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HomeMy WebLinkAbout1000-2.-1-13 FEF FRENCE -' LIBER 11387 - PAGE A35 TAX MAP - D15 T RICT 1000, SEC 2, BLOCK I , LOT 13. 001 1 p_ ,A.KEk DEEDED by GOS5 TO LA.UGµL-kM o � 28-4to • 2�-2 ti -1—_ A in I&I 2B-1 2:WA I4A 0.64 Hl+�l-, + ��0 O t0� / \177 V r ' V d, 27-3A 1�r, • \ 25-13 • 3S.D0' u 27-< 27-2 - �/ AREA DEEDED BY GOSS TO G05S 1,J� L-OT�N� �� ze_e • ,7-IA AREA g35G +/- SQ. FT. Z _p �� 27-6 ?7-5• _ 0. 10 +/- ACRE ] I�V G�°mat /�- 2a-I� • �j c° �,' �28-9) REFERENCE , LIBER 11387-PG 430 Q _� rrL9q•5�.46W l'15.5&0 f <+P • :, N �� 27-7 I 2 s.TAX MAP - CISTRICT 1000 '0 q\•0'%o ..E lU 2Bp15 27 8 1--� ; ' ?� SEC. 2, BLOCK I , LOT 13 00�- n 7.Q S11 �541� N°' a.• • lJ 29-10 ' \ / l5Y' 82 W 29-II 30_4 •3 30-5 \�`.\\� 30-2 31_I \` Cn N o l 29_? \ �. 0 cj ; 4 _ 29-3 I \`v 9-e 1 • "- 3�_rc 2 0 jj ! ('-t 3 I 30-7 z O 29078 29-4 � `- Uq-6 /'- 29-5 N 31-a. 215.14-' M.4-3ob•4 L.OC�T 1 014 t� M- SCALE: 14=(000' TAX MAP - DISTRICT 1000 �"1• 88Z-34 SEC. 2 , BLOCK I LOT 14.000 i APPROVED BY "Fw o y . 1J o 7 E S: .� PLANNING BOARD 0 �;I o I- ,9WWEIs: ( LOTS 13.002 f 1-1. 000) OWNER (LOT 1 -5. 001) TORN OF SOUTt�OLD PO�TEK, J.6055� Mkr-Y Z. GOSS MICHAEL LAUGHLIN , 381,q P. O, BOX 323 SA111$EL ISLA,1.Ib,�LO�1Db AIKEN , SOUTH CAROLINA DAT^ 2 9 �► 3r �y0 Z. FZDrEZTY 15 L OCKT E V 1 N TNT `COW N OF SOU T HOLV, CO NTY 0 SUK�aLIL, ST,&.T-- OF ►JEVw YOKY, 3. 7,d mKv- D16TV-16T 1000, St✓C.Z , bLOG� I LOTS 13. 1) 13. Z r 1-.4 . 4 UTILM)F-S . S1T� WOULV 6� "A v [)'CLAW;', , 10N O`= CMl: NAN1S AND RESTRICT IONS S��VIGE17 �Y muISICIYA�.L_ Wk _=� A fFCfI ;i( L0I ' IN THiS I_0f LINE CHANGE HAS �v rowr-_rl :>f EN F 1LF1'� i ,N THE OFF CE OF THE SUFFCiL' C0UN1ti' 1 Y 1S L0r_ATE17 1� 0'4 WF_ r_-IZd I l 130F, ��Z . Cod�b1 Q)171 E DISTA1sCCS IL KE 1vlEhSU�E�J F pNt UwTEV STATES COST �""p GEODE` kC_ SU vEY T10 �_�A66L,t,Tl0 Q STAT1bll " Ni4J " P�LOG!`, Z8 1]C(5T'1 �1G F'�U PosEb nor 7 o. * .�,C . I . oq 4,c. DM SRO SE D LOT LI ME C I-N,d.Q G F_ LOT V7ZOM �O PEATY D� F k 10 co 0D 74'� kc 0.1,4-�- ,,c . m�Y s, 19�7 FO ZZ EK J . f:�: M�lzY 7. GO S S_ F-I S H ER.S I IS1.__.. L--M D, � E 1N YO F, loo o so loo S C,AL.1= . 1''= 100 ' l->=G WO0AbJSDU_: F-,&,LMEZ_ r-IWG 110QNICA, C0WN>=Cr1CUT VON; N OV EM 761M ED, 19 9 0 Ac. ' �,C<E LIME b,5bZVMG DISTANCE l S.Zzt-le,10"W. -AZ.q3' ADDITIONS DEC. 30, 1991 SQ F� = SQU E FEET Z YA.W-5I'-A',E, 51.00, ADDITIONS s REVISION5 JAN 0, 1992 3 N- 03`3f�-50">= JSZ.70 1 FEB 18 1992 cut�vE DV.Lrl&l ZILD1US A1�C TANG�►aT cHOtZD CHOt�T� P,1tG I Z7°4b'51" 30Z.00' 14 to.43' 74.62; 145,00' N.67°S$'22'E, PLANNING BOARD Z 43°07' IZ" 85,001 lo3.97' 33.59 ' 6Z.47' 'N•3t 31' Z4° E 3 06.4(' 07" 320.54' 3.83, 1. RZ' 3.83' �SZFOZ7'01" W , r I "> -� � �.�• lam' �; PLANNING BOARD MEMBERS SCOTT L. HARRIS Supervisor Bennett Orlowski, Jr., Chairman P George Ritchie Latham, Jr. " 9�� ' ; 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 February 25, 1992 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Lot-line change for Porter J. & Mary Goss SCTM*1000-2-1-13 & 14 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 January 8, 1992. All conditions of final approval have been met. Enclosed please find a copy of the map which was endorsed by the Chairman. Very truly yours, Bennett Orlowski, Jr. �5 Chairman Encl. cc: Victor Lessard, Principal Building Inspector Scott Russell, Assessors Office MATTHEWS 8c HAM C ATTORNEYS AND COUNSELLORS AT LAW �S 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 and Mary R. Goss (SCTM # 1000-2-1 13. 1, 13 .2 & 14) 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, recording information for the deed effecting the lot line change and area of portion of former lot 13 conveyed. 2 . Certified copy of deed, dated October 22, 1991 from Porter J. Goss and Mary R. Goss to Porter J. Goss and Mary R. Goss, recorded on December 17, 1991 in Liber 11387 page 430, containing the required merger language. 3. Certified copy of deed, dated October 22, 1991, from Porter J. Goss and Mary R. Goss to Michael L. Laughlin, recorded on December 17, 1991 in Liber 11387 page 435, containing the required language as to buildable status. 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. R M Sincerely, FEB 1 8 1992 Stephen L. Ham, III $01.1WInu)TOWN S LH:j a Enclosures N�T•'T�' Form 8002*1_89-20M-13nrgain and Sale Deed,,with Covenant against Grantor's Acts—Individual or Corporation. (single sheet) 0.00. * No CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. Consider ion 1138"�P�4J0 �,40 4(0 at THIS INDENTURE,mace the Z 2 wf day of October , nineteen hundred and ninety-one BETWEEN PORTER J'. GOSS and MARY R. GOSS , hA1&M4dx&,xX both now residing at 3869 Gulf Drive', Sanibel Island , Florida 33957 , as joint tenants with right of survivorship , party of the first part, and PORTER J. GOSS and MARY R. GOSS , his wife-, both now residing at 3869 Gulf Drive , Sanibel Island , Florida, 33957 ; r party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consie der�eos paid by the party of the second part, does hereby grant and release unto the party of the second part, 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 . o � I FEB 1 131992 SOIiTHOLD TOWN PLANNING BOARD 1 407 v DATE IL-fli' 6Y_LLs�— . REWAP . � i ( 1,� 1 i•`�e NEW r V, 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 fnrever. --- 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 Court being a Court of Record)DO HEREBY CERTIFY that Ihpve compared the apqexed copy of —L.e aZ t&/rr-n • C ), / g 9/ <&— A:.� 3 p r� �- �.c,�� /l P,2 e.. y3 v and that it is a just and true copy of such original,�(� and of the whole thereof. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seal of said County and Court this /Z day of 19 g ( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �, Form No. 104 Clerk. 12-109..12/89cs i K..S�LN//iY—OF ss: STATE OF NEW YORK, COUNTY OF ss: On the 22, day of (M. 1991 before me On the day of 19 before me personally came Porter J. Goss and personally came Mary R. Goss to me known to be the individuals described in and who to me known to be the individual described in and who 4 tie ted the foregoing instrument, and acknowledged that executed the foregoing instrument, and acknowledged that Y executed the same. executed the same. Notary Public My Commission Expires August 31„ 1996 STATE OF NEW YORK, COUNTY OF ss: STATE OF NEW YORK, COUNTY OF r 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 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 h name-thereto by like order. at the same time subscribed h name as witness thereto. 35argain anb bale 30eeb SECTION WITH COVENANT AGAINST GRANTOR'S ACTS TITLE No. BLOCK LOT COUNTY OR TOWN PORTER J. GOSS and TAX BILLING ADDRESS MARY R. GOSS TO PORTER J. GOSS and MARY R. GOSS ti ed At Request of Ticor Title Guarantee Company � taa RETURN BY MAIL TO: -i LD i Stephen L. Ham, III - Dinribuurd by • :a = Matthews & Ham -A .45 Hampton..Road , C) CD Southampton, NY 11968; TICOR TITLE GUARANTEE ear • ZIP No. �t Y ti W V W W O O z O W O of W V s h i` 1138 7P943 IL SCHEDULE A TO DEED Grantor: Porter J. Goss and Mary R. Goss Grantee: Porter J. Goss and Mary R. Goss Deed dated: October Z 7 , 1991 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 an iron pipe at an angle in the Westerly line of a road, 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 running thence North 89 degrees, 54 minutes and 46 seconds -,'West 175.56 feet to a point at the shore of West Harbor; thence... South ..a0 degrees, 29 minutes and 40 seconds. West 50.00 feet to a, point; thence North 75 degrees, 10 minutes and 10 seconds East 191. 03 feet to. -.the iron pipe at the point of beginning. BEING AND INTENDED TO BE a part of the same premises conveyed to the grantors herein by deed dated February, 22, 1983 and recorded March 29, 1983 in the Office of the Suffolk County Clerk .in fiber 9333 page 561. 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 462, and to other convenants, agreements, restrictions and easements of record. - The grantors/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 _ grantors/grantees adjoining on the south, said other premises bearing the Suffolk County Tax Map No. 1000-002.00-01. 00-014.000 and being shown and designated as Block 28, Lot 7 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. The grantors/grantees further acknowledge that neither the above described premises nor the .64-acre balance of the parcel . bearing. Suffolk County Tax ' Map No. 1000 002 .00-01: 00=013.000 shall constitute a separate building ' lot under the Southold Town,- Code, but nothing herein .shall be construed to affect the status, of '.the. parcel (Block 28, Lot 7) with which the above-described premises are merged as a separate building lot. r w C:1 1rr 6 r.• CW C - r �. N 1 8199.2 ;n�M401_D TOWN NYTT -. 20 . 001 Form 8002*1-89-ZOM—}Z+irgain and Sale Deed,with Covenant against Grantor's Acts—individual or Corporation. (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. 11387 P n435 � � � ^ 33yy THIS INDENTURE,made the 'Z Z day of October , nineteen hundred and ninety-one �U 0 C/ BETWEEN PORTER J. GOSS an MARY R. GOSS , �+=x both now residing at 3869 Gulf Drive , Sanibel Island , Florida 33957 , as joint tenants with right of survivorship, party of the first part, and MICHAEL L. LAUGHLIN, now residing at 330 Kershaw Street , Aiken, South Carolina 29801 $« L 1L party of the second part, g WI TNF_SSETH,that the party of the first part, inconsideration of Ten Dollars and other valuable consideration paid by the partycond part, does hereby grant and release unto the party of the second part, the heirs of the se 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 e DATE/?-_41 FEE /5 r Q� REMAP 1�I'• = NEW NO � � � •�{ TAX MAP SIGNATION souYHJLaa St. 1000 TOGETHER with all right, title and interest, if any, of the party of the first part i streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances c. 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 01.00 the party of the second part forever. 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 gEyrt being a Court of Record)DO HEREBY CERTIFY that I have compared the a exed copy of 4 .� y{'�rrr C7 do AJ`'�- t>, /S 9/ 02 0'a 3 P. m �^ v ',�,Gc-L+ //3 X 7 and that it is a just and true copy of such original /1k_U_7 dL and of the whole thereof. IN TESTIMONY WHEREOF,I have hereuntQset my hand and affixed the seal of said County and Court this day of .vr. 1991 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . °"•yr` .✓. 13 C Clerk. Form No. 1 04 12-109.12/89cs r 4 STAT#OF`N V#_- 0W, COUNTY OF ss: STATE OF NEW YORK, COUNTY OF ss: On the Zz day of t 19 91 before me On the day of 19 before me personally came porter J. Goss and personally came M Mary R. Goss to me known to be the individuals described in and who to. me known to be the individual described in and who cL executed the foregoing instrument, an acknowledged that executed the foregoing instrument, and acknowledged that i` they executed the same. '" executed the same. IWO 3 Notary Pu lic My Commission gxl;=s August 31, 1996 STATE OF NEW YORK, COUNTY OF ss: STATE 09,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 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 h name thereto by like order. at the same time subscribed h name as witness thereto. bargain anb *ale Meeb SECTION WITH COVENANT AGAINST GRANTOR'S Am's TITLE NO. BLOCK LOT COUNTY OR TOWN PORTER J . GOSS and TAX BILLING ADDRESS MARY R. GOSS TO MICHAEL L. LAUGHLIN c ' Recorded At Request of Ticor Title Guarantee Company r r RETURN BY MAIL TO: Stephen L. Ham, III Dix tr;bu,rd by . Matthews & Ham cs 45 Hampton ' Road Southampton NY 11968 TICOR TITLE GUARANTEE ' C Zip No. I W u N O O Z 1 of O of SL W N s W V a 6 V! W �• off ' W _-2 _a 1_ 113876437 SCHEDULE A TO DEED Grantor: Porter J. Goss and Mary R. Goss Grantee: Michael L. Laughlin Deed dated: October 1991 . 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 an iron pipe at an angle in the Westerly line of a road, 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 running- thence North 89 degrees, 54: minutes and 46 seconds West' 1.75.56' feet to a point at the shore of West Harbor; thence North t10 degrees, 29 minutes and 40 seconds East 118.75 feet to` a 'point; thence North 81 degrees,.. .51 minutes, and 48 seconds East 31. 00' feet= to an iron pipe at, a point of a curve to the left having a radius of 302 . 00 feet; thence Northeastwardly following the arc of said curve for a distance of 146.43 feet to an iron pipe at a point of curve to the left ' having a radius of 85.00 feet; thence Northeastwardly following the arc of said curve for a distance of 63..97 feet to an iron- pipe on the Westerly line-of said road at a 'point of curve to the"" right having a radius of 370.99 feet.; thence Southwardly along said road line following the arc of said curve for a distance of 189.31 feet to a point; thence South 22 degrees, 48 minutes and 10 seconds West 4'2 .93 feet along said road line to a point --of` curve to the l,eft., having a radius of 320.54 feet; thence Southward_ ly along said road line following the arc of said cur for r a distance of`'3:83 feet to the point of beginning. BEING 'AND INTENDED TO BE a part of the same premises conveyed to the grantors herein by deed dated February 22, 1983 and recorded March 29, 1983 in the Office of the Suffolk County Clerk in Liber 9333 page 561. 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 462, and to other convenants, agreements, restrictions and easements of record. The 'above ''described parcel has been--designated as not- -abuilding lot on the Map, of, Fishers Island Development Corporation filed, in. the Office of the ,Suffolk County Clerk on September 251 ,.1991 as Map No. A421 and does not constitute a separate building lot under the Southold Town Code. ,2208 PLANNING BOARD 5 SEPTEMBER 1991 Mr. Ward: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? Ayes: Mr. Ward, Mr. McDonald, Mr. Latham, Mr. Edwards, Mr. Orlowski. Mr. Orlowski: Opposed? So ordered. Mr. Orlowski: 7: 40 p.m. - Porter J. and Mary Goss - This proposed lot' line change is to:.subtract a .09 acre of land from a .74 acre parcel to add it to a .99 acre parcel on Fishers - Island. SCTM *1000-2-1-13 & 14. We have proof of publication in the local papers and at this time everything is in order to for a lot line change. I' ll ask if there are any objections to this lot line change? Hearing none, are there any endorsements of this lot- line change? Steven Ham: I am here on behalf of the applicant and request that you approve as submitted. Mr. Orlowski: O.K. , any other endorsements? Hearing none, is there anyone out there neither pro nor con but may have Cinformation pertaining to this application that would be of interest to the Board? Hearing none, any questions from the Board? Board: No questions. Mr. Orlowski: Being there are no further questions, I' ll entertain a motion to close this hearing. Mr. Latham: So moved. Mr. Ward: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? Ayes: Mr. Latham, Mr. Edwards, Mr. Ward, Mr. McDonald, Mr. Orlowski. Mr. Orlowski: Opposed? So ordered. Mr. Orlowski: Does the Board have any pleasure? Mr. McDonald: Mr. Chairman, I would like to offer the following resolution: WHEREAS, Porter J. and Mary Goss are the owners of the property known and designated as SCTM #1000-2-1-13 & 14, PLANNING BOARD 6 SEPTEMBER 1991 ? ?� located on 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 J. and Mary Goss, is for a lot line change to subtract .10 acre of land from a .74 acre parcel owned by Porter and Mary Goss and to merge it with an adjoining .99 acre parcel also owned by Porter .& 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, 1991; 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 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 20, 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 the deed pertaining to the merger of .10 acre from a lot designated as SCTM #1000- 2-1-13 , with a . 99 acre parcel designated as SCTM #1000-2-1-14, resulting in a merged parcel of 1. 09 acres. A copy of the filed deed with the notation that SCTM ## 1000-2-1-13 is not a separate building lot, must be submitted to the Planning Board, and the Liber and Page number of the filed deed must be placed on the survey. Mr. Ward: Second. Mr. Orlowski: Motion made and seconded.. Any questions on the motion? All those in favor? Ayes: Mr. Ward, Mr. McDonald, Mr. Edwards, Mr. Latham, Mr. Orlowksi. Mr. Orlowski: Opposed? So ordered. f:. PLANNING BOARD MEMBERS w lu�Y + SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor cal F'/ . ". .•�',•1 George Ritchie Latham, Jr. Richard G. Ward / Town Hall, 53095 Main Road Mark S. McDonald "r � 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 1, 1991 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Proposed Lot-line change Porter J. & Mary Goss SCTM#1000-2-1-13 & 14 Dear Mr. Ham: The following took-place at & meeting of the- Southold Town Planning Board on Monday, September-- 30,, l991,- - - - The final public hearing, which was held at 7: 40 P.M. , was closed. The following resolution was adopted: WHEREAS, .Porter J. and Mary Goss are the owners of the property known and designated as SCTM#1000-2-1-13 & 14, located on 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 J. and Mary Goss, is for lot line change to subtract .10 acre of land from a .74 acre parcel owned by Porter and Mary Goss and to merge it with an adjoining . 99 acre parcel also owned by Porter & 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, 1991; 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 J. and Mary Goss 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 20, 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 the deed pertaining to the merger of . 10 acre from a lot designated as SCTM#1000-2-1-13 , with a . 99 acre parcel designated as SCTM#1000-2-1-14, resulting in a merged parcel of 1.09 acres. A copy of the filed deed with the notation that SCTM#1000-2-1-13 is not a separate building lot, 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 yours, Bennett Orlowski, Jr. '1-2'?f' Chairman PUBLISHER'S CERTIFICATE State of Connecticut ) County of New London, ss. New London On this 21st day of October Legais A.D. 1991 , personally appeared before the undersigned. LEGAL 462 titice of Publiic Hearing ld No 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. Zielinski Legal Adv. Clerk Town Planning Board, at the g 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 north by land now or far- London State of Connecticut who being duly sworn for- merly of James Gannon and r � , 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- lin462 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' copy of which The property is bordered on 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 21st should appear at the'time and place specified. Dated:September 16,1991 By Order of the Southold Town Planning Board days of September A'. D. 1991 . - -Bennett Orlowski,Jr. Chairman Subscribed and swo ' to before me this 21st day of October A. D. 19 91 Notary Public. COUNTY OF SUFFOLK Berth Lewendoski;on �e south I by land now or formerly of Har- 1 S'I'A'I'I: Of- NEW YO R K riet K. Botta, and by land now or formerly of Ellen M. Black I Guyton; on the west by. land Patricia Wood,' being duly sworn, says that she is the -now or formerly of Elizabeth V. Fox. Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, 7:35 P.M. Final approval for ;t p'Ublic newspaper printed .at Southold, in Suffolk County; the lot line change for he 9 ter/'Ierp at Cutchogue, in the itnd that the notice of which the annexed is a printed copy, ' Town of Southold, County of 1 lots been ,l)ubIished .in said Long Island Traveler-Watchman Suffolk and the State of New once each week for , , . . . , , /, , weeks York. Suffolk County Tax Map Number 1000-102-5-9.3. The property is bordered on I Successively, commencing on the , , . . . , . l� the northeast by.land now or formerly of North Street Real- ' ty; on the east by land now or d'y of • • • • 1 •�� I formerly of Stanley G.&Helen B. Case; on the southeast by v Main Road (NY.S. 25); on the " " " " " " ' south by land now or formerly, of Richard Cron; on the. southwest by Griffing Street;on � . the northwest of School House Lane. ' Sworn to I>efr�re me Ibis .:. . . . . . . . . . . . . . . . . . . . day of 7:40 P.M. Final approval for , _ the lot line change for Porter J. I 19 and Mary Goss on Fishers' ' Island,in the Town of Southold,, County of Suffolk and the State' of New York. Suffolk County Tax Map Number 1000-2-1-13& Q Q 14. The property is bordered on i Notary Public the north •by land now or BARBARA A. SCHNEIDER formerly of James Gannon and --- wife; on the east by a private, NOTARY PUBLIC, State of New York LEGALS NOTICE road; on the south by Rocky No. 4806846 Notice of Public Hearing i Ledge Inc.; on the west by; Qualified in Suffolk Coynty Fishers Island Sound West , Commission Expires NOTICE IS HEREBY GIV- 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 j 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 New Town on the 30th day of I York:Suffolk County Tax Map September, 1991 on the'question Number 1000-2-1-15.1 & 16. i of the following: The property is bordered on*' • 7:30 P.M. Final approval of I the north by land now or the major subdivision for Mat- formerly of Charles J. Harr-: tituck Creek-Estates located at j ington; on the northeast by a Mattituck, in the Town of private road;on the southeast by Southold, County of Suffolk a private road;-on the southwest and the State of New York.Suf- I by a private road. ' folk County Tax Map Number Any person desiring to be 1000-107=1-2. I heard on the above matter The property is bordered on' should appear at the time and the north by Mill Road; on the I place above specified. northeast by Reeve Road;on the i 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- I PLANNING BOARD 'ly of Florence Paulak, by land Bennett Orlowski, Jr. now or formerly of William & Chairman 1X-9/1.9/91(65) I J PLANNING BOARD MEMBERS C0 r Rr� gj. SCOTT L. HARRIS > n-, Supervisor Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. ��- ;� ;{�'' Town Hall, 53095 Main Road Richard G. Ward P.O. Box 1179 Mark S. McDonald 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 J. & Mary Go.ss SCTM# 1000-2-1-13 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, September 9, 1991. Be it RESOLVED that the Southold Town Planning Board set Monday, September 30, 1991 at 7: 40 P.M. for a final public hearing on the maps dated November 20, 1990. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr 4s. Chairman MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW v )F r LE 45 HAMPTON ROAD P f) Sou=AMproN,N.Y.11968 LL// Fy 1 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,m 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, S/ Stephen L. Ham, III SLH:ja cc: Valerie Scopaz Robert Kassner ✓ r , MATTHEWS 8C HAM �u /K 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 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, ;�7WQ Stephen L. Ham, III SLH:ja Enclosures AUG 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 arant 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 / F6QTARY PUBLIC,State of New Yorh 77 No,52-4916,A86 Notary Public Qualif;eti in Suffolk CU* 4-a isskan Expires December 28,ISM 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 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. Stepherf L. Ham, III Subscribed and Sworn to Before Me this 26th Day of August, 1991 L���.e��✓ M 1 ARY PUBLIC,313te of Pie n r a a •1a-�2-4916�Eo No�taiy Public �rfta�inTutiolt County 91 Go;rois4o»E;1*5 IXXVIher?a- 1''s: s i 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,m August 8, 1991 Planning Board Town of Southold Town Hall Main Road Southold, NY 11971 Re: Lot Line Change for Porter J. Goss and Mary R. Goss (SCTM # 1000-2-1-13 & 14) 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, �5y� h'Lz,, Stephen L. Ham, III SLH:ja Enclosures . 11306P6462 DECLARATION DECLARATION, made the Z' YM day of July, 1991, by PORTER J: GOSS and MARY R. GOSS, both now residing at 3869 Gulf Drive, Sanibel Island, Florida, hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk 1` I County, New York, as shown on the map entitled "Proposed Lot Line Change,- Property of Porter J. and Mary R. Goss", prepared by Chandler, Palmer & King, dated November 20, 1990, which map is to �ry be filed in the Offices of the Town Clerk and the Building 4P1.... A® Department of the Town of Southold, with said real property consisting of two Lots, one of which is designated as Block 28, DISTRICT Lot 7 and is more particularly described on Schedule A hereto and 1000 the other of which is undesignated but is identified on said map SECTION 002 . 00 as "Lot from FIDCO" and is more particularly described on Schedule BLOCK B hereto; and O1 . 00 WHEREAS, the Declarants have made application to the LOTS 013 .000 Planning Board of the Town of Southold for approval of a lot line 014 .000 change as shown on the above referred to map, to wit: the transfer of a . 10 +/- acre parcel as shown thereon from the said undesignated Lot to Block 28, Lot 7, which . 10 +/-acre parcel is more particularly described on Schedule C hereto; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has -.deemed it ly Cy) 11306P6"46 a 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 the intent of preserving as much of the natural vegetation on the site as possible, and to minimize stormwater runoff and erosion. Notwithstanding the foregoing, the Declarants and subsequent 2 1130 Pbr'464 owners of the Lots shall be, permitted to continue to trim and clear, vegetatia`n','on the Lots so as to preserve the views from i 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 I ;! 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' Ia1and 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 thewpremises 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 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 being a C ace Record)DO HEREBY CERTIFY that I have compare®the ne ed copy of and that it is a jus�d�copy of such original and of the whole thereof. I IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seal of said County and Court this day of 19 9 [l . . . . . . . . . . . . . . . .eel Clerk. Form No. 104 12-199..12189cs i 3 .a. I l ' 1130Q 465 STATE OF BOA ) ss. : COUNTY OF StttccoLv— ) On the 7I L 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 acknow ed o e t at t ey executed the- same. _ a Notary Public Notary publi•Wt*of Ndw.yiirx No.4i0666o Guallfies In Suffolk Courflo _ Term Erpine 12/3110&— i 4 i 11�ObP.�4f�,� • SCHEDULE A BLOCK 28 - LOT 7 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 Westerly line of a road, said monument being located 4306.45 feet North of a point which is 882.34 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence South 89 degrees, 26 minutes and 40 seconds West 215. 14 feet to a point at the shore of Fishers Island Sound; thence North 03 degrees, 30 minutes and 50 seconds East 52.70 feet to a point; thence North 04 degrees, 42 minutes and 20 seconds East 161.52 feet to a point; thence North 75 degrees, 10 minutes and 10 seconds East 197. 31 feet to the Westerly, line of said road at a point of a curve to the left having a radius of 315.54 feet and the direction of whose radius at that point is South 67 degrees, 11 minutes and 50 seconds East; thence Southwardly along said road line following the arc of said curve for a distance of 270.28 feet to the point of beginning. 5 jjwty Q7 SCHEDULE B LOT FROM FIDCO May 5 1977 certain tract or parcel of land with the buildings thereon, ocated at Fishers Island, Town of Southold, County of Suffolk and tate of New York, being bounded and described as follows: eginning at an , iron pipe at an angle in the Westerly line of a oad, said point being located 4566.82 feet North of a point which 's 896.35 feet West of a monument marking the United States Coast nd Geodetic Survey Triangulation Station "NIN" and running thence outh 75 degrees, 10 minutes and 10 seconds West 191.03 feet to a oint at the shore of West Harbor; thence North 10 degrees, 29 inutes and 40 seconds East 168.75 feet to a point; thence North 1 degrees, 51 minutes- and 48 seconds East 31.00 feet to an iron ipe at a point of a curve to the 'left having a radius of 302.00 eet; thence Northeastwardly following the arc of said curve for a istance of 146.43 feet to an iron pipe at a point of curve to the eft having a radius of 85.00 feet; thence Northeastwardly following the arc of said curve for a distance of 63 .97 feet to an iron pipe on the Westerly line of said road at .a point of curve to lhe right having a radius of 370.99 feet; thence Southwardly along aid road line following, the arc of said curve for a distance of 89.31 feet to .a point; thence South 22 degrees, 48 minutes and 10 econds West 42 .93 feet along said _road line to a point of curve o the left having a radius of 320.54 feet; thence Southwardly long said road line following the arc of said curve for a istance of 3 .83 feet to the point of beginning. 6 SCHEDULE C Portion of Undesignated Lot from FIDCO to be transferred to Block 28 - Lot 7 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 an iron pipe at an angle in the Westerly line of a road, 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 running thence North 89 degrees, 54 minutes and 46 seconds West 175.56 feet to a point at the shore of West Harbor; thence South 10 degrees,' 29 minutes and 40 seconds West 50. 00 feet to a point; thence North 75 degrees, 10 minutes and 10 seconds East 191.03 feet to the iron pipe at the point of beginning. 7 .11 r T }•$ t ti i!S'�j/a C 35{ �,F w7y V _ .xl -l.�' �{( r� ti y r l} p t " ' n r S \+ 1.7 + , - -Am. .5 - - . - .,- -, - -- - � -,�;- :, ., ..,..,. , - - - : - -4, - .*-' I - .:- , . � --V, - - �71 . 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R _ `! A �rY, K_ _ - 1 '; _. .. .� :,.. - t. /_ - - - _ _ _ __ 1. -y - _ __ _ _ _ '' g-t' l' my- - - _i, �: - r �•. �. i_ ,, r_ t S. 1' WOO J r',F E_ - - G - R: y _ - tJ. r.l`T .- 1 w - =, - (114 - . 1 - �_ y. T - ' .O' t _ i 7-. It. '-/. n n t°, - - � y� - - - R_ =r:'' r.' 1 II' � =:F �4- R a r - `t:?a' z i i=- 0 ::\, ��-:' ca. rti :Y;, I O 1. :� ::. ::•? �.. �:- Y R O .. �:. W is w. .5: _ _ _ _ _ _ _ 1'111LI�C M _ _ _ /; .f. NG _ _ _. Y�� .'J�:� .�':'- Jam':�:' C y f.. - �' _ -y ;. J 5.. HAME - TON� AD RO - 'T, f :a3--r '; 7r:: J' '..r. SOU E�' _K - THAt+IP TON•- NEW-.Y_ - ORB�.��'11 - 968: _ �l=�l �ZzqwnxL: w t-_. _ <> - r' - _ ; ' :,.'.. - - =''Y... �. •.-. - _ _ �, j` \. ,N_:: i �T.\TTFIE��S age HAM -%TTORNETS AND COUNSELLORS AT LAu' 45 HAMPTON ROAD j SOUTHAMPTON.N.Y. 11968 r' 516-283-2400 PHILIP H.MATTI(Ew's TELECOPIER 516-287-1076 STEPHY.Y L.HAM,LEI 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: Continued / Planning Board April 22, 1991 / Town of Southold Page 2 i i i "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 i %,jl1 pig 7It4 1 ,ill uunsfi4Fd caaatr:�w.wa�e-n:�c "� GtE�V°' #7 hRiR. '7p iaiJ4i'X.s P Bri`A Yf :tRraas�7l" waa�4�4KJ4 wu �4aiax:�;+^��:c:trr: ` ::::::!::::::ADD NEW....NL'GA1 IVE DECLANA`i'ION ::::::: ::::::..:::......:::.................::::::::::::::::: ? 03, 28, _,M 1' .'K' • ; Pam,... ., S t .• i 1 ILE NUr,16ER , Nl473800--00813Town of SOUTHOLD, SUFFOLK County EA AGENCY : 473800:5::::::::::::":::::::::::::::Town of SOUTHOLD, SUFFOLK County � ...................... .................................................................................................................................................................................................................................................................................................................... FICA_ or BO,ARD :::::Planning Board • :C Type TI�iL�� ,::.,r offer & Mary Goss 9p . . :: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:::::::::.:............................................................................................... ESCRIPTION : Lot line change to split 0. 1 ac. 'from site for dedication to ..................................................:::: .property toner acrosw. road. P r o isMimi � 5 i r~ 1 .......................................... • ....................................................................................................... ...DaTu Nam. ........... . ..................................................:::•::::::::::::::::::::::::::::::::::::::::::::::::::� :::::::::::Ne 4�t�_�e Dr�c.].araUaon::::::::::::::::::::03/27; ::::.::::::::.:::: ........................... . 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J...........•.................... r ...........................................................................................•.....................................•........................................•............................... ....................... .w 4 ................................ ........................................................................:• :::: : ::::: :::::::::::::::::::::::::::::::::..................:::::::. ................. hJorma.t Joy u:::::::::::::::::::::::::::::::: ....................................................................... ........................................................................................................................................................................................................... A n2 :............... .................................................................................................................... , .ru4 �saatuII _ ln. IIl�usveut mww�4. :1E M P O R'Y'A 1\T T > > F' i 1 c--- 1q i-i in lz>EE�r 1',T1 - 473a00 - 00813 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 SEOR Repository on the date (s) shown in the box headed DATE RECEIVED above. The date and time in the second line show when this document was printed. Please check the information above carefully. For corrections or questions contact Charles Lockrow, (518)457-2224, or write to: SEAR Repository NYSDEC Division of Regulatory Affairs 50 Wolf Road, Room 514 Albany, NY 12233 APR _ 4 1991 Town of SOUTHOLD Planning Board 53095 Main Road-P. O. Box 1179 Southold, NY 11971 L� SEQR NEGATIVE DECLARATION Notice of Determination of Non-Significance Lead Agency: Planning Board of the , Town of Southold I Address: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 r 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 Lot Line Change SCTM# 1000-2-1-13 & 14 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 0.1 acres from site for dedication to property owner across road. No structures are proposed. Land is zoned R-120, single family residential. MAR 2 7 J 99J 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 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 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 A PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ��'4.3 ',�`� Supervisor George Ritchie Latham, Jr. s ,� Richard G. Ward �-� m 1 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�g.FC'AIOjVCP' 1991 Fax (516) 765-1823 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Proposed Lot-line change for Porter & Mary Goss SCTM*1000-2-1-13 & 14 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, March 11, 1991. RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a determination of non-significance, andogrant a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, Jr. "P13 Chairman Encl. PLANNING BOARD MEMBERS .7'r� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman c� ._ Supervisor George Ritchie Latham, Jr. Richard G. Ward 1 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 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 t(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 Lot Line Change SCTM# 1000-2-1-13 & 14 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 0.1 acres from site for dedication to property owner across road. No structures are proposed. Land is zoned R-120, single family residential. 1 Reasons Supporting This Determination: This determination is issued in fall consideration of the criteria for determination of significance contained in 6 NYCRR Fart 617.11. In addition, a Long Environmental Assessment 1~orm Parts I, 11 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 fart 617.5(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 re*nain in it present state, no additional development of the parcel is proposed. The propporal would spplit 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. Bo11179 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 . .,....'!y..._... .. ,. 'k' .,,,. .._„._,' .a... :',• .. _..„r.. .. ''. _ .. _... ._...,. .., _....__ J^M_<.�3 �,,._. f*e.-'!"r'L l��?,.aye,+.._w•rt-iir.,�.1_-..,.'�^i rnh�s#�:'��fi. 1 CRAMER, V RH SOCIATES ENVIRONMENT iVG CONSULTANTS g 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% 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 , as W. Cramer, SLA enc: Part I/II LEAF's Determinations of Significance MAR 2 11991 54 NORTH COUNTRY ROAD, MILLER PLACE, NY 11764 (516) 331-1455 r 'U'-;T,%RT 1—PROJECT INF JIMATIC.. 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 - Property of Porter J. and Mary R. Goss LOCATION OF ACTION (Include Street Address,Municipality and County) Private Road, Fishers Island, County of Suffolk (SCTM ##Is 1000-2-1-13 and 14) NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Porter J. Goss and Mary R-. Goss c 516> 2 LEPHON 0 ADDRESS c/o Stephen L. Ham, III, Esq. , 45 Hampton Road, Southampton, NY 11968 CITY/Po STATE7ZIP CODE Southampton NY NAME OF OWNER(If different) 1968 BUSINESS TELEPHONE ADDRESS ( ) FDESCRIPTION /PO STATE ZIP CODE OF ACTION nsfer of .1-acre parcel of land from undesignated lot between FIDCO Lots 28-6 and 7 to Lot 28-7 in anticipation of conveyance of such undesignated lot to Michael Laughlin in exchange for conveyance of .66-acre parcel from Laughlin across road from--- site 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) LORural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: •1 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) .1 acres •1 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? V4, 1 A �� 1 a. Soil drainage: drained 100 of Site ❑Moderately well drained % of site tell %orly 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? 1_ acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes 13No a. What is depth to bedrock? > ewn (in feet) MAR 2 11991 2 I 5. Approximate percentage of proposed 1 �t site with slopes: 20-10% 10 J a 10-15%_ 1 'IT 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 ®No CI. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes INNo 8. What is the depth of the water table?unknown (in feet) fl 9. Is site located over a primary, principal, or sole source aquifer? ®Yes ❑No 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 LNNo According to J.M.O. Consulting ovia$ SO 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 MNo Describe d>1 • 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes 91No 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 conti pus to project area: a. Name � � `� O - b. Size (In acres) 17. Is the site served by existing public utilities? KlYes ❑No a) If Yes, does sufficient capacity exist to allow connection? 9Yes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes IMNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? []Yes K]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 nNo 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 1.73 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 none Ultimately *** i. 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 at this time 2. How much natural material (i.e., rozx; earth, etc.) will be removed from the s._... 0 tons/cubit yards 3. Will disturbed areas be reclaimed? ❑Yes ❑No IN N/A a. If yes, for what intender purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) 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 ®No 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? Dyes ❑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 ®No 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? Dyes K]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 MNo 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 ®No 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 12No 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. 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 MNo City, Town, Village Planning Board ®Yes ❑No lot line hange approval 11/90 City, Town Zoning Board ❑Yes MNo City, County Health Department ❑Yes ®No Other Local Agencies ❑Yes MNo Other Regional Agencies ❑Yes ZINo State Agencies ❑Yes ®No Federal Agencies ❑Yes ONO C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? InYes ONO 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-1 20 3. What is the maximum potential development of the site if developed as permitted by the present zoning? single—family residence on Lot 28-7 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? ®Yes ONO 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)? ❑Yes LNNo 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? Dyes ®No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ON. 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 Nam` Porter J. Goss and Mar R Goss Date 12131 / 0 Signature B ./?I L, �7Zc�•r, Title Authorized Agent St phen 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 Pay; 2—PR _ _ FCT !MPACTS AND T wE]-9 V_ �,TUDS Responsibility of Le" Agency Coss sa General In(ormatfon (Read Carefully) • In completing the form the reviewer should be guided by the question. Have my responses and _terminationi 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 Es.amples 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 exampks 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 dse proposed actions resuk in a physical change to project sitri rmpac,K lmpaot Pro}ect ChurtQe. NO OYES Exampks that would apply to column 2 • Any construction on slopes of 15% .or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ONo 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 ONo 3 feet • Construction of paved parking area for 1,000 or more vehicles. n ❑ ❑Yes ONo • .Constriction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ONo 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 CNo tons of natural material (i.e.. rock or soil) per year. • Construction dt expansion of a ianitary landfill. ❑ ❑ ❑Yes ONo • Construction in a designated floodway. ❑ ❑ ❑Yes ONo • Other impacts ❑ ❑ ❑Yes ONo 2. Will there be an effect v. _.Jy unique or unusual land o ms found on .the site)(i.e.,.cliffs, dunes, geological formations, etc.) O DYE$.. •'.SpEcific Istnd 'f �. .. . . .. ... . .. 1 2 J Small to Potential Can Impact B4 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 Conservat'on Law, ECL) NO OYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes `tio • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ ❑Yes ONO protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ONO • Construction in a designated freshwater of tidal wetland. ❑ ❑ ❑Yes ONO • Other impacts: ❑ O ❑Yes ❑No 4. Will proposed action affect any non-protected existing r new body of water? NO DYES Examples that would apply to column 2 • A 10%.increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ONO or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ONO • Other impacts: ❑ ❑ ❑Yes ONO S. Will Proposed Action affect surface or groundwater quality or quantity? N0 DYES Examples that would apply tq column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ONO • Proposed Action requires use of a source of water that does not ❑ - Dyes CNo have approval to serve proposed(project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ONO gallons per minute pumping Capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ONO supply system. `. • Proposed Action will adversely affect groundwater. ❑ ❑ Dyes ONO • Liquid effluent will be conveyed off the site to facilities wh:;h presently ❑ ❑ C;Yes CNo do not exist or have inadequate capacity. i • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes CNo day. • Proposed Action will likel- caoie siltation or other discharge into an ❑ ❑ Dyes ENO existing body of water ivthe-ment that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ONO products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ON and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ Dyes ONO require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes UNo f Will proposed action alter drainage flow or patter or surface J, water runoff? OYE'S ti u nplef iliat would a'pply'toa cci urvir Z . Priv sed-Action would change-%ffo'od water. flows; Q ❑ ❑Yes �.�No' c (-1 2 Small to Potential Can Impact -t be I Moderate Large Mitigated d By i Impact Impact Project Chinn" Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes 'I No Proposed Action is incompatible with existing drainage pattems ❑ ❑ ❑Yes _ .DNo Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes _.:Ho Other impacts: ❑ ❑ Dyes _ ]No IMPACT ON AIR Will proposed action affect air quality? XNO OYES Examples that would apply to column 2 _ Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ Dyes _ ]No + hour. 1 Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ Dyes - ::)No refuse per hour. _ I Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ Dyes _ ]No heat source producing more than 10 million BTU's per hour. Proposed action will allow an increase in the amount of land committed ❑ ❑ Dyes :DNo to industrial use. • Proposed action will allow an increase in the density of industrial ❑ D Dyes ❑No development within existing industrial areas. • Other impacts: D ❑ Dyes ❑Nc IMPACT ON PLANTS AND ANIMALS 3. Will Proposed Action affect any threatened or endan red species? O OYES Examples that would apply to column 2 ` • Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes —JNc list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat ❑ ❑ Dyes ]Nc • Application of pesticide or herbicide more than twice a year, other ❑ ❑ Dyes ❑Nc than for agricultural purposes. • Other impacts: ❑ ❑ Dyes ]NC 9. Will Proposed Action substantially affect norr-threatikqed a non-endangered species? MNO OYES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ Dyes ❑Nc migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ Dyes ❑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 re rces? O OYES Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yea ❑Nc land (includes crgptind; ha�ieLds.,P�stu�e; yiney#rd, orchard,:etc). 2 Small to Potential Can Impact be Moderate large Mitigated By Impact Impact Project C;hsnQa 0 Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land i The proposed action *ouid irreversibly convert more than 10 acres ❑ ❑ Oyes ❑No of agricultural land or, if located in an Agricultutal. District more than 2.3 acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ Oyes ONO 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 ONO IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? NO OYES (If necessary, use the Visual EAF Addendum in ction 617.21. Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ONO 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 ❑ ❑ 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 ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? 0 OYES Examples that would apply to column 2 (" Proposed Action occurring wholly or partially within or substantially ❑ ❑ Dyes ONO 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 ❑ ❑ Oyes ❑Nc+ 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 *�N_O OYES ( )The permanent foreclosure of a future recreational o0portunity. ❑ ❑ ❑Yes ONO _11� A major reduction of.an Open.space.important•to the-community, ❑ ❑ ❑yes. . �.; :• :Ot?itr.'lrrrpatts. .. ❑ ' C��'ei.` ONO 1 2 3 IMPACT ON TRANSPORTATION Small to Potential Can Impact Bs 14 Will there be an effect to existing transportation syst ms? Moderate Large Mltlgated By NO OYES Impact Impact Project Chang( Examples that would apply to column 2 • Iteration of present patterns of movement of people and/or goods ❑ ❑ ❑Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ D ❑Yes ❑No IMPACT ON ENERGY 1S. Will proposed action affect the communitys soutcr of fuel or energy supply? NO OYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ ❑Yes ❑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: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibra ' as a result of the Proposed Action? 10NO, OYES" f Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive CD ❑Yes ❑Nc facility. • Odors will occur routinely (more than one hour per day). _ ❑ D Dyes ❑N( • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑N( ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ON noise screen. . • Other impacts: ❑ ❑ ❑Yes ON IMPACT ON PUBLIC HEALTH 17 Will Proposed Action affect public health and safe NO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ Dyes ❑P 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 01 form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑ 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`wOitheT °iiripyCt3:' ❑ :D QYes 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potentlal Can Impact Ba OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mltlgated By la Will proposed action affect the character of the exist in community? Impact Impact Project Change NO OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ ❑Yes ONO project is located is likely to grow by more than S%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ONO, 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 ONO • Proposed action will cause a change in the density of land use. ❑ ❑ Oyes ONO • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ Dyes ❑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 ONO • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ONO • Other impacts: ❑ ❑ Oyes ONO 19. Is there, or is there likely to be, public controv r3 related to potential adverse environmental impacts? �10 DYES If Any Action In Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially larje, 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(s1 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) Z PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman VO O�. Supervisor George Ritchie Latham, Jr. 1D Richard G. Ward �Ol 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, Jr. Chairman DATE: March 6, 1991 RE: Proposed lot line change for Porter and Mary Goss SCTM* 1000-2-1-13 & 14 Please review the attached covenants and restrictions for legal sufficiency. -3 7 9/ MATTHEWS & HAM ATTORNEYS AND COUNSELLORS AT LAW RY 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III March 1, 1991 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change for Porter & Mary Goss; SCTM # 1000-2-1-13 & 14 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 Ltruly 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, hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, as shown on the map entitled "Proposed Lot Line Change - Property of Porter J. and Mary R. Goss", prepared by Chandler, Palmer & King, dated November 20, 1990, which map is to be filed in the Offices of the Town Clerk and the Building Department of the Town of Southold, with said real property consisting of two Lots, one of which is designated as Block 28, DISTRICT Lot 7 and is more particularly described on Schedule A hereto and 1000 the other of which is undesignated but is identified on said map SECTION SECTI as "Lot from FIDCO" and is more particularly described on Schedule 002 . 00 BLOCK B hereto; and O1 . 00 WHEREAS, the Declarants have made application to the LOTS 013 . 000 Planning Board of the Town of Southold for approval of a lot line 014. 000 change as shown on the above referred to map, to wit: the transfer of a . 10 +/- acre parcel as shown thereon from the said undesignated Lot to Block 28, Lot 7, which . 10 +/-acre parcel is more particularly described on Schedule C hereto; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it 1 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 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 2 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 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 3 SCHEDULE A BLOCK 28 - LOT 7 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 Westerly line of a road, said monument being located 4306.45 feet North of a point which is 882. 34 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence South 89 degrees, 26 minutes and 40 seconds West 215. 14 feet to a point at the shore of Fishers Island Sound; thence North 03 degrees, 30 minutes and 50 seconds East 52.70 feet to a point; thence North 04 degrees, 42 minutes and 20 seconds East 161.52 feet to a point; thence North 75 degrees, 10 minutes and 10 seconds East 197. 31 feet to the Westerly line of said road at a point of a curve to the left having a radius of 315.54 feet and the direction of whose radius at that point is South 67 degrees, 11 minutes and 50 seconds East; thence Southwardly along said road line following the arc of said curve for a distance of 270.28 feet to the point of beginning. 4 SCHEDULE B LOT FROM FIDCO May 5, 1977 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 an iron pipe at an angle in the Westerly line -,of a road, 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 running.--thence South 75 degrees, 10 minutes and 10 seconds West 191. 03 feet7to a point at the shore of West Harbor; thence North 10 degrees, 29 minutes and 40 seconds East 168.75 feet to a point; thence North 81 degrees, 51 minutes and 48 seconds East 31.00 feet to an iron pipe at a point of a curve to the left having a radius of 302 .00 feet; thence Northeastwardly following the arc of said curve for a distance of 146.43 feet to an iron pipe at a point of curve: to the left having a radius of 85. 00 feet; thence Northeastwardly following the arc of said curve for a distance of 63 .97 feet to an iron pipe on the Westerly line of said road at a point of curve to the right having a radius of 370.99 feet; thence Southwardly along said road line following the arc of said curve for a distance of 189.31 feet to a point; thence South 22 degrees, 48 minutes and 10 seconds West 42.93 feet along said road line to a point of curve to the left having a radius of 320.54 feet; thence Southwardly along said road line following the arc of said curve for a distance of 3 .83 feet to the point of beginning. 5 SCHEDULE C Portion of Undesignated Lot from FIDC0 to be transferred to Block 28 - Lot 7 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 an iron pipe at an angle in the Westerly line of a road, 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 running thence North 89 degrees, 54 minutes and 46 seconds West 175.56 feet to a point at the shore of West Harbor; thence South 10 degrees, 29 minutes and 40 seconds West 50. 00 feet to a point; thence North 75 degrees, 10 minutes and 10 seconds East 191.03 feet to the iron pipe at the point of beginning. 6 X i if PLANNING BOARD MEMBERSh. r' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward � � Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 . TO: Matthew Kiernan, Assistant Town Attorney FROM: Bennett Orlowski, Jr.. Chairman DATE: March 6, 1991 RE: Proposed lot line change for Porter and Mary Goss SCTM# 1000-2-1-13 & 14 Please review the attached covenants and restrictions for legal sufficiency. 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 March 1, 1991 Planning Board Town of Southold Main Road ' Southold, NY 11971 Re: Proposed Lot Line Change for Porter & Mary Goss; SCTM # 1000-2-1-13 & 14 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 Ltruly yours, Stephen L. Ham, III SLH:ja Enclosure r' BY HAND - 41991 { - 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, hereinafter referred to as the Declarants. WHEREAS, the Declarants are the owners of certain real property situate at Fishers Island, Town of Southold, Suffolk County, New York, as shown on the map entitled "Proposed Lot Line Change - Property of Porter J. and Mary R. Goss", prepared by Chandler, Palmer & King, dated November 20, 1990, which map is to be filed in the Offices of the Town Clerk and the Building Department of the Town of Southold, with said real property consisting of two Lots, one of which is designated as Block 28, DISTRICT Lot 7 and is more particularly described on Schedule A hereto and 1000 the other of which is undesignated but is identified on said map SECTION 002 . 00 as "Lot from FIDCO" and is more particularly described on Schedule BLOCK B hereto; and 01 . 00 WHEREAS, the Declarants have made application to the LOTS 013 . 000 Planning Board of the Town of Southold for approval of a lot line 014 . 000 change as shown on the above referred to map, to wit: the transfer of a . 10 +/- acre parcel as shown thereon from the said undesignated Lot to Block 28, Lot 7, which . 10 +/-acre parcel is more particularly described on Schedule C hereto; and WHEREAS, for and in consideration of said granting of approval, the Planning Board of the Town of Southold has deemed it 1 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 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 2 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 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 3 SCHEDULE A BLOCK 28 - LOT 7 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 Westerly line of a ' road, said monument being located 4306.45 feet North of a point which is 882.34 feet West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "NIN" and running thence South 89 degrees, 26 minutes and 40 seconds West 215. 14 feet to a point at the shore of Fishers Island Sound; thence North 03 degrees, 30 minutes and 50 seconds East 52.70 feet to a point; thence North 04 degrees, 42 minutes and 20 seconds East 161.52 feet to a point; thence North 75 degrees, 10 minutes and 10 seconds East 197.31 feet to the Westerly line of said road at a point of a curve to the left having a radius of 315.54 feet and the direction of whose radius at that point is South 67 degrees, 11 minutes and 50 seconds East; thence Southwardly along said road line following the arc of said curve for a distance of 270.28 feet to the point of beginning. 4 SCHEDULE B LOT FROM FIDCO May 5, 1977 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 an iron pipe at an angle in the Westerly line of a road, 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 running thence South 75 degrees, 10 minutes and 10 seconds West 191.03 feet to a point at the shore of West Harbor; thence North 10 degrees, 29 minutes and 40 seconds East 168.75 feet to a point; thence North 81 degrees, 51 minutes and 48 seconds East 31.00 feet to an iron pipe at a point of a curve to the left having a radius of 302.00 feet; thence Northeastwardly following the arc of said curve for a distance of 146.43 feet to an iron pipe at a point of curve to the left having a radius of 85. 00 feet; thence Northeastwardly following the arc of said curve for a distance of 63 .97 feet to an iron pipe on the Westerly line of said road at a point of curve to the right having a radius of 370.99 feet; thence Southwardly along said road line following the arc of said curve for distance of 189. 31 feet to a point; thence South 22 degrees, 48 minutes and 10 seconds West 42 .93 feet along said road line to a point of curve to the left having a radius of 320.54 feet; thence Southwardly along said road line following the arc of said curve for a distance of 3.83 feet to the point of beginning. 5 i v SCHEDULE C Portion of Undesignated Lot from FIDCO to be transferred to Block 28 - Lot 7 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 an iron pipe at an angle in the Westerly line of a road, 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 running thence North 89 degrees, 54 minutes and 46 seconds West 175.56 feet to a point at the shore of West Harbor; thence South 10 degrees, 29 minutes and 40 seconds West 50.00 feet to a point; thence North 75 degrees, 10 minutes and 10 seconds East 191. 03 feet to the iron pipe at the point of beginning. 6 i PLANNING BOARD MEMBERS ' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ate'; " Supervisor George Ritchie Latham, Jr. �I 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 February 26, 1991 Stephen L. Ham III Matthews & Ham 45 Hampton Road Southampton, New York 11968 RE: Proposed Lot-line change for Porter & Mary Goss SCTM# 1000-2-1-13 & 14 Dear Mr. Ham: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 25, 1991. 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 County Clerk. Condition Number 6 must be shown on the final map. Please contact this office if you have .any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. /rls Chairman Encl. _ cc: Suffolk County Planning Commission COUNTY OF SUFFOLK emu, PATRICK G. HALPIN SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING ARTHUR H. KUNZ DIRECTOR OF PLANNING February 7, 1991 Mr. Bennett Orlcwski, Jr., Chairman Town of Southold Planning Board r-✓ _ ., Main Road Southold, New York 11971 Re: Minor Subdivision - Porter J. & Mary R. Goss (Lot Line Change) Westerly side of a 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" 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. r 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.U..NEW YORK 1 1786 -, - (316)360-5192 =. _.�cr fix,>......._y.._ ._. ... ._.d.... ': �..'a �..`:.._,..,":?'_.�,..;. .. _. ti ..-._. .._.. .�. _...w s.:•w.i_..� r;'u.. .`3.....t`�.d...aa-o _�.M 1-...r�.ae�a.:a�.v..�w...liY[f�"Y,..°�'.<Yr.. 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 comments on the map for your use and consideration: 1. It is suggested that before approval is granted to this subdivision that the subdivider be required to submit this proposal to the Suffolk County Department of Health Services for review to insure that the proposed subdivision will meet the requirements and standards of that agency. 2. 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. Y Very truly yours, Arthur H. Kunz Director of Planning by Frank Dowling, Sr. Planner Subdivide n Review Division File: S-SD-91-02 �^ FD:mb cc: J. Baier, C.E. I. SCDHS S. »...:L ..,..._x.�.�n ..m__... 1 .., ...5^t ai..« , ..p. .. _., ..,...... .x r .�.... ::..( Y'SrY 1 �tr vkt,+:':✓zL�A4.3?2. .o1fi-•'r+-a6S!U, a.f o-:+441S+.�M..+ .'yS.'d _. MATTI3EWS & 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 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 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, 414.0", h�� Stephen L. Ham, III SLH:ja Enclosure FMB _ . 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 FEB - 8 1991 Main Road Southold, New York 11971 Re: Minor Subdivision - Porter J. & Mary-R-i'-Goss (Lot Line Change) Westerly side of a 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" 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.1., NEW YORK 11788 (51 6)360-51 92 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 comments on the map for your use and consideration: 1. It is suggested that before approval is granted to this subdivision that the subdivider be required to submit this proposal to the Suffolk County Department of Health Services for review to insure that the proposed subdivision will meet the requirements and standards of that agency. 2. 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 Franc Do "ng, Sr. Planner Subdivig&n Review Division File: S-SD-91-02 FD:mb cc: J. Baier, C.E. , SCDHS 1 PLANNING BOARD MEMBERS :.'_" SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. p Richard G. Ward Town Flail, 53095 Main Road Mark S. McDonald "4^'1' 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 hasp 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 SCOTT L. HARRIS r_^: -�'.'i • Town Hall, 53095 Main Road SUPERVISORi I r:: — ` P.O. Box 1179 FIR Southold, New York 11971 FAX (516)765 - 1823 TELEPHONE(516)765 - 1800 ,f `'++_•''� .,' ' -' ' PLANNING BOARD TOWN OF SOUTHOLD FAX COVER SHEET p� TO: CA . �G - 00 ✓ hLf FROM: b KQ DATE: _ I Pages to follow: Additional Comments: IF ALL PAGES ARE NOT RECEIVED, PLEASE CALL SOUTHOLD TOWN HALL at (516) 765- 1938 i< ..._.c•, ..,. -,a...'-clirr-N _ .,r?r•K {..:.F':a •. at , -... .. _. .. h r :. , K S-.,�., t i LOT UNr C N/s M G E P'r-OFEZTY DP FOZTEl�, J . VY V" GOSS F-I S H ESZS I S L L-M D, �,A EW YO rKl- 100 ' o so ' CKI�?,Ip►_E�, P1�LME�, I t�16 V40rwlGx, G01Jwt:cncUT NOVEMS'Er, CO 19g0 / a H ot�17 b1ZG , �•3Z' 31� 24"E . ZZ°2'7'D 1^ W , MOTES: I. OWNS s: PO rT E K, J.6055�F MKr-Y Z. GOSS 581aq GUL5 DsG1VE SA.�IISEL 15LA.t,1b,FLOI`IDb� 2, 1'ZOV-r--ZTY 15 LOC&TED 1WTVA TOW 9 OF: SOUTUOLD, GoU NTY 01= 50>= DLIL, ST'bTC OF WEW yorK 5. 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N•79.Z6 20` :,::y:,:';•:;;::,:_ =z8 83�of-f_ 5 F= ,�, Z J o� 440;ti 0>'S o. 9 Q VA V�L ♦ O C 30 "//J� U" ✓�per. � \c\ / �7;:'. y�Zp�' ` Iml . s 92.54 3202.05* 0' v0/f/ I�I aL Z Z ✓ � h �• y hh,�a 6 ^ Nj N �-,Nj No ,56�,Zph h Np - 4 O A G0 A � 23 GiZD��2 \� I o�N � �• ��P2'!s'h 3h �S Zg2• ,�O•E 03 73 g7 ,fv PLANNING BOARD MEMBERS ; r' day '�'' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. �� Richard G. Ward -1 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 `101y114X y/S 1990 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: LoT Lille C1/4 lyaJ5 Fa Q Po R r6R T d-J44A R Goss �� cN�►EL ,�. ��9ct G/fLih' scra,,i�/cac- a i i �ld-!6 Requested Action: E�vloa.sG.yr.�� �R�4 t'G�l SEQRA Classification: ( X ) Type I ( ) Unlisted Contact Person: a�jE,Q (516) -765-1938 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: pa_ a 9v uz_� .> eS— *Building' Department Soccttloc� T.owJ_I i 6.1.r4 Suffolk 'County Dept. of Health Services XrNYSDEC - Stony Brook ngineers anspor a ion * Maps are enclosed for your review Coordinating agencies AT 1—PROJECT IN RMATIO.. Prepared by Project Sponsor 4' 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 — Property of Porter J. and Mary R. Goss LOCATION OF ACTION(Include Street Address,Municipality and County) Private Road, Fishers Island, County of Suffolk (SCTM Vs 1000-2-1-13 and 14) 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 .1—acre parcel of land from undesignated lot between FIDCO Lots 28-6 and 28-7 to Lot 28-7 in anticipation of conveyance of such undesignated lot to Michael Laughlin in exchange for conveyance of .66—acre parcel from Laughlin across road from\ site 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) LNRural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: •1 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres •1 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 INNo a. What is depth to bedrock? unknown (in feet) 2 5. Approximate percentage of proposed p?ON:t site with slopes: ®0-10% 10 r % ❑10-15% % _4 015% or greater % 6. fs project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes ®No CI. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes IN 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? ®Yes . ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or erfdangered? []Yes IN 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) Dyes 129No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? Dyes %]No If yes, explain 14. Does the present site include scenic views known to be important to the community? Dyes ❑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? nYes ❑No a) If Yes, does sufficient capacity exist to allow connection? ]Yes ❑No b) If Yes, will improvements be necessary to allow connection? Dyes MNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes K]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? Eyes []No 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes K]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 1.73 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 none Ultimately *** i. Dimensions (in feet) of largest proposed structure *** height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? _ Q_ ft. 3 ***no new structures proposed at this time \ i• 2. How much natural material (i.e., re aarth, etc.) will be removed from the si__. 0 tons/cubi5- yards -. Will disturbed areas be reclaimed? ❑Yes ❑No ®N/A a. If yes, for what intender; purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ❑No c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) 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 - ®No 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 IMNo 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 ®No Type 14. Will surface area of an existing water body increase or decrease by proposal? Dyes (MNo 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? Dyes X]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? Dyes ❑No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes MNo 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 MNo 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 [ENO 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. E 24. Does project involve Local, State or Federal funding? ❑Yes ®No If Yes, explain ; 4 y 25. Approvals Required: Submittal Type Date City, Town, Village Board ❑Yes EN No City, Town, Village Planning Board ®Yes ONO lot line change pproval 11/90 City, Town Zoning Board ❑Yes MNo City, County Health Department ❑Yes ONO Other Local Agencies ❑Yes MNo Other Regional Agencies ❑Yes ®No State Agencies ❑Yes ®No Federal Agencies ❑Yes [ONO ' C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? InYes ONO If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan Mother lot line change 2. What is the zoning class ification(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 Lot 28-7 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? ®Yes ONO 7. What are the predominant land use(s) and zoning classifications within a 1/, 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 ONO 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? ❑Yes LNNo 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 ®No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ONO 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 NF4Stphen Porter J. Goss and Mary R. Goss Date 12131 /90 Signature BY L. �7 , Title Authorized Agent L. Ham, III If the action is it 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 Bennett Orlowski, Jr., Chairman cam' ` ✓`' b 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 / ,1971 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: Map of - Rj LdA ,j ,M.4, ii? ro SS Hamlet/Locality l- S.C.D.P.W. Topo No. : Zoning S.C. Tax Map No. : f o o o - _- ( - / 3 d.f 4or2-bye Major Sub. Minor Sub. ��Site Plan Cluster MATERIAL SUBMITTED: Preliminary Plat ( 3 copies) --�Road 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) Type I) (Type II)Action. 2. A (Negative Declaration) (Positive Declaration) (Determ. of Non-Significance) has been adopted by the Planning Board. 3. E.I.S. statement enclosed. (Yes) 6N� 4. The proposed division has rec d approval from the S.C. Dept of Health. (Yes) No) . Comments: �r 4 c E R F�i� w rlbS L-7- l &,J T'4i f c.RL7'LGaJL ff111464,q61rr&_ 4RE/9 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 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, Stephen L. Ham, . III , • authorized agent for Porter J. Goss and' Mary R. Goss r PLANNING BOARD MEMBERS ;_ �' ? SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ` f y `t ,m' Supervisor George Ritchie Latham, Jr. a ` Richard G. Wards 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 & Ham 45 Hampton Road Southampton, New York 11968 RE: Lot line change for Porter J. & Mary G. Goss SCTM#1000-2-1-1.3 & 14 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, an Bennett Orlowski, Jr. .nos Chairman r MATTHEWS 8c HAM AND COUNSELLORS AT LAW lee— ATTORNEYS �a 0 45 HAMPTON ROAD SOUTHAMPTON,N.Y.11968 516-283-2400 PHILIP B.MATTHEWS TELECOPIER 516-287-1076 STEPHEN L.HAM,III January 3, 1991 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Lot Line Change for Porter & Mary Goss (SCTM # 1000-2-1-13 & 14) ; Lot Line Change for Porter & Mary Goss and Michael L. Lau hlin (SCTM # 1000-2-1-15. 1 & 167 Dear Sirs: In response to your letter of January 2 , 1990, I am enclosing herewith, with Part 1 completed, a Full Environmental Assessment Form for each of the referenced applications for lot line changes. Please advise me if you require any further information or documentation before you can proceed with your review of these applications. Very truly yours, �� Stephen L. Ham, III SLH:ja Enclosures ® 7 1991 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 November 27, 1990 Planning Board Town of Southold Main Road Southold, NY 11971 Re: Proposed Lot Line Change - Property of Porter J. and Mary R. Goss (SCTM Vs 1000 - 2 - 1 - 13 and 14) Dear Sirs: In connection with the referenced application for a lot line change, I have enclosed the following: 1. Photocopy of authorization for Stephen L. Ham, III to act as agent for the applicants, Porter J. Goss and Mary R. Goss (original having been sent to you under cover of my letter of October 12, 1990) . 2 . Photocopies of deeds recorded in Liber 8254 page i 'y \ 520, Liber 9333 page 557 and Liber 9333 page 5,61, respectively, containing certain covenants and restrictions affecting the property. 3. Form letter regarding drainage, roads, etc. 4. Short Environmental Assessment Form, Part I. 5. Application for Approval of Plat, together with property descriptions. 6. Our check to the Town of Southold in the amount of $50. 00. Continued NOV 3 0 1OD90 Planning Board November 27, 1990 Town of Southold Page 2 7. Questionnaire, duly acknowledged. 8. 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. Very truly yours, �,� A7� Stephen L. Ham, III SLH:ja Enclosures 11Ovv0 ` J- ` A^ may. '.1���.• '��' ' � _ THIS LOT LINE CHANGE BETWEEN �oY' ✓'�- �� 4O $_s AND IS LOCATED ON IN SCTM# 1000- .z- —/ -• t3 '*_ 14 LOT LINE CHANGE Complete application received Ao•` I Application reviewed at work session 1 J�f f/ n oK L/q / inno. oK Applicant advised of necessary revisions �too� • Revised submission received ! j y/ �Mro• oK OK inro. Lead Agency Coordination J'Ad144R�I�IT/ SEQRA determination Sent to County Planning Commission JO v 'W0 L OK AWI ihro. OK I - Review of SCPC report z- s- 9/ Draft Covenants and Restrictions received <1 - `�-y/ � oK Draft Covenants and Restriron�wed~�/ �=o.` oK Filed Covenants and Restrictions received Final Public Hearings Approval of Lot Line -with conditions L/ Endorsement of Lot Line z ms 1/1/90 1415-2 (2/87)-7c I ' 617.21 SEAR Appendix A 1 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 ar-tion. 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 CUpon 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 Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If ferentig PespAs�le officer) Date i _ 1 PART 1—PROJECT INI . .IMATION ' Prepared by Project Sponsor , NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere as part of the application for approval and maybe subject to further verification and public review. Provide any addition' information you believe will be needed to complete Parts 2 and 3.. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION Lot Line Change — Property of Porter J. and Mary R. Goss LOCATION OF ACTION(Include Street Address, Municipality and County) Private Road, Fishers Island, County of Suffolk (SCTM #Is 1000-2-1-13 and 14) 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 .1—acre parcel of land from undesignated lot between FIDCO Lots 28-6 and 28-7 to Lot 28-7 in anticipation of conveyance of such undesignated lot to Michael Laughlin in exchange for conveyance of .66—acre parcel from Laughlin across road from site 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) MRuraI (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: •1 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) .1 acres .l 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 .2 No a. What is depth to bedrock? unknown (in feet) / 2 l 5. Approximate percentage of proposed pr ._ ,t site with slopes: 1X0-10% 10 /° ❑10-15% X. 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 ®No f '. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes INNo 8. What is the depth of the water table?unknown (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ®Yes ONo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes INNo 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 LANo Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? OYes 93No 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? nYes ONo a) If Yes, does sufficient capacity exist to allow connection? It Yes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes MNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes XJNo 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 nNo 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 �.73 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 none Ultimately *** i. 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 .a.t this time 2. How much natural material (i.e., rock, earth, etc.) will be removed"from the site? 0 tons/cubip yards', 3. Will disturbed areas be reclaimed? ❑Yes ❑No ®N/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 ®No 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 ONo 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? Dyes ❑No If yes,-explain N.A. 12. Is surface liquid waste disposal involved? ❑Yes IMNo 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 ®No Type 14. Will surface area of an existing water body increase or decrease by proposal? Oyes ®No Explain 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes ❑No unknown 16. Will the project generate solid waste? ❑Yes KINo 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 MNo 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? OYes FX1No 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 EXNo 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. 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 [ANo City, Town, Village Planning Board ®Yes ❑No lot Tine change approval 11/90 City, Town Zoning Board ❑Yes MNo City, County Health Department ❑Yes ®No Other Local Agencies ❑Yes IMNo Other Regional Agencies ❑Yes ®No State Agencies ❑Yes ®No Federal Agencies Dyes ILNo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? IMYes []No* If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan nother lot line change 2. What is the zoning class ification(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 Lot 28-7 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? ®Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/a 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 authorizations) for the formation of sewer or water districts? Dyes ®No 11 . Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? Dyes LANo 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? Dyes ®No 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 Nam Porter J. Goss and Mary R. Goss Date 12151 /90 Signature B + L• /7 .w tM- Title Authorized Agent StElphen 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- 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 ❑NO ❑YES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ El Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ El Yes El No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ El Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ El Yes El No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ El Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes El No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. _ ❑ ❑ ❑Yes El No • Construction in a designated floodway. ❑ ❑ El Yes ❑No • Other impacts ❑ ❑ El Yes El No 2. Will there be an effect tr. _..iy ursique or unusual land forms found on ��.. the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO ❑YES • Specific land forms: . ❑ ❑ El Yes ❑No 6 1 2 3 IMPACT ON WATER Small to Potential Can Impact Be 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 DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ . ❑Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ El Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑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 OYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ []Yes ❑No C • Proposed Action requires use of a source of water that does not ❑Yes []No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ Dyes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likely cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to naturai conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ El Yes ❑No { 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes ❑No • Proposed Action will allow development in a designated floodway. El ❑ ❑Yes []No Other impacts: ❑ ❑Yes ❑No ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? Examples that would apply to column 2 ENO AYES • Proposed Action will induce 1,000 or more vehicle trips in any given hour. ❑ ❑ ❑Yes ❑No • Proposed Action will result in the incineration of more than 1 ton of refuse per hour. ❑ ❑ El Yes ONO -' • Emission rate of total contaminants will exceed 5 lbs. per hour.or a " heat source producing more than 10 million BTU's per hour. ❑ ❑ ❑Yes ONO • Proposed action will allow an increase in the amount of land to industrial use. committed ❑ ❑ ❑Yes ONO F' • Proposed action will allow an increase in the density of industrial development within existing industrial areas. El El ❑Yes ❑No • Other impacts: j ❑ ❑ ❑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. El ❑ ❑Yes ❑No ' Removal of any portion of a critical or significant wildlife habitat, ❑ ' Application of pesticide or herbicide more than twice a year, other El ❑ []Yes ❑No than for agricultural purposes. ❑ ❑Yes ❑No ' Other impacts: ❑ ❑Yes ❑No ' Will Proposed Action substantially affect non-threatened or non-endangered species? ONO DYES Examples that would apply to column 2 Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. ❑ ❑ ❑Yes ❑No Proposed Action requires the removal of more than 10 acres ! of mature forest (over 100 years of age) or other locally important ❑ ❑ ❑Yes []No vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES Will the Proposed Action affect agricultural land resources? Examples that would apply to column 2 ONO OYES The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) LLi es ❑No 8 2 3 i Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ []Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. • The proposed action.would disrupt or prevent installation of agricultural El El ❑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 OYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ El Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑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 ❑No 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 ❑ ❑ El 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 ❑ ❑ El 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: ❑ ❑ Dyes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 • ONO DYES The permanent foreclosure of a future recreational opportunity. ❑ ❑ ❑Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ []Yes El No 9 IMPACT ON TRANSPORTATION 1 2 -3 14. Will there be an effect to existing transportation systems? Small to Potential Can-Impact Be Moderate Large Mitigated By ONO DYES Impact Impact Project Change Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ . • Proposed Action will result in major traffic problems. ❑ ❑Yes No ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑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 ONO • Proposed Action will require the creation or extension, of an energy ❑ x�. transmission or supply system to serve more than 50 single or two family ❑ ❑Yes ❑No ' a residences or to serve a major commercial or industrial use. • 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). ❑ ❑ �_ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑No ambient noise levels for noise outside of structures. ' Proposed Action will remove natural barriers that would act as a ❑ noise screen. ❑ ❑Yes ❑No ' Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PUBLIC HEALTH 7. Will Proposed Action affect public health and safety? Examples that would apply to column 2 ONO DYES Proposed Action may cause a risk of explosion or release of hazardous ❑ substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of ❑ ❑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. ❑ ❑Yes ❑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 ❑ Oyes ONO waste. Other impacts: ` I ❑ ❑ [Ell Yes, ❑No I 10 r, 1 2 3 ti 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 ONO OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ []Yes []No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than'5% .per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ El 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 [I No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes El No • Other impacts: ❑ ❑ ❑Yes El No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO OYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impacts) 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 c2:'87)-9c 617.21 SEQR Appendix B State Environmental Quality Review Visual EAE Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and.Resource (in Miles) 1. Would the project be visible from: 0-'/a 1/4.1/2 1/2-3 3-5 5+ • A parcel of land which is dedicated to and available ❑ ❑ ❑ ❑ ❑ to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? • An overlook or parcel of land dedicated to public ❑ ❑ ❑ ❑ ❑ observation, enjoyment and appreciation.of natural or man-made scenic qualities? • A site or structure listed on the National or State ❑ ❑ ❑ ❑ ❑ Registers of Historic Places? • State Parks? ❑ ❑ ❑ ❑ ❑ • The State Forest Preserve? ❑ ❑ ❑ ❑ ❑ • National Wildlife Refuges and state game refuges? ❑ ❑ ❑ ❑ ❑ • National Natural Landmarks and other outstanding ❑ ❑ ❑ ❑ ❑ natural features? • National Park Service lands? ❑ ❑ ❑ ❑ ❑ • Rivers designated as National or State Wild, Scenic ❑ ❑ ❑ ❑ ❑ or Recreational? • Any transportation corridor of high exposure, such ❑ ❑ ❑ ❑ ❑ as part of the Interstate System, or Amtrak? • A governmentally established or designated interstate ❑ ❑ ❑ ❑ ❑ or inter-county foot trail, or one formally proposed for establishment or designation? • A site, area, lake, reservoir or highway designated as ❑ ❑ ❑ ❑ ❑ scenic? • Municipal park, or designated open space? ❑ ❑ ❑ ❑ ❑ • County road? ❑ ❑ ❑ ❑ ❑ • State? ❑ ❑ ❑ ❑ ❑ • Local road? ❑ ❑ ❑ ❑ ❑ 2. Is the visibility of the project seasonal?(i.e., screeried by summer foliage, but visible during other seasons) ❑Yes 'El 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 *1 mile Essentially undeveloped ❑ ❑ Forested ❑ ❑ Agricultural ❑ ❑ Suburban residential ❑ ❑ Industrial ❑ ❑ Commercial ❑ ❑ - Urban ❑ ❑ River, Lake, Pond ❑ ❑ Cliffs, Overlooks ❑ ❑ Designated Open Space ❑ ❑ Flat ❑ ❑ Hilly ❑ ❑ Mountainous ❑ ❑ Other ❑ ❑ NOTE: add attachments as needed 5. Are there visually similar projects within: *'/z mile ❑Yes ❑No *1 miles ❑Yes ❑No *2 miles El Yes ❑No *3 miles El Yes ❑No * Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is NOTE: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work ❑ ❑ ❑ ❑ Involved in recreational activities ❑ ❑ ❑ ❑ Routine travel by residents ❑ ❑ ❑ ❑ At a residence ❑ ❑ ❑ ❑ At worksite ❑ ❑ ❑ ❑ Other ❑ ❑ ❑ ❑ 2 14-16.4(2187)—Text 12 .` PROJECT I.D. NUMBER 617.21 SEAR Appendix C I 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 PORTER J. & MARY R. GOSS Lot Line Change - Property of Porter J. & Mar R. Goss 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 Lot. 28-7 and undesignated Lot between Lots 28-6 and 28-7 Suffolk County Tax Map Nos. 1000-2-1-13,-`and 14 5. IS PROPOSED ACTION: 0 New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: changing lot line dividing FIDCO Lot 28-7 and undesignated Lot between Lots 28-6 and 28-7 in anticipation of transfer of undesignated Lot to Michael Laughlin. r MOUNT OF LAND AFFECTED: nitially '1 acres Ultimately '1 acres L OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 0 Residential ❑Industrial ❑Commercial ❑Agriculture Describe: ElPark/Forest/Open space ❑Other 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? a. b' U itit 1 ❑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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE PORTER J. GOSS and MARY R. GOSS November 2-7 , 1990 Applicant/sponsor name: b[y� STEPHE)�NL. HAM, III, authorized agent Date: Signature: If the action is in the Coastal Area, and you are a state agency, complete the X_ Coastal Assessment Form before proceeding with this assessment OVER / 1 I ., ...e .. .. ------, a— uJtl MU PULL tAr. LJ Yes LJ No B. WILL ACTION RECEIVE COO:1N ATED REVIEW AS PROVIDED FOR UNLISTED AC S 1N 6 NYCRR, PART 617.6? If No,a negative declaration may be superseded by anottalved 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 quallty 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 tBrm,cumulative,or other effects not identified In C1-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. 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.ut Lead Agency t.Rrme or..Gype Name of Hesponsible Ulticer in Ledd Agency ritte or Hesponsit r Ulticer ESignature of Responsible Officer in Lea Akeney.. Si6nature of Prepare,(ll deferent from respons�blr ont;� L— Date — Southold Town Planning Board Town Hall Southold, New York 11971 Re: Lot Line Change for Goss (SCTM #' s 1000-2-1-13-&141 Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral �to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is. proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, -J�- L � If Stephen L. Hain, III , authorized agent for Porter J. Goss and Mary R.. Goss NOV 3.0 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 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 .Lo•t Line. Change - Property of . . . .. .. .Porter J. & Mary R. Goss.. . .. . .. . . ...... . . . ... . .. ..... .. . . .. .. .. . . . . . ... .. . . . . . . . . . 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 . . 8254. . . .. .. .. . . . . .. . Page . . . 520 . .. .:. . .. . . .. . On : . . . . 6/20/77.. . . . . . , Liber . ..9333. . . .. .. .. . . . . .. . Page . .. 557. . .. . . . . . . . 3/29/83 Liber . ..93.33. . . . . .. ... . . . . . . . Page . . . .561. .. .. . . . . .. .. . On . . . .. .3�29/83 Liber . .. . . .. . . . . .. . . . . .. . . .. . Page . .. .. . ... .. .. .. . . .. . Liber . .. .... .. .. .. ........... Page . .. .. .. .. . . . . . . .. . . ... On as devised under the Last Will and Testament of. . . . . . .. •N/A or as distributee . .. . . .. .. .. ..NIA.. .... .. . . .. . . .. .. . . .. .. .... . . .. . . .. . . . . . . .. . .. . . . . . . . . . . .. .. .. .. .. . . . . . . . . .. ...... . ... ... ........ . . . . . . . . . . . . . . .. . . .. .. .. . . . . .. . .. .. . NOV .. .. _ 5. The area of the land is . . . . . 1,7.3 .. .. .. . acres. 6. All taxes which are liens on the land at the (late hereof have been paid• fix. • , • . • . , • • .. . . . . .. .. . . .. . . . . .. . . . . . . .. .. . . . . . . . .. . . . . . . . . . . . 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 (u) Mortgage recorded in 11et Pa�c in original amount Of . . . .. . . .. . . .. . unpaid amount $. .. . . . . .. . . .. .. . . . . .. . held by . .. .. .. .. .. .. .. .. . . ... . .... . . .. . . .. . address . . . .. . ... ... .. .. . . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. . . . ... .. . .. . . ... (c) Mortgage recorded in Liber . . . . . .. . . . . . . . Page . . . . . . . . . . . .. .. . in original amount of . . . .. . . . . . . . . . unpaid amount $. .. . . . . . . . . . . . . . . . . . . . held by . .. .. . . . . . . . . . . .... . . . address . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . ... . 3. There are no other encumbrances or liens against the land.=xpix. . . .. . . .. .. .. .. .. . ..... . . . . . . .. . . .. . . . . .. .. . . . . . . .. . . .. . . .. . . . ... . . . . . . . . . . . . . . .. . . .. .. .. .. .. .. .. . . .. . . . .... .... 9. The land lies in the following zoning use districts . R-1.20. .. .. . . .. .. . . . . .... . . . . . . . ... .. . . . .. . . .. .. .. . . .. .. .. . . . . . . .. . . . . . . . . .. . . . . .. .. . . . . .. .. . . .. . . .. . . .. . . . . ... . . . . .... ... . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise,xx . . . .. .. .. .. .. .. .. . . .. .. . . .. . . .. . . ... . . . . . . .. . .. .. . . .. . . .. . . .. . . . . . ... . ... .. . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land .4does) (does not) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . Xishers. . Is Land .Water. Works. . . .. . . . . . . . . . . . .. . .. .. . 13. Water mains will be laid by . . . . . ex i s t ing. . • . . . • . .. . . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . .9);Sti,rM. . , • . . . . . . .. . . .. . . .. .. . . . • •• • • •• •• •• •• • • •• •. •. . . . .. .. . . . . . . . and (a) (no) charge will be made for installing said lines. 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 "B" 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 show same. 18. There are no existing buildings or structures on the land which are not located and shown on the plat. 19. Where the Plat shows proposed streets, ,v hicli are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing maps at their conjunctions with the proposed streets. _20. In.the course of these proceedings; 'die app iic int ;t�ill offer,,`proof 'cif title,as required by Sec. 335 of the Real Property 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 $• • • •N/A. . as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . .NZA. .. . . . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE ..Npv,�mber 27 19? Porter J. Goss and Mary R. Goss (Name of Applicant) By . .. . ? �� L �—ul- . . . . . . . . . . . . Signature and Title) Stephen L. Ham, III , authorized agent 4 Hampton Road (Address) Southampton, New York 11968 STATE OF IN'E`V YORK. COUNTY OF F SUFFOLK . . .. .. .. .. . . . . .. ss. On the . . . .. .. ..f, .. , . . , , day of. . . . November • • • • • •• • • • • •. 19• •. . . ., before me personally came S �.gk�.er}• I,; Ham, •I I•I. . . . . ,. • . • • . . • to me kiio«•n to be the individual described in and who executed the foregoing instrument, and acknowledged that he • . . . . executed the same. n 1r.1ANE ALLEN r /)�n ftaTA12Y PUBLIC.Gate of Plea York �/ . (•u-C No.52-4916086 Notar3 1 ublic 1uaGfrea,1d Suffolh•County, 91 Cvfamission Expires Decomber 28, 3938 ST.%Tl: OF NEW YORK, COUNTY OF . . . .. On the . . . . . . . . . .. . . . . . day . . . . . .. .. .. . of . . . . . . . . . . . . . .. 19. . . . . ., before me personally came • . • • •• • • • • • • • • • . • . . ... . to me known, who being by me duly sworn did de- pose and say that . . . .. . . .. .. . resides at No. . .. .. . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. . . . .. . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . that . .. .. . . . . .. .. . . . . . . . . .. . . . is the . .. . . .. . . . the corporation described in and which executed•the foregoing instrument; that • •• •. •. . . .. . knows the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. a1.11il that . . . .. . .. . . . signed . .. .. . . name thereto by like:-order-, Notary Public. .. . . . . . . .. .. .. .. .. . ... . . ..... ... . Standard N.Y.B.T.U. Form 8010. 9 80vDi-1:z ",-'a Deed---Individual or Corporation. �1 CONSULT YOUR LAWYER BEFORE SIGNIL: -_,AIS INSTRUMENT-THIS INSTRUMENT SHOUL`• ;'USED BY LAWYEQS ONLY. {l�� (,�{_(fit t r 6�, 22536 THIS INDENTURE,'made the 2 2 day of February , nineteen hundred and eighty-three BETWEEN PITTSBURGH NATIONAL BANK, a national banking association , having its principal office at!4�Fifth and Wood Streets in the City of Pittsburgh, County of Allegheny and State of Pennsylvania >w:6rc6atyrxxx9 as ancillary executor of the last will and testament of Mary 0. Robinson, a/k/a Mary 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 MARY R. ' GOSS , 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 +:y testamentary were issued by the Surrogate's Court, Suffolk County, New York Oil 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, P� sceaxsass�lxxi: cigof�tlsopacbytx> exooxd� Sa�xl and unto the survivor of . them and unto such survivor ' s distributees, successors and assiggns forever, ALL that certain plot, piece or parcel of land, with the buildngs 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 ,31a9��,3 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 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 rAXI`IAP 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 . 43i � i. 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 of said curve, 63. 97 feet to an iron on the Westerly line of olo p said road at a point of curve to the right whose radius' is 370. 99 r-�--ate feet and the direction of whose radius at that point is South 141300a 83" 33 ' 57" West; thence Southwardly along said road line, following r�- the arc of said curve, 189. 31 feet; thence still along said road line South 221 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. �r1+ ' 22536 � REC�- VCD -••• REAL' ESTATE MAR 1963 TRANSFER TAX 1 1' LIMR9 333rAc,c56`a 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-disti-i etees -or sueeessers and meigns of the party of the seeend part . 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. 1N PRFSENCE 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: G-: By: AWL VICE PRESIDENT Y10E PRES1Dtw� •moo STATE OF NEW YORK, COUNTY OF sss STATE OF NEW YORK, COUNTY OF asr On the day of 19 , before me On the day of 19 , before Ind „ 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 in executed the foregoing instrument, and acknowledged that executed the foregoing instrument, and acknowledged that �-' executed the same. executed the same. PENiQSYLVANIA STATE OF IWAKYOM CO NTY OF ALLEGHENY sss STATE OF NEW YORK, COUNTY OF ss1 On the day of 198 3 , before me On the day of 19 , before me personally came R. Steven Bonnott 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 elides at Ale: V N off- whom I am personally acquainted, who, being by me duly rj�s•, PO4Sburoih•, P p ; 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 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-6kent, is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by.order.tvf the board of directors of said corpora- execute the same; and that he, said witness!, tion, and...-that . he:.signed h is name thereto by like order. at the same time subscribed h name as'witness thereto, D T, 'A,L•1 GETT;:N&ARY PUBLIC PITTS6UR VALLEGIIENj COUNTY MY COFAI�ISSId1�.kXP1 'i JUNE 9. im Member, PonnsyI nia"1Jt't,Uciation of Notaries Cxectttor'g �3eeb SECTION 2 TITLE No. BLOCK 1 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 =r To 3869 Gulf 'Drive Sanibel Island, Florida 33957 Porter J. Goss and Mary R. Goss Recorded Al Request of The Title Guarantee Company RETURN BY MAIL TO: STANDARD FORM OF.NIW YORK BOARD OF T171I UNDIRWRITIRS John B. Horton, Esq. nirwrvueby Hall , McNicol , Hamilton, Cl'.rk QCO TITLE GUARANTEE- & Murray NEWYORK. One Landmark Square Stamford, 'CT 06901 Zip No. ATICOR COMPANY w • V O Z o Cie 6" W z w � Suutdurd N 1'.I;.1 X. Ful I,1 HOW 9-8u•S.M- 4aheutur'n Deed Individual ui•Curlturntiun. L. %. CONSULT YOUR LAWYER BEFORE SIGN[ HIS INSTRUMENT-THIS INSTRUMENT SHOUL JSED BY LAWYERS ONLY. S/ �F�.IIIr®t/l 'Ur557 22>5 3J 61 THI INDE1�1 RJ'ok, made the 22 day of February , nineteen hundred and eighty-three 1av�- 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 as>txomtoxxxof as ancillary executor of the last will and testament of Mary 0. Robinson, a/k/a Mary Oliver Robinson , late of Jr,#Scaife Road, Sewickley Heights, Pennsylvania who died on the 14th day of October I , nineteen*hundi-ed and eithty party of the first part, and PORTER J. GOSS and M.ARY 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, Suffolk County, New York Oil 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, �� crs�xgusoa �ax�i�flxx�fxOt �p � eot:d x rtXorme4 and unto the survivor of them and unto such survivor ' s distributees, successors and assiq ns forever, x#tal��kaia �cesx�lx R�¢c�c�b�l��<kx��k��i) cag��xbd�ps�sal�xtk¢r �cx��a�.�ty � arffiglm�tha� 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 Southhol.d, Suffolk County, State of New York, being a pa*rt of that portion of Fishers Island lying Easterly of thb following line, viz : BEGINNING at the southeasterly corner 1 y f and owned by the Unites States known as the Fort H. G. Wright Military Reservation, i,1lount Prospect Tract, on the shore of Block Island Sound or the Atlantic Ocean and running ng thence northerly following the East boundary of the said land of the United States to the southerly line of East End Road (.sometimes called Oriental Avenue) and TAX MAP which point is the northeasterly corner of land of the United :SIGNIATION 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; ! 20a h.. Said Parcel A being bounded and described.'.as follows : of oa BEGINNING at a stone monument set on the .'Oortheasterly side. of a road forty feet wide, said monument being.' seven.ty-eight hundred and fifty-eight and twent five hundredths feet West of a��01,3 aooy point which v14-o�Di is twelve hundred and fifty-six and seventy-nine hundredths feet South of another monument marking tkie 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 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 i 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 ,..� 9 333 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 hunded 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 Dumbpl.ing 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. .1L,R9333-Mc-550 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 1 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-dis 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 Maky 0. Robinson, a/k/a ti Mary Oliver Robinson By: B : Y ASS'T:VIC6 PRESIDENT ACE PRESIDENT ;STATE OF NEW YORK, COUNTY OF sss STATE OF NEW YORK, COUNTY OF ssa (9bn the day of 19 , before me On the day of 19 , before t .e personally came personally came Ro me known to be the individual described'in and. who to me known to be the.individual described in and who executed the foregoing insiruiiient, and acknowledged'that executed the..foregoing instrument; and acknowledged that ( 6 executed the same. executed the,same. IE VED, REAL. ESTAT© 'zgL ]� � -TRANSFER 7 jSUFFGI KCGUNTY, c PENNSYLVAN1A STATE OF N@ifK?I M COU TY OF ALLEGHE TY sst STATE OF NEW.YORK. COUNTY OF sss On the day ; 19 8 3, before me On the day of 19 , before me personally came R. Stevens Bonne Et personally came to me known, who, being by me duly sworn did depose and the subscribing witness to the foregoing instrument, with say that h resides at No. YQ No-A Ip-,,W d-- Otcd whom I am personally acquainted, who, being by me dtdy sworn, did depose and say that he resides at No. that he is the Viceresident*•,, ofPittsburgh National Bank 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 instrumc*:`;` to s;fl&-iiatrument is -such corporate seal; that it-was so that he, said subscribing. witness,.was present and saw affix ed;b�r�tirc eF of the board of directors of said corpora-• _ execute.the dame; and that ..he, said witness, tion,?sifd'':tllat�' 'he signed his name thereto by like,order. at the same time subscribed h name as witness there,:o. eC Izz D0&01HY k1IGGEff,11 fARY PUBLIC 1 p11a<' QUP,GHi'AL iwkFJY coutaY DIY COb mftllff CYPIRCS JUI:E Merrher, Pcn�$ylvanla;Association of ;,:•es . �XECUtOtg �Eei] ,. SECTION 2 Q l�— S4 � �•. 'f BLOCK �- TITLB No. _ �� O�� 1 �— LOT 15 pt. & 14 Pittsburgh National Bank COUNTY OR TOWN Southold as ancillary executor of TAX BILLING ADDRESS Mary O. 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 RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS John B. Horton, Esq. D&tr vrdb, Hall, McNicol , Hamilton, Clark . tt� TITLE GUARANTEE- one Landmark NEWYORK Landmark Square Stamford, CT 06901 ATICOR COMPANY Zip No. 1 w v t. tt z a „ r N h i Porter J. Goss Mary R. Goss 3869 Gulf Drive Sanibel Island, Florida 33957 Atn ts� , 19 9 0 Planning Board Town of Southold Main Road Southold, .NY 11971 Re: Proposed Lot Line Change - Properties of Porter J. and Mary R. Goss acha � Haan (SCTM Ps 1000-2-1-13 , 14 , 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 , Ports J. oss Mary Tss STATE OF FIDA ) NOV 3 0 }n{Di A ss. . COUNTY OF ) %:3- 1 . On the day of ArA!r4Bt, 1990 , before me_ ,personally came Porter J. Goss �:r<y. .::Mary:::..:R. Goss;, to me :Known Ua jo the individuals described i:i "and ' 'iaho executed the foregoing instrumont, ' "and acknowledged that they executed the same. EtLEEN G. WALL _ (� �_ � — ) �� #Wmry Public, State of New York '�Q� j� No. 52.9509185 q Notary Public Qualified in Suffolk County / D flame L'xrirae Map& 30, tfP— L16ER 8254 PAGE 520. THIS INDENTURE, made the %,�.x�/_ day of nineteen hundred and seventy-seven between FISHERI 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 ���ot 13 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 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 750 10 ' 10" West 191. 03 feet to the shore DO of West Harbor ; thence along said shore line North 100 29 ' 40" East 168 . 75 feet; thence North 811 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 80 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 �ti• radius is 370. 99 feet and the direction of whose radius at that point is South 830 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. Being a parcel of land located between Lots 6 and 7 in Block 28 as designated by the Grantor . RECEIVED REAL ESTATE JUN 20 I( Ti ,.;<�FER �C SUFFOLK COUNTY �3XG NOV 3 0 LIBER8254 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 easements and rights of way within a strip of land approximately five feet wide for the erection thereon of poles to support 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 agr.eements 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- LI3ER 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 necessary outbuildings appurtenant thereto, PROVIDED that if more than one homesite is hereby conveyed, only one such residence shall be erected or maintained on each of such homesites, which are hereinbefore respectively designated as Homesites 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- L18E P54 PACE 5 3 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 land 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 Qf 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 within 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 8 4 PncE 5 5 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 0 C itJIts By Secretary President !.` e; LIBER r M • STATE OF NEW YORK ) ss . . COUNTY OF NEW YORK ) On the// 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 JU!.IA E. r-T' Notary f c'.'°:. ... . _ . . York Ouellifi-L.'d iu t•1o. York Co.mry C.onnnission L•xpin:s Match 's0, 1979 JULIA E. PETES 11ftry Public, State of New York No. 31.3076325 Qualified in New York County Cornrnission Expires March 30, 1979 r PLA �,TIiV'G30 t3RD TO ':V=0 :.SOU ,HOLD SU. FOLK✓COU;1, TY Southold, N.Y. 11971 (516) 765-1938 NOV 3 ® i "``' QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORL%iS 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 following questions is ves , 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 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. 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" Premises are vacant land . I certify ti,- t , tire above statements are true and -.'ill be relied on by the Pla:.in:i. g Board -in considering this application. Signature- or property ot,rner or — �----- 11' --� 190 authorized agent date St.epfi et L. Him, III , authorized agent for Porter -J.. Goss and Mary. R. Go"ss. Attachment to questionnaire for::-the PlanningBoard oard STATE OF NEW YORK, COUNTY OF SUFFOLK, ss: On the day of November 1990 _, before me personally came— 4tanhPr, T � �. Ham III to me known to be the individual described in- and who executed the foregoing instrume and acknowledged that he executed the same. Y J E. JAMBE ALLEN MARY PUBLIC,Mate of New York No Public Qualified 8-- Qualified in Suffolk Cdunty Q C=Micsion E Aires oecombee 29, i9M• 1� 271 _4,6 LOT FIoCO • B L 0 C K I S L A N D S O U N D :'Water fAc;ns - - - - - - Valves Hydrants LV: S ..L V.i�L._ /,;-H �r l..l{ ' AN iY1 � E �,�..�• E,�T TO CAN!G4Y PONE" p 1pC,�E r.i�ti�;,• ►-C^�'� ��c � '"��ICE�EG AS TYPE I ACTION c,U?SJ:1tiT TO « ' NOT 8JILCING LG. :,E :_ .__Y .. �.^.li; WITH I _ CONNECTS LOTS OR PARCELS r"l1TH COMMON OWNER LOT LINES FOR CON71GUCUSLY 0%1VNED LO+S O APPROXIMATE D'rVELLING LOCATION c APFRCXI i%,ATE LOCATION FIE-CO BUILDING PLAN MADE MAP - CLOCK-LOT FROM Cnt T • J�•J , Y TAX h1AP � ® DF. o FIDCO LOTS ' � � 0 FIDCO LAND ( undeesionated ) &, GOLF COURSE- t�0r To B� o UNIMPROVED S H 0 � � 1 N G EAST • ED ROADS E'`V`LCFEC R1MP COMPILED FRCM 1. OLNISTED BROTHERS prelimicry tan r-&;;� 192g FISHERS ISLAND� 2. W. N . BROWN IN C C . p ' 2 ;0 0 ? � ��r' 617C feet lot and road plan 1929-1931 SCALE : 3. MR ENT COUNTY TAX MAPS `- 4. CHA"'DI�R,FAL'<<ER K tdG (n _laS E-T2 Of 9 G �o NOV. a ._ - • ---- . . _------�v 1 i o, s �rveyS .,45 6 S H E�. r•<_�1� :ses AUG( !ST �9�1 -- — ---- ----- --- -- ------ ---- ---- PGJI TiON'S 5i�7. `3 _ `� -- . .• VR .^d: A Ypo . a.3? 4,.`._ .1 r. .f: ,... , .i •L . . r, i:F. ...:! 7.'�f rJ . t '-a.�;.b;,.Y'° , , : .%o• ," 1 .. w +i � 9-3 28- 4 - 2 e - 6 `E 0 27' 2 r 26 - r, +`a28- - ✓ , 217 25- O 2-7 / 27 portion �;:-:.�:- tJ �.l f ) - ...... � / 2 28- i� ! 27 2E 5 IC� 29-10 - � 5 i 29-11 ` 3�- 4 _ 30- 5 3 '_ \ '_9- 12 29 9 - 2 29-8 32-3 29-3 32- 2 29-6 0 . ' JfJ 340 29-7a ' 29-4 �: :� `F 3 - pertion /t;`;'j}X 29-8 5 29-5 1 ram„ 3f--.14� ` } / 31-I2 31-11A `3I-4 31 - 5 -:`�- 15-::.r' % f 3;-Ii3 - r: -� 31-1 5 P/ NZ \\ 3!- I IC \SAP ,j/ ` '.�� / - \ •� . 41 pc rf 3 �I 4 - e ) FISHERS ISLAND SOUND i EOP PARCEL N - �` SEE SCC N0.OIJO-CI-ool I! rC 6 2 ].lAlcl ]OA :'ry ].2A L..A b � A l.2 AK,I lo /nS 9.0A 28A • PQ J.6 Ald rl 12 O ).0 JC 2.IA I !AA �-.I A9rA 6 • 1 J a x A.j en •�.i �..�Dls� �5. _.---- ,`V5 �:M O S.SA vcrDrJ�Rvl� �� Afc1 .. PpJV PIE ,",I •�• Legend r NICNAEp BARER,IR. ' C°'^"LI"• eILI.. KEY NAP "c" o" ,—i— m, --r--- " h.__IL_ sea..:.,aL.,N.. © COUNTY OF SUFFOLK ••,.PL�L —'-- D,� -- --- •• rorNDF SOUTHI)•LD srcnDNNo. N...E.,..2 ... D , .. D.•.,.IL,.. �'D, D. IJR _ R..L..r AI_.L...• R,..D:.,.,.,L:.. O .,. ,LI�.�I, •�Real Property Tax Service Agency YILLAGEOF . . A ty Center m DISTRICT N0. IOOO 00 2 Ri�erheo ,L I..New York —!--—'— Del.•I c..>I.��.. PROPERTY MAP �)� y