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1000-45.-6-9
Kt`r"'V WAP I. 6 0 0'• 1" tL-- F"LlN7" n v� � L/NNET - C'- -MAP _OF MINOR SU80f V! SI ON a�owN - MADE FOR � a C'cpNrc ANNJ MARIE NELSON C;A 015 •"�'"_---=�j'TS•�l' ; FLINT ST: AT GC2.EEN P02T • tip � Qn�% -�t2,8 5 5-F•- "—' Tt?�lN 4F SOUTHOLD, N.Y. • 1 F1� f O—� � Qiy Ca •'.� �•° ���-- 3CU OWNERS -ADDRESS: • LL _5 .39 4 0 I1W z 14Z9 NINTH ST - D t.t1J7E — gUILDtNGE sxw F� lJ ;, �c, - GC�.EENPOQT, N.Y. t19�-� MAy22l 149(151 C.O �~H 5 c'y' a • TEST HOLE No.�- i= 3 ska.i:Dco -STQEET l - too Tole':,v Cui • �: ;'i '.i:., � . ti].fi?'15IQ ______- ��• ! w DATE �� _ ---- - -°�•=- `-���-• �-°---_-- - � i `° 1c -�yti ' ►- JUN q��' �o .100 200 :Bw _ x o - -69 M. S.t: - u'En 100 1» r ;': - �,4ER- - - - .SCALE: = 3 "'� -- I X .NOTES: _ AREA, 516,22 Z I MMMURS QEFER'To MEAN SEA LEVJEL tyC�.V D, i — - CO.TAX MAP DATA: 10_00-45.6.9• :PROPERTY IS ZONED 2-40• SUFFOLV—CO UNTY DEPARTMENT OF HEALTH SERVI CES `---� 47HE WATER SUPPLY AND SEWAGE D_}SPOSAL:_ HAUPPAUGCiNY. ate,, ,3 FACILITIES F02 ALL LOTS 0► N y THIS MP%P COMPLY d Z M -BU J ST. WITH THE 5`TANDAR05 ANP REQU1 REMENTS OF DATE: �tC. 4t4�rC� w g •' ,., SN QS N o� TPE- SUFFOL14 CO. DEPARTME NT OF.HEALTH. 3 ! ``ELL* -_ "\ Ui PROFESSIONAL. t ' �tlY^RI� LAND•SURVEYo2- 1 ;• �,, TATLICENSEE Na ? 5 5 >TvHRl y5m- CmyTr/MEK?OS:D 'TYSUFDIVISiONO2U�LOPtNr:E'tWT GOTrA G fc _ n- c--. � FACILITIES GEENPORT fJEW YORld EXISTlNG � LOL Wv� w so_ E•'33.Q 5. A OEG._A2ATION 0= COVENANTS t 12ESTrz(CTIONS MPUVED ON THE AEOyz DAM ., WIATEZ 5UPPLIES W SEWAGE DISPOSAL �1l"AGE RCILI=YJUST.CORF-i,�;TO CCk.,.,t UCTIOW SUt."�D�l.'4)S IK EFFFCTATTr4:TIML r ' 4yt�ICN AFr�CT t.ATS IN TNtS 5Ut3DiVl510N --g.. O ��� ( op WAS P,GEhI Ftl_EO IN THE SUFFtDLtG CAUNT( r-1 'UQ I TO'.S�;APATE VCRMllTFVr6U ANT TO THOSE 1 • - / Uj o CL021G5 Q�=•�iGE N L►6c2 /I S 3Z PAGE 732- S'1� •',"OS THIS-ArPr:CV�IL :5F►r+Ll:6c VALID ONLY . 1F-THE REkt.TY • �"�'�Y "IV, Sic1,' ,E,t afMEMTrw.P I5 MY SLED WITttW GX NTY CLEI<Mii iIW ' CKO.Y,:A,2 Cr Tki DATE. C062Nr6lti�.:EY CNEW K,,lTKc FILIW0FTwl5 M l P � / v .W :, ;' r o �f L�'�1W�aiCN TNtS L H tiT PE 1�:7uE0FFiCf'0FTFar COUW7YCLEWlw LV N K , ' -_TEST HOLE LOT A2EA5 '' X5 OF T}+c PJELIt h:.AITN V+'vV l�lti0 T�+ir 5U�1�' O / �?. COUAITY ,�IIT1lk1' CADI . EOAr Ha,_ tia p 51L"r'Y LOT UPLAND VIETLANDS -WATE 2 Zv, LOAM it ;J j f LCAMy 1 5g,635 S.F. 15,200 S.F. A� fir. , 1�, N �{, SAII`R P,E w 5 S 2 50, 605 20,400 A ` r5AJK10-- 3 49, 1'76 20,000 Qlt?cCTC�Z�DNIVOW 0frET,;yilc�, Mi=NTtu.QUAUlY, F.ASI►�J 7.2±AC. E TO S 4 6.0 AC. t.2 AC. --- `- �FACK - O ~ — 1D 'TOTAL 9.66 AG. 2.43 AG. I Ca-Q�TER 2.2 W 0 �1. q• ,� N 17' 4g Vv ; S WALL Ui 9 8^Y WE_14E[2EBY-CERT1 FY-THAT NO LOT OW STAMP _THIS MAP .15 LE55 THAN 69,176 SQ.FT. SEAL -- I AREA AND THAT THIS MAP WAS MADE BY US FROM ACTUAL SURVEYS- _ f.a•'diafl L2,. _ c,,tesa•n;bslt�ii., ,,n;,; COMPLETED AUG_Z6fI996. ^ auo�r,xra. a„sns ,r, RODE2101- VAN TUYL,P,C. io the pe-son for whom thesi.el - .. _.od,ano ca K.behs f!o tth3 - •G/• �'k7w ^"T�3 , I ryY.rjcve nmuntaI agoni;y zra =dt:MM,and :LICEN50 LAND -SURVEYORS _. n.,t re,�, � GQEENPORT. - NEW Y'OM4 _ - Nw _ 401 Is K E!Y MAP -- AID fL- V, FLHur h LINNeT _MAP OF MINOR SUBDIVISION t' w `oaowN MADE FOf-Z 14 u N N M A 21 E NELSON f czAILRO g P� CONK QA `. NO 1 53 I FLINT ST /AT — -- J T5L-A 15 ! so _ y�at` B�IWN pOFFS00THHOLD y w LONA' —�Ss � ° G2EENP02T f6 °" 'I2TOLN.Y, WN OF SOUTHOD, N. ,8'' S.F, ,n � U' d _ 5-��-- _w - nrea_ - -- - `I 2 IGNOWN AS. o . • w ,�D o"vl� Y W�'y CHE12l2Y LANE ES TATS 0 •,� U,O 9 .I h 3 .OWN 5 ADDRESS+ LL _5 ,3 hw N 14Z9 NINTH ST. O S,gg1130 ' .�ILDINGENa wpiR1 scb , \y G2EENPOrT N.Y. Ti944 Oc^.tip n C05's. • — IRw O t0 r_ T- SEPTIC__-v_JATE2_ tl , TEST HOLE i H0.1_ - i' 3 ET MAY,2 2 `11940. ,,.1 0 q.2 � I � STREET W 100—a 533.56_01 U87 cD o J ( seelnel ,I>� N Gj o so 00 21m ^u :300400 1183 69,L7/6 SCALE :,-Ic � l W 61.3 NOTES: A2EA- 12.09!AC. 3 _516 22 ILCONTOURS DEFER TO MEAN SEALWELN,GAMD, N,82 27'S0—�W.---- z I z 2.5U CF. CO.TAX MAP DATn_I000-45.6.9 SHED1 .3PROPERTYISZONED 2.40, SUFFOLfCCOUNTYDEPARTMENTOFHEALTHSERVICES 4.THE WATC2 SUPPLY AND SEWAGE DISPOSAL_ HAU PPA LIS EI N.Y. VI a 3 FACIL171ES F02 ALL LOTS ON THIS MAP COMPLY DATE: Du• 4, Iqq(O Z Z N _5120mi ST. WITH THE STANDARDS AND ZECZLJIREMENTS Of BAQN SH CIS THE SUFFOLK CO. DEPARTMENT OF HEALTH, Lu uj ,'20FC SSIJNAL LhIJD SURV EYUR T HIS ism CFATIFVTHATIHl 120POSED PSALTY SUBDIVISION OR DEVELOPMENT NEW YOQ16 STATE LICE NSt N0.2026 •w I COTTAGE _ L00. CNERRy LaH'1P EStdfGS WTHE I ( i; '•�M GREE:NPORW T tJEYO21C (• ) Sh11.7�.1AW -WlTHAMTALOF —A{ - _LOZ WA$ I ( EYISTINGFACILITIES ) / 1 S� *E.-33,0 S. .A DEC,L A2ATION OF COVENAN7S a 2ES(TLICTIONS APPROVED lu THE ABJVE DATE WATER S AR LIES M1D SEWAGE THE 000TTACE FACILITIES HUSTCONFORM ID COf.ETRURION STANDARDS IN E FFFCTAT TFIE TIMEQF 5HE0-0 ® ' MON. O.� Ay WHICH AFFECC LATS IN THIS SUESOIVI510N y l ESEL_N FILED IN THE SUFFOLK COUNTY CONSTRIji AND AU SLBJECT TO SIPARATE PERM 115 MUANT TO TH05E Q I ~ �/ / 1 CL0245 OFFICE IN LIEEQ 11 85a PAGE iia- SANDARD5. _ THIS APPROVAL SHA.LC BE VALID ONLY IF THE REALTY O WA T OAD.AP'T. _L I� LJ Ld D 0 SliBDIV15111 OEYELOPMEN7 MlP IS D(1LY RIfHE COUNTY CLERIf WITHIN v ONCYAR TNISDATE. CONSENTKHEUBYGIVENFORTNEFILIWOFTHISMAP ui 1 o a N ONWHIC4THL5E C-6EIHENTAPPEARSINTNEOFFICEOFTHEMUIQTYCLERI(IN C ACLNAQCEV,IITHPP.CVSION50FTNEPUBLIC HEAURLAWANDTHESUFKtg = TEST HOLE LOT A2EA5 COUNTY TAW CODE, 1/ _. 'gyp _BOLOAM _AT HO, - Hp O SLOT UPLAND WETLAND5 dj c / -WATER LOALv 51 TV I 1 59,635 5.F• 13,200 S.F. • _ / r w 3, 2 50, 605 zo,400 JOSEP{I H. BAIER.P,E a yup �, 3 q9, 176 20,oC0 O1RE�fORANI50NOFENVftOfJMENTALQl14UTY 2 FINE TO ' 4 6,0 Ac. 1.2 AG. ___ BRACH BA51u yyTTLj ?X., N O ~ sAND F 12.2 TOTAL 9.66 AG 2.43 Ac. _/ N = a APPROVED Py N 17, PLANNING BO/ v 5 WALLU) TOWN OF SOUTHOLD LTTE LHNEB uNf b' DATE l l -PFG °NSC 493.,79 pp�y MONUMENTS EEN SE t i 1pg�� 02 5 #T ILE Nn ��tvYLL4e-6- & - WE HEREBY CERTIFY THAT NO LO T_ON STAMP THIS MAP 15 LE55 THAN 69,116 5q,FT SEAL IN ANTHAT THIS MAP WAS 1, 3 2 6 7 #ABS, No. 3�3OpkM , . _� MADEC>V USDPROM ACTUALSURVEYS 09WAP8P RvMWNE COMPLETED AU 6,.Z61996. JUL 0 8 1997 ZODE2I01- VAN TUYL P,C. 7 T- q7 LICENSED LAND SURVEYORS_ C2UENPORT - NEW Y=4 L PLANNING BOARD MEMBERS Town Hall 53095 Main Road BENNETT ORLOWSKI,JR. P.O. Box 1179 Chairman Southold New York 11971 WILLIAM J.CREMERS Fax (516) 765-3136 KENNETH L.EDWARDS GEORGE RITCHIE LATHAM,JR. ~`� r Telephone (516) 765-1938 RICHARD G.WARD PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 10, 1997 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following resolution was adopted by the Southold Town Planning Board at a meeting on Monday, June 9, 1997: BE IT RESOLVED that the Southold Town Planning Board authorize the Chairman to endorse the final surveys dated August 26, 1996. Conditional final approval was granted on May 12, 1997. All conditions have been fulfilled. Enclosed please find a copy of the map which was endorsed by the Chairman. The myiar maps, which were also endorsed by the Chairman, must be picked up at this office and filed in the office of the County Clerk. Any plat not so filed or recorded within sixty (60) days of the date of final approval, shall become null and void. Please contact this office if there are any questions regarding the above. Sincerely, i Bennett Orlowski, Jr. AN Chairman cc: Tax Assessors Building Dept. 77 t` DECLARAT I ON THIS DECLARATION, made the )1 day of May, 1997, by Ann Marie Nelson, residing at Cherry Lane Farm, Ninth Street, Greenport, New York, hereinafter referred to as the party of the first part, said party of the first part hereinafter referred to as Declarant. WITNESSETH WHEREAS, the party of the first part is the owner of certain real property situate at Greenport, Town of Southold, County of Suffolk, State of New York, more particularly described as set forth.on Schedule A annexed hereto, and WHEREAS, the party of the first part has made application to the Planning Board of the Town of Southold for approval to subdivide said real property described on Schedule A into four lots, as shown on the subdivision map entitled "Ann Marie Nelson" which map is dated August 26, 1997, prepared by Roderick Van Tuyl, P.C. and intended to be filed in the Suffolk County Clerk's Office herewith, and WHEREAS, for and in consideration of granting of said approval, the Planning = Board of the Town of Southold has deemed it to be for the best interests of the Town of Southold and the owners and prospective owners of said lost that the within covenants and restrictions be imposed on said lots, and as a condition of said approval, said Planning Board has required that the within declaration be recorded in the Suffolk Count Clerk's Office, and WHEREAS, the Declarant has considered the foregoing and has determined that the same will be in the best interest of the Declarant and subsequent owners of said lots, NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarant, for the purposes of carrying out.the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the -1- said premises herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding upon all purchasers and holder of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, to wit: 1. Clearing and cutting within the hundred foot wetland buffer shall be limited to that necessary for proper maintenance and removal of diseased, decayed or dead material and obnoxious plant species.Such clearing and cutting shall be subject to review by the Board of Trustees of the Town of Southold prior to clearing and cutting to insure proper maintenance and preservation of the natural buffer. 2. An further subdivision of Lot No. 4 shall be processed as a major subdivision by the Planning Board. 3. There shall be no further subdivision of Lot 1, Lot 2 or Lot 3. 4. No new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the adjacent wetlands or of the Peconic Bay. 5. No stormwater runoff resulting from the development an improvement of the subdivision or any of its lots shall be discharged into the adjoining bodies of water or wetlands in and bordering the parcel. IN WITNESS WHEREOF, the Declarant above named has executed the -2- STATE OF NEW YORK SS: ICOUNTY OF SUFFOLK I, EDWARD P. ROMAINE, CLERK OF THE COUNTY OF SUFFOLK AND CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK IN AND FOR SAID COUNTY (SAID COURT BEING A COURT OF RECORD) DO HEREBY CERTIFY THAT I HAVE COMPAR THE ANNEXED COPY OF DEED LIBER / /93,2 -AT PAGE �� RECORDED 5-2 EW AND THAT IT IS A JUST AND TRUE COPY F SUCH ORIGINAL DECLARATION AND OF THE WHOLE THEREOF. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED THE SEAL OF SAID COUNTY AND COURT THISdgf�-DAY OF ma� 1997 CLERK 12-0169.8/95cs tary Public UNDA M.DIETaRICH ®tart' Public, State of New York No. QUM - Suffoel� lounty COVIrdeslon Expires Mar 26, Iva I J I -3- 11832 K i 3 2 SCHEDULE A SUFFOLK COUNTY TAX MAP DESIGNATION: 1000-45-6-9 ALL. that certain plot, piece or parcel of land, with the buildings and , improvements thereon erected, situate, lying and being at Greenport, 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 . southerly side of land of the Long Island Railroad Company with the westerly side of Cherry Lane or Ninth Street; RUNNING THENCE South 12 degrees 11 minute's 20 seconds West along the westerly side of Cherry Lane or Ninth Street, 708 . 97 feet to the Southerly side of Cherry Lane or Ninth Street; THENCE South 79 degrees 28 minutes 50 seconds East along the southerly end of Cherry Lane or Ninth Street, 33 feet to a point; THENCE South 12 degrees 11 minutes 20 seconds West, 445 .18 feet to the high water mark of Peconic Bay; THENCE along the high water mark of Peconic Bay the following tie line course and distance: 1. North 68 degrees 05 minutes 20 seconds West, 493 .79 feet to land now or formerly of T. Jurzenia; THENCE North 06 degrees 01 minutes 20 seconds East along said last mentioned land, 896 .18 feet to the southerly side of land of the Long Island Railroad Company; THENCE North 84 degrees 10 minutes 40 seconds East along said last mentioned land, 57.8 .31 feet to the westerly side of Cherry Lane or Ninth Street at the point or place of BEGINNING. M-40NE:852-2000 SUFFOLK COUNTY CLERK'S OFFICE Edward P. l7omq3ti�, C0UP!'1'Y CL);17fC .1V%FFt?11Fnr,. MF W Vault I I no, Town of Southold Assessors ✓Town of Southold Planning Board Chief Deputy County Treasurer TO WHOM THIS MAY CONCERN The Set-Off Minor Subdivisio Major Subdivision Map of: Nn MaLle- Ndsm Was Filed: J uj S, SCTM#: 1000- File #: �GC�zS Abstract #: Township: Southold Hamlet: (3 rwpor't" Owner: a6we-- Very Truly yours, County Clerk Maf) Departmernt rr 15 � rl --9 , l; . LtL ? nn I\lo. 9 ,�. SOUTHOLD OWN PLANNING BOARD Submission IT ilhout a Cover Letter Subject: �nn Marie, Ndson Cheer i() QCrq,,,,,—, Sc7TIir#: 1000- ,gate: ( 15-f 97 Gy ! f I o»�.iri.e►,.ts: fee. ��Q:iO E 51997 oO ;OLD TOWN PLANNING BOARD � ? ORn,. 1< 11832 PE 732 Number of pages 97t'IY28 PM 3: 26 E U" ° TORRENS f' ''' i' HH E SUf FOLri COUN TY Serial# Certificate# Prior Ctf.# Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 FEES Page/Filing Fee J S Mortgage Am t. Handling 1. Basic Tax TP-584 2. Additional Tax Notation Sub Total EA-5217(County) Sub Total — Spec./Assit. or EA-5217(State) Spec./Add. R.P.T.S.A.. I .-- ys� ��°A TOT. MTG.TAX _-- Comm.of Ed. 5 . 00 Dual Town----Dual County_---_--- ' I Ield for Apportionment Affidavit __. _ �+�� o +�, iransferTax d�'�gnHOEa� _1�riv Mansion Tax _ Certified Copy _ 'f The property covered by this mortgage is or Reg.Copy will be improved by a one or two family Sub Total / dwelling only. Other YES or NO GRAND TOTAL If NO, see appropriate-tax clause on page H of this instrument. Real Property"1'ax Service Agency Verification �Z-- 6 , rifle Company Lnformation Dist. Section Block Lot ti ICE© C? 0S0 a 0C� L� C� Company Name Title Number Initialer l 8.'s FEE PAID BY: 4 N � 0 jq � � 1�TE-'!'/C� �C Cash -__ _ Check Charge ?Ofg'11dk V'—C Payer same as R&R -?d lam-) ��JJ(- �'�! �0 3 NAME: (or if different) - 1�1 VP /V� ADDRESS:7 --- --- RECORD& RETURN TO 7 (ADDRESS) 9 Suffolk County Recording & Endorsement Page This page forms part of the attached.-- Dc C lw,-�1 nr? Cr1vPn r�)n_4,5 _ made by: (SPECIFY TYPEfOF 1NS"IRUMENT) /zr�S ✓ C, ,4A/A/ JL14X /t �'t/c ��U�'� The premises Herein is situated in SUFFOLK COUNTY, NEW YORK. 15 0 V In the Township ofn� —�� In the VILLAGE i or HAMLET of SOUTHOLD TOWN BOXES 5 THRU 9 MUST �Ta�I'�NG BOARD LACK INK ON[.Y PRIOR TO RECORDING OR FILING.- 5a l LINDA M. DIETERICH, P.L,. /its ATTORNEY AT LAW 548 ROANOKE AVENUE,POST OFFICE BOX 903,RIVERHEAD,NY 11901 TEL(516)369-3311 FAX(516)727-3575 E-MAIL lindalegal@aol.com May 29, 1997 Melissa Spiro, Planner Southold Town 53095 Main Road Post Office Box 1179 Southold, New York 11971 re: Proposed minor subdivision for Ann Marie Nelson SCTM#1000-45-6-9 Dear Melissa: Please find enclosed a certified copy of the Southold Town Covenants and Restrictions for the above-referenced matter. If you are in need of further information, please c act me at (516) 369-3311. Ver ruly yours, IVY.` .v . Lin a M. Dieterich, Esq. LMD:Ibs encl. F1 d MAY 3 0 1997 SOU TI HOLD TOWN PLANNING BOARD Southold Town Planning Board 5 May 12, 1997 Ayes: Mr. Orlowski, Mr. Ward, Mr. Latham, Mr. Edwards, Mr. Cremers. Mr. Orlowski: Opposed? Motion carried. (Chairman endorsed surveys.) *************** Mr. Orlowski: Ann Marie Nelson - This minor subdivision is for 4 lots on 12.1 acres located on the west side of North St. in Greenport. SCTM# 1000-45-6- 9. Are there any comments while the hearing is still open? Pat Nelson: I'm her grandson. I have the receipts where I notified my neighbors and the affidavit that I posted the sign, that Melissa told me I was supposed 'to hand over. One person didn't answer back. Mr. Orlowski: OK. Any other comments on this from anyone? Darlene Duffy: My husband owns the property that abuts where the subdivision is going to be. My only concern is, I have other neighbors, who, their septic systems are leaching into that meadow. So, my concern is where their septic systems are located? Is there any way you can force them to hook into the Greenport sewer system? Mr. Orlowski: That would be the Health Department. Ms. Duffy: That's what everybody says to me. I don't care if they build the house, that's fine, but we have a real leaching problem going into the wetlands there and I'm trying to address it with neighbors on the other side of the meadow, so we're just a little concerned about that, because I know it's a clay bank there. It's been an ongoing problem. I'll address it with the Health Department. Mr. Orlowski: ...any application for a building permit. Mr. Nelson: I believe I can add to that, if you like. We had a soil test done and there isn't any clay, it's silty loam down to 17 feet. The Greenport sewer system runs down to Linnet St. There is a village moratorium on present day sewer hook up. We have letters from the village that says when that moratorium is lifted the people who buy the property will have to hook up the sewer system. All we're doing is selling unapproved lots. You can get the sketch plans from the Health Department in Riverhead. And they have them here too which have the outline of the septic systems on. Ms. Duffy: OK, but you get what I'm... Southold Town Planning Board 6 May 12, 1997 Mr. Nelson: Yeah, I understand your concern, sure. Mr. Orlowski: Thank you. Any other comments? I'll entertain a motion to close the hearing. Mr. Cremers: So moved. Mr. Latham: Second. Mr. Orlowski: Motion made and seconded. All those in favor? Ayes: Mr. Orlowski, Mr. Ward, Mr. Latham, Mr. Edwards, Mr. Cremers. Mr. Orlowski: Opposed? Motion carried. What's the pleasure of the Board? .Mr. ard: Mr. Chairman, I'd like to offer the following resolution. WHERE Ann Marie Nelson is the owner of the property known and designate s SCTM# 1000-45-6-9, located on the west side of Ninth St. in Greenport; a WHEREAS, this pr osed minor subdivision is for 4 lots on 12.1 acres; and WHEREAS, the Southo Town Planning Board, pursuant to the State Environmental Quality R iew Act, (Article 8), Part 617, declared itself lead agency and issued a Negat e Declaration on January 29, 1996; and WHEREAS, the Town's Engineer! Inspector has reviewed the site, and in a report dated February 7, 1996, w 'ch was adopted by the Planning Board, noted that any work require within the Town right-of-way necessary to provide suitable access for individu driveways will be the responsibility of the individual lot owners; and WHEREAS, a final public hearing was closed said subdivision application at the Town Hall, Southold, New York on May 12, 997; and WHEREAS, the Southold Town Planning Board, pur ant to Chapter 58, Notice of Public Hearing, has received affidavits that e applicant has complied with the notification provisions; and WHEREAS, all the requirements of the Subdivision Regulati s of the Town of Southold will be met upon fulfillment of the conditions; be i therefore PLANNING BOARD MEMBERS �yq Town Hall, 53095 Main Road BENNETT ORLOWSKI,JR. o - P.O. Box 1179 Chairman y ,r., 2 l ti Southold, New York 11971 WILLIAM J. CREMERS � � �`r, KENNETH L•.EDWARDS /moo v Fax (516) 765-3136 q s9 O GEORGE RITCHIE LATHAM,JR. o-� ��Y Telephone(516) 765-1938 RICHARD G.WARD '4J PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 13, 1997 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following took place at a meeting of the Southold Town Planning Board on Monday, May 12, 1997: The final public hearing, which was originally held on March 31, 1997, but was re-advertised for May 12, 1997 due to incomplete notification of the March 31 st hearing, was closed. The following resolution was adopted: WHEREAS, Ann Marie Nelson is the owner of the property known and designated as SCTM# 1000-45-6-9, located on the west side of Ninth St. in Greenport; and WHEREAS, this proposed minor subdivision is for 4 lots on 12.1 acres; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself lead agency and issued a Negative Declaration on January 29, 1996; and WHEREAS, the Town's Engineering Inspector has reviewed the site, and in a report dated February 7, 1996, which was adopted by the Planning Page 2 Minor subdivision for Nelson May 13, 1997 Board, noted that any work required within the Town right-of-way necessary to provide suitable access for individual driveways will be the responsibility of the individual lot owners; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on May 12, 1997; and WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has complied with the notification provisions; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold will be met upon fulfillment of the conditions; be it therefore RESOLVED, that the Southold Town Planning Board grant conditional final approval on the surveys dated August 26, 1996, and authorize the Chairman to endorse the final surveys subject to fulfillment of the following conditions. All conditions must be met within six (6) months of the date of this resolution: 1 . The draft Declaration of Covenants and Restrictions containing the requirements of the Planning Board, has been approved by the Planning Board. The Declaration must be filed in the County Clerk's Office and a copy of the recorded Declaration must be submitted to this office. The liber and page number of the recorded document must be noted on the final surveys. 2. Five (5) paper prints and two (2) mylars of the final map, all containing a valid stamp of Health Department approval and the liber and page number of the recorded Declaration of Covenants and Restrictions must be submitted. 3. The park and playground fee in the amount of $6,000.00 ($2000 per vacant lot) must be submitted. Please contact this office if there are any questions regarding the above. Sincerely, Bennett Orlowski, Jr. S Chairman BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1420 NINTH STREET GREENPORT, N.Y. number & 'street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ANN MARIE NELSON OCCUPANCY SINGLE FAMILY DWELLING type owner-tenant ADMITTED BY: PATRICK NELSON ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP N0. 1000-45-6-9 SOURCE OF REQUEST: ANN MARIE NELSON DATE: DEC. 12, 1995 DWELLING: MAIN HOUSE TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # EXITS 5 FOUNDATION CEMENT BLOCK'& BRICK CELLAR PART CRAWL SPACE PART TOTAL ROOMS: 1ST FLR. 6 2ND FLR. .4 3RD FLR. BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE ACCY W06D PATIO FLAGSTONE BREEZEWAY FIREPLACE 2 GARAGE DOMESTIC HOTWATER XX TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER XX OTHER: SHOWER ROOM WITH SAUNA PANTRY - REAR MUD ROOM ACCESSORY STRUCTURES: ** GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ----------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ** 2 WOOD FRAME STORAGE SHEDS ( SMALL ) #9 & 11 ACCESSORY 1-1/2 CAR WOOD FRAME GARAGE WITH LOFT, ELECTRIC AND SMOKE HOUSE - #8 1 WOOD FRAME BOAT HOUSE -NON-HABITABLE - #10 WOOD FRAME 2 CAR GARAGE WITH WALKIN REFRIGERATORS AND TWO ROOMS ABOVE WITH BATH - #3 1 WOOD FRAME COTTAGE, FOUR ROOMS, BATH & GARAGE - #4 THREE STORAGE SHEDS WOOD - #6, 7, & 12 1 WOOD BARN #5 (SEE ATTACHED SURVEY FOR BUILDING LOCATIONS REMARKS; OCCUPANCIES VERIFIED BY SWORN AFFIDAVITS . INSPECTED BY DATE OF INSPECTION JAN. 17, 1996 tOHNBOUFIS TIME START . 9:30 AM END 12:30 AM lUILDING DEPARTMENT .SOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1420 NINTH STREET GREENPORT N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ANN MARIE NELSON OCCUPANCY type owner-tenant ADMITTED BY: PATRICK NELSON ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OF REQUEST: ANN MARIE NELSON DATED EC. 12, 1995 MUM MUMM GUEST COTTAGE - ITEM #2 TYPE OF CONSTRUCTION WOOD FRAME I STORIES 1-1/2 # EXITS 2 FOUNDATION BRICK CELLAR PART CRAWL SPACE • PART TOTAL ROOMS: 1ST PLR. 2 2ND FLR. 2 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE FRONT rnvFRFn DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL . , GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.X. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS:-------- OCCUPANCIES VERIFIED BY SWORN AFFIDAVITS . INSPECTED BY DATE OF INSPECTION JAN. 17, 1996 JO N M. BOUFIS' TIME START 9:30 AM END 12:30 AM 1J� ��fit/ FT Z 10 C ay V17 v��d�S� p��S�FFD(,Yco PLANNING BOARD MEMBERS Z. G r c, �j Town Hall, 53095 Main Road BENNETT ORLOWSKI,JR. v cn P.O. Box 1179 Chairman t 2 Southold, New York 11971 WILLIAM J.CREMERS " �� Fax(516) 765-3136 KENNETH L.EDWARDS Telephone (516) 765-1938 GEORGE RITCHIE LATHAM,JR. RICHARD G.WARD PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 22, 1997 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 RE: Proposed Minor Subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following took place at a meeting of the Southold Town Planning Board on April 21, 1997: BE IT RESOLVED that the Southold Town Planning Board hold the hearing open pending receipt of notification that all provisions of Chapter 58, Notice of Public Hearing, have been met by the applicant, and pending receipt of submission of Pre-certificates of occupancy to certify the existence of all dwellings on proposed Lot No. 4. The next Planning Board meeting is scheduled for May 12, 1997. Please contact this office if there are any questions regarding the above. Sincerely, Bennett Orlowski, Jr. J Chairman S PLANNING BOARD MEMBmat o��gUFFO(,�c RICHARD G.WARD �Q• �G,y Town Hall, 53095 Main Road 1 P.O. Box 1179 GEORGE RITCHIE LATHAM,JR. y = Southold,New York 11971 BENNETT ORLOWSKI,JR. p Fax(516) 765-3136 WILLIAM J.CREMERS �� o�� Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 1, 1997 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following took place at a meeting of the Southold Town Planning Board at a meeting on Monday, March 31, 1997: BE IT RESOLVED that the Southold Town Planning Board hold the hearing open pending receipt of submission of Pre-certificates of occupancy to certify the existence of all dwellings on proposed Lot No. 4. The next Planning Board meeting. is scheduled for April 21, 1997. Please contact this office if there are any questions regarding the above. Sincerely, Bennett Orlowski, Jr. S Chairman LEGAL N TICE north b-'I now or formerly of Long Notice of Public Hearing Island: mad;on the east by Ninth NOTICE IS HEREBY GIVEN that St., ani land now or formerly of STATE OF 1._...'YORK) pursuant to Section 276 of the Town Tendlei and others; on the south by Law,a public hearing will be held by Peconic Bay;and on the west by land ) SS: the Southold Town Planning Board,at now or formerly of Jurzenia. the Town Hall;Main-Road,Southold; 7:40 P.M. Public hearing for the M HFSUFI!Mer New York in said Town on the 31st proposed lot line change for Walter of Mattituck, in day of March,1997 on the question of and Linnell Gaipa and Suffolk County the following: Water Authority,in East Marion,Town said County, being d y sworn, says that he/she 7:30 P.M. Public hearing for the of Southold,County of Suffolk,State proposed major subdivision for Joseph of New York.Suffolk County Tax Map is Principal Clerk Of THE SUFFOLK TIMES, a E. Perino, Patricia Perino, Margery Number 1000-31-2-22.1&32.2. Weekly Newspaper, published at Mattituck, in Connelly,Martin Connelly and Letitia The property is bordered on the Nastasi, in Mattituck, Town of north by land now or formerly of the Town of Southold, County of Suffolk and Southold,County of Suffolk,State of Easter.Excavating; on the east by New York. Suffolk County,Tax Map land now or formerly of Kortsolakis, State of New York, and that the Notice of which Number 1000-122-7-9. by land now or formerly of United the annexed is a printed copy, has been regular- The property is bordered on the Cretans Association; on the south by north by Main Road; on the east by land now or formerly of Wexler, and ly published in said Newspaper once each week Lots 1 through 33 of amended map of by land now or formerly of Maraitas Mattittick'Park, Suffolk County File Jacobs;on the southwest by land now for weeks su essivel.��y m encing on No.810;on the south by land now or or formerly of Rackett,by land now or the day of.mai 9 formerly of Charles Lomangino and formerly of Akoumianakis, and by _7" Stanley Lomangino; and on the west Rocky Point Rd.;on the west by land by land now or formerly of Charles ngw.or formerly of Mandel; by land I �? Lomangino and Stanley Lomangino. �_..I.now or formerly of Yanas, by land _E 7:35 P.M. Public hearing for the now or formerly of Myrsadis,by land ` proposed minor subdivision for Ann now or formerly of Manias, by land Marie Nelson,in Greenport,Town of now or formerly of Siopis, by land Principal Clerk Southold,County of Suffolk,State of -now or formerly of Purinton and by "''`'� PR I New York. Suffolk County Tax Map Rocky Point Rd.;,and on the northwest Number 1000-45-6-9. by land now or formerly of Demeris ;f }___.- is property is bordered.on the by land now or formerly of Verity and j by land now or formerly of Reich. ;. Sworri;t_O_�•ib_efore?-me this -.Dated:March 11,1997 r day Of (tJl 19 _ BY ORDER OF THE SOUTHOLD PLANNING TOWN PLLANNING NARY DIANA FOSTER BOARD (VOTARY PUBLIC,STATE OF NEW YORK Bennett Orlowski, NO.52-4655242,SUFFOLK COUNTY Chairman 8898-1TM13. COli MISSION EXPIRES AUGUST 31,19 q 7 MAR-10. 97- 12:40 FRGM:KAREk! C: i,ppni ITANO 727-3575 ;i y'.,, T0:516 (�5 1823 PAGE:02/05 LINDA M. DIE !B& s 9, ATTORNEY AT. LAW .548 ROANOkE AVENUE:'POST OFFICE BOX 903,RIVERHEAD,NY 11901 TEttLEPHONE(516)368-3311 TELECOPIER(516)727-3575 YP VIA TELEFAI , (516) 765-1823 March 1.0: 1:997 Melissa Spiro, Planner Southold Town 53095 Main Road Post Office Box 1179 Southold, New York 11971 re:. Proposed minor subdI4IaI6n':1.or)'Ann' Marie Nelson SCTM#1000-45-6-9'1 r : Dear Melissa: Please find attached a copy .'of th,e' reoentay� revised declaration of covenants/restrictions for the Town of Southold: Regarding the pre-C.O.'s, I spoke with John Boufis in the Building Department_and I,am faxing him a copy of an affidavit he says his department never received: According to' Mr , oufis, this iz the only holdup with the pre-C_O.'s. Please.speak *ith' hfm as-w.e.,mazy be able �4 get this matter re;.:olved today. Please review the declaration of covenants and, restrictions and,call ire at (516) 369-3311. If at all possible, I would like;to Eke, t11d;,matter on tonight's agenda for the Planning Board meeting in.order to.avoid further y: ; H,vok forward to hearing from you soon ti da¢M, Di6t6rich, Esq. .7 /MAR-10 97 12:41 FROM:KAREN C NppniITANO 727,-3575 t ' TO 516. 765 1823 PAGE:03/05 0SCLARAT I ON THIS DEC,:VRATION, made-the day. of` March', 1997, by Ann Marie { Nelson, residing at Cherry Lane Farm;,-Ninth"Street,'Greenport, New York, hereinafter referred to as the party of the first part, said party of.th® first parr(hereinafter referred to , as Declarant: 1. {# WIYNE, SS:ET`H WHEREAS,the parry of the first part is the owner.,,,,of;ce"in real property situate at Gree'nport, Town of;Southold, County of-,Suffolk; State of New York, more. .,particularly described as set forth.on Schedule A annexed Hereto, and F WHEREAS, tho party of the first part his mrade,application to the Planning Board cif the Town.of Southold for approval to.,50dir id6'aidi real property described Vj on Schedule A into.four lots, as shown on the`subdivision,map entitled ', ,rLn Marie Nelson"5 which ni.ap is dated August 26, 1;997preparbd,,t. Foderick Vain Tuyl,. P.C.. and intended to he filed in the Suffoik County Clerk's Office herewith; and WHEREAS, for.and in of granting of sdid'approval, the Planning Board of the Town of.Southold has deemed it,to be for'ahe;best:interests of the Town of Southold and 1,he .owners and prospective( owners of said lost that the within covenants_ and..restrictions-be imposed,on sa'd ;lo+rfs, and as a condition► of said approval, said Planning Board has r®quirggl thatithe,.within decl aNation be recorded in the Suffolk Csourif, Clerk's Office: and WHEREAS, the Deciarant h«i considered the�.fo,regoing and has determined that the same wN be in the best interest of the•Declarant anal subsequent owners of a ,, ,•. said lots, NEW, THEREFORE., T HIS DECI�IRAT101� WITNESS�H: That the Declarant, for the purposes,of carrying; out, the intentions above expressed, does hereby make known, admit, pubj#,f covenant a.nd agree that the , tc;:�. i{�- ''err, i,{"•r�:.<,`J tca ..i.r L:.: loiN 1 t., 1 � •h 1 MAR-10 97 12:41 FROM:KRREN C .NRP_OLITRNO • f727-3575` "E TO 5 '.765 1823 PAGE:04/05 r .. - - s i •_ r l S �nr t'1 1 t..It rk A+t' a,1 tfi,� - .A'::' said premises herein described shall hereafter`be �u' j ct�' c the fc� towing covenants which shall run with the land'and shall be binding upon all'• purchasers and holder of said premises, thiAr heirs, executers, legal representatives, `distributees, .Accessors and assigns, t® r iv u: p (q , � a � k4+ 1, 1:. Clearing and cutting within'the hundred°foot wetland buffer shall,be'hmited to,that ftedessary for proper maintenanC® andremoval of c�rseased„ ,'Ids9iN�bi,sF4,• decayed or dead' material and obnoxious plant species. Such clearing and'cutting shall be sublact to review by the Board of Trustees-di the Town•of Southold prior to clearing and cutting toL.insure'proper:'rriaintenance and preservation of the;natural buffers 2. 41n further subdivision of Lot'No ,4;'shall'.be`.,processed as . s / � If 3� ry'� 3f1 ;s�K• } e �erfr4. 2 a major subdivision bythe Planning Board i 3. There shall be.no further`subdivi5ign 9of;Lnt 1, Lot 2 or Lot 3. 4.. No new residential structure°'or sanitary disposal facility shall be trc Y r✓�.�,' }. I�ti i 'S t d i.A Pry•nk - constructed or otherwise located within '1'Oo feet of the adjacent wetlands or of th® Peconic Bay 5. No stormwater runoff resuitirg fromF the„deeoprnent an improvement of the subdivision orFar�yrof,its lots shall be discharged into the ad oinin bod1es�o Water or wetlands in and 9 1 9= bordering the parcel " r s � r a r r.. �< r . IN WITNESS WHEREOF, the Declarant ablove ,nam.ed has executed..the. - - - J +x+ks ++ f `1 t...{ i �_g• ti d s, r.. 6 r+� . _ I F ' 1 ' /MAR-10 97 12:41 . FROM:.KAREII CC NAPCILITANO . 72�'-3575 ` TO'S16 765 IS23 PAGE:05/05 ov t os F 1' foregoing declaration the day and year first above 'wi•itt®m ° ! {' it i ANWMARIE NELSON I STATE OF NEW YORK ) I ss: COUNTY OF SUF'FOLK On the day of ,11b997,'beforettr a personally came Ann Marie Nelson, to me known to be the'indivi'ddahAescrtbed- m'`and who executed the foregoing instrument, and acknowledge /that she,=executed;the:same. fro°t" Publtc fl" rl' 711 I . z 14 d s f' „ I. s9 y I � } 7 t I, , 1 t f C PLANNING BOARD MEMB] �oSVFFO(,�co RICHARD G.WARD .Z.� G Town Hall, 53095 Main Road cy�c P.O. Box 1179 GEORGE RITCHIE LATH",JR. y = Southold,New York 11971 BENNETT ORLOWSKI,JR. p Fax(516) 765-3136 WILLIAM J. CREMERS � ���� Telephone (516) 765-1938 KENNETH L.EDWARDS j PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 11, 1997 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Green port, NY 11944 Re: Proposed minor subdivision.for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, March 10, 1997: BE IT RESOLVED that the Southold Town Planning Board set Monday, March 31, 1997 at 7:35 p.m. for a final public hearing on the maps dated August 26, 1996. Pre-certificates of Occupancy are required to certify the pre-existence of all dwellings on proposed Lot No. 4. The pre-certificate of Occupancy must be submitted prior to the March 31, 1997 public hearing. Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The sign and notification form are enclosed for your use. Please return the endorsed Affidavit of Posting and the certified return receipts on the day of, or at the public hearing. Please contact this office if there are any questions regarding the above. Sincerely, Bennett Orlowski, Jr. Chairman enc. i IMP Subntission, Without a Cover Letter Sender: `� � � �p I� S ovu Subject: SCI'11I#: 1000- y .Dale: 7 (Apo unnents: g 2 7�2 J re"( <C, MAR 0 1997 SOUiHO D znAN— PLr`,NNUNO BOARD � t'IHR-t=ti T i '= EEi N:f'-A EII r_ ','IDLIT-t-1i- ET'-=` TI]:?5 :�1?r F' i�E:02 i LIND M. � ELE—RICHP.C. � ATTORNEY -� LAW 548 ROANOKE AVENUE,POST OFFICE BOX 90:3, RIVERHEAD,NY 11901 TELEPHONE(518)369-3311 TELECOPIEP(516)727-3575 VIA TELEFAX (516) 765-3136 March 6, 1997 Melissa Spiro, Planner Southold Town 53095 Main Road Post Office Box 1179 Southold, New York 11971 re: Proposed minor aubdlvialon for Ann Marie Nelson SCTM#1000-45-6-9 Dear Melissa.- Please find attached a copy of the agreement for amendment of restrictive coven antsldeclaraticn of covenants and restrictions we filed at the request of the Suffolk County Department of Health Services. Please review the declaration of covenants and restrictions and cell me at (516) 369-331 1. If we need to Make any changes, I will do o immediately and fax you over an amended copy before MonIday's Planning Board me ting. I look forward to hearing from you soon. e truly yours, I nda M. Dieterich, Esq. LMD:Ibs - MAR I 0 � III._ MAR-07 (_ I ';,�.,, r.i,JGI 1LI 'HPi_i i L I 'I. TO: I 65.J1�r', PH_.`-:Cl1 L INDA M. DIE CH P.C. ATTORNEY AT 1- V 548 ROANOKE AVENUE,PCST OFFICE BOX 903, RIVERHEAD, NY 11901 TELEPHONE(516)369-3311 TEI-ECOPIER(516)727-3575 CONFIDENTIAL. FAX TRANSMISSION DATE: March 7, 1997 TIME: 11 :30 am TO: Meliaaa Spiro FAX #: (516) 765-3136 SUBJECT: Nelson aubdiuiaion NUMBER OF PAGES, INCLUDING THIS IMAGE: 15 MESSAGE: NOTICE The information contained in this transmission is privileged and confidential. it is intended for the use of the individual entity named above. if the reader of this message is not the intended recipient, the reader is hereby notified that any consideration, dissemination or duplication of this communication is strictly.prohibited. If you have received this communication in error,.please return this transmission to us at the above address by mail. We will reimburse you for postage. In addition, if this communication was received in the U.S., please notify us immediately by telephone call. Thank you. Please contact the sender if all pages are not received or if any difficulties are experienced during transmission. f`1HF'`0 i 97 , c"D c-'Qh1: :AF.EI'f [ ='IJi TT ifs (�f-��i Ti 1 (F,� 1^t= PViGE:03'Lc AGNREEMENT FC;R AMENDMENT/MODIFICATION OF RESTRICTIVE COVENANTS THIS INDENTURE made by Ann Marie Nelson this 26th day of August 1996, residing at Cherry Lane Farm, Ninth Street, Greenport, New York, for the purpose of amending/fmodifying certain Declaration of Covenants and Restrictions entered into by the DECLARANT, or her predecessor-in-interest, on the 27th day of June. 1996, and recorded on the 20th day of August, 1996, in the Office of the Clerk of.this County of Suffolk at Liber 11788, at page 285. Said Declaration of,Covenants and Restrictions burdened the PREMISES described in Schedule "A" attached hereto; and, WHEREAS, said Declar-ations of Covenants and Restrictions :yet forth in paragraph seven as follows: "These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them, and my be terminated, revoked or amended only with the written consent of the DEPARTMENT." and, WHEREAS, it has been determined by the DEPARTMENT (Suffolk County Department of Health Services,, that the above-mentioned covenants and restrictions affecting the PREMISES described herein can be amended/modified as hereinafter set forth; and WHEREAS, the DEPAIRI MENT, by executing this agreement, hereby consents to the amendment/modification of the covenants and restrictions hereinbefore mentioned, and WHEREAS, the undersigned part►es to this Agreement are not the owners, iuGOL i TO:f F Fi E:0� c mortgagees, and other parties interested in the above described PREMISES and agree to amend/modify the above-mentioned restrictive covenants; and WHEREAS, the IDECLARANT represents and warrants that she has inot offered or given any gratuity to any official, employee, or agent of Suffolk County, New York State, or of any political party: with the purpose or intent of securin.gi favorable treatment with respect to the performance of an agreement, and that such person has read and is familiar with the provisions of Local Law #32-1960. r NOW, THEREFORE, it is mutually agreed as follows: 1, The PREMISES are hereby released from the restrictive covenants contained in the agreernents above referred to, and the parties hereto release each of the other parties, their distributees, heirs; successors and assigns from such covenants. 2. The above described PREMISES shall thereafter be subject to the restrictive covenants attached hereto as Schedule C. 3. The parties hereto covenant on behalf of themselves, their distributees, heirs, successors and assigns to observe the restrictive covenants set forth in paragraph 2 and attachad hereto as Schedule C, with -the same force and effect as though such covenants had been imposed on the above described premises in the first instance. IN WITNESS1HEWEOF, the parties hereto have executed this agreement the 26th day of August, 1996. ANN MARIE NELSON NW-0 `!f 1-1:049 TCj:E-5 l^b PAGE:C1c,.lc STATE OF NEW YORK ) ss: COUNT OF SUFFOLK ) On the 26th day of August, .996, before me personally came ANN MARIE NELSON, to me known to be the individual described in and who executed the foregoing instru t and acknowledge that she executed same. t ry Public : State of New York E*m Consented to'. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES By; Stephen A. Costa STATE OF NEW YORK } ss: COUNTY OF SUFFOLK ) Se,,Wo4e r came S'i'EPHEN A. On this / day of A-t�, 1996, before me personally .COSTA, to me known, who, beirl'by me duly sworn, did depose and say that he resides at East Setauket, New Yom that he is a Principal Public Health Engineer of the County of Suffolk, Department of Health Services, the municipal corporation of the State of New York described in and which executed the foregoing consent; and that he signed his name thereto by authority of the Suffolk County Department of Health Services. Notary Public : State of New York OiO11A Otl'iMM 114046`kaft #110 si Now lb e �c rr, Cx p ? P—L i q- 1::0 FRGI-i.:Ki:� Etd = ""'OLITANiJ Pi=iigE:0G., 1� SCHEDULE C ��Ci;8t1.CRO�FILM DECLARATION OF COVENANTS AND RESTRICTIONS THIS DECLARATION made by ANN MARIE NELSON. residing at Chi3rry Lane Farm, Ninth Street: Greenpor; New York, hereinafter referred to as the DECLARANT, as the owner of premises described in Schedule "A" annexed hereto (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for suc^ purposes determined to impose. on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subjec! tc. the following covenants and restrictiors- 1 DMCL.AR,ANT has made application to the Suffolk County Deparlment of Health Services hareinafter referred to as the DEPARTMENT) for a permit tc constrit;. , approval of plans or approval of a subdivisic'n or development or: the PREMISES, ?. WHEREAS DEC!ARAM` 7 appeared before the Board of Review requesting a variance from Article 6 cf the Suffolk County Sanitary Code and WHEREAS the Soard of Review of the County of Suffolk Department of Health Services granted a variance by letter dated May 22, 1,996, attached hereto and made a part hereof, provided a covenant is filed, the DECLARANT, its successors, heirs, or assigns, agrees: (a.) The lots described in Schedule A will be served by temporary individual conventional subsurface sewage disposal systems, as determined and approved by the DEPARTMENT, until such time as the facilities of Sewer Treatment Plant are available, at which Me all temporary individual conventional subsurface sewage disposal systems will be discontinued. disconnected and abandoned according to standards of the DEPARTMENT, and the MAR-07 ,37 1 DA '"LITHP)u r- r5 T ;r, =13'6 PAGE: 14 lc Mary E. Hibberd. M.D., M.P.H. Page Two Subject: Report of Findings and Recommendations of the Review Board Regarding S 10-95-10, Proposed Subdivision of Cherry Lane Farm, Greenport, (T) Southold; SC TM 1000-45.6-9. Findings and Facts (conCd) 5. The overall density of the subdivision is in compliance with yields allowed under Azticle 6 for residential developments which do not have access to public sewers. 6. Site is in Groundwater Management Zone N. 7. Public water is available from the Village of Greenpon Water Supply. R. Depth to groundwater is about 12.2 feet. 9. Soils are silry loam and sand 0-5 fret; fine to coarse sand 5-17 feet below grade. 10. Applicant is claiming financial hardship. Determination It was a 3 to 0 determination of the Board to grant the request for the variance,provided the following conditions are met: • Far lots #1, #2 and #3 that are pemured to use rernporary on-site sanitary systems, covenants shall be filed, in language acceptable to the Counn- Aaorney, that the parcels will be hooked-up to public sewers within 90 days of availability. • For lot #4 a covenant shall be filed, in language acceptable to the County Arrorney, which prohibits any further subdivision of the parcel without the extension of public sewers and the provision of public water service to all habitable structures. Date Dennis Moran, P.E., Chairman DM/ir " f^wF'- 7 9i t_ t uPULITHPUI F'HiGE:1= lc - 7. �. SUFFOLK COUNTY DEPARTNMNT OF HEAL i H SERVIMO . . prIVISION OF ENy ONMENTAL QUALITY ` J '0 :jdcle 2, Section 760-220, Suffolk County Sanitary Code ft� To: Mary E. Hibberd, M.D.,M.P.H. Commissioner From: Dennis Moran, P.E. Chairman. Board of Review Subject: Report of Findings and Recommendations of the Review Board Regarding: S10-95-10, Proposed SubdivisioVf Cherry Lane Farm, Greenport, (T) Southold; SCTIvi 1000—+5-6-9. Applicant: Robert P. Nelson, 1429 Ninth Street, Greenpon, NY 11944 Notice of Hearing: April 24. 1996 - Hearing Date: May 9, 1996 statement of Problem A community-type water supply and svvv3ge syslem is required when a realty subdivision or development is located within or is seasonably accessible to an existing water/sewage districr, or service area in accordance with the requirements of Article 6. The applicant is requesting relief from these requirements. Findings- d Fact L Proposed development of a 12.1 acre parcel into four lots of 7.2 acres with existing dwellings; 74,000 s.f., 70,000 s.f. and 68,000 st lots to be developed. Total project area is 12.1 acres. 2. The variance request is to permit the use of temporary on-site sanitary systems on the three northern subdivision lots (#l, #2 and#3'). Public water will be provided to these lots. In addition the'applicant is requesting a variance for the 7.2 acre lot (#4) which would not require hook-up to the sewer system and not require public water ex!:ensian to all the associated building structures on the parcel. Presently public water is provided to the main house, garage apartment and cottage. 3. A public water main is available on Ninth Street. There is also a sewer line on Ninth Street which te-*tninates at Linnett Street. 4. The ;Tillage of Creenport's Wastewater Treatment Plant is presently restricted from accepting additional customers until it is upa aded to meet New York State Department of Environmental Conservation requirements. NPR-O-f 97 1.]:01 rRCIH:KHPEH t_ !LITRAD 2 i- 5 TO:7 PHiGE:Ct' 1� lots described in Schedule A will be connected to the facilities of Sewer Treatment Plant within 90 days after such facilities become available, all at the expense of the DECLARANT. (b.) As a condition for approval of the DEPARTMENT, of su--h subdivision or development application, the DECLARANT agrees that there shall be no further division of any of the lots on the premises described herein, and that said lots shall remain as shown on the subdivision or development map approved by the DEPARTMENT. (c.) Easements of ingress and egress to individual lots shall be reserved to DECLARANT in the deeds of conveyance of the aforesaid lots in language approved by the DEPARTMENT. (d.) DECLARANT shall install a sewer main with connection stubs to service all lots described in Schedule A and Schedule B attached: which shall be connected to the facilities of Sewer Treatment Plant. (e.) DECLARANT shall post a letter of credit with the Greenport Sewer District, and/or the DEPARTMENT, in an amount and in language .acceptable to the Agency, and/or the DEPARTMENT., covering all temporary septic systems installed by DECLARANT to insure that the promises and covenants contained herein are performed by DECLARANT. (f.) As a condition for the approval by the DEPARTMENT, of such application, the DECLARANT agrees that there shall be no further division of LOT 4 as described herein as Schedule B unless public water and public sewers are extended to the premises and k MP 1 :Lc -HRH _ 0LiT-H0 72r-__ f._ � 1�h F'H�E 1_ regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances, and/or regulations may thereafter be revised, amended, or promulgated. S. This document is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 8. The aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of said agencies or the County of Suffolk to enforce the flame shall not be deemed to affect the validity of this covenant not, to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended only with the written consent of the DEPARTMENT. 8. if any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid, or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. 9. Local Law #32-1 980 - The DECLARANT represents and warrants that its has not offered or given any gratuity to any official, employee, or agent of Suffolk County, New York State, or of any political party, with the N.F-07 97 i :; E FRIDN:KHREH C 11PPOLIT-HO 727-.�575 TO:7hE31EG FAGE: 10, 1F purpose or intent of securing favorable treatment with respect to the performance of an agreement, and that such person has read and is familiar with the provisions of Local Law #32-1980. 1 ANN MARIE N LSON STATE OF NEW YORK } ss. COUNTY OF SUFQFOOLK ) On the �� day of June, 1996, before me personally came ANN MARIE NELSON, to me known to be the individual described in and who executed the foregoing instrument and acknowledge that she executed same ry Public: State of New York P'1HR—r�i q i 1= 1 Ft�U(I:Y:H Efa = r!r4Pl_;LT_Tk- -'E^ _..7cz=� TO:7605 136 PH[aE:C18/1 all building on the premises are connected to public water and public sewers. (g.) DECLARANT acknowledges that the temporary subsurface sewage disposal systems as approved by the DEPARTMENT are allowed up to the population density equivalent for the entire premises as defined in Suffolk County Sanitary Code, Article 6. (h.) DECLARANT,:its successors, heirs or assigns, further agrees to hold harmless, indemnify and defend the County of Suffolk, her employees, offices, or agents from any claim for damages or injuries that may arise out of the approval, installation or use of such temporary sewage disposal systems. {i.).. DECLARANT, its successors, heirs, or assigns, further agrees not to commence any civil lawsuit against the County of Suffoik for any claim of an nature that may ariserut of: the decision Or actions of any municipality concerning the approval, installation, or.use of the temporary or permanent sewage disposal systems. 3. The DECLARANT, its successors and/or assigns shall 'set forth these covenants, agreements and declarations in any and all leases to occupants, tenants and/or lessees of the above described property and shall, by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANT, its successor; and/or assigns to so condition the leases shall not invalidate their aLitomatic subjugation to the covenants and restrictions. 4. All of the covenants and restrictions contained herein shall be construed to be in addition to and not.in derogation or limitation upon any provisions of local, state, and federal laws, ordinances, and/or P`IAR-0 f 1�:U� FRCI'I:KAREH L iitirlJi_� Fih;l' 727 TO:c.-- �6 F'HldE: 1 1c COUNTY OF SUFFOLK RoarRT J.GAFFNEY SUFFOLK COUNTY EXECUTIVE May 22 1946 MARY E HIEVER0.MD..M.P.M. ?DEARTMENT of HEALTH SERVIC ,ES cow►ussloNEA Robert P. Nelson 1429 Ninth Street Greenport, NY 11944 Dear Mr. Nelson. d Subject: Board of Review Hearing - May 9, 1996 S10-95-10, Proposed Subdivision of Chevy Lane Farm, Greenport, k1r) Southold; SAC- rM 1000-45-6-9. Mnclosed is a copy of the Board of Review's findings. recommendations and d.eterminatior, concerning the subject application. Based on the information subniined, the Board granted the request for variance with the provisions indicated in the determination. The granting of this waiver does not imply that your application will be automatically approved. It is your responsibility to ensure that your application is complete; otherwise, your approval will be subject to unnecessary delay. Very truly yours, Dennis Moran, P.E. Chairman Board of Review DM/lr Enclosure cc Board of Review File - Riverhead Mr. James Bagg Mr. Robert Rickert, Principal Planrler Roderick Van Tuyl Mr. John J, Becht, Village of Greenport Mr. Joseph Farina Roy Dragotta, Esc. •225 Rye io oarv[f.�•Mnvr�wua� NY 1 1788-5290•T(i.EPNeNG(51 61 85a•308 I MAP,-0 t '9 i 1 :: -3 Fi=ON:Kt. P''EH C HHFCL TR`1110 I I -3=75 TO:i 6,15.E13E, PHk.IE: 11 1 SCHEDULE A DESCRIPTION OF PROPERTY LEMIL5Y K)OR FOR .1 DECLARANT: ANN MARIE NELSON H.D. REF. NO.: S10 - 95 - 10 Cherry i ane, Greenport, NY minor subdivision AI:L that certain plot, piece or parcel'of;;land, wit.^. the buildings and improvements thereon: erected, situate, lying and being at Greenpor_, ;n the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: FEu1.*INTNG at the P:;mint of in.ersec_ion of tte sou_:terly side of _a.^�d of �ze among -s=and ja"road company with the westerly side of Cher r v lane or Ninth Street; R .'NNTNG m%,rNCE South 1' degrees 11 minutes 20 seconds West along the west?r lv side of Ch e::y :.ane or Ninth Street, -0 S . 9 7 feet to t_.,e souwierlu side of Cherry Lane or Ninth Street; ?'iiENCE Soua^ 79 degreeM 28 minutes 5o seconds Last along the sout::er'_v end os cherry lane cf Ninth Street , ._ feet to a point; T"HENO;. South 12 degrees __ minutes 20 seconds West, ;; 5 . 1.8 feet to tze high water mark of Peconic Bay; ^"?ENc , a!-ong the high. water marls of ?econ .c Bay the following tip line course and distance: T 1 . North. 68 degrees o5 minutes 20 seconds West, �9 3 . 7 9 feet to land now or formarly of T. Ju_zenia; THENCE North 06 degrees 0;, miri:tes 20 seconds East along said last mentioned land, 996 . 18 feet to the southerly side of land of the Long island Railroad Company; 'i:rNCE North 84 degrees 10 minutes 40 seconds East along said last mentioned land, 878 . 31 feel-- to the westerly side of Cherry Lane or Ninth Street at he point or place of BEGINNING. +rZ 07 I 11:U`i t-RU1•I:t.HHLH l 1gHf-'ULl I H1 4U la I I I U 1 G=_1 JG F'{Il7E lam'1 T" ` 11792 P9283 Cl 0 r., c a, Number of pages TORRENS -'' '�� — `) re w Serial �' �" �u -7 Car'' :J r_ Ccrti ficate# ={ — �r i v� Prior Ctf.# Deed/Mortgage Instninlent Deed/1vfortgagc Tax Stamp Recording/Filing Stamps 4 FEES J Page/Filing Fee — G Mortgage Amt. Handling 'I.. Basic Tax TP-584 — 2. Additional Tax Notation Sub'total f-• EA-5217 (County) Sub Total !—'� �:> Spec./Assit. or EA-5217(Stale) Spec./Add. R.P.T.S.A. TOT. MTG.TAX _-- Comrri, ��f Ed. 5 . Otl �, , . O Dual Town Dual County Held for Apportionment Affidavit ___ _ ____ m"s, : Transfer Tax CcrtiCiul Copy -- -- _ ^`�v1,% � Mansion Tax .The property covered by this mortgage is or Reg. Copy -) will be improved by a one or two family r' Sub Total :�C� dwelling only. YES or NO f-rle/" r GR D '0 AL / If NO, see appropriate: tax clause on page # — `� of this instrument, vaatie Real Property Tax,eevie gency Verification I; Title Conapany Information x Dist. Section Block Lot st e l 0 0 0 O u 500 0 6 0 0 d 00 0 Company Name �f 31� Title Number Init' FEE PAID BY: t Cash— Check Charge Payer same as R.&,R "PO OX c7 6-3 (or if difllemntj ��� r�,, ,/�I �� P-/1»� �CS f NAME: � - `-*f ADDRESS: RECORD & RETURN TO 7 (ADDRESS) — 9 Suffolk County Recording & Endorsement Page This page forms part of the attached C C� L made by: (SPECIFY TYPE 0. �1-NSTRUM.ENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK.. TO _ !n the Township of �; C.L. In the VILLAGE or HAMLET of r -- BOXES S THRU 9 MUST P'E TYPED OR PRDJED IN BLACK TNK ONLY PRIOR TO RECORDING OR FILING. 12�O4.irOSMc• PLANNING BOARD MEMBERin �SVFFNA- RICHARD G.WARD .� CMG� Town Hall, 53095 Main Road Chairman y:•c i P.O. Box 1179 y Southold, New York 11971 GEORGE RITCHIE LATHAM,JR. 2 BENNETT ORLOWSKI,JR. p Fax (516) 765-3136 v- WILLIAM J. CREMERS �G ® �� Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 24, 1996 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 RE: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, December 23, 1996: BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from December 11, 1996 to June 11, 1997. Please note that this is the last extension that the Planning BoardWII be granting. Please contact this office if you have any questions regarding the above. Sincerely, � Richard G. Ward /S Chairman PLANNING BOARD MEMBERS ' ��SUFFO(,�c RICHARD G.WARD •�© �G l Town Hall, 53095 Main Road Chairman o y.4 P.O. Box 1179 GEORGE RITCHIE LATHAM,JR. ti Z Southold, New York 11971 BENNETT ORLOWSKI,JR. p Fax(516) 765-3136 y� WILLIAM J. CREMERS ®�� Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 10, 1996 Patrick Nelson c/o Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 RE: Proposed minor subdivision Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: I reviewed the final maps you submitted this morning. Please note the following outstanding items: 1. The Planning Board's December 11, 1995, sketch approval required a) that the wetland area and upland area for each lot be , indicated on the final map; and b) a 75 foot wetland buffer adjacent to all wetland areas. At the conclusion of the environmental review, the Planning Board expanded the 75 foot wetland buffer to 100 feet as noted in the Board's letter of January 30, 1996. Neither of the above conditions are shown on the final map. 2. During the subdivision review, the Planning Board required that certain covenants and restrictions be contained in a Draft Declaration of Covenants and Restrictions. The draft must be submitted for Planning Board review. 3. The final maps must contain a notation that covenants and restrictions, as required by the Planning Board, have been recorded in .the County Clerk's Office. Prior to any endorsement of the final map by the Planning Board Chairman, the liber and page number, of the recorded document must be noted on the map. _ Q After the final maps are revised as noted above, you must submit two mylars and five paper prints of the final maps. All maps must contain a valid stamp of approval from the Health Department. The final public hearing will be scheduled upon receipt of the above mentioned items. Please feel free to call if you have any questions regarding the above. Sincerely, Me�fls s al pir"b Planner cc: Linda Dieterich �S Submission Without a Cover Letter Sender: ct-�- . \ Subject: Nl as c'n SCTM##: Y 000- Date: t 2-1 Comments: r p, i NHS FNDEC 1 0 1996 c�� '54 LINDA M. DIETERICH. P..,. r ATTORNEY AT LAW 548 ROANOKE AVENUE,POST OFFICE BOX 903,RIVERHEAD,NY 11901 TELEPHONE(516).369-3311 T ELECOPIER(516)727-3575 December 4, 1996 Richard G. Ward, Chairman Southold Town Planning Board Town Hall 53095 Main Road Post Office Box 1179 Southold, New York 11971 re: Proposed minor subdivision for Ann Marie Nelson SCTM#1000-45-6-9 Dear Mr. Ward: On behalf of Ann Marie Nelson and Robert Patrick Nelson, I am requesting a six month extension of the sketch plan approval for the above-captioned minor subdivision until June 11, 1997. 1 understand that the matter of the extension will be discussed during the next meeting of the Planning Board and that a resolution will be passed at that time. If you are in need of further information, please not hesitate to contact me at x(516) 369-3311. Very ly yours, Li da M. Dieterich, Esq. LMD:Ibs DEC -61996 SOUTH#- D TO PLAN I�u�i;fiOAk? _ PLANNING BOARD MEMBERS SUFF RICHARD G.WARD ��� CQ� Town Hall, 53095 Main Road Chairman =� '�� P.O. Box 1179 GEORGE RITCHIE LATHAM,JR. o '� Southold, New York 11971 BENNETT ORLOWSKI,JR. s Fax(516) 765-3136 WILLIAM J. CREMERS Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 1 1 , 1996 Patrick Nelson c%Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday,June 10, 1996: BE IT RESOLVED that the Southold Town Planning Board grant a six month extension of sketch approval from June 1 1 , 1996 to December 1 1 , 1996. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward Chairman 6L1:PF LINDA M. DIETERICH. P.G. 11 16 ATTORNEY AT LAW 548 ROANOKE AVENUE,POST OFFICE BOX 903,RIVERHEAD,NY 11901 TELEPHONE(516)369-3311 TELECOPIER(516)727-3575 1d5 June 5, 1996 Richard G. Ward, Chairman Southold Town Planning Board Town Hall 53095 Main Road Post Office Box 1179 Southold, New York 11971 re: Proposed IiiiiiVr subdivision for ?,::n Marie Nelson SCTM#1000-45-6-9 Dear Mr. Ward: On behalf of Ann Marie Nelson and Robert Patrick Nelson, I am requesting a six month extension of the sketch plan approval for the above-captioned minor subdivision until December 11, 1996. 1 understand that the matter of the extension will be discussed during the June 10, 1996, meeting of the Planning Board and that a resolution will be passed at that time. If you are in need of further information, please of hesitate to contact me at (516) 369-3311. V ruly ours, rVl Lin a M. Dieterich, Esq. LMD:Ibs J1 R 519% S i1T-1f_"!-D r PLANNING BOARD MEMBEI SUFF01 , RICHARD G.WARD �o CQ Town Hall, 53095 Main Road Chairman ��° Gym P.O.Box 1179 o= < Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. y = Fax(516) 765-3136 BENNETT ORLOWSKI,JR. �y T WILLIAM J. CREMERS 4y �� Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 27, 1996 Linda M. Dieterich, Esq. P.O. Box 903 Riverhead, NY 11901 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Ms. Dieterich: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 26, 1996: BE IT RESOLVED to adopt the Engineering Inspector's report dated February 7, 1996. The Planning Board has contacted the fire district in regard to the fire hydrants. You will be notified if an additional hydrant is required. Please contact this office if you have any questions regarding the above. Sincerely, la4Z/ �S Richard G. Ward Chairman enc. ` ��g�FFO(,�c , RAYMOND L. ]Af BS o�0 °� J) _ ES A. RICHTER, R.A. SUPERINTENDENT ti ENGINEERING INSPECTOR SOUTHOLD TOWN HIGHWAY DEPARTMENT 0 • PECONIC LANE, PECONIC, N.Y. Fax. (516)-765-1750 y�IQl 0� Te1. (516) -765-3070 OFFICE OF THE ENGINEER 'TOWN OF SOUTHOLD FEB RUARY 7, 1996 Richard G. Ward Chairman - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Re: ANN MARIE NELSON - Minor Subdivision . Ninth Street, Greenport, New York SCTM #: 1000 - 45 - 06 - 09 Dear Mr. Ward: As per your request, I have reviewed the Sketch Plan for the above referenced minor subdivision. I have also reviewed the proposed subdivision with Mr. Jacobs. The impact that this subdivision would have on'the existing drainage in the area and site conditions along ninth street would be minimal. A field inspection of the project location indicated that the adjacent pavement of ninth street does not meet the minimum width requirements of the Highway Specifications. due to the fact that this is a minor subdivision, I would not recommend the applicant be required to widen the road. But, any additional work required within the Town,Right-of-Way to provide suitable access for individual driveways should be made the responsibility of the individual lot owners. I would also suggest that the local fire commissioners be requested to verify the quantity and locations of existing fire hydrants in the area. If an additional hydrant is required, it could be connected to the existing water main on ninth street. If you have any questions concerning this report, please contact my office. erely, ? Ja'mes A. Richter, R.A. cc: Raymond L. Jacobs a 5 (Ut L (Superintendent of Highways) ! - _ FEB 7 0% _. PLANNING BOARD MEMBERS o = i Town Hall,53095 Main Road Richard G. Ward, Chairman y ,? P. O. Box 1179 George Ritchie Latham,Jr. O Southold, New York 11971 Bennett Orlowski,Jr. '1',j�0 �O! Fax(516)765-3136 Mark S. McDonald 1 Telephone(516)765-1938 Kenneth L. Edwards PLANNING BOARD OFFICE TOWN OF SOUTHOLD L c . 1995 2//V/9C n A04 !eceiVe tl a Anthony Volinski, Chief Greenport.Fire District Tler,s vQ,;f'y t"_ TA4^4;+,f u,,,& Iccj wr. -6 Third St. - 14ran+s ;ro tb_ arrk ;-C w,1 Greernport, NY 11944 kNyaY"* � jeru0(,eS -t - 6e °r^PC CPC\ i5+, Wq{iq' m 4W Dear Mr." Volinski: ,l A lk V00 4r rove- kSs�S�amc Q . Enclosed please find two (2) surveys dated Cr_f- 30, 19 for /inn Ha rie Ndson SCTM# 1000— ❑ The enclosed site plan is being referred to you for fire access review and for your recommendations as to whether any fire— wells are needed. Please specify whether firewells are shallow or electric. The enclosed subdivision is being referred to you for your recom— mendation at to whether any firewells are needed. Please specify whether firewells are shallow or electric. Please reply by 10,0-S , 12 6 —1995. Thank you for your cooperation. Sincerely, Richard G. Ward Chairman enc. �oSUFFo��.�, RAYMOND L. -JACOBS ��� °aye JAMES A. RICHTER, R.A. SUPERINTENDENT y ENGINEERING INSPECTOR SOUTHOLD TOWN HIGHWAY DEPARTMENT • 'ft PECONIC LANE, PECONIC, N.Y. Fax. (516) -765-1750 y��! �aO� Tel. (516)-765-3070 J� OFFICE OF THE ENGINEER ' TOWN OF SOUTHOLD !�s FEBRUARY 7, 1996 Richard G. Ward Chairman - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Re: ANN MARIE NELSON - Minor Subdivision Ninth Street, Greenport, New York SCTM #: 1000 - 45 - 06 - 09 Dear Mr. Ward: As per your request, I have reviewed the Sketch Plan for the above referenced minor subdivision. I have also reviewed the proposed subdivision with Mr. Jacobs. The impact that this subdivision would have on'the existing drainage in the area and site conditions along ninth street would be minimal. A field inspection of the project location indicated that the adjacent pavement of nth street does not meet the minimum width requirements of the Highway Specifications. �15ue to the fact that this is a minor subdivision, I would not recommend the applicant be required to widen the road. But, any additional work required within the Town Right-of-Way to provide suitable access for individual driveways should be made the responsibility of the individual lot owners. I would also suggest that the local fire commissioners be requested to verify the quantity and locations of existing fire hydrants in the area. If an additional hydrant is required, it could be connected to the existing water main on ninth street. If you have any questions concerning this report, please contact my office. erely, James A. Richter, R.A. cc: Raymond L. Jacobs (Superintendent of Highways) I FEB 7 1996 _J t SOUTHOLD HOLD TOWN � PLP,NNNG BOA, DD�-a .,. PLANNING BOARD MEMBE,``_ gUFFO(,� RICHARD G.WARD ��0 Town Hall, 53095 Main Road Chairman G?� P.O. Box 1179 c -4 Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. w Z Fax(516) 765-3136 BENNETT ORLOWSKI,JR. �y, n? WILLIAM J. CREMERS Telephone(516) 765-1938 SENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 30, 1996 Linda M. Dieterich, Esq. P.O. Box 903 : Riverhead, NY 11901 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Ms. Dieterich: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, January 29, 1996: BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, assumes lead agency status,and as lead agency makes a determination of non-significance, and grants a Negative Declaration. As recommended in the Planning Board's environmental consultant's report, the Planning Board is requiring a 100 foot building setback from the wetland areas. This will provide adequate adjacent area buffer to ensure that land use does not impact wetlands. In accordance with this, the final map must show a 100 foot wetland buffer in place of the 75 foot wetland buffer required as a condition of sketch approval. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Wards Chairman cc: Pat Nelson enc. PLANNING BOARD MEMB' . -J CQ RICHARD G.WARDo�� �, Town Hall, 53095 Main Road Chairman G'y� P.O. Box 1179 o :4 GEORGE RITCHIE LATHAM,JR. Southold,New York 11971 cm Fax(516) 765-3136 13ENNETT ORLOWSKI,JR. �y- WILLIAM J.CREMERS �� Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant January 29, 1996 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed minor subdivision for Ann Marie Nelson SCTM#: 1000-45-6-9 Location: West side of Ninth St. in Greenport SEQR Status: Type I ( ) Unlisted ( X ) Conditioned Negative Declaration: Yes ( ) No ( X ) Description of Action: Residential subdivision of 12.1 acres into 4 lots. Page 2 SEQR Negative Declaration - Proposed minor subdivision for Ann Marie Nelson January 29, 1996 Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed, and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The Department of Health Services has reviewed the Planning Board's lead agency coordination and has no objection to the Planning Board's designation as lead agency. The applicant must comply with the requirements of the Suffolk County Sanitary Code and relevant construction standards for water supply and sewage disposal. There has not been any correspondence received from the New York State Department of Environmental Conservation in the allotted time. Therefore, it is assumed that there are no comments or objections from that agency. The proposed project is consistent with land use in the surrounding area, and lot sizes are significantly in excess of lots in the surrounding neighbor- hood. The density of development is consistent with Suffolk County Sanitary Code Article 6 for use of'on-site sanitary systems. Subsoils are conducive to sanitary and drainage leaching facilities as evidenced by an on site test hole. Since the building sites are relatively flat, there are no significant topographic impacts or erosion potential expected. Though there are wetlands on site, the depth of lots provides more than adequate area for location of dwellings consistent with wetland setbacks. A 100 foot setback from wetlands will be provided to ensure that land use does not impact wetlands. The addition of three additional homes on Ninth Street is not expected to overburden transportation systems, nor is the addition of three additional residential units and families expected to cause a significant impact on community services, character, local demography or other human re- sources. The site use is consistent with the residential character of the area, therefore, no significant visual impact is expected. Page 2 SEQR Negative Declaration - Proposed minor subdivision for Ann Marie Nelson January 29, 1996 For Further Information: Contact Person: Melissa Spiro Address: Planning Board Telephone Number: (516) 765-1938 cc: Michael D. Zagata, DEC Albany Roger Evans, DEC Stony Brook Suffolk County Dept. of Health Suffolk County Planning Commission Judith Terry, Town Clerk Southold Town Board of Trustees Southold Town Building Dept. Raymond VanEtten, Greenport Village Administrator Thomas Cybulski, Greenport Public Utilities Applicant CHARLES V ?CIATES, INC.ENVIRCNMENTiNoCONSUL ANTS January 22, 1996 Melissa Spiro Planning Board Office Town of Southold Town Hall, 53095 Main Road Southold, i`tew York 11971 ( U . I JAN 2 3 ,G96 Re: Proposed Minor Subdivision for Ann Mane Nelson r Greenport, New York; SCTM No. 1000-45-6-9 1 n"ai•! '': 3tiRJ Dear Melissa: I am in receipt of your letter of January 4, 1996 requesting an environmental review of the above referenced project. Included with the correspondence is the Full EAF completed by the project applicant, the subdivision sketch plan and the Planning Board resolution dated December. 11, 1995. ',fit this time we have completed the following services with regard to this project. 1. Review of iull EAF The Full EAF subrritted by the project applicant has been reviewed. Please note that the EAU was incomplete as suba fitted. We have reviewed the EAF against our office literature, field inspection and the proposed project plan. Attached, please find the "marked up" EAS providing appropriate information and corrections as necessary. 2. Field Inspection and Project Review CVA inspected the subject site on January 18, 1996. There was light snow cover on the ground at the time of inspection, The subject site is an existing estate, 12.1.acres in size', located to the west end of Ninth Street fronting Peconic Bay. The site includes an existing house with a number of sheds and garages. There is a boat basin in the southwest comer of the site, with wetlands adjacent to and within the subject property along the west side of the site. The property extends north to the Long Island Railroad. The main house arid appurtenances are located at the southern end of the site. This area is not proposed to be changed as a result of the proposed project. The northern hair of the site is proposed to be subdivided into three lots, for a tots! of four lots including the remaining 7.2 acres which would be associated with the existing (some and improvements. Proposed lots would be 74,000 sq. ft., 70,000 sq. ft. and E38,000 sq. ft. from north to south. Each lot would have 155 feet of frontage and would be between 515 and 578 feet in depth. Lots are proposed to be se.-,,iced by a public water main existing along Ninth Street. Each lot is proposed to utilize an individual on Site sa:utary system. ^4 NO iiT, COUNTnY AOAD, S1J1T= 2. fJILLER PLACe. NY 11764 • (516) 331.1454 • FAX 331-80d6 Ann Marie Ncison Subdivision_� Em�irt�nmeatsl RevieR Access would be directly to Ninth Street via driveway. The subdivision plan depicts a building envelop for each lot consistent with Tovm Zoning. A hypothetical house location, driveway, opt-site sanitarf system and dry well is also depicted for each Iot. Inspection of the parcel finds high marsh tidal wetlands on the west part of he site. These wetlands exhibit man-made influence in the farm of mosquito ditches to avoid stagnation which promotes mosquito brerding. An active osprey nest was observed off the site along the beach front to the west, and several species of wild ducks were observed in association with wetlands west of the site. The man-made and bulkheaded basin on the south part of the site provides navigable water access to Peconic Bay from within the site. The upland portion of the west side of the site is comprised of a low bank that is vegetated in primRrily briar tuiderstory, and primarily oak tree species. The area at the sa'uth part of. the site comprising Lot 4 is primarily landscaped and lawn area in and around the N buildings, with driveway access and paths between sheds, buildings, etc. orth of this area appears to have been primarily cleared area with fruit trees associated iNith the old farm? At present this area is characteristi-c of overgrown field. Juniper and ornamental evergreen vegetation is present along the road and within the site, and there is.a row of• old fruit trees running north-south, west of the street. There are also severed north-south running fences within this portion of the property. The north central part ol:the site is old Seld"with pioneer species or vegetation colonizing. Locust saplings, grassers and several clusters of juniper dominate this area. The field opens to grassland further•crest. Between the low bank that descends to wetlands and the open grasslands is a north-aauth running dirt road, used to traverse the property. The east side of this road is lined.with oak trees. There is a small cinder block shed at the extreme north end of the property adjacent the railroad. The surrounding area consists of residential neighborhoods east of the site, Peconic Bay south of the site, wetlands west of the site, and the LM tracks north of the site beyond which is high density housing. The proposed project is consistent with land use in the surrounding area, artd lot sizes are significantly in excess of lots in the surrounding neighborhood. The density of development is consistent with Suffolk County Sanitary Code Article 6 for use of on-site sanitary systems. Subsoils are conducive to sanitary and drainage leaching foci 66 as evidenced by an on site test hole. Since the building sites are relatively flat, there are no significant topographic impacts or erosion potential expected. Though there are wed ids on the site, the depth of lots provides more than adequate area for location of dwellings consistent v-ith wetlands setbacks, New York State Department of Enviromnental Conservation jurisdiction extends to the 10 foot contour, which is generally at the top'of the bank, therefore proposed activity within building envelopes would not be subject to . NYSDEC jurisdiction, Town of Southold Trustees jurisdiction extends 75 feet landward of designated wetlands. It is reconunended that an area at the rear of the proposed lots be left to remain natural, by providing a 100 foot setback from wetlands. This will provide adequate adjacent area buffer to ensure that land use does not impact wetlands, and if CHARt_ES V SOCIATES, INC, =-�IVIRCNMEM �� �� G Cot•ISULTANTS �'$`� ;un Njlrie Neilson Suhdlyislon E71virtiamenLd Review proposed within 7S feet of the wetlands, no Town permits will be there is no activity pro P award of 75 feet from wetlands well require a required-. Any change in site conditions se Town permit, and any activit-�� seaward of the IO a detezmine eonfocontour will rez-mancequire avith Sequired pernut. Building pezrruit glans may be reviewed t buffers. It it suggested that healthy specimen trees be.retained within lots here expected to possible. The addition of three additional homes do fan of three additional Yinth.Street is not 'residential units overburden transportation systems, nor is the a and families expected to cause a significant impact on community services, character, local demography or other human resources. The site use is consistent with the residential character of the area, therefore, no siu.}iificant visual impact is expected- ♦ �► 1 ' . in Board is in agreement'Xith the assessment provided above, we believe that If she Platuu gor the proposed project will not cause a signific=t adverse ma r vish to consider tact upon he adoptionof a envirotunenEal resources. Accordingly, the Boaz 3 Negative Declaration in connection with this project. e you with input on this project, and please do not Thank you for the opportunity to provid hesitate to call if you have any questions. Very truly yours, Charles J. Voorhis, CEP,A.ICP .i SOCIATES, OR CHARLES \ % INC. Purge �\ '% G CONSU01 ,NTS :ivlPQr�ME�� �.�• PLANNING BOARD MEMBERS- SU�Fl7(� �� CC Town Hall,53095 Main Road RICHARD G.Chairman o�0 P.O.Box 1179 Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. y = Fax(516) 765-3136 BENNETT ORLOWSKI,JR. WILLIAM J. CREMERS • Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 30, 1996 Linda M. Dieterich, Esq. P.O. Box 903 Riverhead, NY 11901 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Ms. Dieterich: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, January 29, 1996: BE IT RESOLVED to adopt the January 5, 1996 Suffolk County Planning Commission report with the following amendment: Condition Number 2 is to be omitted. Numbers 1, 3 and 4 of the Suffolk County Planning Commission report must be included in the Declaration of Covenants and Restrictions. Please refer to the Planning Board's December 12, 1995 correspondence for additional information regarding the covenants and restrictions. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward Chairman enc. cc: Suffolk County Planning Commission Frank Cichanowicz Pat Nelson COUNTY OF SUFFOLK ;tiffs A . ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING STEPHEN M. JONES, A.I.C,P, DIRECTOR OF PLANNING January 5, 1996 Mr. Richard G. Ward Town of Southold Planning Board Main Road Southold, NY 11971 Re: Minor Subdivision-Ann Marie Nelson Dear Mr.Girandola: The Suffolk County Planning Commission at its regular meeting on January3 1996 reviewed the proposed subdivision plat, entitled, "Minor Subdivision-Ann Mare Nelson" referred to it pursuant to Section A14-24, Article XIV of the Suffolk County Administrative Code. The attached Resolution signifies action taken by the Commission relative to this application. Very truly yours, Stephen M. Jones Director of Planning b Y " Robe E. Riekert, Principal Planner Subdivision Review Section RER:pk Attachment j ,� �►j=A:INELSDN.WPD ; JAN12 �� 220 RA8R0 DRIVE ■ P.O. BOX 6100 ■ HAUPPAUGE. LONG ISLAND. NY 11788-009g ■ (516) 853-5192 FAX (516) 853-4044 File No. S-SD-95-08 Resolution No. ZSR-96-04 of Suffolk County Planning Commission Pursuant to Sections Al4-24,Article KIV of Suffolk County Administrative Code WHEREAS, pursuant to Sections A14-24, Article XGV of the Suffolk County Administrative Code, a referral was received by the Suffolk County Planning Commission on December 14, 1995, with respect to a proposed plat entitled, "Minor Subdivision- Ann Marie Nelson", submitted by the Town of Southold Planning Board affecting premises located on the westerly side of 9th Street, opposite Brown Street, Greenport, and WHEREAS, said referral was considered by the Suffolk County Planning Commission at its meeting on January 3, 1996, and WHEREAS, the Commission has voted to approve with certain changes said referral, Be It Therefore RESOLVED, That the Suffolk County Planning Commission hereby approves and adopts the report as modified of its staff as the report of the Commission, Be It Further RESOLVED, That said proposed plat is approved subject to the following conditions: 1. Lots 1, 2 and 3 are considerably larger than that required by the zoning classification of this property. Therefore, these lots shall be made subject to a covenant that will prohibit future subdivision. 2. Since passing trains can result in noise levels of 70-75 dBA, or greater, within a residential structure and since such noise levels can awaken adults, disturb babies, and interrupt normal activity, a) The residential structure on lot 4 shall be setback from the railroad right-of- way the maximum distance possible; b) a buffer having a minimum width of 50 feet shall be established along the railroad right-of-way and the natural vegetation within the buffer shall be retained and supplemented with suitable indigenous plant materials where necessary. 3. No new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the adjacent wetlands or Peconic Bay. Page 2 File No. S-SD-95-08 4. No stormwater runoff resulting from the development and improvement of the subdivision or any of its lots shall be discharged into the adjoining bodies of water or wetlands in and bordering the parcel. 5. Conditional approval of this subdivision does not in any way imply approval of the layout of future subdivision of Lot#4 presently under consideration. Motion by: Commissioner London Seconded by: Commissioner Macco Commission Vote: 10 Present -Yeas 10 Nays 0 Abstentions 0 Dated: January 3, 1996 Hauppauge, New York Suffolk County Planning Commission F:IPENNYABOBSSTURWP00CSISUBOMPERMTORMSIRR-SS095.RES J r 51-a CHARLES V �' , SOCIATES, INC. P8 ENVIRONMENT ND �G CONSULTANTS January 22, 1996 Melissa Spiro Planning Board Office 4 5 Town of Southold Town Hall, 53095 Main Road + LJAN 2 3 *96 Southold,New York 11971 $ SOL f 0!0 TO'hMI K A N Re: Proposed Minor Subdivision for Ann Marie Nelson � ��;fin ;l� � Greenport,New York; SCTM No. 1000-45-6-9 Dear Melissa: I am in receipt of your letter of January 4, 1996 requesting an environmental review of the above referenced project. Included with the correspondence is the Full EAF completed by the project applicant, the subdivision sketch plan and the Planning Board resolution dated December 11, 1995. At this time we have completed the following services with regard to this project. 1. Review of Full EAF The Full EAF submitted by the project applicant has been reviewed. Please note that the EAF was incomplete as submitted. We have reviewed the EAF against our office literature, field inspection and the proposed project plan. Attached, please find the "marked up" EAF providing appropriate information and corrections as necessary. 2. Field Inspection and Project Review CVA inspected the subject site on January 18, 1996. There was light snow cover on the ground at the time of inspection. The subject site is an existing estate, 12.11 acres in size, located to the west end of Ninth Street fronting Peconic Bay. The site includes an existing house with as number of sheds and garages. There is a boat basin in the southwest corner of the site, with wetlands adjacent to and within the subjet-t property along the west side of the site. The property extends north to the Long Island Railroad. The main house and appurtenances are located at the southern end of the site. This area is not proposed to be changed as a result of the proposed project. The northern half of the site is proposed to be subdivided into three lots, for a total of four lots including the remaining 7.2 acres which would be associated with the existing home and improvements. Proposed lots would be 74,000 sq. ft., 70,000 sq. ft. and 68,000 sq. ft. from north to south. Each lot would have 155 feet of frontage and would be between 515 and 578 feet in depth. Lots are proposed to be serviced by a public water main existing along Ninth Street. Each lot is proposed to utilize an individual on site sanitary system. 54 NORTH COUNTRY ROAD, SUITE 2, MILLER PLACE, NY 11764 • (516) 331-1455 9 FAX 331-8046 _—in Marie Nelson Subdivision Environmental Review Access would be directly to Ninth Street via driveway. The subdivision plan depicts a building envelop for each lot consistent with Town Zoning. A hypothetical house location, driveway, on-site sanitary system and dry well is also depicted for each lot. Inspection of the parcel finds high marsh tidal wetlands on the west part of the site. These wetlands exhibit man-made influence in the form of mosquito ditches to avoid stagnation which promotes mosquito breeding. An active osprey nest was observed off the site along the beach front to the west, and several species of wild ducks were observed in association with wetlands west of the site. The man-made and bulkheaded basin on the south part of the site provides navigable water access to Peconic Bay from within the site. The upland portion of the west side of the site is comprised of a low bank that is vegetated in primarily briar understory, and primarily oak tree species. The area at the south part of the site comprising Lot 4 is primarily landscaped and lawn area in and around the buildings, with driveway access and paths between sheds, buildings, etc. North of this area appears to have been primarily cleared area with fruit trees associated with the old farm. At present this area is characteristic of overgrown field. Juniper and ornamental evergreen vegetation is present along the road and within the site, and there is a row of old fruit trees running north-south, west of the street. There are also several north-south running fences within this portion of the property. The north central part of the site is old field with pioneer species of vegetation colonizing. Locust saplings, grasses and several clusters of juniper dominate this area. The field opens to grassland further west. Between the low bank that descends to wetlands and the open grasslands is a north-south running dirt road, used to traverse the property. The east side of this road is lined with oak trees. There is a small cinder block shed at the extreme north end of the property adjacent the railroad. The surrounding area consists of residential neighborhoods east of the site, Peconic Bay south of the site, wetlands west of the site, and the LI M tracks north of the site beyond which is high density housing. The proposed project is consistent with land use in the surrounding area, and lot sizes are . significantly in excess of lots in the surrounding neighborhood. The density of development is consistent with Suffolk County Sanitar;7 Code Article 6 for use of on-site sanitary systems. Subsoils are conducive to sanitary and drainage leaching facilities as evidenced by an on site test hole. Since the building sites are relatively flat, there are no significant topographic impacts or erosion potential expected. Though there are wetlands on the site, the depth of lots provides more than adequate area for location of dwellings consistent with wetlands setbacks. New York State Department of Environmental Conservation jurisdiction extends to the 10 foot contour, which is generally at the top of the bank, therefore proposed activity within building envelopes would not be subject to NYSDEC jurisdiction. Town of Southold Trustees jurisdiction extends 75 feet landward of designated wetlands. It is recommended that an area at the rear of the proposed lots be left to remain natural, by providing a 100 foot setback from wetlands. This will provide adequate adjacent area buffer to ensure that land use does not impact wetlands, and if CHARLES VrQ CIATES, INC. ENVIRONMEN - G CONSULTANTS Page 2 .,in Marie Nelson Subdivision Environmental Review there is no activity proposed within 75 feet of the wetlands, no Town permits will be required. Any change in site conditions seaward of 75 feet from wetlands will require a Town permit, and any activity seaward of the 10 foot contour will require a NYSDEC permit. Building permit plans may be reviewed to determine conformance with required buffers. It is suggested that healthy specimen trees be retained within lots wherever possible. The addition of three additional homes on Ninth Street is not expected to overburden transportation systems, nor is the addition of three additional residential units and families expected to cause a significant impact on community services, character, local demography or other human resources. The site use is consistent with the residential character of the area, therefore, no significant visual impact is expected. If the Planning Board is in agreement with the assessment provided above, we believe that the proposed project will not cause a significant adverse impact upon natural or human environmental resources. Accordingly, the Board may wish to consider the adoption of a Negative Declaration in connection with this project. Thank you for the opportunity to provide you with input on this project, and please do not hesitate to call if you have any questions. Very truly yours, 17 2�� Charles J. Voorhis, CEP,AICP CHARLES W`OR S SOCIATES, INC. ENVIRONMENT c�r,. ,,G CONSULTANTS Page 3 PART 1—PROJECT INFbRMi ON 4. Prepared by Project Sponsor+ NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered. as part of the application for approval and may be subject to further verification and public review. Provide any additiona(- information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. �ai YIGIC XQSOY\. Y17- 3016 k) ` ?7--,'1a3 NAME OF ACTION Gin 612v L'_ v-\- 's S LOCATION OF AC IQN(Include§treet AddressrMuni^ipality and County) -lN,� T �� lS t=��� �J�T �U• �r-c3 6� NAME OF APPLICANT/SPONSOR 8 SINESS TELEPHONE C,jL ADORES 4( ���) C CITY/PO�,0�80 Nor+h OCe4n�✓• r-F2IDN ; in9eYTskmot, FL, 33 STATE i ZIP CODE I NAME OF OWNER(If different) 'Avt BUSINESS TELEPHONE (J �� ADDRESS — i CITY/PO I STATE Z!P CODE DESCRIPTION OF ACTION fFcCZ�:� 1 l-FC 2e�� �'�V\t Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial OCommercial EIResidential (suburban) C�ural (non-farm) ❑Forest ❑Agr"cul ure []Other 2. Total acreage of project area: a• / acres. APPROXIMATE ACREAGE .3- PRESENTLY AVER COMPLETION Meadow or Brushland (Non-agricultural) acres 5, 7a acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) -y acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) tcO-7 / acres tom-• 77 acres Water Surface Area a t acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces f acres t acres Other (Indicate type)— acres t c3• O O acres 3. What is predominant soil t pe(s) on project site? -�,2°7a Q.S' a. Soil drainage: Well drained J� % of tite ❑Moderately well drained % of site Poorly drained Q-25 % of site b. If any agricultural land is involy how many acres of soil are classified within soil group 1 through 4 of the NYS� Land Classification System? acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on pro. site? ❑Yes Z?< a. What is depth to bedrock? (in feet) 2 •5. App,oximate percentage of pro d project site with slopes: L�K}-10% 11L.. % ❑10-15% ❑15% or greater 6. Is project substantially contiguous to, or coin a' Liiding, site, or district, listed on the State or the National Registers of Historic Places? El Yes zlo 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes KN"o 8. What is the depth of the water table? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes ❑No 11. Does project site contain any species of pWt animal life that is. identifie as t reatened or endangered? ❑Yes 1R10 According to Identify each species 12. Are there any uniq or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) []Yes No Describe 13. Is the project site Dresently used by the community or neighborhood as an open space or recreation area? ❑Yes 1N0 If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes gNo 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17. Is the site served by existing public utilities? ❑Yes C kiI 0 a) If Yes, does sufficient capacity exist to allow connection? lxYes ❑No b) If Yes, will improvements be necessary to allow connection? ❑Yes AN 18. Is the site located in an agricultural district c rtified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ❑No NV1 19. Is the site located in or substantiall c ntiguous to Cri ical Environmental Area designated pu suant to Article 8 of the ECL, and 6 NYCRR 617? es ❑N UJ��N c 0 I11-V /iC,�j�,y� 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes o B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor ,,� acres. b. Project acreage to be developed: acres initially; AcD•sf acres ultimately. c. Project acreage to remain undeveloped acres. d. Length of project, in miles: (If appropriate) a e. If the project is an expansion, indicate percent of expansion proposed /V !4 f. Number of off-street parking spaces existing ; proposed g. Maximum vehicular trips genE�rated per hour (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condorninium Initially Ultimately i. Dimensions (in feet) of proposed largest pro d structure /g' I p t35 height; = � width; �C� length. j. Linear feet of frontage along a public thoroughfare project will occupy is? �ft. 3 2: How much natural material rock, earth, etc.) will be removed 'front. site? t Y ` tons/cubic yards 3. Will disturbed areas be reclaimed? ❑Yes ONO N1/A a. If yes, for what intend. purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? J�Yes [,No( eolrwai� c. Will upper subsoil be stockpiled for reclamation?\ OYes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes ONO 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month year. d. Is phase 1 functionally dependent on subsequent phases? OYes ONO 8. Will blasting occur during construction? []Yes *No 9. Number of jobs generated: during construction after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? OYes Id No If yes, explain 12. .Is surface liquid waste disposal involved? OYes No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? )(Yes o Type GU 14. Will surface area of an existing water body increase or decrease by proposal? OYes o Explain 15. Is project or any portion of project located in a 100 year flood plain? OYes No 16. Will the project generate solid waste? Yes ONO a. If yes, what is the amount per month tons Xes b. If yes, will an existing solid waste facility be used? ❑Noc. If yes, give name ; location. d. Will any wastes not g into a sewage disposal system or into a sanitary landfill? es ONO e. If Yes, explain 17. Will the project involve the disposal of solid waste? OYes C7No a. If yes, what is the anticipated rate of disposal? __ tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? OYes o 19. Will project routinely produce odors (more than one hour per day)? OYes CJNo 20. Will project produce operating noise exceeding the local ambient noise levels? Oyes C�'No 21. Will project result in an increase in Energy use? MY es EN-0 If yes , indicate type(s) 22. If water supply is from w,.41;, fndicatr� pumping cah,icity gallons/minute. 23. Total anticipated water usage per day --- gallons/day. 24. Does project involve Local, State or Federal funding? OYes L�t� If Yes, explain 4 25. Approvals Required: Submittal Pe Date City, Town, Village Board ❑Yes llo. City, Town, Village Planning Board XYes . ❑No A omI City, Town Zoning Board []Yes XNo City, County Health Department XYes ❑ o I/ c5/bh. Other Local Agencies []YeskN0 Other Regional Agencies ❑Yes o State Agencies ❑Yes ro Federal Agencies []Yes VNo C. Zoning and Planning Information 1 . Does proposed action involve a planning o zoning decision? Xyes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? 3. What is the maximum potential development of the sit developed as permitted by the present zoning? r io 4_ What is the proposed zoning of the site? Q 5. What is the maximum potential development of the site veloped as per tted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? • es 01`o 7. What are the predominant land use(s) and zoning classifications within a '/, mile radius of proposed action? L-t.i✓� -% 8. Is the proposed action compatible with adjoining/surroundin.g land uses within a Y, mile? des ❑;tio 9. If the proposed action is the subdivision of land, how many lots are_proposed? a. What is the minimum lot size proposed? i A—CQE_ 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes , 'o 11 . Will the proposed kctioji create y� demand for any community provided services (recreation, education, police, fire protection)? Xe ls�'No a. If yes, is existing capacity sufficient to handle projected demand? Es ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes QIKo a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are-or may be any adverse impacts associated with your proposal, please diSCU55 such to and the measures which you propose to mitigate or avoid them. E. Verification I certify that the inforrna ' n provider I gib v is true to,4he best of iy knowledge. Applicant/Sp o!j Nip e �✓�� /V S - Date Signature Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 COUNTY OF SUFFOLK ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PLANNING STEPHEN M. JONES, A.I.C.P. DIRECTOR OF PLANNING January 5, 1996 Mr. Richard G. Ward Town of Southold Planning Board Main Road Southold,NY 11971 Re: Minor Subdivision- Ann Marie Nelson Dear Mr.Girandola: The Suffolk County Planning Commission at its regular meeting on January 3, 1996 reviewed the proposed subdivision plat, entitled, "Minor Subdivision-Ann Marie Nelson" referred to it pursuant to Section A14-24, Article XIV of the Suffolk County Administrative Code. The attached Resolution signifies action taken by the Commission relative to this application. Very truly yours, Stephen M. Jones Director of Planning by Robe PE. Riekert, Principal Planner Subdivision Review Section RER:pk File: S-SD-95-08 Attachment JAN 12 l996 A1NELSON.WPD � { l�f� �l n_i_p_� A LAN iC1LD t©iFN .®. PLAiJPJE;L;:,DLIi�RD 220 RABRO DRIVE ■ P.O. BOX 6100 ■ HAUPPAUGE. LONG ISLAND, NY 11788-0099 ■ (516) 853-5192 FAX (516) 853.4044 File No. S-SD-95-08 Resolution No. ZSR-96-04 of Suffolk County Planning Commission Pursuant to Sections A14-24, Article XIV of Suffolk County Administrative Code WHEREAS, pursuant to Sections A14-24,Article XIV of the Suffolk County Administrative Code, a referral was received by the Suffolk County Planning Commission on December 14, 1995, with respect to a proposed plat entitled, "Minor Subdivision- Ann Marie Nelson", submitted by the Town of Southold Planning Board affecting premises located on the westerly side of 9th Street, opposite Brown Street, Greenport, and WHEREAS, said referral was.considered by the Suffolk County Planning Commission at its meeting on January 3, 1996, and WHEREAS, the Commission has voted to approve with certain changes said referral, Be It Therefore RESOLVED, That the Suffolk County Planning Commission hereby approves and adopts the report as modified of its staff as the report of the Commission, Be It Further RESOLVED, That said proposed plat is approved subject to the following conditions: 1. Lots 1, 2 and 3 are considerably larger than that required by the zoning classification of this property. Therefore,these lots shall be made subject to a covenant that will prohibit future subdivision. 2. Since passing trains can result in noise levels of 70-75 dBA, or greater,within a residential structure and since such noise levels car.awaken adults, disturb babies, and interrupt normal activity, a) The residential structure on lot 4 shall be setback from the railroad right-of- way the maximum distance possible; b) a buffer having a minimum width of 50 feet shall be established along the railroad right-of-way and the natural vegetation within the buffer shall be retained and supplemented with suitable indigenous plant materials where necessary. r _ 3. No new residential structure or sanitary disposal facility shall be constructed or otherwise located within 100 feet of the adjacent wetlands or Peconic Bay. Page 2 File No. S-SD-95-08 4. No stormwater runoff resulting from the development and improvement of the subdivision or any of its lots shall be discharged into the adjoining bodies of water or wetlands in and bordering the parcel. 5. Conditional approval of this subdivision does not in any way imply approval of the layout of future subdivision of Lot#4 presently under consideration. Motion by: Commissioner London Seconded by: Commissioner Macco Commission Vote: 10 Present -Yeas 10 Nays 0 Abstentions 0 Dated: January 3, 1996 Hauppauge,New York Suffolk.County Planning Commission F:\PENNYABOBSSTUF\WPDOCSISUBDMPERM\FORMS\RR-SSD95.RES y COUNTY OF SUFFOLK Pb ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HIBBERD, M.D., M.P.H. COMMISSIONER January 8, 1996 Melissa Spiro PL Planning Board Office .®�.a. g Town of Southold JAN 1 1 1996 1 .E 53095 Main Rd.,P.O. Box 1179 ,. st @ Southold New York 11971 PLAN g T% 'n RE: Ann Marie Nelson (subdivision) SCTM#:1000-45-06-09 Dear Ms. Spiro: The Suffolk County Department of Health Services (SCDHS; "Department")has received your letter dated, 1995, concerning the above-referenced project. The Department has no objection to your designation as lead agency. Based on a review of the subject coordination,the Department offers the following comments. These comments should not be construed as an implicit SCDHS approval or rejection of the project. All applications are reviewed thoroughly with respect to Suffolk County Sanitary Code (SCSC)concerns by appropriate departmental personnel when SCDHS applications are completed. Article 6 Application Status: An application for this proposed four lot subdivision was deemed incomplete on 9/19/95 pending submission of additional technical information,permits/revisions,including: test hole data,neighboring well and septic locations,revised plans,NYSDEC tidal wetlands permit and a SEQRA determination letter from the Town of Southold. The applicant must comply with the requirements of the Suffolk County Sanitary Code and relevant construction standards for water supply and sewage disposal. Design and flow specifications, subsurface soil conditions, and complete site plan details are essential to the DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 852-2100 ~ Letter to Melissa Spiro January 8, 1996 Page 2 review of this project. These considerations are reviewed completely at the time of SCDHS application. SCDHS maintains jurisdiction over the final location of sewage disposal and water supply systems. The applicant,therefore, should not undertake the construction of either system without Health Department approval. Thank you for the opportunity to review this application. If you have any questions,please feel free to contact the Office of Ecology at 852-2741. Sincerely, ;U1 • I Rie046zu Mark J. Reuschle Environmental Planner Office of Ecology MJR/amf cc: Vito Minei, P.E. Stephen Costa, P.E. 6 LINDA M. DIETERICH ATTORNEY AT LAW 548 ROANOKE AVENUE,POST OFFICE BOX 903,RIVERHEAD,NY 11901 TELEPHONE(516)369-3311 TELECOPIER(516)727-3575 January 4, 1996 Melissa Spiro, Planner Town of Southold Planning Board 53095 Main Road Post Office Box 11799 Southold, New York 11971 re: Proposed minor subdivision for Ann Marie Nelsondrawees- - SCTM # 1000-45-6-9 checX tbOK. o}hed ��e MS Dear Melissa: -t, S D Pursuant to our telephone conversation of today, please find enclosed.. 1. an application for certificate of occupancy; 2. a consent to inspection; 3. a check for$100.00 to cover the cost of the pre-certificates of occupancy; and 4. a check for $400.00 to cover the fee for the review of the Long Environmental Assessment Form. I will discuss with my client the possibility of appearing at the Board Work Session on Monday evening. I will call you Monday to confirm our appointment. If you are in negd of any further information, pie se do not hesitate to contact me at 369-3311. Ve truly yours, JUZa M. Dieterich, Esq. LMD-lbs _ b' a encl. JAI iILOI b ' N Iy i� ,' S0 T�' E;7T:'l- .QUA PLANNING BOARD MEMBER,, 5����(� RICHARD G.WARD � CQ Town Hall,53095 Main Road Chairman �� G'�� P.O. Box 1179 GEORGE RITCHIE LATHAM,JR. � _< Southold,New York 11971 y 2 Fax(516)765-3136 BENNETT ORLOWSHI,JR. �y n� WILLIAM J. CREMERS O Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 4, 1996 Charles Voorhis & Associates, Inc. Environmental and Planning Consultants 54 N. Country Rd. Miller Place, NY 11764 Re: Review of EAF Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Voorhis: The Southold Town Planning Board hereby refers the Environmental Assessment form for the above mentioned subdivision to your office for review. Also enclosed are: 1. Sketch plan'dated October 30, 1995. 2. The Planning Board's resolution dated December 11, 1995. The Planning Board started the lead agency coordination process on December 11, 1995. The Planning Board received verbal notification on January 4, 1996 that the $400 review fee would be submitted shortly. If all is in order, the Board will make their SEQRA determination at the January 29, 1996 public meeting. Please submit your report no later than January 19, 1996 in order for the Board to review it before the meeting date. The purchase order will be sent to you under separate cover. Please contact this office if there are any questions regarding the above. Sincerely, Melissa Spiro/ Planner encs. I _ %%Sf FOL/( PLANNING BOARD MEMBERS o Town Hall, 53095 Main Road Richard G.Ward, Chairman vs ,? P. O. Box 1179 George Ritchie Latham,Jr. O Southold, New York 11971 Bennett Orlowski,Jr. 41- �Op Fax(516)765-3136 Mark S. McDonald 1 Telephone(516)765-1938 Kenneth L. Edwards PLANNING BOARD OFFICE TOWN OF SOUTHOLD C 1995 Anthony Volinski, Chief Greenport Fire District Third St. Greenport, NY 11944 Dear Mr. Volinski: Enclosed please find two (2) surveys dated 6cf. 30, 1915 for �}nn Marie- Nel��n SCTM# 1000— ® The enclosed site plan is being referred to you for fire access review and for your recommendations as to whether any fire— wells are needed. Please specify whether farewells are shallow or electric. The enclosed subdivision is being referred to you for your recom— mendation at to whether any farewells are needed. Please specify whether firewells are shallow or electric. Please reply by 1995. Thank you for your cooperation. Sincerely, Richard G. Ward Chairman enc. A5 Submission Without a Cover Letter Sender: R od Yo, Subject: �Rn Nome_ Nk)son Date: I zI 1105, SCTlf 1000- ` s- - Comments: 8 P DEC 13 1995 ' SOUTHOLD TOWN PLANNING BOARD o�154 FFO(,��D PLANNING BOARD MEMBERS hZ` Gy � 1 Richard G. Ward, Chairman ti = Town Hall,53095 Main Road George Ritchie Latham,Jr. p P. O. Box 1179 Bennett Orlowski,Jr. �,� ® O�� Southold, New York 11971 Mark S. McDonald �j �� Fax(516)765-3136 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD /a//3195 Re: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: AW1 n Marie KJ N Crn loco, — H5 - Requested Action: SA o),c�gn) cre pc,rret vY.�a '7 lo�S. fee 9 tt e IzAs Lo %c �n s�2e +turn G8 00o sty, 4. -t0 79,aoa ss,'q ���jl, lart '1•?. �creS -Parce� loecdeA ;n R-4b 'Wskr;ct . SEQRA Classification: (x) Type I �. At4 &-°' oC GEA ( ) Unlisted Contact Person: Me- (516) 765-1938 Page 2 Lead Agency Coordination Request The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (x ) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Please feel free to contact this office for further information. Sincerely, Richard G. Ward Chairman cc: Board of Trustees Building Department Southold Town Board °Suffolk County Department of Health Services NYSDEC - Stony Brook NYSDEC - Albany _U.S Army Germ of Cnn. ps k John Becht Greenport Public Utilities Raymond vanEtbnGreenport Village Administrator *Maps are enclosed for your review rev. 4/94 PLANNING BOARD MEMBERS �-SX1FF01A- Town Hall, 53095 Main Road RICHARD G.WARD �.��� ��/� ' P.O. Box 1179 Chairman a 1 Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. cooFax(516) 765-3136 BENNETT ORLOWSKI,JR. • Telephone (516) 765-1938 WILLIAM J.CREMERS KENNETH L.EDWARDS y�I�l PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 12, 1995 Ann Marie Nelson P.O. Box 596 Greenport, NY 11944 Re: Proposed minor subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Ms. Nelson: The following resolutions were duly adopted by December e S 995outhold Town Planning Board at a meeting held on Monday, BE IT RESOLVED that the Southold Town Planning Board start the lead agency coordination process on this Type 1 action. The subject property is classified as a Type 1 action since it is located within 500 feet of a Critical Environmental,Area (Peconic Bay). BE IT RESOLVED that the Southold Town Planning Board grant sketch approval on the.map dated December 31, 1994 with the following conditions. 1. The following must be shown on the final map: a) the wetland area and upland area for each lot; b) a 75 foot wetland buffer adjacent to all wetland areas. 2. The following terms shall apply to the 75 foot wetland buffer: Clearing and cutting within this area shall be limited decayed tothat oedead ry for proper maintenance and removal of diseased, material and obnoxious plant species. Such clearing of the Town ofting shall Southold be subject to review by the Board of Trustees Page 2 Proposed minor subdivision for Ann Marie Nelson December 12, 1995 prior to clearing and cutting to insure proper maintenance and preser- vation of the natural buffer. 3. Pre-certificates of Occupancy will be required to certify the pre-existence of all dwellings on proposed Lot No. 4. There shall be no more than one year round dwelling unit allowed on Lot No. 4. 4. Any further subdivision of Lot No. 4 shall be processed as a major sub- division by the Planning Board. Conditions 2, 3 & 4 must be incorporated into a Dedication of Covenants and Restrictions in proper legal form. A copy of the draft Declaration of Covenants and Restrictions must be submitted to the Planning Board office for review by the Planning Board and the Town Attorney. Once the document is approved, it must be filed in the Office of the County Clerk prior to any endorsement of the map by the Chairman. Sketch plan approval is conditional upon submission of final maps within six months of the date of sketch approval, unless an extension of time is requested by the applicant, and granted by the Planning Board The final maps, 2 mylars and 5 paper prints, must contain a current stamp of Health Department approval, and must be submitted before a final public hearing will be set. The sketch plans have been referred to the Suffolk County Planning Commission (SCPC) for review. The Planning Board may require additional covenants and restrictions upon review of the SCPC report and review of the final maps. Therefore, it is not necessary to prepare the draft Declaration of Covenants and Restriction at this time. The sketch plans have also been referred to the Greenport Fire District for their recommendation as to whether a firewell is necessary for fire protection. You will be notified under separate cover if the Planning Board will be requiring a firewell as part of any subdivision approval. The Long Environmental Assessment Form has been forwarded to the Board's environmental consultant for review. There is a $400 fee for this review. This must be paid in full before authorization can be given to the consultant to proceed with the review. The check should be made payable to the Town of Southold. Page 2 Proposed minor subdivision for Ann Marie Nelson December 12, 1995 The Planning Board has reviewed the property and has decided that it is inadequate in size for a reservation of land for park and playground use. Therefore, a cash payment in lieu of land reservation will be required as per Section A106-38 (E) of the Town Code. The amount to be deposited with the Town Board shall be $6,000.00 (two thousand dollars per lot for each vacant lot in the subdivision.) Payment is required prior to any final endorsement of the subdivision. Please contact this office if you have any questions regarding the above. Sincerely, Richard G. Ward Chairman StfFO(,� o c PLANNING BOARD MEMBERS Richard G.Ward, Chairman y Town Hall, 53095 Main Road George Ritchie Latham,Jr. P. O. Box 1179 Bennett Orlowski, Jr. Southold, New York 11971 Mario S. McDonald ��Ql o� Fax (516)765-3136 Kenneth L. Edwards Telephone (516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD e`Z 12, 1995 Suffolk County Planning Commission H. Lee Dennison Executive Office Building - 12th Floor Veteran's Memorial Highway Hauppauge, NY 11788 Attention: Mr. Frank Dowling, Senior Planner Subdivision Review Division Gentlemen: Pursuant to Section A14-24, Suffolk County Administrative Code, the Southold Town Planning Board hereby refers the following proposed subdivision to the Suffolk County Planning Commission: Map of r�e Hamlet/Locality l�reEn�or� S.C.D.P.W. Topo No.: Zoning `I O S.C. Tax Map No.: 1000 - 9 S - 6 - 9 c�a�PC t1.124'11 Major Sub. Minor Sub.�Site Plan Cluster Lot Line Change MATERIAL SUBMITTED: Sk�>^ Z13�14y Pfe+irtifraty Plat (3 copies) Road Profiles (1) Drainage Plans (1) Topographical Map (1) Site Plan (1) Grading Plan (1) Other materials (specify and give number of copies) ` t G re-olu- ,n,, arum�,Nv C-1141 SFA-C� aAaf,dV Q �am<\ s�ar-��r��bQ;� ro",.L Q v Waiver of Subdivision Requirements - See attached sheet x Page 2 Southold Town Planning Board Referral Referral Criteria: SEQRA STATUS: 1. The project is an ( ) Unlisted Action (�C) Type I Action [0,A"N Soo' 0� Gc,4 CPecont,c- Y ( ) Type II Action 2. A ( ) Negative Declaration ( ) Positive Declaration ( ) Determination of Non-significance has been adopted by the Planning Board. 3. E.I.S. statement enclosed. ( ) Yes (>C) No 4. The proposed division has received approval from the Suffolk County Department of Health. ( )Yes (,�,)No Comments: We request acknowledgement of receipt of this referral ( ) Yes ( ) No Referral received 1994 by the Suffolk County Planning Commission and assigned File No. Sincerely, k/ - Richard G. Ward Chairman cc: Frank Cichanowicz ��gUffO(,�c PLANNING BOARD MEMBERS Richard G. Ward, Chairman y = Town Hall,53095 Main Road George Ritchie Latham,Jr. •. �� P. O. Box 1179 Bennett Orlowski,Jr. Southold, New York 11971 Mark S. McDonald ��l ��� Fax(516)765-3136 Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD l�,ec-Dec 2 11, 1995 James Richter, Road Inspector Highway Department Peconic Lane Peconic, NY 11958 Dear Mr. Richter: The Southold Town Planning Board hereby refers the following application for your review. Application Name: �)e�so iv Tax Map No.: 1000- H s- G- Ct Street Location: k);n&�\ S-t ro e.-�C- Hamlet Location: 0,,(eev\:parCC r Type of Application: X Sketch Subdivision Map (Dated iz Preliminary Subdivision Map (Dated Final Subdivision Map (Dated Road Profiles (Dated Grading and Drainage Plans (Dated Other (Dated Sketch Site Plan (Dated Preliminary Site Plan (Dated Grading and Drainage Plans (Dated Other (Dated Cofmments-j eo, rfeu�P,j o�efaQQ c��Qcma ca�eC� Ci l'�Co-r� "E7, 4v� 1 r�ra�roaf : M�Y'OIQ � +�C4cu�fe c` O—� Contact person: P�/�' Albert J. Krupski,President ��O �Gy Town Hall " 6 John Holzapfel, Vice President c 53095 Main Road William G. Albertson Co Z P.O. Box 1179 Martin H. Garrell Southold, New York 11971 Oy • �� Peter Wenczel �Q1 �a0 Telephone (516) 765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Melissa Spiro Planning Board aa�� FROM: Albert J. Krupski, Jr. �t � l� President, Board of Trust,ees RE: Proposed Minor Subdivision ANN MARIE NELSON DATE: November 29, 1995 The Board reviewed the suvey dated as amended, Dec. 31, 1994 and see no problem with it as the building envelope is out of the Trustees jurisdiction. If you have any questions, please contact our office. NOY29 0 HijrD TOWN RUNNING BOARD Submission Without a Cover Letter Sender: Subject: Date: I v l b I �5 SCT111#: .1 000- Comments: 300o, OCR GkedZ vv� �rawe�2. 4 W c ccs", OCT 6 INNING BO RD PLANNING BOARD MEMBERa �uFFO(�- RICHARD G.WARD � L'Q Town Hall, 53095 Main Road Chairman h`Z` Gy P.O. Box 1179 c Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. Z Fax(516) 765-3136 BENNETT ORLOWSKI,JR. W WILLIAM J.CREMERS • Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO : Albert J . Krupski , Jr . President, Board of Trustees FROM: Melissa Spiro Planner RE: Proposed Minor Subdivision Ann Marie Nelson West side of Ninth Street, Greenport SCTM#1000-45-6-9 DATE: October 12 , 1995 Enclosed please find a copy of the map dated December 31 , 1995 , for the above mentioned subdivision . Please verify the wetland boundary shown on the map . enc. PLANNING BOARD MEMBE, RICHARD G.WARD � CQ Town Hall, 53095 Main Road Chairman G'y P.O. Box 1179 CM Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. 2 Fax(516)765-3136 BENNETT ORLOWSKI,JR. WILLIAM J. CREMERS ® Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 18, 1995 Mrs. Ann Marie Nelson P.O. Box 596 1420 9th Street Greenport, New York 11944 RE: Proposed Minor Subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mrs. Nelson: As per our telephone conversation of this morning, I have listed the fees which will be required for your proposed subdivision below. The application will remain incomplete until the application fee is submitted. The application fee for minor subdivisions is calculated by the number of lots in the total subdivision. Your proposed subdivision is for a total of four (4) lots. Therefore a $3,000.00 application fee is required ($1,000.00 plus $500.00 per lot).. Once the Planning Board receives a complete application, the environmental review will be conducted. The Planning Board will be referring the Long Environmental Assessment Form, which was submitted with your application materials, to an environmental consultant for review. There is a $400.00 fee required for this review. When land is subdivided, land for park and recreation purposes must be designated within the subdivision. Where the Planning Board deems that a reservation of land would be inadequate in size for park or playground use (which is likely in your proposed subdivision), the Planning Board may waive the requirement for such reservations, with the condition that the applicant deposit with the Town Board a cash payment in lieu of land reservation. The amount required is two thousand dollars ($2,000.00) per lot for each vacant lot in the subdivision. Therefore, a payment of six thousand dollars ($6,000.00) will be required prior to any final approval of your proposed subdivision. Ann Marie Nelson September 18, 1995 Page 2 The fees mentioned above are those required by the Planning Board. There are other costs associated with the subdivision process that are not directly associated with the Planning Board. I have listed those that come to mind below: 1 . Surveyor's charge for making changes/additions to the survey. 2. Cost to prepare and record Declaration of Covenants and Restrictions, if such is required by the Planning Board or the Suffolk County Planning Commission. 3. Subdivision improvements (for example street trees or drainage improvements) if such are required by the Planning Board during subdivision review. The improvements must be completed prior to any endorsement of the final subdivision or a performance guarantee for the improvements must be submitted. 4. The Planning Board will be referring the proposal to the Suffolk County Planning Commission (SCPC) for review. The SCPC will contact you if a review fee is required. 5. All approved subdivisions must be recorded in the Suffolk County Clerk's Office. There is a filing fee for recording subdivisions. 6. Fees associated with obtaining approvals from the Suffolk County Health Department and the Village of Greenport for water supply and sewage disposal. I hope this information is of help. Please feel free to call me if you have any further questions. Sincerely, Melissa Spiro;:' Planner MAYOR DISTRICT SUPERINTENDENT OF UTILITIES DAVID E.KAPELL JOHN J."JACK"BECHT UTILITY OFFICE TRUSTEES - - Est 1838 �� (516)477-1748 JOHN A.COSTELLO PO Fax(516)477-1707 GEORGE W.HUBBARD 1 v 1 POWER PLANT WILLIAM J.MILLS Ill 236 THIRD STREET (516)477-0172 BARBARA HEANEY GREENPORT,NEW YORK 11944 August 18 , 1995 Suffolk County Department of Health Services Suffolk County Services Riverhead, New York 11901 RE:Anne Marie Nelson Minor Subdivision Suffolk County Tax Parcel : 100-45-6-9 Ninth Street, Greenport ,NY Dear Sirs : In reference to the above mentioned property, the Greenport Water District does have' a water main on Ninth Street and at the appropiate time, when these lots are sold, the individual lot owners can make application to the Greenport Water District for water. The moratorium of water hook-ups does not apply to this sudivision. ery tru y yours , John J. Becht District Superintendent of Utilities JJB: fka 3 (( wp 8 . 95 AUG 2. 4 1995 ! SOUT1 OLD TOWN -- N ANNING BOARD Over 100 Years of Community Service S FFO�� . PLANNING BOARD MEMBERS® OG� Richard G.Ward, Chairman C* Town Hall,53095 Main Road George Ritchie Latham,Jr. P. O. Box 1179 Bennett Orlowski,Jr. Southold, New York 11971 Mark S. McDonald 11 4 qA��� Fax(516)765-3136 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 6, 1995. Robert Patrick Nelson P.O. Box 596 1420 9th Street Greenport, New York 11944 RE: Proposed Minor Subdivision for Ann Marie Nelson SCTM# 1000-45-6-9 Dear Mr. Nelson: The Planning Board has received the application materials for the above mentioned subdivision. Please note that the application is incomplete since the application fee was not included with the application materials. The application fee for the subdivision is $3,000.00 ($1,000.00 plus $500.00 .per lot) . The Planning Board cannot proceed with the subdivision review until the application fee is submitted. In addition, a notarized letter from Ann Marie Nelson is required to allow you to proceed with the subdivision on her behalf. Please contact me to discuss other items pertaining to the subdivision process. Sincerely, el.ss�aS p.i r Planner Submission Without A Cover Letter Date: S�ZSIgS Sender: @1r �lelson Subject: Rnn�narie. ►�1�(Svn SCTM#: Y 000- S Comments: m i nog u b= a-pQ I EMAY 1995 SDUTHOLD T-WN PLIPJNI;VG BOARD Sn.dud N.Y.LT.U.F_.Mel•J47.M%4_3.j*.rd S.4 D,.d.�kh Co•..,.,yr.0 G--*.Aa.-t.d:•.d.d a C (S; A-0 ;". CONAIZT YOUR tAWTWit nopm f1slle THIS IMTRYM W—Iran WaTNIMtMT WOULD W U"D ev SAVMM ► Ier?6366 wte W i THIS IMEN URE,made the /Vo dzy of July .ni--hundred and sixty-eight, BEIYVFFN CLl1RIC9,R. TONER, residing at Greenport, Suffolk County, : New York, party of the firat pan,and ANN MARIB NELSON, residing at 34 Rockwood Road, Manhasset. New York. party of the seowd part.. Vff1WfSS M that ffiep myef"lint in em idstim of Ten Dollan and other t aluabk consideration paid by the party of the ae000d part:does grant and relem unto the party of the second part,the heirs . s' or succemon and asdgns of the party of the second part forever, ALL that certain plot.pies.or pared of kW with the bm'Idfnp and ImpmTemmt thaem ccect4 sintater-r; `~ lying VWbeingAN&AC-At Greenport, in the Town of Southold, County of Suf£ol and State of sew York, bounded and described as followss k *'< BEGINNING at the point of intersection of the southerly aide ofsl the Lon Island Railroad 9 Company with the westerly side of Cherry } . or Ninth Streets RUNNING THZNCE South 12 degrees 11 minutes 20 second West along the westerly side of Cherry Lane or Ninth Street, 708.97 xe� feet to the southerly end of Cherry Lane or Ninth Streets THENCE F} 79 degrees 28 minutes 50 seconds East. along the southerly end of Ch Lane or Ninth Street, 33 feet to a pointi THENCE South_12.degrees-1 minutes 20 seconds Went, 445.18 feet to the highwgter mark of Peconi Bay; THENCE along the high water mark of Peconic Bay the following t dine course and distances 1. Nort h 68 degrees 03 minutes 20 seconds t West, 493.79 feet to land now or formerly of T. Jursenia; THENCE Nor 06 degrees 01 minutes 20 seconds East along said last mentioned land 896.18 feet to the southerly side of land of the Long Island Railro Company; THENCE North 84 degrees 10 stinutes 40 seconds East along sal last mentioned land, 578.31 feet to the westerly sida,of Cherry Lane, ram? Ninth Street at.the point•or•place.Hof BEGINNING. y , SUBJECT to purchase;money_secondl mortgage in the'stmL.of $14,-000.00, " x part Of-the consideration.hsrein, bearing even date herewith and it•y` J.,-is the inteatiomof:tAe•"parties+:thae said mortgagewand this.deed be recorded simultanscusly,, as li ►� J a i SUBMISSION WITHOUT COVER LETTER DATE: SENDER: �G�t Ndsom SUBJECT: fn I►10( swbdiy• SCT.'d� ; CO1EL•IENTS: cyplIcZhoO MS (&V1e-,0 FEB 2 81995 SOUTWiLD TOM4- PLANNIN6 BOARD Z SUBMISSION WITHOUT COVER LETTER - DATE: �I�S SENDER: SUBJECT: At-ile P42A S SCTM'Tr : COZ-2.1ENTS: `l7 ? - 3016 - Wy1iS �fL re V e Lt) im 9 SOUTRULD TO+Nfd Z 11111N I'll 1111,b 3100e ca o. 7t:r6-,l YloIJn rCY 5;'1-,;3 inr LL 1 F:i sr 1 INFORMATION IN REGARD TO APPROVED SUBDIVISION • i' 11 1 Name of subdivision—An, cjr;e Wsory G.k.a , C� E e� SCTM# 1000- 6 - Subdivision approved by Planning Board on ���,e , I S01 ''_I Subdivision filed in Suffolk County Clerk's Office Zone at time of approval ' Li C) Current zone t d 97 17-LID Date zone verified d g7 Clustered subdivision: Yes No x Covenants and Restrictions filed for subdivision: Yes � No (see below/attached for details) Building envelopes shown for individual lots: Yes No See m�,�. If.No, set-backs for all lots within subdivision: Lofs i , Z.}-3 Front Rear Side yard s cc(e- (GrdS C tQ5 -Svrviwgr,( re: Comments: e Ibo' we+ cj mA ° / t f P 5 1 C� �f V G}J f,-S 0 2 s ct✓I r�l f / LUI"ri (00 t7f AbrrnwG-�er rovao44 iNAa ujejLcv,G S 3 f i9la? THIS MINOR SUBDIVISION IS FUR LOTS ON N; i`�• -� ������,� •s1, In`I'h �kcep� —� ACRES LOCATED ON SCTM# 1000-q5- 6-� IN -- &(ee n eo2"� MINOR SUBDIVISION (NO ROAD) Complete application received ✓`e4�Vplication reviewed at work session I L OK Applicant advised of necessary revisions , Revised submission received 1LO �K AGO L �K - IMro. Sketch plan approval -with conditions Lead Agency Coordination g SEQRA determination _Neg G _z 9- Sent to Fire Commissioner Receipt of firewell location Notification to applicant to include on final map Sent to County Planning Commission I�.` oK Receipt of County. Report Qx.` OK Review of SCPC report Draft Covenants and Restrictions received — PZM IMro. ox Draft Covenants and Restrictions reviewed I .` oK Filed Covenants and Restrictions received 5130 Receipt of mylars and paper prints with (I -lei-7 J Health approval 1 . d Final Public Hearing WC(4-Ye4- �b ` /2+1 3 3t q 7 Approval'of subdivision -with conditions 5— a— qj - Endorscment 'of sub /diVSiuli v. II Southold Town Planning Board Town Hall Southold, New York 11971 Re: Ah� �cin "' mil �c�{�CyrJisi' Gentlemen: A5100 The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: No grading, other than foundation excavation for a�l) residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . /(3) No new drainage structures or alteration of existing structures are proposed. Yours truly, i j .14r1-6-2.(2/87)—7 c 617.21 S EQ R Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that, ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer r Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date PART 1-PROJECT INFORMI ON Prepared by Project Sponsor NOTICE: This document is designed to'assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additiona!i information you,believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on, information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. n l a-frlGk e.(50Y� - 301 k Y77, 2W NAME OF ACTION 0,\1 \ - V-\- �_6'VAT es. LOCATION OF AC l (Include treet Address, Munilipality and County) NAME OF APPLICANT/SPONSOR B SINESS TELEPHONE ADDRES� � � �- CITYrPO(5-D80 Norf-h Oc.eeQn�r• 4211>N Sin jerTsk,v,d, Ft_, STATE I ZiPCODE NAME OF OWNER(If different) BUSINESS TELEPHONE ADDRESS (� -n — CITY/PO STATE ZlP CODE DESCRIPTION OF ACTION Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban ❑Industrial ❑Commercial ❑Residential (suburban) Dural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant s types) on project site? oil a. Soil drainage: Well drained % of Site ❑Moderately well drained °o of site ❑Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS` Land Classification System? acres. (See 1 NYCRR, 370). 4. Are there bedrock outcroppings on project site? ❑Yes I�J o a. What is depth to bedrock? (in feet) 2. •5'. Approximate percentage of pro �d project site with slopes: Cw 00% .. % ❑10-15% % 015% or greater _ % 6. Is project substantially contiguous to, or coin a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes � 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ) o 8. What is the depth of the water table? _ (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes ❑No 01 a 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes T<O According to Identify each species 12. Are there any uniq or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes uNo Describe 13. Is the project site resently used by the community or neighborhood as an open space or recreation area? ❑Yes No If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes iXNo 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name b. Size (In acres) 17. Is the site served by existing public utilities? ❑Yes E!,kgo a) If Yes, does sufficient capacity exist to allow connection? �Oes ❑No b) If Yes, will improvements be necessary to allow connection? El Yes XNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ❑No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes o B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor /�1,.� acres. b. Project acreage to be developed: _% acres initially; acres ultimately. c. Project acreage to remain undeveloped _ acres. d.. Length of project, in miles: (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed f. Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 3 2: How much natural material rock, earth, etc.) will be removed fror a site? tons/cubic yards 3. Will disturbed areas be reclaimed? ❑Yes ONO N /A a. If yes, for what intend'.-4 purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ❑Yes ONO c. Will upper subsoil be stockpiled for reclamation? [--]Yes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes ONO 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final pl-,ase month year. d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ONO B. Will blasting occur during construction? ❑Yes No 9. Number of jobs generated: during construction after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? ❑Yes 2l0 If yes, explain 12. .Is surface liquid waste disposal involved? ❑Yes .BNo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ❑Yes o Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes 0<0 ' Explain 15. Is project or any portion of project located. in a 100 year flood plain? ❑Yes ❑No 16. Will the project generate solid waste? ❑Yes ONO a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? ❑Yes ONO c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ONO e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes C 'No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? ❑Yes L�1Vo 19. Will project routinely produce odors (more than one hour per day)? ❑Yes NL1 o 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes �No 21. Will project result in an increase in energy use? ❑Yes ffKtn If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity !�1 gallons/minute. 23. .Total anticipated water usage per day — gallons/day. 24. Does project involve Local, State or Federal funding? ❑Yes pN_0___ If Yes, explain 4 25. Approvals Required: Submittal ype Date City, Town, Village Board []Yes ❑No City, Town, Village Planning Board ❑Yes ❑No City, Town Zoning Board ❑Yes ❑No City, County Health Department ❑Yes ❑No Other Local Agencies ❑Yes ❑No Other Regional Agencies ❑Yes ❑No State Agencies ❑Yes ONo Federal Agencies ❑Yes []No C. Zoning and Planning Information 1 . Does proposed action involve a planning o zoning decision? OYes ❑No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit Osubdivision ❑site plan ❑new/revision of master plan Oresource management plan ❑other 2. What is the zoning classification(s)of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? k N- C m-,_ -4. What is the proposed zoning of the site? 1 a A C 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? C6. Is the proposed action consistent with the recommended uses in adopted local land use plans? 2res ❑No 7. What are the predominant land use' (s) and zoning classifications within a 1/4mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? &,res ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed?10. Will proposed action require any authorization(s) for the formation of sewer or water districts? OYes Ef 10 11 . Will the proposed action create jy��' demand for any community provided services (recreation, education, police, fire protection)? Dyes Lt�No a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes 0401 a. If yes, is the existing road network adequate to handle the additional traffic? OYes ONo D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the informa 'on provider I ab e is true to he best of ,y knowledge. Applicant/Spons Name f Date Signature s '� Title P1 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 osra...8`,[:,s, .:_.,.:._.,, _ '::..r<uaa:... - _.._._ _ ...::,.nr. .:' _ -.,:::.. :'.,.._-._. .. .,. -.� ,,.r.n. ......,,..:r.,�_,.:-:�..•a.�-+.3;.. .>. �� ,.c._,..t�..-.,....s�ral!�-.�" Part 2—PROJECT IMPACTS AND THEY' 'IAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) • .In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshold is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderate impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be IMPACT ON LAND Moderate Large Mitigated By 1 . Will the proposed action result in a physical change to the project site? Impact Impact Project Change Examples that would apply to column 2 ID NO OYES • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ ❑Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ 0 El Yes El No • Construction on land where bedrock is exposed or generally within ❑ ❑ ❑Yes ❑No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ ❑Yes ❑No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑1'es ❑No • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts ❑ ❑ ❑Yes El No 2. Will there be an effect t.. ...,y un,que or unusual' land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)L7NO ❑YES • Specific land forms: ❑ ❑ ❑Yes ❑No 6 —,se.;:.>J..,e_:..L. o-.-.-•.-�....1-.>.:,n•._.�,..;..>'_',. . - - . 'tm ".7.3 J+ .�-L gke'a...'.�1dx'' 1 2 3 IMPACT ON WATER Small 'to Potential Can Impact Be Moderate Large Mitigated By 3. Will proposed action affect any water body designated as protected? Impact Impact Project Change (Under Articles 15, 24, 25 of the Environmental Conservation Law, ECL) ❑NO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑No • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ El Yes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No • Construction in a designated freshwater or tidal wetland. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes El No 4. Will proposed action affect any non-protected existing or new body of water? ❑NO ❑YES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ ❑Yes ❑No C • Proposed Action requires use of a source of water that does not El El ❑Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes ❑No gallons per minute pumping capacity. •.Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes El No Liquid effluent will be conveyed off the site to facilities which presently ❑ " ❑ LJYes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likelv cause siltation or other discharge into an ❑ ❑ ❑Yes ❑No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ ❑Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or Industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ONo amall to Potential Can Impact Be Moderate' Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ ❑ ❑Yes ❑No hour. • Proposed Action will result in the incineration of more than 1 ton of ❑ ❑ ❑Yes ❑No refuse per hour. • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ ❑ ❑Yes ❑No heat source producing more than 10 million BTU's per hour. • Proposed action will allow an increase in the amount of land committed ❑ ❑ ❑Yes ❑No to industrial use. • Proposed action will allow an increase in the density of industrial ❑ ❑ ❑Yes ❑No development within existing industrial areas. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? ❑NO ❑YES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ ❑Yes ❑No list, using the site, over or near site or found on the site. • Removal of any portion of a critical or significant wildlife habitat. ❑ ❑ ❑Yes ❑No • Application of pesticide or herbicide more than twice a year, other ❑ ❑ ❑Yes ❑No than for agricultural purposes. • Other impacts: ❑ ❑ ❑Yes ❑No 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ❑NO ❑YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident or ❑ ❑ ❑Yes ❑No migratory fish, shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres ❑ ❑ ❑Yes ❑No of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? ❑NO ❑YES Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ ❑Yes ❑No land (includes cropland, hayfields,*pasture, vineyard, orchard, etc.) 8 2 3 Small to-- Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Construction activity would excavate or compact the soil profile of ❑ ❑ El Yes ❑No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ []Yes ❑No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a faren field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ El Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ff5O_ DYES (If necessary, use the Visual EAF.Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ ❑Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of hj oric, pre- historic or paleontological importance? E7 0 DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ ❑Yes ❑No project site. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? j Examples that would apply to column 2 Lo110 DYES • The permanent foreclosure of a future recreational opportunity. ❑ ❑ []Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ONO 9 IMPACT ON TRANSPORTATION 1 2 3 Small to Potential Can Impact Be 14. Will there be an effect to existing transportation syste s? Moderate Large Mitigated By O DYES Impact Impact Project Change i Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ Dyes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: El ❑ Dyes ❑No IMPACT ON ENERGY 15. Will proposed action affect the community's sources/of fuel or energy supply? LINO DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ Dyes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration s a result of the Proposed Action? NO DYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ Dyes ❑No facility. 3 • Odors will occur routinely (more than one hour per day). ❑ ❑ ❑Yes El No • Proposed Action will produce operating noise exceeding the local ❑ ❑ ❑Yes ❑No ambient noise levels for noise outside of structures.. • Proposed Action will remove natural barriers that would act as a ❑ ❑ Dyes ❑No noise screen. • Other impacts: ❑ ❑ Dyes ❑No IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ENO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes ❑No substances(i.e. oil, pesticides, chemicals, radiation, etc.) in the event of accident or upset conditions, or there may be a chronic low level. discharge or emission. • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ El Yes El No form (i.e. toxic, poisonous, highly reactive, radioactive, 'irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ ❑Yes ❑No gas or other flammable liquids. • Proposed action -may result in the excavation or other disturbance ❑ ❑ El Yes NO within 2,000 feet of a site used for the disposal of solid or.hazardous waste. E • Other impacts: ❑ ❑ Dyes , ❑No 10 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to' ' Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing c�munity? Impact Impact Project Change LfNO OYES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ El Yes ❑No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ❑Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ El Yes El No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ []Yes No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO OYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. ' 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact P Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. (Continue on attachments) 11 PLANI O'ARD TO. ;;0 SOU: HOLD SU' FOB K�o r Southold, N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TO THE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms. If your answer- to any of the following questions is yes, please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are there any wetland grasses on this parcel? Ce) No (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97 , for your reference) 2. Are there any other premises under your ownership abutting this parcel? Yes . 3. Are there any building permits pending on this parcel? Yes Nc 4. Are there any other applications pending concerning this property before any other department or agency? (Town , State, County, etc. ) Yes INo9 5. Is there any application pending before any other agency. with regard to a different project on this parcel? Yes No 6. Was this property the subject of any prior application to the Planning Board? Yes 0No' 7. Does this property have a valid certificate of occupancy, if yes please submit:.a copy of same Yes (No::) I certify that the above statements are true and will be relied on by the Planning Board in considering this application. Signature of property owner or authorized agent d' te Attachment to questionnaire .for,.-the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss : On the �S day of , 19c�r, before me personally came to me known to be the individual described in-and who executed the foregoing instrument, and acknowledged that�'� executed the . same. VL/ ` Nota (Public JCYCE M.WILKINS Notary Public,State of Now York No.4952246,Suffolk Counly Term Expires June 12,19 �s: 3' v APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) c 2. The name of the subdivision is to be ........... .... ...... .... ........... ........... .. . . .. .... .. . . . . .. ... ... .. .. .. .............. . . .. . 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber . ..... . .. . Page . .. .. S 4. . . . . . .. . On . . . .. .. .. .. ...._. . . . . . . ; Liber . .... .. .. .. .. .... .. .. ... Page . .. .. .. . . .. .. .. . . . . ... On . . . . . .. . . .. ..... . . . . . . ' Liber . .. .. .. . . . . .. .. . . ... . . . . Page . . . .. . ... .. .. . . . . .. . . . On . .. ..... .. .. ....... . . . . . ; Liber . ... . .. .. .. .. . ... .. . . . . . Page On Liber . .... .. .... .. .... ...... . Page . . . .. .. .. . . .. . . .. .. ... On . . . .. .. . . ....... . . . . . . as devised under the Last Will and Testament of . .. . . . . .. . . . . . . . . . . . . . . . . .. ...... . . .. . . or as distributee . .. .. .. .. .. .. ... . .. .. .. .. . . . . ... . .. .. .. .. .. .. .: .. . . .. ... ...... .. .. . . . . . . . .. .. .. .. .. .. .... .. .. .. .. .. .. ...... ........... . . . . . . . . . . . . . . . . . .. .. . . .. .. .. .. . ........ .... .. . . 5. The area of the land is . .. .! 0� �. . . .. .. . acres. 6. All taxes which are liens on the land at the (late hereof have been paid except . .... .. .. . . . . . . . . .. . . . . . . .. .. . . . . . . .. .. .. .. ... . . . . .. . . . . . . . . . . . . . . . .... .. . . . . . . . . . . . . . . . . . . .. . ....... . . . . . . 7. The land is encumbered by . . . . . . . . . .. .. .. . . . . . . . . . . .. .. . . . . . . . . . . .. . . .. . . . ....... . . . . . . . . mortgage (s) as follows: (a) mortgage recorded in Liber . .. . . ... . . . . . . . Page . . . . . . . . . . . . . . . . . . in original amount of $. . . . . .. . . . . .. . unpaid amount $ . . . .. . . . . . . :. . . . .. . . . lield by . . . .. . . .. ... . .. . . . . . . . . . . . . . . .. . . .. . address . .. .. .. . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . . -(b) Afortga- recorded in Liber . . . . . .. . . Page in original amount of . . . .. . . . . . . . . . unpaid amount $. . . . . . . . . . . . . . . .. . . . . . held by . . . .. . . ..... . . . .. .. .. . . .... .. .. .. .. . address . .. .. ... . .. . . . .. . . . . . . . . . .. . . . . .. . . . . . . .. . . .. .. .. . .... . .. . ..... 4 :. (c) Mortgage recorded in Liber . .. .. .. . ... .. . Page • • • •• • . .. .. .... . in original amount Of . .. .... . . . ... . unpaid amount $. . . . . . . .: :. .. .. . .. ... . held by . .. .. .. .... .. .. .... ... ... .. .. .. .. .. .. .. .. ... address 8. There are no other encumbrances or liens against the land except . .. .. .... .. .. .. . .. . .. .. . � e. 9. The land lies in the following zoning use districts . .'t�.�..S•t.Q;Q•NT•1 y ....... . ....Etc.e . .. .. . . .. . . .. . ... . . .. .. ... . . . .. ... . .. . . ......... .. . ...... . . .. . 10. No part of the land lies' under water whether tide water, stream, pond water or otherwise, ex- cept . . . . . .. O ... ..��• l•.�• e .. .. .. .. . . .. ...... . . . ... ... .. . . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The lan ( oes) (does not) lie in a Water District or Water Supply District. ?Name of Dis- trict, if within a District, is . .. ..V \ 13. Water mains will be laid by . . • . Q ,. •. ••® •. . . . . ..L2S and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . .V�o, © er, lines. •• •• • • •• • • •• •• •• •. ••• • • .. .. . . . and (a) (no) charge will be made for installing said 15. Gas mains will be installed by . .. . • • and (a) (no) charge will be made forns italling said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public streets in the Suffolk County Highway 'system, annex Schedule "L"' hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold .IIiI ay system, annex Schedule "C" hereto to show, same. 18. There are no existin- buildin-s or structures on the land which are not located and .shown on the plat. 19. Where the plat shox�-s proposed streets 1%,hich are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said 9xisting. neaps at fheir conjunctlolls Nvitll the proposal streets. , 20. In the course of these proccedin's, the ,IlTlicarlt will offer proof of title as required by Sec. 335 of the Real Property Law. 21. Sublllit a copy of proposed deed for lots shbwin;; all restrictions, covenants, etc. An Schedule "D". 22. The applicant estimates that the cost of grading and required public improvements will be $..... ..... as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . . . .. .. .. .. . ... years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule of - DATE ?. ..... .... ... 19 4J . .. .. '.. • l 't . . ..... .. . . (Name of Applicant) By (Signature and Title) ..__.p (Address) STATE OF NEW YORK, COUNTY OF . .. .. . . . . . . .. ... ... .. .. .• •. •. ,, ss On the .... . day of. .. . . . . . , 1919 before me personally came •• • • • • • to the known to be the individual described in and who executed the foregoing instrument, and acknowledged that .. .. . executed the same. JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk Coun . . • • . • . . '• r Term Expires June 12,19 J— Notary lic STATE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . .. .. .. .. .... . ss On the . .. . . . . . . . . . . . . . day . . . .. . . .. . . . of . . . . . . . . . . . . ... 19. .. .. .. before me personally came • • • • . • • • • • • . . . . . . .. . . .. . to me known, who being by me duly sworn did de- pose and say that . .. .. . . .. ... resides at No. . . . .. . . .. . . . ... . . .. . . :. .. . . .. . . . . .. . . . .. .... .... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . .. . . . . .. .. . . . . .. .. . . .. . . . is the ... . . .. . . . of . . . .. . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . .. .. . . . . ... . . . ... .. . . . . . . the corporation described in and ivhich executed the foretioinq instrument; that knows the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. ar,d that . . . . . . . .. . . . signed . .. . . . . . . . . .. . name thereto by like order. NotaryPublic.. . . . . . . . . .. . . .. . . .. . . . . . . . .... . . . . .. . .