULE A BLOCK 27 - LOT 6 A certain tract or parcel of land with the building thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a monument on the Northeasterly line of a road, said monument being located 4118. 16 feet North of a point which is 711.31 feet West of a monument marking the United States ,Coast and Geodetic Survey Triangulation Station "NIN" and running thence Northwestwardly along said road line following the arc of a curve to the left having a radius of 364.36 feet for a distance of 136. 08 feet to a point; thence North 41 degrees, 34 minutes and 00 seconds West 38.37 feet to a point of curve to the right having a radius of 275.54 feet; thence Northwardly along said road line following the arc of said curve for a distance of 196.77 feet to a point on said road line which is 4443.41 feet North of a point which is 874.32 feet West of said monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" ; thence North 79 degrees, 26 minutes and 20 seconds East 104.76 feet to an iron pipe; thence South 39 degrees, 41 minutes and 30 seconds East 320.99 feet to a point; thence South 56 degrees 05 minutes and 29 seconds West 174. 69 feet to the monument on the said Northeasterly line of the road at the point of beginning. 5 SCHEDULE B BLOCK 27 - LOT 5 A certain tract or parcel of land with the buildings thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a monument on the Southwesterly line of a road, said monument being located 4536. 01 feet North of a point which is 127. 64 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence Southeastwardly along said road line following the arc of a curve to the left having a radius of 169.09 feet for a distance of 53.73 feet to a monument; thence South 20 degrees, 39 minutes and 30 seconds West 136.83 feet to a point; thence South 60 degrees, 43 minutes and 00 seconds West 247.30 feet to an iron pipe; thence South 82 degrees 54 minutes and 30 seconds West 202 .85 feet to a point; thence North 39 degrees, 41 minutes and 30 seconds West 320.99 feet to an iron pipe; thence South 79 degrees, 26 minutes 20 seconds West 104.76 feet to the Easterly line of a road at a point of a curve to the right having a radius of 275.54 feet, said point being located 4443 .41 feet North of a point which is 874.32 feet West of said monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" ; thence Northwardly along said road line following the arc of said curve for a distance of 112.79 feet to an iron pin on the Southeasterly line of said road; thence North 22 degrees, 48 minutes and 10 seconds East 42.93 feet to a point of curve to the left having a radius of 415.99 feet; thence Northeastwardly along said road line following the arc of said curve for a distance of 34.78 feet to a point; thence South 83 degrees, 14 minutes and 20 seconds East 354.83 feet to a point; thence North 74 degrees, 57 minutes and 10 seconds East 55.71 feet to a point; thence North 37 degrees, 00 minutes and 15 seconds East 142. 69 feet to a point; thence North 12 degrees, 01 minutes and 50 seconds East 43.24 feet to a point on the Southwesterly line of the first mentioned road; thence South 79 degrees, 48 minutes and 40 seconds East 41.96 feet along said road line to a point of curve to the right having a radius of 147 . 65 feet; thence Southeastwardly along said road line following the arc of said curve for a distance of 154.25 feet to a point; thence South 19 degrees, 57 minutes and 10 seconds East 123 . 04 feet along said road line to the point of beginning. 6 SCHEDULE C Portion of Block 27 - Lot 5 to be transferred to Block 27 - Lot 6 A certain tract or parcel of land with the buildings thereon, located at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: Beginning at a point on the Easterly line of a road, said point being located 4443 .41 feet North of a point which is 874.32 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence North 79 degrees, 26 minutes and 20 seconds East 104.76 feet to an iron pipe; thence South 39 degrees, 41 minutes and 30 seconds East 320.99 feet to a point; thence North 22 degrees, 41 minutes and 46 seconds West 354. 00 feet to a point; thence North 85 degrees, 45 minutes and 13 seconds West 150.29 feet to the said Easterly line of the road at a point of curve to the left having a radius of 275.54 feet; thence Southwardly along said road line following the arc of said curve for a distance of 112 .79 feet to the point of beginning. 7 PLANNING BOARD MEMBERS r{zE SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. � Richard G. Ward - �`" r, ° 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 February 26, 1991 Stephen L. Ham III Matthews & ham 45 Hampton Road Southampton, NY 11968 RE: Proposed Lot-line change for Porter & Mary R. Goss and Michael L. Laughlin SCTM* 10H-2-1-15.1 & 16 Dear Mr. Ham: The following resolution was duly adopted by the Southold Town Planning Board at a meeting held on Monday, February 25, 1991. Be it RESOLVED to adopt the February 7, 1991, Suffolk County Planning Commission report. Conditions Numbered 1 - 4 must be presented in a Declaration of Covenants and Restrictions in proper legal form. A copy of the draft Declaration of Covenants and Restrictions must be submitted for review by the Planning Board and the Town Attorney. Once approved, the document must be filed in the Office of the County Clerk. Condition Number 6 must be shown on the final map. This notation must include the Liber and Page number of the filed document. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours,, Bennett Orlowski, Jr. /I�s Chairman Encl. cc: Suffolk County Planning Commission COUNTY OF SUFFOLK PATRICK G. HALPIN SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING ARTHUR H. KUNZ DIRECTOR OF PLANNING February 7, 1991 Mr. Bennett Orlowski, Jr., Chairman Town of Southold Planning Board . - Main Road Southold, New York 11971 Re: Minor Subdivision - Porter J. & Mary R. Goss & Michael L. Laughlin (Proposed Lot Line Change) Easterly side of a Private Road, 200 + feet northwesterly from another Private Road, South of Clay Point, Fishers Island, Southold, New York. Dear Mr. Orlowski: The Suffolk County Planning Commission at its regular meeting on February 6, 1991, reviewed the proposed subdivision plat, entitled, "Minor Subdivision - Porter J. & Mary R. Goss & Michael L. Laughlin" referred to it pursuant to Section A14-24, Article XIV of the Suffolk County Administrative Code: After due study and deliberation it resolved to approve said map subject to the following six conditions that are deemed necessary to help preserve the natural and aesthetic attributes of 'the shoreline of Fishers Island Sound and the tidal wetland adjacent thereto.. 1. No lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold Planning Board. 2. Clearing and grading within each lot shall be limited to that necessary for siting and constructing a house with the intent of _ preserving as much of the natural vegetation on the site as possible, ' and to minimize stormwater runoff and erosion. 3. No new residential structure or sanitary disposal facility shall be , constructed or otherwise located within 100 feet of the shoreline of Fishers Island Sound. 4. No stormwater runoff resulting from the development and improvement of the subdivision or any of its lots .shall be discharged into the tidal wetlands bordering the parcel. VETERANS MEMORIAL HIGHWAY - - HAUPPAUGE.L.L.NEW YORK 11788 .5192 I5161360 ` u Page -2- ----------------------=-------------------------------------------------------- 5. Conditions 1-4, inclusive, shall be filed as covenants and restrictions in the office of the County Clerk on or prior to the granting of approval to this subdivision. 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 public hearing but their consent to such modification shall not be required. 6. The final map shall bear the following note: A Declaration of Covenants and Restrictions has been filed in the Suffolk County Clerk's office which affects lots in this subdivision. The Commission also offers the following comment on the map for your use and consideration: The map of this minor subdivision should be filed in the office of the County Clerk. This is to insure the validity of the subdivision map and that the subdivision map will be available to the general public in a central office of official records. Very truly yours, Arthur H. Kunz Director of Planning by 'r % Fr nk Dowli� Sr. Planner Subdivision eview Division File: S-SD-91-03 FD:mb cc: J. Baier, C.E., SCDHS ww - .... .. p.c;:x..�irav 'i'.. ' S:•v-.' r"'':,.. r j:.,, ..�..uasu:ek..s �I / MATTAEWS & HAM �( / ATTORNEYS AND COUNSELLORS AT LAW / 45 HAMPTON ROAD / SOUTHAMPTON,N.Y.11968 516-283-2400 PRIMP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III February 7, 1991' Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Re: Lot Line Changes for Porter Goss and Mary Goss (SCTM # 1000-2-1-13 & 14) and Porter Goss & Mary Goss and Michael Laughlin (SCTM # 1000-2-1-15. 1 & 16) Dear Sirs: In accordance with your letter of January 18, I have enclosed a check for $350 to cover your environmental consultants' fee for review of the Long Environmental Assessment Forms relating to the referenced applications. Very truly yours, 4j� Stephen L. Ham, III SLH:ja Enclosure _ g 1991 COUNTY OF SUFFOLK 06 g�ho-w Sl®� PATRICK G. HALPIN SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING ARTHUR H. KUNZ DIRECTOR OF PLANNING / February 7, 99 1 1 Mr. Bennett Orlowski, Jr., Chairman Town of Southold Planning Board k - 8 1991 Main Road Southold, New York 11971 �. Re: Minor Subdivision - Porter J. & Mary R. Goss & Michael L. Laughlin (Proposed Lot Line Change) Easterly side of a Private Road, 200 + feet northwesterly from another Private Road, South of Clay Point, Fishers Island, Southold, New York. Dear Mr. Orlowski: The Suffolk County Planning Commission at its regular meeting on February 6, 1991, reviewed the proposed subdivision plat, entitled, "Minor Subdivision - Porter J. & Mary R. Goss & Michael L. Laughlin" referred to it pursuant to Section A14-24, Article XIV of the Suffolk County Administrative Code. After due study and deliberation it resolved to approve said map subject to the following six conditions that are deemed necessary to help preserve the natural and aesthetic attributes of the shoreline of Fishers Island Sound and the tidal wetland adjacent thereto. 1. No lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold Planning Board. 2. Clearing and grading within each lot shall be limited to that necessary for siting and constructing a house with the intent of preserving as much of the natural vegetation on the site as possible, and to minimize stormwater runoff and erosion. 3. No new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the shoreline of Fishers Island Sound. 4. No stormwater runoff resulting from the development and improvement of the subdivision or any of its lots shall be discharged into the tidal wetlands bordering the parcel. VETERANS MEMORIAL HIGHWAY HAUPPAUGE, L.I.. NEW YORK 11786 (51 6)360-5192 Page -2- -------------------------------------------------------- ----------------------- 5. Conditions 1-4, inclusive, shall be filed as covenants and restrictions in the office of the County Clerk on or prior to the granting of approval to this subdivision. 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 public hearing but their consent to such modification shall not be required. 6. The final map shall bear the following note: A Declaration of Covenants and Restrictions has been filed in the Suffolk County Clerk's office which affects lots in this subdivision. The Commission also offers the following comment on the map for your use and consideration: The map of this minor subdivision should be filed in the office of the County Clerk. This is to insure the validity of the subdivision map and that the subdivision map will be available to the general public in a central office of official records. Very truly yours,_ Arthur H. Kunz Director of Planning byC. Fr nk SD4nV, Sr. Planner Subdivision eview Division File: S-SD-91-03 FD:mb cc: J. Baier, C.E., SCDHS NING BOARD MEMBERS SCOTT L. HARRIS �. n ett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward x r' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1 179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 18, 1990 Stephen L. Ham, III, Esq. 45 Hampton Road Southampton, NY 11968 RE: Proposed- lot line changes for Porter J. and Mary R. Goss and Michael L. Loughlin SCTM* 1000-2-1-15 . 1 & 16 Dear Mr. Ham: The Planning Board has received a cost estimate of $350.00 from their environmental consultants for their review of the Long Environmental Assessment Form. The review fee must be paid in full by your client before we can authorize our consultants to proceed. The check should be made payable to the Town of Southold. After the consultants' complete their review, the Planning Board will consider their findings; and determine whether the project will have a significant impact on the environment. If you have any questions or require further assistance please contact this office. Very truly yours, Bennett Orlowski Jr. Chairman PLANNING BOARD MEMBERS �' �� - .� ''� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman y " , =3 <"` Supervisor George Ritchie Latham, Jr. Richard G. Ward i� 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 J'ANN�4•t Ar 199/ 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: 1dT /w,-z ch,* eg r,4 PaRLU RGaSS _SGTOA 102!� /0ac.- .2 Requested Action: legyiL:�v Lor -44y Ilt rwu lr(a&rjt r'N r�c. i9` _�►- <c�, T__ SEQRA Classification: ( X ) Type I ( ) Unlisted Contact Person: (j T ��4 '6 � (5F6—)1 -765-1938 r 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: (,X) 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. Chairman cc: ea s rustees ep Building' Department Southold Town Board Suffolk County Dept. of Health Services NYSDEC - Stony Brook u is or s - p o ngineers N.Y-&---Depr---OT-Tr-a-n-s-p-o-rT-armm * Maps are enclosed for your review Coordinating agencies PART—PROJECT INFCAMATION 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 Lot Line Change - Properties of Porter J. & Mary R. Goss and Michael Laughlin LOCATION OF ACTION(Include Street Address, Municipality and County) . Private Road, Fishers Island, County of Suffolk (SCTM #I s 1000-2-1-.15.1, 15.2, 16 & 1.8) NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Porter J. Goss and Mary R. Goss (516 ) 283-2400 ADDRESS c/o Stephen L. Ham, III, Esq. , 45 Hampton Road, Southampton, NY 11968 CITY/PO STATE ZIP CODE Southampton NY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION transfer of .66-acre parcel of land from Michael Laughlin to Porter J. Goss and Mary R. Goss to effect lot line change between these adjoining property owners; transferred parcel will merge with other lands of Goss and no new building sites will be created 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: .66 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) ,66 acres .66 acres -Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? N.A. a. Soil drainage: ❑Well drained % 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? acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes IgNo a. What is depth to bedrock? unknown (in feet) 2 5. Ap'proximate percentage of proposed pro- :e with slopes: ®0-10% 10 ❑10-15% % ❑l5% or greater % 6. GIs project substantially contiguous to, or contain a building, site, or district, listed on.the State or the National Registers of Historic Places? ❑Yes MNo Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ®No 8. What is the depth of the water table?unknown (in feet) 9. Is site located over a primary, principal, or sole source aquifer? MYes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ly�Yes ❑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 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 14. Does the present site include scenic views known to be important to the community? ❑Yes ❑No unknown 15. Streams within or contiguous to project area: none 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 none ' b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes []No ( a) If Yes, does sufficient capacity exist to allow connection? ®Yes ❑No already connected b) If Yes, will improvements be necessary to allow connection? ❑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? Dyes %]No 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? K]Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes ®No 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 5.0 acres. b. Project acreage .to be developed: 0 acres initially; 0 acres ultimately. c. Project acreage to remain undeveloped acres. ono new development proposed 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 g. Maximum vehicular trips generated per hour * (upon completion of project)? ** no change h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one Ultimately one i. Dimensions (in feet) of largest proposed structure * height; width; length. i. Linear feet of frontage along a public thoroughfare project will occupy is? Q ft. 3 ** no new structures proposed 2. ,How much natural mC rial (i.e., rock, i, etc.) will be removC from the site? _ 0 tons/cubit yards, 3. Will disturbed areas be reclaimed? ❑Yes ❑No FC1N/A a. If yes, for what intended 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) will be removed from site? 0 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes CNNo 6. If single phase project: Anticipated period of construction N.A. months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated N•A• (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 ❑No N.A. 9. Number of jobs generated: during construction N.A. after project is complete 10. Number of jobs eliminated by this project N.A. 11. Will project require relocation of any projects or facilities? ❑Yes ❑No If yes, explain N.A 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? ❑Yes IZNo Type 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 unknown 16. Will the project generate solid waste? ❑Yes ®No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? ❑Yes ❑No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes UNo a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? ❑Yes [ZNo 19. Will project routinely produce odors (more than one hour per day)? ❑Yes ®No 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes RINo 21. Will project result in an increase in energy use? ❑Yes %]No If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity N_A_ gallons/minute. 23. Total anticipated water usage per day N.A. gallons/day. F 24. Does project involve Local, State or Federal funding? ❑Yes ®No If Yes, explain _ 4 25. .Approvals Required: Submittal Type Date City, Town, Village Board ❑Yes -®N-o City, Town, Village Planning Board ®Yes ❑No lot line chanp-e approval 11/90 City, Town Zoning Board []Yes MNo City, County Health Department []Yes ®No Other Local Agencies ❑Yes IMNo. Other Regional Agencies ❑Yes IMNo State Agencies ❑Yes ®No Federal Agencies []Yes IMNo 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 ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ®other lot line change 2. What is the zoning classification(s)of the site? R-120 3. What is the maximum potential development of the site if developed as permitted by the present zoning? single-family residence on each of the affected lots 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. C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? OYes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? single-family residential; R-120 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? ®Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? N.A. a. What is the minimum lot size proposed? N.A. 10. Will proposed action require any 4uthorization(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 F0No a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No N.A. 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes IMNo a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No N.A. 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 Name Porter J. Goss and Mary R. Goss Date 12/31 /90 Signature L . ,T' Title Authorized Agent. Steph n L. Ham, III 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 PLANNING BOARD MEMBERS SCOTT L. HARRIS W Bennett Orlowski, Jr., Chairman e ` .'.f =:' " s Supervisor George Ritchie Latham, Jr. Richard G. Ward a =_ 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 ,19 9/ Suffolk County Planning Commision H. Lee Dennison Executive Office Building - 12th Floor Veterans Memorial Highway Hauppauge, New York 11788 Attention:- Mr. Frank Dowling, Senior 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: P-R r6t J• d-M,9R y R Goss + Map of -nt1c14,4cL Hamlet/LocalityRsf&a Z•.S1± lsa4fr/Io,D S.C.D.P.W. Topo No. : Zoning S.C. Tax Map No. : b o 0 - �. _ _ /S;/ L/ LoT 44N e_ Major Sub. Minor Sub. ✓ Site Plan Cluster MATERIAL SUBMITTED: Preliminary Plat ( 3 copies) ✓ <oad Profiles (1) . Drainage Plans (1) Topogroaphical Map (1) Site Plan ( 1) Grading Plan (1) Other materials (specify and give number of copies) Waiver of Subdivision Requirements - See attached sheet CONTINUED REFERRAL CRITERIA: SEQRA STATUS: 1. The project is an (Unlisted) 6Tyj7e3I (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 received approval from the S.C. Dept of Health. (Yes) M_Q . Comments: ?L E,4sA /r�vt6� Ttt[S �oT' �inc,E �t1.9/r�E i/y 1-14iS cRirge,4L G�zv�n ih nrsgc. /9/�Erg• 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 Southold Town Planning Board Town Hall Southold, _New York 11971' Re: Lot Line Change for Goss (SCTM #' s 1000-2-1-13 & 14) . Gentlemen: The following statements are offered for your ccnsiceration 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. proposeu. (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- 1 Stephen L. Ham, 'III , authorized agent for Porter J. Goss and Mary R... Goss Ar y. a s 1 j Y,f��P r` �S PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman e `,•,y 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 January 15, 1991, Stephen L,, Ham III Matthews and Ham 45 Hampton Road Southampton, New York 11968 RE: Lot line change for Porter J. & Mary R. Goss and Michael L. Laughlin SCTM#1000-2-1-15.1 & 16 Dear Mr. Ham: The following resolution was duly adopted by the Southold Town Planning Board at a meeting held on Monday, January 14, 1991. BE IT RESOLVED that the Southold Town Planning Board, start the lead agency coordination process on this Type I action. The Board makes an initial determination of non-significance. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. � Chairman PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward -_ Ti 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 2, 1990 Stephen L. Ham, III Attorneys and Counselors at Law 45 Hampton Road Southampton, NY 11968 RE: Proposed lot line change for Porter J. and Mary R. Goss and Michael L. Laughlin SCTM4 1000-2-1-16,15.1 SCTM# 1000-2-1-13 ,14 Dear Mr. Ham: This letter will confirm your December 13 , 1990, telephone discussion with staff member Robert Kassner. As discussed with Mr. Kassner, the Board will require a Long Environmental Assessment Form for both Lot Line Changes, as they are both within a Critical Environmental Area. Upon receipt of the Long Environmental Assessment Forms, the Planning Board will proceed with its review. If you have any questions or require further assistance please contact this office. Very truly yours, Bennett Orlowski Jr. Chairman PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman 'Y � r, ,._'d 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 October 23 , 1990 Stephen L. Ham, III Attorneys and Counselors at Law 45 Hampton Road Southampton, NY 11968 RE: Proposed lot line change for Porter J. and Mary R. Goss and Michael L. Laughlin SCTM# 1000-2-1-16 ,15.1 SCTM# 1000-2-1-13 ,14 Dear Mr. Ham: The Planning Board has reviewed your application. The following changes must be made before the Board can proceed: 1. The application must be submitted as two complete lot line changes as indicated above. An additional fee of fifty dollars (50) will be required. 2. An affidavit is required, stating that if .approved, the parcels will be merged. A copy of a sample affidavit is enclosed for your use. 3 . A deed for Mr. Laughlin' s property must be provided. If you have any questions or require further assistance please contact this office. Very truly yours, ✓ _. J -. / 6 Bennett Orlowski Jr. Chairman G��'/ �i ` �- It'1 To the PLANNING BOARD of the TOWN of SOUTHOLD and being duly sworn, depose and say: THAT I am the owner of an improved parcel of land in , New York which is a part of certain lands shown on a map entitled " " filed in the Suffolk County Clerk' s office on as Map No. and which was deeded to me -by deed dated recorded in Liber and page THAT I agree to merge the x square foot parcel from lot 2 to lot 3 if the Planning Board approves the lot line change. Sworn to before me this day of 19 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 L.HAM,III ., December 3, 1990 , Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss and Michael L. Laughlin (SCTM # Is 1000 - 2 - 1 - 15. 1, 15.2 , 16 & 18) Dear Sirs: Further to my letter of November 27, 1990 relating to the referenced lot line change, I have enclosed an original notarized letter authorizing me to act on behalf of Michael Laughlin and a photocopy of the deed by which Mr. Laughlin acquired his title. This file should now be complete. Please advise me immediately if any further information or documentation must be provided before you can begin to review this application. Very truly yours, 4� hLa� Stephen L. Ham, III SLH:ja Enclosures DEC - 5 Michael L. Laughlin 330 Kershaw Street Aiken, South Carolina 29801 --ect-c�er 711 1990 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss and Michael L. Laughlin (SCTM Vs 1000-2-1-13, 14 , 15. 1, 15.2 , 16 & 18 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 lot line change 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 lot line change approval. Notwithstanding, the foregoing, the authority granted to Mr. Ham does not include the power to execute any documents affecting the title to my property. Very truly yours, �Q Michael L. Laughlin STATE OF SOUTH CAROLINA ) ss. . COUNTY OF k a r,) ) �.de,►� ,.��n On the a Cif day of der, 1990, before me personally came Michael L. Laughlin, to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that he executed the same. _ - Notary 'Public DEC n _ MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD Q� ezr� SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III November 27, 1990 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss and Michael L. Laughlin (SCTM # Is 1000 - 2 - 1 - 15. 1, 15.2, 16 & 18) Dear Sirs: In connection with the referenced application for a lot line change, I have enclosed the following: 1. Form letter regarding drainage, roads, etc. 2 . Short Environmental Assessment Form, Part I. 3 . Application for Approval of Plat, together with property descriptions. 4. Questionnaire, duly acknowledged. 5. Eight prints of the survey showing the existing and proposed lots. 6. Affidavit of Merger. Under cover of my letter to you of October 12, 1990, I sent you a check for the $50. 00 filing fee, photocopies of the deeds referred to in the application, a notarized letter of the owners as to the reasons for the change and a letter authorizing me to act on behalf of Porter and Mary Goss. T jMom - ` 3 h90 Continued Planning Board November 27, 1990 Town of Southold Page 2 You advised me by letter of October 23, 1990 that you required a copy of the deed to Michael Laughlin. I am still awaiting receipt of a copy and will forward it to you as soon as it is in hand. In the meantime, I would appreciate it if you would review the enclosed documents and notify me immediately if any further information or documentation will be required before this matter can be placed on the calendar. Very truly yours, Stephen L. Ham, III SLH:ja Enclosures DEC — 3 for ATTWS & HAM 1 1 M HE SZ 61lc ATTORNEYS AND COUNSELLORS AT LAW 45 HAMPTON ROAD /✓^A SOUTHAMPTON,N.Y.11968 1 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III October 12, /1990 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss and Michael L. Laughlin (SCTM # Is 1000 - 2 - 1 - 13 , 14 , 15. 1, 15.2 , 16 & 18) Dear Sirs: In connection with the referenced application for a lot line change, I have enclosed the following: 1. Authorization for Stephen L. Ham, III to act as agent for the applicants, Porter J. Goss and Mary R. Goss. 2 . Notarized letter- from the owners approving the change. 3. Photocopies of deeds recorded in Liber 8254 page 520, Liber 9333 page 553, Liber 9333 page 557 and Liber 9333 page 561, respectively, containing certain covenants and restrictions affecting the property. 4. Form letter regarding drainage, roads, etc. 5. Short Environmental Assessment Form, Part I. 6. Application for Approval of Plat, together with property descriptions. 7. Our check to the Town of Southold in the amount of $50.00. }F Continued ,_ _1 OCT 1 2 1990 Planning Board October 12, 1990 Town of Southold Page 2 8. Questionnaire, duly acknowledged. 9. Eight prints of the survey showing the existing and proposed lots. Please review the enclosed documents and notify me immediately if any further information or documentation will be required before this matter can be placed on the calendar. r Very truly yours, - Stephen L. Ham, III SLH:ja Enclosures BY HAND I a4 ; OCT 2 1990 I.ho THIS LOT LINE CHANGE BETWEEN AND IS LOCATED ON _ IN S 1 s/�,��1 . SCTM# 1000- J /el- LOT LINE CHANGE Complete application received , ❑Application reviewed at work IeroM session . oK =L OK INFO. Applicant advised of necessary revisions uo•L Revised submission received I oK nro. 'M°0qL o K Ipro. Lead Agency Coordination — V-_,7 I SEQRA determination - WL OK Sent to County Planning Commission Iero. `•L IMFO. oK I Review of SCPC report Draft Covenants and Restrictions rrAW eceive '~'�� yf Ingo. oK ro ), 3- -y/ '� oK Draft Covenants and Restrictions reviewed 3- 74/ Ipro• ❑ Filed Covpnn _and estric3tions�r�eceived ��KK �H�o Final Public HearingTY_�o Approval of Lot Line -with conditions y- 30 -7/ Endorsement of Lot Line I e ms 1/1/90 14-16-2 (�/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 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 C�—o S Sa�ec_ Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsil�l,'� ( fficer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date 1 N PART 1—PROJECT INF ,,NATION , r 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 considers 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 Lot Line Change - Properties of Porter J. & Mary R. Goss and Michael Laughlin LOCATION OF ACTION(Include Street Address, Municipality and County) Private Road, Fishers Island, County of Suffolk (SCTM #'s 1000-2-1-.15.1, 15.2, 16 & 1.8) NAME OF APPLICANTISPONSOR BUSINESS TELEPHONE Porter J. Goss and Mary R. Goss (516 ) 283-2400 ADDRESS c/o Stephen L. Ham, III, Esq. , 45 Hampton Road, Southampton, NY 11968 CITYIPO STATE ZIP CODE Southampton INY 11968 NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS CITY/PO STATE ZIP CODE DESCRIPTION OF ACTION transfer of .66-acre parcel of land from Michael Laughlin to Porter J. Goss and Mary R. Goss to effect lot line change between these adjoining property owners; transferred parcel will merge with other lands of Goss and no new building sites will be created 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: .66 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) .66 acres .66 acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? N.A. a. Soil drainage: ❑Well drained % 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? acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes 12No a. What is depth to bedrock? ,unknown (in feet) � 2 5. Approximate percentage of proposed pr t site with slopes: ®0-10% 10 ❑l0-15% % ❑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? ❑Yes MNo '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ®No 8. What is the depth of the water table?unknown (in feet) 9. Is site located over a primary, principal, or sole source aquifer? LNYes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? CX7Yes ❑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 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 14. Does the present site include scenic views known to be important to the community? ❑Yes ❑No unknown 15. Streams within or contiguous to project area: nnnP 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 none b. Size (In acres) 17. Is the site served by existing public utilities? ®Yes ❑No r a) If Yes, does sufficient capacity exist to allow connection? ®Yes ❑No already connected �l b) If Yes, will improvements be necessary to allow connection? ❑Yes [ENo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes FC]No 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? X]Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes ®No 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 5.0 acres. b. Project acreage .to be developed: 0 acres initially; 0 acres ultimately. c. Project acreage to remain undeveloped * acres. *no new development proposed 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 g. Maximum vehicular trips generated per hour ** (upon completion of project)? ** no change h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially one Ultimately one L Dimensions (in feet) of largest proposed structure *** height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? —0 ft. 3 *** no new structures proposed 2. How much natural rr, ` ,'ial (i.e., rock, earth, etc.) will be remove., ;rom the site? 0 toms/cubif:yyards, 3. Will disturbed areas be reclaimed? ❑Yes ONo YIN/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Dyes ❑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? 0 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes CNNo 6. If single phase project: Anticipated period of construction N.A. months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated N•A• (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 ❑No N.A. 9. Number of jobs generated: during construction N.A. after project is complete 10. Number of jobs eliminated by this project N.A. 11. Will project require relocation of any projects or facilities? ❑Yes InNo If yes, explain N.A 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? ❑Yes 1ZNo Type 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 unknown 16. Will the project generate solid waste? ❑Yes ®No a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? ❑Yes ❑No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes E2No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? ❑Yes WNo 19. Will project routinely produce odors (more than one hour per day)? ❑Yes ®No 20. Will project produce operating noise exceeding the local ambient noise levels? Dyes X]No 21. Will project result in an increase in energy use? ❑Yes FONo If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity N_A. gallons/minute. 23. Total anticipated water usage per day N.A. gallons/day. 24. Does project involve Local, State or Federal funding?. ❑Yes ®No If Yes, explain 4 25. Approvals Required: Submittal Type Date City, Town, Village Board Dyes 1No City, Town, Village Planning Board ®Yes ❑No lot line change approval 11/90 City, Town Zoning Board ❑Yes RINo City, County Health Department ❑Yes ®No Other Local Agencies ❑Yes ®No Other Regional Agencies ❑Yes IMNo State Agencies ❑Yes ®No Federal Agencies Dyes I—XINo 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 ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ®other lot line change 2. What is the zoning classification(s)of the site? R-120 3. What is the maximum potential development of the site if developed as permitted by the present zoning? single—family residence on each of the affected lots 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. C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? loYes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/, mile radius of proposed action? single—family residential; R-120 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/a mile? ®Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? N.A. a. What is the minimum lot size proposed? N.A. 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 K]No a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ONO N.A. 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes MNo a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No N.A. 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 Name Porter J. Goss and Mary R. Goss Date 12/31 /90 Signature " L . r Title Authorized Agent Steph n L. Ham, III 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 t 2-PROJECT IMPACTS AND EIR MAGNITUDE 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 ONO DYES 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. ❑ ❑ ❑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 ❑ ❑ ❑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. _ ❑ ❑ Dyes ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes ❑No 2. Will there be an effect t-,. _..iy unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO DYES • Specific land forms: ❑ ❑ ❑Yes ❑No i 6 1 2 3 ' 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) ONO OYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ El 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. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO OYES 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 ❑YES 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 Dyes []No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes El No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ El 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 cau50 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 ❑ ❑ El 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 OYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 . Small to Potential Can Impact BED Moderate Large Mitigated By Impact Impact. Project Change • Proposed Action may cause substantial erosion. ❑ • Proposed Action is incompatible with existing drainage patterns. ❑ ❑Yes ONO • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑Yes ONO ❑ ❑ Dyes ❑No 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. ❑ ❑ ❑Yes ONO • 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 heat source producing more than 10 million BTU's per hour. = .9y • Proposed action will allow an increase in the amount of land to industrial use. committed ❑ ❑ ❑Yes ONO } • Proposed action will allow an increase in the density of industrial ❑ development within existing industrial areas. ❑ ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes ❑No , IMPACT ON,PLANTS AND ANIMALS 8. 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 ONO Removal of any portion of a critical or significant wildlife habitat. ❑ ' Application of pesticide or herbicide more than twice a year, other ❑Yes ❑No than for agricultural purposes. ❑ ❑Yes ONO ' Other impacts: 0 ❑ ❑Yes ONO �. ' Will Proposed Action substantially affect non-threatened or �. non-endangered species? ONO DYES I 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 DYES The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) ❑ ❑ Dyes ONO 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 ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ Dyes ONO 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 ❑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 El 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 ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ []Yes ONO IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ONO DYES 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 CThe permanent foreclosure of a future recreational opportunity. ❑ ❑ []Yes ❑No • A major reduction of an open space .important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ El Yes El No 9 IMPACT ON 'i ndNSPORTATION 1 2 3 ' 14. Will there be an effect to existing transportation systems? Small to Potential Can Impact Be Moderate Large Mitigated By Examples that would apply to column 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 ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No ❑ ❑ []Yes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? ONO DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. ❑ ❑ ❑Yes ❑No • Proposed Action will require the creation or extension of an energy ❑ ❑ 3.r transmission or supply system to serve more than 50 single or two family ❑Yes ❑No residences or to serve a major commercial or industrial use. fi • Other impacts: ;.} ❑ ❑ ❑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. ❑ ❑ ❑Yes ❑No • Odors will occur routinely (more than one hour per day). ❑ • Proposed Action will produce operating noise exceeding the local ❑ El Yes ONO 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. ❑ ❑ El Yes ❑No ' Other impacts: ❑ ❑ ❑Yes ❑No - IMPACT ON PUBLIC HEALTH 7. Will Proposed Action affect public health and safety? Examples that would apply.I 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, ❑ ❑Yes ❑No infectious, etc.) Storage facilities for one million or more gallons of liquified natural gas or other flammable liquids. ❑ ❑ Dyes ❑No Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid or hazardous El ❑Yes ❑NO waste. Other impacts: I ❑ ❑ ❑Yes ❑No / t 10 1 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 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 ❑ ❑ El Yes El No project is.located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑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 ❑ ❑ El 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. ❑ ❑ El Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ❑NO ❑YES 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 (2.`87)-9c 617.21 SEQR Appendix B State Environmental Quality Review Visual EAR' 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? El ❑ El ❑ ❑ • 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? ❑ ❑ ❑ El Ei 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? ❑Yes ❑No 1 DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within *'/a mile *I 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 El Yes El 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 ❑ ❑ ❑ ❑ 2 Porter J. Goss Michael L. Laughlin Mary R. Goss 330 Kershaw Street 3869 Gulf Drive Aiken, SC 29801 Sanibel Island, Florida 33957 first- 6 1990 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss and Michael L. Laughlin (SCTM # Is 1000-2-1-13, 14, 15.1, 15.2 , 16 & 18) Dear Sirs: We are the owners of premises at Fishers Island which are the subject of the referenced lot line change application. • The proposed land transfers are to be made for the purpose of including within premises of Mr. and Mrs. Goss a lawn and garden, appurtenant to their residence, that were inadvertently located on premises of Mr. Laughlin. In exchange, Mr. Laughlin will receive a parcel that will give his property access to Fishers Island Sound. Very trul OCT 1 Z 1990 Porter J. oss a Mary R. oss �yJ Michael L. Laughlin c� ACKNOWLEDGMENTS STATE OF PBSPRInDA ) ss. . COUNTY OF ) c�- On the day of t, 1990, before me personally came Porter J. Goss and Mary R. Goss, to me known to be the individuals described in and who executed the foregoing instrument, and acknowledged that they executed the same. EIL6EN G. WALL Ap�ry Public, State of New Yotr 52.9509185 No, . _ Qualified in I34 IVtjj � O Notary Public Y��ilJl! STATE OF SA ) ss. -�-A : COUNTY OF S �p4 ) t� On the 1 day of , 1990, before me personally came Michael L. Laughlin, to me known to be the individual described' in and who executed the foregoing instrument, and acknowledged that he executed the same. LILI�'�N1 d. WALL c frteny Public, State of New 961► Notary Public No. 52-9509185 Qualified in Suffolk County Om Exriro kith a0, I# OGC, Porter J. Goss Mary R. Goss 3869 Gulf Drive Sanibel Island, Florida 33957 A' , 1990 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss and Michael L. Laughlin (SCTM # Is 1000-2-1-13 , 14,- 15. 1, 15.2 , 16 & 18) Dear Sirs: Please be advised that Stephen L. Ham, III of Matthews & Ham, 45 Hampton Road, Southampton, New York, is authorized to act as our agent concerning all matters relating to the referenced lot line change involving our .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 our behalf in connection with our application for such lot line change approval. Very tr 1 , <<t: OCT 1 2 1990 Port r J. oss l ?cj A Mary oss STATE OF FIDA ) ss. . COUNTY OF ) On the �� day of An t, 1990, before me personally came Porter J. Goss rind Mary R. Goss, to me known to be the individuals described in -and who executed the foregoing instrument, and acknowledged that they executed the same. EILEEN G. WALL• " % q,� w n �y Public, State of Nivt Yor! -,. �Mn No. 52.9509185 Notary q Not Public Qualified in Suffolk C ifi ! D y Ilr*M ? Niirob t�F Southold Town Planning Board Town Hall Southold, New York 11971 Re: Lot Line Change for Goss and Laughlin (SCTM #' s Gentlemen: 1000-2-1-15 . 1 , 15 . 2 , 16 &.18 � ---- 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, TI Stephen L. Ham, - I.II , authorized agent for Porter J. Goss and- Mary R. Goss 14-16-4(2/87)—Text 12 PROJECT I.D. NUMBER 617.21 SEAR Appendix C State Environmental Quality Review rT SHORT ENVIRONMENTAL ASSESSMENT FORM 'i For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Lot Line Change - Properties of PORTER J. & MARY R. GOSS RGoss and Michael L. Laughlin 3. PROJECT LOCATION: Municipality Fishers Island, Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc.,or provide map) Private Road, Fishers Island; FIDCO Lots 27-5, 27-6, 27-7 and 27-8 Suffolk County Tax Map Nos. 1000'-2-1-1.5.1, 15.2, 16 and 18 J- 5. IS PROPOSED ACTION: El New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Transfer .of parcel of land by Michael L. Laughlin to Porter J. Goss and Mary R. Goss to effect change 'of lot line between these adjoining property owners 7. AMOUNT OF LAND AFFECTED: Initially •66 acres Ultimately •66 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ®Yes ❑No If No,describe briefly C9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ®Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: area is zoned R-120 under Zoning Code of Town of, Southold, residential single-family, minimum lot area 120,000 square feet 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ❑Yes ®No If yes, list agency(s)and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ®No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE PORTER J. GOSS and MARY R. GOSS Applicant/sponsor name: by STEPHEN L. HAM, III, authorized agent November �7 , 1990 Date: L• Signature;. . If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED At ;PE I THRESHOLD IN 6 NYCRR, PART 617.12? coordinate the review process and use the FULL EAF, ❑Yes ❑No , B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No, may be superseded by another involved agency. a negative declaration ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological, historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly. C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short tQrm,cumulative,or other effects not identified in CI-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain br-iefly PART III—DETERMINATION OF SIGNIFICANCE fro be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name oI Lead Agency i 'r Print or fype Name of Resp�^,:ble Officer in Ledd Age-nTv rt' Title of Responsible Officer Signature of Responsible Officer in lead Agency Signature or Prepater(It different Irom responsible orticerl C Date 2 APPLICATION FOR APPROVAL OF PLAT1 "N To the Planning Board of the Town of Southold: DEC The undersigned applicant 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: authorized agent of the 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 . -LPt-Ur1P..Qb4Pgq.. Property of Porter J. & Mary R. Goss and Michael L. Laughlin 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 . . 9333. . .. . . . . .. . . .. . Page . 553 . .. . . . .. . . .. . . ... On . .. .3/29/83 Liber . .. .93.33.. .. . . .. .... .. . Page . .557 . .. . . . . . . . . . . 3/29/83 On . .. . ; Liber . .... .. . . .. .. .. .. .. . . .. . Page . .. .. .. .. .. .. . . . . .. .. . On Liber . .. . . .. . . .. .. .... .. .. .. . Page . .. .. .... . . . . . . .. .. .. . On Liber . .. .. .... .. ........ ..... Page . .. .. .. .. . . . . . . . . . On ; as devised under the Last Will and Testament of. . .. . . .. NSA or as distributee . ... ...NIA .. ... . ...... .. . . . . . . .. .. . . . . .. .. .. . . .. . . .. ... ...... . ........ . ..... . . .. . . . . . . . . . . ... . .. .. .. .. .. ... . . ... ... . .. .. .. . 5. The area of the land is . .. 6 ; 63. . . • .• •• • acres. 6. All taxes which are liens on the land at the (late hereof have, been paid.IMNOX. . • •. • • .. . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . .. .. .. . . . . . .... .. . . .. . . . 7. The land is encumbered by . .. . . .•no mortgage (s) as follows: .. . ..... . .. . . . (a) Mortgage recorded in Liber . .. .. .. . . . . .. . Page in original amount of $. . . .. .. . . . .... . unpaid amount $ . ..:. . . . . . . . . . . . . . .. . held by . .. . . . . . . .. . . .. .. .. . . . ... ... . .. .. . . . address . . . ..... . ... . . .... . . . . . . . . . . . . . . .. . . . . . .. . (b) Mortgage recorded'in Taber . .. . . .. .. Page . . . .. . . . . . . . in original amount` . . .. .. .. . . . of . .. .. . . .. . . .. . unpaid amount $. .. .. . . .. . . .. .. . . . . .. . held by . .. .. .. .. .... .. ....... ... .. .. .. .. .. . address .. . ..... . ... .. .. . . . . . . . . . . . . . . . .. .. .. . . .. .. .. .. ... ........ . .... (c) Mortgage recorded in Liber . . . . . .. . . . . . . . Page . . . . . . . .. . . .. .. . in original amount of . .. .. . . .. . .. . . unpaid amount $. . . . . . . . . . . . . . . . . . . . . . held by . .. .. . . . . .. . . . . . . . . . . . ... .. .. .. .. .. .. . . .. .. . address . .. . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . .. . .. .. 8. There are no other encumbrances or liens against the land. pgfxX . .. . . .. .. .. . . .. .. .. .. . . .. .. .. . . ... . . . .. .. . . . . . . .. . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . .. .. .. ..... . . .. .. .... .... 9. The land lies in the following zoning use districts . .R-AN .• •. • . •. •. .. . . .. .. .. . . . ... .. . .... .. .. .. . . .. .. .. .. .. . . . . .. .. .. . . . . .. . . . . . . .. . . .. .. .. . . . . . . .. .. . . .. ... . . . . .... .... . . 10. 'No part of the land lies under water whether tide water, stream, pond water or otherwise,)ex xt . . . .. .. . . . . . . .. ... . .. .. . . . . . . .. . . ... . . . . . . .. . . .. .. .. .. .. . . .. .. . . .. . . . .. . . ..... . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land Jdoes) (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . .F.ishexS. Js.lazld. .Wa.tex. .WQ.rk$.. .. .. . . . . . . . . ... . . . .. 13. Water mains will be laid by . .existing. , .. .. . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . ..QXAsting. . . . . .. .. . . .. . . .. . . .. ... . .. lines. • •• • • •• • • •. • • • • •• .. • .. . • . . . . . . . and (a) (no) charge will be made for installing said 15. Gas mains will be installed by . .. . . . . N/A 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 Highway system, annex Schedule "C" hereto to sliow 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 shows proposed streets. «v hich are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said Cx1StIIln maps at their conjulictions with the proposed streets. 20. In the coarse of these;pro.ceedin,s, the applicant -%vill offer proof of title as required by Sec.. :; 335 of the Real Propetty.'Law...: 21. Submit a copy of proposed deed for lots showing all restrictions, covenants, etc. Annex Schedule "D". 22. The applicant estimates that the cost of grading and required public improvements will be $• • .19JA•. . as itemized in Schedule "E" hereto annexed and requests that the maturity of the ' Performance Bond be fixed at , .WA .- . . . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE ... . Qvember 2:7 19.90 Porter J .Gos . . . . . . .. .. .. .. . . .. . . .. .. .. .. .... ....... . . .. . .. .. . and Mary R. Goss (Name of Applicant) By (Signature and Title) Stephen L. Ham, III , authorized agent 45 Hampton Road (Address) South'atnptoti New' Ybrlt' 'Zi968 STATE OF NEW YORK. COUNTY OF F SUFFOLK On the . . . . ,4.7ti`' . . .. . day of. . . . . . . NovQpber 90 • • • •• . • • ' 'l 19. . . ., before me personally carve �ireghen L; Ham, III ,, . . to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . , .h.e . .. .. . executed the same. E. JANE ALLEPil NOTARY PUBLIC,State of Hew YDria Notar) Public Qualified in auffa,k CduntY' Corniiiission Expires Newber 28, lq--20�17/ STATE Or NEW YORK, COUNTY OF . . . .. On the . . . . . . . . . .. . . . . . day . . . .. .. .. .. . of . . . . . . . ... . . . .. 19. .... ., before me personally came . .• • • • • • • • • • • • •. . . . . to me known, who being by me duly sworn did de- Imse and say that . .. .. .. .. .. . resides at No. . . . .. . . . . .. . . . . .. . . . . .. . . .. .. .. . . .. . . . .. . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . .. . . . . . . .. . . . . . . .. . . .. . . . is the . .. . . . ... . 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 corporations. _ rind ti;i . . . . . . . . . . . . signed . .. ... .. name thereto by like order. Notary Publie. . . .. . . . . .. .. . . .. ....... . ........ . PLAXINIIN WARD N� 0, i SOU ,HOLD SGFFOLK--C.0 TY Southold, N.Y. 11971 (516) 765-1933 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Offi.ce of the -Planning Board with your completed applications forms. If your answer to any of the fol-lowing questions is ves , please indicate these On your guaranteed survey or sub evidence: mit other appropriate 1. Are *there any wetland grasses on this parcel? Yes(Attached is a list- o-f the wetland grasses defined No by. the Town Code, Chapter -97, for your reference) 2. Are there -any other premises under your ownershi abutting this parcel? p 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_ o.r 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? Y e s No__ 6. Was this property the subject of any prior application to the Planning Board? Yes No 7. Does this prcperty'. have a valid certificate of occupancy, , if yes please submit .a copy of same yeS .. No structures pre-exist zoning --- I certify that , ti,.e _ above statements arc true and :ill be relied on by the Planning Deard .in considering this application. Signa.ture IT property owner /90 Stephen- -L. Ham, III , authorizer autr agenr date agent for Porter. J. . Goss- and Mary R. -Goss Attachment to questionnaire for::-the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the day of November 1990, before me personally came_ SrPnhen L Ham, III � to me known to be the individual described in- and who executed the foregoing instrume and acknowledged that he executed the same. - _ E. JANE ALLEN N o t r -Public Y No.52-4916�86 Qualified in Suffolk Comfy yl. commission Expires DeCrsmber 28, 19M APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision ph accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold T.Planning Board, and represents and states as follows: authorized agent. of the 1. The applicant is the/owner of record of the land under application. (If the applicant is not owner of record of the land under application, the applicant shall state his interest in land under application.) _ 2. The name of the subdivision is to be .• .Lot Line Change = Property' of Porter.:...&.ReEy•R... .Goss and Michael. •L. Laughlin .•.•.•.••._...••..••• .•..•...•.•• 3. The entire land under application is described in'Schedule "A" hereto annexed. (Copy of d. sug.ested.) 4. The land is held by the applicant under deeds record folUws ed in Suffolk Count)- Clerk's office Liber .... ..... e 520 /20/77 ......... . page .. . .............. ... On ..6 . ........ .. -Liber ....9333................ Pave ..553.......... .. .. ... On . •3/29/83 ....... Liter ...9333 .............:. Page ..557......... .. ...... On ..3/29/83 .. ......... Liber ....9333 . . .... ...... . Page . . ..... ........ ... On . .3/?9/&3 .. .... .... . Liber ........................ pa- ... .. .... .. .. .. .. . . ... .. On . .... .... .... ...... .. . as devised under the Last Will and Testament of .,, N/A . or as distributee .......N�A.............. ........ ......`:....: .L.::..!...:...... ........ ......:............................. ............. ......... •9GT•t.?.Inn- :..... 5. The area of the land is 8.36 ........ acres. 6. All taxes which are Liens on the Land at the date, hereof have°'been "paid eIYtKX •,.., 7. The land is encuniltcred by , no mortgage (s) as follows: .. .. .. .. .. .. .... .. .. ...... ........................ . (a) Mortgage recorded in Liber . .. ..... . .. . . . Page . .. .. .. ...... .. , in original amou, of $. .. .. .. .... ... unpaid amount $ . .... .'. .: held by ... . ..... ...... ... address .... .......:. .. .... . . .. .. . . .. .. . :.. .. .. ...... ..'. ... . (b) ltortga;c recorded in Liber. . ,, , Page . . . .. . .. •• ... in original amour. of . .. .. .. .. .... . unpaid amount $. .. held b .. ....... address ... ..... • ...... (c) Mortgage recorded in Liber . ........ ....... . Page . ... in original am of .............. unpaid amount . ... . ........ ....... held by ..:................ ...................... address .:... ............ .. .. .. ...... .. .............. 8. There are no other encumbrances or liens against the land.XX ................. ............... ... .. .... .... .. ........ .. ..................... 9. The land lies in the following zoning use districts R-120 - - . .... .... .... .. .. ...... ............. ......... .......... .. .. .......... .................... 10. NTo part of the land lies under water wheth er tide water, stream. pond water.or otherwise. ..... .. ........ .................. ... . . ...... .. .. .. .. .......... ....... ........... 11. Thd'applicant shall at his expense install all required public improvements. 12. The.land (does) (does not) lie in a Water District or Water Supply District. \Tame of I trict, if within a District, is Fishers Island Water Works . .. .... .... .. .. . . .. .. .. .. .. .. .. .. . . .. .. .. .. .. ... ... ....... . . 13. Water mains will be laid by . .. existing and (a) (no) charge will be trade for installing said trains. 14. Electric lines and standards will be installed by . .. ..existing . ... .. .. .. .. .. .. .. . •••••••• •.••••••• .... and (a) (no) charge will be made for installing s lines'. '' 15. Gas mains ,will be installed by . , N/A and (a) (no) charge will be made for installing said inains. .'.' '' ' ' . 16. If streets sltoNvrt oil the plat.are claimed by tlic.:applicant to be existing public streets in t Suffolk County Highway system, annex Schedule "L'" hereto, to sliow same. 17. If streets shown oil the plat arc claimed by the applicant to be existing streets in t public Town of Southold I I' hway system, annex SClledltle "C" hereto to show same. 13. There are existin- buildings or structures on are not located the land which and sho% on the plat.. . 19. Where the plat Show'S proposed streets u•hiclt :u-e extensicnls of streets oil l(Ijoinitt_ su division maps heretofore filed, there are M) reserve strips at on sa existin" maps at their eonjimetions \\•itl the end of tits streets t the proposedstreets. 20. In the course of these proccedin;;s, the ;tpI)jic lttt will uifcr prt,uf oE.litle as required rby $e 335 of the I:cal Prnperty Law. 21. Submita Schedule D copy of proposed (Iced for lots slu,win all restrictions, covenants, etc. :lone " .� 22. The applicant estimates that the cost of gradl11 and required public improvements wi N/A..,,, as itemized in Schedule "E" hereto annexed and requests that the maturity c Performance Bond be fixed at ...... ,, ,• years. The Performance Bond will be writt( a licensed surety company unless otherwise shown on Schedule "F OC-'1-o be DATE 90 ••••-•••••......, 19 ,Porter J. Goss and Mary R. Goss (Name of Applicant) .... • (Signature and Title) Stephen L. Ham, III, authorized .45.: wp.tQ�}.Ro�4..... agent . (Address) Southampton, NY 1.1968 . STATE Or-NEW YORK, COUNTY OF . .. .. SUFFOLK . , ss 104 0cto h_QR On the. ..... .. of. ... ml3er Stephen L. •• ..••II day " '' 1990• I)eforc me personally c: ••_••, ••• Ham, I '''''•'••••• •••• ••••••• ••. . to nie known to be the individual described in and executed the foregoing instrument, and acknowledged that . .. . . ,he• executed the same. .� Notar}'• ublic ROTARY PUDUC,C,ate otTCein�a�c' ualifiad in Suftc{h County STATE Corrsrnissiors OF NEW YORK, COUNTY OF L-g.:r•as Gee°sm�er:a. S On the . .. .. .. . . .. . . .. . day. . .... .. .. of • • • • • •••••••••, 19• ••..., before me per ca . . ..... . . .. . to me known. who being by me duly sworn did , pose and say that . .. ... ... resides at No. ... .. .. .. .... .. .. . ... . . . . .. . . . . . . .... . . . .. . . . . .... . . ... tlsst . .. .. . . ... is the ... .. .. . of the corporation described in and which executed the •fore oin- instrument; that• ..... . . . . .... kno the seal of said corporation; that the seal affixed b}• order of the boarel of director: of said corp oratic :u:�l that . . . .. . . .. . . . signed . .. ...... . .. . name thereto by like `order. - _ No ar}• Public :.. .. . . ........ .. .......... ...... . ... AFFIDAVIT STATE OF NEW YORK ) ss. . COUNTY OF SUFFOLK ) STEPHEN L. HAM, III, being duly sworn, deposes and says: 1. I am the authorized agent of Porter J. Goss and Mary R. Goss, owners of premises known as Block 27, Lots 6, 7 and 8, Map of Fishers Island Development Corporation, which premises and Block 27, Lot 5 on such Map are the subject of an application to the Planning Board of the Town of Southold for a lot line change. The foregoing lots are shown on a certain map prepared by Chandler, Palmer & King and submitted to the Planning Board of the Town of Southold in connection with such application. 2. The proposed lot line change will be effected by the transfer of a 28,836 ± square foot portion of Block 27, Lot 5 to Porter J. Goss and Mary R. Goss by Michael L. Laughlin, the owner of Block 27, Lot 5. Such portion is identified on the map of Chandler, Palmer & King as "Area to be deeded by Laughlin to Goss" . 3. I hereby affirm on behalf of the owners that, upon approval of the lot line change and upon the property transfer described above, that 28,836 ± square foot portion of Block 27, Lot 5 so transferred will merge with and become a part of Block 27, Lot 6 and will not thereafter constitute a separate buildable parcel. 4. I make this affidavit in order to induce the Planning Board of the Town of Southold to grant its approval to the proposed lot line change in accordance with the application therefor. Steph n L. Ham, III Subscribed and Sworn to Before Me this a7tk day of November, 1990 NOTARY PUBLIC,State of New YMN No.52-4916086 Not y Public Quaimed in auffo;h County g1 Cammission Expim Dumber 2F,. 1 V -� Standard 1 Y.1:.'I'.U. Form✓iUIU' U-HU•5\I---4aecutur'8 Deed-lsidividmd or Corporation. '*r ` CONSULT YOUR LAWYER BEFORE SIG! THIS INSTRUMENT-THIS INSTRUMENT SHOU USED BY LAWYERS ONLY. INDE�I'YURE, made the 22 day of February , nineteen hundred and eighty-three BETWEEN PITTSBURGH NATIONAL BANK, a national banking association having its principal office atVifth and Wood Streets in the City of Pittsburgh, County of Allegheny and State of Pennsylvania 2 1990 af,xxostoxxxof as ancillary executor of the last will and testament of Mary 0. Robinson, a/k/a Mary Oliver Robinson , late of 1:1=PScaife Road, Sewickley Heights, Pennsylvania who died on the 14th day of October , nineteen*hundied and eithty party of the first part, and PORTER J. GOSS and MA1iY R. GOSS, as joint tenants with right of suvivorship, . both of- ..3,$69 Gulf Drive, Sanibel Island, Florida party of the second part, WITNESSETH, that the party of the first part, to whom ancillary letters testamentary were issued by the Surrogate's Court, Su folk County, New York ou November 26, 1982 and by virtue of the power and authority given in and by said last will and testament, and/or by Article I I of the Estates, Powers and Trusts Law, and in consideration of Ten ($10. 0 0) dollars, to the party of the first part paid by the party of the second part, does hereby grant and release unto the party of the second part, tkK MX XfKft:p ocmeond ,WitXorex4 and unto the survivor of them and unto such survivor' s distributees, successors and assigns forever, �2aiK tai� xeeaimw;rk�cka&(k Aktxia iWkgx ALL those two certain parcels of land hereinafter described as Parcel A and Parcel B, with the buildings and improvements thereon, erected, situated, lying and being in the town of Southhold, Suffolk County, State of New York, being a part of that portion of Fishers Island lying Easterly of thb following line, viz : � 7s BEGINNING at the southeasterly corner .of land owned by the j' Unites States known as the Fort H. G. Wright Military Reservation, i4ount Prospect Tract, on the shore of Block Island Sound or the Atlantic Ocean and running thence northerly following the East boundary of the said land of the United States to the southerly 1 "line of East End Road (.sometimes called Oriental Avenue) and TAX MAP which point is the northeasterly corner of land of the United 'SIGNATION States, thence crossing the East End Road and following the same :,. 1, 000 course as the last to the shore of West Harbor on Fishers Island Sound; Said Parcel A being bounded and described. .as follows : �1 pa BEGINNING at a stone monument set on 'the . iVortheasterly side of a road forty feet wide, said monument being,'--seventy-eight hundred and i�ol�csoo fifty-eight and twenty five hundredths feet West of a point which ol400a is twelve hundred and fifty-six and seventy-nine hundredths feet - South of another monument marking the U.. S. Coast and Geodetic Survey Triangulation Station "Chocoinount 2" (which said "Chocomount 2" monument is located on the summit of the highest hill on Fishers Island, N. Y. about two and one-quarter miles West of the Eastern end of Fishers Island and lies South seventy- nine degrees twenty-nine minutes and forth-six seconds East of North Dumpling Light in Fishers Island Sound) ; and running thence Northwestwardly, along the.-Northeasterly side of said road (and following the arc of a curve to the left whose radius is three hundred and fifty-four and thirty-six hundredths feet and the direction of whose radius at that point is South seventy degrees twenty-six minutes and ten seconds West) , one hundred and a 14 a r�i7c�J3f�Gi55 thirty-six and eight-hundredths feet to a stake; thence, still along the Northeasterly side of said road, North forty-one degrees and thirty-four minutes West Thirty-eight and thirty- seven hundredths feet to a stake marking a point of' curve to the right whose radius is two hundred and seventy-five and fifty-four hundredths feet and the direction of whose radius at that point is North forty-eight degrees and twenty-six minutes. East; thence Northwestwardly, still along the Northeasterly side of said road (and following the arc of said curve) , one hundred and ninety- six and seventy-seven hundredths feet to a stake; thence North seventy-nine degrees twenty-six minutes and twenty seconds East one hundred and four and seventy-six hundredths feet to a stake; thence South thirty-nine degrees forty-one minutes and thirty seconds East three hundred and twenty and Ninety-nine hundredths feet to a stake; and thence South fifty-six degrees five minutes . and thirty seconds West one hundred and seventy-three and ninety- seven hundredths feet to the place of beginning; containing one and sixteen-hundredths acres, more or less. Said Parcel B being bounded and described as follows: BEGINNING at a stone monument set on the Westerly side of a road forty feet wide, said monument being eight hundred and eighty- two and thirty-four hundredths feet West of a point which is forty three hundred and six and forty-five hundredths feet North of the U. S. Coast and Geodetic Survey Triangulation Station "Nin" (which said "Nin" monument is located near the Western ' end of a ridge overlooking the South shore of Fishers Island and on the highest point between Chocomount and Mount Prospect and lies South forty-five degrees seventeen minutes and twenty- six seconds East of North Dumpling Light in Fishers Island Sound) ; and running South eighty-nine degrees twenty-six minutes and forty seconds West two hundred and fifteen and fourteen- hundredths feet to the shore of Fishers Island Sound; thence, with the meanders of said Sound, North three degrees thirty minutes and fifty seconds East fifty-two and seventy-hundredths feet and North four degrees forty-two minutes and twenty seconds East one hundred and sixty-one and fifty-two hundredths feet to a stake; thence North seventy-five degrees ten minutes and ten seconds East one hundred and ninety-seven and thirty- one hundredths feet to a stake set on the Westerly side of said road; thence Southwardly, along the Westerly side of said road (and following the arc of a curve to the left whose radius is three hundred and fifteen and fifty-four hundredths feet and the direction of whose radius at that point is South sixty-seven degrees eleven minutes and fifty seconds East) , two hundred and seventy and twenty-eight hundredths feet to the place of beginning; containing ninety-nine hundredths of an acre, more or less. SUBJECT to all applicable laws and regulations of governmental authorities and to all covenants, restrictions, easements, rights, grants and declarations of record and easements for use of public utilities. 93331 5 5-0 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances, and also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the-distf eee . and unto the survivor of them and unto such survivor' s distributees, successors and assigns forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the,cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: ATTEST: PITTSBURGH NATIONAL BANK as ancillary executor under the last will and testament of Mary 0. Robinson, a/k/a Mary Oliver Robinson By: B Y Y• ASS'T; VICE PRESIDENT WE PRESIDEW ;STATE OF NEW YOM COUNTY OF sss STATE OF NEW YORK, COUNTY OF ss, Cgbn the day of 19 , before me On the day of 19 , before me ,, ersonally came personally came ,4 go me known to be the individual• described in and- who to me known to be the.individual described in and who executed the foregoing instrument, and acknowledged'that executed .the.-foregoing instrument; and acknowledged that 6 executed the same. executed- the•same. .. . a RECEIVED, s; - 22535 . . . ..: 7. .:: ., REAL. ESTAT9;. • .. . ..TRANSFER f•�/� rx• SUF.FO!K c CGUNT�� PENNSYLVANIA STATE OF EI6SIK2MM COU OF ALLEG II�iY sss STATE OF NEW_YORK, COUNTY OF ss: On the XA day of �, 19 8 3, before me On the day of 19 , before me personally came R. Steven Bonnet personally came to me known, who, being by me duly sworn did depose and the subscribing witness to the foregoing instrument, with say that he resides at No. WO N o P, 4- Lot whom I am personally acquainted, who, being by me drily cv�('1, 1 R sworn, did depose and say that he resides at No. that he is the Vice President ofPittsburgh National Bank that he knows the corporation described . m and which executed the foregoing instrument; that 'he' _"'" "' ` "' to be the individual knows the,. seal of said. corporation; that the. seal affixed- described in-and who executed the foregoing instrument; to s• <.,i#I'�trument is 'such corporate seal; that it-was so- -that . he, said subscribing. witness,. was.present and saw affi-Qd..- '%-i'oeF of the board of directors of said corpora-. _ execute..the same; and.that ..he, said witness, tipn, SII .tl�ut�'._rye signed his name thereto by like.order.. at the same time subscribed h name as witness thereto. O OTHY k?iIGGtff�( 1�ARY PUBLIC I . {"tT• SUP,GNI`ALLiGHEfjY COUNTY my COIL f�1�Si�lt�:E?(?IRCS JUP;L %, Member,Pcnp$yltibnitYAssociation of ,:_:, e; . (e'icutor 2; -PPa `. it SECTION 2 TITLB NO. BLOCK __ LOT 15 pt. & 14 Pittsburgh National Bank COUNTY OR TOWN Southold as ancillary executor of TAX BILLING ADDRESS Mary 0. Robinson Mr. and Mrs. Porter J. Goss TO 3869 Gulf Drive Sanibel Island, Florida 33957 Porter J. Goss and Mary R. Goss Recorded At Request of The Title Guarantee Company R BURN BY MAIL TO: STANDARD FORM OF NEW YORK 80ARD OF TM.I UNDERWRITERS John B. Horton, ESq. v&muYrdby Hall, McNicol , Hamilton, Clark rTITLE GUARANTEE- & Murray NEWYORK One Landmark Square Stamford, CT 06901 ATICOR COMPANY Zip No. w . v oCie r ` 1 V > t s u a .. h N w ' Cd > a�� ` Standard N.Y.B.T.U.Form 8007•3-69-201vf—Bareain and Sale Deed, with Covenant against Grantor's Acts- idual orl C,o�O;ap�ti ip,�l�r �d ly L�fSrr u 10fRR'LJ� CONSULT YOUR LAWYER BEFORE , r :ING THIS INSTRUMENT—THIS INSTRUMENT ____ ULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the qfl) day of September , nineteen hundred and.sixty—nine BETWEEN In ' J. HERBERT OGDEN, residing at 734 Harrison Road, Villanova, Pennsylvania "-' REAL ESTATE . �� STATE OF YzC.0 oz TRANSFER TAX } :NEW YORK * � r .:, Dept. of . arty of the first part, and o Taxation SEP-9'69 1 0, 00 & Finance P.B.109A5 X MICHAEL L. LAUUHLIN, residing at 330 Kershaw Street , Aiken, South Carolina U_ party of the second part, { - WITNESSETH, that the party of the first part, in consideration of `TEN and other valuable consideration (,' S ��,�, dollars, lawful money of the United States, paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that.certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold., at Fishers Island, County of Suffolk State of New York more particularly bounded and described as follow: BEGINNING at a stone monument set on the Southwesterly side of a road 40 feet wide, said monument being 127.64 feet West of a point which is 4536. 01 feet North of another monument marking the U.S. Coast and Geodetic Survey Triangulation Station "Nin" (which said "ivin" monument is located near the Western end of a ridge overlooking : the South shore of Fishers Island and on the highest point between Chocomount and Mount Prospect and lies South 45 degrees 17 minutes and 26 seconds East of North Dumpling Light in Fishers Island Sound) ; and running thence Southeastwardly, along the Southwesterly side of said road (and following the arc of a curve to the left whose radius is 1'69•-.09 fe-et and the direction of whose radius at that point is North 70 degrees 2 minutes and 50 seconds East) , 53. 73 feet to a stake; thence South 20 degrees 39 minutes and 30 seconds West 136.83 feet to a stake; thence South 60 degrees and 43 minutes West 247. 30 feet to a stake; thence South 82 degrees 54 minutes and 30 seconds West' 202 . 85 feet to a stake; thence North 39 degrees 41 minutes and 30 seconds West 320.99 feet to a stake; thence South 79 degrees 26 minute N. and -20 seconds West 104. 76 feet to a stake set on the easterly side of another road 40 feet wide; thence Northwardly, along the easterly side of said road (and following the are of a curve to the right whose radius is 275. 54 feet and the direction of whose radius at that point is North 89 degrees and 21 minutes East) , 112.79 feet to a stake; thence, still along the easterly side of said road, North 22 degrees 48 minutes and 10 seconds East 42 .93 feet to a stake marking a point of curve to the left whose radius is 415..99 feet and the direction of whose. radius at that' point is North 67 degrees 11 minutes and 50 seconds West; thence Northwardly, still along the easterly side of said roa& (and following the arc of said curve) , 34 .78 feet to a stake; thence South 83 degrees 14 minutes and 20 seconds East 354. 83• feet to a stake.; thence North. 74 degrees 57 minutes and 10 seconds East 55. 71 feet to a stake; thence North 37 degrees and 15 seconds East 142.69 feet to a stake; thence North 12 degrees 1 minute and 50 seconds East 43. 24 feet to a stake set on the southerly side of I . , the road first above men thence, along the southerly side of said road South 79 degrees 48 minute's and '40 ''seconds' East 41'.9'6 , feet OPEO 19 PAGE 224 to a stake marking a .point of .curve to the right whose radius is 147. 65 feet and the direction of whose radius at that point is South 10 degrees 11 minutes and 20 seconds West; thence Southeast- wardly, along the Southwesterly side of said road (and following the arc of said curve) , 154.25 feet to a stake; and thence, along the Southwesterly side of said road, South 19 degrees 57 minutes and 10 seconds East. 123. 04 feet to. the place .of BEGINNING. Being the same premises conveyed to the party of the first part by deed dated January 13, 1966 made by Fishers Island Development Corporation and recorded in the office of the Suffolk County Clerk in Liber 5911 of Deeds at page 68 et seq. on August 14, 1966. 'TOGETHER with fh'e' appurtenances and;;all right, title and inter(Pst., ::if any, of the party of the first part in -and to land now or formerly lying below the high water mark of Fishers Island Sound. TOGETHER with the right to use, subject to the rights of others , for ingress and egress from the above described property such private roads as now or may hereafter exist connecting said property, directly or indirectly, with the public highway. LIBER 6619 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOED the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. SUBJECT to agreements, covenanX(contained onditions, consents', restrictions reservations and rights of way g y in deeds of record but only insofar as the same may now affect the property herein conveyed. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be'applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: c\ r J. HERBERT OGDE ' .f:';I j4�•I ' 61 PAGE 226 31744TE OF NEW YORK. COUNTY OF NEW Ybq ss: STATE OF NEW YORK. COUN ss. On the of�r day Of St ��<+��• 19 69. before me On the day of 19 , before me personally came personally came .J. HERBERT OGDEN to me known to be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed-the foregoing instrument, and acknowledged that he executed the same.: executed the same. 6 RN'I'Horn LV. FrrZGERALD� C �•i-; -y r'iT."LI•'. "ta•:c ;,f 1tiP.W. 1�OLIC .. STATE OF NEW YORK. COUNTY OF ss: STATE OF NEW YORK. COUNTY OF ss: On the day of 19' before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and to me known, who, being by me duly sworn, did depose and say that he resides at No. say that he resides at No. that he is the that he is the of of the corporation described , the corporation described in and which executed the foregoing instrument; that he in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so to said instrument is such corporate seal; that it was so affixed by.order of the board of directors, of said corpora- affixed by order of the board of directors of said corpora- tion, and that he signed h name thereto by like order, tion, and that he signed h name thereto by like order. jOacrgain anb &ale ;Deeb SECTION WITH COVENANT AGAINST GRANT'O[ti ACTS TITLE No, r-� , J/n BLOCK - `, S G�� � ( t a }�-!Clf!%�? -�-t}�.a I�1jF�1S1ClPy LOT ((`` ${ COUNTY OR TOWNhICgf"r0 118uth01dlSu t1C2 Comp J . HERBERT OGDEN TO Recorded At Request of The Title Eitsmiltifte-e—p-Iry MICHAEL L. LAUGHLIN RETURN BY MAIL To: RECOhDED 'BY Curtis , Mallet—Prevost, Colt a & Mosle 63 Wall Street New YOrk, New York Zip No. 10005 W u -wo SEP 9 1969 �' M JJ LESTIR M.ALBERT Ott Clerk Of.Suffolk Cou ty N W W Vl W Cd Southold Town Planning Board Town Hall Southold, New York 11971 Re: Lot Line Change for Goss and Laughlin (SCTM #Is 1000- 2-1-13, 14, 15.1, 15.2, 16 and 18) Gentlemen: The following statements are offered for your consiuerati•on in the review of the above-mentioned minor subdivision and its referral "to the. Suffolk County Planning Commission: (1) N•o grading, other than foundation excavation for a residential building is. proposed. (2) No nea 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, Stephen L. Ham III, authorized agent for Porter J. Goss and Mary R. Goss 14.16.4(2/87)—Text 12 PROJECT I.D. NUMBER 617.21 .SEAR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Lot Line Change — Properties Of PORTER J. & MARY R. GOSS Porter J. & Mary R. Goss and Michael L. Laughlin 3. PROJECT LOCATION: Municipality Fishers Island, Town of Southold County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) Private Road, Fishers Island; FIDCO Lots 27-5, 27-6, 27-7. , 27-8, 28-7 and undesignated Lot between Lots 28-6 and 28-7; Suffolk County Tax Map Nos. 1000-2-1-13, 1�4, 15.1, 15.2, 16 and 18 5. IS PROPOSED ACTION: EI New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: exchange of parcels of land between Porter J. Goss and Mary R. Goss on the one hand and Michael L. Laughlin on the other hand to effect change of lot lines between these adjoining property owners 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately __ 1.3 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIO S nf-T I L I ®Yes ❑No If No,describe briefly f C Other FDescribe: RESENT LAND USE IN VICINITY OF PROJECT? ential ❑Industrial ❑Commercial ❑A riculture area is zoned R-120 under Zoning Code of Town aof �Sotuthold,e residential e-family, minimum lot area 120,000 square feet 10. DOES ACTION INVOLVE A PER APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ❑Yes ®No if yes, list agency(s)and permit/approvals 11. DOES ANY ASPECT OF THE ACT!0N HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes O No If yes,list agency.name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ®No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE PORTER J. GOSS and MARY R. GOSS Oc4abp-�-laoir10 Applicant/sponsor name: by STEPHEN L. HAM, III, authorized agent ' 1990 Date: Signature: Lzr If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II—ENVIRONME� L ASSESSMENT (To be completed by A(, y) A. DOES ACTION EXCEED.:.. rYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL EAF. ❑Yes ❑No n , i B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration ! may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological, historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly. C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,or other effects not identified in Cl-05?Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)?Explain briefly.. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? . ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant: Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or lype Name of Responsible Ufhcer in Lead Agency rnfe of Responsible Vincer Signature of Responsible Officer in Lead Agency Signature of Preparer Ili different from responsible-inter) F Date 2 n Y.., PL�1 '\TING1'I30"r�RD �. ..Q, 'SOU,HpLD SLF�'OT: �coIVTY 1990 Southold, N.Y. 11971 (516) 765-1933 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 es , please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are 'there any wetland grasses on this parcel? Yes (Attached is a list- o-f the wetland grasses defined No 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 structures pre-exist •zoning 1 I certify that , the above statements are true and Will be •relied on by the Planning. Board .in considering this application. 1 .L• 'Hal. 11 Signature* o property owner or -/®/l0/90 authorized agent date Stephen L. Ham_, III, authorized agent fo.r Porter. J. Goss and Mary R: Goss Attachment to questionnaire for:..-the Planning Board STATE OF NEW YORK', COUNTY OF SUFFOLK, ss: On the /0! 0c-N6_0iv day of ether 19 90, before me personally came_ Stephen L. Ham. III to me known to be the individual described in- and who executed the foregoing instrume and acknowledged that he executed the same. Notar Public MARY PUBLIC,Mate of Nov Yob No.52.491f#86 -�tfaliflad in Suffolk County Commission Expifes Dec:mriber n Ir/fi/ Standard\.Y.B.'I'.U. Form 8010" 9.80.5M—}aeculor's Dacd—Individual or Corporation. e' CONSULT YOUR LAWYER BEFORE SIGN THIS INSTRUMENT-THIS INSTRUMENT SHOU E USED BY LAWYERS ONLY. 1 i,�r� 3r�cE5 `� - 22534 THN INDENTURE, made the 22 day of February , nineteen hundred and eighty-three }fit' ✓ tft BETWEEN PITTSBURGH NATIO14AL BANK, national banking association s L having its principal office ate,Fifth and Wood Streets in the L� City of Pittsburgh, County of Allegheny and State. of :,Pennsylvania I I" OCT 1 2 i09 w=vmtoIKzxd as ancillary executor of the last will and testament of Mary 0. Robinson, a/k/a Mary Oliver Robinson , late of NOScaife Road, Sewickley Heights, Pennsylvania who died on the 14th day of October , nineteen hundred and eighty party of the first part, and PORTER J. GOS S and MARY R. GOS S, as joint tenants with right of survivorship, both of 3869 Gulf Drive, Sanibel Island, Florida party of the second part, WITNESSETH,that the party of the first part, to whom ancillary letters testamentary were issued by the Surrogate's Court, Suffolk County, New York on November 26, 1982 and by virtue of the power and authority given in and by said last will and testament, and/or by Article 11 of the Estates, Powers and Trusts I_aw, and in consideration of Ten ($10. 0 0) dollars, to the party of the first part paid by the party of the second part, does hereby grant and release unto the party of the second part, t1�rs�� b1>trx�ixIi � ; e; �xa#�tbtex�'ei )p=ynrm x and unto the survivor of' them and unto such survivor ' s distributees, successors and assigns forever., ALL.that certain plot, piece or parcel .of.land, with the buildings and improvements thereon erected;..situate, lying-and being in the Town of Southold, Suffolk County, State of New York, being a part of that portion of Fishers Island lying easterly' of the following line, vis. : BEGINNING at the southeasterly corner of land owned by the United States, known as the Fort H. G. Wright Military Reservation, Mount Prospect Tract, on the shore of Block Island Sound or the Atlantic Ocean (as said Tract was constituted prior to the extension thereof by the acquisition of additional lands in condemnation proceedings instituted in 1942) and running thence northerly following the East boundary of the said tract of land of the United States (.as same was constituted prior to .such 3 extension thereof) to the southerly line of East End Road TAX MAP (sometimes called Oriental Avenue) and which point is the north- -SIGNATION easterly corner of said tract of land of the United States ,. 1, 000 (as same was constituted prior to such extension thereof) , thence crossing the East End Road and following the same course as the last to the shore of West .Harbor on Fishers Island Sound; �14b Said lot or parcel of land being bounded and described as fellows: BEGINNING at a stone monument set on the Northeasterly. -side of --, a road 40 feet wide, said monument being 1256. 79 feet South of a point which is 7858. 25 feet West of another monument'.marking the U. S. Coast and Geodetic Survey Triangulation Station "Chocomount 2" (which said "Chocomount 2" monument is located on the summit of the highest hill on Fishers Island, N.Y. about 2-1/4 miles West of the Eastern end of Fishers Island and lies South 791 29' 46" East of North Dumpling Light in Fishers Island Sound) ; and running thence North 560 05 ' 30" East 173. 97 feet to a stake; thence North 820 54 ' 30" East 202. 85 feet to a stake; .thence South 21° 43 ' 20" East 167. 97 feet to a stake set on the North- westerly side of another road 40 feet wide; thence Southwest- j wardly, along the Northwesterly side of said road (and following. the arc of a curve to the right whose radius is 1150. 35 feet and the direction of whose radius at that point is North 200 � :i ,JL.15�F`7�)JliuE55 02 ' 02" West) , 70. 01 feet to a stake; thence, still along the Northwesterly side of said road, South 730 27 ' 10" West 222 .13 feet to a stake marking a point of curve to the right whose radius is 83. 67 feet and the direction of whose radius at that point is North 160 32 ' 50" West; thence Westwardly, still along the Northwesterly side of said road (and following the arc of said curve) , 116. 54 feet to a stake set at the intersection of the Northwesterly side of said road with the Northeasterly side of the road first above mentioned; thence Northwestwardly, along the Northeasterly side of said road (and following the arc of a curve to the right whose radius is 319. 39 feet and the direction of whose radius at that point is North 63° 15 ' 20" East) , 40. 03 .feet to a stake; and thence, still along the Northeasterly side of said road, North 19' 33' 50" Weit 42. 29 feet to the place of beginning; containing 1. 51 acre's, more or less. SUBJECT to all applicable laws and regulations of governmental authorities and to all covenants, restrictions easements, rights, grants and declarations of record and easements for use of public utilities. l� t :,sF9333P-,GE55 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the;enter lines thereof, TOGETHER with the appurtenances,, and also all the estate which, the said decedent had at the time of decedent's death in said premises, and also the estate therein, which theparty of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, t4le distri _ tees er. stieeessers e- d msigna ei the i-t ei the seeend • i and unto the survivor them and unto such survivor ' s distributees, successors and assigns forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: ATTEST: PITTSBURGH NATIONAL BANK as ancillary executor under the last will and testament of I4iary O. Robinson, a/k/a Mary Oliver Robinson By: By: AWL VICE RESIDENT YJCE PRESIDENT Ln V "'� STATE OF NEW YORK, COUNTY OF SS: STATE OF NEW YORK, COUNTY OF ss� Uj C': On the day of 19 , before me On the day of 19 , before me ' D personally came personally came to me known to, be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that. ' executed the foregoing: instrument, and acknowledged that executed the same. executed the same. Z234 LRE AL ESTATE1983 AP dSFER TAX PENNSYLVANIA S U FFO LK STATE OFM XUE�C COUNTY OF ALLEGHENY ss: COUNTY STATE OF NEW"YORK, On the a� day of jf z,«�'�'''�- 19 8 3, before me On the day of 19 , before me personally came R. Steven Bonnet personally came to me known, who, being by me duly sworn, did depose ar3d the subscribing witness to the foregoing instrument, with say that he resides at-No. �O N o whom I am personally acquainted, who, being by me duly �tt��5, Pi fiYsivuc (.1 P�}. sworn, slid.depose and say that he resides at No. that he is the Vice President of Pittsburgh National Bank that he"Ijaows the corporation described 1( in and which executed the foregoing instrument; that he to be the individual knows the:•'seal of said corporation; that the seal affixed described in ;and who executed the foregoing instrument; to said iristriMgnt is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order'of the board of directors of said corpora- execute the same; and that he, said witness, tion, and,that-''=.';he.`siped`h is,name thereto by like order. at the same time subscribed h name.as witness thereto. DORQitIY,A. LIidGETT. �0'ft!f;Y P UBLIC' PITYSB013f1,ALLEG}IEfiY'COUItTY �!Y COSiFF1SSi0N�Xj?I$ES 9, 1996 blen:ber, Pennsyp,49;1:1*isycizfion of Notaries (executor's �Deeb T; � � SECTION 2 2 ter. TITLE No. C� q�J� BLOCK 1 -- -= �— :-�_-, LOT 15 pt. Pittsburgh .National Bank COUNTY OR TOWN Southold as ancillary executor of TAX BILLING ADDRESS Mary 0. Robinson Mr. and Mrs. Porter R. Goss TO 3869 Gulf Drive Sanibel Island, Florida 33957 Porter J. GOSS and Diary R. GOSS Recorded At Request of The Title Guarantee Company RETURN BY MAIL TO: STANDARD FORA OF NEW YORK HOARD OF TITLE UNDERWRITERS Jojln B. Horton, Esq. Dvtribumdb' Ha11, McNicol, Hamilton, Clark TITLE GUARANTEE- &. Murray NEWYORK One Landmark Square Stamford, CT 06901 ATICOR COMPANY Zip Na 10 i �.� I � v LIBiR 825A PAGE 5 0 THIS INDENTURE, made the % - day of nineteen hundred and seventy-seven between FISHERS ISLAND DEVELOPMENT CORPORATION, a corporation organized under the laws of the State of New York, with its principal place of business c/o Morgan Stanley & Co. , 1251 Avenue of the Americas, in the City, County and State of New York, hereinafter called the grantor , party of the first part, and MARY 0. ROBINSON , Scaife Road, of Sewickley, Pennsylvania hereinafter called the grantee, party of the second part: WITNESSETH, that the party of the first part, in consideration of One Hundred Thirty-three and 20/100 Dollars ($133. 20) , lawful money of the United States paid by the party of the second part, does hereby grant and release unto the party of the second part, his heirs and assigns forever , )ist. 1000 ALL that lot or parcel of land , with the 'ec. 2 buildings and improvements thereon, in the Town of Southold, Suffolk County, State of New York, being a part ;lock 1 of that portion of Fishers Island belonging to grantor (which portion is hereinafter called the "Park") lying to i the east of Peninsula Road, said lot or parcel of land got 1,3_ being bounded and described as follows : Beginning at a point on the Westerly side of a road at its intersection with the Northwesterly line of other land of this Grantee, said point being located 4566 . 82 feet North of a point which is 896 . 35 feet West .of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and thence running South 75° 10 ' 10" West 191. 03 feet to the shore 00 of West Harbor ; thence along said shore line North 10' 29 ' 40" East 168. 75 feet; thence North 810 51 ' 48" East 31. 00 feet to a point of curve to the left whose radius is 302. 00 feet and the direction of whose radius at that point is North 81 08 ' 12" 'West; thence Northeastwardly, following the arc of said curve, 146 . 43 feet to an iron at a point of curve to the left whose radius is 85. 00 feet and the direction of whose radius at that point is North 350 55 ' 00" West; thence Northeastwardly, following the arc of said curve, 63 . 97 feet to an iron on the Westerly line of said road at a point of curve to the right whose radius is 370. 99 feet and the direction of whose radius at that point is South 83' 33 ' 57" West; thence South- wardly along said road line, following the arc of said curve, 189 . 31 feet; thence still along said road line South 22' 48 ' 10" West 42. 93 feet to the point of beginning . Containing 0. 74 acres , more or less. -a parcel of land located between-Lots -6- --a-rid 7- -in---Block 28 as designated by -the _Gr_anto.r'. - — RECEIVED ..�S.......... REAL ESTATE JUN 20 1977 SUFFOLK COUNTY Is3 � LIBER8254 ME52_ together with the appurtenances , and all the estate and rights of the party of the first part in and to said premises; SUBJECT to any state of facts an accurate survey may show; and SUBJECT to covenants, restrictions, easements, rights, grants, and declarations of record, if any, and easements for use of public utilities; and SUBJECT to all applicable laws and regulations of Federal, state and local governmental authorities; RESERVING to the grantor herein from the grant of the land and premises hereby conveyed � easemerits an'd ri_gh_ts__of-_way__within a_strip_ of _Land_ approximately -five feet_ wide for___the-_er_ect-ion _ th.e.r-eon_ of__ poles to _supgo.rt___ ) wires -for—the -transmission of electricity for light, heat, telephone and other purposes, and for the con- struction, operation and maintenance of pipe lines or conduits under the surface of said reservation for any lawful purpose whatsoever , but the grantor shall have the right to release the premises above described from these particular easements and rights of way; PROVIDED, HOWEVER, that whenever the surface of the ground shall be disturbed by the grantor, its successors or assigns, for the purpose of constructing or repairing any such pole line, pipe line or conduit, it shall become the duty of the grantor , its successors or assigns , forthwith, at its or their own expense, to repair and restore the surface of the ground so disturbed to substantially the same condition as shall have existed before the time of such disturbance. _ The grantor. hereby grants and conveys to the party of the second part, her heirs and assigns, an easement for ingress to and egress from the premises above described over and along such private roads as now or may hereafter exist connecting the said premises with the public highway. The grantor reserves the right to change the location, route or grade of said roads from time to time, provided that such change shall not prevent reasonably convenient and adequate access to the premises herein conveyed nor unreasonably lengthen the distance to be traveled to reach such public highway. TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, her heirs and assigns forever . PROVIDED, HOWEVER, that this conveyance is made subject to the following covenants and agreements which are hereby entered into by the party of the second part by the acceptance hereof, her heirs and assigns, as a part of the consideration therefor : -2- r LIBER C� �� PAGrL 'l-4, That the aforesaid premises shall be occupied and used by the grantee, her heirs and assigns, for private. residential purposes only, and not otherwise, and there shall be erected thereon only a private residence for the use of one family only, together with_ the neces-sary _outbuildings _appur_ten_ant -- thereto, PROV_ I_DE_ D_ t that _.-if - more than one homes y __ ite is h.er_eb 'conveyed_; only one such residence shall be exec-ted-or maintained on each of such homesites, which are- -her-einbefor-e --respectively ,des-ig-na-ted as Home-sites Nos. - That no building or other structure shall be erected on the aforesaid premises, no alterations shall be made in the exterior of any building or other structure erected thereon, and nothing else shall be done materially affecting the appearance of the aforesaid premises except according to plans (including exterior color scheme, grading plan, planting plan and location plan) which shall have been approved in writing by the grantor , its successors or assigns. That no stable for live stock shall be erected or maintained on the aforesaid premises by the grantee, her heirs or assigns, and no live stock shall be kept on any part of the property hereby conveyed, without the written consent of the grantor , its successors or assigns. That the premises herein conveyed shall be kept free from any nuisance, and from any object or condition otherwise offensive to the neighborhood, or dangerous to the health of trees or other vegetation in said neighbor- hood. That from and after the date hereof, the grantee, her heirs, or assigns, by the acceptance of this deed, covenants and agrees to pay to the grantor , its successors or assigns, an annual maintenance charge, as fixed by the grantor , its successors or assigns, which charge, except with the consent of the owners of a majority of the acreage in the "Park, " shall not exceed in any- one year $25 . per acre of the premises hereby conveyed, such charge to be applied to the maintenance and repair of roads, sidewalks, sewers, and gutters, and to the collection and disposal of garbage and other refuse, PROVIDED, HOWEVER, that the grantor, its successors or assigns, shall not be obligated to maintain or repair roads, sidewalks, sewers (except main trunk line sewers) and gutters on the premises herein conveyed; PROVIDED, FURTHER, that in no event shall the grantor be liable . for any performance hereunder in excess of the amount collected by it pursuant to this paragraph. -3- 118�ic � PAGE 5 93 And it is further covenanted and agreed that no right to the land covered by the waters of any pond on which said premises abut, or to the control. thereof, or to the control of the land covered by the waters of any streams, or to the banks thereof, running through the above described premises, or to any of said waters, or to the use or control of any of said waters, shall pass by this grant; that the party of the first part shall have the right to raise or lower the waters of said ponds and/or streams as may from time to time be found expe- dient;. and that the rights of the party of the second part. in and to the premises hereby conveyed, shall be limited and bounded by the shore or margin of said ponds and/or streams , as the same may vary from time to time or be regulated by the party of the first part, and that the use of said waters at all seasons, and of the land under the same, shall be subject to the regulations of the party of the first part; and the party of the first part hereby reserves to itself and its assigns all the water rights upon the premises hereby conveyed. The grantee covenants and agrees to install upon the premises hereby conveyed septic tanks or other facilities for adequately disposing of all sewage origin- ating on said premises and further to install at the grantee's own expense, when so requested by the grantor , a lateral sewer connection with a main trunk line sewer , if there shall be one - on said premises, or if such trunk line sewer shall have been brought to the property line, of said premises. The grantee further covenants and agrees at all times to maintain such septic tank, facilities and/or lateral sewer connection in good repair and proper operating condition. The plans and specifi- cations for the construction and/or installation of such septic tanks, facilities and/or lateral sewer connection shall first be approved in writing by the grantor . The grantee hereby covenants and agrees that she will not knowingly permit the premises herein con- veyed to be so used that the water in any fresh water ponds and/or streams contiguous -or adjacent to said pre- mises may be . in any way polluted or rendered unfit for potable purposes. All the covenants and , agreements herein expressed shall be binding upon the grantee, her heirs and assigns, and shall be held to run with and bind the land and premises hereby conveyed and all subsequent owners and occupants thereof, until April 15th, 1985, and thereafter from term to term of twenty years upon the consent of the owners of a majority in acreage of all eland within the "Park" . -4- All rights and easements of access, implied- or expressed, to the property herein conveyed shall be limited by and subject, to such rules, regulations and restrictions governing the manner of use thereof, or the persons licensed or permitted to use the same, as shall from time to time be adopted or prescribed by the grantor , its successors or assigns. The rights reserved herein to the grantor , or to the grantor 's successors or assigns, and the consent .or approval of the grantor , its successors or assigns herein referred to, shall enure to, mean or require only the right or act of the said Fishers Island Development Corporation, or its corporate successor, and shall not refer to or include a person or corporation holding only as grantee of land from said corporation. PROVIDED, HOWEVER, that any of the covenants and agreements contained . in this deed of conveyance may be at any time and in any manner waived or changed with the consent of the grantor, its successors or assigns, and the. owner or owners for the time being of the land hereby conveyed, and the owners of a majority in acreage of all the property within the "Park. " The provision last preceding shall apply to cases where the change contemplated is to affect less than all the land in the "Park" which has been conveyed by the grantor to purchasers, but where such waiver or change shall apply to and affect all the land with.in the "Park" which has been conveyed by the. grantor subject to the covenants and agreements herein set forth, said covenants and agreements may be waived or changed with the consent of the grantor or its successors and the consent of the owners (other than the grantor) of a majority in acreage of all the land within the "Park" . PROVIDED, HOWEVER, that nothing in this deed contained shall limit the right of the grantor, its successors or assigns, to set apart such part of ' its lands, situated within the aforesaid "Park," as it or they may deem suitable for golf courses, club houses, bathing beaches or other attractions, and necessary buildings appurtenant thereto, and also the right to set apart .in the "Park" other premises deemed suitable for the convenience of the residents of the "Park" to be used or operated for store or business purposes; but the setting apart of any such lands and their use shall not operate to confer or vest in purchasers or property owners any rights or interests in said lands. -5- LIBER U,54 PAGE 525 No appurtenant or other interests in the real property of the grantor not expressly set forth in this instrument are hereby conveyed or transferred to the grantee herein, and it is expressly covenanted by the parties hereto that no rights, appurtenances, privileges or personal advantages not herein expressed, run with or are attached to the land conveyed. IN WITNESS WHEREOF, the party of the first part has caused its corporate seal to be hereunto affixed, and these presents to be signed by its duly authorized officer the day and year first above written. ATTEST FISHERS ISLAND DEVELOPMENT CORPORATION By Secretary President Qy) i � n LIBER CSA:'.15 - `PAGE_5?6 STATE OF NEW YORK ) ss . . COUNTY OF NEW YORK ) On the//jc74- day of ��'�'�"' 1977, before me personally came JANSEN NOYES, R. to me known, who, being by me duly sworn, did depose and say that he resides at No. 299 Hollow Tree Ridge Road, Darien, Connecticut; that he is the President of Fishers Island Development Corporation, the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board of directors of said corporation, and that he signed his name thereto by like order . Notary( Public JULIA E. Notary Pu'.. . QuoVkF-^ in tvc. York Cr,::nty Commission Expina Match 30, 1979 JULIA E. PETES JRftty Public, Stale of Flew York No. 31.3076325 f Qualified in New York County Commission Expires March 30, 1 F79 % •80.5A1—Faecutur'8 Deed—lndividunl or Corporation.c Standard N.Y.B.T.U. Form 8010" 9 CONSULT YOUR LAWYER BEFORE SII 'G THIS INSTRUMENT-THIS INSTRUMENT SHliuw BE USED BY LAWYERS ONLY. 01.93C7�156'.. 22536 THIS INDENTURE, made the 22 day of February , nineteen hundred and eighty-three BETWEEN PITTSBURGH NATIONAL BANK, a national banking association having its principal office atTFifth and Wood Streets in the City of Pittsburgh, County of Allegheny and State of Pennsylvania ' l 1 2 1000 i. d ,tgzkt4at&xxx9 as ancillary executor of the last will and testament of AZary 0. Robinson, a/k/a Diary Oliver Robinson late of �)��Scaife Road., Sewickley Heights, Pennsylvania who died on the 14th day of October , nineteen hundred and eighty party of the first part, and PORTER J. GOSS and DIARY R. ' GOSS , as joint joint tenants with right of survivorship, both of 3869 Gulf Drive , Sanibel Island, Florida party of the second part, WITNESSETH,that the party of the first part, to whom ancillary letters testamentary were issued by the Surrogate's Court, Suffolk County, New York on November 26 , 1982 and by virtue of the power and :authority given in and by said last will and testament, and/or by Article 11 of the Estates, Powers and Trusts Law, and in consideration of Ten ($10. 0 0) dollars, to the party of the first part paid by the party of the second part, does hereby grant and release unto the party of the second part, istat�sees? ss>aax�aatd�aigmxof�tlpactyxaod� :Sa xfaxzru;t and unto the survivor of .them and unto such survivor' s distributees, successors and assigns forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, Suf folk County, State of New York, being a part of that portion of Fishers Island lying to the east of Peninsula Road, said lot or parcel of land being bounded and described as follows : BEGINNING at a point on the Westerly side of a road at its �3}d9intersection with the Northwesterly line of other land of this I� Grantee, said point being located 4566. 82 feet North of a point which is 896. 35 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and thence running South 750 10 ' 10" West 191. 03 feet to the shore of West Harbor; thence along said shore line North 101 29 ' 40" 3— East 168 . 75 feet; thence North 81' 51 ' 48" East 31. 00 feet to FAxMAP a point of curve to the left whose radius is 302 . 00 feet and the SIGNATION direction of whose radius at that point is North 80 08 ' 12 " West; thence Northeastwardly, following the arc of said curve, 146 . 43 c. 1, 000 feet to an iron at a point of curve to the left whose radius is 85. 00 feet and the direction 'of whose radius at that point is 0020o North 350 55 ' 00" West; thence Northeastwardly, following the arc oloO of said curve, 63. 97 feet to an iron on the Westerly line of said road at a point of curve to the right whose radius" is 370. 99 4130076 ' feet and the direction of whose radius at that point is South 83' 33 ' 57" West; thence Southwardly along said road line, following the arc of said curve, 189 . 31 feet; thence still along said road line South 22' 48 ' 10" West 42. 93 feet to the point of- beginning. SUBJECT to all applicable laws and regulations of governmental authorities and to all covenants, restrictions, easements, rights, grants and declarations of record and easements for use of public utilities. 22 ' 316 RECLVb-D : - _ �1 .------- �:! REA!'- STATE MAR 1963 TRANSFER TAX J af. L1D9R9 333rAcr-5.``.w -4 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances,.and also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue,of,said will or otherwise, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the dietributee6 and unto the survivor of them and unto such survivor' s distributees, successors and assigns forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and yea= first above written. IN PRESENCE OF: ATTEST: PITTSBURGH NATIONAL BANK as ancillary- executor under the last will and testament of Mary O. Robinson, a/k/a Mary Oliver Robinson By: � _. By; MS'T. VICE 6jtSIDENT YIQ PRESIDE STATE OF NEW YORK, COUNTY OF sss STATE OF NEW YORK, COUNTY OF ssi On the day of 19 , before me On the day of 19 , before me pessclally came personally came to me known to be the individual described in and who to me known to be the individual described in and who Lu<A executed the foregoing instrument, and acknowledged that executed the foregoing instrument, and acknowledged that executed the same. executed the same. PENNSYLVANIA STATE OF W&VOM CO NTY OF ALLEGHENY sss STATE OF NEW YORK, COUNTY OF sss On the ,P- day of 198 3 , before me On the day of 19 , before me personally came R. Steven BoMdtt personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that . he esides at Aim: N off- �t �- �Jo� whom I am personally acquainted, who, being by me duly ,s} -, `PsbtLr(i( ,, sworn, did depose and say that he resides at No. that he is the vice. President of Pittsburgh National ank that he knows e corporation described in and which executed the foregoing instrument.; that he to be the individual knows the seal. of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instr*ent, is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by,ordev.of the board of directors of said corpora- execute the same; and that he, said witness, tion, and,.that : hi-signed h is name thereto by like order. at the same time subscribed h name as witness thereto. DO96TH, 'A. L-j GETT;:N.OTARY'PU8LIC PITTSBb%p,,,ALIEGHENY COUNTY M?C.UMIViiSSldl�: fP.IRES JUNE 9, 1986 Member',Phnnsylunia3tdClation of Rotaries fteeutor'g Deeb SECTION 2 TITLE No. a�?j 1'�35 7' r�^ BLOCK 1 — �, —re—n ` LOT 13 Pittsburgh National Bank COUNTY OR TOWN Southold as ancillary executor of TAX BILLING ADDRESS Mary 0. Robinson Mr. and Mrs. Porter J. Goss TO 3869 Gulf Drive Sanibel Island, Florida 33957 Porter J. Goss and Mary R. Goss Recorded At Request of The Title Guarantee Company RET113M BY MAIL TO: STANDARD FORM OF.NEW YORK IOARD OF TmI UNDERWRITERS John B. Horton, Esq. vim►tirudby Hall , McNicol, Hamilton, Clark Oro TITLE GUARANTEE- & Murray NEWYORK. 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