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1000-140.-3-37
ii �? P i� � l -h� 1 . TOWN CLERK 4 2 4 2 0\ c` TOWN OF SOUTHOLD Suffolk County,New York Phone 516-765-1801 Southold,New York 11971 Date tJ bZ 19 RECEIVED OF e- A� ' Dollars$ For .>"��O C.�' / �"� Judith T.Terry,Town Clerk B Cash El Check ❑� ���� y I b I , r SITE PLAN Presub mission conference � (within 30 days of written request) Complete application received (within 4 months of presub. conference) Application reviewed at work session - ,,B5` ox (within 10 days of receipt) 0 Applicant advised of necessary revisions a (within 30 days of review) Revised submission received ,�.` oK M ua Ltai 0K Mz Lead Agency Coordination�,rzr T� s� o,y�'r ya� s� 2 SEQRA determination 3 z o REFERRED TO: 0 Zoning Board of Appeals oz N (written comments within 60 days of request) H Board of Trustees ,ro` oK z •� V O wilding Department (certification)i ow n Suffolk County Department of Planning Pro.` oK c Nc Department of Transportation -State ,W.` OK z ' N° Department of Transportation - County .` 07K ? Suffolk County Dept. of Health , oK ,moire Commissioners a� Sent: � - �/- 9/ r Received• 3-7— 7 a, RECEIVED: Draft Covenants and Restrictions ,ro.` oK Filed Covenants and Restrictions Landscape plan A°L ixro. OK Lighting plan ,W.` oK Curb Cut approval ,�` OK �Healt<h approval un�� rnro. _OK Drainage plan ix oK Reviewed by Engineer ��- oK Approval of site plan -with conditions Endorsement of site'plan -------------- • ._�.ice Certificate of Occupancy inspection ixro. OK dne year review ,�L n �F FD(k I' � Ln -� D SL Southold, N.Y. 11971 (516) 765-1938 APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec' d New Use Change of Use Re-Use Extension of Existing Use x Revision of an Approved Site Plan (Date of Approval ) Other Specify Name of Business or Site Sayan Restaurant Location of Site Main Road, Mattituck Address of Site, if available Name of Applicant Mr. James Navas Address of Applicant P.O. Box 1220 , Mattituck, New York 11952 Telephone 2 9 8-4 3 7 8 Person to be responsible for Construction Telephone Applicant' s interest in- site-check one: Owner of Land x Under contract to purchase Owner of- Fee Title to Land Mr. James Navas Address P.O.Box 1220 , Mattituck,N.Y. Telephone 298-4378 Site Plans Prepared by E.S .Kalogeras ,PE License No. NY 042176 Address Union Square,.RDl ,Box530,Riverhelephone 727-5135 Total Land Area of Site 11 ,782 Sq.Ft. Zone District HB Existing Use of Site Restaurant Proposed Use of Site Restaurant Gross Floor Area of Existing Structure(s) 2, 200 sgft. sqft. Gross Floor Area of Proposed Structure(s) sgft. sgft. Percent of Lot Coverage by Building( s) 1 . Percent of Lot for Parking (where applicable) 45 .4 % Percent of Lot for Landscaping(where applicable) o Datum(Specify)U.S.G.S. 15 . 01m. s . l . Other Has applicant been granted a variance and/or special exception by Board of Appeals No Case Number Name of Applicant Date of Decision 'expiration -Date Will any toxic or hazardous materials, as defined by the Suffolk Coulity Board of Health, . be stored or handled at the site? No If so, have proper permits been obtained? Number and Date of permit issued NO ACTION (EXCAVATION..OR CONSTRUCTION) D11 TL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. JAN - 7 1992 'L j SOUTHOLD TO kIN `- fUNNING BOARD APPLICANT' S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK James Navas bein duly sw deposes and says that he resides at Box att Nuck, NY H652 in the State of New York, and that he is the owner of the above property, or that he is the of the (Title) ( Specify whether Partnership which is hereby making application; that the or Corporation) owner or his heirs, successors or assigns will, at his own expense, install the required site improvements in accordance with Article XIII of the Code of the Town of Southold for the area stated herein and that there are no existing structures or improvements on the land which are not shown on the Site Plan; that title to the entire parcel, including all rights-of-way, have been clearly established and are shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be altered or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will. be installed in strict accordance with the plans submitted. Signed L7* (Owner) Sworn to before me this day of 19 `/ (Notary ublic) UnYOMAT8011 Signed ftOlOa�Nt�d M (Partner rporate Of f cer and Title) C�mnd�toe F.�tros seM.3�i!�' 14.16-4(2/87)—Text 12 PROJECT I.D. NUMBER 617.21 SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME E.S . Kalogeras , P.E. SIvan Restaurant 3. PROJECT LOCATION: Munlclpallty .Mattituck County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks, etc.,or provide map) Main Road 2441 west of Wickham Avenue 5. IS PROPOSED ACTION: ❑New ❑Expansion ❑Modification/alteration Existing 6. DESCRIBE PROJECT BRIEFLY: Reopen Existing Savan Restaurant 7. AMOUNT OF LAND AFFECTED: Initial/ 0. 2 7 0 2 7 Y .acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? El Yes ❑No If No,describe briefly C9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial KI Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Various Hamlet Businesses 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? El Yes ❑No If yes, list agency(s)and permit/approvals NYS SPDES and SCDHS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No It yes,list agency name and permit/approval 12. AS A RESULT rOF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MO ElYes No CERTIFY THAT THE INFORMATION.PROVIDED ABOVE IS TR T Eli a F LEDGE E.S. Kalogeras P.E. +.; . T''P Nov. 14 1991 Applicant/sponsor name: -,1+1"� to , es Signature: 10 If the action is in the Coastal Area, and you are a sta , complete the Coastal Assessment Form before proceeding with this assessment OVER PART II—ENVIRONMENT SESSMENT (To be completed by Ager( ' A. DOES ACTION EXCEED ANJWI THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and!use the FULL EAF. ❑Yes ❑No , B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another Involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly C5. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term,short term,cumulative,or other effects not identified in C1-05?Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)?Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that 4 explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, .based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or type Name of Responsible Officer in Lead Agency Title of Responsible officer Signature or Responsible Orficer in Lead Agency Signature of 1'reparer(it dlrferent from responsible cimcer) E Date 2 WWM-006 (Rev. 6/89) Notice No. 1 :6 S[k'FUZ COUNTY DEPAR'IIMERr OF HEALTH SERVICES TO: FROM: Bureau of Wastewater Management d' Suffolk County Center Riverhead, New York 11901 P.E./R.A./L.S. _P an No. .T.v 516-548-3312 NOTICE OF INLX MPLE E APPLICATION - COMMERCIAL H.D. Ref. No. C/o - vim- oo Applicant s _ T.M. Designation io00 -'�90 -3 -37 Article VI & Article VII Zone UM FOI MING IS REQUIRED IN ORDER TO CONTINUE REVIEW ON THE ABOVE. ---------------- PAPFFKM REWIRED [ ] Town and/or Village Zoning Letter [ ] Public Water/Sewer Availability Letter [ ] Completed Application Form NW-004 (3 copies) [ ] NYSDEC Wetlands Permit or Waiver [ 4 SEQRA Determination [ ] Restrictive Covenants: Art. 7 Other [ ] SPDES Form [ ] SPDES Site Plan 8 1/2" x 11" [ ] Processing Fee [ ] SPDES Fee $50.00 $75.00 [ ] Denitrification Permit Application [ ] Monitoring/Sampling Plan (8 1/2" x 1111) [ ] Review Board Determination IMMiATION MISSING AND/OR CUtRECTIONS REQUIRED ON PLANS [ ] Tax Map Designation [ ] Plans Not Signed/Sealed [ ] Metes and Bounds Description [ ] Industrial Statement/Signature [ ] Lot Size [ ] Deed Location [ ] Sewage System Plan/Profile [ ] Key Map [ ] Test Hole [ ] Gallons/Day/Acre Sewage Discharge [ ] Gross Floor Area of Building [ ] Sewage Disposal Design Calculations [ ] All Surface Waters Within 300' [ ] Insufficient Denitrification Details [ ] Private Well Details and Location [ ] Public Water/Sewer Line ( ] Neighboring Wells and Sewage Systems [ ] Expansion Area for Sewage Systems Within 150' of Property [ ] Site Statistics [ ] Monitoring Well Detail and Location [ ] Capital Costs; of Sanitary, System or Capital Cost of Denitrification [ ] Latitude and Longitude Description [ ] Operation and Maintenance Information [ ] Project does not conform to Department standards. See Notice of Non-Conformance. [ ] Plan review is being coordinated with the following. Approval cannot be granted without their review and permit issuance where applicable. [ ] Art. VII [ J Art. XII [ ] Water Quality [ ) Ecology [ ] DPW [ V1___0'il Tanks BY + ��-� --•- Date ia�/i 7�9/ I8-94"189 _-__.__�.—_.____�_ - l•p\nd ____._—_.._-_.___- _ aer•., tore or SOUTHOLD r.a�wi• r —•=• r.�.i. —__ __e-_. e....o...t...__.._.. •..�1.,. •� © COUNTY OF SUFcO --.— - --•---�— '—• �i��a-• =• •- •--- �. Real Property Tax Service Agency•."-�c-O� w=, '�"' ....t.l.. . .. �. .+.�.� ._,\.�. � a. ..u..ter— foattr G.t•. �rwn,f 1000 - �� � f:.w►•. i 1.►N.>Iw� •„tom ea. �. �,,,ra 1101�I1/rat► 'rha uatoo /J-11 �•�« s y F:7 u-1 7-86-7- ! toe l-if-6f i9 7 90 • ! q; lioJoaa , P p' •10 q I IIrL !! ,1 • y !t a !!t ----- • -� � %�. r•yy Mtn -- I o'• �} y y\pia � ••'� St' yo- ..' i o•` y • � a� 4 •• 3 L f t0L 9 • „t ! a° p� • • y y .tw - `VQ-� • ate \�q It 6 •o � i 1A. Legend- a[r ur © COUNTY OF SUFFOLK To\eor SOUTHOLD ,caloe eo. .,a.0 e.ae\.,. p^^'.,�"`o" c•^••c:' _—_-- r...o,...<,1,.. __,._. �.«_,e,..:<.1...__n.__ !•«.;,,_t.e.. ,n a I� .o Real Property Tax Service Agency rltucea 40 L. sra.....—i._.1... _-`- '.1.� ---— t:r.o:.�.inw x.0 ie rrn Covnly Cenler o_IfTRln xo.IOOO _ .....�...,...,L..,. �1., _--_ v.t o�....,u,. __.n_. <.I e. - n e•.+.. 1p•In Ri• ,h\od,L. I.,New York PROPERTY MAP _. S.� _� sr_I P..•<,Lr _—,a,—_ s+Je<w�<,1•. ..t__. su..,iw ewt e.. Qq C/..,..a a... ,>AI<i 0.n.I[•.,,•i.« ................. z�f Ea -S. KALOGERAS9 P. E. C'o>z�.t�.�t�,z9 �ya9lrzesz ACEC Member SupporD'ngng Excellence In Engineering UNION SQUARE ONE UNION AVENUE RD #1 BOX 530 RIVERHEAD, NY 11901 January 6, 1992 Mr. Bennett Orlowski, Jr. a f; Chairman, Planning Board Town of Southold J� Town Hall, 53095 Main Road AIR Southold, New York 11971 ��NG 80 R� ' Re: Savan R taur rung Main Roa and Love Lane Mattituck, SCTM# 1000-140-3-37 Zoning District:Hamlet Business(HB) Dear Mr. Orlowski: We have recently received indication from the Suffolk County Department of Health Services that our application for a new sanitary disposal system for reopening the existing restaurant at the above referenced project will be given favorable consideration, subject to SEQRA declaration and some minor sanitary disposal system details. As you are aware, we had submitted for such declaration to you in October of 1991. Your response at that time was that a site plan review application was to be made. We did not submit it to you immediately, in hope of first receiving favorable Suffolk County Health Department Board of Review hearing determination, which we have recently obtained. Our client, Mr. James Navas, is anxious to proceed with implementation of a new sanitary disposal system (designed in conformance with current Health Department Standards) which was mandated by that regulatory body in order to reopen the existing restaurant. This new sanitary disposal system will be better capable of treating anticipated sewage flows as compared to the older septic disposal system. Since the existing restaurant is within the existing Historic District of Mattituck Hamlet, we are planning to maintain the site and building in the same rustic and rural setting it has occupied for many decades. On-site parking is available for twenty (20) cars and at the design rate of 3/persons per car meets the anticipated restaurant usage of 60 patrons. The existing gravel drive and grass areas will be restored to equal or better condition following construction of the new sanitary disposal system and will continue to provide a rural and rustic setting for the existing restaurant. TEL: (516) 727-5135 / (516) 722-4040 FAX: (516) 722-5093 �. S. , ,.., ACEC Member Suppomng Excellence eonnuritn9&96w¢ In Eng'eenng Savan Restaurant Reopening....(Cont'd) Page 2. January 6, 1992 We are hopeful that a negative declaration can be determined as quickly as possible for our client's application, in order that the existing restaurant can be expeditiously reopened. If you have any questions or comments regarding this request and submission, please call us at your convenience. We therefore transmit herewith for your consideration a duly executed site plan application with attached money order of$205.00 to cover application fee, nine (9) copies of site plan(signed and sealed) showing proposed septic disposal system and other details, four (4) copies of certified site survey, one (1) copy of short environmental assessment form and one copy of current letter of review from Mr. Douglas Feldman of the SCDHS. Your expeditious review and declaration will be appreciated. Respectfully submitted, E.S. KALOGERAS, P.E. CONSULTING ENGINEER E.S. Kalogeras, P.E. ESK:ph cc: Mr. James Navas Mr. Douglas Feldman .•f14-16-2 (2/87)-7c 617.21 00 u10 r: .. Appendix A State Environmental Quality Review OCT' 3 11991 FULL ENVIRONMENTAL ASSESSMENT FORM •. ' .ose: The full EAF is designed to help applicants and agencies determine, in an order m r5n' AWN ro ect purp g P PP g �.,.._ '®1lR�QP 1 V;or action may be significant. The question of whether an action may be significant is not always easy o answer. req 'tl "''there are aspects of a roject that are subjective or unmeasureable. It is also understood that those who determine j,:,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 4�'Ahe question of significance. 6 i The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination rocess 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 r-lentify the Portions of EAF completed for this project: 91 Part 1 L3 Part 2 ❑Part 3 _ ion 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 Reopen Savan Restaurant & construct new sanitary disposal system to comply with SCDHS Name of Action Town of Southold Planning- Board Name of Lead Agency Print or Type N?me of Responsible Officer in Lead Agency Title of Responsibie Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Date 1 PART 1—PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may ha\,-� a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION Reopen Savan Restaurant, Main Road, Mattituck, N.Y. & Construct New Sanitary System LOCATION OF ACTION (Include Street Address, Municipality and County) Main Road w/o Wickham Avenue, Mattituck, New York NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE E.S. Kalogeras, P.E. (516 ) 727-5135 ADDRESS Union Square, One Union Avenue, RD#l, Box 530: c,: ;. 19Q CITY/PO STATE ZIP CODE Riverhead N.Y. 11901 NAME OF OWNER(If different) BUSINESS TELEPHONE Mr. James Navas (516 ) 852-8090 ADDRESS P.O. Box 1220 CITY/Po STATE ZIP CODE Mattituck N.Y. 111952 DESCRIPTION OF ACTION Reopen existing Savan Restaurant and construct new sanitary disposal system in accordance with SCDHS requirements and Board of Review (SCDHS) waiver of density sewage loading per acre. i 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 Dindustrial MCommercial DResidential (suburban) E)Rural (non-farm) Forest ❑Agriculture OOther 2. Total acreage of project area: 0.27 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Nor,-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) �-22. acres 0-22 acres Roads, buildings and other paved surfaces 0.05' acres 0.05 acres Other (Indicate type) acres acres } 3. What is predominant soil type(s) on project site? Sand and Gravel a. Soil drainage: ❑Well drained 100 % of site OModerately well drained % of site I ❑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? DYes CRNo a. What is depth to bedrock? 1500+ (in feet) 2 approximate percentage of proposed project site with slopes: f70-10% 1Dcl—% 010-15% % ❑15% or greater % t Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National 14. tegisters of Historic Places? ❑Yes CRNo ;S .r-' ict substantially contiguous to a site listed on the Register of National Natural Landmarks?, ❑Yes ONo 1/haL'is the depth of the water table? 12 (in feet) :s site located over a primary, principal, or sole source aquifer? Mes []No Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes ®No Does project site contain any species of plant or animal life that is identified as threatened or endarigered? . ❑Yes klNo According to Identify each species Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes ENo Describe Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes VNo If yes, explain p Does the present site include scenic views known to be important to the community? ❑Yes J]No Streams within or contiguous to project area: None a. Name of Stream and name of River to which it is tributary Lakes, ponds, wetland areas within or contiguous to project area: +t a. Name 1200 feet from Long Creek b. Size (In acres) Is the site served by existing public utilities? ❑Yes ®No a) If Yes, does sufficient capacity exist to allow connection? ❑Yes ❑No b) es, will improvements be necessary to allow connection? ❑Yes []No Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes MNo 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? :IYes ❑No Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes DNo Project Description Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 0.27 acres. b. Project acreage to be developed: n/a acres initially; n/a acres ultimately. c. Project acreage to remain undeveloped n/a acres. (0.27 acres developed & existing) d. Length of project, in miles: n/a (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed n %; f. Number of off-street parking spaces existing 20 ; proposed 0 g. Maximum vehicular trips generated per hour 10 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially l iately existing31.5 width; 120 length. i. Dimensions (in feet) of largest structure 30 height: j., Linear feet of frontage along a public thoroughfare project will occupy is? 45 ft. 3 4 2. How much natural material (i.e., rock, earth, etc.) will be removed from the sits? 22 ry tons/cubic yards 3. Will disturbed areas be reclaimed? RYes ONo ON/A a. If yes, for what intend ., purpose is the site being reclaimed? J rlr;nct Area i b. Will topsoil be stockpiled for reclamation? ( Yes ❑No 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? 7 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes _7No 6. If single phase project: Anticipated period of construction 1� mon-th 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? Dyes ONo 8. Will blasting occur during construction? ❑Yes ®No 9. Number of jobs generated: during construction 5 after project is complete h 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? ❑Yes ONo If yes, explain 12. Is surface liquid waste disposal involved? CJYes gNo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged _ 3. Is subsurface liquid waste disposal involved? [�qYes ONo Type gewaae 1950 ran=d 14. Will surface area of an existing water body increase or decrease by proposal? OYes :PNo Explain 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes JoNo 16. Will the project generate solid waste? R]Yes. ONo a. If yes, what is the amount per month 5 tons b. If yes, will an existing solid waste facility be used? OYes ONo c. If yes, give name Town of Southold Landfill ; location Southold, N.Y. d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Oyes R]No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes ONo 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? Dyes CINo 19. Will project routinely produce odors (more than one hour per day)? ❑Yes E]No 1 20: Will project produce operating noise exceeding the local ambient noise levels? OYes ®No 21. Will project result in an increase in energy use? ®Yes ONo If yes , indicate type(s) Heating,►Ventilatin , Air Conditioning,Lightin ,Cookin , Etc. If — water supply is from wells, indicate pumping capacity 13 gallons/minute. Total anticipated water usage per day 2,Onn gallons/day. 24 Does project involve Local, State or Federal funding? OYes 1K]No If Yes, explain — 4 : ' `•.r ,. 25: Approvals Required: Submittal Type Date F' City, Town, Village Board Dyes [2No 'y, Town, Village Planning Board UYes ❑No SEQR Determination Oct.30,1991 t.•ity, Town Zoning Board ]Yes INO Art.6 & Board of Review Aug. 6,1991 " City, County Health Department Eyes ❑No Art.6 & Board of Review Aug. 6,1991 Other Local Agencies Dyes [ENO a =s.'i r4A�" :Other Regional Agencies Dyes QNo State Agencies ]Yes ❑No SPDRS Permit NYSDEC Aug. 6,1991 Federal Agencies Dyes CNo C. Zoning and Planning Information { 1 . Does proposed action involve a planning or zoning decision? Eyes ❑No f; If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ®other SEQR Determination 2. What is the zoning classification(s)of the site? _Business .j 3. What is the maximum potential development of the site if developed as permitted by the present zoning? Existing Restaurant of 2,200 sf 4. What is the proposed zoning of the site? _n/a 5. -What is the maximum potential development of the site if developed as permitted by the proposed zoning? n/a Is the proposed action consistent with the recommended uses in adopted local land use plans? IRYes ❑No What are the predominant land use(s) and .zoning classifications within a '/, mile radius of proposed action? Business & Residential 8. Is the proposed action compatible with adjoining!surrounding land uses within a '/4 mile? ZlYes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? n/a a. What is the minimum lot size proposed? n/a 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? Dyes E]No 11 . Will the proposed action create a demand for any community provided services (recreation. education, police, fire protection)? Dyes ®No a. If yes, is existing capacity sufficient to handle projected demand? Liles ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes ®No a. If yes, is the existing road network adequate to handle the additional traffic? Dyes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. -)licant/Sponsor me E. eras P.E. Consulting Engineer Date Oct. 30,1991 Signature Title R457. If the action is in the Coastal Area, d you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Part 2—PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency eneral 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 Impact Impact Project Change 1 . Will the proposed action result in a physical change to the project site? XNO DYES Examples that would apply to column 2 • 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 ONO 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ Dyes ❑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. ❑ ❑ ❑Yet ❑No' • Construction in a designated floodway. ❑ ❑ ❑Yes ❑No . '...; Other impacts ❑ ❑Yes' ONO'' 2. Will there be an effect tc. ..,,y un;que or unusual land for s found on the site? (i.e., cliffs, dunes, geological formations, etc.)I NO DYES • Specific land forms: ❑ ❑ ❑Yes ❑No ? 4 fi ,:. '=tom 1 2 3 Small t Potential Can Impact Be IMPACT ON Wl,...R 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 ❑ ❑ Dyes ❑No protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ ❑Yes ❑No `' • Construction in a designated freshwater or tidal wetland. El 1-1 ❑Yes El No ;. • Other impacts: ❑ ❑ ❑Yes ❑No 4. Will proposed action affect any non-protected existing or new body of water? 'NO DYES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ ❑Yes ❑No or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes []No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO RYES ,Examples that would apply to column 2 • Proposed Action will require a discharge permit. 9 ❑ ❑Yes ❑No • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes El No have approval to serve proposed (project) action. proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes El No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ []Yes []No supply system. • Proposed Action will.adversfly affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyer off the site to facilities which presently ❑ ❑ ❑Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ ❑Yes ❑No day. • Proposed Action will likely cat_ e siltation or other discharge into an ❑ ❑ i—iYes ❑No existing body of watci «, the -xient that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ ❑Yes El No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ Dyes El No and/or sewer services. • Proposed Action'locatas commercial and/or industrial uses which may ❑ ❑ ❑Yes ❑No require new or expansion of existing waste treatment and/or. storage facilities. • Other impacts:&WfAC�2 56D 2%fJW 6C &%T ❑ []Yes ❑No 6oy mFS�r/ OAS T Will proposed action alter drainage flow or patterns, or surface water runoff? ) (NO DYES Examples that would apply to column 2 • Proposed Action would change flood water flows. ❑ ❑ ❑Yes ❑No 7 1. 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ ❑Yes ❑No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ ❑Yes []No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes El No • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AIR 7. Will proposed action affect air quality? ZXINO DYES 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? 'XNO DYES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or Federal ❑ ❑ El Yes El 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? ONO DYES 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? ' XN 0 DYES . `.'. Examples that would apply to column 2 • The proposed action would sever, cross or limit access to agricultural ❑ ❑ El Yes El No land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) 8 S ;f,; 1 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 ❑ ❑ ❑Yes ❑No agricultural land. °! The proposed action would irreversibly convert more than 10 acres El El El Yes ❑No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. ;:.• The proposed action would disrupt or prevent installation of agricultural ❑ ❑ El Yes ❑No Js land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? NO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, 'h? 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 El No aesthetic resources which will eliminate or significantly reduce their s . enjoyment of the aesthetic qualities of that resource. �. • )ject components that will result in the elimination or significant ❑ ❑ ❑Yes El No —reening of scenic views known to be important to the area. • Other impacts: ❑ ❑ Dyes ❑No :per IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? XN 0 DYES V: 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 s: of historic places. 4: Any impact to an archaeological site or fossil bed located within the ❑ ❑ u'i es ❑N ,n project site. t's. • Proposed Action will occur in an area designated as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. s', • Other impacts: ❑ ❑ El Yes ❑No ohs. IMPACT ON OPEN SPACE AND RECREATION 6 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ;QNO DYES • 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 ❑No 9 4�;' IMPACT ON TRANSPORTATION 1 2 3 Small'to Potential Can Impact Be 14. Will there be an effect to existing transportation s ,stems? Moderate Large Mitigated By yNO DYES Impact Impact Project Change Examples trhat would apply to column 2 • Alteration of present patterns of movement of people and/or goods. ❑ ❑ ❑Yes El No • Proposed Ac".ion will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ Dyes El No IMPACT ON ENERGY 15. Will propc-sed action affect the community's sources •of fuel or energy sup,,rly? )<NO DYES Examples r.'hat would apply to column 2 • Proposed Ac*:i�)n will cause a greater than 5% increase in the use of ❑ ❑ ❑Yes ❑No any form of emergy in the municipality. • Proposed Act.-ton will require the creation or extension of an energy ❑ ❑ ❑Yes ❑No transmission cir supply system to serve more than 50 single or two family residences or *_o serve a major commercial or industrial use. • Other impacts: ❑ ❑ ❑Yes ❑No NOISE AND ODOR IMPACTS 16. Will there Ibe objectionable odors, noise, or vibra3ZN as a result of the Proposed Action? O DYES Examples th,1 t would apply to column 2 • Blasting withim 1,500 feet of a hospital, school or other sensitive ❑ ❑ ❑Yes ❑No facility. • Odors will ocrcur routinely (more than one hour per day). ❑ ❑ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ Dyes ❑No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ❑No noise screen. • Other impacts: ❑ ❑ ❑Yes El No IMPACT ON PUBLIC HEALTH 17. Will Proposeed Action affect public health and safety? NO DYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ Dyes El No =;>. substances(i.e.. oil, pesticides, chemicals, radiation, btc.)in the event of accident or upset conditions, or there may be a. chronic low level discharge or emission. , • Proposed Action may result in the burial of "hazardous wastes" in any ❑ ❑ ❑Yes ❑No r` form (i.e. toxk, poisonous, highly reactive, radioactive, irritating, infectious, etch • Storage facilitiies 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 ❑ ❑ ❑Yes ❑NO within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts_ ❑ i0 ❑Yes ❑No 4-1 ,r 1'l 4s.: 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By Will proposed action affect the character of the exist' communit ? >�>A P P Y Impact Impact Project Change 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%. 57��' • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ []Yes ❑No • Proposed action will cause a change in the density of land use. ❑ ❑ ❑Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ El Yes ❑No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ ❑Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ ❑Yes ❑No • Proposed Action will create or eliminate employment. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes El No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? )<NO ❑YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 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 • 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. ontinue on attachments) fir.. �r. ;; 11 a=' CESSPOOL �` � OF 1XV11ING WELL WI C KHAM AVENUE UE OD APPRCI OF fE3l-0 � QIOOII S 2824'1 a' E 237.29' a51''m 9�D+ \\O sfl+F Fts ttFEn BRICK \ I DDFm SHOP IR7T alf \\\ 1 i low AIDP. . IFIOO PDaI Oi /� N Psvfp �(AS roan) OF � R4\\\\ O I '� °' d EXISTING RESTAURANT \ \ O F ���,i (SINCE 1800'S) opm W.s�v A Cow-s" sxv POW o N P �.FL42YN ,� O IP. �, 111"IN __aK SIRES PFCP`_e y9lt , M.a�� tat 3 yl slrxE OK �sat - .. - ---�-\— - ✓ -_o�uc..e.sat_ SLOPE LIM) "" FE7F W DM I4NOlE W ETIl1 Cl OD191.PRIME NY.EL 222V n 1HOLE 67� �atr b a � b I DFrVF]FlY A9P}YU.T PAYF]El/f z Fmtw rT CKNN LAK Falter srm atom IMi smnc3l7 WELL tEsrOOL a. { � POOLS ;1 I Y a N 2645'00' W 142.00' �q�DP, ,may UK CHAIN LW FEMOE IFSF FOIE N 2554'50' W 85.32' a 610213 CCS � COd �SNO.ILNI r BROn mxm S/IO OF CESSPOOL S' t�tE BROW]FINE tD COURSE - JAN 2 7 1992 O own OLa arPAI m E 9111"IM CAUtSE IWO MI .Mlt SOUTHOLD TO NN WER w PAIE 910"m CURSE a" 2. 1 LANNING 00 RD APt,- DDE InoaFOw of E771@ffilo.Fll SANITARY DISPOSAL SYSTEM DESIGN IT DATE BY DESCRIPTION APPROVED BY 1. 60 PERSON RESTAURANT X 30 G.P.D. = 1,800 G.P.D. DESIGN FLOW 2. SEPTIC TANK SSE FOR 2 DAYS STORAGE = 2 X 1,800 = 3,600 Gal. SITE PLAN REVISIONS 3. LEACHING POOLS: USE 10' 0 = 31.4 sf OF LEACHING AREA/VLF FOR 5 G.P.D./sf LEACHING RATE AND DESIGN FLOW, THE REQUIRED LEACHING POOLS = 1 800 38 VFL USE 5 — 10'� X 7' HIGH + DOME 3,.4X 1.5 = FOR SAVIN RESTAURANT 5AVAN RE,5TAURANT .'. 4. GREASE TRAP FOR 1,800 G.P.D.: USE 10'.0 X 5' LIQUID DEPTH (2,500 Gal. Min.) 5. DESIGN SEWAGE FLOW RATE PER ACRE= 43156D sf acre X 300 G.P.D./acre = 81 G.P.D. M A TT I T U C K, NEW Y O R K 6. LOT SIZE = 11,782 sf , RESTAURANT AREA = 1,541 sf± S.C. TAX No. 1 0 0 0—1 4 0—0 3—3 7 51 TE F L A N SCALE 1 " =20' PARKING DESIGN OF pqI ,�P _ KA ` E.S. KALOGERAS P. E. �• L� 1✓ 7 1. REQUIRED = 1 SPACE PER 3 PERSONS OR 1 SPACE PER 100 sf OF BUILDING �. CONSULTING ENGINEER _ , X so PERSONS = 20 SPACES MISCELLANEOUS INFORMATION \ = , X 1541 sf RESTAURANT= 15.45 SPACES 100 (516)..` =„= E 727-5135 1186 EAST MAIN STREET, RIVERHEAD, NEW YORK 11901 THEREFORE 20 SPACES REQUIRED OWNER: JAMES NAVAS 2. TOTAL 19 + 1 HANDICAP SPACES PROVIDED P.O. BOX 1220MATTrrUCK, NY 11952 s ^ T/ �� , DESIGNED BY �k SCALE / �2O� DRAWING ,NO. 3. EACH PARKING SPACE = 9' X 19' FO 'o. 'I �`" EACH HANDICAP SPACE = 14' X 19' ZONING: HAMLET BUSINESS ,oR 04 °cFsslorla� DRAWN BY IY5 DATE �1,,41[l 24,1592 APPROVED- BY FILE NO. ✓AI 9/-1 l PLANNING BOARD MEMBERS Town Hall, 53095 Main Road BENNETT ORLOWSKI,JR. o �. Chairman y R x 3 P.O. Box 1179 " +^ Southold,New York 11971 WILLIAM J. CREMERS Fax(516) 765-3136 KENNETH L.EDWARDS �ol ,7j�.r, GEORGE RITCHIE LATHAM,JR. a� Telephone (516) 765-1938 RICHARD G.WARD ` c PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 17, 1997 Andrew W. Miles Attorney At Law 250 Montauk Highway East Moriches, NY 11940 RE: Savans Restaurant Main Road, Mattituck SCTM# 1000140-3-37 Dear Mr. Miles, The Planning Board has received your letter of July 9, 1997, concerning a proposed use for the above .vacant property. In your letter you refer to the proposed use as a bar/restaurant, please be advised that while a restaurant use is permitted as of right; a bar or drinking establishment use must obtain a Special Exception from the Board of Appeals in this Hamlet Business District before this Board can give any possible final site plan approval to your proposal. The Board has a pending application on this property and would recommend that you get in touch with the owner to see if you can get permission to continue with his application. If you have any questions, or require additional information, please contact this office. ('S�inc rely �o ert iG. Kassner Site Plan Reviewer MILES(S�3ILLARD P� ATTO RN EYS AT LAW 250 Montauk Highway Of Counsel: Andrew W.Miles East Moriches,New York 11940 Tara B.Lillis,Esq.,R,N. Patricia N.Gillard (516)878-3352• fax(516)878-5685 Joseph T.Lee,Esq. July 9, 1997 Mr. Bennett Orlowski Chairman, Planning Board Town Hall Main Street Southold, New York 11971 Re: Savans, Main Road, Mattituck, New York Dear Mr. Orlowski: -Please be advised that this office represents Verna King who is"interested in the possibility of purchasing -the property that was once known as "Savans" can Main Street in Mattituck. Pursuant to the recommendation of the building``department, I am hereby requesting confirmation that the property, if purchased by my client, can be used as a bar/restaurant facility. I understand that certain modifications will need to be made to the septic system. In addition to confirming its proposed use, I would appreciate it if you would inform me as to whether any additional upgrades or modifications will be necessary for the proposed use. Thank you for your assistance. Very truly yours, MILES AND GILLARD BY; . ,. ,. . . . ' ANDREW' .W,'.. MILES. , AWM pb cc. : s Verna King WT SOUTHOLD TOWN PLANNING BOARD Satellite Office•Commack,New York pa FA' Xz' ' ' Message —= °heals. Fac,ssi��e was sent using the Complete Communicator for Windows Version 3.0 Bill LE qt T E� ?�qj Date: 01;19;`93 SOUTHOLD TO'VN'N PLANNING BOARD To.: Bennett Orlowski,Jr. Title: Chairman Company: Town of Southold Pla!Lning Board Fax Phone Number: 765-1823 From: E.S. Kalogeras,P.E., Consulting Engineer Subject: Savan Restaurant, Mattituck, SCTNI 1000-140 3-37 . # of Pages (including this cover sheet): I Memo Dear Bennett: / In response to your letter of January 4th, 1993,we.have spoken to our client and he has given us instructions to Jeep our file open on this project. The economy seems to be delaying speedy continuation of the proposed work on this project. Hope this answers your recent cluery as to the status of this project. Respectibll y, s/Lou Kalogeras,P.E. If-'ou do not receive all pages, please call back immediately: VOICE: (516)727-5135 or 722-4040 FAX: (516) 722-5093' PLANNING BOARD MEMBERS SCOTT L. HARRIS °'Bennett Orlowski, Jr., Chairman Supervisor� ��,. � George Ritchie Latham, Jr. Richard G. Ward mac?` r a Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone(516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 4, 1993 E. S. Kalogeras, P.E. Union Square, One Union Avenue RD# 1 Box 530 Riverhead, NY 11901 RE: Savan Restaurant Main Road & Love Lane Mattituck Zoning District: Hamlet Business (HB) SCTM# 1000-140-3-37 Dear Mr. Kalogeras: The Planning Board has not received any correspondence from you regarding-the above referenced project since your letter of January 27, 1992. The Board would like to know the status of this project. If you have any questions, . or require additional information, please contact this office. Very truly yours, Bennett Orlowski Jr. G� Chairman cc: Douglas Feldman, Suffolk County Department of Health Services - i PLANNING BOARD MEMBERS E_:" ,` ,; ' SCOTT L. HARRIS Supervisor Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward ' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 March 17, 1992 E. S. Kalogeras, P.E. Consulting Engineer One Union Avenue - RD#1 Box 530 Riverhead, New York 11901 RE: Site Plan for Savan Restaurant SCTM#1000-140-3-37 Dear Mr. Kalogeras: The following resolution was adopted by the Southold. Town Planning Board at a meeting held on Monday, March 16, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, establishes itself ,as lead agency, and as lead agency makes a determination of non-significance, and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, J ih15 Chairman Encl. FD1 4^0 PLANNING BOARD MEMBERSX3 {C p� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance March 16, 1992- 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 Site plan for Savan Restaurant SCTM# : 1000-14.0-3-37 Location: Main Road, Mattituck SEQR Status: Type I ( ) Unlisted ( X) Conditioned Negative Declaration: Yes ( ) No ( X) Description of Action: Reopening existing restaurant. Page 2 Savan Restaurant SEAR Negative Declaration Con't. Reasons Supporting This Determination: An Environmental Assessment has been submitted and reviewed and it has been determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The applicant will have to comply with the requirements of the Suffolk County Sanitary Code (SCSC) and all relevant standards of water supply and sewage disposal systems. Design and flow specifications, subsurface soil conditions, . and site details will be reviewed fully at the time of Suffolk County Department of Health Services (SCDHS) application review. This impact is not considered significant due to the anticipated project compliance with established requirements of the Suffolk County Sanitary Code (SCSC) and the Suffolk County Department of Health Services (SCDHS) and the required obtainment of relevant permits. Because there has been no correspondence received from the New York State Department of Environmental Conservation in the allotted time, it is assumed that there are no comments or objections from that agency. The project involves reopening an existing restaurant on a 11,782 square foot site. The site and area are zoned for restaurant use ,by the Town of Southold, thus the proposed action is consistent with zoning. A review of the proposed site plan by the Principal Building Inspector resulted in a recommendation that the two existing cesspools must be pumped and removed to the . Town Landfill. The applicant has agreed to this condition. For Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: ( 516) 765-1938 cc: Suffolk County Department of Health Services Robert Green, NYSDEC Stony Brook Judith Terry, Town Clerk Southold Building Department Southold Zoning Board of Appeals Applicant Sib,;ale . 00 Gyp PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski,Jr., Chairman VO O11F Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANTING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 John A. Keogh, Secretary - Mattituck Fire District Pike Street Mattituck, New York 11952 Dear Mr. Keogh: Enclosed please find ( 2) surveys for Please notify this office as to whether any firewells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by cooperation. 69/ 1 199A,- Thank you for your ery trul u s Bennett Orlowski, Jr. Chairman enc. Mr. Bennett�- Orlowski , The Board of Fire Commissioners of the Mattituck Fire. District have determined that there is sufficient water supply for fire protec ' n in t1Aarea of this property and contend that - no further fire well a eed For the Board of Fire Commissionera. ohn e . MAR — 9 1992 SOUTHOLD TOWN PUNNING BOARD . 1 PxcELsioa STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 JAMES A. KUZLOSKI FRANKLIN E. WHITE REGIONAL DIRECTOR COMMISSIONER February 18, 1992 Mr. Bennett Orlowski, Jr. Chairman Planning Board Office Town of Southold Town Hall, 53095 Main Road P. 0. Box 1179 Southold, NY 11971 Dear Mr. Orlowski: We have reviewed the site plan for reopening the Savan Restaurant that you submitted February 4, 1992 and have the following comments: 1. We have no project in our 5 year program to work in the area of NY25 west of Wickham Avenue. 2. Any changes to the NY25 Access will require a permit from our Traffic Engineering and Safety group. 3. This Departmdnt has no interest in becoming lead agent for this action. Thank you for advising us of actions that affect State Highways. Very truly yours, HN A. FALOTICO Planning & Program Management Director M f2 nm 2 6 Nor! SOUTHOLD TOWN PLANNING BOARD AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER TO PLANNING BOARD MEMBERS +• z n SCOTT L. HARRIS �� *• Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. �.3, � Richard G. Ward = r Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 John A. Keogh, Secretary Mattituck Fire District Pike Street Mattituck, New York 11952 Dear Mr. Keogh: Enclosed please find 2( ) surveys for jz. Please notify this office as needed. to whether any farewells are Please specify whether shallow wells or electric wells will be needed. Please reply b ; cooperation. P y y 199 Thank you for your ery trul u s Bennett Orlowski, Jr.' Chairman enc. S�FFair ZOG� i�- J RAYMOND L. JACOBS JAMES A. RIC11TER SUPERINTENDENT OF ® ENGINEERING HIGHWAYS '��01 �`�j� INSPECTOR 765-3140 765-3O7b OFFICE OF THE ENGINEER TOWN OF SOUTHOLD M E M O R A N D U M TO: Bennett Orlowski,, Jr. Chairman, Planning Board FROM: James A. Richter SUBJECT: Short Environmental Assessment Forms SAVAU RES-CURANT MAIN AbAO - ME. 25 - 17A-"ifVC.K SLYM # 1600 • 140 • n3.37 DATE: 1°I 9 2 As per your request, enclosed please find the short environmental assessment forms for the above referenced. projects. Please be advised that Part III of this form still requires your signature and related information. If you have any questions please do not hesitate to call. enc. • i` i. SOUTHOLD TUIIN . i PLAN N1NG I:OAf;D 14-16.4 12187)—Text 12 PROJECT I.D. NUMBER 617.21 S EQ R Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME E.S. Kalogeras , P.E. Savan Restaurant 3. PROJECT LOCATION: Munlclpallty Mattituck County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) Main Road 2441 west of Wickham Avenue 5. IS PROPOSED ACTION: ❑New ❑Expanslon ❑Modification/alteration Existing 6. DESCRIBE PROJECT BRIEFLY: Reopen Existing Savan Restaurant 7. AMOUNT OF LAND AFFECTED: Initlally 0 . 27 acres Ultimately 0 . 2 7 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? tJ Yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial KI Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Various Hamlet Businesses 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE ORLOCAL)? TE 'u Yes ❑No If yes, list agency(s)and permit/approvals NYS SPDES and SCDHS 11. DOES ANY,ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes, list agency name andpermit/approval `12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MO EGA jQf!? El Yes IN No �e. CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TR Tp`TI�E 4E F tv�l1` �g LEDGE Y y F.• E.S . Kalo eras. P.E. v Applicant/sponsor name: g , r,;,•;`.`�: ;;�+'1 ¢j te: Nov. 14 , 1991 Signature: r If the action is in the Coastal Area, and you are a stagy 94; , complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONMENTA ¢ SMENT (To be completed by A A. DOES ACTION EXCEEE I` ESHOLD IN 6 NYCRR, PART 617.127 y c ate the review process and use the FULL EAF. ❑Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. Yes ❑No C. COULD.ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: Nb C2. Aesthetic.agricultural,archaeological, historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly N O C3. Vegetation or fauna, fish, shellfish or wildlife species,significant habitats;or threatened or endangered species? Explain briefly: No C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly, IV C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. l� O C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly. M O C7. Othher'impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes XNo If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be Completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in Connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (C) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure ha t explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [7documentation, k this box if you have identified one or more potentially large or significant adverse impacts which MAY r. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, .based on the information and analysis above and an supporting X that the.proposed action WILL NOT result in any significant adverse environmental impacts attachments as necessary, the reasons supporting this determination: Name or lead Agency Print r fy Name of Respo ble If, r cad Agency rill or esp sib •0 icer r nature or spo le Officer in lead Ag•ncy ig ature or I'rnparcr Ili di ferent from responsible orlieerl Date 2 0 r • r PLANNING BOARD MEMBERS SCOTT L. HARRIS 63 rr Bennett Orlowski, Jr., Chairman o�' `�.�" - =sue%'' >� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 199 , John A. Keogh, Secretary Mattituck Fire District Pike Street Mattituck, New York 11952 Dear Mr. Keogh: Enclosed please find ( 2) surveys for '�eaU Please notify this office as to whether any farewells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by cooperation. 199,4-e Thank you for your ery trul u s Bennett Orlowski, Jr. \ Chairman enc. o RAYMOND L. JACOBS � � JAMES A. RICHTER SUPERINTENDENT OF 0 ® ENGINEERING HIGHWAYS 'y.�ol x ��� INSPECTOR 765-3140 765=3070• OFFICE OF THE ENGINEER TOWN OF SOUTHOLD M E M O R A N D U M TO: Bennett Orlowski,, Jr. Chairman, Planning Board FROM: James A. Richter SUBJECT: Short Environmental Assessment Forms SAVA►t A&S4uK-A"I MAtW AbAD • RTC. 7.55 - KAI�(% f-K DATE: Sc;- M # " .i aw • 14o • a%-37 *�BAI]AR`- !A 1 1 R 9 1 As per your request, enclosed please find the short environmental assessment forms for the above referenced. projects. Please be advised that Part III of this form still requires your signature and related information. If you have any questions please do not hesitate to call. enc. I� FEB 61992 " SOUTHOLD TOWN PLANNING OOAEM r . '1i'f16.4(2/87)—Text 12 PROJECT I.D.NUMBER 617.21 S E Q R Appendix C i State. Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME E.S. Kalogeras , P.E. Savan Restaurant 3. PROJECT LOCATION: Municipality Mattituck County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) Main Road 2441 west of Wickham Avenue 5. IS PROPOSED ACTION: ❑New ❑Expansion ❑Modification/afteratlon Existing 6. DESCRIBE PROJECT BRIEFLY: I� Reopen Existing Savan Restaurant 1 7. AMOUNT OF LAND AFFECTED: Initially 0 . 27 0. 2 7 acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? i Yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial KI Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Various Hamlet Businesses i I 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL STATE OR LOCAL)? Yes ❑No If yes, list agency(s)and permit/approvals NYS SPDES and SCDHS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? - ❑Yes ®No If yes,list agency name and permit/approval ' 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MO ❑Yes No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TR T % E Qr~ F � Q LEDGE E.S. Kalo eras P.E. = U r.,.,, Applicant/sponsor name: g _:•:.?I :, ?f le: Nov. 1 4 , 19 91 Signature: If the action is in the Coastal Area, and you are a sta , complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONMENT SMENT (To be completed by Ager A. DOES ACTION EXCEED A Yes No ESHOLD IN 6 NYCRR, PART 617.12? If co ate the review process and use the FULL EAF I ❑ B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration ay be superseded by another Involved agency. Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,It legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: Nb • C2. Aesthetic.agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly- N O C3. Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or threatened or endangered species? Explain briefly: MD C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. O C6. Long term,short term,cumulative,or other effects not identified in CI-05?Explain briefly. IQ O C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. hot V D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes XNo If Yes,explain buefly PART III—DETERMINATION OF SIGNIFICANCE (TO be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. por Check this box if you have determined, .based on the information and analysis above and an su Xdocumentation, that the proposed action WILL NOT result in any significant adverse environmental pimpacts AND provide-on attachments as necessary, the reasons supporting this determination: orting Name of Lead Agency T F not or Type Narne of Kesponsible 011 er m Lead Agency rrtl or esp si V icer I Signature or Kesponvble Officer m Lead Agency ig ature of Preparer tll deferent from responsible othcer) . E ( Date e I 2 t i s t tti` PLANNING BOARD MEMBERS 2 € {• 't��' ' ? SCOTT L. HARRIS t Bennett Orlowski, Jr., Chairman +i< .,r` " �{ Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald ' P.O. Box 1179 Kenneth L. Edwards - Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 4, 1992 E. S. Kalogeras Consulting Engineer One Union Avenue RD #1 Box 530 Riverhead, NY 11901 RE: Savan Restaurant Main Road and Love Lane SCTM# 1000-140-3-37 Dear Mr.` Kalogeras: The following resolution was duly adopted by the Southold -Town Planning Board at a meeting held on Monday, February 3 , 1992 . BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality review Act, start the coordination process on this unlisted action. Please do not hesitate to contact this office if you have any questions regarding the' above. Very truly yours, Bennett Orlowski, Jr. Chairman ofcz ,...:.., !!^^ c..f.,:r.:. PLANNING BOARD MEMBERS ' �� .•; .•'� � rry$,t�. f �� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ::zii ±1 Supervisor George Ritchie Latham, Jr. 41 `'��'± Richard G. Warder Town Hall, 53095 Main Road Mark S. McDonald `r ` `'r P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE - Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 Feb. 4, 19 92 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: Proposed site plan for Savan Restaurant ain Rd. , Mattttuuk SCTM #iOOO-140-3-37 Requested Action: Reopening existing restaurant SEQRA Classification: ( ) Type I (X ) Unlisted Contact Person: Robert G. Kassner (516) -765-1938 The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty ( 30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: ( ) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other. ( See comments below) . Comments: Please feel free to contact this office for further information. Sincerely, Bennett Orlowski, Chairman cc: -Board-of-A-ppea-ls -Buard-Of=Tr- st-ees Building' Department Southold Town Board yF Suffolk County Dept. of Health Services NYSDEC - Stony Brook NYSDEC - Albany S:C:Dept--of-Publ-ic---Wor-ks T.-11 9 - r-my Gor-p-of--Engineers *.- N.Y.S. Dept. of Transportation * Maps are enclosed for your review Coordinating agencies ` ` SCOTT L. HARRIS PLANNING BOARD MEMBERS ,,y Bennett Orlowski, Jr., Chairman �,4.i�, ns" Supervisor George Ritchie Latham, Jr. :... , Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 MEMORANDUM TO: James Richter, Road Inspector FROM: Bennett Orlowski, Jr. , Chairma RE: Review of Short Environmental Assessment Form Proposed site plan for Savan Restaurant Main Road, Mattituck Mattituck SCTM## 1000-140-3-37 DATE: February 5, 1992 Please complete part two of the attached SEAF. If you have any questions, please contact Robert Kassner of this office. Enc. cc: Raymond Jacobs, Highway Superintendent 14.16.4(2/87)—Text 12 PROJECT I.D.NUMBER 617.21 SEQFS Appendix C State Environmental Quality Review ,T SHORT ENVIRONMENTAL ASSESSMENT FORM �i For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME E.S. Kalogeras , P.E. Savan Restaurant 3. PROJECT LOCATION: Municipality Mattituck County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) Main Road 2441 west of Wickham Avenue f 5. IS PROPOSED ACTION: ❑New ❑Expansion ❑Modification/alteration Existing j 6. DESCRIBE PROJECT BRIEFLY: I Reopen Existing Savan Restaurant 7. AMOUNT OF LAND 2AFFECTED: O Initially acres Ultimately 0. 2 7 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? tiJ Yes ❑No If No,describe briefly i 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial KI Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Various Hamlet Businesses 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? -E Yes ❑No If yes,list agency(s)and permit/approvals NYS SPDES and SCDHS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes,list agency name and permit/approval 12. AS A RESULT_ OF5 PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MO ❑Yes L`�No a(`- ¢ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TR Tp''- E EJE O LEDGE qF KaloS eras Applicant/sponsor name: E. . g P.E. Nov. 1 4 , 19 91 j le: Signature: ! / Z• ��.,:Lu �' V 'ICif'If the action is in the Coastal Area, and you are a sta L�tc�en , complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONMEN' "'- 7 "SMENT (To be completed by Ager ' I A. DOES ACTION EXCEED A ' IESHOLD IN 6 NYCRR, PART 617.12? I ce"._r `ate the review process and use the FULL EAF. El Yes ❑No , B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. I ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten.If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological, historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly. C3. Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. 0. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL-ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain buefly PART Ill—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e)geographic scope;and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts.which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, .based on the information and analysis above and any su documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: . IJame of Lead Agency Print or Type Name of Responvble Ulficer in Lead Agency rifle of Responsible lJlficer )ignature of Responsible Officer m Lead Agency I Signature of I'reparer III different from responsible officer) f Date 2 En . KALOGERAS, P. E. _ �o�suc���9 �YLLjU2EE'L ACEC Member Supporting Excellence In Engineering UNION SQUARE ONE UNION AVENUE RD #1 BOX 530 RIVERHEAD, NY 11901 January 27, 1992 Mr. Bennett Orlowski, Jr. Chairman, Planning.Board Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Savan Restaurant Reopening Main Road and Love Lane Mattituck, SCTM# 1000-140-3-37 Zoning District:Hamlet Business(HB) Dear Mr. Orlowski: We are in receipt of your letter of January 22, 1992 and herewith submit a check in the amount of $ 150.00 to replace our original check which you returned. In addition, we enclose herewith nine (9) copies of site plan redrawn to a scale of 1"=20' with details and calculations of parking spaces and your other comments shown thereon. Please be advised that the existing sign shall remain as well as the existing outdoor lighting. The existing outdoor lighting consists of building-mounted incandescent lanterns or lights on the exterior walls. If you need :any additional information on this matter, please call us at your convenience. Thank you, in advance, for your expeditious consideration on this matter. Respectfully submitted, E.S. KALOGERAS, P.E. CONSULTING ENGINEER, E.S. Kalogeras, P. . ESK:ph cc: Mr. James Navas JA S�ANN N�80 RD P1- TEL: (516) 727-5135 / (516) 722-4040 FAX: (516) 722-5093 PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald �y ' `may P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 January 22, 1992 E. S. Kalogeras Consulting Engineer One Union Avenue RD #1 Box 530 Riverhead, NY 11901 RE: Savan Restaurant Main Road and Love Lane Zoning District: Hamlet Business (HB) SCTM# 1000-14073-37 Dear Mr. Kalogeras: The Planning Board has received your letter of January 6, 1992. The following changes must be made before the Board can proceed: 1. Show any proposed outdoor lighting details. 2. Provide sketch of proposed sign if it will be different from the existing sign 3. Owners name and address must be phown. 4. Zoning District must be shown. 5. Parking calculations and the loc4tion of the actual spaces must be indicated.' 6 The scale of the site plan must be 1" = 20 ' Page 2 5avan Restaurant The amount of the check should be one hundred fifty dollars ($150) , instead of the two hundred and five dollars ($205) sent with the application. Accordingly, your check is enclosed. The Board will proceed with its review upon receipt of the above. If you have any questions, or require further information, please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. ($205. 00 check) 4% , eilfFN�-� PLANNING BOARD MEMBERS rf SCOTT L. HARRIS r Bennett Orlowski, Jr., Chairman ® ,!�� Supervisor George Ritchie Latham, Jr. ® ' Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 l TO: Victor Lessard, Principal Building Inspector FROM: Bennett Orlowski, Jr. , Chairman -2Q9Y-Iu�r 5 RE: Site Plan for Savan Restaurant �✓ Main Road & Love Lane Mattituck SCTM# 1000-140-3-37 DATE: December 11, 1991 The attached Planning Board letter requests a site plan from Mr. Kalogeras in response to his request for a SEQRA determination by the Board in order to reopen his restaurant. The Board has not heard from Mr. Kalogeras as to the status of this project. Has the Building Department received any requests for permits or other related activity? �S1� lot �°' ` 'i•' s SCOTT L. HARRIS PLANNING BOARD MEMBERS a° Supervisor Bennett Orlowski, Jr., Chairman P George Ritchie Latham, Jr. ' Richard G. Ward :'� r '' - ' Town Hall, 53095 Main Road Mark S. McDonald '?r�'" J P.O: Box, 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 November 1, 1991 E. S. Kalogeras, P.E. Union Square One Union Avenue RD# 1 Box 530 Riverhead, NY 11901 RE: Savan Restaurant Main Road & Love Lane Mattituck Zoning District: Hamlet Business (HB) SCTM# 1000-140-3-37 Dear Mr. Kalogeras: The Planning Board has received your letter dated October 30, 1991, requesting a State Environmental Quality Review Act declaration be issued for the above referenced property. The Board cannot issue a SEQRA declaration without a site plan application. Enclosed for your use is a site plan application. If you have any questions, or require additional information, please contact this office. Very truly yours, Bennett Orlowski, Jr. GS Chairman . CC: Douglas Feldman, Suffolk County Department of Health Services 3 [LIEU** OF Unum Ir"aL� E. So L �iERAS E. 530 �JG/LC °ATE October 30, 1991 °a N° JN 91-1 Yla. 11�L7Z£E2 i ATTENTION UNION SQUARE,C}NE.UNIpN AVENUE;AD#1 BOX 530, RIVERNEACI,NEW YORK 11901 RE: TEL:(516)727-513$/ (516)722 40401 FAX(516)722-5093 Savan Restaurant - Main Road w/o Wickham Avenue Mattituck, New York Southold, New York 11971 > WE ARE SENDING YOU 29 Attached ❑ Under separate cover via Hand Deliverer the following items: ❑ Shop drawings ❑ Prints -M Plans .❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ZI SEOR Determination.ion as T Par] Agenry COPIES DATE NO. DESCRIPTION 3 10/30/91 Part 1 & 2 SEQR Determination if/Prop. Plans of Sanitary Disposal System in Conjunction with reopening Savan Restaurant O J — /C2, l -x 00, y ff— ' z o G7� l SG✓_y THESE ARE TRA7SMITTED as chec d bel w:c �ElFooval Approved as sdbmitted ❑ Re mlt copies for approval 0 ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment � ,Determination of Significance for Type 1 or Unlisted Actions ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Kindly send your determination to the undersigned with a copy to Mr Doug Feldman of the SCDHS Wastewater Management Section as quickly as possible. A negative declaration will be very helpful to Mr. James Navas in his effort to get ew approval for his existing building. Aul DLD TON:N COPY TO SIGNED— PROMa 240.3 n e Inc,crown,Matt olell. If enclosures are not as noted, kindly notify us at once. � - - -- ' T�VITED S POSTA, Ol��]E�' ORDER ow .- STATE M ' 5 SERIAL NUMBER YEAR,MONTH,DAY POST OFFICE S.DOLLARS AND CENTS PAY TO /� CHECKWRITER - y b Hq I j I I P"t 6' IMPRINT AREA /�wYFs ® 4uao 4sio�+ ADDRESS ✓ ROM a�ftc 2V pj, J ADDRESS (Z20 ` COD NO.OR G] USED FOR 1:00000800 21: 4 5 70 2 28 4 L L Wo, ..„•.:..•. :c..' .�:F ci;C'4N 'F _�Ca1 tl14t,Y'.INW`.:�";.�.',�`� �;t.....'.::,:..�•v��.,,,rvnln:v�r�"��u�la�,a... 'ANZ`Rim•..<vptewwMs M wu M'M vtc�ntmuRT4awN�R c� Ea S. KALOGERAS F70 C.OI21Lf.L�LYLL) �IZQ[YLFE'L ✓✓ JJ ACEC Member Supporting Excellence In Engineering UNION SQUARE ONE UNION AVENUE RD #1 BOX 530 RIVERHEAD, NY 11901 January 6, 1992 Mr. Bennett Orlowski, Jr. Chairman, Planning Board D Town of Southold Town Hall, 53095 Main Road t Southold, New York 11971 �o�o zow� NG BOARD Re: Savan R tour rung Main Roa and Love Lane Mattituck, SCTM# 1000-140-3-37 Zoning District:Hamlet Business(HB) Dear Mr. Orlowski: We have recently received indication from the Suffolk County Department of Health Services that our application for a new sanitary disposal system for reopening the existing restaurant at the above referenced project will be given favorable consideration, subject to SEQRA declaration and some minor sanitary disposal system details. As you are aware, we had submitted for such declaration to you in October of 1991. Your response at that time was that a site plan review application was to be made. We did not submit it to =of mediately, in hope of first receiving favorable Suffolk County Health Department Review hearing determination, which we have recently obtained. Our client, Mr. James Navas, is anxious to proceed with implementation of a new sanitary disposal system (designed in conformance with current Health Department Standards) which was mandated by that regulatory body in order to reopen the existing restaurant. This new sanitary disposal system will be better capable of treating anticipated sewage flows as compared to the older septic disposal system. Since the existing restaurant is within the existing Historic District of Mattituck Hamlet, we are planning to maintain the site and building in the same rustic and rural setting it has occupied for many decades. On-site parking is available for twenty (20) cars and at the design rate of 3/persons per car meets the anticipated restaurant usage of 60 patrons. The existing gravel drive and grass areas will be restored to equal or better condition following construction of the new sanitary disposal system and will continue to provide a rural and rustic setting for the existing restaurant. TEL: (516) 727-5135 / (516) 722-4040 FAX: (516) 722-5093 1 9 ,,.E• ACEC Member Supporti i?onsuftinq 629inEzz Engi neenng Savan Restaurant Reopening....(Cont'd) Page 2. January 6, 1992 We are hopeful that a negative declaration can be determined as quickly as possible for our client's application, in order that the existing restaurant can be expeditiously reopened. If you have any questions or comments regarding this request and submission, please call us at your convenience. We therefore transmit herewith for your consideration a duly executed site plan application with attached money order of$205.00 to cover application fee, nine (9) copies of site plan (signed and sealed) showing proposed septic disposal system and other details, four (4) copies of certified site survey, one (1) copy of short environmental assessment form and one copy of current letter of review from Mr. Douglas Feldman of the SCDHS. Your expeditious review and declaration will be appreciated. Respectfully submitted, E.S. KALOGERAS, P.E. CONSULTING ENGINEER E.S. Kalogeras, P.E. ESK:ph cc: Mr. James Navas Mr. Douglas Feldman E. S. KALOGERAS, P. Consulting Engineer RD#1, Box 530 RIVERHEAD, NEW YORK 11901 DATE October 30, 1991 76a NO.JN 91-1 (516) 727-5135 ATTENTION FAX (516) 369-2009 RE: TO Town of Southold Planning Board Savan Restaurant Main Road Main Road w/o Wickham Avenue Mattituck, New York Southold, New York 11971 > WE ARE SENDING YOU ® Attached ❑ Under separate cover via Hand Delivery the following items: ❑ Shop drawings ❑ Prints -7n Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order -E SEOR Determination ag T,Pad7 Agenr_y COPIES DATE NO. DESCRIPTION 3 10/30/91 Part 1 & 2 SEQR Determination if/Prop. Plans of Sanitary Disposal System in Conjunction with reopening Savan Restaurant THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ] Determination of Significance for Type 1 or Unlisted Actions ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Kindly send your determination to the undersigned with a copy to Mr. Doug Feldman of the SCDHS Wastewater Management Section as quickly as possible. A negative declaration will be very helpful to Mr. James Navas in his effort to ge rs REV ew a roval for his existing building. DLD TOWN `w PLANNI COPY TO SIGNED;,,-::gC D� PRODUCT 240-3 EARS Inc,Groton,Mm 01471, It enclosures are not as noted, kindly notify us at once.