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HomeMy WebLinkAboutPBA-02/09/2026 PLANNING BOARD MEMBERS MAILING ADDRESS: P.O.Box 1179 JAMES H.RICH III Southold,NY 11971 CHAIRMAN �F S�UPyO`O OFFICE LOCATION: MIA JEAOUS-DANK Town Hall Annex DONALD J.WILCENSKI 54375 State Route 25 MARTIN SIDOR y bc Southold,NY 11971 PIERCE RAFFERTY G4% S p Telephone:631-765-1938 www.southoldtownny.gov PUBLIC MEETING AGENDA Monday, February 9, 2026 5:00 p.m. Options for public attendance: ♦ In person: Location: Southold Town Hall, 53095 NYS Route 25, Southold. or ♦ To join via computer Click Here or Online at the website zoom.us Click "Join a Meeting" Meeting ID: 895 0949 9824 Password: 074982 ♦ Join by telephone: Call 1 (646) 931-3860 Enter Meeting ID and password when prompted (same as above) Southold Town Planning Board Public Meeting — February 9, 2026 — Page 2 SETTING OF THE NEXT PLANNING BOARD MEETING Board to set Monday, March 9, 2026 at 5:00 p.m. at the Southold Town Hall, Main Road, Southold, as the time and place for the next regular Planning Board Meeting. SUBDIVISIONS FINAL PLAT DETERMINATION Koslowsky, Flowers and Flores Resubdivision —Thiss Resubdivision proposes to transfer 0.990 acres from Lot 10.3 to Lot 11.1. Following the transfer of area, Lot 10.3 will decrease in size to 4.01 acres and Lot 11.1 will increase in area to 1.42 acres in the AC Zoning District. The property is located at 48125, 48455, &47775 CR 48, Southold. SCTM#1000-55.-2-11.1, 10.3 & 10.4 PRELIMINARY PLAT APPROVAL RE-ISSUE Earls Standard Subdivision —This proposal is for a Standard Subdivision of a 2.01-acre parcel where Lot 1 equals 0.71 acres and Lot 2 equals 1.30 acres, located in the RO Zoning District. The property is located at 3070 Peconic Lane, Peconic. SCTM#1000-74.-3-15 SITE PLAN APPLICATIONS SEQRA CLASSIFICATION Rich's Quality Autobody Amended Site Plan —This site plan is to amend the previously approved plan to include several as-built structures, including a 972 sq. ft. portable building on a concrete slab, an extension of auto repair building #2 from 1,759 sq. ft. to 2,916 sq. ft., along with the previously approved existing office building of 576 sq. ft. and existing auto repair building #1 at 1,628 sq. ft.; all on a 37,428 sq. ft. parcel in the R-40 Zoning District located on the s/s/o NYS 25 at the s/w intersection of NYS 25 and Fleets Neck Road. The property is located at 29950 NYS Route 5, Cutchogue. SCTM#1000-102.-3-1 SEQRA DETERMINATION 615 Pike Street Retail - This proposed site plan is for the construction of a 1 Y-story 4,742 sq. ft. commercial building with 4 retail units, basement storage and associated parking on 0.54 acres in the Hamlet Business Zoning District. The property is located at 615 Pike Street, Mattituck. SCTM#1000- 140.-2-21 Southold Town Planning Board Public Meeting — February 9, 2026 — Page 3 SET HEARING Rich's Quality Autobody Amended Site Plan — (see description above) SCTM#1000-102.-3-1 DETERMINATION Southold Gas Station & Convenience Store EV Chargers —This amended site plan application is for the proposed installation of four (4) Autel dual handle Electric Vehicle Charging Stations on a site with an existing Gasoline Service Station and Convenience Store, located on 1.46 acres in the General Business (B) Zoning District. The property is located at 45450 CR 48, Southold. SCTM#1000- 55.-5-2.2 PUBLIC HEARING 5:01 p.m. - 615 Pike Street Retail - This proposed site plan is for the construction of a 1 '/-story 4,742 sq. ft. commercial building with 4 retail units, basement storage and associated parking on 0.54 acres in the Hamlet Business Zoning District. The property is located at 615 Pike Street, Mattituck. SCTM#1000-140.-2-21 APPROVAL OF PLANNING BOARD MINUTES • December 22, 2025 • January 12, 2026 OFFICE LOCATION: ®��rg S®J��® MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 ® www.southoldtov.nny.gov COU PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2026 Mr. Kevin Perry P.O. Box 95 Orient, NY 11957 Re: Final Plat Approval — Koslosky, Flowers & Flores Resubdivision Located at 48125 and 48455 Middle Road, Southold SCTM#1000-55.-2-10.3, 10.4, & 11.1 Zoning District: AC Dear Mr. Perry: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, February 9, 2026: WHEREAS, this proposed Resubdivision will transfer 0.99 acres from Parcel 1 (SCTM# 1000-55.-2-10.3) to Parcel 2 (SCTM#1000-55.-2-11.1). Following the transfer, Parcel 1 will contain approximately 4.01 acres and Parcel 2 will contain approximately 1.42 acres, both located within the AC Zoning District in Southold; and WHEREAS, on April 4, 2025, the applicant submitted a Resubdivision application for review by the Southold Town Planning Board; and WHEREAS, on April 15, 2025, the Zoning Board of Appeals (ZBA) requested comments for consideration of variances as shown in ZBA Application #8016; and WHEREAS, Planning Department staff found that the application was incomplete as noted in the email dated April 17, 2025; and WHEREAS, on June 4, 2025, Kevin Perry, authorized agent, submitted application materials for review; and Koslowsky, Flowers & Flores Resubdivision February 10,,2026 WHEREAS, on June 5, 2025, the Planning Board responded to the ZBA's request for comments with no objections; and WHEREAS, on June 18, 2025, the Southold Town Zoning Board of Appeals granted the area variances required; and WHEREAS, on November 18, 2025, Kevin Perry, authorized agent, submitted application materials for review; and WHEREAS, on January 12, 2026, Kevin Perry, authorized agent, submitted application materials for review; and WHEREAS, on January 21, 2026, Kevin Perry, authorized agent, submitted application materials for review; and WHEREAS, at their work session on February 9, 2026, the Southold Town Planning Board found the Resubdivision application complete; and WHEREAS, pursuant to §240-56 Waivers of certain provisions, the Southold Town Planning Board shall have the authority to modify or waive, subject to appropriate conditions, any provision of these subdivision regulations, if in its judgment they are not requisite in the interest of the public health, safety and general welfare, except where such authority would be contrary to other ordinances or state law; and WHEREAS, the Southold Town Planning Board has determined that the following provisions of the Southold Town Code §240 Subdivision of Land are not requisite in the interest of the public health, safety and general welfare because this Resubdivision does not result in additional density,and two parcels currently exist and will remain as two parcels, with one of the lots already developed, and therefore is eligible for a waiver: a. Sketch Plat Review; b. Existing Resources Site Analysis Plan (ERSAP); c. Yield Plan; d. Primary & Secondary Conservation Area Plan; e. Preliminary Plat Review; f. Preliminary and Final Public Hearings; and WHEREAS, pursuant to the Resubdivision policy set by the Planning Board in February 2011, this application is eligible for a decision from the Planning Board prior to receiving approval by the Suffolk County Department of Health Services (SCDHS) as it meets the following criterion set forth in that policy: The transfer of land from an oversized parcel (larger than the minimum zoning requires) where the oversized parcel remains above the minimum lot size required, and where no new development potential will be created in the parcel to which the land is transferred; and 2 111 a g Koslowsky, Flowers & Flores Resubdivision ,February 10, 2026 WHEREAS, this application;is EXEMPT from review by the Local Waterfront Revitalization Program as no new development potential will come as a result of this Resubdivision; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, has determined that the proposed action is a Type II Action under SEQRA according to 617.5(c)(16) "granting of individual setback and lot line variances and adjustments;" and WHEREAS, pursuant to Town Code §240-41 concrete monuments to mark the property boundaries are required; and WHEREAS, on February 9, 2026, at their Work Session, the Planning Board determined that the proposed action meets all the necessary requirements of Town Code §240-57 for a Resubdivision application; therefore be it RESOLVED, that the Southold Town Planning Board, pursuant to §240-56 Waivers of certain provisions, hereby waives the following provisions of subdivision: a.. Article V. Sketch Plat Review; b. §240-10 (A): Existing Resources Site Analysis Plan (ERSAP); c. §240-10 (B):Yield Plan; d. §240-10 (C): Primary & Secondary Conservation Area Plan; e. Article VI: Preliminary Plat Review; f. §240-19 (C-2): Preliminary and Final Public Hearings; and be it further RESOLVED, that the Southold Town Planning Board hereby waives the requirement to receive approval from the Suffolk County Department of Health Services prior to approval of this Resubdivision by the Southold Town Planning Board; and be it further RESOLVED, that the Southold Town Planning Board grants Final Plat Approval upon the map entitled "Proposed Lot Line Adjustment of Property at Southold Town of Southold Suffolk County, N.Y. 1000-55-02-10.3" prepared by Donald J. Metzger, Licensed Land Surveyor, last revised January 15, 2026. The map for this Resubdivision will be kept on file with the Southold Town Planning Department. REQUIRED: Record the deed and submit a copy of the recorded deed to the Southold Town Planning Department within 90 days of the date of this resolution or such approval shall expire and be null and void. Install property boundary monuments to mark the new property boundaries. _.......... _........._ ....._........ _. 3 __. P Koslowsky, Flowers & Flores Resubdivision February 10, 2026 Please Note: The Southold Town Planning Board,.in waiving the requirement for SCDHS approval prior to their own approval, is simply waiving a technical requirement of Final Plat Approval under the Town Code and makes no representations as to whether SCDHS approval is required. SCDHS approval of this re-subdivision may be necessary to be in compliance with the Suffolk County Sanitary Code, and to be eligible for future construction or renovations. The statement below (see Page 4) must be signed by the property owners to validate this approval resolution. The Chairman will endorse the approval resolution once the - Health Department waiver is signed by both property owners. If you have any questions regarding the above, please contact this office at (631) 765- 1938. Respectfully, James H. Rich III Chairman I understand that Southold Town Planning Board approval of this Lot Line Modification does not grant, guarantee or waive an approval, if required, from the Suffolk County Department of Health Services (SCDHS). I understand that I will need to apply separately to the SCDHS for any applicable approvals. Signature of Property Owner 1 Print name Signature of Property Owner 2 Print name Cc: Ms. Tina Koslosky as.� e OFFICE LOCATION: Q sa���� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 ® �O www.southoldtownny.gov "IOU I PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2026 Aaron Earls 3070 Peconic Lane Peconic, NY 11958 Re: Conditional Preliminary Plat Approval Re-issue Earls Standard Subdivision 3070 Peconic Lane, Peconic SCTM#1000-74.-3-15 Zoning District: RO Dear Mr. Earls: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, February 9, 2026: WHEREAS, the Planning Board issued a Conditional Preliminary Plat approval on September 9, 2024 and that approval has expired: and WHEREAS, the applicant has requested more time to submit the Final Plat application due to their engineer requiring additional time to finish the work; and WHEREAS, this proposal is for a Standard Subdivision of a 2.01-acre parcel where Lot 1 equals 0.71 acres and Lot 2 equals 1.30 acres, located in the RO Zoning District; and WHEREAS, the Planning Board determined that the parcel has the yield for two lots, however Lot 1 required a variance to be less than 40,000 sq. ft. and received same in 1999 from the Zoning Board of Appeals (4622); and WHEREAS, on September 8, 2014, the Planning Board granted Conditional Sketch Plan Approval; and WHEREAS, on July 29, 2015, the applicant's agent submitted the Preliminary Plat application; and WHEREAS, at their work session on August 17, 2015, the Planning Board found the Preliminary Plat application complete; and Earls Standard Subdivision Page 12 February 10, 2026 WHEREAS, at their public meeting on August 31, 2015, the Planning Board set the Preliminary Plat Public Hearing and determined that the action is an Unlisted Action under SEQRA; and WHEREAS, on September 3, 2015, pursuant 6 NYCRR Part 617, Section 617.7 of the State Environmental Quality Review Act (SEQRA), the Planning Board coordinated with all involved and interested agencies; and WHEREAS, on September 3, 2015, the application was referred to the Local Waterfront Revitalization Program (LWRP), Suffolk County Planning Commission, and all other involved and interested agencies; and WHEREAS, in a letter dated September 9, 2015, the Southold Fire District responded that there is adequate fire protection for this property; and WHEREAS, in a letter dated September 21, 2015, the Suffolk County Planning Commission responded that this matter should be considered for local determination and has no objection to Southold Town claiming Lead Agency; and WHEREAS, in a memo dated October 2, 2015, the LWRP coordinator responded that this application was found consistent with the policies of Local Waterfront Revitalization Program; and WHEREAS, on Monday, October 5, 2015, the public hearing was held, and, due to a noticing error, was held open until the following public meeting on November 2, 2015, when the hearing was closed; and WHEREAS, the Planning Board, as Lead Agency under SEQRA, performed a coordinated review of this Unlisted Action; and WHEREAS, on December 7, 2015, at their work session, the Planning Board reviewed the Public Hearing comments and the comments returned from the applicable and involved agencies, and certain requirement were made of the applicant by the Board in a letter dated December 14, 2015; and WHEREAS, no further information was provided by the applicant, and the application became inactive; and WHEREAS, on May 2, 2024, new property owners Aaron.and Francesca Earls filed a revised application to continue this proposed subdivision; and WHEREAS, on May 20, 2024, at their work session, the Planning Board found that this Preliminary Plat application could be continued from where it was left in 2015 due to the limited options for configuration, and lack of environmental sensitivity;,and WHEREAS, this parcel creates one new residential lot, which is expected to create additional demand for recreational facilities in the Town in the future; and Earls Standard Subdivision Page 13 February 10, 2026 WHEREAS, pursuant to §240-53 of the Southold Town Code- Reservation of park land on subdivisions plats containing residential units, the Southold Town Planning Board has determined that suitable land does not exist within the proposed subdivision due to its small size, and so it is appropriate to require a fee in lieu of reserving parkland on the subject property; and WHEREAS, on August 5, 2024, at their work session, the Planning Board reviewed the updated application, together with the comments from other agencies and the public comments received at the public hearing; and WHEREAS, on August 5, 2024, at their work session, the Planning Board reviewed the SEQRA EAF Parts II & III, together with the draft negative declaration prepared in 2015, and found that circumstances and environmental conditions relative to this subdivision had not changed; and WHEREAS, on August 5, 2024, at their work session, the Planning Board found that this preliminary plat application was ready for a determination pursuant to Town Code §240 Subdivision of land; therefore be it RESOLVED, that the Southold Town Planning Board, as described above,hereby finds that the proposed subdivision plat presents a proper case for requiring a park suitably located for recreational purposes, but that a suitable park cannot be properly located on such subdivision plat, and that the Planning Board will require $7,000.00 in lieu thereof, pursuant to 240-53 G of the Southold Town Code; and be it further RESOLVED, that the Southold Town Planning Board has determined that this proposed action is consistent with the policies of the Town of Southold LWRP; and be it further RESOLVED, that the Southold Town Planning Board, pursuant to SEQRA, hereby makes a determination of non-significance for the proposed action and grants a Negative Declaration; and be it further RESOLVED, that the Southold Town Planning Board re-issues a Conditional Preliminary Plat Approval upon the map entitled, "Preliminary Subdivision Map for the Property of Lee & Marie Beninati" prepared by Peconic Surveyors,dated December 15, 2008, last revised March 28, 2016, with the following conditions: Conditions: 1. Submission of a Final Plat Application meeting all the requirements of Section 240- 20 of the Southold Town Code, and meeting all conditions of this Conditional Preliminary Plat Approval. 2. Revisions to Final Plat: a. Revise the Title of the Subdivision Map to the following: "Standard Subdivision for Earls Final Plat"; Earls Standard Subdivision Page 14 February 10, 2026 b. Remove the notation: "Prior to receiving a building permit for Lot 1, access from Lot 2 to Route 48 will be extinguished and prohibited." c. Illustrate a 30' landscaped evergreen buffer along CR 48 on proposed Lot 1: "Evergreen buffer 30' wide" i. Add this to the covenants, and ensure the language allows the driveway to CR 48 to be created. d. Add notations for which property monuments are installed, and which remain to be installed. e. Irrigation and Landscaping: i. Require the use of native, drought-tolerant plants in landscaping; ii. Area of irrigation should be limited to 15% of the lot area on Lot 1; iii. Require rain sensors to promote responsible irrigation methods; iv. Require only the use of organic fertilizers where the water-soluble nitrogen is no more than 20% of the total nitrogen in the mixture; v. Require a maximum of--1 lb. of nitrogen per 1000 square feet in any one application, with a cumulative application of no more than 2 lbs. per 1,000 square feet per year; vi. Prohibit the application of fertilizer products containing nitrogen, phosphorus, or potassium between November 1 st and April 1 st; vii. The use of phosphorus containing lawn fertilizer is prohibited unless establishing a new lawn or soil test shows that the lawn does not have enough phosphorus. Fertilizer labels have three bold numbers. The number in the middle is the percentage of phosphorus in the product, e.g. 22-0-15. Use of products with 0.67 in the middle or lower is not restricted. Products with a number higher than 0.67 may only be used if a new lawn is being established or a soil test indicates it is necessary. 3. Prior to Final Plat Approval, the following will be required: a. Fulfillment of the Park and Playground Fee and the Administration Fee will be required prior to Final Plat Approval. b. Approval by the Suffolk County Department of Health Services (SCDHS); c. Filing covenants and Restrictions (C&R's) that protect the environment, public safety, quality of life and community character to the satisfaction of the Planning Board will be required to be filed. Draft C&R's will be provided to the applicant during the Final Plat application review. d. The installation of property monuments at the indicated locations and pursuant to Chapter 240. Earls Standard Subdivision Page 15 February 10, 2026 The next step to continue towards;approval is to meet all conditions stated above, and to submit a complete Final Plat Application. Preliminary Plat Approval shall expire six months from the date the Planning Board adopted its resolution of'approval unless extended by further resolution. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office at (631) 765-1938. Respectfully, .. H_ James H. Rich, III Chairman OFFICE LOCATION: ®� SoU���� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 ® �® www.southoldtownny.gov rou PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2026 Mr. Martin Finnegan Finnegan Law, P.C. 13250 Main Road P.O. Box 1452 Mattituck, NY 11952 Re: Set Hearing and SEAR Classification RQA Rich's Quality Auto Body Site Plan 29950 Main Road, Cutchogue SCTM#1000-102.-3-1 Dear Mr. Finnegan: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, February 9, 2026: WHEREAS, this site plan is to amend the previously approved plan to include several as-built structures, including a 972 sq. ft. portable building on a concrete slab, an extension of auto repair building #2 from 1,759 sq. ft. to 2,916 sq. ft., along with the previously approved existing office building of 576 sq. ft and existing auto repair building #1 at 1,628 sq. ft.; all on a 37,428 sq. ft. parcel in the R-40 zone located on the s/s/o NYS 25 at the s/w intersection of NYS 25 and Fleets Neck Road in Cutchogue; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act (SEQRA) and its implementing regulations at 6 NYCRR Part 617, has determined that the proposed action is an Unlisted action, as it does not meet the criteria for a Type I action under 6 NYCRR §617.4 and is not listed as a Type II action under 6 NYCRR §617.5; and be it therefore RESOLVED, that the Southold Town Planning Board has determined that this proposed action is an Unlisted Action under SEQRA as described above; and be it further RQA Properties, LLC Page 2 February 10 2026 RESOLVED, that the Southold Town Planning Board sets Monday, March 9, 2026 at 5:01 p.m. for a Public Hearing on the amended site plan entitled "RQA Properties, LLC', prepared by Mark Kevin Schwartz, R.A., dated November 10, 2025. The public hearing packet regarding the Town's notification procedure and the sign & post will need to be picked up at the Planning Board Office at the Southold Town Annex when you are contacted to do so. Please return the Affidavit of Posting/Mailing, included in the packet, along with the certified mailing receipts AND the signed preen return receipt cards before 12 00 noon on Friday, March 6, 2026 The sign and the post need to be returned to the Planning Board Office after the public hearing is closed. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Respectfully, James H. Rich III Chairman Encls. OFFICE LOCATION: ®f so MAILING ADDRESS: Town Hall Annex �� �g P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Teleg�hone• 631 765-1938 Southold, NY ® www.southoldtownny.gov COU PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2026 Mr. Nicholas Gasparo Woodhollow Contracting Corp. 103 School Street Lindenhurst, NY 11757 Re: Amended Site Plan Approval Southold Gas Station EV Charging Stations 45450 Route 48, Southold SCTM#1000-55.-5-2.2 Dear Mr. Gasparo: The following resolutions were adopted at a meeting of the Southold Town Planning Board on February 9, 2026: WHEREAS, this Amended Site Plan is for the proposed installation of four (4) Autel dual handle Electric Vehicle Charging Stations, associated equipment and landscaping, accessory to existing Gasoline Service Station and Convenience Store, located on 1.46 acres in the General Business (B) Zoning District. The property is located at 45450 Route 48, Southold. SCTM#1000-55.-5-2.2; and WHEREAS, on August 19, 2025, information and materials were submitted by Nicholas Gasparo, authorized agent, for an Amended Site Plan Application; and WHEREAS, at their work session on September 8, 2025, the Planning Board accepted the application as complete for review; and WHEREAS, on September 8, 2025, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617.5 (c), determined that the proposed action is a Type II Action as it falls within the following description for 6 NYCRR, Part 617.5(c)(7) construction or expansion of a primary or accessory/appurtenant, non- residential structure or facility involving less than 4,000 square feet of gross floor area and not involving a change in zoning or a use variance and consistent with local land use controls, but not radio communication or microwave transmission facilities; and Southold Gas Station EV Chargers I Page 2 of 5 1 February 10, 2026 WHEREAS, on October 3, 2025, Nicholas Gaspa'ro, authorized agent, submitted requested lighting information for review; and WHEREAS, on October 6, 2025, the Planning Board held and closed the public hearing for the proposed action; and WHEREAS, on October 28, 2025, the Planning Board, pursuant to Southold Town Code §280-131 C, distributed the application to the required agencies for their comments; and WHEREAS, on October 28, 2025, the Southold Town Fire Marshal reviewed the proposed application and determined revisions were required in order for the site plan to meet NYS Fire Code; and WHEREAS, on October 29, 2025 the Southold Town Code Enforcement officer verified that there were no open violations on the subject parcel; and WHEREAS, on November 7, 2025, the Town of Southold Local Waterfront Revitalization Program Coordinator reviewed the proposed project and determined the project to be consistent with Southold Town LWRP policies; and WHEREAS, on November 7, 2025, the Southold Town Engineer reviewed the proposed application and determined that the site plan meets the minimum requirements of Chapter 236 for Storm Water Management; and WHEREAS, on December 2, 2025, the Southold Fire District provided comments for the proposed site plan; and WHEREAS, at their work session on January 12, 2026, the Planning Board reviewed the site plan and referral comments received, and required revisions to the site plan to make it comply with applicable sections of the Town Code; and WHEREAS, on February 3, 2026, Nicholas Gasparo, authorized agent, submitted revised plans for review addressing Planning Board and Fire Marshal comments; and WHEREAS, on February 9, 2026, the Southold Town Planning Board determined that with exception of the items listed as conditions below, all applicable requirements of the Site Plan Regulations, Article XXIV, §280 — Site Plan Approval of the Town of Southold were met; be it therefore RESOLVED, that the Southold Town Planning Board hereby finds the application consistent with the Town of Southold Local Waterfront Revitalization Program; and be it further Southold Gas Station EV Chargers I Page 3 of 5 1 February 10, 2026 RESOLVED, that the Southold Town Planning Board hereby grants Approval with Conditions, listed below, of the amended site plan entitled "Electric Vehicle Charging Stations Installation at 45450 County Road 48, Southold", prepared by Robert K. Ceriello, P.E., dated May 9, 2025 and last revised January 29, 2026, and authorizes the Chairman to endorse the plans listed below after Condition "A" below is met: E100 — Cover Sheet E200 — General Notes E300 — Existing Conditions Site Plan E301 — Proposed Site Plan E302 — Electrical Site Plan + Elevations E303 — Existing Landscaping Plan E304 — New Landscaping Plan E400 — Demolition Plan E500 — Existing Lighting Plan E600 — Electrical Riser Diagram E700 — Power Distribution Diagram E800 — EV Charger Details E900 — Details E901 — Details E1000 —Transformer Details E1001 —Transformer Details E1100 — Night Photograph E1101 — Photometric Information E1102 — EV Chargers Condition to be fulfilled prior to endorsement of site plan: A. A use certification must be obtained from the Chief Building Inspector as required by Town Code. Conditions to be fulfilled prior to building permits being issued: 1. Six-foot fence. A 6' high wood stockade fence is required along the south property line to mitigate headlight glare on adjacent residential properties. The fence shall begin approximately 10' away from the sidewalk, with the first 10' section at 4' high, and then transition to 6' for the rest. 2. Site plan endorsed by the applicant. 3. Site plan endorsed as approved by the Planning Board Chairman. Southold Gas Station EV Chargers I Page 4 of 5 1 February 10, 2026 Conditions of approval (ongoing): 1. All aspects of the project shall be constructed and maintained substantially in accordance with the approved amended site plan. 2. Preconstruction Meeting: Prior to beginning any site work, including clearing or grading, a preconstruction meeting shallSouthold Town neeraThiswmeeting shall ith the d Town Planning Department and include the construction manager or equal. 3. Screening/Buffering: a. Six-foot fence. A 6' high wood stockade fence is required along the south property line to mitigate headlight glare on adjacent residential properties. The fence shall begin approximately 10' away from the sidewalk, with the first 10' section at 4' high, and then transition to 6' for the rest. b. No existing vegetation shall be permanently removed. Any vegetation disturbed during construction shall be replanted and restored to its original condition in order to maintain existing character and environment of the area. c. All required buffering, screening, trees, and landscaping shall be installed and permanently maintained by the property owner in accordance with the approved site plan and shall function to mitigate noise, headlight glare, and'visual impacts on adjacent residential properties and nearby preserved lands. Any tree or landscape material that dies, becomes diseased, or is otherwise removed or destroyed shall be replaced with the same species and comparable within six (6) months, unless an alternative is approved in writing by the Planning Board. Please also note the following requirements in the Southold Town Code relating to Site Plans: 1. Proposed storm water run-off containment systems must be inspected by the Town Engineer at the time of installation. Please call the Southold Town Engineer prior to beginning this work. 2. Approved Site Plans are valid for eighteen months from the date of approval, within which time all proposed work must be completed, unless the Planning Board grants an extension. 3. Any changes from the Approved Site Plan shall require Planning Board approval. 4. Prior to the issuance of a Certificate of Occupancy, the Planning Board must inspect the site to ensure it is in conformity with the Approved Site Plan, and.issue a final site inspection approval letter. Should the site be found not in conformance with the Approved Site Plan, no Certificate of Occupancy may be issued unless the Planning Board approves the changes to the plan Southold Gas Station EV Chargers Page 5 of 5 February 10, 2026 If you have any questions regarding the above, please contact this office. Respectfully, James H. Rich III Chairman Encl. cc: Nicholas Gasparo, Authorized Agent Mary Hansen, Woodhollow Contracting,Corp. Michael Verity, Chief Building Inspector Michael Collins, Town Engineer By signing this letter, the applicant acknowledges that there are Town Code requirements and conditions, including those listed above, that must be satisfied prior to the issuance of a Certificate of Occupancy. Print name: , Applicant Signature: Date: OFFICE LOCATION: � F SO���� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor;. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2026 Mr. Anthony Portillo 10200 Main Road, Unit 3a P.O. Box 152 Mattituck, NY 11952 Re: SEQRA Determination 615 Pike Street Retail Units 615 Pike Street, Mattituck SCTM#1000-140.-2-21 Dear Mr. Portillo: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, February 9, 2026: WHEREAS, this proposed site plan is for the construction of a 1 Y2 story 4,590 sq. ft. commercial building with 4 retail units, basement storage and associated parking on 0.54acres in the Hamlet Business zoning district, Mattituck; and WHEREAS, on December 8, 2025, the Southold Town Planning Board, pursuant to §617.6 of the Environmental Conservation Law acting under SEQRA, initiated the SEAR lead agency coordination process with all involved and interested agencies for this Unlisted Action; and WHEREAS, on December 8, 2025, the Southold,Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, determined that the proposed action is an Unlisted Action as it does not meet any of the thresholds of a Type I Action, nor does it meet any of the criteria on the Type II list of actions; and WHEREAS, the Southold Town Planning Board, pursuant to SEQRA, conducted the required review of potential environmental impacts that might result from this application, documented in the completion of the Full Environmental Assessment Form, and found that there would be no expected moderate to large adverse impacts; be it therefore 615 Pike Street Retail Units Page 2 February 10, 2026 RESOLVED, that the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act §617.6, establishes itself as Lead Agency for this Unlisted Action; and be it further RESOLVED, that the Southold Town Planning Board, as Lead Agency pursuant to SEQRA, hereby makes a determination of non-significance for the proposed action and grants a Negative Declaration. A copy of the Negative Declaration is enclosed for your records. If you have any questions regarding the above, please contact this office. Respectfully, H0 James H. Rich, III Chairman Encls. OFFICE LOCATION: Q S®U���� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) iNg Southold, NY ens Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION 615 Pike Street Retail Project Number: SCTM# 1000-140.-2-21 Date: February 9, 2026 The Town of Southold Planning Board as lead agency has determined that the proposed action described below will not have a significant adverse impact on the environment. This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Conservation Law. Name of Action: 615 Pike Street Retail Location: 615 Pike Street, Mattituck,New York SEQR Status: Type 1 Unlisted X Scoping: No_X Yes_ If yes, indicate how scoping will be conducted: Description of Action: This proposed site plan is for the construction of a 1 %2-story 4,742 sq. ft. commercial building with 4 retail units, basement storage and associated parking on 0.54 acres in the Hamlet Business zoning district, Mattituck. An Environmental Assessment Form has been submitted and reviewed. The determination was based upon the analysis below. Reasons Supporting this Determination: 1. Impact on Land The parcel is zoned Hamlet Business (HB). The purpose of the district is defined as: SEAR Environnemental Assessment Page 12 FebruM 9, 2026 The purpose of the Hamlet Business (HB) District is to provide for business development in the hamlet central business areas, in retail, office and service uses, public and semipublic uses, as well as hotel and motel and multifamily residential development that will support and enhance the retail development and provide a focus for the hamlet area Surrounding land uses include: LIRR, HB zoning and a split zoned LI/RO parcel with commercial uses to the north; five HB zoned lots, all with existing dwellings to the east extending to Wickham Avenue; Pike Street municipal parking and one HB zoned parcel with existing commercial use to the south; and two HB parcels with both with existing commercial uses to the west. The proposed retail use in the HB zone does not conflict with the zoning district or surrounding uses. Pursuant to 280-45(B)(9) the proposed action to include takeout is a use permitted by special exception by the Zoning Board of Appeals (ZBA). A special exception use is a use that is deemed appropriate in a particular district if specified conditions are met. The site contains no significant slopes or topographic features and is generally flat. Adverse impacts on land are expected to be low. 2. Impact on Geological Features The proposed project site does not contain nor is it adjacent to any unique geologic features. 3. Impacts on Surface Water The NYSDEC Environmental Mapper was consulted and no regulated wetland systems were identified. Adverse impacts to surface waters are expected to be low. 4. Impact on Groundwater 1. Water Supply: The parcel is located over the Nassau—Suffolk Sole Source aquifer and not within a Special Groundwater Protection Area(SPGA). A test hole was sampled on-site March 251 2025 and encountered water at 13.5' below the surface. Ten drainage structures (drywells)to capture and retain stormwater run-off are proposed for the proposed building. The proposed drainage systems can meet the minimum 2' vertical separation distance between drywells and highest expected groundwater elevation and is adequate to capture run-off from a 2"rainfall and therefore, potential impacts from stormwater run-off are expected to be low. No surface water is located within the vicinity of the site. SEQR Environnemental Assessment Page 13 February 9, 2026 To minimize nutrient and pesticide loading into groundwater, the Planning Board will require the following best management practices for landscaped areas on fertilizer and pesticides as recommended by the LWRP CCR. a. Require the use of native, drought-tolerant plants in landscaping. b. Require only the use of organic fertilizers where the water-soluble nitrogen is no more than 20% of the total nitrogen in the mixture. c. Require a maximum of 1 lb. of nitrogen per 1000 square feet in any one application, with a cumulative application of no more than 2 lbs. per 1,000 square feet per year. d. Prohibit the application of fertilizer products containing nitrogen, phosphorus, or potassium between November lst and April lsc e. The use of phosphorous containing lawn fertilizer is prohibited unless establishing a new lawn or soil test shows that the lawn does not have enough phosphorus. Fertilizer labels have three bold numbers. The number in the middle is the percentage of phosphorus in the product, e.g. 22-0-15. Use of products with 0.67 in the middle or lower is not restricted. Products with a number higher than 0.67 may only be used if a new lawn is being established or a soil test indicates it is necessary. Adverse impacts to ground water are expected to be low. 2. Sanitary Disposal: The subject site is located within Suffolk County Department of Health Services (SCDHS) Groundwater Management Zone IV, which according to Article VI of the Suffolk County Sanitary Code, has an allowable flow of 600 gallons per day (gpd) per acre in areas served by public water. The allowable Nitrogen bearing flow for the overall site is 314 gpd. The combined uses (retail, dry storage) are calculated to use 286.1 gpd, therefore, the proposed uses meet the maximum allowable flow permitted. The largest potential for impacts on surface and groundwaters results from the nitrogen(N) inputs from atmospheric deposition and sanitary systems in unsewered areas. The Environmental Protection Agency (EPA) and SCDOH standards have adopted the 10 mg/L standards as the maximum contaminant level (MCL) for nitrate-nitrogen and 1 mg/L for nitrite-nitrogen for regulated public drinking water systems. Due to the potential impact from sanitary waste to ground and surface water quality from nitrogen resulting from the project,the treating(reduction) of total nitrogen in effluent equal to or greater than 60 percent over conventional systems levels (around 19mg/L) is required to mitigate such impacts. This treatment level would require the installation of Innovative and Alternative (I/A) Onsite Wastewater Treatment Systems (OWTS)through Article 19 of the Suffolk County Sanitary Code. The applicant has identified a Hydro Action AN500 I/A OWTS for the proposed retail use units. The system will reduce total nitrogen loading to groundwater. The depth to SEAR Environnemental Assessment Page 14 February 9, 2026 groundwater is sufficient to meet the 3' separation distance required for sanitary systems per Suffolk County Department of Health Services standards. The proposed application would conform to Article VI of the Suffolk County Sanitary Code and would not be expected to adversely affect groundwater quality provided properly functioning systems are designed and installed. The proposed action will not exceed the maximum density identified in Article VI of the Suffolk County Sanitary Code. No substantial impact to groundwater is expected to occur if the project is implemented as planned. Adverse impacts from sanitary waste disposal on groundwater quality are expected to be low. 5. Impact on Flooding The parcel is not located within a mapped flood zone (Suffolk County GIS Viewer). Adverse impacts to structures from flooding are expected to none to low. 6. Impacts on Air Air pollution can harm human health, and damage elements of the ecosystem. Exposure to air pollution is associated with numerous effects on human health, including pulmonary, cardiac, vascular, and neurological impairments.No significant emissions from the use are proposed. The movements of vehicles on site are capable of causing low levels of fugitive dust during construction of the buildings.No substantial adverse change in existing air quality is expected to occur. Adverse impacts on air as a result of this action are expected to be low. 7. Impacts on Plants and Animals The parcel is not located within a New York State Department of Environmental Conservation Critical Environmental Area or a New York State Department of State Significant Fish and Wildlife Habitat Area. The NYSDEC Environmental Resource Mapper and EAF Mapper were consulted and no protected plants or animals nor associated habitats were identified. The parcel was previously improved with a single-family residence and associated improvements until 2020. The majority of the site is cleared and little vegetation remains ,on site; the proposed location of the new building has also been cleared of vegetation. No significant removal or destruction of large quantities of vegetation will occur. Correspondingly, no substantial interference with the movement of any resident or migratory fish or wildlife species nor impacts on a significant habitat area will occur. SEQR Environnemental Assessment Page 15 February 9. 2026 Due to site development, the presence of animals is low, therefore, the potential occurrence of rare or threatened plants or animals on site or within the vicinity of the site is none to low. 8. Impact on Agricultural Resources The parcel is not currently in agricultural production,therefore, no adverse impacts to agricultural lands or soils will occur. 9. Impacts on Cultural/Archeological Resources The parcel is included within the Archeo-sensitive Area(MAPINFO GIS - Archeo- sensitive Layer), however, due to past site disturbance and use,the proposed actions are not expected to impact important historical or archaeological resources. 10. Impacts on Aesthetic Resources The parcel is located north of Pike Street and is visible from the roadway. The area is included in the Hamlet Business zone and commercial area of the hamlet. The building is positioned to align with the commercial building constructed on the adjacent parcel to the west of the parcel. This establishes a street wall for pedestrian flow and the existing sidewalk will be continued along the length of the property. Parking is proposed in the.rear of the retail building to maintain community character. Landscaping is proposed in the front yard in three planters and four Eastern Redbud trees at 2" caliper as street trees. Connection to PSEG electric utility service is proposed by overhead wire connection from the opposite side of Pike Street. This proposed connection should be buried underground. The Town of Southold Architectural Review Committee has requested changes to the structure to better support community character. Adverse impacts to aesthetic resources are expected to be low. 11. Impact on Open Space and Recreation The parcel does not currently offer public recreational opportunities. 12. Impact on Critical Environmental Areas The proposed action is not located within a New York Department of Environmental Conservation Critical Environmental Area. SEQR Environnemental Assessment Page 16 February 9, 2026 13. Impact on Transportation The site was previously developed for residential use. While the proposed commercial use may generate a modest increase in traffic, these changes are not anticipated to result in any significant adverse environmental impacts. Parking requirements for the proposed building which includes 3,696 s. f. of retail space across four units is 18.5 or 19 spaces rounded up. A total of 19 parking spaces are proposed on the subject site, consistent with minimum parking required for retail (§280- 78(A)). Further, the proposed off-street parking includes one ADA compliant stall with loading area; and, a 15' x 45' off-street loading zone area for deliveries located in the rear of the building. Pike Street is a narrow road with no shoulders and on-street parking should be prohibited with signage for the length of the parcel. Pedestrian infrastructure along Pike Street is adequate. An existing brick sidewalk is present west of the subject parcel and will be continued and extended along the full frontage of the subject parcel. While no sidewalk currently exists beyond the subject parcel on the same side of the street to the intersection with Wickham Avenue, the proposed sidewalk improvements will provide safe pedestrian access along the site frontage. Accordingly,the proposed action will not result in any significant adverse impacts to pedestrian circulation or safety. The generation of traffic entering and leaving the site will increase, however, the number of vehicle trips will not be significant to warrant mitigation. No significant traffic volume (generation) or flow will occur. Adverse impacts to transportation are expected to be low. 14. Impact on Energy Energy use is expected to be indicative of commercial use and dark sky requirements must be met for exterior lighting. Natural gas is shown under the opposite side of Pike Street and service is proposed to be buried underground to service the proposed building. A significant increase in energy use is not expected. Proposed electric service will be accomplished by connecting to an existing PSEG Pole on the south side of Pike Street by overhead wire connection. This proposed connection should be buried underground. The proposed uses will not require above normal supply for each use. No major change in the use of either the quantity or type of energy will occur. 15. Impact on Noise, Odor, and Light Noise currently results from normal activities associated with the use on-site.Noise resulting from the construction is expected to be short term in duration and periodic. Noise from the operation of the facility is not expected to adversely affect receptors. SEAR Environnemental Assessment Page 17 February 9, 2026 Odors capable of affecting the quality of life or health of employees from the construction or operation of the proposed action are not expected. A Lighting Study plan has been submitted. Lighting on site will comply with Chapter 172, Exterior Lighting, and will not adversely impact adjacent properties or the night sky. Sanitary waste is proposed to be disposed of in a Suffolk County Department of Health Services approved on-site wastewater treatment system located in the rear yard under the parking area. Adverse impacts on noise, odor, and light are expected to be low. 16. Impact on Human Health No substantial hazard to human health is expected to occur as a result of this proposed action. Adverse impacts to human health are expected to be low. 17. Consistency with Community Plans The proposed action is located within the Mattituck Hamlet Center on a Hamlet Business zoned parcel with pedestrian infrastructure proposed, close proximity to public transportation and commercial businesses. The parcel is located in Long Island North Shore Heritage Area, a Regional Special Planning District designed to organize people, places and connections into a comprehensive and understandable approach. The proposed action is not inconsistent with the plan. The action complies with the Southold Town Code and is not in significant conflict with the Southold Town Farm and Farmland Protection Strategy (2000) and Community Preservation Project Plan (2616 update) and the Southold Town Comprehensive Plan (2020). The Comprehensive Plan treats Mattituck and Laurel together as a hamlet center with commercial character and concerns about appropriate scale of retail and business uses. The Land Use & Zoning (3) and Community Character (5) chapters reference existing commercial development patterns, noting that most of the Hamlet Business (HB) zoning— which accommodates retail and service businesses—is located in Mattituck(particularly the Love Lane area), with a smaller concentration in Laurel near Franklinville Road. It underscores the importance of ensuring commercial development remains at a scale compatible with the hamlet's character rather than sprawling outward. Land Use &Zoning goals specified for Mattituck/Laurel (Chapter 3; page 33; B-D) include: (B) ensure future commercial development in the hamlet center is at a scale consistent with the hamlet's character; (C) prevent retail sprawl by directing retail uses to the hamlet centers; and (D) improve the pedestrian safety and walkability in the hamlet center. Within the Comprehensive Plan's Economic Development chapter (7), commercial and retail uses are referred to in the context of strengthening local business vitality: Economic Development goal#1 is to encourage new and facilitate the growth of existing business sectors that pursue stable and sustainable employment, including retail/service- SEQR Environnemental Assessment Page 18 FebruM 9, 2026 based industry consistent with commercial zoning district uses and in locations so that hamlet downtowns remain vibrant and uses are consistent with community character. Adverse impacts of the proposed action on the consistency of community plans are expected to be low. 18. Consistency with Community Character LED gooseneck fixtures, wall packs and ballast pole light fixtures are proposed for exterior lighting. Exterior lighting will meet Dark Sky Standards, be contained on-site and not trespass onto adjacent parcels pursuant to Town Code §172. The action has been recommended as consistent(with Best Management Practices) with the policies of the Town of Southold Local Waterfront Revitalization Program. The character of the community is established by surrounding, existing commercial and residential uses with historic features. The architecture of the proposed building is not discordant with existing community character, however, the use of historic elements in design is encouraged to retain the character of the Hamlet Center. The Town of Southold Architectural Review Committee has requested changes to the structure to better support community character. The Mattituck Volunteer Fire Department and Southold Police Department service the area. Although demand for fire and police services will increase from the proposal on a periodic basis, the increase in services is not expected to be moderate to large. The proposed action is consistent with the community's adopted plans and goals and does not present a significant material conflict with such plans. Therefore, the action is not expected to result in any significant adverse impacts to community character. For Further Information: Contact Person: Brian Cummings, Senior Planner Address: P.O. Box 1179, 53095 State Road 25, Southold,New York 11971 Telephone Number: 631-765-1938 Agency Use Only lIfApplicablel Project: 615 Pike Street Retail Units Date: Feb.9,2026 Full Environmental Assessment Form Part 3-Evaluation of the Magnitude and Importance of Project Impacts and Determination of Significance Part 3 provides the reasons in support of the determination of significance. The lead agency must complete Part 3 for every question in Part 2 where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. Based on the analysis in Part 3,the lead agency must decide whether to require an environmental impact statement to further assess the proposed action or whether available information is sufficient for the lead agency to conclude that the proposed action will not have a significant adverse environmental impact. By completing the certification on the next page,the lead agency can complete its determination of significance. Reasons Supporting This Determination: To complete this section: • Identify the impact based on the Part 2 responses and describe its magnitude. Magnitude considers factors such as severity, size or extent of an impact. • Assess the importance of the impact. Importance relates to the geographic scope,duration,probability of the impact occurring,number of people affected by the impact and any additional environmental consequences if the impact were to occur. • The assessment should take into consideration any design element or project changes. • Repeat this process for each Part 2 question where the impact has been identified as potentially moderate to large or where there is a need to explain why a particular element of the proposed action will not,or may,result in a significant adverse environmental impact. • Provide the reason(s)why the impact may,or will not,result in a significant adverse environmental impact • For Conditional Negative Declarations identify the specific condition(s)imposed that will modify the proposed action so that no significant adverse environmental impacts will result. • Attach additional sheets,as needed. See report titled: State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significance and dated Feb.9,2026. Determination of Significance-Type 1 and Unlisted Actions SEQR Status: ❑ Type 1 ❑✓ Unlisted Identify portions of EAF completed for this Project: ® Part 1 0✓ Part 2 ®Part 3 FEAF 2019 Upon review of the information recorded on this EAF,as noted,plus this additional support information See report titled: State Environmeotal QualityReview NEGATIVE DECLARATION Notice of Determination Non-Significance and dated Feb.9 2026 and considering both the magnitude and importance of each identified potential impact, it is the conclusion of the The Southold Planning Board as lead agency that: © A. This project will result in no significant adverse impacts on the environment,and,therefore,an environmental impact statement need not be prepared. Accordingly,this negative declaration is issued. ❑ B. Although this project could have a significant adverse impact on the environment,that impact will be avoided or substantially mitigated because of the following conditions which will be required by the lead agency: There will,therefore,be no significant adverse impacts from the project as conditioned,and,therefore,this conditioned negative declaration is issued. A conditioned negative declaration may be used only for UNLISTED actions(see 6 NYCRR 617.7(d)). ❑ C. This Project may result in one or more significant adverse impacts on the environment,and an environmental impact statement must be prepared to further assess the impact(s)and possible mitigation and to explore alternatives to avoid or reduce those impacts. Accordingly,this positive declaration is issued. Name of Action: 615 Pike Street Retail Units Name of Lead Agency:Southold Town Planning Board Name of Responsible Officer in Lead Agency: James H.Rich III,Chairman Title of Responsible Officer: Same Signature of Responsible Officer in Lead Agency: Date: Feb.9,2026 Signature of Preparer(if different from Responsible Officer) ��(µme Date: Feb.9,2026 For Further Information: Contact Person: Brian Cummings,Senior Planner Address: P.O.Box 1179,53095 Main Road,Southold,NY 11971 Telephone Number:631-765-1938 E-mail: Brian.Cummings@town.southold.ny.us For Type 1 Actions and Conditioned Negative Declarations,a copy of this Notice is sent to: Chief Executive Officer of the political subdivision in which the action will be principally located(e.g.,Town/City/Village of) Other involved agencies(if any) Applicant(if any) Environmental Notice Bulletin: http://www.dec.ny.gov/enb/enb.html PRINT FULL FORM Page 2 of 2