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HomeMy WebLinkAbout1000-55.-2-23 I STORM DRAINAGE CALCULATIONS System # 1: � s Parking Lot Area - 3,190 sq.ft. Roof Area - 520 sq. ft. r i 3,710 sq.ft. d' R,rx' Volume - x .167 1 cu 3 7 _ _ 1 Provide 1- 10' dia. x 10' deep storm drainage ring ( 684 cu. ft. ) - r_� re ��.- r With traffic bearing g slab and cast iron inlet rate System # 2: a a, 4 R A, sty r"! �l L z � �_ t Area - n.. 1 Parkin Lot 245 sq ft C-k INvt ►w 1' t/cT LNG. Roof Area - 880 sq ft. `R 3 1 t, , 4,125 sq.ft. ¢ Y A - art t~ ,. F✓ a� .' STr'ic.l \ t� :— - Volume 4,125 x .167 - 688 cu. ft. 1 pe,H ��" r y # t%✓X t .;,.X` ` 17_k'�et".1+.1Y+J.. \ �I i � +•"� ' p "` �� : a � 2� 3YST. �. � --� Provide 1- 10' dia. x 11 deep storm drainage ring 753 cu.ft, •, � ,/� f TV 0 With traffic bearing slab and cast iron inlet grate // �?' ' V ` � ot;� • � � � .�- --�-� 4� � ystem#3:t - # 1 Roof Area - 1,400 sq. ft. , t YS All — s Y f � / ,�/ ��,. Afr �;, •� tt1V I tff ,fX< ;' {r Sri i 1 9 Volume - 1,400 x .167 - 233 cu. ft. y1 \ ii i . 1 '� _ v; 1, --�--1- �� Provide 1- 8' dia. x 7'deep storm drainage ring ( 296 Cu. ft. } - 1 , r - I �L a •� a � with tragic bearing stab, chimney and 2 cone. cover 3 •• , PARKING SCHEDULE SITE DATA G t;-'"s'"• f'� c.<L._ `T c I�� , 1:- � t w �, r ` � I � �\ Parking Required Per Southold Zoning Code for SITE AREA 22,940 sq, ft.' ( 0.527 acres ) "1e Retail Sales and Storage of Home Furnishings and Accessories: Y BUILDING AREA a V ,�4 M I r gyp,I Existing Retail Sales -2,000 sq.ft. Existing 5,175 sq.ft. Proposed Additional Proposed Same Retail -�� �'° i�r� Ret Sales Area 894 ale I 2,894 1 � sq.ft. LOT COVERAG E GE ' _ ♦ i� I O ... `� t ' "= 1 space/200 sq.ft. 14.47 spaces Existing 22.6% ,�T. i r r g Storage -3,175 sq. ft. Proposed Same w�.-t r 1 space/1,000 sq.ft. 3.18 spaces P p' Total Required uired 17.65 spaces ` LANDSCAPED AREA 2 r P11- r�p E c' 2ai; _l L �\\ t Existing 27.0% ® Parking Required Per"A.P.A." Industry Standards for Proposed Same ! S L-�G r� e u 17-r x -- - ;, Retail Sales and Storage of Home Furnishings and Accessories: ` WATER SUPPLY Suffolk County Water Authority Existing Gross ,fir VIM.a,.� J 1 y v C?', � A t { �-r a: o }� "� '` I Building area -5 175 s ft. P No. 00- 55-02- 3 d'< ir� I v1t: s✓ 5 r�'r tom, # t tt ., cry � + �r Z. I g q TAX MA 10 2 4 Proposed Additional - r Area - 894 sq.ft. ZONING General-Business N IPd.+,Mu.iG t { f50 6,069 sq. ft. _ . s ace 0 s ft. 12.14 spaces 1 p q p o do Nryr+ vL� - e USE ' n-(a. x r. P �- or / E 1 s ace/1 000 s .ft. ExistingRetail Sales and Storage of Home p a q 6.10 spaces g - .. _ Furnishings and Accessories �,-V t- . - Proposed Same � � r� ,.� , .-. . -- - ExistingParkin Provided 12 spaces Parking Needed E ( ) g Future P k'ng if N d d 3 MPLOYEES Three 3 ., F...,... _'r cam+ . ,r _-_. — _-____� _____--~--- �.-X i-.. T I h•..1 �.r 1 2 ,sn"' OWNER Gordon and Madeleine Schlaefer c/o 1670 House UxDERszc;Nrn,PURSUANT To soLTHOLD TOWN CODE SECffl�. Bo x 1089 lopo.�I2s//��y♦A���},{{jj.//IE�DGGE§YmAT�Q�(�e®+p�(/�mooNps�ot�FyTHs,% EPLS*uthold, New York 11971 C A 'iPOn•P.v[.wJ(;;v IA TG OAAC , FipM*VA�gE-t V0*4%ITS*`.'�'RESOLMON Off APPROVAL DATED R ,sM[o oA.ce t O J t 4_ hgfct{t;, H,(U1 CONptnMSONRESOLU7'M SITE DENSITY ANALYSIS �111 elf - 20 PLE f — ¢ndlr ASE PR&� ''""' J �hl� HYDRIOGEOLOGIC ZONE - IV __. . _ - . ;. TITLE DATE AYJ PE�tI'tk�2ra�C��B A`i`i3klr .LET r, ALLOWABLE SITE DENSITY - .527 acres x 600 g.p.d. = 316 g.p.d r APPROVED By 3 wu/-i V/- TOWN OF SOUTHOLD PLANNING BOARD r•>✓► �' c - ram- MA MAX, y:� ACTUAL SITE DENSITY: U t't L-t e-- �v s: L^<, sp lyn `� ��yniayc aBoerdCt+aitman !�/JCp 1' � rry l •r.� p DRY RETAIL STORE p U5 SIGNATURE TITLE BATE Existing Furniture Sales 3 140s.f. x .03 = 94.20 g.p.d. �'r' °r � . . I z EFFECTIVE PTH ��" o Proposed Addition 2,400s.f. x .03 72.Q0 g.p.d. NOTE:1he approved site development plan shall be valid for s' ?` TOTALS 5 540s.f. x .03 = 166.20 g.p.d. a period of three(1)years from the date of approval as per I 3 code section 100-255. I SANITARY WASTE DISPOSAL DESIGN , �,�� 2, -- 5+t.� I t I 7 SYSTEM REQUIRED: '-° m - -t1 ' CAST IRON COvE S e� , Y Z I', ut.l fl Cv_cR^V!+6WA [• �t 11 rtr;tS�CO °aJ[ la1 -d Se tic tank 4 i t 1 .c,,i . e�t �! -► � P 166.20 x 2 = 104 gallons _ram / Leaching Pools 166.20/1.5 = 114.80 sq. ft. is M V. ♦^-{.� I: t H LY 9A[x 11Ll Melt A!Al ;'�et CLEAN 24 2 MAC J 24 S4 H0,AN0 GRAVEL, j. rnaratc euatns su+a----> ss�2O-- + -ta�:� 411H +Nv E.L. "�'� PROP e HLET— ! 9 s, s© � S. .•.[L PROPOSED SYSTEM: r ip �c y - ,, i Septic tank 1 - 1200 gallon septic tank = 1200 gallons !l It � M-_ E 0. �` [LASS 2400 rLOW LINE I "'"• "' Leaching Pools 1 - 8' dia. x 12'-6" high +� PIPE OR fOVIVALr_r(' I ,<'I I !8• 2A00 Ptnc On 1 . I T �"'� L-�1 f G./ it � ,..,_ „,.�._......,. .-- ..�. DITCHED V4'i t' - EOVrva '1_ t_.� (12'eff. depth) = 300.6 sq. ft. hl 0 .r$.R" .. .�• �G ..>?4' - i��u�,. ra "Ir'"L.A.N� [+-•I Gr r;�I� A►.fh�N V�:.t:% "� 1"�'.•�. '�1...;�1.,P 17.61 �`� 4 ".-� , �! T ,A !mil T A G c,�v_t,v 1r-t_4 it 4 a 7 t ff i r ' i S i 71 /mow i }- arfch ! 4 e c �n u. , NOTE . ,<•At,t Arv,st !, •RAWINI7 1 . r�7 v<1le r S t r6et Southold N.Y. 11971 � i-to a. et {�=�Wff j� VI-Air-t t,.d 4-7 �C E ` (>A 1 THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY BY PECONIC 1�`, tSr,. 24+ 631 ;t,r y 1 . t :f{ ,f; r7- �j f�DvI I � + 'T4 3GiH SURVEYORS, P.C., LICENSED LAND SURVEYOR, SOUTHOLD, NEW YORK, DArEo: jULY 27, 2000. OF iwLti= n.�-W ZQ. ,0 o � u e., tea r/ra., `a!C%C- "(kv-rX Go't�3-r,�Z T2E` t'>�t.1k: 1c�'►Z- 1'' IO/�tt"f' a PLANNING BOARD MEMBERS `OSUFf�(�CO JERILYN B.WOODHOUSE �O �/ P.O.Box 1179 Chair o yJ.� Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RICHARD CAGGIANO v, Telephone(631) 765-1938 WILLIAM J.CREMERS G Fax(631) 765-3136 MARTIN .EDW RDS �'�po `1►aO�� PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 11, 2004 Garrett A. Strang, Architect P.O. Box 1412 Southold, NY 11971 Re: Proposed Amended Site Plan for 1670 House Fine Furniture & Gifts Located on the north side of County Road 48, approximately 1,393 feet east of Youngs Avenue, known as 47025 County Road 48, in Southold / SCTM#1000-55-2-23 Zone: B (General Business District) fDear Mr. Strang: The following resolution was adopted at a meeting of the Southold Town Planning Board on Monday, May 10, 2004: WHEREAS, the proposed amended site plan, to be known as the 1670 House, is for an interior alteration of an existing 6,069 sq. ft. building to include 894 sq. ft. of second floor furniture retail space in addition to the following: 2,894 sq. ft. furniture retail and 3,175 sq. ft. of storage on a 0.53 acre parcel in the B Zoning District; and WHEREAS, Gordon & Madeline Schlaefer are the owners of the property known and designated as 47025 County Road 48, located on the north side of CR 48, approximately 1,393 feet east of Youngs Avenue in Southold, SCTM#1000-55-2-23; and WHEREAS, on April 5, 2004, a formal application for amendment of the site plan approved by the Southold Town Planning Board on November 5, 2001 was submitted for approval; and WHEREAS, on April 19, 2004, Garrett A. Strang certified the current design load of the existing septic system as capable of supporting this action and the Planning Board accepts this for approval; and WHEREAS, on April 19, 2004, the Architectural Review Committee reviewed and approved the interior alteration and the Planning Board has accepted the recommendation; and WHEREAS, on April 26, 2004, the Southold Town Building Inspector reviewed and certified the site plan; and WHEREAS, on April 30, 2004, the Southold Town Fire District indicated no fire well is needed and the Planning Board has accepted their recommendation; and 1670 House —Pape Two—5/11/04 WHEREAS, on May 4, 2004, the Southold Town Engineer reviewed and approved the site plan and the Planning Board has accepted his recommendation; therefore, be it RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act (6 NYCRR), Part 617.6, makes a determination that the proposed action is a Type II and not subject to review; and WHEREAS, on May 10, 2004, the final public hearing was closed; and WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has complied with the notification provisions; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; be it therefore FURTHER RESOLVED that the Southold Town Planning Board grant final approval on the site plan prepared and certified by Garret A. Strang, Architect, dated January 10, 2001 and last revised March 26, 2004, and authorize the Chairperson to endorse the final amended site plans with the following condition and subject to a one year review from the date of the building permit: ) 1) All outdoor lighting shall be shielded so that the light source is not visible from adjacent properties / and roadways. Lighting fixtures shall focus and direct the light in such a manner as to contain the light and glare within property boundaries. The lighting must meet the Town Code requirements. 2) All signs shall meet Southold Town Zoning Codes and be subject to approval from the Southold Town Building Inspector. 3) Under Southold Town Code Section 100-254 4.b, the Planning Board grants final approval for less than the required number of spaces for that use; the Planning Board shall have the right to review the parking requirements again if a change in use is proposed. Enclosed please find one copy of the approved site plan for your records. Please contact this office if you have any questions regarding the above. Very truly yours, ?� Jerilyn B. oodhouse Chairperson encl. cc: Tax Assessors Building Department Town Engineer/Town Highway Supt. COUNTY OF SUFFOLK MAY 1 3 2004 STEVE LEVY Southold Town SUFFOLK COUNTY EXECUTIVE Planning Board DEPARTMENT OF PUBLIC WORKS RICHARD J.LAVALLE,P.E. CHARLES J.BARTHA,P.E. LESLIE A.MITCHEL CHIEF DEPUTY COMMISSIONER COMMISSIONER DEPUTY COMMISSIONER May 6,2004 Town of Southold Planning Board Office P.O.Box 1179 Southold,N.Y. 11971-0957 Attn: Bruno Semon Re: Permit 48-21-1670 Fine Furniture SCTM#1000-55-02-23 Gentlemen: This Department has reviewed the above-referenced site plan. Specifically note that: A permit from this Department will not be required. We have reviewed this development and find that no additional improvements within the County right-of-way in the vicinity of this site will be required. If you have any questions,kindly contact this office at 852-4100. Very truly yours, William S. Shannon,P.E. Chief Engineer By: M.Paul Campagnola Director of Highway Planning&Permits WSS/MPC/ln cc: Garrett Strang SUFFOLK COUNTY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER (631)SS2-4010 335 YAPHANK AVENUE 0 YAPHANK,N.Y. 1 1980 111 FAX(631)852-4150 05/10/2004 13:07 FAX 031 8324079 SCDPW PERMITS/TRAFFIC �J001 COUNTY OF SUFFOLK �jjnh`'/��� E rp E D VY SUFl O COII NMVETY OXCUTIVE MAY qnm DEPARTMENT OF PUBLIC WORKS Southold Town RICHA,RlD J.,LAVALLE,Ps. CBARLES J.$AR `,'per' L pi ing BOBO CHIEF DBPUT;'COMMISSIONER COMMISSIONER EPUTY COMMISSIONER FAX WSMAL DATE:}� I Q4 TIFAE: � +, #OF PG5.M4CLUbV46 TTWS TO:� I k1l .1 -j dC, COMPAW. 0 FAX NO. *�*�,t,�,n+++.�waenwra�y�y, +er+►as,rr,rer,�sr, w++x+►�e*r,r,�at,*w+�,�sr� C MPAN`�:_ SIiPfOLaC COI_1�Y Dater OF PU-NffC WCJ���a TRAFFZ_c — �— (FAX IfA j611 p -44� hone 6 1 &i2-40$1 �_] +s i apt 1q0 ibfk amok* R". qS cQ ) f coMaAEUIrr2: SUFFOLK O'4UNTY 19 AN EQUAL OpPORTUIVTI'Y/AFFIRMATIn ACTION EMn, OVER 335 YAlPHANKAVENUE ■ YAPHANK,my.119i0 ■ (631)852.4010 FAX(01)852-41SO 05/10/2004 13:08 PAY 631 8524079 SCDPW PERNITS/TRAFFIC a 002 COUNTY OF SUFFOLK •i MAY 1 12nn4 STEVE LEVY -Southold Town SUFFOLIK COUNTY EXECUTIVE Planning Board DEPARTMENT OF PUSL1C WORKS RICHAR:?J.L4AVALLE,FX, CHARMS J.13ARTHA,P.E. LESLIE A.MITCHEL CHIEF'oEPUTY COMMISSIONER COMMISSIONER May 6,2004 =DUTY COMMISSIONER To",o f Southold plantiin:z Board Office P.O.Dox 1179 Southoll,N.Y. 11971-0957 Attn:B;:uno Semon Re, Pairmit 45-21--1t170 kite Furniture SC'TM01000-55-02-23 Gentler aen., This Department has reviewed the above-referenced site plate, Specifically note that: A pem,�A from this Dep artmert will not be required. We have reviewed this developnmeaat and find that no additional improvements within the County-ight-of-may in the vicinity of this site will be required_ If you l:ave any questions,ldudly contact fts office at 8524100. Very truly yours, William S.Shannon,P.E. Chief Engineer By: M.Paul Campagaola .Director of Highway Planning&Permits WSS/IVIPC/ln cc:Garrett Strang suFFoP_K COUNTY IS AN EQUAL OPPORTUNITY/APPIRMATIVE ACTION WMPLOYER (681)552-4010 335 YcLPHANK AI!ENUE ■ YAPHANIC,N.Y. 11990 ■ FOAX(691)852-41 SO TOWN OOUTNOLD OFFICE OF THE BUILDING DEPARTMENT � �. -TOWN HALL, 53095'MAIN ROAD SOUTHOLD, New York 11.971 Date ° Mr. Commissioner of Public Works Suffolk County'D.P.W. Yaphank Ave.,Yaphank,N.Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York,this is to notify the commissioner q . of Public Works of the County of Suffolk that�oo:,r.:f:�:q*../t.::. :�"�_n�......�n`'Act4 ...!l47 ... -t a?.�?�.......�s....6j'.la�.. .......` .Irtla�s 12 �............. . 1osv ............. ..............................I..................... ! :�. r has applied to the Town of Southold for a permit to construct a building on ...... .o:a,�. ...... ... 4.. �'..........................ca 1 d...P'�`4 .................... ::...:.:.:;.:. As shown on the attached plot plan; submitted in triplicate, dated ..... ........... a titled .. :..5 4:.1 .... isl t S� 5 j t,rtp2;� ,„R.• Je shall.withhold fiuther.action on this application for ten days of as otherwise f,•_ ` provided in the afoteirier tiotied Section 239K. Very truly yours; j Suilding Dep me t . f Southold;Town o N.Y:. 4 Y Soo June .20� 2001 " PROVED-TO THE..TOWN OF SOUTHOLD PURSUANT TO SECTION.. 239f OF THE GENERAL �MUNTCIPAL LAW SUPJECT TO THE STATED CONDITIONS: .PERMIT #48-21,'ISSUED FOR THIS WORK IS STILL VALID, "A NEW PERMIT WILL NOT BE R$QQIRED.' .(COPY";ENCLOSED). SUFFOLK COUNTY DEPT, OF PUBLIC WORKS CHARLES J. BARTHA, P. -. COMMISSIONER e. BY: 1,4 William S. Shannon, P.E. - ieF Engineer d V Permit No, PERMIT.UNDER SECTION 44 idf ARTICLE VI of HIGHWAY LAW - - Whereas,6octtoe 136of AM.ld w of the FUgnmY L iwpMvidW Petn in lorwmk within the tounty road right of way:Eaeept In.cofineailon with itn conebucuon,,.c_&t ucdon, ' maintenance or Imlaormnent of a county road or operation of a corporation pursuant To the provi;lona of aeogon Iweny- .of the wanepedmlon ccirp—lkna is..,—ifD v lwamy�n0.efphlY+rrm.Nnaly-oM.Nrroy-It-,Nnaty'.ff--aaWnlrrely-Ihno-0offb.ralin adbw•no perao4 fimr-eorporaUon or munldpelly ihaUaanstroclortmprow.widiln Ne county road rlpMelwnyan entrance oreonnecUon losuch road.oremnruclMUlnUe counry toed dgM of way arywadn,atruclunorobsWolfon,manyrwod+ead of underground • ereeNnp lhamot,orleyamelnlefn ihenln vndvrgraandwimsmeOMuile ordreMope,eow.'erwplerDlpm.eamDtfn veeormnee wlU lyre lermeandcorrdtUooapl a suer¢Damdllaeuedby Ue counrysupednlentleM orhistluydeslgnatedapeM,nolwithclaMingarrypanaen""nanchl"Umnndbyarylownsupednlenda Larbyanyoth rmunkfpalaulheriy.Arymvrdelp.I co porkgon may Me,upon any country road forth.P.Moca orwfdrnlrg the ptvamenl or for enyefher pMposeauUprixd byfhh aectlon,Dul omy snsraemrtnp a perms q pmNaad MmJe.NotMUelaMNgiMUml(aporteln aaygarreml prapecla,WM.erwryrrpinlelpaloorperaUonahaa hetvmNlehemby sbon".T ft ouffiy oa ctin *ant t liegbli hr gu%t M sum ofmoneyma mcedlY Dondeamay Demeulrgd eaeeendilian proaedoMlothegrBAUngof Ua perml�pmvldod lnlh$cbotlOn.Trr000amypepeflmm�aenl elralletlabllM regutoltant' gove hirlaaueneeofhlghwaywark rrertnUe.tnctudlnq Ue lB»Lobe oheped Uerolor.asY of dapoaRe of money orbocda yuorontxing the performance of the work grid haQWremanTo o/lnsuianaa to prWeet the fntereah of the county during performance of the work purnrard to a hlghmy work permit;war,raepeet to ddveway enh,,ca permits,the ' regulaUonaahelllaka lnloeondderecen the RNapacUwrEhanateroflhadesafopmanithe herllo which Mltbegenamled bribe tacellyM'IUU the ra Welly tare.bla fulun.IMdeslgn ' .and fnquercy ofaooeaa to the facility.The affect of the faeilltyupon drefnageaa related to ealairrrgdnlnoga,Mier.,Me Went FowAfeh eu h facility may Rnpehrnq seleryand from. earryingcapedlyal Ue e,aaiIr,ae n1yrd.d.ndmryDrQposedlmpWVRmenl lnarelo MUlnrM roaxneblylonxaeHe/rilur4 andaryehendardagoKndngacctla.nonaccomoramlted ecceae which have bean aalebllshed by 7M counry aupgrtnteodaor.Upon mpplelien or the work M!hln the county mad right of way,.0h.dred by the work permh,.h.person„41- ' corporation,munlelpagy,and hrsor its sumssora In lnkrpclshall W ntponelb4 tor.she malalanow9and repalrof such imrkm portion of abcnworkis"t fodh.wlttlin The tarim.ral' aondiaonsoflhaworkho,11.M edvedbinga(gn.diapleyordeak..rhall lnerool,orectedln vlofa0eno/lfiisaeaionsllallbe mmaredfmmUleeovnlymed dgMofway GyhMowner ' • ar the parry respenaarle.lorib eleolkn.The eouMyeopertnlvntleMcharmake s demand by mail,In the reel known addmm of The owner.appitreM owner or plely...Ron4bie for the ' areelton of aueli edrarthlrtaetgn,dreplayurdedw,forlroromovaland,I(Illanat ramwtdMUlntwaMy(20J days I—Uadataofihemerlln9 dauehdemount,theeovnryaupadntendanl meyremoreanywRhadwdlaingdig4 diepleyoreevicieraryl a l"mof,tram the county road rtghtolwayTM re+m-tuunty moddgiil of way'shall.forNa purposaaafibismotiom ' mean lM enaretN4U Delween Ue Dovndary am olau propargrwMtli haaheenpurchaaed orepproprtated bythermmyforonuMyr�ad pvryoses,,dl woperlY urarwhieh ore manly . supertnlende tor hh predwesscn haseswrmed IUriad'wYkn lorcounyrwdpurbowd.all9rpppdy oww whlcr,,M L9enyaeparinkndenihaa easwrwdJvdcdlcdori d'uing the pmfod or roncWctlon,roeonetrueDori orlmprovemeM andell pmpmbwhlaD has beooma partof dneounyrwd ayatam Urougri dedbalion or wo.Anypersa4erm croo"mdon NoUgng Chid sermon aheabetlebklaa arieofnotleaa lMnnemy-Rve danenrmrmoroFJunane Novsandddpn fveecndiyof vralaUon,lo DamcoveradDy Ueeovnyaupednbndmtandpald m io ' •the County with try th;.. of the county mad fund hrI Ud under art.ortlet.for the mnalmdkn•recon+imctlon erd malfdenerce01 county road-..the—IV read sysl.in accordance with Ua prayfsT.1.unto Wda.and mayalaobe n amd therefrom as e trec uooerty Na countytupedntaMeM upon petition to the county court of the county or to the aupromo court of the elate. WHERIAS,a cettatn highway known as the • Middle'Road - C.R.No.48' has been improved and is on the Suffolk County Road System and To ': Gozdoin Sclilae£er U WHEREAS..1 ch. Ga'ctett A. Strang, Main Rd., P.0, Box 1412,. Southold, n 1197.1 of "� requests permission to E Z = build asphalt',access'; topsoil &. seed,; as'per plans, Typical Section & County Specs. On C 2 82 the n/s/o Middle Rosd; CcIt::'48;.e%n Youngs Avenue, Hamlet Of Southold; Town of Soiithalde. q 'as liar skeloh or trap attached. NOW,tHEREFORE;permisefoo Is lfaieby granted to said Gordon Schlaefer to do said work upon the following conditions: CONDITIONS AND RESTRICTIONS - 1.When concrete Is remoyed,cdi concrete with concrete saw-two feet outside the Ilmlls of the proposed 'excavation and for the full pabetwidth.When the calla made In pavementwithlri 10 feet of the panel loin,the m ppaveentshall be iemoved forfulFpanef wldth from thecuton the larsfder of the excavation to the paneffolilL 2-Backftll and thoroughiyecfi ant fill Using POWERTAMPER,placing so-its so t.hetvartoug types of soft are In some relative position as before excavating.Grade to original surface. 3.Re place pavement,sidewalk or surfa(b same as existing;Ifconcrete,replace using•1:1314:3112 mix stone mix concreltr,If blturldnous material,replace using same tyype•as iemoved. - 4.If concrete curb is remov(ld,repplarb with similar curb 1:f 7/4:3 112 mix. 5.Edge.of Jacking Pits or Park olhar excavation shall be not less then 5 feet from Edge of Pavement.No ' undercutting allowed In p L..: &Notify the DepartmentSt ePhefik014-3491whenthework III iotaegtnsoihatanlnsptretlon can bemadsof the operation. This permit shall not be assigned of irrinkifried without tha written consent of the.Commissiorjer of Public Works. The work authorized by this permit shall be performed under the supervision and to the satisfacifon of the CiemhlfeefOner of Public, Works or his representative. Particular attention Is called to the necessity of thoroughly compacting the back fill,which will be required by the Commlaslonrer of Public Works. The Commissioner of Public Works shall be given one week's notice*by said applicant of the date when It intends to begin the work a ulhortzed by this permit,and prompt notice of Its completion. ' The said applicant hereby agrees to hold the State,County and Town harmless on accouht of.damages or any kind which may ease during;he progress of the work authorized by this permit or by reason thereof. - AppllcaM certlliae airpersons concerned with actual work under this permit are duty covered by Workmen's Compensation Insurance .and the State•County and Town shall be bald harmless on account thereof. ' The Cornmissloner of Public Works reserves the fight to at anytime revoke orafinul this permit ahould the sold applicant fall to'comply with the terms and conditions upon which it Is granted. The applicant agrees,to fey all necessary expenses Incident to supervision and inspection by reason of the granting of such permftss certified by the Commissionerof Public Worka,such payment to be made within ten days from the rendering of the certified account. - Work under this,permit to be commenced within thirty days from the date of permit and continired in an expeditious manner. ' The applicant shall,siobri a detailed plan of structure to be built,with a description of proposed method of construction. It Is understood that ehoUld future changes,In the alignment.or grade of me highway require changes in The work covered by this appltoallen and permit;ttie'a hcant shag tm reasonable notice from the Commissioner of PublicWoirk''s'maka such necessarychanges at his own expense within the time so specified in notice. . Traffic shall be iiiolntained•by the applicant on this seetlon of the highway wit lie the work is in progress and until its final completion. A CertltledCheck:,'4i#ho�F4 v 1.i,,gmlin1. , , • ;� ,, •• f'n•vfv T-r•n­rr^+if Suffolk County Is . .. • • I a' h ' • falicant.as$.00na6 Isla l• •„ j rr•I•i: „ f of suchdeposltas ' y ., *• , .. to perform the work. . r: to condilions described.. X. ......... . � .: .•':, Commissioner of Public Works,Suffolk County Alt f TV ' ''r' 'r•"'' :t '' U10TIES,PLEASE CALL LONG ISLAND LIGHTING COMPANY AT - Jl'.• „ •t 't , ;;•! TEL.CO.FLORAL PARK 2-OFFICIAL 25 BEFORE STARTING THE Cd±.r so 94uiblA'' Form P-i36 �:-70rr 1y¢f i DE AFFIDAVIT OF POSTING MAY 0 6 2004 Southold Town This is to serve notice that I personally posted the property knolyn as Planning BoarO es- O t by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on to S&6 I have sent notices, by certified mail - return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on )MP-IL -e .64 2a6 y Your Name (print) Signature Address �D Date No , ry Public earpara A, 6trang NOW-.91 ' Pp%10, Now York p -Sufl0k0ouoty, PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 11:30 a.m., Fri., 5/7/04 Re: Proposed Amended Site Plan for 1670 House Fine Furniture & Gifts SCTM#s: 1000-55-2-23 Date of Hearing: Monday, May 10, 2004, 6:05 p.m. Q"ISMFF01/reo JOSHUA Y. H[ORTON =� Gyp JAMES A. RICHTER, R.A. SUPERVISOR i ENGINEER TOWN HALL - 53095 MAIN ROAD y. TOWN OF SOUTHOLD,NEW YORK 11971 Fax. (516)-765-1366 'y�j►Ol �aQ`' Tel.(516)-765-1560 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD pECEQVE Jerilyn B. Woodhouse May 4, 2004 Chairperson - Planning Board MAY 6 2004 Town Hall, 53095 Main Road Southold, New York 11971 Southold Town Re: 1670 House Site Plan Planning Boani SCTM #: 1000-55-2-23 Dear Mrs. Woodhouse: As per a request from your office, I have reviewed the site plan for the above referenced project. This is a pre-existing site plan with access to the County Route 48. If a County Curb Cut Permit has not been previously issued, I would recommend that one be required. The Drainage calculations and Design meet the minimum requirements of the Town Code. Zoning and Building Code issues should be reviewed by the Building Department. If you have any questions regarding this matter, please contact my office. /;ames erely, A. Richter, R.A. �v/3 G DISTR� SOUTHOLD FIRE DISTRICT April 30, 2004 P.O. BOX 908. SOUTHOLD, N.Y. 11971 (631) 765-4305 FAX (631) 765-5076 Mr. Bruno Semon Town of Southold Planning Board PO Box 1179 Southold, NY 11971 Re: 1670 House SCTM#1000-55-02-23 Dear Mr. Semon: The Board of Fire Commissioners of the Southold Fire District has reviewed the map and plans for the property listed above. At the present time, there is adequate fire protection for this property. This recommendation is valid for one year from the date of this letter. Sincerely, DECEOVE Cynthia.Caprise Fire District Secretary MAY 3 2M Southold Town Planning Board Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 April 28, 2004 Ms. Jerilyn B. Woodhouse, Chair Southold Town Planning Board Main Road Southold, NY 11971 Re: 1670 Fine Furniture, CR 48, Southold,NY Dear Ms. Woodhouse and Members of the Board: This will acknowledge receipt and acceptance of the Architectural Review Committee (ARC) minutes of April 19, 2004 in the above referenced matter. Very truly yours, Garrett A. Strang, R.A. D E C v Architect W 3 20 Southold Town Planning Boaro OFF ANNING BOARD MEMBERS QS JERILYN B.WOODHOUSE ��� % P.O.Box 1179 Chair o y� Town Hall,53095 State Route 25 y Southold,New York 11971-0959 RICHARD CAGGIANO • Telephone(631)765-1938 WILLIAM J.CREMERS G Fax(631)765-3136 KENNETH L. DS MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 26,2004 Garrett A.Strang,Architect P.O.Box 1412 Southold,NY 11971 Re: 1670 House,Amended 47025 County Road 48,Southold,NY SCTM#1000-55-2-23 Zone B Dear Mr.Strang: This letter is to inform you that the above site plan application was reviewed at the Architectural Review Committee(ARC)meeting held on April 15,2004. A copy of the meeting minutes and comments are attached.Please review them and inform us in writing if you are in agreement with the conditions. Please modify the site plan,construction plans and submit the revised plans to the Planning Board. If there are any questions you can contact us at(631)765-1938 ext.229 between the hours of 8:00 a.m.and 4:00 p.m. Respectfully yours, lse Bruno Semon Senior Site Plan Reviewer CC:file enc.ARC minutes i FO(��o o - y a Town Hall,53095 Main Road O Fax(631)765-9502 P.O. Box 1179 y�Ol �aO� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT ..,r,, 1' TOWN OF SOUTHOLD E a�'-� MEMORANDUM APR 2 6 2004 Southold Town TO: Jerilyn B. Woodhouse,Planning Board Chairperson plznnmg���_ FROM: Michael J. Verity, Chief Building Inspector DATE: April 26, 2004 REQUIREMENTS FOR SITE PLAN ELEMENTS & CERTIFICATION Project: 1670 House Location: 47025 County Road 48, Southold SCTM# 1000—Section 55- Block 02—Lot 23 Date: January 10, 2001 Revised Date: October 03, 2002. 1. ALL BUILDINGS AND USES SHALL COMPLY WITH CHAPTERS 45 AND 100 OF THE SOUTHOLD TOWN CODE. 2. OFF STREET.PARKING BY AUTHORITY OF THE PLANNING BOARD. 3. ALL FENCING, SCREENING AND LANDSCAPING BY AUTHORITY OF THE PLANNING BOARD. 4. THE PROPOSED USE *Retail IS/ARE A PERMITTED USE IN THIS B DISTRICT AND IS SO CERTIFIED. * Second floor retail space Michael J. V16rity Chief Building Inspector #6038 STATE OF NEW YORK) )SS: COUNTY OF SUFFOLK) Joan Ann Weber of Mattituck, in said county, being duly sworn, says that he/she is Principal clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 weeks successively, commencing on the 29th day of April , 2004. UWCHR16STINtA(V�OAINSKI 00C NOTARY PUBLIC-STATE OF NEW YORK No. 01-V06105050 Principal Clerk Qualified in Suffolk County Commission Expires February 28, 2008 Sworn to before me this day of 2004 f LG�iL1VQTTGL+ `1TtOTfG1�I3�Fi);Tti$Y GIVEN�liaC;'. pti16 M bf ttil Cone € thenfi�wti oE�Southoid=a'�bl� iie�nng.. �Ji1T"bIF-f1h owr PlatihingBc�airc�'��et tTie�T'own"I-T�ll ISlaui R69duVS6%fi' Ne. oth . on'tff0fit tlay�uf'i4lay, 004'on the queshgtf oYhe€ollov�vin 6,05 nr Proppoosed amended srte plan foriA670 HouseF?meiFutliftu�fe&. Gifts4To4at 'od tfitesrb CRz48V approxudiafeiy 1k34ee�l e/d:'oungs �lvetiue��'a��a34'�Z1��CR`48 Si3ilihd1�3 Town`bf$oiYhold C&tint} bf'Suffbltr StateCdf Neti3�;Yor`1tt7Sftffolk'Cot� Map Numbet•1000 55=2 23�� ' g 1 Da6d 4�Z2.64 0 31R OF TIM-Si3U`HOL TOWN-PLANNING$bAItD. '7e{nlyd B' �'oo tiouse W ojt on .� ..:PLANNING BOARD MEMBERS �0$ufFo`�CO JERILYN B.WOODHOUSE P.O. Box 1179 Chair ® y� Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RICHARD CAGGIANO v, • Telephone (631) 765-1938 WILLIAM J.CREMERS Fax (631) 765-3136 KENNETH L.EDWARDS MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York in said Town on the 10th day of May, 2004 on the question of the following: 6:05 p.m. Proposed amended site plan for 1670 House Fine Furniture & Gifts located on the n/s/o CR 48, approximately 1,393 feet e/o Youngs Avenue, a.k.a. 47025 CR 48, Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-55-2-23 1' Dated: 4/22/04 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLEASE PRINT ONCE ON THURSDAY, APRIL 29, 2004 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times < ' TM The Suffolk Times Fawn: Valerie SoopavCafol laic Prwst 2 Ph§ne: Dow. 41VJ04 F* Additional Legal Ad for 4/28/tf4 cc. Edition urgent For lkview Plow&Comment Please Reply As Regmwted Please print the folkAMng additional legal ad in the 4/29104 edition.Thanks. 5110104 Regular Meeting: 0:05 p.m.1670 House Fine Furniture&,Gifts Site Plan Kindly acknowledge receipt by signing below and faxing cover letter back. Ito"Wod by; Date; ZO'd Vii =EO to-9Z-.Ady PLANNING BOARD MEMBERS �O$UFFO(�CO JERILYN B.WOODHOUSE P.O. Box 1179 Chair o Town Hall, 53095 State Route 25 ti Southold, New York 11971-0959 RICHARD CAGGIANO y • Telephone (631) 765-1938 WILLIAM J.CREMERS Fax (631) 765-3136 KENNETH L.EDWARDS Q� MARTIN H.SIDOR ��.( `1►a PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main.Road, Southold, New York in said Town on the I Oth day of May, 2004 on the question of the following: 6:05 p.m. Proposed amended site plan for 1670 House Fine Furniture & Gifts located on the n/s/o CR 48, approximately 1,393 feet e/o Youngs Avenue, a.k.a. 47025 CR 48, Southold, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-55-2-23 Dated: 4/22/04 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) CAROL KALIN, Secretary to the Planning Board of the Town of Southold, New York being duly sworn, says that on the 23rd day of April, 2004 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, Southold Town Hall, 53095 Main Road, Southold, New York 5/10/04 Regular Meeting: 6:05 p.m. Public Hearing for the proposed amended site plan for 1670 House Fine Furniture & Gifts SCTM#1000-55-2-23 Carol Kalin Secretary, Southold Town Planning Board Sworn to before me this a 3 day of C 0 2004. / c tary Public JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Terra Expires June 12, A oo 7 s PLANNING BOARD MEMBERS JERILYN B.WOODHOUSE h.�� �/y P.O. Box 1179 Chair Town Hall, 53095 State Route 25 o y Southold, New York 11971-0959 RICHARD CAGGIANO • Telephone(631) 765-1938 WILLIAM J. CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS MARTIN H.SIDOR �! `1►� PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 22, 2004 Garrett A. Strang, Architect P.O. Box 1412 Southold, NY 11971 Re: Proposed Amended Site Plan for 1670 House Fine Furniture & Gifts Located on the north side of County Road 48, approximately 1,393 feet east of Youngs Avenue, known as 47025 County Road 48, in Southold SCTM#1000-55-2-23 Zone: B (General Business District) Dear Mr. Strang: The final public hearing regarding the maps for the above-referenced site plan has been scheduled for Monday, May 10, 2004, at 6,05 p.m. at the Southold Town Hall. Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Hall. Please return the enclosed Affidavit of Posting along with the certified mailing receipts AND the signed green return receipt cards before 11:30 a.m. on Friday, May 7, 2004. The sign needs to be returned to the Planning Board.Office after the public hearing. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn �Woodhouse Chairperson Encl. Southold Town Planning Board Notice to Adiacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for an amended site plan; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-55-2-23; 3. That the property which is the subject of this application is located in the General Business Zoning District; 4. That the application is for an amended site plan for interior alteration of an existing 6,069 sq. ft. building to include 894 sq. ft. of second floor furniture retail space with the following: a total of 2,894 sq. ft. furniture retail and 3,175 sq. ft. of storage on a 0.53 acre parcel in the B Zone located on the north side of County Road 48, approximately 1,393 feet east of Youngs Avenue, known as 47025 County Road 48, in Southold; 5. That the files pertaining to this application are open for your informatio(Sduring normal business days between the hours of 8 a.m. and 4 p.m. Or, if i/rou have any questions, you can call the Planning Board Office at (631)765-1`a38; 6. That a public hearing will be held on the matter by the Planning Board on Monday, May 10, 2004 at 6:05 p.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner's Name(s): Gordon & Madeleine Schlaefer/1670 House Fine Furniture & Gifts Date: 4/22/04 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on I have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 11:30 a.m., Fri., 5/7/04 **************************************************************************************************** Re: Proposed Amended Site Plan for 1670 House Fine Furniture & Gifts SCTM#s: 1000-55-2-23 Date of Hearing: Monday, May 10, 2004, 6:05 p.m. §'1i8-1 NOTICE OF PUBLIC BEARING § 58-1 Chapter 58 NOTICE OF PUBLIC HEARING § 68-1. Providing notice of public hearings. [HISTORY: Adopted by the Town Board of the Town of Southold 12-27-1995 as L.L. No. 25.1995. Amendents noted where applicable.] m §68.1. Providing notice of public hearings. Whenever the Code calls for a public Bearing, this section shall apply. Upon determining that an application is complete, the board or commission reviewing the same shall fix a time and place for a public hearing thereon..The board or commission reviewing an application shall provide for the giving of notice: A. By•causing a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. 'By requiring the applicant to erect the sign provided by l the town, which shall be prominently displayed on the premises facing each public br private street which the property involved in the application abuts,.giving notice of the•application, the nature of the approval sought thereby and the time and place of the'public hearing themm The sign shall be set back not more than ten (10) feet from the property line. The.alga shall be. 'displayed for a period of not lose'than seven (7) days immediately pmeding tho date .of-the public hearing. e.. ipaat or,histher.apnt shall file an affidavit-that' s/he hss complied with this provision. C. By requiring the applloant to send notice to the owners of record of every property which abuts and every property which is across ijrom any public or private street, 5801 § b8-1 SOUTHOLD CODE from the property included in the application. Such notice. shall be made by certified mail, return receipt requested, posted at least seven(7)days prior to the date of the initial public hearing on the application and addressed to the owners at the addresses listed for them on the local assessment roll. The applicant or agent shall file an affidavit that s/he has complied with this provision. 5802 G . M . SCHLAEFER AMENDED SITE PLAN FOR 1670 HOUSE 1 000 -55 -2 -23 Interior alteration of an existing 6,069 sq. ft. building to include 894 sq. ft. of second floor furniture retail space with the following: a total of 2,894 sq. ft. furniture retail and 3,175 sq. ft. of storage. MONO - MAY 10, 2004 - 6 : 05 P . M . Garrett A. Strang ens Architect 1230 Traveler St., Box 1412 Southold, New York 11971 April 19, 2004 Telephone (631) 765-5455 Fax(631) 765-5490 C D Ms. Jerilyn B. Woodhouse, Chair Southold Town Planning Board APR 1 9 2004 Main Road Southold, NY 11971 Southold Town Planning Board Re: 1670 Fine Furniture, CR 48, Southold,NY Dear Ms. Woodhouse and Members of the Board: It has come to my attention that you may require a Suffolk County Health Department approval for this amended site plan application. I am herewith requesting that you give consideration to waiving this requirement based on the following: The existing system as installed and approved by the SCHD is approximately twice what is required, including the approximate 800 sq. ft. of attic conversion. In my recent conversations with the SCHD, based on their current backlog of applications, it is their preference not to have to revisit an existing permit, unless the intensification of use exceeds the design of an existing system, which this amended site plan application does not.. You consideration of the above would be appreciated. Very truly yours, Garrett A. Strang, R.A. Architect Pa g� SOUTHOLD TOWN ARCHITECTURAL REVIEW COMMITTEE April 15, 2004 E C E � Ip E The ARC met at Town Hall at 4:30 p.m. Members present were: D Garrett A. Strang, Co-Chairman. Robert I. Brown, Co-Chairman APR 19 2004 Herbert Adler, Jr. Landmarks Preservation Committee Howard Meinke, Cutchogue Southold Town Robert Keith, Mattituck, Secretary Planning Board Also present were Bruno Semon of the Planning Board staff, Stacy Jacobson, Esq. and Marco A. Neves, R.A. for CVS Pharmacy; Diane Herald R.A. and John Rose for the First Baptist Church of Cutchogue; and Patricia Moore, Esq., Danita Otruba-O'Connor and Edward Butt, R.A.'s for GAIA Holistic Circle. Moved by Robert Brown and seconded by Herbert Adler, it was RESOLVED to APPROVE the MINUTES of the meeting of March 4, 2004. Vote of the Committee: Ayes all. FIRST BAPTIST CHURCH OF CUTCHOGUE (North Road - Curtchogue) Because the simulated brick veneer approved at the March 4 meeting was not satisfactory in its appearance, the applicant's representatives proposed the use of Cedar Impressions vinyl shingles on all sides and horizontal siding of the same material in the gables., all Ili snow color. Moved by Robert Keith and seconded by Howard Meinke it was RESOLVED to accept this modification with the CONDITION that a sample of the trim color be submitted for approval Vote of the Committee: Ayes all. Applicants are reminded that deviations from approved drawings without the review and approval of the Architectural Review Committee will cause recission of the original approval and may negatively impact securing the Certificate of Occupancy. 1 70 HOUSET'"(North Road - Southold) Garrett Strang recused himself. It was RESOLVED by Robert Keith and seconded by Howard Meinke to APPROVE the addition of an external stair in the rear of the building required as an emergency exit by the addition of a second floor within the existing structure. Vote of the Committee: Ayes All. GAIA HOLISTIC CIRCLE (Shipyard Lane - East Marion) The representatives of the applicant described a 108 unit healing, meditation and hotel facility on the 18 acre site with a circular main building to contain a 200 seat restaurant., all in the Japanese style of architecture. The grounds will have a 30 foot waterfall and small man-made lakes, emphasizing circular patterns and Japanese landscaping but with local plantings. It was subsequently RESOLVED by Howard Meinke and seconded by Herbert Adler to APPROVE the project CONCEPTUALLY, subject to detailed submissions, and to strongly RECOMMEND that the Planning Board "land bank" as much of the parking as possible. Vote of the Committee: Ayes All. CVS PHARMACY (Main Road - Mattituck) Following a presentation of the proposed project, it was RESOLVED by Robert Brown and seconded by Herbert Adler to APPROVE the proposal with the CONDITIONS that the divided light windows be continued across the remaining 2 bays on North elevation and in the first and third bays from the North on the East elevation (with the understanding that these may be display windows), that the roofing will be architectural shingles, that pavers or red stamperete be used for the internal sidewalks, that drawings of the ground signage be submitted for approval, and that the building mounted light fixtures be clarified (a preference for soffit fixtures was expressed).. Vote of Committee: Ayes all. Applicants are reminded that deviations from approved plans without the review and approval of the Architectural Review Committee will cause recision of the original approval and may negatively impact upon securing the Certificate of Occupancy. CUTCHOGUE HARBOR MARINA (3350 West Creek Av�,nue - Cutchogue) The Committee reviewed the photographs and documenpation submitted by the applicant. Inasmuch as no new structures or activities al-.a proposed, it was RESOLVED by Garrett Strang and seconded by Robert Keith to thank the Planning Board but to acknowledge that there are NO ARCHITECTURAL CHARACTERISTICS upon which to comment. Vote of the Committee: Ayes all. RMB REALTY (North Road - Southold) Moved by Garrett Strang and seconded by Howard Meinke, it was RESOLVED to RETAIN the orientation of the buildings as originally presented, to RECOMMEND that the internal sidewalks be brick and that dumpsters not be located end along either the North Road or Hortons Lane. Vote of the Committee: Ayes all. Robert W. Keith Secretary PLANNING BOARD MEMBERS �SUFFO��(►c JERILYN B.WOODHOUSE � �G P.O. Box 1179 y� Town Hall, 53095 State Route 25 Chair o y Southold, New York 11971-0959 RICHARD CAGGIANO • Telephone (631) 765-1938 WILLIAM J.CREMERS G Fax(631) 765-3136 KENNETH L.MARTIN H.SDS DOR �Ol `�►�O PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM Date: April 14, 2004 To: James A. Richter, R.A., Engineer From: Bruno Semon, Senior Site Plan Reviewer I Re: Proposed Amended Site Plan for 1670 House. 47025 County Road 48 Southold, NY SCTM# 1000-55-2-23 Status: New Active Site Plan tentatively set for May 10, 2004 public hearing. Required Return Date: ASAP. In reference to the above, attached you will find a site plan. The Site Plan reflects the current proposed build out of this site. Please review for comments, concerns and certification. This site plan is for an interior alteration of an existing 6,069 sq.ft. building to include 894 sq.ft. of second floor furniture retail space with the following; a total of 2,894 sq.ft. furniture retail and 3,175 sq.ft. of storage. Site Plan Enclosed is for your records and does not need to be returned to the Planning Board. Thank you in advance. cc: file Enc.: 1 Site plan prepared by Garret Strang. PLANNING BOARD MEMBERS Q�Q$UFFO(�CO P.O. Box 1179 JERILYN B.WOODHOUSE �/ Chair o y� Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RICHARD CAGGIANO %3_0 • Telephone (631) 765-1938 WILLIAM J.CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS Q MARTIN H.SIDOR �l `1►a PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM Date: April 14, 2004 To: Michael Verity, Principal Building Inspector From: Bruno Semon, Senior Site Plan Reviewer/9- Re: Proposed Amended Site Plan for 1670 House 47025 County Road 48 Southold, NY SCTM# 1000-55-2-23 Required Return Date: ASAP Status: New Active Site Plan tentatively set for May 10, 2004 public hearing. In reference to the above, attached you will find a site plan. The Site Plan reflects the current proposed build out of this site. Please review for comments, concerns and certification. This site plan is for an interior alteration of an existing 6,069 sq.ft. building to include 894 sq.ft. of second floor furniture retail space with the following; a total of 2,894 sq.ft. furniture retail and 3,175 sq.ft. of storage. Site Plan Enclosed is for your records and does not need to be returned to the Planning Board. Thank you in advance. cc: file Enc.: 1 Site plan prepared by Garret Strang. PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE �.� G,j, Chair c Town Hall, 53095 State Route 25 CASouthold,New York 11971-0959 RICHARD CAGGIANO v, Telephone (631) 765-1938 WILLIAM J.CREMERS G • Fax(631) 765-3136 KENNETH L.MARTIN H.SIDS DOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 14, 2004 Ms. Cynthia Caprise, Secretary Southold Fire District P.O. Box 908 Southold, New York 11971 Dear Ms. Caprise: Enclose please find one site plan last revised March 26, 2004 for 1670 House located at 47025 County Road 48, Southold. SCTM#1000-55-02-23 The enclosed site plan is being referred to you for fire access review and for your recommendations as to whether any fire- wells are needed. Please specify whether firewells are shallow or electric. O The enclosed subdivision is being referred to you for your recommendation at to whether any firewells are needed. Please specify whether.firewells are shallow or electric. Thank you for your cooperation. Very truly yours,. Bruno Semon Senior Site Plan Reviewer enc. PLANNING BOARD MEMBERS ��gUFFO(,�co JERILYN B..WOODHOUSE �� �/ P.O. Box 1179 Chair o y� Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RICHARD CAGGIANO • Telephone (631) 765-1938 WILLIAM J.CREMERS ® Fax(631) 765-3136 KENNETH L. DS MARTIN H.SIDOR ��.( `1►aO MEMORANDUM PLANNING BOARD OFFICE Date: April 14, 2004 TOWN OF SOUTHOLD To: Agency Referral Request *Southold Town Zoning Board of Appeals Southold Town Building Department Southold Town Clerk for Southold Town Board Josh Horton, Southold Town Supervisor Southold Town Board of Trustees Southold Town Engineer Suffolk County Department of Health Services Suffolk County Water Authority Suffolk County Planning Department Suffolk County Department of Public Works From: Bruno Semon, Senior Site Plan Reviewer Re: Proposed Amended Site Plan for 1670 House 47025 County Road 48 Southold, NY SCTM# 1000-55-2-23. Dear Reviewer: Status: New Active Site Plan. The above listed action and site plan is referred to your agency for review, comments, concerns, permits requirements and jurisdiction. Attached is a copy of the site plan application information for your review. This site plan is for an alteration alteration of an existing 6,069 sq.ft. building to include 894 sq.ft. of second floor furniture retail space with the following; a total of 2,894 sq.ft. furniture retail and 3,175 sq.ft. of storage. Please respond on your agencies position of the above action. Thank you in advance. cc: File *Maps are enclosed for your review PLANNING BOARD MEMBERS O�Q$UFFO��►CO P.O.Box 1179 JERILYN B.WOODHOUSE G Chair o y� Town Hall, 53095 State Route 25 CA Southold, New York 11971-0959 / RICHARD CAGGIANO y • Telephone (631) 765-1938 WILLIAM J.CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS / MARTIN H. SIDOR �0•� `1►aO PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 5, 2004 Mr. Garrett Strang P.O. Box 1412 Southold,NY 11971 Dear Mr. Strang: Re: Scheduled A.R.C. Meeting 1670 House, Southold SCTM# 1000-55-2-23 Zone: LI This letter is to inform you that the above-listed site plan application is set for the Architect Review Committee (ARC)meeting on April 15, 2004 at 4:30 p.m. in the . Southold Town Hall Conference Roo Attached is an ARC checklist for your use in preparation for the meeting. Please submit all materials that need to be presented to the ARC before the meeting date or bring the materials with you to the meeting. Please inform us in advance if you will not be ready for the meeting date. If there are any questions, you can contact us at(631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. Respectfully yours, 4uj_� gjm�e. Bruno Semon Senior Site Plan Reviewer att. cc: file NYSRPS ASSESSMENT INQUIRY DATE 04/01/2004 473889 SOUTHOLD SCHOOL SOUTHOLD SCHOOL ROLL SEC TAXABLE LRCLS 483 CONVRTED RES TOTAL RES SITE 55 . -2-23 TOTAL COM SITE 47025 CR 48 ACCT NO 08 OWNER & MAILING INFO === I =MISC 1 ======== ====== ASSESSMENT DATA SCHLAEFER MADELEINE IRS-SS I **CURRENT** RES PERCENT C/O 1670 HOUSE 1 1 ( LAND 3,000 **TAXABLE** ROUTE 48 1 BANK ( TOTAL 11,300 COUNTY 11,300 SOUTHOLD NY 11971 **PRIOR** TOWN 11,300 1 ILAND 3,000 SCHOOL 11,300 ITOTAL 11,300 ==DIMENSIONS === 1 =====_= SALES INFORMATION ACRES .53 IBOOK 1000 SALE DATE 03/01/86 SALE PRICE 225,000 ( PAGE 00587 PR OWNER R KALLER =======TOTAL EXEMPTIONS 0 _____________ 1 == TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE IFDO28 IPK070 IWWO20 ISWO11 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75 . 10- 03-050 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU p Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 March 26, 2004 MAR 2 9 2004 Ms. Jerilyn B. Woodhouse, Chair Southold Town Planning Board �----- Southold Town Main Road Piaa9in Board Southold, NY 11971 -µ - Re: 1670 Fine Furniture, CR 48, Southold,NY ,i1 (99 Dear Ms. Woodhouse and Members of the Board: In response to a letter from Mr, Bruno Semon regarding the above referenced premises, I am submitting the following for the boards review and consideration: 1. Completed Application for Consideration of an Amended Site Plan; 2. Check in the Amount of $344.70 as application fee; 3. Nine(9) copies of the amended site plan; As previously noted, we are respectfully requesting a waiver for additional parking based on the "industry standard" data previously submitted and shown on the amended site plan. If you have any questions or require additional information, please do not hesitate to contact my office. Thank you for your courtesy and cooperation in this matter. Very truly yours, Garrett A. Strang, R.A. Architect Atts. C: M. Schlaefer PLANNING BOARD MEMB)Fi'na O�QSVFF�(�'cOG p.0.Box 1179 JERILYN B.WOODHOUSE .r Chair yJ.� Town Hall, 53095 State$oute 25 y Southold, New York 11971-0959 RICHARD CAGGIANO v. � Telephone(631) 765-1938 WILLIAM J.CREMERS • Fax(631) 765-3136 KENNETH L. DS MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 16, 2004 Mr. Garret Strang 1230 Traveler Street Soouthold,NY 11971 Re: Amended Site Plan for 1670 House County Road 48 Southold, NY 11971 SCTM# 1000-55-02-23 Dear Mr. Strang, We are receipt of your letter dated March 12, 2004 on the above ref/", ced site. At the work session on March 15, 2004 the Planning Board reviewed the{request and agreed that an amended site plan is needed. Please contact the office if you a site plan application package. Submit the information required, amended site plan and associated documents. If there are any questions you can contact us at(631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. ZRespe lly yo s, e Senior Site Ian Reviewer CC:file 4 Garrett A. Strang - 8s Architect 1230 Traveler St., Box 1412 March 12, 2004 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 pECE VE Ms. Jerilyn B. Woodhouse, Chair Southold Town Planning Board MAR 12 2004 Main Road Southold,NY 11971 Southold Town Re: 1670 Fine Furniture, CR 48, Southold,NY Planning BoW Dear Ms. Woodhouse and Members of the Board: As per your instructions, we have made an application to the Building Department in the above referenced matter and a determination has been made that an action by the Planning Board is, in fact, required(as per notice of disapproval attached). Accordingly,we are requesting that the Board waive the requirement for an amended site plan and additional parking based on the data previously submitted in our letter of February 18p, copy attached. Thank you for your courtesy and cooperation in this matter. Very truly yours, Garrett A. Strang, R.A. Architect Atts. FORM NO. 3 NOTICE OF DISAPPROVAL - DATE:"March 10, 2004 TO: Garrett A. Strang A/C Schlaefer(1670 House) 1230 Traveler Street Southold,NY 11971 Please take notice that your application dated March 9, 2004 For permit to make an existing attic accessible to customers at Location of property: 47025 Main Road, Southold County Tax Map No. 1000 - Section. 55 Block 2 Lot 23 Is returned herewith and disapproved on-the following grounds: The proposed expansion of use, on this nonconforming 22,913 square foot parcel in the B District requires site plan approval from the Southold Town Planning Board. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Planning Board February 18, 2004 Ms, Jerilyn B.Woodhouse, Chair Southold Town Planning Board Main Road Southold,NY 11971 Re: 1670 Fine Furniture, CR 48, Southold,NY Dear Ms. Woodhouse and Members of the Board: My clients, owners of the above referenced premises,would like to make the existing second floor storage attic(square footage is 894.s.f.) available to customers. The Planning Board previously reviewed our site plan showing 13.5 required parking spaces based on 2,000 s.f of retail @ 1 space per 200 s.f. and 3,540 s.f. of storage @ 1 space per 1,000 s.f and ultimately approving 12 spaces. In reviewing the"Parking Standards" of the American Planning;Association, Publication of 2002, I have found that the general parking requirements in communities with populations substantially greater than Southold's+-20,000, are as follows: Furniture Store 1 space per 500 s.f., (population 75,000) 1 space per 1,000 s.f., (population 90,000) Taking our gross building area of 5,540 s.f. and applying the 1 per 500 or 1 per 1,000 criteria, the required parking would be 11 or 6 spaces respectively. As mentioned we currently have 12 spaces in place, which exceeds both of the above industry standards. For the record, subsequent to the opening of the store,the existing parking area has never been more than 60% occupied at any given time, and it is our belief that making the attic available to customers will not create any added customer population. Accordingly, we respectfully request that the Planning Board consider the above data and waive any requirement for an amended site plan based on the facts presented. We do understand that some modifications to the building will be required by NYS Code, which will be reviewed and approved by the Building Department. Thank you for your courtesy and cooperation in this matter. Very truly yours, Garrett A. Strang,R.A. Garrett A. Straw TO Architect February 18, 2004 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Ms. Jerilyn B. Woodhouse, Chair Fax(631) 765-5490 Southold Town Planning Board Main Road Southold,NY 11971 Re: 1670 Fine Furniture, CR 48, Southold,NY Dear Ms. Woodhouse and Members of the Board: My clients, owners of the above referenced premises, would like to make the existing second floor storage attic(square footage is 894.s.f) available to customers. The Planning Board previously reviewed our site plan showing 13.5 required parking spaces based on 2,000 s.f of retail @ 1 space per 200 s.f and 3,540 s.f of storage @ 1 space per 1,000 s.f and ultimately approving 12 spaces. In reviewing the"Parking Standards" of the American Planning Association,Publication of 2002, 1 have found that the general parking requirements in communities with populations substantially greater than Southold's+-20,000, are as follows: Furniture Store 1 space per 500 s.f., (population 75,000) 1 space per 1,000 s.f., (population 90,000) Taking our gross building area of 5,540 s.f and applying the 1 per 500 or 1 per 1,000 criteria, the required parking would be 11 or 6 spaces respectively. As mentioned we currently have 12 spaces in place, which exceeds both of the above industry standards. For the record, subsequent to the opening of the store,the existing parking area has never been more than 60% occupied at any given time, and it is our belief that making the attic available to customers will not create any added customer population. Accordingly, we respectfully request that the Planning Board consider the above data and waive any requirement for an amended site plan based on the facts presented. We do understand that some modifications to the building will be required by NYS Code, which will be reviewed and approved by the Building Department. Thank you for your courtesy and cooperation in this matter. Very truly yours, pECE WE Garrett A. Strang, R.A. Architect F E B 1 9 2004 Jul Southold Town Planning Board S✓r r'`�. Garrett A. Straws `` Architect 15 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 February 3, 2004 Mr. Bruno Semon Southold Town Planning Board F E B - 4 2004 Main Road Southold, NY 11971 Southuld Town Planning Board Re: 1670 Fine Furniture, CR 48, Southold,NY Dear Mr. Semon: Pursuant to our recent conversations, I am respectfully requesting that consideration be given to waiving the requirement for an amended site plan at the above referenced project, with respect to the following: The building, as originally applied for and completed, included 894 s.f. of furniture storage.in the upper level attic area and my client would like to open this space to customers. For the record, subsequent to the opening of the addition the existing parking,area has never been more than 60% occupied at any given time and it is our belief that this will remain the case. It is also our opinion that above request will not increase the intensification of use inasmuch, as it will not create any added customer population from that which already exists. We respectfully request the Board give consideration to the above and look forward to hearing back from you. - --- - g- — Thank you for your courtesy and cooperation in this matter. Very truly yours, l Garrett A. Strang, R.A. ` 1 Architect J � 0� LASER FICHE FORM Planning Board Site Plans and Amended Site Plans -rU ; S � SPRe Type: Approved Project Type: Amended Site Plans Status: Final - Pending Inspection fJ SCTM # : 1000 - 55.-2-23 �' Project Name: 1670 House, Amended Address: 47025 County Road 48 Hamlet: Southold Applicant Name: Gordon & Madeleine Schlaefer Owner Name: Gordon Schlaefer Zone 1 : B Approval Date: 5/11/2004 OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information End SP Date: 5/11/2004 Zone 2: Zone 3: Location: on the north side of County Road 48 approximately 1 ,393 feet east of Youngs Avenue, Known as 47025 County Road 48 `SC Filing Date: CandR's : dome Assoc: hand M Agreement: 't� e: D • " MAY 2 5 2004 10 SUFFOL Southold Town K COUNTY W a i � IORI Y 4060 Sunrise Highway, Oakdale, New York 11769 (631) 589-5200 Fax (631) 589-5268 May 18, 2004 Mr. Bruno Semon Town of Southold Planning Board PO Box 1179 Southold,NY 11971-0959 Re: SCTM#: 1000-55-2-23 Project Name: Proposed Amended Site Plan for 1670 House Location: 47025 County Road 48, Southold Dear Mr. Semon: The Suffolk County Water Authority(SCWA)has received your agency referral letter that requests comments on the above referenced project. The SCWA suggests that the applicable topics on the enclosed checklist be addressed as part of the environmental review for this project. Where appropriate, the Planning Board should incorporate the mitigative measures as covenants and restrictions on the project if it is approved. Please keep us apprised of this project. If you have any questions concerning our comments, please don't hesitate to give me a call at 631-563-0306. Sincerely, Judy Jakobsen Sr. Environmental Analyst Enclosure Environmental Review Checklist A. Water Resources(Groundwater) 1. Location and description of aquifers and recharge areas a. quality b. quantity C. seasonal variation d. depth to water table 2. Identification of present uses and level of use of groundwater a. private water supply b. public water supply C. location of existing wells d. agricultural uses e. commercial/Industrial uses f. seasonal variation B. Land Use and Zoning 1. Existing land use and zoning a. description of the existing land use of the project site and the surrounding area b. description of existing zoning of site and surrounding area C. description of any affected agricultural district or other farmland retention program boundary in and surrounding the site 2. Description of any land use plans or master plans which include project site and surrounding area a. Southold Master Plan b. Southold Water Supply Management and Watershed Strategy C. Special Groundwater Protection Area Plan C. Public Water Service 1. Existing facilities 2. Current usage levels 3. Projected future usage levels 4. Projected future facilities D. Significant Environmental Impacts-Identify those aspects identified in above Items A.B.and C.,that may be adversely or beneficially affected by the proposed action including cumulative impacts as measured against Southold Water Supply Management and Watershed Protection Strategy and provide discussion. E. Mitigation Measures to Minimize Environmental Impacts-Describe mitigative measures to reduce or avoid potential adverse impacts identified in Item D. Mitigative measures include,but are not limited to: 1. Clustering development. 2. Limiting clearing to retain maximum undisturbed recharge areas. 3. Conserving open space and placing conservation easements to protect these areas.The project should be designed in context of adjoining areas to maintain unfragmented,contiguous open space to maximize the benefit of these areas both ecologically and in terms of watershed protection. 4. Limiting fertilizer dependent vegetation to minimize turf areas. 5. Using native plants for landscaping purposes that require less water and are more drought tolerant. 6. Preserving existing native vegetation to the maximum extent practical keeping in mind realistic accessory uses that will likely occur(ie;sheds,pools). A conservation easement should be placed on the preserved area so it is not disturbed for accessory uses. 7. Using natural stormwater management practices(grass swales,filter strips,created wetlands,etc), where possible. 8. Only installing ornamental water features that recycle water. Signs should indicate that water is recycled.These water features should not be operated during a drought. 9. Using porous pavements,and/or minimizing road widths to the extent practical,while still allowing adequate emergency access. 10. Requiring the use of landscape methods that minimize recharge of contaminants. F. Identify adverse environmental effects that cannot be avoided if the project is implemented SITE PLAN STATUS REPORT SITE PLAN TYPE: AMENDED YNEW WITHDRAWN INCOMPLETE PROJECT NAME: —APSe ZONEI:_ZONE2: ZON 3: LOCATION: 47cu.- 2- HAMLET: S'o PROJECT USE: SCTM# 1000 - OWNER NAME: APPLICANT NAME:, ,� ( , Y S' r TEL#(_ -2 AGENT NAME: �,�� TEL# PROJECT DESCRIPTION / THIS SITE PLAN IS FOR ON ACRES PARCEL IN T��ZONE LOCATED AT IN_ SCTM#1000- - - (SEE ABOVE). DATE BUILDING DEPARTMENT NOTICE:S/P REQUIRED Y OR N ZBA APPEAL REQUIRED Y OR N PRE-SUBMISSION WRITTEN REQUEST: PRE-SUBMISSION CONFERENCE(WITHIN 30 DAYS OF WRIT'1`RV INFORMAL REQUEST FOR REVISIONS: PRE-WORK SESSION: APPLICATION RECEIVED DATE:(3./,2--9' /420, APPLICATION PROCESS DATE: PAYMENT RECEIVED: ,,// AMOUNT RECEIVED:$ 3�. �ZS FEE AMOUNT:($300.Xf*7x���o =$ 3050 )+($.05 X S SF=$- ..�- )=$ 3 NEW APPLICATION WORK SESSION(WITHIN I O DAYS OF RECEIPT) b ee APPLICANT ADVISED OF NECESSARY REVISIONS (WITHIN 30 DAYS OF REVIEW) REVISED SUBMISSION RECEIVED: REFE D AGENCIES] / et�� -a /�/ STZBA• STBD, ,STC/TB•✓ ,JH✓ ,STBT,I,STE✓,SCDHS /,NYSDEC_,USACORPS ,NYSDOT SCWA✓ ,SCPD�CDPWug� / RESPONSES NOTES LEAD AGENCY:TOSPB: THER:_REVIEW;PARTl_,PART 2_,PART 3_,SHORT EAFJ LONG EAF_ ACTION TYPE:COORDINATED:_ UNCOORDINATED: (TYPE :_TYPE2: t NLISTED: ) REFERRED TO:STZBA_,STBD_,STC/TB_,JH_,STBT_,STESCDHS_,NYSDEC �SACORPSNYSDOT SCWA_,SCPD_,SCDPW_ SEQRA DETERMINATION:NEG DEC Y OR N, APPROVALS REQUIRED: REFERRED DATE NOTES APPROVAL DATE NOTES ARCHITECTURAL REVIEW COMMITTEE: D�l/$lO� D l IGlP vr/J — �fl c 6�e vI �w BUILDING DEPARTMENT CERTIFICATION: p�/L�/� FIRE COMMISSIONERS: 04/L/a¢ hy(� c�-- TOWN ENGINEER APPROVAL: DEP.OF TRANSPORTATION:DOT_,DPW TOS_ Caew _/ / _l l Q� S 4�2 SUFFOLK COUNTY DEPARTMENT OF PLANNING: SUFFOLK COUNTY DEPT OF HEALTH:PERMIT OPTIONAL APPROVALS: r� k ZONING BOARD OF APPEALS:APPEAL#: BOARD OF TRUSTEE'S: NYS DEC WETLANDS/TIDAUSPDES PLANNING BOARD DECISIONS: / DENIED: APPROVED: ✓ CONDITIONAL FINAL:_/ / FINAL: l//l O v� 3 o c o.. S NOTES ENDORSEMENT OF SITE PLAN: FIELD INSPECTION FOR C/O: DISTRIBUTE APPROVED SITE PLANS TO: BUILDING DEPT / 'r / TOWN ENG / / GENERAL NOTES: 3/31J I �` G►;�t�� !mot^-� 4 � I PLANNING BOARD MEMBERS O$VFFU(�C BENNETT ORLOWSKI,JR. P.O. Box 1179 Chairman _� y� Town Hall,53095 State Route 26_ o Southold, New York 11971-0959- RICHARD CAGGIANO Telephone (631) 765-1938 WILLIAM J.CREMERS Fax:(63.1.) 765-3.136 KENNETH L. MARTIN HESIDORDS oy�O1 � � Date Received Date Completed PLANNING BOARD OFFICE Filing Fee TOWN OF SOUTHOLD p C c� E WE APPLICATION FOR CONSIDERATION OF A I LAN MAR 2 9 2004 New Change Qf Use Southold Town Re-use - Planning BoarO Extension Revision of Approved Site Plan' -. Name of Business or Site: SCTM#: 1000- S-'s, - D Z _ 3 Location: Address: O Z S-- G./e• o j Name of Applicant: (Jf p,�/Q Aa/J� Address of Applicant: O Telephone: Owner of Land: Agent or Person responsible for application: ,, 7- ,Q4 f� �2cF1iTi�G7— Address: ;.: ~ o x / ¢ z �o� T�fe�v ,✓. r ! Telephone:. — 7G Ste— Site plans prepared by: e i14*, -r License No, S'Z 4- Address: /Z 3 v (� ✓ � g Si /'1��/30 Telephone: s'9 y t Page 2 M Planning Board Site Plan Application APPUCANI'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOIJC - �Q � Q• S��ti�,, IeA being duly sworn, deposes and says that he resides at lv�� M /�i �GJd'tJd �/q"b i —�r/����i•1�In the State of New York, and that he Is the owner of the.above property, or that he is the of the ,�/��L !G,a WTS (Title) (Specify whether Partnership or Corp.) which is hereby making application;.that there,are no existing structures or Improvements on the land M which are not shown on•the Site Plan; thatthe title to the entire parcel, including all rights-of-way, 'Has" - been clearly established and is shown on said Plan; that no part of_the-Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be altered or changed In any manner without the approval of the Planning Board; and that the actual physical Improvements will be installed In strict accordance with the plans submitted. Signed Signed (Partner or Corporate Officer and Title) Swo to me this /� day L Cam! 0 ry u Ilc) .'laire L. Glew - ._ -;folic, State-of New York No. 01 GL4879505 - �Fualified in.Suffolk Count commission Expires Dec.8, 1� 6 Page 3 Planning Board Site Plan Application 24 F4-0 _-'-Total Land Area of Site (acres or square feet) Goa. bus .Zoning District Existing Use of Site 90T'a is 54L 1 -S �5��,�i����F �vrr'� 1cu c•�Jsk+�.vos ��cc�ssoki+� Proposed Uses on Site. Show all uses proposed and existing. Indicate which building will have which use. If more than one use Is proposed per building, indicate square footage of floor area that will be reserved per use. S / 7f Gross Floor Area of Existing Structure(s) i 75� Gross Floor Area of Proposed Structures) z 2. G Percent of Lot Coverage by Building(s) - Percent of Lot for Parking (where applicable) 2 7. 0 Percent of Lot for Landscaping (where applicable) Has applicant been.granted a variance and/or special exception by Y� 5 Board of Appeals- Case # &date 4 S 76 3,11YI6/ 1A Board of Trustees.'Case# &date rV,l NY State Department of Environmental Conservation - Case # & date TIf,A Suffolk County Department Health Services - Case # & date Base Number )iVame of Applicant Date of Decision Expiration Date Other !J•° III any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the site? If so, have proper permits been obtained?, Name of Issuing agency Number and date of permit Issued. NO ACTION(EXCAVATION OR CONSTRUCTION)MAYBE UNDERMEW UNTIL APPROVAL OF SITE PLAN BY PLANNING BOARD. VIOLATORS ARE SUBJECT TO PROSECUTION. 1 ` Site Plan Applications Public Hearings Under the current site plan application procedure, the process for reviewing a site plan application is: a public hearing is not scheduled and held by the. Planning Board until after, among other things, the site plan has received a stamped Health Department approval. The applicant shall now have the following options: 1, To follow the established procedure, or 2. To have the Planning Board schedule and hold .a p.ublic hearing on the site plan application and-have the-Planning Board vote on the proposed conditional site plan prior to the applicant receiving Health Department approval subject to the following conditions: A. The applicant hereby agrees and understands that if the site plan which receives stamped-Health Department approval differs in any way from the proposed conditional site plan on which the Planning-Board held a public hearing and voted on, then the Planning Board has the right and option, if the change is material to any of the issues properly before the Planning Board, to hold a public hearing on this "revised" site plan application and review its conditional approval. B. The applicant agrees not to object to a new public!fearing and Planning Board review of the revised applicaO�on. Applicant Agreement on Site Plans-. The applicant is aware of the terms of this.approval and-certifies to these terms by his/her signature below. Re: w/' 7d }4 6)J-Z- p icwlTd.l �jl�1s SCTMM 1000- 5 5= OZ— Z ' ; 4- A icant Date r , 61 Z 20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine,in an orderly manner,whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently,there are aspects of a project that are subjective or-unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not 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 enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large,then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: 0 Part 1 El Part 2 Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate),and any other supporting information,and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: RA. 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. 013. 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.* EIC. 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 different from responsible officer) website Date Page 1 of 21 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form,Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional 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 7-O Td"r eF1,r T5 Location of Action(include Street Address,Municipality and County) 476e-j Name of Applicant/Sponsor A -tx V--l� 7— Address City/PO ��, T�� L State Zip Code % tl Business Telephone 61 74'5-- 3 .$+Y—_ Name of Owner(if different) ®/L pa'✓ 'Vex= jFi G oQ(y F 2 Address C. X /D ;5;-.? City/PO �4(, T-1���� �7 State Zip Code Business Telephone 4;�3/ Z QQ O Description of`Action: A7 �-� c; To S/--4-dam- JGi�� �v A---1v.'-c OA . I Page 2 of 21 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:E]Urban �Industrial �Commercial D Residential (suburban) E]Rural (non-farm) DForest, D Agriculture El Other I 2. Total acreage of project area: •��7 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) O acres O acres Forested d acres 0 acres Agricultural (Includes orchards, cropland, pasture, etc.) 6 acres 0 acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) 0 acres 0 acres Water Surface Area C/ acres a acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces 395--acres a 3e5 acres Other (Indicate type) -5C'd P C r�;' A4-gr'o e fZ acres ��� acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained ZI1T % of site Moderately well drained % of site. Poorly drained % of site b. If any agricultural land is inv Ived, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? A acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? 0 Yes No a. What is depth to bedrock Q(in feet) 5. Approximate percentage of proposed project site with slopes: P�0-10% /&V % Ell 0- 15% % 15% or greater % 6. Is project substantially to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? Yes No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? Yes to 8. What is the depth of the water table? q (in feet) g. Is site located over a primary, principal, or sole source aquifer? XYes -71 No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Yes V No Page 3 of 21 11 Does project site contain any species of plant or animal life that is identified as threatened or endangered? OYes ZNO According to: Identify each species: 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? E]Yes No Describe: 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? 11 Yes MNo If yes, explain: 14. Does the present site include scenic views known to be important to the community? OYes o 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: b. Size (in acres): Page 4 of 21 ' 17. Is the site served by existing public utilities? Yes No a. If YES, does sufficient capacity exist to allow connection? 0 Yes No b. If YES, will improvements be necessary to allow connection? 0Yes 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 j 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? ® Yes No 20. Has the site ever been used for the disposal of solid or hazardous wastes? Yes No g. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: , acres. b. Project acreage to be developed: ° SZ7 acres initially; • Sz 17 acres ultimately. c. Project acreage to remain undeveloped: © acres. d. Length of project, in miles: (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed. D % f. Number of off-street parking spaces existing j Z proposed g. Maximum vehicular trips generated per hour: (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure: Z height; 1,.0 p1:� width; Z Z length. j. Linear feet of frontage along a public thoroughfare project will occupy is? /s / ft. 2. How much natural material (i.e. rock, earth, etc.) will be removed from the site? tons/cubic 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? acres. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ®Yes IM No 6. If single phase project: Anticipated period of construction: Z_months, (including demolition) 7. If multi-phased: a. Total number of phases anticipated (number) b. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ID Yes El No 8. Will blasting occur during construction? M Yes 0 No 9. Number of jobs generated: during construction 0 ; after project is complete d 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? El Yes M No If yes, explain: 12. Is surface liquid waste disposal involved? - Yes CRNo a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged MA 13. Is subsurface liquid waste disposal involved? 1,ng Yes E]No Type 15,e� [� C-1S5 4W 14. Will surface area of an existing water body increase or decrease by proposal? Yes No If yes, explain: 15. Is project or_any portion of project located in a 100 year flood plain? Yes RNo 16. Will the project generate solid waste? 0 Yes 17 No a. If yes, what is the amount per month? D tons b. If yes, will an existing solid waste facility be used? .Yes .. No c. If yes, give name <ea'Veca 7_w<) T/ �Js�i&y location w�GC-AylPjF_— d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? E]Yes ONo Page 6 of 21 ~ e. If yes, explain: 17. Will the project involve the disposal of solid waste? E]Yes JONO 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? E]Yes No 19. Will project routinely produce odors (more than one hour per day)? E]YesNo 20. Will project produce operating noise exceeding the local ambient noise levels? O Yes Dr-J No 21. Will project result in an increase in energy use? 0 Yes E] No If yes, indicate type(s) 1/�,a i/fir? �09�—��v�j D�= G��✓ G/�.r /� 77-1 147 /-f r i1V y o 0 �111"4 1-' l� 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? Yes No If yes, explain: Page 7 of 21 25. Approvals Required: Type Submittal Date City,Town, Village Board E]Yes �allo OQ— City, Town, Village Planning Board Yes No City, Town Zoning Board E]Yes VN No City, County Health Department E]Yes 19 No Other Local Agencies Yes r7 No Other Regional Agencies El Yes No State Agencies Yes No Federal Agencies Yes Invo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? 9Yes E] No If Yes, indicate decision required: 11 Zoning amendment Zoning variance 0 New/revision of master plan El Subdivision bite plan ®� Special use permit 0 Resource management plan El Other Page 8 of 21 a 2. What is the zoning classification(s) of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? i7 (s s g 6J'e L y X 7- /y,4 x 1 v/07. 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? f5k ,,z?a 45' r -rc575 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? Yes No 7. What are the predominant land use(s) and zoning classifications within a 'Y4 mile radius of proposed action? Gddn�lrroGGlf,IL /13(JSlzJ�55 i i 8. Is the proposed action compatible with adjoining/surrounding land uses with a '/4 mile? Yes El No 9. If the proposed action is the subdivision of land, how many lots are proposed? p a. What is the minimum lot size proposed? Page 9 of 21 M 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? 11 Yes D No 11 Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? E]Yes 0 No a. If yes, is existing capacity sufficient to handle projected demand? 1:1 Yes E]No 12. Will the proposed action result in the generation of traffic significantly above present levels? E]Yes IR No a. If yes, is the existing road network adequate to handle the additional traffic. OYes ®No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name .C�4 te Signature / Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 r S i PART 2 -PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) I 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. I 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 cumulative effects. Instructions (Read carefully) a. Answer each of the 20 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. 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. e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change Impact on Land 1. Will the Proposed Action result in a physical change to the project site? NO YES E] Examples that would apply to column 2 • Any construction on slopes of 15%or greater,(15 foot Yes No rise per 100 foot of length),or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table El El E] Yes No is less than 3 feet. • Construction of paved parking area for 1,000 or more Yes No vehicles. • Construction on land where bedrock is exposed or El E] Yes E]No generally within 3 feet of existing ground surface. • Construction that will continue for more than 1 year or 0 El E] Yes 0 No involve more than one phase or stage. • Excavation for mining purposes that would remove Yes [:]No more than 1,000 tons of natural material(i.e.,rock or soil)per year. Page 11 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill. Yes ®No • Construction in a designated.floodway. 0 OYes ®No • Other impacts: Yes ®No 2. Will there be an effect to any unique or unusual land forms found on the site?(i.e.,cliffs,dunes,geological formations,etc.) ElNO ElYES • Specific land forms: ®Yes ®No Impact on Water 3. Will Proposed Action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) NO YES 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 El 13 0Yes No a protected stream. • Extension of utility distribution facilities through a protected water Yes No body. • Construction in a designated freshwater or tidal wetland. 0 El [:]Yes No • Other impacts: Yes No 4. Will Proposed Action affect any non-protected existing or new body of water? rl NO E]YES Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body of El El []Yes []No water or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface 0 Yes 0 No area. • Other impacts: El E]Yes No Page 12 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 5. Will Proposed Action affect surface or groundwater quality or quantity? ElNO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. El 0Yes M No • Proposed Action requires use of a source of water that does not ® ®Yes O No have approval to serve proposed(project)action. Proposed Action requires water supply from wells with greater Yes No than 45 gallons per minute pumping capacity. • Construction or operation causing any contamination of a water Yes No supply system. • Proposed Action will adversely affect groundwater. E]Yes ®No • Liquid effluent will be conveyed off the site to facilities which El E]Yes E]No presently do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons El D 13 Yes ®No per day. • Proposed Action will likely cause siltation or other discharge into El E]Yes El No an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or El E]Yes E]No chemical products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without El El E]Yes E]No water and/or sewer services. • Proposed Action locates commercial and/or industrial uses ©- El DYes E]No which may require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: E]Yes 0 No Page 13 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 6. Will Proposed Action alter drainage flow or patterns,or surface water runoff? NO YES Examples that would apply to column 2 • Proposed Action would change flood water flows El E] Yes ®No • Proposed Action may cause substantial erosion. E] Yes ®No • Proposed Action is incompatible with existing drainage patterns. EJ ®Yes ®No • Proposed Action will allow development in a designated 0 ©Yes No floodway. • Other impacts: El ElYes No IMPACT ON AIR 7. Will Proposed Action affect air quality? 0 NO 13 YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any E 0 E]Yes ®No given hour. • Proposed Action will result in the incineration of more than 1 ton 1:1 El El Yes [:3 No of refuse per hour. • Emission rate of total contaminants will exceed 5 lbs.per hour 1:1 El E]Yes ®No or a heat source producing more than 10 million BTU's per hour. • Proposed Action will allow an increase in the amount of land El El 0Yes No committed to industrial use. • Proposed Action will allow an increase in the density of E Yes No industrial development within existing industrial areas. • Other impacts: El El E]Yes [:3No IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? NO YES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or 11 El []Yes E]No Federal list, using the site,over or near the site,or found on the site. Page 14 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ ❑Yes [—]No • Application of pesticide or herbicide more than twice a year, ❑ ❑ [:]Yes ❑No other than for agricultural purposes. • Other impacts: ❑ ❑ ❑Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non- endangered species? El NO El YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident ® ❑ ❑Yes No or migratory fish,shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres of ® ❑ ❑Yes No mature forest(over 100 years of age)or other locally important vegetation. • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will Proposed Action affect agricultural land resources? 11 NO ❑YES Examples that would apply to column 2 • The Proposed Action would sever,cross or limit access to ❑ ❑ ❑Yes ❑No agricultural land(includes cropland,hayfields,pasture,vineyard, orchard,etc.) • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes ❑No agricultural land. • The Proposed Action would irreversibly convert more than 10 ❑ ❑ ❑Yes ❑No acres of agricultural land or,if located in an Agricultural District, more than 2.5 acres of agricultural land. Page 15 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • The Proposed Action would disrupt or prevent installation of ® ©Yes ®No agricultural 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: D El []Yes EI No IMPACT ON AESTHETIC RESOURCES 11. Will Proposed Action affect aesthetic resources?(If necessary,use the Visual EAF Addendum in Section 617.20,Appendix B.) E]NO E]YES Examples that would apply to column 2 • Proposed land uses,or project components obviously different ©Yes ®No from 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 El 0 ElYes El 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 E]Yes 1:1 No significant screening of scenic views known to be important to the area. • Other impacts: E] []Yes ®No I .--l- IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance? NO M YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or Yes No substantially contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeologi6aI site or fossil bed located within Yes No the project site. • Proposed Action will occur in an area designated as sensitive Yes ® No for archaeological sites on the NYS Site Inventory. Page 16 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Other impacts: El ® Oyes ®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? NO r]YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity. El E]Yes ®No • A major reduction of an open space important to the community. 0 [:]Yes ©No • Other impacts: ® 0 ®Yes 0No IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will Proposed Action impact the exceptional or unique characteristics of a critical environmental area(CEA)established pursuant to subdivision 6NYCRR 617.14(g)? [:]NO YES List the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2 • Proposed Action to locate within the CEA? M EJ E]Yes E]No • Proposed Action will result in a reduction in the quantity of the M 11 r-77 Yes 0 No resource? • Proposed Action will result in a reduction in the quality of the El 0 0 Yes E]No resource? - • Proposed Action will impact the use,function or enjoyment of the El El E]Yes No resource? • Other impacts: E]Yes No Page 17 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation systems? E]NO ©YES Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or 0 ®Yes []No goods. • Proposed Action will result in major traffic problems. ® ®Yes ®No • Other impacts: ®Yes ®No IMPACT ON ENERGY 16. Will Proposed Action affect the community's sources of fuel or energy supply? NO MYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5%increase in the El 0 [3Yes [:1 No use of any form of energy in the municipality. • Proposed Action will require the creation or extension of an [:]Yes []No energy 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: El 0 ElYes [I No NOISE AND ODOR IMPACT 17. Will there be objectionable odors,noise,or vibration as a result of the Proposed Action? E]NO E]YES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive 1:1 ElYes [3 No facility. d • Odors will occur routinely(more than one hour per day). 0 ®Yes [3 No • Proposed Action will produce operating noise exceeding the El E] E]Yes No " local ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ®Yes ®No noise screen. • Other impacts: ElYes ®No Page 18 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety? NO ElYES • Proposed Action may cause a risk of explosion or release of [3Yes []No hazardous 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" 11 El ®Yes .®No in any form(i.e.toxic,poisonous,highly reactive,radioactive, irritating,infectious,etc.) • Storage facilities for one million or more gallons of liquefied 0 Yes No natural gas or other flammable liquids. . • Proposed Action may result in the excavation or other 1 DYes E]No disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: ® OYes 0No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will Proposed Action affect the character of the existing community? IDNO E]YES Examples that would apply to column 2 • The permanent population of the city,town or village in which the 0 E]Yes 11 No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating 1 0 E]Yes El No services will increase by more than 5%per year as a result of this project. • Proposed Action will conflict with officially adopted plans or 0 El E]Yes 11 No goals. • Proposed Action will cause a change in the density of land use. "" El DYes Cho • Proposed Action will replace or eliminate existing facilities, Yes O No structures or areas of historic importance to the community. • Development will create a demand for additional community nYes [:]No services(e.g.schools,police and fire,etc.) Page 19 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Proposed Action will set an important precedent for future [3 Yes ®No projects. • Proposed Action will create or eliminate employment. El 0 E]Yes F-1 No • Other impacts: E]Yes El No 20. Is there,or is there likely to be,public controversy related to potential adverse environment impacts? ONO E]YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21 4 Part 3 - EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s)is considered to be potentially large,even if the impact(s)may be mitigated. Instructions(if you need more space,attach additional sheets) 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. Page 21 of 21 1 D. INFORMATIONAL DETAILS AND WATER SUPPLY NARRATIVE REQUEST 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. 1. Provide explanation of existing site use, occupancy, structures, sanitary flow, water use; compare to proposed use, occupancy, structures, sanitary flow, water use. 2. Indicate the source of water supply,nearest public water main, nearest public well field, and adjacent private wells(if known). 3. If public water supply is proposed, indicate the ability of the water utility to provide water supply to the project. Provide letter of water availability or detailed explanation of status of review by water utility. 4. If private water supply is proposed, indicate the well specifications, water quality based on on-site water quality data. Provide Suffolk County Department of Health Services approval or detailed explanation of status of review by agency. 5.. Indicate proposed water conservation measures that will mitigate for unavoidable adverse impacts (If any). Conservation measures should include,but not be limited to: a. The use of drought tolerant plants for landscaping. b. The preservation of existing native vegetative buffers. c. The conservation of existing open space areas. d. The implementation of"natural' stormwater management practices (grass swales, filter strips, created wetlands, etc...). E. VERIFICATION I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name Date Signature Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 6 Town Of Southold G, P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/07/04 Receipt#: 0 Transaction(s): Subtotal 1 Application Fees $344.70 Check#: 9309 Total Paid: $344.70 FAR U E 8 2004 Southold Town Planning Boar+ Name: 1670, House 47025 C.r. 48 Southold, NY 11971 Clerk ID: JOYCEW Internal ID:91896