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AREA 1 .568 AC = 68,283 SQ FT �Dti�'
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TOTAL AREA 3.578 ACRE,, 155,879 SQ FT
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LOT 1 AREA 1 .0 ACRE, 43,560 SQ FT
LOT 2 AREA 1 .01 ACRE, 44,036 SQ FT ,QP
LOT 3 AREA 1 .568 ACRE, (68,283 SQ FT
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o \ \ AREA 1 .00 AC = 43,560 SQ FSOUTOLD TOWN
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PLANNING BOARD
LEGEND:
o0
;PROPOSED SURVEY OF ® CATCH BASIN
(,PROPERTY ® DRAIN GRATE SKETCH PLAT FOR THE STANDARD SUBDIVISION OF PRINCIPI,
\ c9� F�� ,�� �`�o`�G'CP o �6. ,��°). / j3/ TUATE FIRE HYDRANT FURTHER NORTH FARM, AND MCNULTY
�o� �°� �o ° \� ,,� / LAUREL, TOWN OF SOUTH OLDS LAMP POST AERIAL LAND SURVEYING D. P.C.f NOTE: LOCATIONS AND EXISTENCE OF ANY
OLD LOT LINE , O S U F F 0 L K COUNTY NEW Y 0 R K SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
1' I�\FOR REFERENCE / f OVERHEAD UTILITY WIRES 53 PROBST' DRIVE
Q �� '� Q�, \ o�� SHIRLEY, NY 11967 CERTIIFICATIONS HEREON ARE NOTTRANSFERABLE.
.� 9 ,�'�• Q TAX No. 1000-12900-0100-002000, PHONE: 833-787-8393
\. �P o �°�, ��� / 1000-12900-0100-003001 & `� UTILITY POLE
E—MAIL: SURVEYS®AERIALLANDSURVEYIMIG.COM
OGk. GRPVE�IP� � \ � / 1000-12900—0100—003002 ® MANHOLE WEBSITE. www.AERIALLANDSURVEYIMIG.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
RCH MIGHT DISCLOSE
'SCALE 1»=30' DISTRICT:1000 LOT:003 0010& .000,003.002 LOCK:O1.00 SECTION:534.00 PERTINENT FACTS WHICH A TITLE*UNAUTHORIZED ALTERATION OR AD�DITIION TO A SURVEY MAP BEARING A
TREE LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
•o. � / • • (MARCH 30, 2024 MAP/FILE No.: N/A
SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
SIGN 'Copies from the original of this survey map not marked with an original
AREA = 155,879 sq. ft. MAP OF: SKETCH PLAT FOR THE STANDARD SUBDIVISION OFPRI NCI PI,FURTHER NORTH FARM,AND MCNULTY of the land surveyor's Inked seal or his embossed seal shall not be
considered a valid true copy.' 'Certification indicated hereon signify that
WATER METER this survey was prepared in accordance with the existing Code of Practice
e� TITLE NO.: N A for Land Surveys adopted by the New York State Association of
3.578 aC. Profesional Land Surveyors. Sold certifications shall run only to the
P, WV person for whom the survey Is prepared, and on his behalf to the title
Gj o Q o WATER VALVE MAP FILED DATE: N/A company, governmental agency and lending Institution. Certifications are
—12900-0100-002000,
not transferable to additional Institutions or subsequent owners.'
CONC. MONUMENT
/ OF COUNTY TAX MAP ID: 1000
/ 1000-12900-0100-003001 & 1000-12900-0100-003002
O �
00 \ / .� O FLOOD NOTE: By graphic plotting only, this property is in Zone(s) EMm ELEC. METER N
0 O x of the Flood Insurance Rate Ma ,Communit Panel No. SITUATED AT: LAUREL, TOWN OF SOUTHOLD
' \ / 36103CO483H Map,Community
GM GAS METER
o :9 25 2009 ,which bears an effective date of SUBDIVISION MAP LOT & BLOCK 'S: N A
Q O�, and is in a Special Flood Hazard Area. . ' }.
STAKE SET o a
COPYRIGHT 2024 RALPH HEIL. q`ty; s,
^
J U' I.:. O TBD AERIAL LAND SURVEYING, D.P.C. ,..
w JOB NO.: 24-748B
V DATE: MARCH 30, 2024
SURVEY OF / ' S
PROPERTY �, 01 17/
SI TUA TE
0
LAUREL, TOWN OF SOUTH OLD Y
SU FFOLK COUNTY, Tax Map Lot
NEW YORK
TAX No. 1000-12900-0100-002000,
4 N/O/F of
1000-12900-0100-003001 &
1000-12900-0100-003002
J O H N
SCALE 1"=30'
MARCH 30, 2024 >>— '— —' ' M C N U LTY
AREA = 155,879 sq. ft.
3.578 cc.
----- �� O
i
Tax Map Lot 1 N F
/O/
of HALF HOLLOW /
NURSERY REALTY
CORP /
Tax Map Lot/
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p d _
v \\ \ �. Lot 2 GG�G' �C'�L \ / GPI / 17 ,J pouthold io�r�
6' N \ \
� o00 Planning Board
LEGEND:
7' CATCH BASIN FLOOD NOTE:
� � � 6' � X By graphic plotting only, this property is in Zone(s)
/
o Cn 4� '� �� G) 16 ® DRAIN GRATE of the Flood Insurance Rate Map,Community Panel No.
36103CO483H ,which bears an effective date of
1' AWN C` O' ENO p \ ' FIRE HYDRANT 9 25 2009 and is in a Special Flood Hazard Area.
QG� \ LAMP POST AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY
9 O S OVERHEAD UTILITY WIRES SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
GQ CROSS—HATCHED AREAS = 4927 SQ. FT. (3.16%) 53 PROBST DRIVE READILY VISIBLE, ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
COL) UTILITY POLE PHONE: 833-787-8393
E-MAIL:NOTES: SURVEYSOAERIALLANDSURVEYING.COM
18 L WEBSITE: WWW.AERIALLANDSURVEYING.COM
6+� 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM ® MANHOLE THIS
FA ISsavBBllEaa•ITA ANTITL SEAR HE MIGHT RECORD AND ANY OTHER
p���p� DISTRICT:1000 LOT:002.000, BLOCK:01.00 SECTION:534.00
EXISTING ELEVATIONS ARE SHOWN THUS: 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
®_ TREE 003.001 & 003.002 LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
,9 / MAP/FILE NO.: N/A SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
20 _f_ ��'� -a SIGN �� �� 'Copies from the original of this survey map not marked with an original
MAP OF: NOT ON A FILED SUBDIVISION MAP of the land surveyors Inked seal or his embossed seal shall not be
considered a valid true copy.' "Certification Indicated hereon signify that
21 QP WATER METER this survey was prepared In accordance with the existing Code of Practice
TITLE NO.: N/A for Land Surveys adopted by the New York State Association of
\ o , Profeeional Land Surveyors. Said certifications shall run only to the
23 , WV person for whom the survey Is prepared• and on his behalf to the title
O �QGF' n WATER VALVE MAP FILED DATE: N/A company, governmental agency and lending Institution. Cartlfications are
not transferable to additional Institutions or subsequent owners."CONC. MONUMENT COUNTY TAX MAP ID: 1000-12900-0100-0020owners."
1000-12900-0100-003001 & 1000-12900-0100-003002
\ / / EM m ELEC. METER N
o GM CM GAS METER SITUATED AT: LAUREL, TOWN OF SOUTHOLD
� STAKE SET
Q' SUBDIVISION MAP LOT & BLOCK S: N A
f=ILL. COPYRIGHT 2024 RALPH HEIL. 0
TBD r
AERIAL LAND SURVEYING, D.P.C.
JOB NO.: 24-748B
DATE: MARCH 30, 2094
PROPOSED SURVEY OF '
PROPERTY '
S I TUA TE 01 �/
LAUREL, TOWN OF SOUTH OLD
SUFFOLK COUNTY, NEW YORK Y � '
_ _ _ '\ •o Tax Ma Lot
TAX No. 1000 12900 0100 002000, DC p
1000-12900-0100-003001 & 4 N/O/F of
1000-12900-0100-003002
SCALE 1"=30' <<\ J O H N
MARCH 30, 2024
M C N U LTY
AREA = 155,879 sq. ft.
3.578 cc. pf�
0,
O
0,
O
Tax Map Lot 1 N/O/F ,
of HALF HOLLOW
NURSERY REALTY
pp /
CORP
(-b<
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3.2
(616
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Tax Map Lot
Tax Map Lot 3.1 3.2
cp
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1AN / Lot 21-30
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Tax Map
13 �V
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Lot 2
RECEIVED
-2� F \ p p
DEC 10 2024
\ 01PARCEL o \ �� gj o4 L-Southold Town
coo \ \ \ G,"J 4g' (Manning Board
�\ \ � o�G �o� \ o \.� / • KEY MAP
LEGEND:
ooe €� � \ 0 00
OsS��Q �� / / ® CATCH BASIN FLOOD X NOTE: By graphic plotting only, this property is in Zone(s)
\ Ql ' ® DRAIN GRATE of the Flood Insurance Rate Map,Community Panel No.
/\ 0 /� C� 7' \� 6� �p� / 9 2532 O09C0483H ,which bears an effective date of
O 5 6• and is in a Special Flood Hazard Area.
�<0 O 1 �Oj• FIRE HYDRANT
\� 1 �O' �N p \ ,+� / ' / LAMP POST
AERIAL LAND SURVEYING, D.P.C. NOTE. LOCATIONS AND EXISTENCE OF ANY
�'0,,`�• V` O�L \ (� / OVERHEAD UTILITY WIRES 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
V READILY VISIBLE, ARE NOT CERTIFIED. THE
VA X� OO ,y1 0� Q ,`�Q \ °<D SHIRLEY, NY 11967 CERTIFlCATIONS HEREON ARE NOT TRANSFERABLE.
PHONE: 833-787-8393 UTILITY POLE E—MAIL SURVEYSOAERIALLANDSURVEYING.COM THIS WEBSITE: WWW.AERIALLANDSURVEYING.COM SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
GRP\ MANHOLE PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE DISTRICT:1000 LOT:002.000, BLOCK:01.00 SECTION:534.00
003.001 & 003.002 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
TREE LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
MAP/FILE NO.: N/A SECTION 7209. SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
SIGN 'Copies from the original of this survey map not marked with an original
MAP OF: "NOT ON A FILED SUBDIVISION MAP" of the land surveyors irked seal or his embossed Beal .hall not be
/ \ M considered a valid true copy.' 'Certification Indicated hereon signify that
WATER METER TITLE NO / this survey was prepared In accordance with the existing Code of Practice
.: N A for Land Surveys adopted by the New York State Association of
Profesional Land Surveyors. Sold certifications shall run only to the
person for whom the survey Is prepared, and on his behalf to the title
N c�GJ p F QP WV WATER VALVE MAP FILED DATE: N/A company, governmental agency and lending Institution. Certifications are
not transferable to additional Institutions or subsequent owners.'
CONC. MONUMENT COUNTY TAX MAP ID: 1000-12900-0100-002000,
O n0 \ O N 1000-12900-0100-003001 & 1000-12900-0100-003002
EM m ELEC. METER SITUATED AT: LAUREL, TOWN OF SOUTHOLD
\ / GM m GAS METER e s ue" k
.� o SUBDIVISION MAP LOT & BLOCK ,S: N/A � ►�
Q 0 STAKE SET
COPYRIGHT 2024 RALPH HEIL,
TBD AERIAL LAND SURVEYING. D.P.0 e. -
�'� w JOB NO.: 24-7486
DATE: MARCH 30, 2024 ^��.----
SURVEY OF
PROPERTY
SI TUA TE
LAUREL, TOWN OF SOUTH OLD
SUFFOLK COUNTY, NEW YORK
TAX No. 1000-12900—0100—002000
SCALE 1"=20'
MARCH 30, 2024
AREA = 19,311 sq. ft. °
0.443 ac. '
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F ,S
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Tax Map Tax Lot 3 . 1
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DEC 10 2024
--
Souhol td -i awn
Planning Board
LEGEND:
® CATCH BASIN FLOOD NOTE:
By graphic plotting only, this property is in Zone(s)
® DRAIN GRATE X of the Flood Insurance Rate Map,Community Panel No.
36103C0483H ,which bears an effective date of
FIRE HYDRANT 9 25 2009 and is in a Special Flood Hazard Area.
LAMP POST
AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY
OVERHEAD UTILITY WIRES 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
READILY VISIBLE, ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
C"4b UTILITY POLE PHONE: 833-787-8393
E—MAIL: SURVEYS®AERIALLANDSURVEYING.COM
® WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
MANHOLE PERTINENT FACTS WHICH A TIME SEARCH MIGHT DISCLOSE
DISTRICT:1000 LOT:002.000 BLOCK:01.00 SECTION:534.00
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
TREE LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
MAP/FILE NO.: N/A SECTION 7209, SUBDIVISION $ OF THE NEW YORK STATE EDUCATION LAW
_n m_ SIGN 'Copies from the original of this survey map not marked with an original
MAP OF: "NOT ON A FILED SUBDIVISION MAP" of the land surveyors inked seal or his embossed Beal shall not be
considered a valld true copy.' 'Certification Indicated hereon signify that
WATER METER this survey was prepared In accordance with the existing Code of Practice
TITLE NO.: N/A for Land Surveys adopted by the New York State Association of
Profeslonal Land Surveyors. Saki certifications shall run only to the
person for whom the survey Is prepared, and on his behalf to the title
WVWATER VALVE MAP FILED DATE: N/A company, governmental agency and lending Institution. Certifications are
not transferable to additional Institutions or subsequent owners.'
CONC. MONUMENT COUNTY TAX MAP ID: 1000-12900-0100-002000
EM m ELEC. METER N
SITUATED AT: LAUREL, TOWN OF SOUTHOLD
GM m GAS METER
SUBDIVISION MAP LOT & BLOCK S: NIA .
STAKE SET
4, COPYRIGHT 2024 RALPH HEIL
F- TBD AERIAL LAND SURVEYING, D.P.C. " Ma
w JOB NO.: 24-748B
v DATE: MARCH 30, 2024 ''
PROPOSED SURVEY OF
PROPERTY
SI TUATE
LAUREL, TOWN OF SOUTH OLD Tax Map Lot 1 N/O/ F
SUFFOLK COUNTY NEW YORK
TAX No. 1000-12900—0100—003001 SCALE 1"=20' of HALF HOLLOW
MARCH 30, 2024
AREA = 10,690 sq. ft. NURSERY REALTY
0.245 ac.
CORP Tax Map Lot
u 3.2
Tax Map
Tax Map Lot
• �� �� Tax Map Lot 3.1 3.2
° �� ��`-� � Lot 3 . 1
0 0�G 0
Tax Map \ \
PARCEL Lot `
Q
\ ��\ O 2 Tax Map Lot 3.1
all o�
Tax Map \
v Lot 2
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377
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Tax ICIIN
0
\ \ � � 4.go4
o Lot 3 . 1 0
KEY MAP
\ \ PARCEL
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\ 0_0 1
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\ Tax Map
` Lot 2
CPO ` 0
0
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u
NQP
DEC 10 2024
Southold Town
Planning Board
LEGEND:
® CATCH BASIN FLOOD N OTE:
By graphic plotting only, this property is in Zone(s)
® DRAIN GRATE X of the Flood Insurance Rate Map,Community Panel No.
36103C0483H ,which bears an effective date of
FIRE HYDRANT 97257 2009 and is in a Special Flood Hazard Area.
LAMP POST
AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY
OVERHEAD UTILITY WIRES 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
READILY VISIBLE, ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
UTILITY POLE PHONE: 833-787-8393
E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM
® MANHOLE WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
DISTRICT:1000 LOT:003.001 BLOCK:01.00 SECTION:534.00 PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE
"UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
TREE LICENSED LAND SURVEYOR'S SEAL ES A VIOLATION OF ARTICLE 134,
SUBDIVISION
ON 7209, BDIVISION 2, OF THE NEW YORK STATE ED CATION LAW
MAP/FILE NO.: N/A S
-�- SIGN 'Copies from the original of this survey map not marked with an original
MAP OF: "NOT ON A FILED SUBDIVISION MAP" of the land surveyors Inked Beal or his embossed seal shall not be
considered a valid true copy.' 'Certification Indicated hereon signify that
WATER METER this curvey was prepared In accordance with the existingq Code of Practice
TITLE NO.: N/A far Land Surveys adopted by the New York State Association of
Profesional Land Surveyors. Sold certifications shall run only to the
WV person VALVE MAP FILED DATE: N/A person for whom the survey Is prepared, and on his behalf to the title
company, governmental agency and lending Institution. Certifications are
not transferable to additional Institutions or subsequent owners.'
CONC. MONUMENT COUNTY TAX MAP ID: 1000-12900-0100-003001
EM m ELEC. METER N
SITUATED AT: LAUREL, TOWN OF SOUTHOLD
;..
GM m GAS METER SUBDIVISION MAP LOT & BLOCK 'S: N/A
STAKE SET o `-
L.L_ COPYRIGHT 2024 RALPH HEIL,
F= T B D AERIAL LAND SURVEYING, D.P.C.
Li JOB NO.: 24-748B t *
U DATE: MARCH 30, 9024 �~
PROPOSED SURVEY OF
PROPERTY
SI TUA TE
LAUREL, TOWN OF SOUTH OLD
SU FFOLK COUNTY, NEW YOR K r
/
TAX No. 1000-12900-0100-003001
SCALE 1"=20' N
MARCH 30, 2024
AREA = 57,595 sq. ft.
1.322 cc. Tax Map Lot 1 N/O/ F 6� Tax 32 Map Lot
of HALF HOLLOW
CP __9NURSERY REALTY `
CORP ` Tax Map Lot
Tax Map Lot 3.1 3.2
Tax Map Lot V 2 Tax MapI J� Lot 2(D) V \ \
u
Tax Map Lot 3.1
C Tax Map \
Lot 2
°
4
KEY MAP
Q PO
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PARCEL 2
/
Tax Map Lot 301
o
-o °
7CD
yr)l
VC) f
u
t000
7 O Noolp
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V
u
/ 7DEC__1_l0 2024
Southold Town
LEGEND: Planning Board
CATCH BASIN FLOOD NOTE:
X By graphic plotting only, this property is in Zone(s)
/ ® DRAIN GRATE of the Flood Insurance Rate Map,Community Panel No.
36103CO483H GCS FIRE HYDRANT 9 25 2009 ,which bears an effective date of
and is in a Special Flood Hazard Area.
LAMP POST
AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY
OVERHEAD UTILITY WIRES 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
READILY VISIBLE, ARE NOT CERTIFIED. THE
lip PHONEHIRLEY.NY 11967 8393 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
UTILITY POLE '1:4 E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM
° WEBSITE: WWW.AERIALLANDSURVEYING.COM
MANHOLE THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
DISTRICT:1000 LOT:003.001 BLOCK:01.00 SECTION:534.00 PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
TREE LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
MAP/FILE NO.: N/A SECTION nos, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW
_a n_ SIGN 'Copies from the original of this survey map not marked with an original
/ MAP OF: "NOT ON A FILED SUBDIVISION MAP" of the land surveyors Inked seal or hls embossed seal shall not be
• considered a valid true copy.' 'Certification Indicated hereon signify that
WATER METER this survey was prepared In accordance with the existing Code of Practice
TITLE NO.: N/A for Land Surveys adopted by the New York State Association of
Profeeional Land Surveyors. Said certifications shall run only to the
person for whom the survey is prepared, and on his behalf to the title
n WATER VALVE MAP FILED DATE: N/A company, governmental agency and lending institution. Certifications are
vJ not transferable to additional Institutions or subsequent owners.'
El CONC. MONUMENT N COUNTY TAX MAP ID: 1000-12900-0100-003001
DC� EM m ELEC. METER SITUATED AT: LAUREL, TOWN OF SOUTHOLD
GM m GAS METER SUBDIVISION MAP LOT & BLOCK 'S: N/A
A STAKE SET o
w
ILL.o COPYRIGHT 2024 RALPH HEIL.
TBD AERIAL LAND SURVEYING, D.P.C.
w JOB NO.: 24-7489
0 DATE: MARCH 30, 2024
i
SURVEY OF '
PROPERTY '
SI TUA TE 90" / °
( u
LAUREL, TOWN OF SOUTH OLD
SUFFOLK COUNTY, NEW YORK °'•
TAX No. 1000-12900-0100-003002
SCALE 1"=20' CP Tax Map Lot
MARCH 30, 2024 0'
AREA = 68,283 sq. ft. S 0 -19 4 N O/ F of
1.568 ac.
Tax Map Lot 1 N/O/ F
JOHN
of HALF HOLLOW MCNULTY
NURSERY REALTY
CORP
O
O
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O -9
0
/
PARCEL 3
/
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Tax Map
/
Lot 3 . 2
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CPO
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/
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Tax Map R'C E I V E
DE�C 10 2024
Lot 3 . 1 ' LSo6616lci i oven
/ Planning. Board
LEGEND: �~
CATCH BASIN FLOOD NOTE:
36103C0483H
By graphic plotting only, this property is in Zone(s)
PARCEL DRAIN GRATE X of the Flood Insurance Rate Map,Community Panel No.
,which bears an effective date of
Pp / FIRE HYDRANT 9 25 2009 and is in a Special Flood Hazard Area.
3 c �'• LAMP POST
A\ AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY
OVERHEAD UTILITY WIRES 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
READILY VISIBLE, ARE NOT CERTIFIED. THE
SHIRLEY, NY 11967 CERIIFICA71ONS HEREON ARE NOT TRANSFERABLE.
° UTILITY POLE PHONE: 833-787-8393
E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM
® MANHOLE WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
DISTRICT:1000 LOT:003.002 BLOCK:01.00 SECTION:534.00 PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE
®/ 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
►►►VVV///�����` TREE LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134,
CD MAP/FILE NO.: N/A SECTION n09, SUBDIVISION Y, OF THE NEW YORK STATE EDUCATION LAW
SIGN •Copies from the original of this survey map not marked with an original
MAP OF•• "NOT ON A FILED SUBDIVISION MAP" of the land surveyors Inked seal or his embossed seal shall not be
considered a valid true copy.' `Certification Indicated hereon signify that
WATER METER this survey was prepared In accordance with the existing Code of Practice
TITLE NO.: N/A for Land Surveys adopted by the New York State Association of
Profeeional Laid Surveyors. Said certifications shall run only to the
person for whom the survey Is prepared, and on his behalf to the title
WVWATER VALVE MAP FILED DATE: N/A company, governmental agency and lending Institution. Certifications are
not transferable to additional institutions or subsequent owners.'
CONC. MONUMENT COUNTY TAX MAP ID: 1000-12900-0100-003002
EM m ELEC. METER N
SITUATED AT: LAUREL, TOWN OF SOUTHOLD
r GM m GAS METER
`V SUBDIVISION MAP LOT & BLOCK S: N/A
��• A STAKE SET o {
f= T B D AERIAL COPIGHT LAND2024 SURVEYING, D.P.C.
RALPH d�
al:
Lu JOB NO.: 24-748B
U DATE: MARCH 30, 2024
0/22/2020
W W, END
�
RE: Subdivision of: �
' ID
61
—1000-129-1-2 (Principi)Lot 1 SOUTHOLD TOWN
PLANNING
Lot 2—1000-129-1-3.1 (Principi/Further North Farm, LLC)
Lot 3—1000-129-1-3.2(McNulty)
This application is to subdivided McNulty lot 3.1 and Further North Farms, LLC lot 3.2 and
create a 1 acre conforming lot of Principi lot, parcel 1-2.The Estate of McNulty sold to
Principi, lots 3.2 and 1-2, McNulty had incorrectly filed the deeds creating two lots with the
county but Southold Town only approved a lost line modification.After receiving the
determination from the town that the lots cannot be corrected in any other matter, this
application is to"clean up"and correct the deeds in order to obtain County subdivision and
a building permit.
Documents for resubmission:
1. Original existing survey(submitted)
2. sketch plat proposed lot maps (submitted)
3. Corrected application
4. Agent authorization for Richard Principi and Executrix of Estate of McNulty
5. SEAF updated for single subdivision
0. LwRP updated to reflect new parcels
7. Deeds &C/O-'s (submitted)
Sincerely,
Melissa Principi
631-745-0875
eIai s s a.porin cairp i @ eI I it igan. .,o oNn
y M vmn n.mac
............
SOUTHOLD I
'll,
PLANNING
DEPARTMENT
a
Subdivision
Application Form Sketch Approva .
APPLICATION IS IFIEREBY MADE to the Town of Southold Planning Board for
SKETCH APPROVAL for the subdivision described herein.
1. dame of Subdivision -ftWtt4-- mxaf��L
S--UWW1&1v41
1"
Suffolk Count Tax.1 la # 0,'' �- � �- --l � �'� 2
2. Suff P �`
3. Type of Subdivision Standard Conservation [
4. Hamlet
5., Street.Address/
o
Project Location
6. Acreage of Site
T. Proposed Yield MA14
S. Number of Lots Proposed
9. Zoning District
ON
10. Date of Submission
11. Please provide the names, addresses and phone numbers for the following
people:
Applicant:
yo
ell
71
"00
CA anh,)o �h 7
Agent, J6 OL4 ,
CV&
r WE pi
Sketch Plana Application Form "'
U,
u r u
Property Owners). 4
,Sure ors
............
-(...........
EngineerM-
A tto rn ey,
12, Has an application for subdivision ever been filed for this property? If so,please
indicate when and whether or not approval was d-ant by the Planning Board.
o
13. Has a Pr,!�WsSubtn ss on conference been helt.d with they Planning Board? If so,provide
%,
date. gjk� 0
014. Does the parcels meet the Lot Recognition standard in Town.Mode 280-9 Lot
Recognition? Yes� No If A&Yes, ex a n how.
�W'7 If LVo
15. Has the owner/appli"clail t mnet with Land preservation? If so,provide
date. /N/0 AJ
All
16. Is an art of the roe in agricultural use? If so,how many acres? /V0
Y p property .
17. Is there an existing or proposed sale of development rights can the property? A.lo
18. Does the owner own any adjacent properties? If so,please indicate the properties by C-O/
CTM4.
6,�1 , '.0
-V biD,
................
4 Wt
. M r ? s pleas
se
there an building e.rmit� currently e
Y g I' this pro e
provide permit number(s). .
Va r-DPxV- ax d -, li'l?b" k�wsn
20. The site will be serviced by the following special districts or utility companies:
Fire District
Past Qftce
School District
WaterW
21. Has the relevant Electric Utility Company been notified of the proposed subdivision?
If so,pleasepprov'j',de proof that service will be
fi 4
I'll
provi 01 ;eso
22. Please indicate the type of open spice and how it will be d?
r
23. Are there any existing structures on the property? If so,please indicate the type of
structure and its use(s). Will these structures remain., be removed or altered?
2-
24. Based on the parcel yield and the affordable housing requirement of the Town.Code,
how many Moderate Income Family Dwelling Units are proposed? If the number that
will be built is less than.20% of the yield,please indicate how you intend on satisfying
the requirement(see Town.Code 240-10 B (2)(c) for options).
25. Application c camp lete d by owner -rent other
u
Date
Signature of Prep .rer
3
Southold Plannl*ng.,..'Det)a,r,t",II3,,eilt
Applicant
Transactional Disclosure For
The Town of S►outhold's Code of Ethics prohibits conflicts of interest on the pail of town officers
and employees. The purpose of this form. is to provide lnfon-nation which can alert the town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
Your Name: erra.n ,,l . rind i ells
Last,First,middle initial
runless you are applying in the name of,someone else or other entity,such as a company. If sa,
indicate the other person's or company's name.
:Nature of Application: (Check all that apply)
Subdivision or Re-subdivision site Plan
Other(Please name other activity)
f ie sibling,parent o�°cbll )have ior�shil with.any officer or
y(, your c �pay,s �
you �r��onall� � o� l.hrou, ��• . � �. ��� ��ve�r�a�� � �
employee of`the Torn of Southold
e.lat onsh „ncl deb blood i a or business interest. "'Business
ss�
p y
i ter sti"$means s a business,iac udin�a ner �,ip,i, ;which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
Yes „No V/
�
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the
appropriate line A through D and/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
�m A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the
applicant is acorporation)
B.the legal or bene c,l l owner of any interest in a noncorporate entity(when the applicant is not
a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant
Description of Relationship:
this day of 2024
nO
M5'WWIRFl iv
:Mel l firma l 1
d
I
Southold Plan n ingo-Dep,artment
Applicant
Transactional Disclosure Form
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers
and employees. The purpose of this form is to provide information which can alert the town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
Your Name: Princo' Ric.1i,ard, Sole Mom] *,r of'Fij lict,
I 'I -I'm I _LL-K
Last,First,middle initial
unless you are applying in the name of someone else or other entity,such as a company. If so,
indicate the other person's or company's name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision Site Plan
Other(Please name other activity)
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or
employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
Yes No
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the
appropriate line A through D and/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the
applicant is a corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not
a corporation);
C.an officer,director,partner or employee of the applicant;or
D_the actual applicant
Description of Relationship:
Submitted thi r o UM
R,ichai, 1� Member
Disclosure Form
,Southold, Planni,ngy ment,
I I
Applicant Transactional
Disclosure Form
The Town of Southold"s Code of Ethics prohdbits conflicts of interest on the part of town officers and
employees. The purpose of this form is to provide information which can alert the town of possible con-flicts of
interest and allow it to take whatever action is necessary to avoid same.
,1 0
Your Name: hlc,,Naj ty u.iif C- 04 1 ly 1 100,
K,116t,middle initial
zrnless you are applyin u in the name of-voineone else or other entity,such as a coinpairy- ffso,indicate the other
C7
person s or compaiti;s name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision x Site Plan Other(Please
name other activity) mm
Do you personally(or through your company,spouse,:sibling,parent or child)have a relationship with any officer or employee of the
Town of Southold? "'Relationship includes by blood,marriage or business interest. "Business interest"'means a business,including a
partnership,in which the town officer or employee has even a partial ownership of(or employment by a corporation in Nvbieb the
town officer or employee owns more than 5%of the shares.
Ye_Yo4
If you answered"Yes"complete the balance of this Lbrm and date and sip where indicated.
Name of the person employed by the Town of Southold Title or
position of that person
Describe the relationship between yourself(the applicant)and the tow-n officer or employes, Eithc;r check the appropriate line A
through D mid/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater titan 5%of(lie shares of the corporate stock of the applicant(when the applicant is a
corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant Description of
Relationship:
"Submi i, day,of 4,
Jennifer It Execulrlx
Ile
..............
Ore
to
Southold Planalng,
'WIM-1
Applicant Transactional
Disclosure Fortu
The own of Southold's Code of Ethics prohibits conflicts of int
" erest on the part of town officers and
employees. The purpose of this form is to provide information which can alert the town of possible conflicts of
interest and allow it to take whatever action is necessary to avoid same.
Your Name: LAq.N�ulie� .. a un a f ,_jjgnn �
Last,First,middle initial
unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other
person's or company's name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision V Site Plan Other Please
name other activity)
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the
Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a
partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the
town officer or employee owns more than 5%of the shares.
r
eo
If you answered"Yes"complete the balance of this form and date and sign where indicated.
p employed y Title or
Name of the person ern to ed b the Town of Southold ,
position of that person
Describe the relationship between yourself the applicant)and the town officer or employee. Either check the appropriate line A
through D axed/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater than %of the shares of the corporate stock of the applicant(when the applicant is a
corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant Description of
Relationship:
� C
Su At his__ day of q 2024
dhn y*, Executor
Patri Moore
SOUTHOLD PLANNING DEPARTMENT
Agent Authorization Letter for Penning Applications
1. I, Richard Principi, sole member of Further North Farms, TLC and owner of the
identified as sCTM# 1000-1 T9-1--3.1 in Laurel, NY, hereby authorize Melissa Principi
to act as my agent and handle all necessary work involved in the subdivision/sit
plan process with the Southold Planning Board.
Signature:
Inen
Sworn before me this day of mm
[ Notary stamp]
a �
. I A R .
7.
14c °�N
O CotitATY
c
COMO. ,
I If r I I
SOUTHOLD PLANNING BOARD
1, c ul - � �� W .��� � ��� ���m� � ��.w� � �°� �� ��owner of the
property identified d as ,-AAW, -3. in ",hereby
authorize � iaL : �` to appty for a subdivision on our property and
hire any agents necessary to compLete the worm involved in the subdivis.jon
pr c 'I the S,uth, [d Manning Board.
John u Ity, as:executor
Swornbefore me this
day of Al2rl 20,24
Notary Stamp]
LUIS PEA
WILSONCOUNTY,NC
O U TH OLD PLANNING BOARD
JPhrL R.._M--c. -ty,owner of the
p rop e rty id e ntif ied as tiQ � : .2.9-i .2ire m anituc�,hereby
authorize P icja C-JAo-oi s-Q,,to appty for a subdivision on our property and
hire any agents necessaryto compkete.the work invoWed in th ego b i �i i,q
process with t1he Sou,t o �wPlanning Board.
Al_e
nn re, ay,as Executrix
Swom boor+nic this
day of 4
12LOP
o 'Iip w r
AS'r "Olt
` 40
10,
� E
t
w
Full.Environmental Assessment Form
.Pant.1 -Project and Setting
r ,
SOUTHOLD TOWN
Instructions for Completing Part 1 [PLANNINGBOARD
4
Part 1 is to be completed by the applicant or project sponsor. Responses become part of the app L,, ,ion MW%inding
are subject to public review,and may be subject to further verification.
Complete Part 1 based on information currently available. If additional research or investigation would be needed to Fully respond to
any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist,
or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors roust complete all items in Sections,A&B. In Sections C,D&E,most items contain an initial question that
must be answered.either"Yes"or"No". If the answer to,the initial question is"Yes",complete the soh quest ons than follow. If the
answer to the initial question is"No",proceed to the neat question. Section,F allows the project 4ponsor Ito identify aid attach any
additional information. Section 0 requires the name and signature of the applicant or project sponsor to verify that the information
contained in Fart 1 is accurate andcomplete.
A.Project and Applicant/Sponsor Information.
Name of Action or Project:
i Noy*1F4,ym LLC cwA (WeAJ
Projects Location,(describe,and attach a;general location,map):
ra++" ` .+`"' ,,w r
t o !.- ►. C ,rr?
Brief Descript on of Proposed Action(include purpose or need):
ft-'. 1 �.. CVO
�....
1 a CX e-
oir
et c
0",
C.A q &4 V(s.(O-q
C"4_ ,e,6 /1 (
to
Name of Applicant/Sponsor: Telephone: .--`r'V.5 oei�
r'
I
Address.
Crtyll 10. State. %Code,,
,n
Project Contact(if not same as sponsor;give name and title/role): Telephone
R
I E-email: OnrA 0%_
wlaftpa
Address:
_CitY/po: State: Zip Code:
i
Property Owner (if not some as sponsor)i Telephone:
E-Mail:
n0k.AW
Address: 06W
-------------
Ci /po: State:
cam- a
Page 1 of 13
FEAF 2019
B.Government Approvals
................
B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial
assistance.)
Government Entity If Yes:Identify Agency and Approval(s) Application Date
Required (Actual or projected)
11 WWWW �ffiw
a.City Council,Town Board, OYes o
or Village Board of Trustees
b.City,Town orMllage No + N I Is n
Planning Board or Commmis,sion
c.City,Town or OYesmo
Villap Zow"ng Board of Appeals
d.Other local agencies des No
I
e.County agencies es O No �+O (0 A
P--, I [� S . Orl CZ> 7
im AM A
f Regional agencies [des No
i g.State agencies OYes'wo
h.Federal agencies [3Ye,%No
............... ......
i. Coastal Resources.
i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? 0yespol
U. Is the project site located in a community with an approved Local Waterfront Revitalization Program? Yes El"No
iff. Is the project site within a Coastal Erosion Hazard Area? [I Yes[tN,o
C.Planning and Zoning
C.I.Planning and zoning actions.
0, '% 0N'o
Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the Yes,
only approval(s)which must be granted to enable the proposed action to proceed?
of If Yes,complete sections C,F and G.
If No,proceed to question C.2 and complete all remaining sections and questions in Part 1
C.2.Adopted land use plans.
a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site s o
where the proposed action would be located?
If Yes,does the comprehensive plan include specifi c recommendations for the site where the proposed action [:]YesPINo
would be located?
b.Is thee site of the proposed action withm any local or regional spec iatplanning,district(for exampld:Greenway; Yes No
Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan;
or other?)
If Yes,identify the plan(s):
I NOW W 4
66M ..............
1p, ElyesDCNO
c. Is the proposed action located wholly or partially within an area listed in an adopted munic, a open space plan,
or an adopted municipal farmland protection plan?
If Yes,identify the plan(s):
......................
I MM",_ ......................
M"Wow
Page 2 of 13
C.3. Zoning
a. Is the site of the law or ordinance
i d t d
li
action located in a,municipality with an adopted zoning .
proposed )KYes[]No
If Yes,what is the zoning classification(s)including any applicable overlay district?
b. Is the use p �'a permitted or allowed b special or conditional use permit? C�Ye o
ere nested as art of the proposed action? es
c.Is a Zoning change q p P p
If Yes,
i.What is the proposed new zoning for the site?
CA.Existing community services.
a.In what school district is the project site located?
b.what police or other public protection forces serve the project site?
c.Which fire protection and emergency medical services serve the project site? ,
Ak6&W Cr,.w
I wii OWN
d.What parks serve the project site?
......... ....
D.Project Details
D.1.Proposed and Potential Development
What is general eneral nature of . proposed action(e.g.,residential,industrial,commercial,,recreational;it wed,include all
a.
u
components)? t
b.a.Total acreage of the site of the proposed action? acres
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? acres
c.Is the P p
ro p osed action an expansion of an existing project or use? �� Ye �o
W If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units;
}
square feet)? o�o Units:
the proposed acti11 on a subdivision or does it. cl e a subdivision'? )&yes0Nod.Is p p � �
If Yes,
i. Purpose or type of sub 5,On?(re. . re i ential,industrial,commercial;if mixed,specify types)
ii. Is a e uster cons atj,on,layout,
, h .......
{v
�"e� No
rii.Number of lots proposed'
mm
iv. Minimum and maximum propose ,es? Minimum Max um, ~
Will the proposed action be constructed in multiple phases? yes
e. p p P
L If No
anticipated period of construction: months
p
ii. If Yes:
Total,number of phases anticipated
Anticipated commencement date of phase 1 (including demolition) month _year
Anticipated completion date of final phase month _ year
• Generally describe connections or relationships among phases,including any contingencies where progress of one phase may
determine timing or duration of future phases:
Page 3 of 13
f.Does the project include new residential,uses? es No
P
If Yes,show numbers of units proposed.
One Family Two P`ami Three Fa Multi Farnil fourr more
Initial Phase Jaw
At completion
of all phases
g Does the proposed action include new non-residential construction(including expansions)? 'Yes; ,0
If Yes,
i.Total number of structures.......
ii.Dimensions(in feet)of largest proposed structure: height; width; and length
N.Approximate extent of building space to be heated or cooled; square feet
h.Does the proposed action include construction or other.activities that will result in the impoundment of any []'YeSJANo
liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage?
If Yes,
i. Purpose of the impoundment:
ii. If a water impoundment,the principal source of the water: Ground water 0 Surface water streams Other specify:
P
iii. If other than water,identify the type of impounded/contained liquids and their source.
iv.Approximate size of the proposed impoundment. Volume- �.iion gallons'-surface area. acres
pP
v.Dimensions of the proposed dam or impounding s c r+e: hei ;t) den h
vi. Construction method/materials for the proposed darn or impounding structure(e.g.,earth fill,rock,wood,concrete):
I .Z. Project Operations
P
a.Does the action include any excavation, rlin., ,or dredging,during construction,operations,or both? [:]Y,es �o
proposed
(Not including general site preparation,grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If"Yes:
i.what is the purpose of the excavation or dredging?
ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site?
r Volume(specify tons or cubic yards):
Over what duration of time?
W.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them.
iv. will there be onsite dewatering or processing of excavated materials? Yes No
If yes,describe.
v.what is the total area to be dredged or excavated? acres i
vi,what is the maximum area to be worked at any one tYrne7 acres.
vii. what would be the maximum depth of excavation or dredging? feet
viii. Will the excavation require blasting? []YesnNo
ix. Summarize site reclamation goals and plan:
Mow owwwww""
b.would the propos
ed action cause or result in alteration of,increase or decrease in,size of,or encroachment �" o
into any existing wetland,waterbody,shoreline,beach or adjacent area?
If Yes:
i.Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic
description):
Page 4 of 13
Describe l ow t" proposed con oold eat that ter
o ,�or, Clad e..
alteration of cb n,els bay s shorelines dic H e v t ong fill,placement of structures or
to teat o act vI tl i to tions a nd ddi ti�or ins square e i
q feet or acres:
..........
iii,will the proposed action cause or result
If Yes,describe: to disturbance to bottom sedi eats?
0yes" o
IV. will the proposed action cause or result in the destruction
If Yes: or removal of aquatic vegetation? A.
Ell,
acres of aquatic vegetation proposed to be remove
d: o
expected acreage of aquatic veg,etation,remeinixig atet ro'eet
P .l oo leto
� purpose of proposed removal ova.l � �. �beach c�iearin
g, invasive species control,boat access):
e
proposed Mell od ofplant rernoval:�
f cbe "cal" erbaiol,de treatwent w,"ll
�. � b`e al, ��" used sp ��,F� p'roduct(s).
y proposed recla,w t,�on mi't gat on;rdllo i� °disturbance.,
.......... ---
c.w�ll,l.the proposed action use,orcreate a
new
If Fwes:
demand water?
for
X'�es'
o
. "otal anticipated water usage de�imand a
Will the per day: GCX!. gallons/da
p�ropsed ac�tion�obtain.w�te�r how a WNW& Y
If Yes n existing,publ�'11 water supply?
;&Yes[]No 1,
Name of district or service area: 001"14 1
* .Does the existing public water supply have Ica aci
p ty to serve the proposal?
M Is the project site in the existing district? 'Yeses No
Is expansion of the district needed? Yes,� �N�o
0 Do e ' 'xxst ng°lines serve, e project site? 0Yes o
fit. Till line extersiow wit, in an exi . district b Yes : o
If Yes: Sting e necessary to supply the project?
Describe extensions or capacityexpansions
p s proposed to serve this project: oyewto,
Source(s)of supply for the district:
iv. Is a new water supply district or service
PP Y area proposed to be formed to serve If,Yes: the project site? 0 Yes[]No
Applicant/sponsor for new district:
Date application submitted or anticipated:
Proposed sources)of supply for new district:
ict:
v. If a public water supply will,not be used,describe pla
ns ns to provide water supply for the project:
� vi.If water supplywill be from wells.. •
(public or private),what is the maxitnuw Pumping capacity-,
d.will the ro o '
P g p' ty, gallons/minute.
p p sed action generate liquid wastes?
If Yes: 0yesONO,
1. 'Total,antic pated`Ii pid waste generation per day:
U.Nature of liquid wastes to be generated �� gallons/day,
approximate volu es or pro port- n.to wastewater industrial if comp nat o describe all components p p ro of eac ,* p nts and
iii. will the proposed action use an existing
If Yes: Y g public wastewater treatment facr`lities?
[3YesWqo
Name of wastewater treatment plant to be used:
Name of district:
Does the existing wastewater treatment
plant have capacity P ty to serve theo
r
0 eCt7
Is the protect site in the existing district? project? 0YesJZJNo
Is expansion of the district needed? []Yes[]No
[]Yes[]No
Page 3 of 1 3
Tons/year(short tons)of Hazardous Air Pollutants(HAPs)
«
__ -
h. Will the proposed action generate or emit methane(including,( udmg,but not limited to,sewage treatment lams
landf lls, composting facilities)? P Yes
If Yes:
i. Estimate methane generation in tons/year(metric):
ii.Describe an met � )
. y methane capture,control or elimination measures included in
dent electricity,flarmig): project e.g.,cow stt n to generate heat or
i. i,ll the proposed action result in the release � f •
l ase of air pollutants from open-air operations or Processes,
quarry or landfill operations? P s,such as o.
If Yes:Describe operations and nature of emissions(e.g., '
( g,diesel exhaust,rock particulates/dust):
j.W. the proposed action result in a substantial increase in traffic above present levels or
new demand for transportation facilities or se 7 generate substantial
If Yes:
rvxces. des_ ��'� �
i. When,is the peak traffic expected(Check,all,th,at �p l 0 ndoml' between hours, to PP�") []Moming D Evening DWeekend
of �
h -. For commercial activities on l o" f
y p�` *octeYd.n � .ber o truck trips/day and a e, '
type+ g.,semt trailers and dump trucks):
i
ut. Parking spaces: Existing Proposed
iv. Does the proposed Net increase/decrease
p p sed action include any shared use parking?
V. If the proposed action includes an modification P $ 11yesElNo
y dification of existing roads,creation of new roads or Chan
ge in existing access,describe:
vi Are ublicniwate transportation services or facilities r
ties available1
vrr will the proposed action include access t within 1�mile of the proposed site? [3Yes,
o public transportation or accommodations for use of h o
or other alternative fueled vehicles? hybrid,electric e� o
vir'i.Will the proposed action include plans for pedestrian or bicycle
pedestrian or bicycle routes? y le accommodations for connections to existing Yes N
�] Q o
k.'Will the proposed action("for commercial
or tndustnal projects only)generate new or additional demand
for energy? Y
No
If Yes:
i.Estimate annual electricity demand duringop
eration •ra tto
P
n of the
proposed aN"Shction,
ii. Anticipated sources/suppliers of electricityfor � • F
other): r the project e.g.,on-site combustion,on-site renewable via '
)' grid/local utility,or
iii. will the action
proposed n requue a new,or an upgrade,to an existing substation?
Yes, No
1.fours of operation. Answer all items which apply,
i.During Construction:
0 Monday-Friday:
ii. During Operations:
0 Saturday: * Monday-Friday:
*Sunday: Saturday:
Holidays;
Sunday:
Holidays:
Page 7 of 13
M.Will the proposed action produce noise that
will exceed existing ambient noise levels d
operation,or both? uring construction, Yes'luNo
If yes,,-
i. Provide details including sources,time of day and duration:
Will the propose
Describe: d action remove existing natural barriers that could act as a noise barrier or screen? -0—Yes"0"'0` 1 X o"
n.Will the proposed action
ave outdoorlighting
if yes: 0 Y,es*O
L Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures:
is tu
Will proposed action remove ex" fing na ral barriers that could act as a light barrier or screen?
Describe: UYes[]Nolm
.............. ......
o. Does the proposed amwc"�"t�ionw" hav........
e the potential to produce odors for more than one hour per day? 10
Yes
If Yes,describe possible sources,potential frequency and duration of odor emissions and proximity to nearest
occupied structures:
MN MORROW ."ON
P. the proposed actio�n include any bulk storage of petroleum(combined capacity of ov
er 1,100 gallons) Oyes
No
or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes.-
i.Product(s)to be stored
ii. Volume(s) per unit time (e.g.,month,year)
iii. Generally,describe the proposed storage facilities:
WNW&
WNW hkii"WHOA H
q.Will the proposed action(co
mm -al,ind str'al,and recreational
insecticides)during construction or operation?
If Yes:
i. Describe proposed treatment(s):
11. Will the proposed action use Int�, ted'Pest M.ana ent Practifices?
..................
r.Will the proposed action(conunercial or I'ndustHal pro 'Yes ElNo
jects only,)involve or require the management or disposal
of solid waste(excluding hazardous matenials)? Yes o
If Yes
i.Describeanysolid waste(s)to be generated during construction or operation of the facility:
Cons,truction:
t tons'per �'Unit Of tim
Operation tons per'-------
U. Describe any prop (unt of fime),
0sals for on-site minimizat,,ion
0 41 1 1 1 ,,recycling or reuse of materials,,to�avoid,disposal as solid waste:
Constructi"on#
Operation:
iff. Proposed disposal methods/fac*
Construction: ilifies for sofid waste generated on-silt e
0 Operation:
WHOM% ""MW
"1111M
WWWWRIN
Page8 0f13
s-Does the proposed action Iii1clude cons
truetion or modification of a sot"
If Yes: id,waste management facility?
0 e,s, N�o
TYPe, Of Manageme nt or handling,of waste proposed for the site(e.g.)recYcling or h=fer station,composting,landfill, or
Other disposal ac�t'v,-t"ie.,$).
it, Antiici ated-rate of d
p "sposal/processling.,
TOns/month,if transfer or other non-combustion/thermal treatment,or
TOns/hour,if combustion or thermal treament
Ill. If landfill,ant"cl
4 1pated site life:
W NO N ....."%*.......... Years
t.will the proposed action at the site I
nVolve,the commercial generation
waste? treatment,storage.,or dis osal of
If Yes: P huardousoye$
i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility:
R. Generally describe proces I se-s I or activities involv*
ing hazard'ous,wastes or constituents:
ill Sped'HY amount to be handled'orgenerated tons/m I onth
1,
iv. Descr*beany proposals tor,on-site mjrwnizah"�:onlo recyc1ing or,reuse of hazardous constituents:
v, Will any hazardous wastes be disposed at an existing offilite,hazardous waste facility?
If Yes:provide name and location of facility.- UYesUN6
If No*,describe proposed management of an —ha-zard
y ous wastes which will not be sent to a hazardous waste facility:
WIN
E.Site and Setting of Proposed Action
FE-1.L4
-1.1 Land uses on and surrounding the project site
a
.Existing land uses.
i. Check all,uses that,o ont adjotning and, ar t1he prqjeot s*te.,
Urban Industd,al I Commerci 4 Rural(non-farm)
Forest Agr"' ulture [] A Residential(suburban)
Ic q�u
ii. if ' alt"Ic Other(specify)
m1x oluses,generally'descri'be:
............
b.Land uses and covertypes on the project site.
Land use or
cr-Ur
Current Acreage After
Change
_m"M hA ........ Acrlea 'e,
R004 S
buildings,and other paved orimpervious, (Acres
s"mces, NO
Forested
Meadows,grasslands or brushlands(non-
Al oultural,
oR
KnO includ* abandoned a ri"cultural)
Agricultural
..............
Oncludes,active orchardsil fi,ci,'d,greeM' o,use etic'. N Ork�
Surface water features
FeF,
M
A
r1ak' i;pl,,iponds),streams,rivers,etc.),
Wetlands(freshwater or tidal)
0 Non-vegetated(bare rock,earth or fill)
..........
0 Other
Describe:
Page 9 of 13
c.Is the project site presently used b
i. If Yes:ex lain: y me tubers of the community for public recreation?
p
ly, 1 `c
d. ►re there MY facilities serving c
hzldre114 the elderly,people with disabilities e.day care centers,or grouphomes rr` ( g,schools,hospitals licensed
If es,
�� 1 S0�feet of the project site? `Y�e � � c�
i.Identify Facilities:
e.Does the project site contain an existing
If Yes;
sung dam?
des
i.Dimensions of the dam and impoundment.-
p dmerxt.•
Darn height:
Dam length:
feet
� Surface area.:
feet
Volume impounded: acres
h- a.m,s"Istln b,a and classi cation gallons CAP acre-feet
Provide date and su ari'ze results of last inspection:
f.Has the project site ever been used
as a.municipal,commercial or industrial solid waste management
or does the project site adjoin property g merit facility,
p p rty which is now,or was at one time used � tY, � o �
If Yes: as solid waste management facilit
y?
f.Has the facility been formally closed?
f ye°s cite sources' cru emotion: [ Yes ,No
..tr. eScr'
t a location ofle Project site re lative to the boundaries es of the sold waste management facility;
xr..Describe any development constraints du
e to the prior solid waste activities:.....
g.Have hazardous wastes been generated
ed,treated and/or dispersed of at the site,,or o s the
property which is now or was at one time used to c project site adoin e
commercially treat � o
If Yes: y ,S re an r des ose �h dnu w
6 r`".Describe waste(s)handled and waste mono . .
management activities,including approximate time when activities occu
rred:
h. Potential contamination histo
remedial action , Has there been a reported spill at the pre►p�osed ro`ect `s been conducted at or adjacent to the proposed site? p site,or have any Yes
'0
If Yes: P
s any Portion of the site listed,on thee
Spills Incidents database or Environmental Site
Re mediation,on database? Check all that apply: � o
1�� to ❑Y"es N
El Yes—Spills Incidents n is database Provide DEC ID nu
'„ e�t�ai;�Site�e� edi�atlon d mber+s :
�nvaro
es database
Provide DEC ID numbers :
"ether database
ii.If site has been subject of ,C:` i corrective . .activities,describe control measures.-
W.Is the project within 2000 feet ofany site to the NYSD.EC E giro ental Site P.emediation database?
If yes,provide DEC ID number(s):
Y'es "o
iv. If yes to W,(ii)or(iii)above,describe cu
rrent status of S1te(s).
Page 10 of 13
201
v. Is the project site subject to an institutional control limiting property uses? El Yes No
If yes,DEC site ID number.
Describe the type of institutional control(e.g.,deed restriction or easement).-
Describe any use limitations: MOM
Describe any engineering controls:
Will the project affect the institutional or engineering controls in place? [DYesE]No
Explain:
..........
I E.2. Natural Resources On or Near Project Site
. .........
a.What is the average depth to bedrock on the project site? feet
b.Are there bedrock outcroppings on the project site? 0,Y �10
If Yes,what proportion of the site is comprised of bedrock outcroppings? %
-----------------......
A I JIM,1 1,111111
c.Predominant soil typc(s)present on project site: 4r,�6
1%
d.What is the average depth to the water table on the project site? Average., V,06 feet
e.Drainage status of project site soils,-,[] "Well Drained:
.j=%of ite
Moderately Well Drained: %of site
Poorly Drained %of site
............
f.-Approxftnate proportion of proposed action site with slopes. 0-101%, V�of site
910-15%.. %of site
El 15%or greater: %of site
WON
g.Are there any un,ique,geologic features on the Ject s*te'? 0,Yesa
If Yes,describe: vroi i �10
h.Surface water features.
L Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, [:]YespdNo
ponds or lakes)?
ii. Do any wettands or other waterbodies adjoin the project site? [JYesPNo
If Yes to either i or ii,continue. If No,skip to E.2.i.
iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any fcderal, OYCAPeNo
state or local agency?
iv. For each identified regulated wetland and waterbody on the p "ect site,provide the following information:
r0i
0 Streams: Name Classification
I Lakes or Ponds: Name Classification
0 Wetlands: Name Approximate Size
Wetland No. (if regulated by DEC)
v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired []YesENo
waterbodies?
If yes,name of impaired water bodylbodies and basis for listing as impaired:
[1yeS040
i.Is the project site in a designated Floodway?
J.Is the project site in the 100-year Floodplain? oye'SPRO
k.Is the p *ect site in the 500-year Floodpl YesONo
r0i
1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? MYeso,,No
If Yes-
0
i.Name of aquifer:
Page 11 of 13
m. l ti. tl e d n w fifes ecie that cc � or use the project site: hhhhhOffift MORN
n.Does the project site contain a designated significant natural community? Y �` +
If Yes:
i.Describe the habitat/community(composition,function,and basis for designation).
U. Source(s)of description or evaluation:
W.Extent of community/habitat:
Currently: acres
Following completion of project as proposed: acres
Gain or loss(indicate+or acres
o.Does project site contain any species of plant or animal that is listed by the federal goverment or NYS as
endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species?
If Yes:
i. Species and listing(endangered or threatened):
1?
. Does the project site contain any species of plant or animal that,is listed by NYS as rare,or as a species of Yes"
No
special concern?
If Yes:
r. Species and listing:
7 Y N
.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing. o
� P J
If yes,give a brief description of how the proposed action may affect that use:
E.3. Designated Public Resources On or Near Project Site
a.Is the prpect site,or any portion of it,located in a designated agrilcultural duct certified pursuant to OYeswlo
Agriculture and Markets Law:Article 25-AA,Section 303 and 304?
If Yes, provide county plus district name/number:
` b.Are agricultural lands consisting of highly productive sods present? 0YesXNo
i.If Yes: acreage(s)on project site?
ii. Source(s)of soil rating(s):
c. Does the project site contain all or p art of,or is it substantially contiguous to,a registered National Yes ,
No
p
Natural Landmark?
If Yes:
i. Mature of the natural landmark: 0 Biological Community Geological Feature
U.Provide brief description of landmark,including values behind designation and approximate size/extent:
d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? oyle��'
o.
p
If Yes:
i.Cl A name:
U. Basis for designation:,
... •gn g agency W.Designating a enc and date.
Page 12 of 13
Ae
e,Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district 0, ,No
which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of Tt' e NYS
Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places?
If Yes:
i.Nature of historic/archaeological resource: El Archaeological Site OHistoric Building or District
ii. Name:
ill. Brief description of attributes on which listing is based:
Yes C,,,N,1 o
f Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for
.4 IV
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site'Inventory?
g."I Have.1 additional archaeolog ical or historic site(s)or resources been identified on the project site? yes o
If Yes:
i.Describe possible resources):
ii.Basis for identification-,
...........................
h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local pYes[]No
scenic or aesthetic resource?
If Yes:
i. Identify resource:
U.Nature of,or basis for,designation(e.g.,established highway6verloov,state or local park,,state historic trail or scenic byway,
etc.)-.
W.Distance between project and resource: miles.
...............
Under the Wild,Scenic and Recreational Rivers 0 Y X'No
I Is the project site located within a designated river corridor
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation: [:]Yes" 0
ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666?
F.Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any,adverse impacts which could be associated with your proposal,please describe those impacts plus any
measures which you propose to,avoid or minimize them.
G. Verification
I certify that the information provided is true to the best of my knowledge.
Applicant/Sponsor Name Date
. � *rm ._.OF
Title
............ - --------
Slignature,
...........
PRINT Page 13 of 13
Town of Southold
,LWRP,CONS1STE,NCY ASS SS N T O 1�UN
u�
SOUTHOLD TOWNmm�
A. INSTRUCTIONS PLANNING
BOARD
1,, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Later. This
assessment is intended to supplement ether information used by a Town of Southold agency in
making a determination of consistency. *.,except minor exempt actions including Building Pennits
and other ministerial permits not located within the Coastal Erosion Lazard .Yea.
2. Before answering the questions in Section C, the preparer of this farm should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
ioill ee� ��uated
Waterfront Revitalization Program. A oL ��t� its si ni �
der e c t c �t area Bch noIt,d 1 f Southold, own
3, If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Th elf any st: e e line io et it Asti t rtn n
su ortin` facts. If an action Cannot be certified as Consistent with the LVVRP policy Standards and
conditions,Lit
ahW � �ert .
A.copy of the LWRP is available in the following places: online at the Torn of Southold's website
(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local
libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
k
SCTM# ,V
Ilk
PROJECT NAYM
The Application has been submitted to(check appropriate response):
Town Board El Planning Board'K Building Dept, Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) .Action undertaken directly by Town agency(e.g. capital
construction,planning activity, agency regulation, land transaction)
(b) Financial assistance(e.g. grant, loan, subsidy)
(c) Permit, approval, license, Certification:
Nature and extent of action: ,
T
"Myr- CA
LD k-'),
I
o
. let '�
Location of action:
u
Site acrea e: f
� � r
000
_),:3 i t
Present land use: lze5 Aaylcot"r-!
Present zoning classification.-
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
V
IN I V
(a) Name of applicant
(b) Mailing address"
V9S
rq**-/ r 1 ..........8
(c) Telephone number: Area Code
(d) Application number, if any::
Will the action be directly undertaken,require funding, or approval by a state or federal agency?
Yes n No If yes,-which state or federal agency?
C. Evaluate the project to the following policies by analyzing how the project will further support or not
support the policies. Provide all proposed Best Management Practices that wall further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED,CO&, $T POLI I CY I
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LWRP Section IQ—Policies; Page 2 for evaluation
criteria.
''Yes No Not Applicable
Attach addilioml sheets if necessary
Policy 2.Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP
Section III--Policies Pages 3 through 6 for evaluation criteria
n likable
des : To Not Applicable
4
Attach additional sheets if nece
ssary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section M--Policies Pages 6 through 7 for evaluation criteria
FU
L�NLYes No Not Applicable
u
a�
rvrvrvrvry «,
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section M--Policies Pages 8 through 16 for evaluation criteria
Yes No Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section M
--Policies Pages 16 through 21 for evaluation criteria
Yes No Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See L"WVRP Section III--Policies; Pages 22
through 32 for evaluation criteria.
0 Yes No Not Applicable
Attach
Anach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section M — Policies
Pages 32 through 34 for evaluation criteria.
Yes F] No Not Applicable
ry
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
9%
substances and wastes. See LWRP Section M—Policies; Pages 34 through 38 for evaluation criteria.
Yes r] No N Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section M—Policies; Pages 38 through 46 for evaluation
criteria.,
F"
Yes No Not Applicable
kwa
...........
o
Attach additional sheets if necessary
WORKING COAST POLICIES
6 41
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section M—Policies; Pages 47 through 56 for evaluation criteria,
Yes No Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary
and Town waters. See LWRP Section M—Policies; Pages 57 through 62 for evaluation criteria.
[:]Yes F] No"t*`/,' Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section M—Policies; Pages 62
through 65 for evaluation criteria.
... . Yes El No 21 Not Applicable
01
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section M—Policies; Pages 65 through 68 for evaluation criteria.
Yes No Not Applicable
PREPARED BY TME r DATE
fo
Amended on 811105
RECORDED
Num'berrof s 2023 May 26 D9:07:07 W
P$I9►e Uincen t, Pu 1 eo
CLERK OF
SUFFOLK "' !TY
This document will be public L D00013203
record. Please remove all P 172
Social Security Numbers DTI 22"29027
prior to recording.
Deed I Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording I Filing damps
11ES
areAmt
Raga 1 Filing Fee M
1.Bask Tax
Handling 2 , 0 2. additional Tax
TP-584 Sub Total
Notation Spec.lAsslt
or
EA-5217 Co Sub Total, Spec./Add.
E4-5217 Late
TOT.MTG.TAX"Woo"WN"M .......
Dual Town Dual County
R.P'.T.SA
Held for Appointment
Comm.of Ed_ 5. 00 Transfer Tax
Af iidavtt Mansion Tax
`� The covered by this mortgage is
Certified Copy or will be Improved by a one or two
NYS Surcharge 15. 00 family dwelling ordy.
Sub Total YES or NO
Other "at's
If NO,see ap ;
Grand Total
tic clause on
page# ot`this i �
4 Dist.10a 5►o Commu* Preservaw F d
Reed Property T S Consideration mount
Tax Service
A 1�t1` I� CP"F Tear Due $
Verification
Improv On
r l` Prop" ailMdrou
RECORD RMRN TO: Vamt Ladd„
Joseph M.Terranova
TD
95 Pecconi+c Bay Blvd. '
Laurel,DIY 11948 I TD
TD
Mail to: Vincent P'uleo,s,uff+aUc County Cleric E;0'0
T e fpl�' any InformationS10 Center Drive, Riverhead, NY 11901 e Dime AbstraCt LL�Cwww.suffdkeount ny.gov/derrkBALROMS
8 Suffolk Co
r i , age
...............
This page farms part of the attached Deed made,
by; (SPEC'iF'Y TYPE OF INSTRUMENT)
95 Pec'oric Bay,LLC Thepmmises herein issttuat+ed in
SUFFM COUNTY.NEW YORK
TO In they TOWN of SOulhOld
Joseph M.Terranova and Merma Princ ipi JTWROS In#e VILLAGE
or HAMLET of Laurel
BOXES 6 THRU 8 MUST BE TYPED OR PRIG IN BLACK INK ONLY PRIOR TO R CO ' IG OR HUNG.
-ple�►
ism
oil, I E
ABSTRACT
Darwin and Sais Deed,with Covenants against Grantor's Acts—Individual or Corporation.
CONSULT YOUR LAWYER BEFORE SIGNING THIS iNSTRUNIENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 011111111111n, day of March, 2021
B ETWE E N
95 Peconic Bay, LLC, having an address at 10947'vest Bayview Road, Southold, NY 11971, party of
the first part, and
Joseph M.Terranova and Melissa Principi,as joint tenants with right of survivorship, having an
address at 95 Peconic Bay Boulevard, Laurel, NY 11948, party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable
consideration paid by the party of the second part, does hereby grant and release unto the party of the
second part, the heirs or successors and assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being in Laurel, in the Town of Southold,County of Suffolk and State of New York,
bounded and described as follows:
BEGINNING at the point of intersection of the northerly side of Peconic Bay Boulevard and the easterly
side of Laurel Lane;
RUNNING THENCE easterly along the northerly side of Peconic Bay Boulevard, a distance of 100.00
feet;
THENCE northerly on a line parallel to the easterly side of Laurel Lane, a distance of 200.00 feet, more
or less;
THENCE westerly on a line ,parallel to the northerly side of Peconic Bay Boulevard, 100.00 feet, more
or less to the easterly side of Laurel Lane;
THENCE southerly along the easterly side of Laurel Lame, 200-00 feet to the point or place of
BEGINNING.
Being and intended to be the same premises conveyed to the party of the first part by deed recorded in
Liber 13193, Cp. 34
TOGETHER with all right, title and interest, if any, of the party of the first part, in and to any streets and
roads abutting the above-described premises to the center lines thereof; TOGETHER with the
appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE.
AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors
and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party
first part will receive the consideration for this conveyance and will hold the right to receive such
consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement
i
y
DIFA,E
ABST RACT
.and will apply the same first to the payment of the cast of the improvement;before using any part of the
total of the same for any rather purpose.
The ward "part"shall be construed as if it read"parties"whenever the sense of this indenture so
requires.
Y
WITNESS EREOF,the party of the first part has duly ex this d"day and year fwst
r .rsr( n,.
IN PRESENCE OF
p
Grantor. `.
I
95 ` a
� QM u
I
STATE OF NEW YORK
I
COUNTY OF
, .On,the
day of March, 2023 before me, the undersigndd, personally appeared
y known to me or proved tome an the basis of saffisfactary evidence to be the
dh ,
i i a° whose name(s) is(are) subso ibed to within instrument and acknowledged to me that
helsh+eAhey executed the same in his/her/their capaccityy(ies). and that by hislherltheir signature(s) on
the instrument,the i(s), or the person upon behalf of rich the ividuel(s)acted executed the
Instnimpnf 0.1 ��I V^ -%r
AL
fib
C"AIK2UX .
A
BARGAIN AND SAL. DEE'D, WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATI ON)
FORM 8002(short version),FORM 8007 (long version)
4 -VIEWED BY ATTORNEYS FOR SELLER AND
.CAUTION-.THIS AGREEMENT SHOULD BE PREWARED BY AN ATTORNEY ANDRE 0
PURCHASER BEFORE SIGNING.
TmisINDENTURA;made the 440' 2,01;
•
BETWEENJames F. McNulty,of 343 Wendy Way, Clyde,North Carolina 2872 1; William J. M cNulty,
of 7084 Augusta Boulevard,Seminole, Florida 33777-9 Marilyn P.McNulty,of 1517 Cedar Lane,
Richmond,Virginia 23225;and Diane M. Reeve,of 60 Arlen Court, Flanders,New York 11901,
party of the first part,and
95 Peconic Bay,LLC of 10947 W. Bayview Road,Southold,New York 11971,
party of the second part;
WITNESSETH,that the party of the first part,in consideration of Six Hundred Ten Thousand
Dollars and No Cents($610,000.00)and other valuable consideration paid by the party of the second part,
does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the
party of the second part forever,
ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon
erected,situate,lying and being in the
See Sebedule A%knached hereto.
BEING AND INTENDED TO BE the premises conveyed to the part of the first pat by deed dated
December 18,2007 and recorded in the Suffolk County Clerk's Office on January 29,2008 in Liber
12538 at page 834.
BEING AND IATENDED TO BE the premises commonly known as 95 Pelconic Bay Boulevard,
Laurel,New York 1]948.
TOGETHER with all right,title and interest, if any,of the party of the first part in and to any
streets and roads abutting the above described premises to the center lines thereof',
TOGETHER with the appurtenances and all the estate and rights of the party of the first pan in
and to said premises,
TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the
heirs or successors and assigns of the party of the second part forever.
AND the party of the first part,covenants that the party of the first part has not done or suffered
anything whereby the said premises have been encumbered in any way whatever,except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the
party of the first part will receive the consideration for this conveyance and will hold the right to receive
such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement
District: 1000,Section: 129.OD,Block:01.00,Lot:002.000
NYSBAOs Residential Real Estate Forms(9=00) 4- 0 2022 Manhow gender&Company,Inc..a member of LexisNexis.
1 0
N Ali U h,
First International Title Agency
F # NY.5291
^NP
SCfZDU-LE,
r
A4 (Descripflow
AM•
e
b
ALL that min ply, ply►or parcel of fund,dtuat�e,MnS and being In Laurel,In the Town of Southold,
Coun*of Su►ft1k and state of Now'York,bounded and descAnd as folk.M:
BEGINNING at the Oolnt of Intersection of the northerrty side-oaf Peconlc Bay Boulevard and-thy eas eft
side of Laurel lane; `
RUNNING THENCE Easterly along the northerly.slide of deco I Say Do0ward,a diftance,ot10MOO
RUNNING THRICE HvrtherlY o a lln Oaralle to-the.easterly side of Laurel.Lana,a distance of 200.00
feet„gore or less;
y`
AG �
w
RUNNING THENCE Westerly on a here parallel to the nord rly side of Pe=lc Bay Bo+ul rde 100.00 feet,
more or less,;,to the easterly side of Laurel Lane;
RUNNING THENCE southerly alb the aide of laurej.:larra,ZW.00 feet to tM pint or place of
BE�aINIMI NG�.
a
J
F
I IIII��III IIIII IIIII Illli�11�III Il�ll��I���'IIII I�' I
IIIIII III �Illl 11�1 ills
SUF'FOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAIGE
Type of Instrument: DEED Recorded: 05/26/2023
Number of Pages: 3 At: 09:07:47 AM
Receipt Number 23-0069263
TRANSFER TAX NUMBER: 22-29027 LIBER: D00013203
PAGE: I.72
District: Secta.oa. Block: Lot:
1000 129.00 01.00 002.000
EXAMINED AIM CFIARGLD AS FOLLOWS
Deed Amount: $0,00.
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.00 NO 8andlinq $20.00 NO
COE $5.00 NO NYS SRCHG $3.5-00 NO
EA-CTY $5800 NO EA-STATE $125,00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copiss $0 .00 NO RPT $200.00 NO
Transfer tax $0400 NO CoaM.Prea $0.00 NO
Fees Paid $390.00
TRANSFER TAX NUMBER: 22-29027
TBIS PAGE IS A PART OF 7118 IN3TRUMNT
TAIS I3 NOT A BILL
Vincent Puleo
County Clerk, Suffolk County
t Town of Southold 1/27/2022
53095 Main Rd
Southold,New York 11971
zlv-
r EXISTING
CERTIFICATE OF O
No: 42712 Date: 1/27/2022
CERTIFIES that the structure(s)located at: 95 Great P"econic Bay Blvd.,Laurel
SCTM 4: 473889 See/Block/Lot: 129.-1-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMEBER- 42712
dated 1/27/2022 was issued and conforms to all the requrrements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
woo e s e f it d elfina with font sl to ato
M
The certificate is issued to Reeve,Diane&ors.
(OWNER)
of the aforesaid building.
S1FFOLK COUNTY DEPARTMEENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLiI`N[BERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
9M-.
1
M
U d Signature
BTJELDITG DEPARTAMNT
TO OF SOUT HOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 95 Great Peconic Bay Blvd.,Laurel
STTF.CO,TAT MAP NO.: 129w-1-2 SUBDIVISION:
NAME OF OWNER(S): Reeve,Diane&Ors.
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Reeve,Diane DATE: 1/27/2022
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: poured concrete CELLAR: full CRAWL SPACE:
BATTROOM(S): TOILET RfIOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: front slate
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC TOTWAT'ER: yes TYPE BEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT'WATER:
#BEDROOMS• 3 #KITCHENS: 1 BASE:TENT"TYPE: unfinished
OTHER:
Lk CC
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
.. mrorvmNw,mx NihJ+Jry✓✓NSt ...... ..
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOI3NJ DATE OF INSPECTION: .9/29/2021
TIME START: 9:48am END: 10:17wn
� .
m
TOWN OF SOUTHOLD BUILDING DEPARTMENT
0%w
*ZU Town Mall Annex 54375 N laln.Road P. O.Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax(631)765-9502,hW#1LV1of o µ
APPLICATION FOR PRE-EXISTING
CE IFICATE of OCCUPANCY
OWN ER(S)of PROPERTY:
.. .
Name. date:
V
Physical Address: SCTM#1000
'Mad., 7 Fr
.............
�,F�Q- ,
Phone#: Email:
W, 6 W,11
Mailing Address:
r
f
C O h A+ T PERSON:
Name:
Mailing Address: ?
X
phone#: ail: G-A
1,'� '�b Y'� — .�-.-.
q
To apply for a Pre C.O.for an existing building(prior to April 9.1957)provide the following"
4
4P
Accurate Survey
Floor Plan A U G 2 7 2021
$100 Fee
C �N E T'M 1NS,EEMQN
G
That the undersigned does hereby give consent to the B ild ing Inspector of the Town of South -L
above described property,including any and all buildings located thereon,to conduct such inspections as they may
deem necessary with respect to the aforesaid application,including inspections to determine that said premises comply
with a' of the laws,ordinances, rules a regulations of the Town of Southold.
2
Owner's Signature Date '
PROEjER.TY OWNER,&U. 0�RIZAMON
(Where the applicant is not the owner)
e
i, residing at the above address,do hereby authorize
g Department for
to the Town of Southold Buildin De
K-Z�A(' to apply on my behalf p
pprov as described herein.
P
Owner's Signature date
No Js M r7ZAFE'
PIDEAP
"Wowmi I
AZ R
PCB BOX 57,,G nPOrt,,N—Y"r 11944
Phone-516-457-5596
Consulting Engineer
�. , 2 � �' �11
gall
Page 1 of 1
Town of Southold-Building Department
53095 Main Road
PO Box 1179
Southold STY 11971
Re: B u i Reloc
95 Peconic Bay Blvd
Laurel,N.Y. 11948
district-10K Section-129,Block-1.,Lot-2
Building Permit Number---9911-Z Dated August 22, 197 8
Inspection—for CofO
On August 18,2021,1 inspected the barn structure at the address�noted above. The
inspection covered the relocation of the structure.The final position of structure was
referenced to,the survey by Joseph.A. Ingegno dated,Au gust 9,2002. Thi s,survey was
approved by Southold Town Planning Board on June 9,2003.
The inspection results are:
The bam has been relocated per the permit and is being used as an Accessory Structure.
Result-'The relocated structure meets the requArements of Permit 9911-I, dated August
2 f.rl3 1!/8r
Nicholas I Mazzaferro,P.E.
4
011(fly , TOWN CIF SOUTHOLD OftbPERTY RECO
IPE
WINER STREET V1 LLAGE D,1$T--P11ICT SUB. LOT
It 0 1) hq-L
FORMER OWNER N ,E AC-,,R&\,GE
t
TYIPIE OF BUILDING
W
IND. Est.Mkt,Value
SEAS. VL, FARM comm.
RES210 "i
CB. misc.
.. ........
LAND IMP. TOTAL DATE REMARKS
v1se,
e, 171�
64
..........
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BUILDING CONDITION
-71 ABOVE FRONTAGE ON WATER
NEW NORMAL BELOW ........
017�
Value FRONTAGE ON ROAD
Form Acre Volue Per Acre
Tillable I BULKHEAD
�
Tillable 2 4 DOCK 4i-f
J 1
Tillable 3
Woodland
Swampland fR
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0•CCUPA14C'Y•,
om) try
kDMITTtD
BY: . : .
KEY AVAIL : Mn%CO,No,lowl TA. � 1 I 0
S OYJF.C`E OF DATE:
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VIOLATIONS,:. CHAPTE I44&MY,STATE,UNIFORM F;RB PRBVPj TIO &BUILDING CODE
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INSPECTED BY; � DA�wOF INSPBC110"N141
Town of Southold 1/27/2022
P.O.Box 1179
53095 Main Rd
41 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42711 Date: 1/27/2022
TJBS CERT S that the building GENERATOR
Location of Property: 95 Great Peconic Bay Blvd.,Laurel
SCTM 473889 Sec/Block/Lot: 129.-1-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore flled in this office dated
10/1/2021 pursuant to which Building Permit No. 46967 dated 10/14/2021
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
dt
which this certificate is issued is:
a
ggs�so gen ral led,&rl,
The certificate is issued to Reeve,Diane&Ors.
of the aforesaid building.
S OLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46967 11/4/2021
PLUMBERS C ERTIFICATIONDATED
u d ignat xe
Town of Southold 1/27/2022
P.O.Box 1179
53095;amain Rd
Southold,New York 11971
CERTMCATE OF OCCUPANCY
No: 42709 Date: 1/27/2022
TES CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 95 Great Peconic Bay Blvd.,'Laurel
SCTM#: 473889 Sec/Block/Lot: 129.-1-2
Subdivision: Filed Map No. :Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/7/2021 pursuant to which Building Permit No. 46968 dated 10/14/2021
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
"windowdoor `e
a '' eft . s s
The certificate is issued to Reeve,Diane&Ors.
of the aforesaid building.
STJFFOLK COUNTY DEPARTMENT OF ALTEI APPROVAL
ELECTRICAL CERTIFICATE NO. 46968 11/4/2021
PLUMBERS CEIITIFICATION DATED
o.
ature
91141 1�* t
Town of Southold 2/12/2023
P.O.Box 1179
53095 Main Rd
OF
Southold,New York 11971.
CERTIFICATE OF OCCUPANCY
No: 43841 Irate: 2/12/2023
TMS CERTIFI ES that the'building ADDITION/A.LTERA.TION
Location of Property. 95 Great Peconic Bay Blvd,Laurel
SCTM#: 473889 Sec/Block/Lot: 129.4-2
Subdivision: Tiled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fiiled.in this office dated
7/6/2022 pursuant to which Building Permit No. 48168 dated 8/11/2022
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
as hn% t ins and a terat ns el udi� c v�e e� ��t , d ish ° a se�Men to e�% s ual f ffiit e in
apli f
M
The certificate is issued to :Reeve,Diane&Ctrs.
of the aforesaid building.
SUFFOL COUNTY DEPARTMENT OF:EAL'TH APPROVAL
ELECTRICAL CERTIFICATE NO* 48168 1/1012023
PLTJNIBE RS CERTIFICATION DATED 1/19/2023 as
m
SignaftiTe,
FORM NO.4
TOWN OF SOU` HOL D
BUILDING DEPARTMENT
NT
office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
2 date +une a`I� r. 19840
No. . . . .2j 25
. . . .+ • • • i, . • r . . . l wn s uk • .
THIS CERTIFIES that the building . ,pk.a d da tr i t�n, 1 . . .� ..� � � . �, � � . # 0 # # � • �� � �.
r aaAon i rrla, Blvd. Lau ,e l
Location of Po ertY 0rs o • . . •f 4l r . • • . i . � r • • ► • r r r • . r#. . a
House No, stroat Hamlet
County Td?C M p
o a 1 00o ect10n . r r r 1101.99. . .Block r+ • r r • . r r r ••r r rL1*./t + . . . r • • r f i1 II •1� 1 . •+
�* *��*/� '. " �iy�/ +fit " t yes /� x
Subdi7 Wton . • r• . . r r Its * r . i r. . . s i• / • •/ . •�".14ied Map 1 o. a . . . .• r*Lot No . • • r 1r • . •• ►.r •
r,onfonns substantially to the Application for Building Permit heretofore filed in this office dated
• . . • A p r;1,% . 4. 0 . . . . • . , l 98.E .pursuant to which Building Permit No. •r • .�.*o&. 0. •• .• .�..
dated . . .. . 1 . , . 6114y. .3. . .. .. , , .r 19$A ,was issued. and conforms to all of the requirements
of the applicable provisions of the law.The occupancy for which this certificate is issued is
i M IM• W . i 'i . r i i / i it�• r' r.i.rt ■*r r e x i s`V�r n r w A V l l i q g• • a . r t • ./•. r •!.♦• • w A • • . i t f•M •••
A ie certificate is issued to . I r . •• ar♦it ♦ . a •'r'i 1�r_1► •a` pi � 0 . • . ♦ . r • r • • Ir r r••• 1
of the aforesaid building.
Suffolk County Department of Health Approval 4 W, 4, 01. i . .• . .. .
UNDERWRITERS CERTIFICATE NCI. .. .,. r � ;..,. � • . .i +«.I�l.�',�►• . •� � � . � � � 1 � . � i �,.°• �. .
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OFFICE LOCATION: �,' �' �� NAILING ADDRESS
Town Hal Annex y P.O. Box 1179
54375 State Route 25 " ' Southold,NY 11971
(cor.Main Rd.& 'Youngs Ave.) Telephone. 631-7+65--1938
Southold,NAY www.southoldtownny.gory
PLANNING ]BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Accounting
From: Planning Department
Date: December 10, 2024
Re: Check
Please deposit the attached check into B691: Deferred Revenue. Fee is for a Lot Line
Change Application not yet accepted by the Planning Board. `
Thank you.
ounai®wwww�u� vvvvvvvvvvmra FArnount
f�ro1`ect Na�m+� & Type Tax Neap # deck Date& Number
P ..
rincipi & North Farm 1 129.-1-2 & $500-00 11/25/24 - #240
Resubdivision 3.1 New Land Consulting
GLo Inc,
CW
A 4,
�v6�
Pr3, ',U,BC-)M I-I
Submission Without a Covey Letter
G3L C�C���7C
JU'N 12 2026
SOUTHOLD TOWN
PLANNING BOARD
Name:
A J2J
Project Title:
r
Date: q f Q..
Details of Submission:
OFFICE LOCATION: �OF SOUj MAILING ADDRESS:
Town Hall Annex ��� O1 P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY N ac Telephone: 631 765-1938
www.southoldtownny.gov
;CAIUNT`�,��
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
May 22, 2026
Melissa Principi
95 Peconic Bay Blvd.
Laurel, NY 11948
Re: Principi/Further North Farm & McNulty Standard Subdivision
Located at Laurel Ln. & Peconic Bay Blvd., Laurel, NY 11948
SCTM#1000-129.-1-2, 3.1 & 3.2 Zoning District: R-40
Dear Ms. Principi:
Planning Staff has completed an initial review of the submitted application materials. At this
time, the application cannot be deemed complete for scheduling before the Planning Board.
The current submission presents the proposal as both a resubdivision/lot line modification
and a subdivision application simultaneously. Based upon review of the historical Planning
Board file, recorded deeds, and current parcel configuration, we have determined that the
application should instead proceed as a single unified subdivision application intended to
reconcile the situation and achieve your desired results of three recognized house lots.
Corrected submission materials are required to clearly present the application as one
subdivision action. The revised submission should clearly propose a three-lot standard
subdivision.
Please submit the following corrected materials:
1. Corrected Cover Letter: The cover letter shall clearly describe the proposal as a
single standard subdivision application for three house lots.
2. Application Form: Submit a subdivision application form reflecting a single standard
subdivision action for three lots.
3. Resubmit Agent Authorization Forms: Please resubmit revised agent authorization
forms to reflect all landowners' consent to this subdivision application, and to
Southold Town Planning Board Page 2 May 22, 2026
designate a main point of contact(s) for this application. The McNulty estate may
designate their own agent if they prefer, and that person would be copied on all
correspondence.
4. Short Environmental Assessment Form (SEAF): The SEAF shall be corrected to
reflect the proposed subdivision action as a single comprehensive project.
5. LWRP Consistency Assessment Form: The LWRP form shall be corrected to reflect
the revised subdivision proposal and consistent parcel configuration.
6. Property Deeds: Submit copies of the current deeds associated with SCTM Xs 1000-
129.-1-2, 1000-129.-1-3.1, and 1000-129.-1-3.2.
7. Certificates of Occupancy / Certificates of Compliance: Submit copies of all
Certificates of Occupancy and/or Certificates of Compliance for existing structures
located on the subject property.
8. Existing Conditions Survey: Submit a boundary and topographic field survey
prepared and certified by a licensed New York State Land Surveyor showing existing
conditions, including all existing structures, improvements, easements, utilities, septic
systems, wells, and topographic contours.
9. Sketch Plat: Make the following corrections and additions pursuant to Town Code
§240-10:
(a) Title the map: "Sketch Plat for the Standard Subdivision of Principi, Further North
Farm, and McNulty."
(b) Revise the sketch plat to present the proposal as a single subdivision action for
three lots. Note the lots need to meet the bulk schedule for the R-40 zoning district.
(c) Clearly depict all existing tax map parcels, deed lines, and proposed lot lines.
Proposed lot lines shall be shown as solid lines. Existing lot lines shall be shown
differently and clearly labeled with the corresponding deed information, tax map
number, or prior Planning Board approval, so the existing and proposed lot
configurations are easy to distinguish.
(d) Include all information required under §240-10, including zoning district, adjacent
property ownership, tax map information, north arrow, scale, existing easements or
restrictions, available utilities, and other information as listed in §240-10.
If you have any questions, please contact the Planning Department office at 631-765-1938.
Si cerreel�y,
Mara Cerezo
Planner
S.b P
Submission Without a Cover Letter HL /4 i
MAY 14 202
Name: R I ch A rd Pr i h G i j SOUTH ANNIG BOARD
TOWN
J
Project Title: Fri G j j 3 NO r4k
SCTM#: 1000 - 17 cfi . Z ) 3 . 1
i
Date: 5'
Details of Submission:
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Westermann, Caitlin
From: Terry, Mark
Sent: Friday, April 4, 2025 8:28 AM
To: pcmoore@mooreattys.com; Betsy (betsy@mooreattys.com)
Cc: Michaelis, Jessica; Westermann, Caitlin
Subject: FW: Principi Subdivision
See below.
From:Terry, Mark
Sent: Friday, March 21, 2025 10:28 AM
To: pcmoore@mooreattys.com; Betsy(betsy@mooreattys.com) <betsy@mooreattys.com>
Cc: Lanza, Heather<heather.lanza@town.southold.ny.us>
Subject: Principi Subdivision
Pat,
Heather and I have spoken about the pending application for the Principi Subdivision and agree
on the following:
1. The applications are incomplete — the maps are missing the required items and are not
clear enough to present.
2. The resubdivision map approved in June 2003 and the deeds filed May 2003 with SCC
are correct and show the approved lots.
3. The 2003 SC tax map does not show the correct configuration of the lots matching the
deed nor the flag to Laurel Lane.
4. The 2010 SC tax map also does not reflect the approved resubdivision but adds the flag.
5. Were the parcel boundaries transcribed in error on the tax map in 2003?
Please clarify.
Best
Mark Terry, AICP
Assistant Town Planning Director
Local Waterfront Revitalization Coordinator
Southold Town Hall Annex
54375 State Route 25
P.O. Box 1179
Southold, New York 11971-0959
(631) -765-1938
i
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel: (631) 765-4330
Fax: (631)765- 4643
Betsy Perkins Paralegal
Madison Messina, Paralegal
s"k4
P61 H -i
December 9, 2024
4
Southold Town Plannning Board w
Town Hall Annex, 54375 Main Road �4,rr1
Southold,NY 11971
By Hand
Re:
Melissa Principi & Joseph Terranova(owner of 1000-129-1-2)
Richard Principi, sole member Further North Farm LLC (owner of 1000-129-1-3.1)
Joanne McNulty, Executrix of Estate of John McNulty
Dear Mr. Rich and members of the Board:
This application is intended to clean up the history of 3.1 and 3.2 which the owners
believed had been subdivided and sold as separate parcels. The land was sold by the estate(good
faither sellers) and good faith buyers, who believed that the 2 vacant parcels were properly
subdivided 3.1(owned by Further North Farm LLC) and 3.2(estate of McNulty) . When the
owner of lot 3.1 applied to the Suffolk County Health Department they were informed that the
parcels did not have Health Department subdivision approval. When the owners met with
Planning staff it was also discovered that McNuty had submitted a lot line change between 129-
1-2 & 129-1- 3(now 3.1 and 3.2). The lot line change was never completed due to objections by
McNulty to Planning Board C&R'. The land was split by deed and the houise on tax lot 2
(owned by Melissa&Joseph 129-1-2)and lot tax lot 3.1 (owned by Further North Farm LLC)
were sold by the Estate of John McNulty. The estate of John McNulty continues to own Tax Lot
3.2.
In order to remedy the situation with all the parties involved the following applications
are being filed herein:
1. Re-subdivision/Lot line modification between an existing house (Tax lot 129-1-2) and
part of the adjacent vacant parcel (129-1-3.1). The house is proposed to be on one acre.
2. a subdivision between lot 3.1 and 3.2. (Further North Farm LLC &McNulty Estate )
1. As to the re-subdivisionlists the materials submitted by the applicant and/or
agent (129-1-2 & 129-1-3.1)
a. Application Form & Authorization Letters From the property
owners
b. Copy of property deeds for all involved properties
c. Copy of certificates of occupancy for all existing buildings
d. Copies of Easements, Covenants& Restrictions, and decisions
from other agencies with conditions restricting this property in any
way. (none)
e. Proof the parcels meet the Lot Recognition standard in §280-9 Lot
Recognition- house parcel deed created prior to 1983
f. SEQRA Long Environmental Assessment Form
g. Application Fee - $500
h. Six(6) copies of a survey
i. To be provided at a later date, draft deeds including a reference
stating"the Southold Town Planning Board approved this lot line
modification by resolution on
2. As to the subdivision.
a. Subdivision Application Form— Sketch Approval -Authorization Letters
b. Property Deed(s)—Further North Farm LLC & McNulty parcel
c. Copies of Easements, Covenants &Restrictions, and decisions from other
agencies with conditions restricting this property in any way. none
d. Proof the parcel(s) meets the Lot Recognition standard in §280-9 Lot
Recognition: Parcel (Tax Lot 3) was owned by William& Maureen
McNulty)
e. Part I of the Environmental Assessment Form (Long Form)
f. Application Fee ($1,500)
g. 6 subdivision maps (with 6 re-subdivision maps)
h. 6 copies of the site context map as required in Town Code §240-10 E.
i. 6 copies of the field survey
j. Request waiver(12) copies of the Existing Resources and Site Analysis
Plan (ERSAP) (§24010 A.) - former farm land
k. Request waiver Twelve (12) copies of the Yield Plan for Standard
Subdivisions or five (5) copies of the yield calculation for Conservation
Subdivisions
1. Local Waterfront Revitalization Program (LWRP) Consistency
Assessment Form
m. Not Applicable Table showing buildable land area, calculations for yield,
affordable housing and open space/reserved areas as applicable
n. Check to "Town of Southold"
The applications are being filed simultaneously in order to coordinate the re-subdivision
and subdivision of the parcels.
Very l r rs,
,lea C. Moore
RECEIVED
SOUTHOLD
10 2024
LANNING � t ion b-wn .
E:t ARTMENT _.. ..PCanr°oiig Board .. .�_
Subdivision Application Form - Sketch Approval
APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for
SKETCH APPROVAL for the subdivision described herein.
1. Name of Subdivision I�Ul � a � �Uc�llS IfM
I"
2. Suffolk County Tax Map#
3. Type of Subdivision Standard P' Conservation [ ]
4. Hamlet
5. Street Address/
Project Location
6. Acreage of Site 2 —4a .
7. Proposed Yield `.� j'322
Go t3 yQ Qc d A 5-6 8
8. Number of Lots Proposed
9. Zoning DistrictQ
10. Date of Submission
11. Please provide the names, addresses and phone numbers for the following
people:
Applicant: 90
.
cv(v �� G�, ?Z
�� /
y^,c 0� Qt ucl�rs-mom
Agent. I ,1 /'7k:i7 c0
1 Gd Utz 2o/� 11
/ J")° ?172
Sketch Plan Application Form
Property Owner(s): 1
Surveyor:
Engineer:
Attorney: �� - 1 0 .47-
12. Has an application for subdivision ever been filed for this property? If so, please
indicate when and whether or not approval was granted by the Planning Board.
13. Has a pre-submission conference been held with the Planning Board? If so, provide
date.
14. Does the parcel(s)meet the Lot Recognition standard in Town Code §280-9 Lot
Recognition? Yes X . No If"yes", explain how.
15. Has the owner/applicant net with Land Preservation? If so,provide
date. » ____
/V0
16. Is any part of the property in agricultural use? If so, how many acres? AID
17. Is there an existing or proposed sale of development rights on the property?
18. Does the owner own any adjacent properties? If so,please indicate the properties by CA16
SCTM#. ,
19. Are there any building permit.-, currently pending on this property' If yes,please
provide permit number(s). Vic"/
2
20. The site will be serviced by the following special districts or utility companies:
Fire District 1� ,.,,.,,-,......_..._._.
Post Officeakza-
School District C
Water
21. Has the relevant Electric Utility Company been notified of the proposed subdivision?
If so,please provide proof that service will be
provided. NO '
22. Please indicate the type of open space faro eased and how it will be martaged,l
23. Are there any existing structures on the property? If so, please indicate the type of
structure and its use(s). Will these structure-,remain, be removed or altered?
Olt caiit
24. Based on the parcel yield and the affordable housing requirement of the Town Code,
how many Moderate Income Family Dwelling Units are proposed? If the number that
will be built is less than 20% of the yield, please indicate how you intend on satisfying
the requirement(see Town Code §240-10 B (2)(c) for options).
w
25. Application completed by [ ] owner agent [ ] other
Signature of Preparer ��� "°`�"�`"' Date
Southold Plan apartment
Applicant
Transactional Disclosure Form
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers
and employees. The purpose of this form is to provide information which can alert the town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
Your Name: 1'rincip Ri lia Sjo e Member of Fi rtherr M rt�learnt.L L C and M.tjorg P tricia C.
Last,First,middle initial
unless you are applying in the name of someone else or other entity, such as a company. If so,
indicate the other person's or company's name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision _www„ Site Plan
Other(Please name other activity)
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or
employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
Yes No
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the
appropriate line A through D and/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the
applicant is a corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not
a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant
Description of Relationship:
..—__._.._________
Submitted thi& day of W24
Richar i,Sole-Member
M
loore
Disclosure Form
SOUTHOLD PLANNING DEPARTMENT
1, Richard Principj, Sole Member of Further North Farm LLC,hereby authorize
Patricia C. Moore, Esg. to act as my agent on the property of sc,rm#j 000-1,29.-
1-3.1 in lath NY and handle all necessary work involved in the subdivision
process with the Southold Planning Board.
17�\
Signature: \
1�3 V
Smbefore me this
day of February 2024
Notary Stamp]
KYLEE S DEFRESE
NOTARY PUBLIC-STATE OF NEW YORK
No.01 DE6420156
Qualified in Suffolk county
My commission Expires 08-02-2025
Southold Planning Department
Applicant Transactional
Disclosure Form
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and
employees. The purpose of this form is to provide information which can alert the town of possible conflicts of
interest and allow it to take whatever action is necessary to avoid same.
Your Name:
Patricia C.
Last,First,middle initial
unless you are applying in the name ofsomeone else or other entity,such as a company. Ifso, indicate the other
person's or company's name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision Site Plan Other(Please
name other activity) _
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the
Town of Southold? "Relationship includes by blood,marriage or business interest, "Business interest"means a business,including a
partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the
town officer or employee owns more than 5%of the shares.
Yes____No_
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold ..................... .......................Title or
..................position of that person
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A
through D and/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant Description of
Relationship;
..................................
Submitted this day of._...2024
To, 1�I MeNt.... as cc Itrix
:l C ..
Pall'
• k
...................rrkloore
S OUTHOLD PLANNING BOARD
OARD
|' owner Ofthe
property identified oa 1��^�in hereby
authorize to apply for o subdivision on our property and
hire any agents necessary to compLete the work invoLved in the subdivAsion.
process with the 3outhoid Nanning Board.
Jq#nc McNulty, as Execua
Sworn before nmethis
,� � ��
day of 024
[Notary Stamp]
Southold PlanningDepartment
Applicant Transactional
Disclosure Form
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and
employees. The purpose of this form is to provide information which can alert the town of possible conflicts of
interest and allow it to take whatever action is necessary to avoid same.
Your Name:
Patricia C.
Last,First,middle initial
unless you are applying in the name ofsomeone else or other entity, such as a company. Ifso, indicate the other
person's or company's name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision Site Plan Other(Please
name other activity)
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the
Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a
partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the
town officer or employee owns more than 5%of the shares.
Yes Nc.r
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold Title or
position of that person .........
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A
through D and/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation);
B.the legal or beneficial owner of any interest in a noncorpofate entity(when the applicant is not a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant Description of
Relationship:
............
..... ..................... ................. .............................111111111111111-------......
Sul nitt his
�L_day of, 024
oh n C y as Executor
........ .....
oore
SOUTHOLD PLANNING BOARD
Ofthe Estate Qf.),Q,,h,,n,,,R,...M,(,,,.N,.,utty,owner of the
property identified as $,C,T,M 10 - -3.2in Mattituck, NY, hereby
authorize Patricia C,-MQ
-q,,to apply for a subdivision on our property and
hire any agents necessary to complete the work involved in the s Ub0jYjsj,0rj,
p;rocge. /ithe uth tdPlanning Board.
John N, ilty, as Executor
Sworn before me this
day of P 'j 2024 C
Notary Stamp]
M,LJORGE LUIS PERLA
MY CW
NOTARY PUBLIC
WILSON COUNT , NC
--M*lM Ezift r.1&2M
SOUTHOLD PLANNING BOARD
1,Je-n—nifer-Mc-Nufty,as Executrix of the Estate of John,R,Mc.N-Oty,owner of the
property identified as CTM#1000-129.--!--3.-2in—M-attit�u kN—Yhereby
authorize to apply for a subdivision on our property and
hire any agents necessary to complete the work involved in the subdivision
process with the Southold,,Ptanning Board.
J rn n ulty,as Executrix
Sworn b0bre nic this
2 clay of 2024
[N( (aurnp]
Aa
Y
0
.
P�)
0 "oo",
%�',
Southold Planning Department
Applicant Transactional
Disclosure Form
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and
employees. The purpose of this form is to provide information which can alert the town of possible conflicts of
interest and allow it to take whatever action is necessary to avoid same.
Your Name: M,qNAIL.R-1
Patricia C.
Last,First,middle initial
unless),ou are appl)�ing in the name ofsoineone else or other entity,such as a company. tfso,indicate the other
person's or eompalrnvs name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision X_ Site Plan__Other(Please
name other activity)
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the
Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a
partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the
town officer or employee owns more than 5%of the shares.
No.
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold .......... Title or
position of that person
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A
through D and/or describe in the space provided.
The town officer or employee or his or her souse,sibling,parent or child is(check all that apply):
A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant Description of
Relationship:
----------
Suhini 'is day 4
Jennifer, �Noh Executrix
VatliC LE r
Full Environmental Assessment Form
Part 1 -Project and Setting
Instructions for Completing Part 1 6O
Part 1 is to be completed by the applicant or project sponsor. Responses become part of the applicatil"i fo"ppro or- 111Lg,,_..
are subject to public review,and may be subject to further verification.
Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to
any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist,
or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that
must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the
answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any
additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information
contained in Part lis accurate and complete.
A.Project and Applicant/Sponsor Information.
Name of Action or Project:
_wwww.-.._..._.�_._____�evI w._._..... ..wwwww
Project Location(describe,and attach a general location map):
t0oo IZ�-- L -- 2- 3 . I o nd 3.2
._--___...... ........... ....- .. . -..............__. ?__......
Brief Description of Proposed Action(include purpose or need):
Lam- .� � 1z9 ^ i - 2 `
G�,l�lSl6� grid SU��VrS�O-n
............... ............
Name of Applicant/Sponsor: Telephone: 0(. 7 /_5—
�, E-Mail:
SS�� �n 5b��-��►�rcyyloc............ ..u. w.w.:.
Address: (} ����_ ������ p 11
7� Pi P>wQ
City/PO: _...................... State.wwww_...........aa.. _ de'
1 t i„o
Project Contact(if not same as sponsor;give name and title/role): Telephone: (P�7( —?� 5__
E CCaa 3
.......... __ . -Mail:
. .....
Address:
�_�_�_....����..........
City/PO: State*,
Zip Code:
....
c5oco l .......... .wwwww_ f� ..........
Property Owner (if not same as sponsor)- Telephone:
�ll► C �' U r�*Y No� E-Mail:
w..._........w. .w_.._._ .........................
Address: Y'D �& l z y
.Ci...... �,J._..`...,�www_____ __ w..�-....wwwww State: ._� ...__����������� Zi d
w �'" V 1�0 _ ...w _ ..........1���.................... _�....._._.
Page 1 of 13
FEAF 2019
B.Government Approvals
B.Government Approvals,Funding,or Sponsorship.__ includes rants loans,tax relief,and an other forms of Wimp
_.._._._..W�.............w.__....._.___...._...... .-......_.w._w_...__
pp � g� ("Funding" g y of financial
assistance.)
Government Entity If Yes: Identify Agency and Approval(s) Application Date
Required (Actual or projected)
a.City Council,Town Board, ❑Yes o
or Village Board of Trustees
b.City,Town or Village es❑No !ri +
Planning Board or Commission
c.City,Town or ❑Yes o
Village Zoning Board of Appeals
d.Other local agencies ❑Yes No
e.County agencies ZK]I'es❑No0
5 vls Icr/1
f.Regional agencies ❑YesJXNo c� r
g. State agencies ❑Yeswo
h.Federal agencies ❑Ye,%No
i. Coastal Resources.
i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑YesPo
ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? X Yes❑No
iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes[ No
C.Planning and Zoning
C.1.Planning and zoning actions.
Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the Yes❑No
only approval(s)which must be granted to enable the proposed action to proceed?
• If Yes,complete sections C,F and G.
• If No,proceed to question C.2 and complete all remaining sections and questions in Part I
C.2.Adopted land use plans.
a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site Yes�1No
where the proposed action would be located?
If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ❑YesONo
would be located?
b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway; ❑YeS93No
Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan;
or other?)
If Yes,identify the plan(s):
c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan ❑Yes N'o
or an adopted municipal farmland protection plan?
If Yes,identify the plan(s):
Page 2 of 13
C.3. Zoning
a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. Wes❑No
If Yes,what is the zoning classification(s)including any applicable overlay district?
b. Is the use permitted or allowed by a special or conditional use permit? ❑Yes No
c.Is a zoning change requested as part of the proposed action? ❑Yes;&No
If Yes,
i. What is the proposed new zoning for the site?
CA.Existing community services.
a.In what school district is the project site located? _ ___................... ........._.....
b.What police or other public protection forces serve the project site?
5bt GIc T�l till
c.Which fire protection and emergency medical services serve the project site? r i
d.What parks serve the project site?
.. ................._... .._........_ _ ._ ........
D.Project Details
D.I.Proposed and Potential Development
a.What is the general nature of the proposed action(e.g.,residential, industrial,commercial,recreational;if mixed,include all
components)? i2�t �_ L cj
b. a.Total acreage of the site of the proposed action`? _� + acres
b.Total acreage to be physically disturbed? Q.... acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? acres
c.Is the proposed action an expansion of an existing project or use? ❑Yes o
i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units,
square feet)? % _wwww Units:__........
d.Is the proposed action a subdivision,or does it include a subdivision? Yes❑No
If Yes,
i. Purpose or type of sueli—
ii. visic'xr1?(e,. .,residential,industrial,commercial; if mixed,specify types)
'Ceh
Is a cluster/conservation layout.proposed?
iii.Number of lots proposed? .. 6—ahc'uj
iv. Minimum and maximum proposed lot sizes? Minimum % 0 O . Maximum
e.Will the proposed action be constructed in multiple phases? ❑Yes No
i. If No,anticipated period of construction: months
H. If Yes:
• Total number of phases anticipated
• Anticipated commencement date of phase 1 (including demolition) month year
• Anticipated completion date of final phase month _year
• Generally describe connections or relationships among phases, including any contingencies where progress of one phase may
determine timing or duration of future phases:
Page 3of13
f.Does the project include new residential uses? es❑No
If Yes,show numbers of units proposed.
One Family Two Family Three Family Mul(tplg Family four or more
Initial Phase
_.w._.w ........... _.......... w_._ ..._._...........................
At completion
of all phases
g.Does the proposed action include new non-residential construction(including expansions)? ❑Yes No
If Yes,
i.Total number of structures
ii. Dimensions(in feet)of largest proposed structure: height; width; and length
iii. Approximate extent of building space to be heated or cooled: _a _ ,_ _ ...... square feet
h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes No
liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage?
If Yes,
i. Purpose of the impoundment:
ii. If a water impoundment,the principal source of the water: ❑ Ground water❑Surface water streams ❑Other specify:
iii. If other than water,identify the type of impounded/contained liquids and their source. _ ____................
iv. Approximate size of the proposed impoundment. Volume: _ million gallons;surface area: acres
v. Dimensions of the proposed dam or impounding structure: -height; length
vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete):
D.2. Project Operations
a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? nYes
No
(Not including general site preparation,grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i.What is the purpose of the excavation or dredging? . ...... ww_ .__w _
w_.....
ii. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site?
• Volume(specify tons or cubic yards): ................... ..........._...._... ........ ._. ..._.........
.
• Over what duration of time?
iii.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them.
iv. Will there be onsite dewatering or processing of excavated materials?..........._.�
If yes,describe.
v. What is the total area to be dredged or excavated? _acres
vi. What is the maximum area to be worked at any one time? ...�.... � acres
vii. What would be the maximum depth of excavation or dredging? M ........__ feet
viii. Will the excavation require blasting? QYesE]No
ix. Summarize site reclamation goals and plan:............ _ _._.................. w �ww......................._.... ._w____�.
b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment []Yes o
into any existing wetland,waterbody,shoreline,beach or adjacent area?
If Yes:
i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic
description);
Page 4 of 13
ii. Describe how the proposed action would affect that waterbody or wetland,e.g. excavation,fill,placement of structures,or
alteration of channels,banks and shorelines Indicate extent of activities,alterations and additions insquare feet or acres
iu.Will thewpr.._p_...........'...._m_...._._.c""..s........... ..—. c'e, ._._....................m—s ?�___ www......ww........... ��.. .....
' o osed action cause or result in disturbance to bottom sediments. ❑Yes o.w..._
If Yes,describe:
iv. Will the proposed actioncause or result in the destruction or removal of aquatic vegetation? C]YeN0
If Yes:
• acres of aquatic vegetation proposed to be removed: �. ... .._ _ _ __, ... __M..................
• expected acreage of aquatic vegetation remaining after project completion: __ .wwww ., ,_
• purpose of proposed removal(e.g.beach clearing,invasive species control,boat access):
• .... ._..............._...�.........p w..._..._......... _ww._w_.._.._.._..w_.. ._., w_ .� ........ .N__._._. wwww�_�w�w�_wwa
proposed �µppp
method of plant removal:... ......w............. ..�w _............
• if chemical/herbicide treatment will be used, specify product(s):
v. Describe any proposed reclamation/mitigation following disturbance:... ___ ww ��wwww
c.Will the proposed action use,or create a new demand for water? Yes❑No
If Yes:
i. Total anticipated water usage/demand per day: �a�O � gallons/day
ii. Will the proposed action obtain water from an existing public water supply? Oyes[]No
If Yes:
• Name of district or service area: `
• Does the existingpublic water supply � � WWWWWWWWW w �_.......
p pp y have capacity to serve the proposal. Yes[ No
• Is the project site in the existing district? Yes;,]No
• Is expansion of the district needed? EJ Yes[ No
• Do existing lines serve the project site? V Yesrl No
iii. Will line extension within an existing district be necessary to supply the project? OYes"ANo
If Yes:
• Describe extensions or capacity expansions proposed to serve this project: ...........m . m ._,_
• Source(s)of supply for th............ww...www�.... _
the district: ......www_.................._a......................_-.._._._._... ...........wwww....www ....._ ... _ �._. _......_.
iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes❑No
If,Yes:
• Applicant/sponsor for new district:
._.. .......... .. ........wwww......._....m_..............._........
• Date application submitted or anticipated:
P ( ) supply ....................__..........—--------_ _.wwww..wwww_..............«.........
• Proposed sources of su 1 for new district:
v. If a public water supply will not be used,describe plans to provide water supply for the project:
........
vi.If water supply will be fromwells(public or private),what is the maximum pumping capacity: gallons/minute. ..............._
d.Will the proposed action generate liquid wastes? [--]YesMNO
If Yes:
i. Total anticipated liquid waste generation per day: gallons/day
ii. Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and
approximate volumes or proportions of each): _m
_.wwww_ w w �.
..........._._....__ ._
iii. Will the proposed action use any exi_sting public wastewater treatment facilities. ❑Yes . o
If Yes:
• Name of wastewater treatment plant to be used; _ w...........
• Name of district:
• Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No
• Is the project site in the existing district? ❑Yes❑No
• Is expansion of the district needed? ❑Yes❑No
Page 5 of 13
• Do existing sewer lines serve the project site? []Yes o
• Will a line extension within an existing district be necessary to serve the project? ❑Yes o
If Yes:
• Describe extensions or capacity expansions proposed to serve this project: _ ..............
iv. Will a new wastewater(sewage)treatment district be formed to serve the projec.site ..... __w. ��-..__.._.._......_....._E. _ _...
t s'te? ❑Ye No
If Yes:
• Applicant/sponsor for new district:. ._......................-�.............._._... � .................................__....._ �www_..........._aa......._. .. .... _�wwww...
• Date application submitted or anticipated:. ww__.._.._.._w_..... ...______�__. ._................... _www_. _,..-..�.._._............._........ _...._
• What is the receiving water for the wastewater discharges . _._. - q_m_
v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed
receiving water(name and classification if surface discharge or describe subsurface disposal plans):
vi.w_w_w.------_.� ..�_�w.w...._........ _ --wwww------------------
Describe any plans or designs to capture,recycle or reuse liquid waste:�ww m _ _,m,m,,,,,,,,,,,,......._
e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ❑Yes No
sources(i.e. ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point
source(i.e. sheet flow)during construction or post construction?
If Yes:
i. How much impervious surface will the project create in relation to total size of project parcel?
Square feet or acres(impervious surface)
Square feet or acres(parcel size)
ii. Describe types of new point sources. __. ..............._..... _. �.......................... _ ---- -
iii. Where will the stormwater runoff be directed(i.e. on-site stormwater management facility/structures,adjacent properties,
groundwater,on-site surface water or off-site surface waters)?
• If to surface waters,identify receiving water bodies or wetlands: _ -- _____ ,__,,,,,,,,,,,,�
• Will stormwater runoff flow to adjacent properties? W W� ppp^ p � -OYes❑No
iv. Does the proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑Yes❑No
f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel []Yes o
combustion,waste incineration,or other processes or operations?
If Yes,identify:
i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles)
Stationary sour w
.........w_w-..m..,._---".......... ,_w._�_ ...........
__...,,. ..Ww..................-_.
-
ii. S ._
ry sources during construction(e.g.,poer generation,structural heating,batch plant,crushers)
..........w ......-.,,.._........................�.........w.��_ __.........._._. _�._..............�w_._.._...............................__._..._..._...__. w--------
iii. Stationary sourc
es during operations(e.g.,process emissions,large boilers,electric generation)
g.Will any air emission sourcesnamed in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑Yes o
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Y4(wo
ambient air quality standards for all or some parts of the year)
ii. In addition to emissions as calculated in the application,the project will generate:
• Tons/year(short tons)of Carbon Dioxide(COZ)
• Tons/year(short tons)of Nitrous Oxide(NZO)
• _ Ions/year(short tons)of Perfluorocarbons(PFCs)
• _ wm _ �Taaits/year(short tons)of Sulfur Hexafluoride(SF6)
• Tons/'year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs)
• _www.,,.._.. Tans/year(short tons)of Hazardous Air Pollutants(HAPs)
Page 6 of 13
h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑Yes No
landfills,composting facilities)?
If Yes:
i. Estimate methane generation in tons/year(metric):
ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or
electricity,flaring) _...._._......... __ ______.ww_.� �w _�......w........ _ _ ._w_.._.._..�.
i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as []Yes No
quarry or landfill operations?
If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust):
j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ❑Yes o
new demand for transportation facilities or services?
If Yes:
i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend
❑Randomly between hours of to
ii. For commercial activities only,projected number of truck trips/day and type(e.g.,semi trailers and dump trucks): w
iii. Parking spaces: Existing _ Proposed_ _. ._.._.__ Net increase/decrease
iv. Does the proposed action include any shared use parking? ❑Yes❑No
v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe:.
vt. Are ublic/ rivate trans ortation services or facilities available within''/z mile of the......oposed .�
p p............._._.. p _ --O ------------------
proposed site? ❑Yes❑No
vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑Yes❑No
or other alternative fueled vehicles?
viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes❑No
pedestrian or bicycle routes?
k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand []Ye No
for energy?
If Yes:
i. Estimate annual electricity demand during operation of the proposed action: .w_wwwmmmm� . .
............_.................� wwwwwwwww_.............._a..............�.,.�...._................. .........�.-.........�. .......
..._.. � �....
ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or
other):
iii. Will the proposed action requiW re a new,or an upgrade,to an existing substation? _....w ..... ❑Yes❑No
1.Hours of operation. Answer all items which apply.
i. During Construction: ii. During Operations:
• Monday-Friday: + Monday-Friday
• Saturday: .wwwwww_............._a....__._ ..........��www.......... + Saturday �.ww......._._�� .. ....._........__._
• Sunday: _., �_. __. • Sunday._a... wwww_ww......._.._ ......
• Holidays:. .......... ..............� • Holidays:.__....... �w_.............................._...�
Page 7of13
in.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes No
operation,or both?
If yes:
i. Provide details including sources,time of day and duration:
ii. Will the ro o.........—a"www_....�.....mo—ve a_�_... _wwww.__"i'h""w.w...o' _..-_-a-a' �"eb".__._. ._._.___._......................._. ..w...Yes,.Yes,—'—,
..
p p sed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes❑No
Describe:. _..www_.._.. .._ _w__ ___ _ww ._�....._...._...._.. __._.._........................ _.w
n.Will the proposed action have outdoor lighting? ❑Yes No
If yes:
i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures:
ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen?
..... w .........ww
❑
Yes❑No
Describe: . _...�_ _ .................. .w.w.w._.
o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes�JNO
If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest
occupied structures;
p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes No
or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes:
i. Product(s)to be stored _w _.......................... ..
........... ...... _ www.-...................aa......._._ _ �._ .....w.....�_
ii. Volume(s) per unit time �(e.g.,month,year)
iii. Generally,describe the proposed storage—facilities:_____. .......w m .........,
q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes No
insecticides)during construction or operation?
If Yes:
i. Describe proposed treatment(s):
..._.w.w._. .......___.................... __._....................�w_...� _�. �.
ii. Will the ra> used action use Integrated Pest M«ana cement Practices? ❑ Yes CIM
r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes No
of solid waste(excluding hazardous materials)?
If Yes:
i. Describe any solid waste(s)to be generated during construction or operation of the facility:
• Construction: .
��... tons per (unit of time)
• Operation : tons per.�.� (unit of time)
ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste:
• Construction: _..... ..... .....................�
• Operation: ................. _.._.__.__.._mm_ _........................
_...___ ._._........................... _....�mM_._..... ....................
........._....... .... -._._..._._.......................w............... .W.....................
..
iii. Proposed disposal methods/facilities for solid waste generated on-site:
• Construction: ............ _...................... w_w w w w__www.......__.�
.......,
• Operation: �w�._.W.
Page 8 of 13
11
s. Does the proposed action include construction or modification of a solid waste management facility? Yes No
If Yes:
i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or
other disposal activities):w ww_____..___.. ..............
ii. Anticipated rate of disposal/processing:
• Tons/month,if transfer or other non-combustion/thermal treatment,or
• www.w......Tons/hour,if combustion or thermal treatment
iii. If landfill,anticipated site life:_ ... _years
t.Will the proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous Dyes Flo
waste?
If Yes:
i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: __- ......_............_ m_
-
.
.. ..._............�. _w ....� ....._......�_ ._........�ww._...��..-w_........._..
ti.
Generally describe processes or activities involving hazardous wastes or constituents: Po
iii. Specify .....
amount to be handled or generated tons/month -w--.....�._..w_�. ..—____................_......��........... ...—,_..........
iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: w w_ ...........
v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? _ Yes No
If Yes:provide name and location of facility:_w._ ........
—www____.ww_._ __..w_...w_�__....._� _.w_a...a.... ..._.. ...._._........................_..w .w_.................. _._._ �.
If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:
E.Site and Setting of Proposed Action
EA.Land uses on and surrounding the project site
...................._.._.._...._....�........... _�........._..... _ �w_......... .. ww �..........
a.Existing land uses.
i. Check all uses that occur on,adjoining and ji-ar the project site.
❑ Urban 0 Industrial ❑ ComtnercialResidential(suburban) ❑ Rural(non-farm)
❑ Forest Agriculture ❑ Aquatic Other(specify):.._,,,,,,,...... _�www...........� . w..
ii It"mlx o uses,generally describe:
b.Land ........ ....................covertypes on the project site. .........
__ ��wwwww_....� _ww_�,.,w....... ... ............_......
..._
ses
W Land use or Current..._._.........� Acreage After Change
,_wwww M Covertype w Acreage _ Project Completionwwwm (Acres
• Roads,buildings,and other paved or impervious Nj
o
surfaces
b -
• ForestedWWW......._..__......__.... _...wY_w_.__.ww � �_._......t............. _._ _._. __----------__` ..._ �
• Meadows, grasslands or brushlands(non-
agricultural,including abandoned agricultural) _ 3.... (�CdL°S
• Agricultural
(includes active orchards,field,greenhouse etc.) NR"
• Surface water features__.�_�w_...._............ ..��w_........
(lakes,ponds,streams,rivers,etc.) n0"
... �w_..............._.... _ _........www_.w......
+ Wetlands freshwater or tidal)
��........._. M_.__._... ....�.....�w ....�.....� www_.._
• Non-vegetated(bare rock,earth or fill) Y)ulrk JL
_..�.......... www_....�.........._....wwww........_....�......._ www_...._aa....... ..,._.... ........... ..w_ .............�..
Other
Describe: h 071A—
Page 9 of 13
c. Is the .ro'ect site presently use .............. ------__-_.� ._.. w w_.._.._.._.____._ _w_._..._._....�_ _... ........_._............
project p y d by embers of the communityfor public recreation. ( Yes No
i. If Yes: explain: w.
____............ _ww__— ....... .serving ___............................ ..
y g elderly,people with disabilities(e.g., schools,hospitals,licensed ❑Yes o
day care centers,or group homes)within 1500 feet of the project site?
If Yes,
i. Identify Facilities:
_______w�. www _... ____.._......... _ __ ..............w ..... _ _ _ _...
e.Does the project site contain an existing dam?
__ _ w.._w_m_......� ..._...........�w._._. .... w�Yes No
If Yes:
i. Dimensions of the dam and impoundment:
• Dam height: ._._..._......................... ........................ _, feet
•
Dam length: ..................._w....._..-........................ feet
• Surface area: _ acres
• Volume impounded: ww __ �w_w..._......�.,gallons OR acre-feet
ii. Dam's existing hazard classification:
iii. Provide date and summarize results of last inspection:
project ww........ww _....._.w _.,......P......_'-aa.:::: ::�� �_._._........� � � Yes ' _.
£Has the ro'ect site ever been used as a municipal,commercial or industrial solid waste rvmanagement Yfacility, ❑ o
or does the project site adjoin roe which is now,or was at one time used as a solid waste management facility.
%
P J J property rt3' � g t3'
If Yes:
i. Has the facility been formally closed? ❑Ye-9No
• If yes,cite sources/documentation: _ __.www_ ...........
ii. Describe the location of the project site relative to the boundariesof the solid waste management facility:
__...._....�......_._.�........................�___........w ..�. ._w_..............__......----------.� __._..�._ ......�www_.... ..�...�----���� ---..
iii. Describe any development constraints due to the prior solid waste activities: _wwwww_ _. ._ _...w
w
g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does project site Wadjoin ❑Yes o
property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste?
If Yes:
i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred:
h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ElyesrANo
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i. Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No
Remediation database? Check all that apply:
❑ Yes—Spills Incidents database Provide DEC ID number(s): ww �_. .........
❑ Yes—Environmental Site Remediation database Provide DEC ID number(s):... �ww ....__
❑ Neither database
ii. If site has been subject of RCRA corrective activities,describe control measures:,,_
._w.ww_._...._......... ..... ..............w_ ................ . .......
iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes❑No
If yes,provide DEC ID number(s): .....
iv. If yes to(i),(ii)or(iii)above,describe current status of site(s):
Page 10 of 13
___..www.._._._._._....... ............. w w ... ..w_...................................... .._
v. Is the project site subject to an institutional control limiting property uses? E1YesP4No
* If yes,DEC site ID number: ............_......
........ _www ...........�..
* Describe the type of institutional control(e.g.,deed restriction or easement): *µrv_ �WWWWWe ,,,,,.www_w,.
* Describe any use limitations: w w _....._ _.. _ww _.._._................. _ .........
* Describe any engineering controls:
�._..._..___. www__................_ �__�........w....._wm....._..__�w_.............._wwww._......�..... ,...�.._.......�
* Will the project affect the institutional or engineering controls in place. ❑Yes❑No
* Explain: ........ .._. .. _ _ww ........ ._, _www......_._......... ..
E.2. Natural Resources On or Near Project Site
a. What is the average depth to bedrock on the project site? .w.._._........�._ feet
....e.r. droceropP g _n t_..P j ... �w__ � .� °�_._.._................ .__.....l _e
b.Are there bedrock outcro m s on the project site? ❑Ye ..o._.........
If Yes,what proportion of the site is comprised of bedrock outcroppings? /°
c.Predominant soil type(s)present on project site r' w...._ �ww
...............
d.What is the average depth to the water table onthe project site? Average: �'�7 feet
..._._.......... _ _w w.._. .._ ._....w .ww..................... _._ --.___ wwww. . ..........._...._....
e.Drainage status ofproject site soils:El Well Drained: %of site
❑ Moderately Well Drained: %of site
❑ Poorly Drained � %of site
f.Approximate proportion of proposed action site with slopes: 1o%: ' ° ofsite ......F-0
10-150/,0: ppp %of site
❑ 15%or greater: _ %of site
............ w_................................. ._...._ ......w. .... ,.. www_w..._..............._..........._�ww........_._.....� � _
g.Are there any unique geologic features on the project site? Yes N0
If Yes,describe:
h. Surface water..............�m,_._ .__.........�..� ........_..........-....�.�... .__...,,.�...................... __. _ �..w.......
features.
i. Does any portion of the project site contain wetlands or other waterbodies (including streams,rivers, ❑YesXNo
ponds or lakes)?
ii. Do any wetlands or other waterbodies adjoin the project site? ❑YesVNo
If Yes to either i or ii,continue. If No,skip to E.21
iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑YesVfNo
state or local agency?
iv. For each identified regulated wetland and waterbody on the project site,provide the following information:
* Streams: Name ................._ w Classification......_a...__. .....
* Lakes or Ponds: Name _ Classification
• Wetlands: Name._.....�wwww_...._..__._ww ..ww �w__ w...... .. .— Approximate;size.w ....�... ........
.....�_
* Wetland No. (if regulated by DEC). ___ _
v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes❑No
waterbodies?
If yes,name of impaired water body/bodies and basis for listing as impaired: wwwww_
__w..........
i.Is th.__.�_�_. . w_�_�wwwww_........... _ww__._._......��__..�w._.__............_._�. „�. www_..........a�
e project site in a designated Floodway? ❑Yes o
j.Is the project site in the 100-year Floodplain?� _._.................. _................._....�_..�.w_................._aaa......�,_.�� ❑Yes o
w...._.
k.Is the project site in the 500-year Floodplain? es❑No
.
1.Is the project site located over,or immediate) adjoining,a primary,principal
q al or sole source aquifer? 'es MMM�ppp- _w...................
P j �_.y................. ..... ....w_..
❑No
If Yes:
i.Name of aquifer: .. � y�C/C ! _............... _. ��
Page 11 of 13
' p''dorni i 1 use the project site: _._
m. lcic,�ata�f "�t�ltc n it wi � �.�aecies that ecu r or u
.............
n.Does the project site contain a designated significant natural community? (lYcs NO
If Yes:
i. Describe the habitat/community(composition,function,and basis for designation):.....min_......,____._....... """ w wwwwwwwww
_._... �wwwww ........._a....... . _._ .. . _.
......................-....._ ...... ......._.
._ ..............
zz. �..
Source(s)of description or evaluation:
iii. Extent of community/habitat:
• Currently: " . acres
* Following completion of project as proposed: acres
• Gain or loss(indicate+or-): w " acres
o.WDoes contain an project site _.._.__....... _ . ._._.......... ......w
�ww......._._....�_. ____ .......... �.w..... _�
p j i y species of plant or animal that is listed by the federal government or NYS as ❑Yes o
endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species?
If Yes:
i. Species and listing(endangered or threatened):w_....__w w w w. _ ....._.�w___._.................... w.
....... .... . _ __. �_.__._....................�.. ....... _W w
p Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species _of Yes No
special concern?
If Yes:
i. Species and istittg: _............� w.. ._.....-........._.................----_........... _...........__....... ._............................_.
www_wwwmm _ . ........... ... _ .......
q Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? L]YespNo
If yes,give a brief description of how the proposed action may affect that use: _
E.3. Designated Public Resources On or Near Project Site
a. Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes
Agriculture and Markets Law,Article 25-AA, Section 303 and 304?
If Yes, provide county plus district name/number: _
_----� ww._..__._�... µEpp w .
b.Aeagriculands congof highly productive soils present?
". ...... DYes o _.
i. If Yes: acreage(s)on project site? _._._.._....................
�w_-....__...—. _................... _ ........
ii. Source(s)of soil rating(s): am
c. Does the pproject site contain all or part of,or is it substantially Mcontiguous to,a registered National mmmmm DYes No
Natural Landmark?
If Yes:
i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature
ii. Provide brief description of landmark,including values behind designation and approximate size/extent: _�_wwwww
......._.._........ ........ ........................._._..�_...... �_www_......7.a_... _ .. pw_....�
d.Is the project site located in or does it adjoin a state listed Critical Environmental MArea? OYcs NO_ww--------
If Yes:
i. CEA name:
_wY__....._...............
zz. Basis for designation: __.ww.... _ ........ _.............
�w _w _................� .. ......
iii. Designating agency and date: ............._....._. .... ---................ �_..................._...m.
Page 12 of 13
e.Does is listed prof t site
e Nationalfi or State substantially
contiguous to, a building, archaeological site,or district � [ e.
P No
which
egister
Historic Places,or that has been determined b the Commissioner of tl e NYS
Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places?
If Yes:
i. Nature of historic/archaeological resource: El Archaeological Site ❑Historic Building or District
ii. Name:
ua. Brief description of attributes on which listing is based:
�....._,_.____ �_www.........w�www_ w._..............w.� ww...�w�w� ._.._..�..�
f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes No
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
Have additional archaeological or historic sites or resources been.......w�..�......n,.w��, ..............�._. � w�........�
g. g' O identified on the project site? ❑Yes No
If Yes:
i.Describe possible resource(s): _ w_w_..._ _ . .._. �w.w....ww.._._....�_ _�wwww.......... ... www �....... _._..
ii. Basis for identification:
..,......._....lwww.w....all designated and publicly accessible federal,st �..�......_
W h.Is the
scenic or
within resource?
If _._.....__ Y ci_..ly des...n _ �wlicl��wle.._�...........__..w._...._� _.W..... _�.......
hin fives miles of an officially gn p y ate,or local Yes❑No
If Yes:
i. Identify resource: _.
ii.Nature of,or basis for,designation(e.g.,established highway verloca state or local park,.Wstate_historic trail or scenic byway,
etc.): _._._ .................�. __�www...._.... _ �wwww........_ ... _w�......
iii. Distance between project and resource: www miles.
i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers ❑Yes No
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation:
_.w _.......
ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666?w w......_._. ❑Yes o
�
................ ......... .............
F.Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any
measures which you propose to avoid or minimize them.
G. Verification
I certify that the information provided is true
eto"the best of my knowledge.
Applicant/Sponsor Name _ i=� .. r...mN�. r .,, �wwwww....._ Date2 ............
Signature,,,. Title Cl' _ ..
PRINT FORM I Page 13 of 13
Town of Southold RECEIVED
�,.. . . _.�M....._ ,. . ,
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS ! 6Ut 0k Tbw'il
Narvim rig Board
16 All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A, proposed action will be evaluated as to its significant
beneficial and adver e effects a on the coastal area(which includes all of South Id Tovw
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus each answer must be explained in detail listing both supporting and non-
supportinS facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's website
(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local
libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM#��. - - G✓3. 2
PROJECT NAME �� . "�.. �. John
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board L Building Dept. ❑ Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g. capital
construction, planning activity, agency regulation, land transaction) F]
(b) Financial assistance(e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification: ❑
Nature and extent of action:
C "-/,
9 ZaZ412-a
Location of action: le' "..
Site acreage:_
Present land use:
Present zoning classification:
1 If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: e
(b) Mailing address: �Z��V� �' , l4 �
(c) Telephone number: Area Code(
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
'14 If yes,which state or federal agency?Yes ❑ No
C. Evaluate the project to the following policies by analyzing how the project will further support or not
support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation
criteria.
E Yes No ❑ Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP
Section III—Policies P
ages3 through 6 for evaluation criteria
Yes ❑ No Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
F] Yes ❑ No [K Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages 8 through 16 for evaluation criteria
Yes ❑ No�K Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
Yes El No Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
Yes ❑ No )0 Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
Yes ❑ No Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
Yes ❑ No X Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria.
El Yes❑ No x Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria.
Yes ❑ No F6"'l Not Applicable
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary
and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
Yes ❑ No [A Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62
through 65 for evaluation criteria.
OrYes ❑ No❑ Not Applicable
...........
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III—Policies; Pages 65 through 68 for evaluation criteria.
Yes ❑ No Not Applicable
PREPARED '"•� �" TITLE 1IlA T E
Amended on 811105
Explaination from Family Attorney Who Represented Closing:
Richard Principi purchased what he thought were two lots in Laurel. One had a small
cottage, the other was vacant. The property was marketed as two lots, and was
conveyed as two lots. Title was taken by separate deeds, two contracts etc. The
cottage was renovated, and re-conveyed (to his Daughter and Son in Law through
transfer of LLC). Extensive work (with permits) on the cottage was done and was
refinanced and deed now in their name as primary residence.
When Rick went to obtain a building permit on the vacant lot, the Health Department
said it wasn't a separate lot. The Town also told him that its not a lot, and that the Town
had approved a lot line modification that was moved the easterly lot line of the cottage
further east, basically"absorbing" a portion of another lot owned by the same owner (an
estate) and made that lot bigger (approx. 2 acres). This is a bit simplified as the
"cottage" had a different (but related) owner, and it was conveyed as it was (same
description as the prior 1/2 acre lot).
Attorney John Jilnicki met with the Town Planner, when she explained this. She had
previously emailed Melissa Principi as follows:
"Somehow,maybe the way they filed the deeds,129-1-3 was split in two(129-1-3.1&3.2)and
129-1-2 remained unchanged.That was not supposed to happen.That would be a subdivision and a
subdivision was never approved by the Planning Board on this as far as we can find.The Planning Board's
approval on this is clear."
The Planner at our meeting said that, since from the Town's perspective, it's "one lot",
and that lot it is large enough to split into two lots, under zoning, and suggested he
make a subdivision application.
The concern with this approach is, if the "cottage" sits on a 1 acre lot, it is not the best
value for that lot (and perhaps the Cottage could be moved from the site and a more
appropriate (substantial) house built on the lot.
The Planner also mentioned though, that since the Seller conveyed the "lots" in a
manner they were not supposed to, that the Town might revoke the lot line
modification. That would mean that everything goes back the way it was. The 1/2 acre
lot becomes a "legal" lot again, but the Buyer's other LLC then becomes a co-owner in a
much larger (3 plus acre) lot.
I'm attaching the Map for review. Rick bought the westerly 1/2 acre portion, and the
1.5+ "parcel two". the estate still owns the land to the east.
Are there damages here - either on the Seller and/or the title company? The title
company representative was "friendly"with the family members involved, and was able
to get them to take action to clear the title - something a prior title company wasn't able
to do - required a sign off from heirs on one of the lots. When the
Purchaser spoke to the title company they said the "didn't get into zoning issues" it took
nearly 8 months to get clear title on this deal... Principi's waited with down payment in
escrow that long.
��■m rr n a�n
r�Wr%I V
PO Box 1248 Southold, NY 11971
Test Hole Data Sheet
Name: Further North Farm, LLC
Location: 95&245 Peconic Bay Blvd, Laurel NY
Date: 8/14/2023
Tax Map#: 1000-12900-0100-002000
1000-12900-0100-003001 &
1000-12900-0100-003002
Type: Open Pit Excavation Test Hole with Hydraulic Excavator, Deere 160
Grade
2' Topsoil
4' Heavy Blue & Gray Clay
6.5' Sand/Loam Mix
8.5' Bank Run Sand
9.5' Damp Bank Run Sand
11.5' Ground Water
PLANNING BOARD A MBFICS + U "'
��h"► ,� P.O.Box 1179
BENNETT ORLOWSKI,JR.
Town Hall,53095 State Route 25
Chairman
Southold,New York 11971-0959
RICHARD CAGGIANO Telephone (631) 765-1938
WILLIAM J.CREMERS Fax(631) 765-3136
KENNETH L.EDWARDS '' `
MARTIN H.SIDOR
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
June 10, 2003
John R. McNulty, Esq.
P.O. Box 107
Laurel, New York, 11948
RE: Proposed Lot Line Change for John & Frank McNulty
Located on the north corner of Laurel La. & Peconic Bay Blvd, in Laurel
SCTM#1000-129-1-2 & 3 Zone: R-40
Dear Mr. McNulty:
The Southold Town Planning Board, at a meeting held on Monday, May 12, 2003,
adopted the following resolution:
WHEREAS, the applicant proposes to amend the lot line between parcels SCTM#
1000-129-1-2 (Parcel 1) and SCTM#1000-129-1-3 (Parcel 2) and transfer 1.567 acres
from Parcel 1 to Parcel 2 where Parcel'1 would equal 1.567 acres and Parcel 2 would
equal 2.011 acres; and
WHEREAS all conditions of conditional final approval have been met; be it therefore
RESOLVED that the Southold Town Planning Board grant final approval on the surveys,
dated August 28, 2002, and authorize the Chairman to endorse the final surveys.
An endorsed survey is enclosed for your records. Please contact this office if you have
any questions regarding the above.
Very truly yours,
Bennett Orlowski, Jr.
Chairman
Encl.
0 0
PLANNING BOARD MEMBERS /"
P.O. Box 1179
BENNETT ORLOWSKI,JR.
Chairman `" Town Hall, 53095 State Route 25
Southold,New York 11971-0959
RICHARD CAGGIANO C4 Telephone(631) 765-1938
WILLIAM J.CREMERS Fax(631) 765-3136
KENNETH L.E MARTIN HD D5 D R
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
March 11, 2003
John R. McNulty, Esq.
P.O. Box 107
Laurel, New York, 11948
RE: Proposed Lot Line Change for John & Frank McNulty
Located on the north corner of Laurel La. & Peconic Bay Blvd. in Laurel
SCTM#1000-129-1-2 & 3 Zone: R-40
Dear Mr. McNulty:
The Southold Town Planning Board, at a meeting held on Monday, March 10, 2003, adopted
the following resolutions:
WHEREAS, the applicant proposes to amend the lot line between parcels SCTM# 1000-129-1-2
and SCTM# 1000-129-1-3 where; Lot 1 would equal 2.01 acres and Lot 2 would equal 1.57
acres; therefore be it
RESOLVED, that the Southold Town Planning Board, acting under the State Environmental
Quality Review Act, do an uncoordinated review of this unlisted action. The Planning Board
establishes itself as lead agency, and as lead agency, makes a determination of non-
significance and grants a Negative Declaration; and be it
FURTHER RESOLVED that the Southold Town Planning Board set Monday, April 14, 2003, at
6:10 p.m.for a final public hearing on the maps, dated April 2, 2002 and last revised January 3,
2003,
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 12:00 noon on FriS!jL April 11th..Th2 sign and t e egst
need to b2 r turned to the Planning Board Office after the public hearing.
Please contact this office if you have any questions regarding the above.
P
truly yett rtowski, Jr.
Chairman
Encl..
f'
;ECR Ne ative Declaration Page Two
The determination was based upon the following:
.No substantial adverse change in existing air quality, ground
or surface water quality or quantity, traffic or noise levels; a
substantial increase in solid waste production; a substantial
increase in potential for erosion, flooding, leaching or
drainage problems will occur as a result of this action.
No the removal or destruction of large quantities of
vegetation or fauna; substantial interference with the
movement of any resident or migratory fish or wildlife
species; impacts on a significant habitat area; substantial
adverse impacts on a threatened or endangered species of
animal or plant, or the habitat of such a species; or other
significant adverse impacts to natural resources will occur.
The proposed action is not adjacent to a Critical
4 Environmental Area as designated pursuant to subdivision
6
617.14(g).
The proposed action is not in a material conflict with a
community's current plans or goals as officially approved or
adopted.
The proposed action will not impair the character or quality
of important historical, archaeological, architectural, or
aesthetic resources or of existing community or
neighborhood character.
No major change in the use of either the quantity or type of
energy will occur.
No the creation of a hazard to human health will occur.
a
The proposed action will not cause a substantial change in
the use, or intensity of use, of land including agricultural,
open space or recreational resources, or in its capacity to
support existing uses.
Based upon such, no significant adverse impacts to the environment are expected to
4
occur should the project be implemented as planned.
x
For Further Information:
Contact Person: Mark Terry, Senior Environmental Planner
Address: Planning Board
Telephone Number: (631) 765'1938
a
SEEQR Nerve Declaration - Pa e Three
Enc.
cc: Roger Evans, DEC Stony Brook
Suffolk County Dept. of Health
Suffolk County Planning Commission
Elizabeth Neville, Town Clerk
Applicant
F
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JOHN R. MG NULTY
ATTORNEY&COUNSELOR AT LAW
January 21,2003
Hon.Bennett Orlowski
Chairman,Planning Board
Town Hall P.O.Box 1179
53095 Main Road
Southold,NY 11971
Re: McNulty lot line adjustment
Dear Chairman Orlowski:
At the work session,you asked me to inquire of my brother if he would sign a restrictive
covenant prohibiting any further division of his property. I understand that since then he has
personally spoken with a member of the Planning Board or a member of the Planning Board staff
and indicated to them that he and his wife were unwilling to sign such a covenant.
They are already giving up their vested right to maintain a substandard lot and are making it a
conforming lot. In doing so they are creating a lot which is large enough to create two(2)legal
sized conforming lots. In effect they would be punished for eliminating a non-conforming lot.
They inform me that they have no intention,present or in the foreseeable future,of subdividing
their resulting lot. However, since the future is disclosed to us one day at a time,circumstances
may arise which would necessitate such a division. If such a division were legal in the future,it
seems untoward to impose such a financial burden at this time. It is difficult to ascertain any
legitimate zoning purpose in punishing someone who wants to eliminate a non-conforming lot. I
submit it establishes an unsavory precedent since the elimination of non-conforming lots is the
object of zoning and should be encouraged and not punished.
By raising this possibility,the Board has created a conflict of interest between me and my brother
and his wife. Therefore,I cannot represent them and request that all a °" s and communications
be sent to them as well as to me. Their address is P.O.Box 11.2 Laii-e Y 11948.
,Nfost R l
hn R... ul -
Copy: Mr. &Mrs. Frank J.McNulty
X 5*4
P.O.Box 112,Laurel,NY 11948
� �865 PECONIC BAY BOULEVARD, POST OFFICE Box 107
LAUREL, NEW Y ORK - 11948
PHONE: 631-298-4638 - FAX: 631-298-1710
i �4 J
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Aiiw N V 1,"I"ervtV i0m M04iw. .,,6braMt Mwt wra►lbwle C trMNfw4hw,N w�r�� m W,a u
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aM *3tILT,hrMi IMR r YItB l"MN4l ViiM A* ' +Dt� N1 �M^� EMT LaA�"INY
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ftde the' o August ninettcn:116 died�arid ninety sdveii
MAUREEN T. McNUL.TY, residing at '30 Monett'Place, Greenlawwn
New York AS TO '9,TH'E' INTEREST f1F WILL'IAM E. MCNUL3"Y, �a
DECEASED, ..SUFFOLK. COUNIY 6/17/93 (2494P93)AS DEVISED
UNDER SAID WILL.
party of the first.part,and
FRANK J. MaNULTY, residing, at 95 Peconic Day Boulevard, Laurel,
Bear York and d0 i R. Mc:M'7ULTY, .resaiding at 965 Pec:o is Day
c Dr,`ulevarAi Laurel, New York, as Tenants in Common
party of the wood part,
that the Play of the first Part,in consideration of the exchange, of other real
p-oper"ty as voluntary partition and exchange
SAG
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lay tht aargty of the saae4aat¢f part,d hereby grant and release unto the party of the seoond part, their heirs:K
Of' Of rod� f d one-,third (I/a)
setacesaw+rs aracl ass orew�r,
nn=undivide
In Parcel 1 an rn ��t
d Pa
>cr",rL�aed 1�"r*lowr.
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TET party, Of,the'E3 rst pert"and the Mpar ties of then second.part o ned an undivided° '
otse third"(1�3) interest in, three pr* els o ;Land Sc31L District 1CrDD Sec :ion �/ ,
B16ck D2 Ldt 002.401 'SCTM'' i.:strict l.000 9 ctio'n'1.29�.Dl.ock WLoat 00 C000i a
9 Tt9`C9 tri:ot 1.000=Set:tion 145 Dlock.��D2 rest.Dot.�Qdl. The: pasties. hevo exchanged
deeds intended td'he iedorded simult ndously by which,the part of the first pare
wril.l. Own a TM District 1060 5e'ction.145 Block 02 Last `001,ICED outright and the
parties of the second part will owns SETM District 1000 Section.'12-/dock, 02
.Lot 0 2'.00f,"and S"TA1 DiStr*.rct 100 &-cta,on.,129 Block 01 Lcii 003.000 .AA tenants in
coarrmora, ,th:a bei.n a non-tas rle`dgchang6 6f fraiciidnal interests.
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NoTlet il e MONUMENT
APR 24
Southold Town
F"Innnin onrd
lip
�,
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 9 911 Z Date 2 Z �g
........................ .. 19......
Permission is hereby granted to:
to .....t De K......A....gU11.�1+P�"t"�......D.N.�.t'.....7/16-.......f�ier-..�::!.!.'.C.?......F�j�.................
.. . .r. !.......... ...................... ................ ..................................................
.......... < C � u
E-
at premises located at .......9.-S...... . A.7........Pk tL'A fe........eA.'l.......e4.V r. ..................
Aq�PE L—
pursuant to application dated ..................................j.' (..... 1978 ., and approved by the
Building Inspector.
II
Fee $...J„.............
DDO— 12 9 — I— ,cam
....................... . 9 Inspector
...,.................
Building
....
OFFICE LOCATION: g�r,,aFlP ��"wx MAILING ADDRESS
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold,NY 11971
(cor.Main Rd.& Youngs Ave.) ; Telephone: 631-765-1938
Southold,NY www.southoldtownny.gov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Accounting
From: Planning Department
Date: December 10, 2024
Re: Check
Please deposit the attached check into B691: Deferred Revenue. Fee is for a
Subdivision Sketch Plan Application not yet accepted by the Planning Board.
Applicant/Project Name & TypeMM W Tax Map # Amount CheckµDate/No.
Principi & North Farm Standard 129.-1 2, 3.1 $w1..500.mm00 11 .�..._..._...v._________..._
- 1......__/25/24 -- #239
Subdivision — Sketch Plan & 3.2 New Land
Consulting Group Inc
CW
PATRICIA C. MOORE
Attorney at Law
51020 Main Road
Southold,New York 11971
Tel: (631) 765-4330
Fax: (631) 765-4643
Betsy Perkins Paralegal
Madison Messina, Paralegal
RECEIVED
December 9, 2024DEC ),
Southold Town Plamming Board I` 6afi 61d T �, n -'
Town Hall Annex, 54375 Main Road Nanning Board
Southold,NY 11971 _.m.. ._...._._...,._................�.a.�.__....�....................�....._.
By Hand
Re:
Melissa Principi& Joseph Terranova(owner of 1000-129-1-2)
Richard Principi, sole member Further North Farm LLC (owner of 1000-129-1-3.1)
Joanne McNulty, Executrix of Estate of John McNulty
Dear Mr. Rich and members of the Board:
This application is intended to clean up the history of 3.1 and 3.2 which the owners
believed had been subdivided and sold as separate parcels. The land was sold by the estate(good
faither sellers) and good faith buyers,who believed that the 2 vacant parcels were properly
subdivided 3.1(owned by Further North Farm LLC) and 3.2(estate of McNulty) . When the
owner of lot 3.1 applied to the Suffolk County Health Department they were informed that the
parcels did not have Health Department subdivision approval. When the owners met with
Planning staff it was also discovered that McNuty had submitted a lot line change between 129-
1-2 & 129-1-3(now 3.1 and 3.2). The lot line change was never completed due to objections by
McNulty to Planning Board C&R'. The land was split by deed and the houise on tax lot 2
(owned by Melissa& Joseph 129-1-2)and lot tax lot 3.1 (owned by Further North Farm LLC)
were sold by the Estate of John McNulty. The estate of John McNulty continues to own Tax Lot
3.2.
In order to remedy the situation with all the parties involved the following applications
are being filed herein:
1. Re-subdivision/Lot line modification between an existing house (Tax lot 129-1-2) and
part of the adjacent vacant parcel (129-1-3.1). The house is proposed to be on one acre.
2. a subdivision between lot 3.1 and 3.2. (Further North Farm LLC &McNulty Estate )
1. As to the re-subdivisionlists the materials submitted by the applicant and/or
agent(129-1-2 & 129-1-3.1)
a. Application Form&Authorization Letters From the property
owners
b. Copy of property deeds for all involved properties
c. Copy of certificates of occupancy for all existing buildings
d. Copies of Easements, Covenants&Restrictions, and decisions
from other agencies with conditions restricting this property in any
way. (none)
e. Proof the parcels meet the Lot Recognition standard in §280-9 Lot
Recognition- house parcel deed created prior to 1983
f. SEQRA Long Environmental Assessment Form
g. Application Fee - $500
h. Six (6) copies of a survey
i. To be provided at a later date, draft deeds including a reference
stating"the Southold Town Planning Board approved this lot line
modification by resolution on
2. As to the subdivision.
a. Subdivision Application Form—Sketch Approval -Authorization Letters
b. Property Deed(s)—Further North Farm LLC &McNulty parcel
c. Copies of Easements, Covenants &Restrictions, and decisions from other
agencies with conditions restricting this property in any way. none
d. Proof the parcel(s)meets the Lot Recognition standard in §280-9 Lot
Recognition: Parcel (Tax Lot 3)was owned by William&Maureen
McNulty)
e. Part I of the Environmental Assessment Form (Long Form)
L Application Fee ($1,500)
g. 6 subdivision maps (with 6 re-subdivision maps)
h. 6 copies of the site context map as required in Town Code §240-10 E.
i. 6 copies of the field survey
j. Request waiver(12)copies of the Existing Resources and Site Analysis
Plan (ERSAP) (§24010 A.) - former farm land
k. Request waiver Twelve (12) copies of the Yield Plan for Standard
Subdivisions or five (5)copies of the yield calculation for Conservation
Subdivisions
1. Local Waterfront Revitalization Program (LWRP) Consistency
Assessment Form
m. Not Applicable Table showing buildable land area, calculations for yield,
affordable housing and open space/reserved areas as applicable
n. Check to "Town of Southold"
The applications are being filed simultaneously in order to coordinate the re-subdivision
and subdivision of the parcels.
Ver�jtr s,
a�
ci .C. Moore