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1000-15.-2-15.1
jl -SUFFOLK COUNTY DEPART14ENT OF HEALTH SERVICES 7 HAUPPAUGE, NY 7 et DAIS 2004 The proposed d s ��eveopment for Ame-li Men I dO74& in the with a total of of lots is EXEMPT from requirements pursuant to Article 6 of the Suf,o!k County Sanitary Code % (,) Section 760-601Q. Watcr SUPnly and C-1 SC1,111p, d' posal faclii,,,; =an etch lot must conform to construction standards in ef,,,,ct at the time of construction and are subject to separate permits pursuant to those standards. VITO A. MINEI, P E. DIRECTOR, DIVISION OF ENvip R.IENTA�LQIJALITY ION�. PLANNING EC)ARD TOWN OF 1SOUTH0LD -7 0 ----------- Ph T t C's 4 DATE -.2-11 J—/�&— . t 'I� �s X401 '0 .4 cri . ......... 440��, V"101 w. 4 colks X46 Ty, 111 A P Jai OF 44 X 27 2 SCALE 1 "=600' 7 x25 C z -------------- SET—OFF MAP x27 7 WLAi7 5 43 1 1 z I DO 00!J E PREPARED FOR AMELIA MENDOZA SITUATED AT I TUA T1, JAN 2 6 2005 ORIENT 2 TOWN OF SOUTHOLD 2 SAaR 477T SUFFOLK COUNTY, NEW YORK N F A\ HOUSE Fi S.C. TAX No. 1000-15-02-15.1 7F.'5 SCALE I"=100' 20� OCTOBER 11, 2001 NO1/[VnFP 29, 2^01 ADDED TOrOCRADHICAL Sl,!RVFY MAY 14, 2002 ADDED SiTE PLAN 2fl +—T-F-7-1 IVU 01 MAY 20, 2002 ADDED L.I,P.A.' EAS_Mr�iT X. _3ANCE, AND IRL-VISEE, Gbl� GUEST H'-F. LEACH,NG PDCILS JUNE 19. 2002 AD011) 0A7 0` CLEAR!'4(; & GROUND D�7LJF LOT I S17FITE'VI 9ER 8. 2CO3 SFT-OFF MAP -FRANC AREA = 306.859.lC sq. ft. - ----- ,,GARA�;E , 7.044 at.OCTOFER 7, 2r03 RFVE SET-07F VAa ------- 0 TIE LINE) I ,24 ----------------------- TOTAL LOT AREA 11,162,605.00 fl. �O POCK 26.690 cc. 24 7X PTI'.)TOCRtk.VJ'F"Ry 13Y ------------- 7 7T P.. "A I'll 543.2 Photo Date: Februery 22, 1999 7 X2?9 543J29 X21.5 E F A01y,S_ 21 1. FLEVATIO 15 APE REFERENCED To N.G.V.D. 1929 DATUM % III EXISTING ELEVATIONS APE SHOWN THUS: X21`4 EXISTING CONTOUR LINES ARE SHOWN THUS:------------Ir--------- �21 1 2. THE LOCATION CF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR CATA OBTAINED FROM OTHERS. 25 X's LIN' 3. FLOOD ZONE INFORMATION TAKEN FROM; FLOOD INSURANCE RATE MAP No.'s 36103^,0067 G & 315103CO069 G -7 ZONE AE� BASE FLOOD ELEVATIONS DETERMINED to ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION); ------ ELE'VAT,jONS PALE FLOOD OFTERM'NED ZONE )(*. AREAS OF 500-YEAR FLOOD; AREAS OF 100-YEAR FLOOD WITI-I AVERAGE DEPTH OF LESS THAN 1 FOOT OR W7H ORAJNACF AREAS LESS THAN 1 SQUARE VILE; AND AREAS PROTECTED Py LEVEES FROM, 100-YEAR FL COD x>< AREAS DETERV`!,FD TO 13� OUTSIDE 500-YEAR FLOOD-ILAN. ZONE X LOT 2 DEED Ll AGE 320. AREA 855,745.90 it. 5. A COVENANT NOT TO FURTHER SUPDIVIDE HAS SEEN FILED IN THE OFFICE OF THE 19.1545 t. A ROAD MAINTENANCE AGREEMENT HAS BEEN FILED 114 THE OFFICE Or THE CLERK OF SUF-POIK COUNTY AS BER 12366 P CLERK OF SUFFOLK CCUN7Y C.IN UW' 00 AS DEED USER 12366 PAGE 319. 4'� x 2,8 0 x 2i.4 C) PLA AT TYPICA L PLO 7 V (NOT TO SCALE) THE EXISTENCE 01' RIGHT OF WAYS X'FA AND/OR EASEMENTS OF RECORD, IF 1> ANY, NOT SHOWN ARE NOT GUARANTEED. PROPERTY L"'417 I HEREBY CER'IFY THAT THIS MAP WAS N14DE BY "US FRO"I ACTUAL SU;�VEYS COMPLETED X16 9 OCT09ER 11, 2001 AND THAT ALL C NCRETE WELL MIND WONU9ENTS SHOWN THUS. m HER ACTUALLY EXIST AI,41� THFIr, Po')S*._V�'�)NS ARE CORRECTLY S'HOWN AND ALYLO�4ENSIONALII E, DETAILS APE.;4�0RPFC-1. AND GEOD [ r '00 J THIS IS TO CERTiFY THE SU,3DIVIS'ON PLAN Hn, � BEEN APPROVED I v atop ♦ X 2 BY THE PLAI`�Nl�C B04RD 0- TH,- TOWN OF C� UTHO',.D BY RESOLUTI'YN \ �'S OF APPROVA!_ DATED BUILDING ss 1 11 1 1 1 �"1 1 5Z� By C� Y94 % BOARD CHAIRMAN PLANNINC SEPTIC TAN, % x 65" 5C'y EXPANSION LEACHING POOL POOL ---------- C, ------ TO X.P \"I ------- • ROA,1 --- --------- __4 AL 0 AL AL 41 x 4 JAL ---------- 20 20, 2 --- --------- --- ------------- --------------- 26NF--------------------------- -- --------- OF LAW114. AE (rI_ 8) 16-, ---- ---------- Ln 6 C� Q'N CLFw'1 � u X94 ---------- 17 0 14A F S�'_QT U111 I TYPIC.1_111L SETVAGE DISID05A.1 s-, I ,r HOI (NOT TO SCALE) V, FIN11�L-IE!D GRADE �, I ,I FIN:-�I GPA-,,- .1.i PPCC.A�T F.7�NFC7�'ED CON�RETE COVER— ------------- I' DE.lP mn 2' DEEP mc _�\— -C2,4 do, LOCK:11,, WATCR-IGHT INSECT Pq'JOF T IRON COVER 70 GRADE ------ MIN. 4* dlo. FIP (,VED P,"r 11O"m;n-4_, M 11. 4' A O"M A APPRO,ED PIPF E777 PITCHED 1/8 X149 INVERT- INVFPT -S E3AFrLE BC70I,' �� II Ix 153 J P SEPTIC TANKACI . , I) J A-' I MINIMUM SEPTIC TANK CAPACIT;FS FOP A I TO 4 PF7100M HOUSE IS 1,1,00 GALLONS. I TANK; IF' LONG, 4'--;' WIDE, f'-7" DEEP 2. CCNr�RETE SH�I_L. W-VIF A MIN"��UM COMPqFSSNE STT':'�TH OF 3.000 psi AT 28 DAYS 3 - 1, , 4 1\ 1, J WAL SHA,L L THICKNESS PC A KVP�IMUV 0� 3". A TO' TP'CVNFSS Or' 6" AND A 17,07TOM Tl,'CKNES� OF 4' wl" ALL WALLS, VOTTOO A',D T, SHALL CON7�,IN P_FORCJt,-. TO RrS'S- AN A"PLIED FOPCF C7 3DO w�f. fj! 4. At; JOI NTS SHAIL BE SEAJ�1, SO THAT THE TAIWIS W471�_RTIIHT, 5. TPE: SFIPTIC TANK SHALL. RF INSTALLTO A7 LF`/FL IN ALL DiP�CTi')Nl (WITH A MAY, 70i_FRA1,CF OF ±1/4") z�_N,, &� PEA GkA� C�l A WI;V,;M 3" THICK OF 'C\:�' PRFr.A11T lrlw 0 6 A 10, min T DI�TANCE FF_rWE'N SEPT C TANK A i2; AND HOU�-�_ SI�A!L Hf k4A)N7&NED 1110 A 1`'� 'S ;Te oF SIN,, fl," i 'tl,',AN' G�10��S. X16 8 1.M.-lyAL T GR,31. WATER ._ _ ___ _ .. _-_____>________ —___— X96 LEACHING POOL I WN"AUNA LFACP'NG SYS F'DR A I TO 4 BFOPOCY, H13L)13F 15 300 Sq ft SIDEAALL APFA I POO!-; 12' DEEP, 5' 6o. TEST HOLE' DATA 2. LEACH!W; POO-S ARE TO Pr CONSTP:JCT7) OF PPECAST REIN73,7�"Fr) =J�RFTC (OP EQ'JA,) A- SOLID DCVES ANVUR StAe,,� (TEST HOLE PV ON ADP?L 18, 20C2) LE :,'HIN17 3 ALL S11PL' P Cr PRECAST REIN"OPCE-) CONCP7TE (OP ECUAL), o. 4, A 10' min D;1 STANCE FTWFFN LEAC"ING POOLS AND WAT.?, LINE SAAII,. Er Mh",-:Att+lo Y W1 F"ON S'--LD"OL 55, AN 1 11 1 X130"A'EEN A:_L LEACHINc, P,)C,!S SHALL FF VAINTA!'q'r). BE ------------ 8' m;n_ DISTANCE .137 X15 6 AN F' m n D;STAI�CE 13P."IN�EN ALL LEACHING POOLS AND SF_PTiC TANK S-fALL BE S�,IWN LOAN SW1, i4", 3 rJ_ I � `\� $ ;z a—, SAW.Sw xg e 8 5, 1c, RW.�N SIC,"'W40 10-2M OPAITJ, __J 4--13' 't !-A TVA 11 " ywN F-F M COARV Skhf) CAP!?'0 7o % % 4 L4 % xt 9 1, -IN r xe 4 qS, C L ------ n G., X73 1:711 > STte P�cns Cc)nstrUC,,1i0r7 _Cy0I,,t Puo"jc- (631)727-2090 F-,)< (6'1)727—`172-7 01'77iCES AT Tin from e pr t'�Oe� m r 0 0 L p -r- K 0 r r se Section 76 r m c un to must C are s ubj e c )VSEPTIC TANS ION OL F0A'-.'J!K1 4%Vr_NUE P.O. Boy 1931, ev York I Q A., s 1 . MAILING ADDRESS: PLANNING BOARD MEMBERS �.r0 D�jy P.O.Box 1179 JERILYN B.WOODHOUSE Southold,NY 11971 Chair y OFFICE LOCATION: Town Hall Annex WILLIAM J.CREMERS y?f�l 54375 State Route 25 KENNETH L.EDWARDS (cor.Main Rd.&Youngs Ave.) MARTIN H.SIDOR Southold,NY GEORGE D. SOLOMON Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 15, 2005 Mr. Bruce Anderson c/o Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932-2003 Re: Proposed Subdivision V Amelia Mendoza Located n/o Main Road 450' east of Greenway East, in Orient SCTM#1000-15-2-1 57 Zoning District: R-80 Dear Mr. An�erson: The following took place at a meeting of the Southold Town Planning Board on Monday, February 14, 2005: The following resolution was adopted: WHEREAS, Amelia Mendoza is the owner of the property known and designated as S0TM#1000-15-2-15.1, located n/o Main Road, Orient; and WHEREAS, this proposal is to subdivide a 7.04 acre parcel (Lot 1) from a 26.69 acre parcel (Lot 2) in Orient; and WHEREAS, this application was classified as a set-off and exempt from the Local Law re: Temporary Moratorium on the Processing, Review of, and making Decisions on the applications for Major and Minor Subdivisions, and Special Use Permits and Site Plans containing dwelling Unit(s) in the Town of Southold, and WHEREAS, on February 10, 2004, the Southold Town Planning Board issued conditional final approval for the proposed action and all conditions have been met; therefore, be it RESOLVED, that the Southold Town Planning Board grant final approval on the maps, dated as revised October 7, 2003, and authorize the Chairperson to endorse the final maps. Mendoza — Page Two —2/15/05 Enclosed please find a copy of the map that was endorsed by the Chairperson. The mylar maps, which were also endorsed by the Chairperson, 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 you have any questions regarding the above. Very truly yours, ?erilyn B. Woodhouse Chairperson cc: Building Department Tax Assessors 1 COVENANT NOT TO SUBDIVIDE t)CLAQA 13 io-D 51--;Ceej-, =V t1, Do 07 WHEREAS, AMELIA MENDOZA�(hereinafter referred to as the "Owner") is the owner of certain real property lying, situate, and being in the Hamlet of Orient, Town of Southold, County of Suffolk, and State of New York, more particularly bounded and described as follows (hereinafter referred to as the "Property"): All that certain piece or parcel of land with improvements thereon, situate, lying and being at Orient Point, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the northeast corner of North Sea Drive where the same is intersected by the westerly line of the land now or formerly of Amelia Mendoza; THENCE along the westerly line of the land now or formerly of Amelia Mendoza, North 06 degrees 47 minutes 05 seconds West, 251.42 feet to a point and the high water mark of Long Island Sound; THENCE along the high water mark of Long Island sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and the land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 360.00 to a point; THENCE South 85 degrees 35 minutes 16 seconds West, 543.29 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 253..58 feet to the point and place of BEGINNING; and 1 WHEREAS, the Property is the subject of a pending application before the Planning Board of the Town of Southold; and WHEREAS, the Owner has offered not to further subdivide the property as a condition of the action. NOW, THEREFORE, the Owner does hereby covenant for herself, her heirs, successors, and assigns to nun with the land, that the Property will not be further subdivided. AMELIA MlfNDOJA STATE OF NEW YORK) STATE OF NEW YORK SS: COUNTY 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 CERT THAT I HAVE COMP E THE ANNEXED COPY OF DEED LIBER J 6;1& AT PAGE / z RECORDED 1 ��/1z,� AND.THAT IT IS A JUST AND TRUE COPY OF 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 THIS ��y f� DAY OFPxuak� CLERK, 12.0189.12/97eg --- My Comm.Expires January 20,2008 2 i COVENANT NOT TO SUBDIVIDE WtY/Z , , /, Nam' cr ,;�7 i00v7 WHEREAS, AMELIA MENDOZAr(hereinafter referred to as the "Owner") is the owner of certain real property lying, situate, and being in the Hamlet of Orient, Town of Southold, County of Suffolk, and State of New York, more particularly bounded and described as follows (hereinafter referred to as the "Property"): All that certain piece or parcel of land with improvements thereon, situate, lying and being at Orient Point, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the northeast corner of North Sea Drive where the same is intersected by the westerly line of the land now or formerly of Amelia Mendoza; THENCE along the westerly line of the land now or formerly of Amelia Mendoza, North 06 degrees 47 minutes 05 seconds West, 251.42 feet to a point and the high water mark of Long Island Sound; THENCE along the high water mark of Long Island sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and the land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 360.00 to a point; THENCE South 85 degrees 35 minutes 16 seconds West, 543.29 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 253.58 feet to the point and place of BEGINNING; and 1 WHEREAS, the Property is the subject of a pending application before the Planning Board of the Town of Southold; and WHEREAS, the Owner has offered not to further subdivide the property as a condition of the action. NOW, THEREFORE, the Owner does hereby covenant for herself, her heirs, successors, and assigns to run with the land, that the Property will not be further subdivided. AMELIA MENDO A STATE OF NEW YORK) STATE OF NEW YORK SS: COUNTY OF SUFFOLK 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 CERT THAT I HAVE COMPARE THE ANNEXED COPY OF DEED LIBER 6�& AT PAGE / - RECORDED / AND THAT IT IS A JUST AND TRUE COPY OF ,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 THIS �� I DAY OFgeq x&a j CLERK . 12-0169.1?/97c9 —�" My Comm.Expires January 20,2008 2 SCHEDULE A 7 ALL that certain piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point along the northerly side of Main Road (S.R. 25), said point being the following two (2) courses and distances from the intersection of the easterly side of Greenway East and the northerly side of Main Road (S.R. 25): (1) North 68 degrees 58 minutes 08 seconds East, 251.52 feet; (2) North 63 degrees 32 minutes,28 seconds East, 199.13 feet to a pipe and the true point and place of beginning; THENCE along land now or formerly of Carlton Terry Latham the following two (2) courses and distances: (1) North 02 degrees 05 minutes 25 seconds West, 337.42 feet to a point; (2) South 83 degrees 12 minutes 55 seconds East, 308.56 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 2,268.16 feet to the high water mark of Long Island Sound; THENCE along the high water mark of Long Island Sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes.25 seconds East, 2,410.20 feet to a point along the northerly side of Main Road (S.R. 25); THENCE along the northerly side of Main Road (S.R. 25), South 63 degrees 32 minutes 28 seconds West, 99.92 feet to a pipe and the point and place of BEGINNING. 3 off IIIlilllllllllllllllilllllllllllllllllllllllllll �i,»,. IIIIIIIIIIIIIIIIIIIIIIIII �,.F SUFFOLK COUNTY CLERK }. . RECORDS OFFICE `> RECORDING PAGE Type of Instrument: DECLARATION/DOP Recorded: 01/19/2005 Number of Pages: 4 At: 09 :42 :23 AM Receipt Number 05-0005762 LIBER: D00012366 PAGE : 319 District: Section: Block: Lot: '1000 015 . 00 02 . 00 015 . 001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt ' Page/Filing $12 . 00 NO Handling $5. 00 NO COE $5 .00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $5 . 00 NO RPT $30 .00 NO SCTM $0 . 00 NO Fees Paid $72 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL I. Edward P.Romaine County Clerk, Suffolk. County 'tat ry Y STATE OF NEW YORK) v� COUNTY OF—Ay ss.: On the /S' day of January, appeared Amelia Mendoza, personaly in hwn to be-or proved to mear 2005,.before ,eto undersigned, personally evidence to be the individual(s) whose name(s) is/are subscribed to the within in acknowledged_to me that he/she/they executed the same ' °n the basis of satisfactory his/her/their signature(s) on the instrument, the individuals I or his/her/their ca aci instrument, and the individual(s) acted, executed the instrument. p ty(ies), and that by )� person upon behalf of which Notary Public e KEVIN NG Notary Public,state of New York No.O1 NG6104470 Qualified in New York County My Comm.Expires January 20,2008 STATE OF NEW YORK) ss.: COUNTY OF Ny , } - r .1— of Tannarv. in the Year 2005,..before-me;Ahe undersigned, personally STATE OF NEW YORK ss.: County 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 have compared the annexed copy of /- /';� 3&& ✓� 3�1U and that it is a just and true copy of such on final of the whole thereof. and IN TESTIMONY HEREOF,I have hereunto set my hand and-fti-d the seal of said County and Court this day a . . . . . . . . . . . . . . . . . . . . w Form No. 104 . . . . . . . . . . . . . . t . . . .Clerk. ,. 12-109..12/89cs i 2 • SCHEDULE A ALL that certain piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point along the northerly side of Main Road (S.R. 25), said point being the following two (2) courses and distances from the intersection of the easterly side of Greenway East and the northerly side of Main Road (S.R. 25): (1) North 68 degrees 58 minutes 08 seconds East, 251.52 feet; (2) North 63 degrees 32 minutes 28 seconds East, 199.13 feet to a pipe and the true point and place of beginning; THENCE along land now or formerly of Carlton Terry Latham the following two (2) courses and distances: (1) North 02 degrees 05 minutes 25 seconds West, 337.42 feet to a point; (2) South 83 degrees 12 minutes 55 seconds East, 308.56 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West; 2,268.16 feet to the high water mark of Long Island Sound; THENCE along the high water mark of Long Island Sound the following .five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to 'a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 2,410.20 feet to a point along the northerly side of Main.Road (S.R. 25); THENCE along the northerly side of Main Road (S.R. 25), South 63 degrees 32 minutes 28 seconds West, 99.92 feet to a pipe and the point and place of BEGINNING. 3 SCHEDULE B ALL that certain piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Orient Point, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the northeast corner of North Sea Drive where the same is intersected by the westerly line of land now or formerly of Amelia Mendoza; THENCE along the westerly line of the land now or formerly of Amelia Mendoza, North 06 degrees 47 minutes 05 seconds West, 251.42 feet to a point and the high water mark of Long Island Sound; THENCE along the high water mark of the Long Island Sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land South 02 degrees 05 minutes 25 seconds East, 360.00 feet to a point; THENCE South 85 degrees 35 minutes 16 seconds West, 543.29 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 253.48 feet to the point and place of BEGINNING. 4 SCHEDULE C ALL that certain piece or parcel of land with the buildings.and improvements thereon erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point along the northerly side of Main Road (S.R. 25), said point being the following two (2) courses and distances from the intersection of the easterly side of Greenway East and the northerly side of Main Road (S.R. 25): (1) North 68 degrees 58 minutes 08 seconds East, 251.52 feet to a point; (2) North 63 degrees 32 minutes 28 seconds East, 244.16 feet to a point and the true point and place of beginning; THENCE North 02 degrees 05 minutes 25 seconds West, 2,070.82 feet to a point and the . southerly line of Lot 1 of the set off map for Amelia Mendoza; THENCE along said lot, North 85 degrees 35 minutes 16 seconds East, 50.04 feet to a point ands, the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 2,050.20 to a point along the northerly side of Main Road (S.R. 25); THENCE along the northerly side of Main Road (S.R. 25) South 63 degrees 32 minutes 28 seconds West, 54.89 feet to the point and place of BEGINNING. 5 1 12 11.3..,.45(3M T) +44 20 CE z)2147 ",z. ,n:Neil Mendoza - ta PO Box 36 33015 Main Road Criert, NY 11957 (631) 765 8088 Fax (.212) 202 4170 Q, 2007 Dear M14,-11-rezza Fire, Rist(ict SCT[0#1000-15-2-15.8 Thanks for your lezter of Mov I V,JP, do inteni," to cornply wib ali requirements. M, ha (List startod to cornpletr the h0LISG on the subdivision after a period of inactivity f(-.)r some time. I apologise Hit appears that there has been any misunderstanding 1 havc. asked our ct-.)rAm:�tcor, M.ark Boeckman, tc, expedite your r-eq.-Jrements as soon as Thank You, T lit NOV 1 3 2007 a- �a{ Orient Fire District Board of Fire Commissioners Joseph S.Wysocki,Chairman - Scott L.Harris Gary L.Tabor-Lloyd A.Kalin•Arthur A.R fgede=-Edward GIgec�$ retaryl�reasure��*� n November 8, 2006 ! I ' W' - 9 2006 �u Southold Town Planning Board PO Box 1179 L - 5 � 'u ioWn Southold,NY 11971 Dear Board Members: In our letter dated January 2, 2005 to the Southold Town Planning Board,the Board of Fire Commissioners of the Orient Fire District stated that they reviewed the installation of the fire cistern on the Mendoza property at 38015 Orient,NY. (SCTM# 1000-15-2- 15.1). It was noted that the installation was completed and met the requirements of the Board of Fire Commissioners with the exception,it was not located as the Board had stated on the map. The Board would accept the fire cistern where it is installed; if the property owner would extend the gravel entrance road 50 feet passed the location of the fire cistern. This extension to be constructed using the same material as the main entrance roadbed. Please note that we also required that the roadway be at a minimum of 15 feet wide. As of this date the property owner as not compiled with the request of the Board of Fire Commissioners and that this fire cistern is still not accessible by fire emergency vehicles. The Board of Fire Commissioners is asking the Southold Town Planning Board if they would address this issue. If you have any question regarding this matter,please inform the Board of Fire Commissioners. Sincerely, Edward Lo r Sec/Treasurer Orient Fire District 23300 Main Road ♦ Orient,NY 11957 ♦ (631)323-2445 ♦ Fax(631)323-9706 MAILING ADDRESS: PLANNING BOARD MEMBERS *pF SO P.O. Box 1179 -`` (/T JERILYN B.WOODHOUSE O� yOl Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR G • Q 54375 State Route 25 GEORGE D. SOLOMON �� J (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND lyCOUNTY, Southold; NY Telephone: 631 765-193 S Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 1, 2007 Ms. Amelia Mendoza 38015 NYS Route 25 PO Box 36 Orient, NY 11957 Re: Fire District SCTM#1000-15-2-15.8 Dear Ms. Mendoza: Please be advised that the Planning Board has been informed by the Orient Fire District in a letter dated October 23, 2007 (enclosed) that you have not yet complied with all of the requirements as set forth by the Board of Fire Commissioners. While the Board has no object to location of the cistern, the gravel entrance extension was never completed and the cistern remains empty at this time. Please be advised that this is the third attempt by the Fire District to have you comply with their requirements. The Planning Board considers this a violation of your subdivision approval and unless we receive notification of your intent to complete the work, your approval will be nullified. In addition, we have informed the Building Department of this issue and have requested that no further building permits or certificates of occupancy be issued for either of the properties in your subdivision. If you have any questions or need additional information, please feel free to contact this office. Sincere , 4 t A P. Trezza Senior Planner Orient Fire District A�u Board of Fire Commissioners Joseph S.Wysocki,Chairman Scott L.Harris Gary L.Tabor•Lloyd A Kalin•Arthur A.Ruroede•Edward G.LopeF,:Secretary/TXeaspreX,_..,,,,...,. October 23, 2007 _ 4 Jeri Woodhouse, Chairperson C C T ? 9 2007 Southold Town Planning Board V PO Box 1179 Southold, NY 11971 - p Dear Board Members: ,,> The Board of Fire Commissioners in their letter dated January 2, 2006 pertaining to the installation of the fire cistern on the Mendoza property.at 38015 Orient,NY. (SCTM# 1000-15-2-15.1). It was noted that the installation was completed and met the requirements of the Board of Fire Commissioners with the exception, it was not located as the Board had stated on the map. The Board would accept the fire cistern where it is installed; if the property owner would extend the gravel entrance road 50 feet passed the location of the fire cistern. This extension to be constructed using the same material as the main entrance roadbed. Please note that we also required that the roadway be at a minimum of 15 feet wide. As of this date the property owner as not compiled with the request of the Board of Fire Commissioners and that this fire cistern is still not accessible by fire emergency vehicles. The Planning Board as not responded our letters of January 2, 2006 and November 8, 2006. The Board of Fire Commissioners is asking for a response addressing the stated issue. Enclosed is a copy of the letter dated November 8, 2006. If you have any question regarding this matter, please inform the Board of Fire Commissioners, Sincerely, Edward Loper Sec/Treasurer Orient Fire District 23300 Main Road ® Orient, NY 11957 + (631) 323-2445 + Fax (631).323-9706 Orient Fire District �� Board of Fire Commissioners Joseph S.Wysocki,Chairman Scott L.Harris • Gary L.Tabor•Lloyd A Kalin•Arthur A.Ruroede•Edward G.Lop..er;Secrelgy/Ticasurer..,.,.:,..:,... October 23, 2007 a 4 a Jeri Woodhouse,Chairperson f y OCT 2 9 2007 ,U, Southold Town Planning Board PO Box 1179 _ Southold,NY 11971 u Dear Board Members: The Board of Fire Commissioners in their letter dated January 2,2006 pertaining to the installation of the fire cistern on the Mendoza property at 38015 Orient,NY. (SCTM# 1000-15-2-15.1). It was noted that the installation was completed and met the requirements of the Board of Fire Commissioners with the exception, it was not located as the Board had stated on the map. The Board would accept the fire cistern where it is installed; if the property owner would extend the gravel entrance road 50 feet passed the location of the fire cistern. This extension to be constructed using the same material as the main entrance roadbed. Please note that we also required that the roadway be at a minimum of 15 feet wide. As of this date the property owner as not compiled with the request of the Board of Fire Commissioners and that this fire cistern is still not accessible by fire emergency vehicles. The Planning Board as not responded our letters of January 2,2006 and November 8, 2006. The Board of Fire Commissioners is asking for a response addressing the stated issue. Enclosed is a copy of the letter dated November 8, 2006. If you have any question regarding this matter,please inform the Board of Fire Commissioners. Sincerely, Edward Loper Sec/Treasurer Orient Fire District 23300 Main Road ♦ Orient,NY 11957 ♦ (631)323-2445 ♦ Fax(631)323-9706 Orient Fire District Board of Fire Commissioners Joseph S.Wysocki,Chairman • Scott L.Harris • Gary L.Tabor•Lloyd A.Kalin•Arthur A,Ruroede•Edward G.Loper,Secretary/Treasurer November 8,2006 Southold Town Planning Board PO Box 1179 Southold,NY 11971 Dear Board Members: In our letter dated January 2,2005 to the Southold Town Planning Board,the Board of Fire Commissioners of the Orient Fire District stated that they reviewed the installation of the fire cistern on the Mendoza property at 38015 Orient,NY. (SCTM# 1000-15-2- 15.1). It was noted that the installation was completed and met the requirements of the Board of Fire Commissioners with the exception, it was not located as the Board had stated on the map. The Board would accept the fire cistern where it is installed; if the property owner would extend the gravel entrance road 50 feet passed the location of the fire cistern. This extension to be constructed using the same material as the main entrance roadbed. Please note that we also required that the roadway be at a minimum of 15 feet wide. As of this date the property owner as not compiled with the request of the Board of Fire Commissioners and that this fire cistern is still not accessible by fire emergency vehicles. The Board of Fire Commissioners is asking the Southold Town Planning Board if they would address this issue. If you have any question regarding this matter,please inform the Board of Fire Commissioners. Sincerely, Edward Loper Sec/Treasurer Orient Fire District 23300 Main Road ♦ Orient,NY 11957 ♦ (631)323-2445 ♦ Fax(631)323-9706 MAILING ADDRESS: PLANNING BOARD MEMB i P.O. Box 1179 JERILYN B.WOODHOUSE V SOUry� Southold, NY 119711 Chair �Q l� , OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR N 54375 State Route 25. GEORGE D.SOLOMON G �O (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND Southold,NY CpUNTY, Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 17, 2006 Amelia Mendoza 38015 NYS Route 25 Orient, NY 11957 Re: Fire District SCTM#1000-15-2-15.8 Dear Ms. Mendoza: Attached please find one (1) copy of a letter dated January 2, 2005 from the Orient Fire District regarding the location of the fire cistern. It has been brought to the Planning Board's attention that the gravel entrance extension was never completed and the cistern remains empty at this time. In order to comply with the subdivision approval, we are asking that you complete the work as required and refer to the attached letter for the specifications. In addition, you should advise the Fire District of your intentions to fill the well or make a request that they come and fill it for you. If you have any questions or need additional information, please feel free to contact this office. Sincerely, Anthony P. Trezza Senior Planner 1 115 PR POSAL I5 TO SET OFF A r (v, (��-IO ACRE PAR FROM AN EXISTING CRE PARCEL LOCATED ON ._ G.nn (�p� 1N SCTM# 1000 SET OFF Complete application received (� Application reviewed at work session • a°` oK .. IK.J. Applicant advised of necessary revision.s ------------- o Revised submission received u°` ox I„ro. --� � I„ro. oK • N � , o Sketch plan approval -with conditions U .b P4 Lead Agency Coordination �, . SEQRA determination �`�� �� o, O� ° Sent to Fire Commissioner Receipt of firewell locatio n oNotification to applicant to include on final map a Sent to County C Planning ommission PZb yU. N l �x r ° Receipt of County Report I„tea OK H Review of SCPC report N Draft Coven nts and Restrictions received z0L `^ v-t J k8., C F(� L 0 I„ro.. OK Draft ovenants and Restrictions reviewed � � ,„ro. ox 0 0�. Filed Covenants and Restrictions �� ® o� � received Q. Receipt of mylars a aper Br- with H w Health approval ,�019 Final Public Hearing Approval of set off 2 -with conditions �jj - Endorsement of set off Z,o Lj �G.N-c �/ • PLANNING BOARD MEMBERS �OSVFF�(/fj'C r 3 O Town llall,.53095 State Route 25 BENNETT ORLOWSKI,JR. O.Z� Gy� Chairman P.O. Box 1179 WILLIAM J. CRL:MERS x Southold, New York 11971-0959 KENNETH L. EDWARDS • �� Telephone (631) 765-1938 GEORGE RITCHIE LA'I HAM,JR. Fax (631) 765-3136 RICHARD CAGGIANO PLANNING BOARD OFFICE 'TOWN OF SOUTHOLD Subdivision Application Form In Name of Subdivision: MENDOZA Suffolk County Tax Map # 1000- 015 - 0 2 - 015.1 Type of Subdivision: Major Minor Set-OEM Lot-Line Cluster Subdivision: Yes No Hamlet: Orient D E C E 0 U E Street Location: 38015 Middle Road DEC - 8 2003 Southold Town Acreage: 26 . 7 acres Planning Board Number of Lots: Two (2 ) Zoning District: A - C Zoning District Date: September 16, 2003 Please list name, mailing address, and phone number for the people below: Applicant: ( see "Property owner" ) Agent handling th--- application: Bruce A. Anderson -Suffolk Env. Consulting, Inca (Contact Person) P.O. Box 2003 ; Bridgehampton, NY 11932 ( 631 ) 537 - 5160 Property Owner(s): Amelia Mendoza 99 Jane Street: Apartment 7 f New York, NY 10014 Surveyor: Joseph A. Ingecrno. L.S. P. O. Box 1931 Riverhead, NY 11901-0965 Engineer: N/A. Attorney: N/A Other Agent(s): N/A Has this property had a previous application to the Planning Board? Yes No Has this property previously received a SEQRA review? Yes No Have you had any pre-submission conferences with the Planning Board? Yes No t . Does this application have variances from the Zoning Board of Appeals? Yes No 1 Appl. No., Date Is this property adjacent to any bodies of water? Yes No Are there any wetlands on the property? Yes No Are there public water mains in an adjacent street? Yes No Is public water proposed for the subdivision? Yes No Is the majority of the property forested? Yes No •Is any part of the property in active agricultural use? Yes No Is there an existing or proposed sale of development rights on the property? Yes No Is there a mortgage on the property? Yes No Does the owner own any adjacent properties? Yes No Are there any building permits currently p riding on this property? Yes No Signature of Prep • r Dale y. 14-1,6-2 (2I87)-7c 617.21 SEQR I 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 f lexible 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 complete(! for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this FAF (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, k therefore a CONDITIONED negative declaration will be prepared.` i ❑ 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 MENDOZA Name of Action Nanie of I.ead Agency Print or Type Name of Responsible Officer in Lead Agenc y Title of Responsible Officer Signature of Responsible Offii cr in Lead Agency Signature of Preparer(If different from responsible officer) [)ate 1 PART 1—PROJECT INFORM) JN 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. NAME OF ACTION MENDOZA LOCATION OF ACTION (Include Street Address, Municipality and County) 38015 Middle Road; Orient; Town of Southold, NY (Suffolk County) NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Bruce A. Anderson — Suffolk Environ. Consultin , Inc (631i.537-5160 ADDRESS P.O Box 2003 ; Bridgehampton, NY 11932 CITY/PO ZIP CODE Bridgehampton 11932 NAME OF OWNER(If different) IBUTSINESSTELEPHONE Amelia Mendoza i ADDRESS 99 Jane St. ; Apartment 7f CITY/PO ]TNY E ZIP CODE New York 10014 DESCRIPTION OF ACTION PLEASE REFER to the ATTACHED ADDENDUM. 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: OUrban Olndustrial ❑Commercial LSdResidential (suburban) ORural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 26 . 7 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 25 .E acres 25_ 0 acres k Forested acres acres ' F Agricultural (Includes orchards, cropland, pasture, etc.) acres acres ! Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0 . 3 acres 0 . 3 acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces 0 . 2 acres 0 . 2 acres Other (Indicate-type) Shoreline/Bluff 0 . 8 acres 0 . 8 acres 3. What is predominant so-ilI Ype(s) on project site? Haven Loam a. Soil drainage: hJWell drained 100 % of site ❑Moderately well drained % of site ❑Poorly drained 44, 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? N/A acres. (See 1 NYCRV37 . 4. Are there bedrock outcroppings on project site? ❑Yes a. What is depth to bedrock? N/A (in feet) 2 PROJECT DESCRIPTION for the MENDOZA Property Situate: 38015 Middle Road (C.R. 48/North Road); Southold, NY SCTM #: 1000 — 015 — 02 — 015.1 Applicant proposes to modify the existing lot lines between the two properties referenced above (Lot 1 & Lot 2, respectively) in order to create a Set-Off. The northern 7.0 acres of subject property is proposed to become Lot 1, while the remaining southern 19.6 acres of subject property is proposed to become Lot 2. In addition, a covenant will be filed for Lot 1 barring any future subdivision thereon. Please refer to the attached the Set-Off Map attached herewith, prepared by Joseph A. Ingegno, Land Surveyor, last dated September 8, 2003. 5. Approximate percentage of prof: I project site with slopes: K15 0% �/— % LJ1()•15% 4+/— % % or greater 1 + —% 6. Is project substantially contiguous to, or It ain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ZN 8. What is the depth of the water table? > 17 (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ❑Yes Zo 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes 53 No 11. Does project site c tain any species of plant or animal life that is identified as threatened or endangered? ❑Yes No According to Bruce A. Anderson—Suffolk Env. Consulting, Inc. Identify each species 12. Are there any uni o qur unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes No 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 eo include scenic views known to be important to the community? ❑Yes 15. Streams within or contiguous to project area: N/A 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 (No name: located wit in central- b. Size (In acres) 0 . 3 (within prop. } western se tion of property) I 17. Is the site served by existing public utilities? Yes ❑No i a) If Yes, does sufficient capacity exist to allow connection? 19'Y s ❑No b) If Yes, will improvements be necessa, to allow connection? Yes ❑No 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 k 19. Is the site located in or substantially contiguoiN1 o a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes o �� 20. Has the site ever been used for the disposal of solid or hazardous wastes? []Yes No Ir *NOTE: Upon approval of. the "Set-Off", the northern lot will contain seven (7) acres with an existing residential dwelling theron. 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 26 .7 acres. I b. Project acreage to be developed: 7 • 0* acres initially; 7 • 0* acres ultimately. j c. Project acreage to remain undeveloped N/A acres. d. Length of project, in miles: N/A I (if appropriate) f e. If the project is an expansion, indicate percent of expansion proposed N/A %; f. Number of off_street parking spaces existing; two (2 ) proposed N/A r g. Maximum vehicular trips generated per hour N/A (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Fancily Condominium j Initially one (1) Ultimately Two ( 2 ) i. Dimensions (in feet) of largest proposed structure N/A freight; N/A width; N/A length. N/A l j. Linear feet of frontage along a public thoroughfare project will occupy is? 100 . 0 ft. 3 2.' How much natural material ( rock, earth, etc.) will be reZN/A ed from site? N/A tons/cubic yards 3. Will disturbed areas be reclaimed? OYes . EINo a. If yes, for what intend._- purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclaration? ❑Yes ONO c. Will upper subsoil be stockpiled for reclamation? Dyes ONO 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? N/A acres. 5. Will any mature or (over 100 years old) or other locally-important vegetation be removed by this project? OYes No 6. If single phase project: Anticipated period of construction N/A months, (including demolition). 7. If multi-phased: N/A 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 ph Xes? OYes ONO 8. Will blasting occur during construction? OYes No 9. Number of jobs generated: during construction N/A after project is complete N/A 10. Number of jobs eliminated by this project N/A 11. Will project require relocation of any projects or facilities? ❑Yes C]'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 discharge cj� 13. Is subsurface liquid waste disposal involved? OYes No Type 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 ye flood plain? OYes No 16. Will the project generate solid waste? ❑Yes .gNo a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? OYes ONO c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? OYes ONO e. If Yes, explain 17. Will the project involve the disposal of solid waste? OYes 4No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? y ars. 18. Will project use herbicides or pesticides? Dyes No 19. Will project routinely produce odors (more than one hour per day)? OYes S No 20. Will project produce operating noise exceeding the local ambiZO t oise levels? ❑Yes V 0 21. Will project result in an increase in energy use? OYes If yes , indicate type(s) — 22. If water supply is from wells, indicate pums)ina; capacity N/A gallons/minute. 23. Total anticipated water usage: per clay N/A gallons/day. _� 24. Does project involve Local, State or Federal funding? OYes (�No If Yes, explain 4 25. Approvals Required: Submitta, .. „ - Date City, To Village Board ❑ es WNo City, own, illag tanning Boar Vyes VN o Subdivision approval PP City, Town Zoning Board ❑Yes o City, County Health Department M.Yes o _ Other Local Agencies Dyes 10 Other Regional Agencies ❑Yes 5 N State Agencies ❑ Yes Federal Agencies Dyes C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? [1 Yes ❑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 "Set—Off" 2. What is the zoning class ification(s)of the site? A — C Zoning District �E 3. What is the maximum potential development of the site if developed as permitted by the present zoning? F. l Fourteen (14 ) lots. 4. What is the A — C Zoning District proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted b the y proposed zoning? Fourteen (14 ) lots 6. Is the proposed action co i consistent with the recommended uses in adopted local land use plans? yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? Half—acre lots surround the property on average. 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? Two (Set—Off) a. What is the minimum lot size proposed? 7 . 0 acres 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes Z 11 . Will the proposed action create/� demand for any community provided services (recreation, education, police, fire protection)? Dyes o a. If yes, is existing capacity sufficient to handle projected demand? Dyes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? Dyes 52No 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 discuss such impacts and the measures which you propose to mitigate or avoid them. #. E. Verification I certify that the info r iati I vided above• is true to the best of my knowledge. Applicant/S ns r Name B A. Anderson — Suffolk Env. Cons. Date Sept. 16, 2003 Signature r Title 'T If the act' n is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with thi assessment. 5 i'. G-, P LSE REFER to the ATTACHED DENDUM 1). INI+ORMATIONAL i)I+ i'AIL,S ANI) \VATh,R SUPPLY NARRATIVE REQUEST j (1(tlonal lnfOrnliltlOn as (iriy be needed to clarify your project. If there are or clay be any Attach a11Y ad s adverse impacts a550CIatC(1 with our proposal, please discuss such impacts and the measures which You propose to rlut(gate or avold I}iCnt. 1. Provide explanation of existing site use, occupailey, structures, sanitary flow, water use; compare to .proposed use, occupancy, structures sanitary flow, water use. 2. Indicate the soln-cc of-water supply, nearest public water maid, nearest public well field, and adjacent private wells (if IU)oNVO). 3. If public water supply is proposed, indicate (lie abilil.y of the water utility to provide water supply to the project. Provide letter of water availability or detailed explanation of status of review by water utility. 4. If private water supply is proposed, indicate the well specifications, water quality based on on-site water duality data. Provide Suffolk County Department of Ilealth Services approval or detailed explanation of status of review by agency. 5.. Indicate proposed water conservation measures that will mitigate for unavoidable adverse impacts (If any). Conservation measures should include,but not be limited to: a. 'flue use of drought tolerant plants for landscaping. b. The preservation of existing native vegetative buffers. [ c. The conservation of existing open space areas. I d. The implementation of "natural" stormwater management practices (grass swales, filter strips, created wetlands, etc...). E. VERIFICATION I certify that the information provided above is true to the best of my knowledge. Applicant/Spons?Namiie;OA�t14 D. - va — Suffolk Date val Consulting,IncSignature Title If the action is oastal Area, and you are a state agency, complete the Coastal Assessment Forin before prg with this assessment.. j I i k G ADDENDUM to the MENDOZA Application Situate: 38015 Middle Road(C.1L 48/North Road); Orient; Town of Southold,NY SCTM#: 1000-015-02-015.1 Concerning D. Informational Details of the Environmental Assessment Form—Part I(Long Form) 1. Provide explanation of existing site use, occupancy,structures, sanitary flow, water use; compare to proposed use, occupancy, structures, sanitary flow, water use. Subject property is currently improved in the northern section with a private single family residence, garage and swimming pool. Subject improvements are currently serviced by typical sanitary systems and a private well. The proposal to Set-Off subject property is to ultimately gain approval to construct a second dwelling within the resultant southern lot(Lot 2),which would contain 19.6 acres, and would be serviced by a typical sanitary system and private well comparable to the existing utilities found within the resultant northern lot(Lot 1). Sanitary flow will not exceed 300 gallons per day per lot. Please note that this proposal for a Set-Off will result in only two (2) lots and will not be for the full fourteen(14) lots allowable within an A—C Zoning District, as. per the Town of Southold Zoning Code. 2. Indicate the source of water supply, nearest public water main,nearest public well field, and adjacent private wells (if known). Source of water supply for the proposed northern lot(Lot 1) is currently from the Suffolk County Department of Health approved private well, as will be for the proposed southern lot(Lot 2)upon determination to improve thereon. Nearest public water main is located approximately four(4) miles to the west of subject property. The nearest public well field and adjacent private wells have not been determined at this time. 3. If public water supply is proposed, indicate the ability of the water utility to provide water supply to the project. Provide letter of water availability or detailed explanation of status of review by water utility. N/A 4. If private water supply is proposed,indicate the well specifications,water quality based on on—site water quality data. Provide Suffolk County Department of Health Services approval or detailed explanation of status of review by agency. Because the lots to be created would contain 5 acres, no approval from the Suffolk'County Department of Health Services for subdivision would be required. Subject property benefits from a Suffolk County Department of Health Services approval(R.10—02—0102)concerning the improvements located within the northern section of subject property which will become the resultant northern lot (Lot 1) upon approval for Set-Off. 5. Indicate proposed water conservation measures that will mitigate for unavoidable adverse impacts (if any). Proposed Lot 1 greatly exceeds the minimum density requirements specified by the Suffolk County Sanitary Code,to wit: the minimum lot size is Groundwater Management Zone IV is 40, 000 square feet for lots not to be served by public water. Thus,the creation of Lot 1 to comprise 306, 859 square feet not to be subdivided exceeds the minimum sanitary code requirements by a factor of seven, thereby constituting as an important mitigation measure for water conservation. Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/03/05 Receipt#: 7307 Transaction(s): Reference Subtotal 1 1 Park & Playground .1 supple $2,000.00 Check#: 7307 Total Paid: $2,000.00 . .Name: Mendoza, Amelia 38015 Main Rd Orient, NY 11957 Clerk ID: LINDAC Internal ID: 15-2-15.1 supple �OgVFFO(�CO MAIUNG ADDRESS: PLANNING BOARD MEMBERS ��� G,y P.O.Box 1179 JERILYN B.WOODHOUSE Southold,NY 11971 Chair ca = OFFICE LOCATION: � • `F Town Hail Annex WILLKENNE H L EDWARDS y��.( �a�� 54375 State Route 25 (cor.Main Rd.&Youngs Ave.) MARTIN H.SIDOR Southold,NY GEORGE D. SOLOMON Telephone: 631 765-1938 Fag: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM RECEIVED To: Elizabeth Neville, Town Clerk F E B 3 2005 From: Planning Department Date: February 3, 2005 Southold Town Clerk Re: Check(s) Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. l Project Name Project SCTM # Amount Check Type ## Mendoza, Stand. Sub. 15-2- $2,000.00 Supple. P & P 7307 Amelia 15.1 Fee 1 enc(s). Town Of Southold jLL � P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 01/27/05 Receipt#: 7263 Transaction(s): Reference Subtotal 1 1 Park& Playground 15-2-15.1 $5,000.00 Check#: 7263 Total Paid: $5,000.00 ( JAN 2 8 2005 Name: Mendoza, Amelia 38015 Main Rd Orient, NY 11957 Clerk ID: LINDAC Internal ID: 15-2-15.1 MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE Southold,NY 11971 Chair C y OFFICE LOCATION: WILLI ,f, �'F Town Hall Annex ENNE M J. EDWAR S �f� a0 54375 State Route 25 KENNETI L. EDWARDS �` (cor.Main Rd. &Youngs Ave.) MARTIN H. SIDOR GEORGE D. SOLOMON Southold; NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM RECEIVED To: Elizabeth Neville, Town Clerk All ? % 2005 From: Planning Department Southold Town Clerk Date: January 26, 2005 Re: Check(s) Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. l Project Name Project Type SCTM # Amount Check # Mendoza, Amelia Stand. Sub. 15-2-15.1 $5,000.00 P & P Fee 7263 enc(s).' Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/05/04 Receipt#: 6170 Transaction(s): Subtotal 1 Application Fees $250.00 Check#: 6170 Total Paid: $250.00 RDIE C E Fo JAN - 6 2004 Southold Town Planning Board Name: Suffolk, Environmental Consulting Bruce Anderson P O Box 2003 Bridgehampton, NY 11932 Clerk ID: LINDAC Internal ID:86072 I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I(IIIII IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: AGREEMENT Recorded: 01/18/2005 Number of Pages: 6 At: 09 :42 :23 AM Receipt Number : 05-0005762 LIBER: D00012366 PAGE : 320 District: Section: Block: Lot: 1000 015 . 00 02 .00 015 .001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $18 .00 NO Handling $5 .00 NO COE $5 .00 NO NYS SRCHG $15 . 00 NO Affidavit $0 .00 NO TP-584 $0 .00 NO Notation $0 . 00 NO Cert.Copies $7 .50 NO RPT $30 . 00 NO SCTM $0 .00 NO Fees Paid $80 .50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Edward P.Romaine County Clerk, Suffolk County Suffolk Environmental Consulting, Inc. Newman Village, Main Street;P.O. Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S.,President Hand Delivered March 1, 2005 Southold Town Planning Board C/o Mark Terry Southold Town Hall P. 0. Box 1179 Southold, NY 11971 Re: Mendoza Situate: Rt.25, Southold SCTM # 1000 � Dear Members of the Board, Attached herewith please find a 2 mylars and 3 paper prints for the two-lot subdivision referenced above. You will note that all maps contain the certification of filing from the County Clerk's office. incerely, Bruce A. Anderson E u Cc. N. Mendoza (filed map encl.) Suffolk Environmental Consulting, Inc. Newman Village, Main Street; P.O. Box 2003, Bridgehampton,New York 11932-2003 d (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S., President Hand Delivered February 8, 2005 Southold Town Planning Board C/o Mark Terry Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Mendoza Situate: Rte. 25, Orient SCTM # 1000-15-2-15.1 Dear Members of the Board, Attached herewith please find a 5 mylars and 7 paper prints for the set-off referenced above. Please have these maps signed during the work session of February 14, 2005 as agreed. I will then cause the maps to be filed with the County Clerk's office. jncerely, Bruce A. Anderson a i DEB Cc. N. Mendoza Suffolk Environmental Consulting, Inc. Newman Village, Main Street;P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S., President November 2, 2004�,� Southold Town Planning Board � - C/o Mark Terry Southold Town Hall P. 0. Box 1.179 '� g Southold, NY 11971 Re: Mendoza 2 4 2005 y Situate: Rte. 25, Orient SCTM # 1000-15-2-15.1 _^ Dear Members of the Board,As you know, this Firm represents Amelia Mendoza who owns the property referenced above. The approval for the subdivision expires on February 10, 2005. .Enclosed herewith please find the certified copy of the covenant barring further subdivision of the waterfront parcel and the road maintenance agreement in satisfaction of condition 2 and 4 of the approval resolution. I will be shortly be submitting the required mylars and paper prints for signature and filing. As discussed with your staff,,you already have the Health .Department exemption for the subdivision. The exemption provided certifies that the Health Department does not regulate this subdivision. I am informed that the Health Department.is not going to re-certify the exemption on your mylars because the Health Department does not regulate the proposed action. I am in receipt of correspondence from the Fire District. Please be advised that the cistern was installed as per the in the location specified by the Fire District. The area approved by the Fire District was staked out in the field by a licensed land surveyor and the cistern was installed in that area. The requirement to further widen the road to the north of the cistern is acceptable to my client. However, we would resist you amending your own approval and suggest that.the widening of the northerly portion of the road simply be implemented and that the Chief Building Inspector of the Town link the approval of the widened road to the issuance of Certificate of Occupancy. Please let me know if you require further discussion on this contents of this correspondence. Sincerely, .Bruce A:Anderson Co. N. Mendoza azt 2. y Number of pages TORRENS Serial# Certificate# Prior Ctf.# 3; .5. Deed . Mortgage Instrument Deed/Mortgage Tax Stamp Recording Filing Stamps 3 FEES c. J Page/Filing Fee Mortgage Amt. L Basic Tax Handling 5. 00 2.Additional Tax TP-584 Sub Total Spec./Assit. Notation ., or EA-5217 (County) Sub Total._:, T Spec./Add. TOT MTG TAX EA-5217(State) Dual Town Dual County R.P.T.S.A. ` Held for Appointment Transfer Tax Comm. of Ed. 5. 00 M,�;, Mansion Tax • .om 4 r Affidavit..., . ,Nn°�� The property covered by'this motgage is }; . or, will be improved by a one or two Certified Copy family dwelling only. „_ i _....__ YES or NO : Reg. Copy Sub Total If NO, see appropriate tax clause on Other Grand Total page# of this instrument. . � 4 1 District1000 Section 015.00[Block 02.00 Lot 015.001 5 Community Preservation Fund Real Consideration.Amount $ `. Property ZI Z sur=r ar_r; 1 G Tax Service s COUNT', ' � 1�1 o CPF Tax Due fJ Agency ',. G.re , , Improved Verification Vacant Land 6 Satisfaction/Discharges/Release List Property Owners Mailing Address RECORD &RETURN TO: TD Suffolk Environmental Consulting;Inc. TD P.O. Box 2003 .Bridgehampton,NY 11932 TD 7. Title Company Information -Co. Name Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANT and RESTRICTIO; S made by: (SPECIFY TYPE OF INSTRUMENT) AMELIA MENDOZA, The premisis herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the Township of �OUTHOLD TQYVN OF SOUTHOLD PLANNING In the VILLAGE BOARD or HAMLET of ORIENT BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING (over) 1 2 Number of pages ._'l.�C•`.? .far! TORRENS Serial# ^ ' Certificate# i :FIRM �.: Prior Ctf.# `` Deed Mortgage Instrument Deed/Mortgage Tax Stamp Recording I Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1:Basic Tax Handling 5. 2.:Additional Tax. TP-584 Sub Total Spec./Assit. Notation or., EA-5217 (County) Sub Total Spec./Add. TOT.'rVm Tom.;,, EA-5217 (State) Dual Town Dual County R.P.T.S,A. Held fmAppointment Tr ansfer Tax Comm. of Ed. 5. 00 n' ' `` Mansion Tax s �q�HneQ6a The property covered b this mot a e is eC:erti a�it—,. �� P P Y Y g gorwill be improved `by a one or two ied Cop w :. family dwelling o. y- YES or NO Reg.Copy Sub Total If NO,see appropriate tax clause on Other Grand Total page# of this instrument. 4 1 District1000 Section . 015.00 Block 02.00 Lot 015.001 5 Community Preservation Fund Real Consideration Amount, : $ Property F r�u<,;. , • Tax Service a` CPF Tax Due $ SrUFFOL.K Agency a cOUNrr , Improved Verification Vacant Land 6 Satisfaction/Discharges/Release List Property Owners Mailing Address RECORD&RETURN TO: TD Suffolk Environmental Consulting,Inc. TD P.O.Box 2003 Bridgehampton,NY 11932 TD 7 Title Company Information Co.Name Title# g Suffolk County Recording & Endorsement Page This page forms part of the attached Agreement made by: (SPECIFY TYPE OF INSTRUMENT) AMELIA MENDOZA The premisis herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the Township of SOUTHOLD In the VILLAGE or HAMLET of ORIENT BOXES 6 THROUGH 8 MUST'BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING (over) COILS 3 MAINTENANCE AGREEMENT � � 4,0-Gqn/ ST, zi; Nay L� ; ti ti� yCl is 1,0P0 WHEREAS, Amelia Mendoza is the owner of a certain parcel of real property described in Schedule "A" annexed hereto ("overall parcel"); and WHEREAS, a certain lot is being created from said overall parcel described in Schedule "B" annexed hereto; and WHEREAS, because the parcel described in Schedule `B" needs access to and from said property to the Main Road, a right-of-way is hereby established, more particularly described in Schedule "C" ("right-of-way"). r NOW, THEREFORE, it is hereby declared that the following maintenance agreement shall be established. The owner of the parcel described in Schedule `B" shall be responsible for seventy-five j (75%) percent of the cost of the maintenance of said right-of-way in a passable condition sufficient to allow emergency vehicles, delivery vehicles, and private passenger vehicles to pass to and from said property described in Schedule `B." The owner of the remaining property shall be responsible for twenty-five (25%) percent i of the cost of the maintenance of said right-of-way in a passable condition sufficient to allow j emergency vehicles, delivery vehicles, and private passenger vehicles to pass to and from said .property described in Schedule `B." The declarant does hereby covenant that any conveyance of the remaining parcel shall be made subject to the right-of-way as well as the maintenance agreement contained herein. AMELIA MEND A 1 SCHEDULE A ALL that certain piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point along the northerly side of Main Road (S.R. 25), said point being the following two (2) courses and distances from the intersection of the easterly side of Greenway East and the northerly side of Main Road(S.R. 25): (1) North 68 degrees 58 minutes 08 seconds East, 251.52 feet; (2) North 63 degrees 32 minutes 28 seconds East, 199.13 feet to a pipe and the true point and place of beginning; THENCE along land now or formerly of Carlton Terry Latham the following two (2) courses and distances: (1) North 02 degrees 05 minutes 25 seconds West, 337.42 feet to a point; (2) South 83 degrees 12 minutes 55 seconds East, 308.56 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 2,268.16 feet to the high water mark of Long Island Sound; THENCE along the high water mark of Long Island Sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 1 l minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 2,410.20 feet to a point along the northerly side of Main.Road (S.R. 25); THENCE along the northerly side of Main Road (S.R. 25), South 63 degrees 32 minutes 28 seconds West, 99.92 feet to a pipe and the point and place of BEGINNING. 3 SCHEDULE B ALL that certain piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Orient Point, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the northeast corner of North Sea Drive where the same is intersected by the westerly line of land now or formerly of Amelia Mendoza; THENCE along the westerly line of the land now or formerly of Amelia Mendoza, North 06 degrees 47 minutes 05 seconds West, 251.42 feet to a point and the high water mark of Long Island Sound; THENCE along the high water mark of the Long Island Sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 seconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minutes 44 seconds East, 75.04 feet to a point and land now or formerly of Martin J. Bancroft, Jr.; THENCE along said land the following two (2) courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land South 02 degrees 05 minutes 25 seconds East, 360.00 feet to a point; THENCE South 85 degrees 35 minutes 16 seconds West, 543.29 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 253.48 feet to the point and place of BEGINNING. 4 SCHEDULE C ALL that certain piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Orient, Town of.Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point along the northerly side of Main Road (S.R. 25), said point being the following two (2) courses and distances from the intersection of the easterly side of Greenway East and the northerly side of Main Road (S.R. 25): (1) North 68 degrees 58 minutes 08 seconds East, 251.52 feet to a point; (2) North 63 degrees 32 minutes 28 seconds East, 244.16 feet to a point and the true point and place of beginning; THENCE North 02 degrees 05 minutes 25 seconds West, 2,070.82 feet to a point and the . southerly line of Lot 1 of the set off map for Amelia Mendoza; THENCE along said lot, North 85 degrees 35 minutes 16 seconds East, 50.04 feet to a point ands the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 2,050.20 to a point along the northerly side of Main Road (S.R. 25); THENCE along the northerly side of Main Road (S.R. 25) South 63 degrees 32 minutes 28 seconds West, 54.89 feet to the point and place of BEGINNING. 5 •r STATE OF NEW YORK) COUNTY OF � N iE appeared On the /5, day of January, in the year 2005, before me, the undersigned, Amelia Mendoza, personally known to be or proved to me on the basis ofsatisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the acknowledged to me that he/she/they executed the same in his/her/their ca a rd within instrument, and his/her/their signature(s) on the instrument, the individual(s), or the person upon that by the individual(s) acted, executed the instrument. p If of which Notary Public i KEVIN NG Notary Public,State of New York No.01 NG6104470 Qualified in New York County MY Comm.Expires January 20,2008 1 ` STATE OF NEW YORK) ss.: COUNTY OF Ny , - A— of Tnminrv. In the year 2005, before me, the undersigned, personally i STATE OF NEW YORK ss.: County 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 compared the annexed copy of 3(� 3C� and that it is a just and true copy of such on inal of the whole thereof. ��,, � e and IN TESTIMONY WHEREOF,I have hereunto set my hand and a� d th ee seal of said County and Court this l�� day of �Jll ;�d© a . . . . . . . . . . . . . . . . .� � r .' ; Form No. 104 /� �' Clerk. 12-109..12/89cs r k C ' 2 �tl✓V Suffolk Environmental Consulting, Inc. y✓I j Newman Village, Main Street, P.O. Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S., President Hand Delivered January 31, 2005 Southold Town Planning Board C/o Mark Terry Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Mendoza Situate: Rte. 25, Orient SCTM # 1000-15-2-15.1 Dear Members of the Board, 9-Attached herewith please find.a copy of the curb cut permit issued by New York State Department of Transportation for the set-off referenced above. Sincerely, . IL Bruce A. Anderson V FEB Cc. N. Mendoza p(8/93) STATF--NEW YORK DEPARTMENT OF TRANSPOF'_-ION ,Y HIGHWAY WORK PERMIT 10-04-0662 ,Permit Fee: 1 0-04' 0 6 6 2 15.�0 : Permit No.: a�nsurance Fee,.25 Project Identification No.: 'Total Received:j0;J0 10/01/2005 Expiration Date: g Check.or M,R42R43 8380 SH No:: 0.00 Deposit Rec.for$ Check or M.O. No.: ' a 3 j Dated: *Permittee Estimated Cost otftrk Performed in the State Right-of-Way$ Attu,NENDOZA 69621i181i Chargeable to Bond No. t5,WARREN STREET.14 (= 500040) or Undertaking on File: R ;NEN:YORC, NY' 10001>>, . . atte.MATT D. IVANS Billing Address (complete if different from above) Return of Deposit Made Payable to:(complete if different from Permittee) 631-531-5160 :.:.. t Under the provisions of the Highway Law or Vehicle&Traffic Law,permission is hereby granted to the permittee to: PTO-TOPSTRUCT'& PERMANTLY MAINTAIN RESIDENTIAL ACCESS ON THE NIS/O NYS RTE. 25, BETWEEN NMS 1743-1144, AND OTHER INC I' 9 AENTA'[ADRK AS PER`,ATTACHED_ PLANS & SPECS. EXISTING ACCESS SHALL BE REMOVED & SITE RESTORATION SHALL BE ROBE. All NO RK SHAL°L 8 E' T01ATISFACTION OF.:RESIDENT ENGINEER. ALL WORK SHAH BE DONE IN ACCORDANCE WITH APPROVED PLANS, NYS SPEC 5 OV ASOBE. MAIMT',&. PROTECTION OF TRAFFIC SHAH BE THE RESPONSIBILITY OF THE PERMITTEE AT, ALL_ TIMES UNTIL COMPLETION` TFiE PERMITTEE IS RESPONSIBLE FOR THE MAINTENANCE AND PROTECTION OF TRAFFIC. ANYONE WORKING IN THE STATE " HIGHWAY RIGHT=OF-WAY IS REQUIRED TO WEAR HIGH VISIBILITY APPAREL(ORANGE/YELLOW)AND HARD HAT. CourFOIK r . SOUTHOLD Municipality Z5 Route# `...rv, asset forth and represented in the attached application at the particular location or area, or over the routes as stated therein,if required; and `.w.pursusnt to the conditions and regulations general or special, and methods of performing work, if any; all of which are set forth in the application and form of this permit. Dated at: N,Y. Dat Commissio ,r Transportati ��UfiENE SMITH By: , IMPORTANT THIS PERMIT,WITH APPLICATION AND DRAWI G(OR COPIES THEREOF)ATTACHED SHALL BE P ED IN TH OF THE CONTRACTOR ;I ;BEFORE ANY WORK BEGINS.THE HIGHWAY WORK PERMIT SHALL BE AVAILABLE AT THE SITE DURING CONSTRUCTION. BEFORE WORK IS STARTED AND UPON ITS COMPLETION,THE PERMITTEE ABSOLUTELY MUST NOTIFY THE RESIDENT ENGINEER,, 7a 7- 721 *k '„ ,,•, KEEVVINi2MATTH3AiEI 1900 COUNTY �RD 1�5p8gg gggg�� § UPON.COMPLETIdI WARK AUTHORIZED, THE FOLC�VVING' VLM 8OINPLETED, SIGNED BY THE PERMITTEE AND DELIVERED TO THE ..i RESIDENT ENGINEER. suthorized.by this permit has been completed. Refund of deposit or return/release of bond is requested. E DATE PERMITTEE AUTHORIZED AGENT.(if Any) . 4 Work authorized by this permit has been satisfactorily completed and is accepted. Reverse side of this form must be completed F O. Refund of Deposit'is authorized Return of Bond is authorized Amount:charged-against Bond may be released Retain Bond for future permits. O ' Other DATE RESIDENT ENGINEER The Regional Office will forward this form to the Main Office with the appropriate box checked. 0 .Permit closed - Bond returned/released ' 0 Refund'of Guarantee Deposit on this permit is authorized ` k ; ' DATE REGIONAL TRAFFIC ENGINEER The'issuing authority'reserves the right to suspend or revoke this permit, at its discretion without a hearing or the necessity of showing cause; either before.or during the operations authorized. - The Permittee will cause an approved copy of the application to be and remain attached hereto until all work Under the perm It is satisfactorily ��compieted, in accordance with the terms of the attached application.All damaged or disturbed areas resulting from work Performed pursuant to ,this permit will be repaired to the satisfaction of the Department of Transportation. ' Upon completion of the work'within the state highway,right-of-way, authorized by the work permit;the person, firm, corporation,:`` f municipality, Or.state department or agency; and his or its successors in interest,,shall be respon'lbi for.the maintenance and repair of such'work.or portion of such work as set forth within the terms and conditions of the Work permit. , PERM 42p(8.1433) REVERSE !'T:,I"EE'.'i'h`al REPORT For each fiiulrw Work Permit issued, InSpc?Gunn.; will be'perforrned. The following report must be completed for each site visit, indicating the date, inspector and hours spont on inspection. li the total inspection time exceeds 1 hour, then Al FIN 12;(�'ERtYIIT INSPECTION! COST llrGC)RD FOR DEPARTMEPITSERVICES) IS REQUIRED. f; 1. INSPECTION REPORT HOUIRS WORKED BY DATE HOURS Name _• Dalo._---_ --- -._ i ---- ---- -- Regular Ovartime -- o Narr, - Dale Regular Overtime N;:.;ne Dat, i ! ` Regular Overtime L R F-T O R=Regular Time, 0-ON/er_01TIC Ii�IJl'RUC'TIE''i l`�: , 1. NAME: Name.of inspector. 2. DA-rE: Day inspected. 3. R: The number of F-oqular hoE.ris spent on inspection Tar that day. 4. O: The n�!m`�er of Overtime horns spent on inspection Tor drat day. 5. HOURS: Add across for R i-md 0. 6 TOTAL HOURiS: Acid the colcimns for R and O. COMMFI�lTS;t.�FtF4f r�VA�'IONf ! HEREBY C[_nTIFY THAT THE INF1'_"RViA'T10N CONTAINED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. NAME .----—--- —-- - -- -- l i �V(::. PERM 41-1d(4186) METHOD OF PERFORMING WORK Icy.: J WITHIN THE STATE HIGHWAY RIGHT OF WAY ;_+_: I. GENERAL CONDITIONS ;n These conditions and regulations apply to Highway Work Permits authorizing work within the State highway right-of-way for water mains,gas mains,sewer lines and miscellaneous structures. General conditions apply to telephone and telegraph installations as well as specific conditions on the setting and resetting of poles. These conditions, and any special conditions which } . are added to this form, are enforceable by the Department of Transportation. Y A. TIME 1.• Work under the permit shall be commenced within thirty(30)days from the date of permit issuance unless a later starting date is approved by the Regional Traffic Engineer. :61 gc. 8. REQUIREMENTS All the current requirements of the following shall apply: Occupational Safety and Health Administration,Federal Department of Labor,Safety and Health Standards(29 CFR 192611910); Part 131,Title 0,New York Code of Rules and Regulations, Accommodation of Utilities Within State Right-of-Way; New York State Department of Labor, Industrial Code Rule 23,Protection of Persons Employed in Construction and Demolition Work;Industrial Code Rule 53,Construction,Excavation and Demolition Operations At Or Near Underground Facilities. Temporary soil erosion and water pollution controls shall be used as required.The final decision on the method of underground installation will be made by the Regional Director or his representative. 1. Work Within Pavement and Shoulder Areas a. Installations that cross the pavement and shoulder area.Wherever practical,all underground installations shall be placed beneath the pavement and shoulder areas without disturbance to these paved surfaces. .1) Boring,Jacking, and Tunneling Methods DESIGN a) The location of all excavations (jacking pits, etc.) shall be shown in plan and profile. b) The soil profile and groundwater conditions shall be determined by adequate subsurface exploration. c) The location of all other existing utilities shall be shown. dl The construction equipment and procedures to he used shall be described in the permit application. e) The design of all excavations, including ground and surface water control where necessary,shall be made available for review by the Department. f) The underground installation shall be described in detail, i.e. size, length, depth,material, provisions for grouting, etc. 11 g) Pipes shall generally be enclosed in sleeves or larger pipes.Small diameter services 12 inch I.D.or.smaller)may be placed without sleeving at the discretion of N.Y.S.D.O.T. h) The limits of an open excavation shall not be closer than 10 feet to the edge of the pavement unless approved by the Department. Open excavations shall be !�: protected with the required controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transporta• tion, Manual of Uniform Traffic Control Devices. CONSTRUCTION a) Grouting operations may be required if surface settlement,loss of soil or voids around the pipe develop.When grout is required,it shall consist of 1 part cement to 2 parts sand,by volume, and sufficient water to produce a consistency suitable for placing the grout. bl Backfill of open excavations shall be as required under 2.) f) Open Excavation Method. 2) Open Excavation Method DESIGN a) The location of all pavement crossing by the open excavation method shall he shown in plan and profile. b) The soil profile and groundwater conditions shall be determined by adequate subsurface exploration. c) The location of all other existing utilities shall be shown. d) The design of all excavations, including ground and surface water control where necessary, shall be made avaiable for review by the Department. e) When requested, the construction equipment and procedures to be used shall be described in the permit application. f) Pipe installations shall be done according to the requirements of the appropriate New York State Department of Transportation's Standard Sheets.The required granular material shall meet the material requirements for Select Granular Fill in the current New York State Department of Transportation's Standard Specifications including addenda. Exceptions will only be allowed if prior approval is granted by the Regional Soils Engineer. g) Pavement shall he saw cut at termination points of pavement replacement. CONSTRUCTION a) Pavement and shoulder removal shall be done in a manner that provides for proper restoration of the replacement section.Straight,vertical cuts of the pavement will be required.Pavement surfaces that become undermined shall be cut back and removed.Alternative repair methods may be used if prior approval is granted. b) The backfill material shall be placed and compacted according to the requirements for backfilling structures,culverts,pipes,conduits and direct burial cable described in Section 200, Earthwork, New York State Department of Transportation's Specifications,including addenda. c) Generally,cuts shall be filled at the end of each working day.With prior approval,steel cover plates may be used. Recessing of these plates may be required. d) Temporary pavements and shoulders shall be placed as soon as a crossover installation is completed. b. Installations that are longitudinal to the pavement. 11 Open Excavation Method DESIGN a► The location of all open excavations shall be shown in plan and profile. h) The soil profile and groundwater conditions shall be determined by adequate subsurface exploration. c) The design of all excavations, including ground and surface water control where necessary, shall be made available for review by the Department. d) The location of all other existing utilities shall be shown. e) Pipe installations shall be done according to the requirements of the appropriate New York State Department of Transportation's Standard Sheets.The required granular material shall meet the material requirements for Select Granular Fill in the current New York State Department of Transportation's Standard Specifications, • including addenda. Exceptions will only be allowed if prior approval is granted by the Regional Soils Engineer. CONSTRUCTION a) Pavement and shoulder removal shall be done in a manner that provides for proper restoration of the replacement section.Straight,vertical cuts of the pavement will be required.Pavement surfaces that become undermined shall be cut back and removed.Alternative repair methods may be used if prior approval is granted. b) The backfill material shall be placed and compacted according to the requirements for backfilling structures,culverts,pipes,conduits and direct burial cable described in Section 200, Earthwork, New York State Department of Transportation's Specifications, including addenda. c) Generally,cuts shall be filled at the end of each working day.With prior approval,steel cover plates may be used. Recessing of these plates may be required. d) Permanent or temporary pavement shall be placed immediately as sections of the total installation are completed to subbase elevation.Gravel surfaces in shoulder areas may be used if prior approval is granted. 2► Boring, Jacking, and Tunneling Methods DESIGN a) All the requirements of B.I. a. 1.) DESIGN a) through g) shall apply. CONSTRUCTION a) All the requirements of B.1 a. 1.) CONSTRUCTION a) and b)shall apply. b) Open excavations shall be protected with the required controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transportation, Manual of Uniform Traffic Control Devices. c) The requirements of B.1. b. 1.) CONSTRUCTION d) shall apply. 2. Work Outside the Pavement and Shoulder Areas a. Open Excavation Method DESIGN a1 All the requirements of B.1. b. 1.) DESIGN shall apply. b) Open excavations shall be protected with the requried controls far safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transportation, Manual of Uniform Traffic Control Devices. I CONSTRUCTION a) The backfill material shall be placed and compacted according to the requirements for backfilling structures,culverts,pipes,conduits and direct burial cable described in Section 200, Earthwork, New York State Department of Transportation's Specifications, including addenda. i.. 7 PERM 41-1d (4186) REVERSE b. Boring,Jacking, and Tunneling Methods ? a) All the requirements of B.1..a. 1.) DESIGN a)through f)shall apply. '+ b) Open excavations shall be protected with the required controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transportationn, Manual of Uniform Traffic Control Devices. CONSTRUCTION a) All the requirements of B. 1. a. 1.) CONSTRUCTION shall apply. C. SUBBASE, PAVEMENT AND SHOULDER REQUIREMENTS (including manholes) 1. Subbase F a. The subbase course shall be a minimum of 12 inches thick unless otherwise approved.The material shall meet the requirements of current Department of Transportation subbase course item as specified by the Regional Soils Engineer. b. Under the permit,construction which adversely affects the subsurface drainage of the pavement structure shall be corrected by the addition of surface or subsurface drains,as required. 1 2. Pavement and Shoulders a. Permanent The replaced pavement shall he similar to the existing pavement in composition and texture. The selection of the material type and compositon shall he subject to the approval of the Regional Director or his representative.The limit of:pavement replacement shall he such that the replaced pavement is supported by thoroughly compacted subbase material and the pavement is restored to the proper grade, cross-slope and smoothness. When bituminous concrete mixtures are required for the pavement replacement,the layers shall consist of one or a combination of mixture types contained in Table 401.1, Composition of Bituminous Plant Mixtures in Section 401 of the New York State Department of Transportation's Specification,including addenda.The mixture shall be placed at the proper temperature, without segregation, and compacted thoroughly. When portland cement concrete mixtures are required for pavement replacement,the mixtures shall consist of either Class C or Class F as contained in Table 501.3,Concrete Mixtures in Section 501 of the New York State Department of Transportation's Specifications,including addenda.Class F is a high early strength mixture and should be used when early opening to traffic is desired. The concrete mixtures shall he placed without segregation,then consolidated,finished to the proper elevation,and textured.Curing the concrete pavement shall be in accor- dance with one of the methods permitted.in Section 502 pertaining to curing. Pavement shoulders, curbs, gutters and other incidental features shall he replaced in kind unless otherwise approved by the Regional Director or his representative. b. Temporary Pavement that is replaced temporarily may he paved with either a hot bituminous concrete mixture mentioned above or a cold bituminous patching mixture.When a cold patching mixture is used it shall consist of aggregate and bituminous material proportioned and mixed in a bituminous mixing plant or rotating paddle shaft pugmill.Regardless which patching mixture is used it shall he laid on a prepared foundation and thoroughly compacted.Since cold bituminous patching mixtures are subject to distortion by traffic,the temporary patch shall be maintained to provide a smooth surface until the pavement is permanently replaced. 3. Manholes Manhole frames and covers shall have sufficient structural adequacy to support the roadway traffic.The type of manhole frame and cover shall be approved by the Regional Director or his representative.The manhole frame shall be set flush with the surface of the roadway unless otherwise permitted by the Regional Director or his representative. D. MAINTENANCE AND PROTECTION OF TRAFFIC T. Traffic is to he maintained at all times during the progress of this work and adequate signs,barricades and lights shall be provided in accordance with the provisions of Sub-chapter H of the N.Y.S.Department of Transportation's Manual of Uniform Traffic Control Devices.A maintenance and protection of traffic plan may he required.No lanes shall he closed without prior approval. 2. The applicant shall erect and maintain suitable barricades around all trenches while work is in progress for the protection of the public,and they shall be suitably lighted by yellow lights at night.The work shall be carried on in such manner that not more than 100 feet of trench in earth remains open at end of day's work. 3. No pavement cuts are to be left unfilled over night,except in emergencies,and in such cases,adequate precautions must be exercised to protect traffic.Prior approval must .� be obtained to use steel plating. 4. No construction materials or equipment shall be left on the shoulders or pavement after working hours,nor shall any construction equipment or material be placed in any manner or location that will obstruct highway or railroad warning signs. 5. All open trench in the highway right-of-way shall he barricaded.There shall be conspicuously displayed bright red flags no less than 24"x 24"attached to such barricades and illuminated at night with flashing yellow lights.If in the judgment of the representative of the Commissioner of Transportation,flagmen are necessary,they shall be employed 1 by the permittee and on duty at all times during the progress of the work so as to direct traffic and maintain yellow flashing lights, etc. 6. Soft shoulder signs of adequate size,not less than 24"square,shall be erected and maintained on all backfill trenches within the shoulder area until the backfill is thoroughly settled. These signs shall be located at the beginning of each section of work at intersections and at a distance not greater than 1000 feet apart. 7. During winter conditions highway shoulders shall be maintained free of obstructions which would interfere with snow removal and ice control. B. The permittee shall keep the traveled way free of foreign objects such as rocks,timber and other items that may fall from transporting vehicles.Spillage of material carried by or dropped from the under-carriage of any carrying vehicle resulting from the permittee's hauling operations along or across any public traveled way shall be removed immediate- ly and such traveled way, both within and outside of the work limits, shall be kept free of such spillage by the permittee. E. COMPLETION OF WORK 1. All work is to be performed in a manner approved by the Resident Engineer of the State Department of Transportation. 2. All disturbed areas shall he returned to their original condition in a manner satisfactory to the Commissioner of Transportation or his representative 3. The permittee shall he required to restore shoulders and ditches and clean up the highway as his work progresses.All driveways shall be restored with material in kind and i to their original conditions. 4. All surplus earth and rubbish shall be cleaned up and removed from the highway right-of-way upon completion of the work,and the highway left in a neat and orderly condition. 5. As built plans showing final grade of new installation and existing underground facilities encountered shall be provided to N.Y.S.D.O.T.if variation from approved design plans occurred during construction. s F. NECESSITATED FUTURE WORK 1. The applicant agrees,that any present or future injury to or disturbance of the highway,its slopes or gutters,caused by placing mains and service pipe shall be repaired by the applicant at his own expense and in accordance with the requirements of the State Department of Transportation. 2. If necessity arises in the future because of the work on the State Highway system and/or its structures,requiring the removal, relocation or replacement of the installation 1 authorized by the permit,said work shall be done as directed by the Commissioner or his representative,and all cost and expense so incurred shall be the obligation of the said permittee or his successor in interest. H. TELEPHONE- TELEGRAPH INSTALLATIONS A. SETTING OF POLES 1. All poles shall he set outside the ditch lines so that the proper drainage of the highway will not he interfered with.In case it is impracticable to set poles so as not to interfere with the flow of water in the ditches, the shoulder, ditch and space around the poles shall be paved by the applicant to protect against wash. 2. There shall be no obstruction to private driveways, connecting highways or roads, paths or sidewalks. 3. In case it is found necessary to trim trees within the boundaries of the highway,the least possible amount shall be done,and in all cases the consent of the abutting property owner must be secured before the poles are set and trees trimmed. 4. Poles shall he of sufficient length to provide a clearance of not less than eighteen feet between the wire and the crown of the highway,under the worst condtitions of temperature and loading.They shall be set in line and properly plumbed.They shall be well guyed. No guying to trees, unless by special permission of owner.Special precautions shall be taken on curves and where lines cross from one side of highway to the other. Poles shall-he straight,sound,and the fittings shall be of sufficient strength to carry wires under the worst condition of loading (ice,wind, etc). 5. Where telegraph and telephone wires cross high tension power lines, electric light or trolley wires,special precaution shall be taken to maintain proper clearance under the worst condition of temperature and loading. B. RESETTING POLES 1. If necessity arises in future,because of work on the highway,to relocate,replace or reset poles,cables or conduits,said work shall be done at the expense of the applicant. III. SPECIAL CONDITIONS A. In addition to the aforementioned conditions,if it is found necessary by this Department to add to or otherwise modify the same,it is to be understood such changes shall form a part of the permit and he complied with immediately upon notice. IV. ADDITIONAL SPECIAL CONDITIONS AND SKETCHES • See Attached Sheet. PERM 33m(1/97) STA. _1F NEW YORK DEPARTMENT OF TRANSPC_...4TION PREPARE 3 COPIES HIGHWAY WORK PERMIT APPLICATION FOR NON-UTILITY WORK (photocopies acceptable). r Application is hereby made for a highway work permit: For Joint application,name and address of Second Applicant below: Name Amelia Mendoza Name Matt D. Ivans-Suffolk Env. Cons. Inc.. Address 45 Warren Street ; # 4 Address P. O. Box 2003 . city New York State NY zip 10007 City BridgehamptonState NY Zip 119 3 2 Federal I.D.No.or Social Security No. i Applicant Telephone No. ( 6 31 ) 5 3 7-516 0 Project Identification No. - � z Contact person in case of emergency Matt D. Ivans r, V I Highway Work Permit No v Telephone No.of contact person ( 6 31 ) 5 3 7-516 0 RETURN PERMIT TO:(It different from above) RETURN OF DEPOSIT/BOND TO:(complete only if different from permittee) Name Matt D. Ivans - Suffolk Name Environmental Consulting, Inc. Address P•O. BOX 2 0 0 3 Address city BridgehamptoAate NY Zip 11932 city State zip 1. Estimated cost of work being performed instate highway right-of-way $ 1, 500 . 00 ril 1 2004 I� ril 15 2004 2. Anticipated duration of work: From 1C i19, thru )� 719 to apply to the operation(s)checked on the reverse side. 3. Protective Liability Insurance covered by Policy No. ;expires on 19 cc CL 4. A$20.00 fee will be charged for checks returned by the bank. PROPOSED WORK(Brief description): pp p Applicant proposes to perform a "curb—cut" in order 1 � cc to provide suitable access to subject property from Main Road (S.R. I Q 25 ) . I I I ATTACHED: Plans X Specifications LOCATION: State Route 25 State Highway between Reference Marker and Reference Marker Townof: Southold County of: Suffolk SEQR REQUIREMENTS:(Check appropriate item) i X Exempt Ministerial Type II EIS or DEIS Lead Agency If project is identified to be ministerial,exempt,or TYPE II,no further action is required. If project is determined to be other than ministerial,exempt,or TYPE ll,refer to M.A.P.7.12-2,Appendix A SEAR REQUIREMENTS FOR HIGHWAY WORK PERMITS. Acceptance of the requested permit subjects the permittee to the restrictions,regulations and obligations stated on this application and on the permit. ' Applicant Signature Please r per the attalg)ged. O Vner' s Endorsement 19 . Second Applicant Signature Date i Approval recommended 19 By Resident Engineer Residency NO Y Approved 19 By Regional Traffic Engineer Region PERMIT IS ISSUED CONTINGENT UPON LOCAL REQUIREMENTS BEING SATISFIED. ' Perm 17 Total Amount QUa�g41h► CHECK TYPE O :RATION Permit InsFeaence or Under of Fee and/or (Ispo.'t tindtor TakingInsurance �{OIh1 An1011ht 5. SinVriv, ob- Permit issued for each job a. or roadway 1. esidential $ 15 $ 25 2. ❑Commercial- Minor 550 175 a.❑ Home Business 100 75 3. ❑Commercial- Major- (Less than 100,000 square feet Gross Building Area) 1400 N/A 4. ❑Commercial- Major-(100,000 square feet Gross Actual cost with 2000 N/A Building Area and Greater Minimum of t app. . 9 ) upon permit app. 5. ❑Subdivision Street 900 N/A 6. ❑Temporary access road or street 200 150 b. ❑Improvement 1. ❑ Residential 15 25 -2. ❑Commercial Check additional description below: a. ❑ Install sidewalk, curb paving, stabilized shoulder, 200 150 drainage, etc. b. ❑ Grade, seed, improve land contour, clear land of 100 75 brush, etc. c. ❑ Resurface existing roadway or driveway 50 50 I j d.❑ Annual resurfacing of residential and commercial roadways or driveways. 1. ❑ Per County 150 N/A Z 2. ❑ Per Region ' 400 N/A m c. ❑Tree Work 1. ❑ Residential 15 25 O 2. ❑Commercial (not required for pruning if utility has annual 25 50 a maintenance permit) O Check additional description below: Z a. ❑ Removal or planting b. ❑ Pruning, applying chemicals to stumps, etc. d. ❑Miscellaneous Construction 1. ❑Beautifying ROW- (for Civic Groups only) NC 25 2. ❑Temporary signs, banners, holiday decorations a. ❑ Not-for-profit organizations NC 25 b.❑ Organizations other than not-for-profit 25 25 3. O Traffic control signals 500 175 4. ❑Warning and entrance signs 25 50 5. ❑Miscellaneous- Requiring substantial review 400 175 6. ❑Miscellaneous 25 50 6. ❑ Encroachment caused by D.O.T.acquisition of property 25 50 Q 7. ❑Compulsory permit required for work performed at the request of D.O.T. a. ❑Building demolition or moving requested by D.O.T. NC 25 kid ao:',.. . 40- 1. ❑ Demolition 2. ❑ Moving u b. ❑Improvement to meet Department standards NC 25 Q ` 8. ❑Miscellaneous 25 25 F' 9. ❑Adopt a Highway NC N/A PERM 33 (1/97) Guarantee Deposit Check Number or Bond Number REVERSE OWNER'S ENDORSEMENT (TO BE SIGNED IF APPLICANT IS NOT OWNER) STATE OF NEW YORK) COUNTY OF SUFFOLK)' SS: i AMELIA MENDOZA , being duly sworn, deposes and says; I reside at 48 Palace Gardens Terrace; London England In the County of , and the state of , and I am the (owner in fee) (officer of the Corporation which is owner in fee) of the premises described in the foregoing application and that I have authorized Suffolk Environmental Consulting, Inc. to make the foregoing application as described herein. 'Signature Signature If Corporation, name of corporation and Officers Title Officer's Title Before me, this g day of pri , 2002 Notary Public PATRICIA RICHARDS Notary public, State'of New York No. 01 R16042467 Co Qualified in Suffolk County mmission Expires May 30, 2002 Suffolk Environmental Consulting, Inc. y Newman Village,Main Street,P.O.Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S.,President Hand Delivered January 26, 2005 Jerilyn B. Woodhouse, Chair Southold Town Planning Board P. O. Box 1179 Southold, New York, 11971 Attn: Mark Terry RE: Mendoza Situate: Route 25, Orient SCTM # 1000-15-2-15.1 Dear Ms. Woodhouse, Submitted herewith please find five mylar copies and seven paper print copies of the.survey prepared by Joseph A. Ingegeno last dated October 7, 2003 for the subdivision referenced above. Each mylar and paper print have been stamped and signed by the surveyor and engineer. I also attached a check made payable to the Town of Southold in the amount of$5000.00 covering the required park fee. As evidenced by this and our prior submissions all conditions of approval have been satisfied in this application. I am aware that the Orient Fire District is requesting some additional clearing of the road north of the approved fire cistern. I have discussed this request with my client who is amenable to further widening the right of way. I suggest that the widening of the right of way be linked to a condition of the Certificate of Occupancy (as is the curb cut permit) so that the map can be signed and filed. This approval expires on February 10, 2005 and thus it is important to me that the map be signed and filed by that date. In the vent that that the signing of this map is delayed by you, I request further extension of the approval. Please act on this map in advance of the February 10, 2005 expiration date. Your anticipated cooperation is appreciated. ncerely Bruce A. Anderson JAN 2 6 2005 ° �outho!d T-3-wn G!„ i.r, „,"d Orient Fire District January 2,.2005 ., '! Mark Terry - 5 2005 Senior Environmental Planner Southold Town Planning Board PO Box 1179 Southold,NY 11971 - Dear Mark Terry: The Board of Fire Commissioners has reviewed the installation of the fire cistern installed on the Mendoza property at 38015 Orient,NY. (SCTM# 1000-15-2-15.1). The Chiefs of the Fire Department recently inspected the installation. It was noted that the installation was completed and that it meets the requirements of the Board of Fire Commissioner,with one exception, it was not located on the property where the Board of Fire Commissioners had specified on the map. The Board of Fire Commissioners will accept the fire cistern where it is located, if the property owner will extend the gravel entrance road 50 feet passed the location of the fire cistern. This extension to be constructed using the same material as the main entrance roadbed. Please note that we also required that the roadway be at a minimum of 15 feet wide. If you have any question regarding this matter, please inform the go °d d Fire Commissioners. Sincerely, Edward Loper Sec/Treasurer Orient Fire District 23300 Main Road ♦ Orient,NY 11957 ♦ (631) 323-2445 ♦ Fax(631) 323-9706 �OSUFFO(�CO MAILING ADDRESS: PLANNING BOARD MEMBERS h�0 Gy P.O.Box 1179 JERILYN B.WOODHOUSE Southold,NY 11971 Chair y Z y, n� OFFICE LOCATION: RICHARD CAGGIANO • Town Hall Annex WILLIAM J.CREMERS �aO� 54375 State Route 25. KENNETH L.EDWARDS (cor:Main Rd. &Youngs Ave.) MARTIN H.SIDOR Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 13,2004 Edward Loper, Sr. Orient Fire District P.O. Box 761 Orient, New York 11957 Dear Mr. Loper: RE: Mendoza: SCTM# 1000-15-2-15.1 l Enclosed is a copy of the November 2, 2004 letter from Suffolk Environmental i Consulting to the Southold Town Planning Board regarding the above set-off. We are seeking approval for the fire cistern that has been installed in the specified location. Thank you for your cooperation. Very truly yours, Mark Terry Senior E ironmental Planner enc. PLANNING BOARD MEMBERS ® C® MAILING ADDRESS: h r/,j, P.O. Box 1179 JERILYN B.WOODHOUSE ® Southold,NY 11971 Chair CA v, rZ OFFICE LOCATION: RICHARD CAGGLANO • Town Hall Annex WILLIAM J.CREMERS yOly® a�� 54375 State Route 25 KENNETH L.EDWARDS (cor.Main Rd. &Youngs Ave.) MARTIN H. SIDOR Southold,NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 4, 2004 Mr. Edward Loper, Sr. Secretary, Orient FD P.O. Box 761 Orient, NY 11957 Dear Mr. Loper: RE: Mendoza: Route 25, Orient SCTM # 15-2-15.1 The Southold Town Planning Board is requesting confirmation via letter that th.,e above- referenced fire cistern is operational to the Orient Fire District's standards 5lease see attached correspondence and photos). Thank you for your cooperation. Very truly yours, Ma B. Terry enior Environ ental Plan atts. Suffolk Environmental Consulting, Inc. Newman Village, Main Street;P.O.Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S.,President November 2, 2004 Southold Town Planning Board C/o Mark Terry Southold Town Hall D E l�rC E p� P. 0. Box 1179 U Southold, NY 11971 Re: Mendoza NOY - 3 2004 Situate: Rte. 25, Orient Southold Town SCTM # 1000-15-2-15.1 Planning Boar Dear Members of the Board, As you.know, this Firm represents Amelia Mendoza who owns the property referenced'above. On February 10, 2004, we received approval from you for 7.04 acre set-off(see enclosed) That approval required, among other things, installation of a fire well, which was subsequently amended by the Orient Fire District for a fire cistern. Please be advised that the required cistern has been installed at the property in the location specified by the District. Enclosed herewith please find photographs showing the installation and completion of the fire cistern. You will note that condition #3 required submission of a covenant guaranteeing the installation of a fire well prior to issuance of a Certificate of Occupancy for a single family dwelling on lot#2. Obviously, there would be no need for a covenant to be filed relating to fire protection on this site. Thus, assume no-such covenant is required. incerely, Bruce A. Anderson - CC. N. Mendoza (photos encl.) Orient Fire District (photos encl.) M� l� Ezcecaoa ' STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION 250 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 1 1 788-55 1 8 SUBIMAL CHAKRABORTI, P.E. JOSEPH H. BOARDMAN REGIONAL DIRECTOR CO •ER October 28, 2004 lJ Mr. Bruce A. Anderson OC Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003 south°«T0�'�n Bridgehampton,New York 11932-2003 Your September 23 2 04 u mission Mendoza Property- Subdivision/Residential Access Site Plan Dated 10/11/01, Last Revision 9/16/04 Route 25, Orient SCTM 1000-015-02-015.1 Our Case No. 04-62P Dear Mr. Anderson: This is in regard to the site plans for the referenced project which were submitted to us for review. Prior to an approval of the site's access and issuance of a New York State Highway Work Permit, the following items must be addressed: 1. A driveway profile or on site elevations, including elevations at the State highway right- of-way line, shall be shown on the plans to insure that all drainage is contained on site since we do not permit runoff from property onto our State highways. Please provide this information which was part of the site plan requirement checklist that we previously sent to.you. 2. It should be noted that this access is being reviewed and pending approval for residential use only, which includes four (4) family units or less. Should development occur in excess of that or should any commercial activity occur on site, the property owner is required to submit plans and secure a Highway Work Permit for commercial and/or subdivision street access to this site. 3. Any utility work proposed in State Highway right-of-way will require separate application and submission of plans (installation details, restoration details and Maintenance and Protection of Traffic plan- all referenced to NYSDOT specification item numbers and the Manual of Uniform Traffic Control Devices)to our Riverhead Maintenance facility. The applicant may contact Mr. Kevin Matthaei at(631) 727-1731 for further directions regarding Utility Highway Work Permit (HWP)applications. The applicant should be made aware that utility HWP issuance is subject to issuance of the HWP required for site work. Mr.Bruce A.Anderson October 28,2004 Page 2 Site plan approval for highway work permit issuance is contingent upon our receipt of all of the following items within six (6) months of the date of this letter and no further revisions are made to the plans once we approve them. Kindly submit four sets of the revised plans, permit fee and surety bond (sample enclosed). It is also mandatory that protective liability insurance be provided by the permittee. This must be accomplished by submitting a completed Perm 17, Certificate of Insurance, in accordance with Option A (form enclosed), or by submitting the fee specified below to be covered under the NYSDOT Blanket Policy. We have the Highway Work Permit Application on file. The application, completed Perm 17 and the Surety Bond must be secured by the same party. All checks issued to the State of New York must show a Federal Identification Number. Permit Fee (Payable to "State of New York"):$15.00 Bond Amount:$5,000.00 Insurance Fee:$25.00 or Perm 17 Questions concerning this matter should be directed to Mr. Mark Wolfgang at (631) 952-7973. Please send all correspondence to his attention. Kindly refer to the subject case number and County tax map number in all correspondence. Thank you for your cooperation concerning this matter. Very truly yours, Original Signed By SHAIK A. SAAD, P.E. Civil Engineer III Traffic Engineering and Safety Attachments cc: Mr. Peter Harris, Superintendent of Highways, Town of Southold iMs. Valerie Scopaz, Planning Director, Town of Southold SAS:MW:DW PLANNING BOARD MEMBERS JERILYN B.WOODHOUSE P.O. Box 1179 Chair o y� Town Hall, 53095 State Route 25 CIO Southold, New York 11971-0959 RICHARD CAGGIANO vO, Telephone (631) 765-1938 WILLIAM J.CREMERS y� • �� Fax(631) 765-3136 KENNETH L.EDWARDS MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 13, 2004 Mr. Bruce Anderson c/o Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932-2003 Re: Proposed Set-Off of Amelia Mendoza Located n/o Main Road, 450' east of Greenway East, in Orient SCTM#1000-15-2-15.1 Zone: R-80 Dear Mr. Anderson: The following took pace at a meeting of the Southold Town Planning Board on Monday, July 12, 2004: The following resolution was adopted: WHEREAS, Amelia Mendoza is the owner of the property known and designated as SCTM#1000-15-2-15.1, located n/o Main Road, Orient; and WHEREAS, this proposal is to set off a 7.04 acre parcel (Lot 1) from a 26.69 acre parcel (Lot 2) in Orient; and WHEREAS, the Southold Town Planning Board granted conditional final approval on the maps, dated as revised October 7, 2003, on February 10, 2004; be it therefore RESOLVED that the Southold Town Planning Board grant a six-month extension of conditional final approval from August 10, 2004 to February 10, 2005. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson Parce1.sto4 STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION 250 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 1 1 788-55 1 8 SUBIMAL CHAKRABORTI, P.E. JOSEPH H. BOARDMAN REGIONAL DIRECTOR COMMISSIONER June 29, 2004 Mr. Bruce A. Anderson Suffolk Environmental Consulting, Inc. Newman Village,Main Street, P.O. Box 2003 Bridgehampton,New York 11932-2003 Your June 18, 2004 Submission, Received 6/22/04 Mendoza Property- Subdivision/Residential Access Topographical Survey Dated 4/14/04 Route 25, Orient SCTM .1000-015-02-015.1 Our Case No. 04-62P Dear Mr. Anderson: As stated in our March 12, 2004 letter (copy attached) to Mr. Matt Ivans, of your staff, we will not be able to progress a review of your submission until you provide us with four (4) sets of plans that meet our minimum submission requirements. Prior to making another re-submission please reference.the checklist of items to include on your plans, which was attached to our previous letter, along with the publications we previously sent to,assist you with preparing reviewable plans. In all future correspondence, please refer to the subject case number. The plans must also include the County tax map number. Review of the subject material is being coordinated by Mr. Mark Wolfgang. He can be contacted at (631) 952-7973 if you have any questions regarding this matter. Please send all correspondence to his attention. Thank you for your cooperation concerning this matter. Very truly yours, ORIGINAL SIGNED BY E C E V E SHAIK A. SAAD SHAIK A. SAAD, P.E. Civil Engineer III JUL - 8, 2004 Traffic Engineering-and Safety Attachments soua',oid Town Pi3nningpoud cc: r. Peter Harris, Superintendent of Highways, Town of Sou o yms. Valerie Scopaz, Planning Director, Town of Southold SAS:MW:DW SAW Suffolk Environmental Consulting, Inc. Newman Village, Main Street; P.O. Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S.,President June 29, 2004 Southold Town Planning Board C/o Mark Terry Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Mendoza Situate: Rte. 25, Orient SCTM# 1000-15-2-15.1 Dear Planning Board Members, As you know, this Firm represents Amelia Mendoza in connection with the setoff of a 7+acre parcel at.the.property referenced above. The proposed.setoff received approval from the your Board on Planning Board on February 10, 2004. Enclosed herewith please find a copy of the subdivision map stamped exempt by the Health Department which.satisfies condition#5. ,The.mylars and.paper prints.are.not needed as the exemption is not a permit that is filed but rather is certification that no permit for subdivision is required as the lots to be created would be in excess of 5-acres in area. I trust the above is.sufficient.for your regulatory purposes. In the.alternative, please correspond with this office. Sincerely, Bruce A. Anderson NECE W J U L - 1 2004 Cc. N. Mendoza Southold Town Planning Board V Suffolk Environmental Consulting, Inc. J� Newman Village, Main Street; P.O. Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S., President June 18, 2004 Southold Town Planning Board C/o Mark Terry Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Mendoza Situate: Rte. 25, Orient SCTM# 1000-15-2-15.1 Dear Planning Board Members, I hereby request that the final conditional approval for the lot set-off referenced above be extended for an additional six months so that the conditions of approval may be satisfied. The expiration of the approval would be extended to February 10, 2005. In addition, I draw your attention to my previous correspondence of January 26, 2004 for which we received no response. Kindly place this matter on your agenda.during the next regular work session of your Board. ncerely, Bruce A. Anderson Cc. N. Mendoza nn Q V E JUN 2 2. 2004 Southold Tor.,n Pinning BaYr SoIF- Suffolk Environmental Consulting, Inc. 4 Newman Village, Main Street; P.O. Box 2003, Bridgehampton, NewYorklig - (631) 537-5160 Fax: (6 ) Zia E W E Bruce Anderson, M.S.,President MAY 2 1 2004 Southold Town Planning Board January 26, 2004 Southold Town Planning Board C/o Mark Terry Southold Town Hall P. O. Box 1179 Southold, NY 119.71 Re: Mendoza Situate: Rte. 25, Orient SCTM# 1000-1.5-2-15.1 Dear Planning Board Members, This Firm represents Amelia Mendoza in connection with the slip-off of a 7+acre parcel at the property referenced above. Approval of the proposed split off is attached hereto. I note that condition#1 of the approval resolution calls for the installation of a fire well. Please be advised that the fire district in,lieu of the fire well now requires a 10,000- gallon cistern. In addition, it is inappropriate to require the filing of a covenant for fire well or cistern, as such condition would be a condition of performance. Therefore, I request that condition#3 be modified to require the bonding or installation of a cistern as a condition of subdivision approval. Condition#5 requires Health Department Approval or Exemption to be obtained. I have discussed this matter with Mr. Trent of the Health Department who informs me that the Planning Board and its staff are well aware that no approval from the Health Department is required because the.lots created exceed five acres in area. In any event, I will be securing an exemption from the Health Department shortly and the exemption will be forwarded to you. It is unusual and completely unnecessary that 3 mylars and 7 prints bearing the exemption stamp be submitted to you. Instead the final map should bear the chairwoman'.s.name and signature"Approved" and.that the approved-plat should be filed with the County Clerk or the Town Clerk. Accordingly, I request that condition number 5 be modified to properly reflect the mechanics of completing a subdivision review process.with.proper filing requirements. Kindly place this matter on your agenda during the next regular work session of your Board. Aincerelyruce A. Anderson Cc. N. Mendoza PLANNING BOARD MEMBERS �OS%SFFU(,�CO _ t JERILYN B.WOODHOUSE P.O. Box 1179 Chair y Town Hall, 53095 State Route 25 cm y Southold, New York 11971-0959 RICHARD CAGGLANO %A,G ® Telephone (631) 765-1938 WILLIAM J.CREMERS KENNETH L.EDWARDS Fax(631) 765-3136 ^: MARTIN H.SIDOR ��l `1►� 9 PLANNING BOARD OFFICE TOWN OF SOUTHOLD -7 9 February 10�, 2004 Mr. Bruce Anderson c/o Suffolk Environmental Consulting 4 P.O. Box 2003 Bridgehampton, NY 11932-2003 i Re: Proposed Set-Off of Amelia Mendoza Located n/o Main Road, 450' east of Greenway East, in Orient SCTM#1000-15-2-15.1 Zone: R-80 Dear Mr. Anderson: rl f The following took place at a meeting of the Southold Town Planning Board on Monday, February 9, 2004: 3: The public hearing was closed. The following resolution was adopted: j WHEREAS, Amelia Mendoza is the owner of the property known and designated as SCTM#1000-15-2-15.1, located n/o Main Road, Orient; and WHEREAS, this proposal is to set off a 7.04 acre parcel (Lot 1) from a 26.69 acre parcel (Lot 2) in Orient; and WHEREAS, on January 12, 2004, the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed an uncoordinated review of this Unlisted Action. The Planning Board established itself as lead agency, and as lead .`' agency, made a determination of non-significance and granted a Negative Declaration; and WHEREAS, on January 12, 2004, the Southold Town Planning Board issued conditional sketch plan approval and all conditions have been met; and WHEREAS, the Suffolk County Planning Commission issued no comment upon the action as they feel it is a matter for local determination; therefore, be it I rl 1'I Mendoza — Page Two — 2/10/04 RESOLVED, that the Southold Town Planning Board grant conditional final approval on .� the maps, dated as revised October 7, 2003, subject to the following conditions. These conditions must be met within six (6) months of the resolution: 1. The submission of the $5,000.00 Park & Playground Fee. 2. The submission of a right-of-way maintenance agreement and, upon approval by the Planning Board, the filing of the agreement with the Office of the Suffolk County Clerk. The Liber and page number must be recorded upon the map. 3. To satisfy the Orient Fire District's request for an electric fire well, the Planning Board is requiring that the applicant file a covenant and restriction mandating that, prior to the issuance of a building permit upon the residual 19.64 acre parcel, the specified fire well will be installed. The Planning Board is also requiring that following the installation of the fire well, that the operation is verified, in writing, by the Orient Fire District and submitted to this office. Following approval of the covenant and restriction by the Planning Board, the document must be filed with the Office of the Suffolk County Clerk and, upon filing, the Liber and page number recorded upon the plat. 4. The filing of the offered covenant and restriction on Lot#1`with the Office of the Suffolk County Clerk and, upon filing, the Liber and page number recorded upon the plat. 5. Submission of 3 mylar and 7 paper plats with Suffolk County Department of Health approved stamp or waiver from Suffolk County Department of Health requirements. Please contact this office if you have any questions regarding the above. Very truly yours, �✓ Jerilyn B. Woodhouse Chairperson Suffolk Environmental Consulting, Inc. Newman Village,Main Street,P.O. Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S.,President May 19, 2004 Edward Loper Orient Fire District Main Road Orient, New York 11957 Re: Mendoza Situate: Main Road, Orient SCTM#: 1000-15-2-15.1 Dear Mr. Loper, The purpose of this correspondence is to confirm the substance and agreement between the District and the applicant with respect to fire protection for the 2-lot subdivision referenced above. Pursuant to our meeting of yesterday, the District requires and the applicant agrees to install a 10,000-gallon cistern west of the terminus of the proposed 50' Right of Way. Enclosed herewith please find a copy of the survey for the proposed subdivision prepared by Joseph SA. Ingegno last revised October 7, 2003 that shows the location where the cistern will be installed. By way of this correspondence, I request that you forward a letter to the Southold Planning Board confirming the location and specification of the required fire protection for this subdivision. Thank you in advance for your anticipated cooperation. Sincerely, d Bruce A. Anderson cc. N...Mendoza Southold Planning Board c/o Mr. Terry PLANNING BOARD MEMBERS D�OS�fFU(�CO JERILYN B.WOODHOUSE h� Gy P.O. Box 1179 Chair CZTown Hall, 53095 State Route 25 RICHARD CAGGLANO ti = Southold, New York 11911-0959 Telephone (631) 765-1938 WILLIAM J. CREMERSKENNETH L. Fax(631) 765-3136 MARTIN H.SIDORDS y��•� `1►aO� PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2004 Mr. Bruce Anderson. c/o Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932-2003 Re: Proposed Set-Off of Amelia Mendoza Located n/o Main Road, 450' east of Greenway East, in Orient SCTM#1000-15-2-15.1 Zone: R-80 Dear Mr. Anderson: The following took place at a meeting of the Southold Town Planning Board on Monday, February 9, 2004: The public hearing was closed. The following resolution was adopted: WHEREAS, Amelia Mendoza is the owner of the property known and designated as SCTM#1000-15-2-15.1, located n/o Main Road, Orient; and WHEREAS, this proposal is to set off a 7.04 acre parcel (Lot 1) from a 26.69 acre parcel (Lot 2) in Orient; and WHEREAS, on January 12, 2004, the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed an uncoordinated review of this Unlisted Action. The Planning Board established itself as lead agency, and as lead agency, made a determination of non-significance and granted a Negative Declaration; and WHEREAS,.on January 12, 2004, the Southold Town Planning Board issued conditional sketch plan approval and all conditions have been met; and WHEREAS, the Suffolk County Planning Commission issued no comment upon the action as they feel it is a matter for local determination; therefore, be it j rr Mendoza — Page Two — 2/10/04 . RESOLVED, that the Southold Town Planning Board grant conditional final approval on i r the maps, dated as revised October 7, 2003, subject to the following conditions. These r conditions must be met within six (6) months of the resolution: 1. The submission of the $5,000.00 Park & Playground Fee. 2. The submission of a right-of-way maintenance agreement and, upon approval by the Planning Board, the filing of the agreement with the Office of the ✓�'"� Suffolk County Clerk. The Liber and page number must be recorded upon the ' map. 3. To satisfy the Orient Fire District's request for an electric fire well, the Planning Board is requiring that the applicant file a covenant and restriction mandating that, prior to the issuance of a building permit upon the residual 19.64 acre parcel, the specified fire well will be installed. The Planning Board is also requiring that following the installation of the fire well, that the �' ,� operation is verified, in writing, by the Orient Fire District and submitted to this ,,,, office. Following approval of the covenant and restriction by the Planning ' Board, the document must be filed with the Office of the Suffolk County Clerk and, upon filing, the Liber and page number recorded upon the plat. 4. The filing of the offered covenant and restriction on Lot#1 with the Office of,fv,r the Suffolk County Clerk and, upon filing, the Liber and page number recorded upon the plat. 5. Submission of 3 mylar and 7 paper plats with Suffolk County Department of Health approved stamp or waiver from Suffolk County Department of Healthd�,,_ `" requirements. VA Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson EXCELSIOR STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION 250 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 1 1 788-55 1 8 SUBIMAL CHAKRABORTI, P.E. JOSEPH H. BOARDMAN REGIONAL DIRECTOR COMMISSIONER pEC VE March 12, 2004 MAR 18 2004 Mr. Matt D. Ivans Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003 Southold Town PlanningfloarA Bridgehampton,New York 11932-2003 Your March 4, 2004 Submission, Received 4/10/04 Mendoza Property- Subdivision/Residential Access Survey Dated 10/11/01, Last Revision 12/12/03 Route 25, Orient SCTM 1000-015-02-015.1 Our Case No. 04-62P Dear Mr. Ivans: This is to-acknowledge receipt of your submission on the above permit application. While the information that you have provided is helpful, we will not be able to progress a review of your submission until you provide us with four (4) sets of plans that meet our minimum submission requirements.Please reference the attached checklist of items to include on your plans.We have also enclosed publications to assist you with preparing review able plans. This permit application should be sensitive to the unique visual and historic setting of the Long Island North Shore Heritage Area, which runs from the Queens/Nassau County line to Orient Point, and from Route 25 or I495,whichever is farther south, north to Long Island Sound. In all future correspondence, please refer to the subject case number. The plans must also include the County tax map number. Review of the subject material is being coordinated by Mr. Mark Wolfgang. He can be contacted at(631) 952-7973 if you have any questions regarding this matter. Please send all correspondence to his attention. Thank you for your cooperation concerning this.matter. Very truly yours, Original Signed By SHAIK A. SAAD, P.E. Civil Engineer III Traffic Engineering and Safety Attachments Mr. Matt D.Ivans March 12,2004 Page 2 cc: Mr. Peter Harris, Superintendent of Highways, Town of Southold +�Ms. Valerie Scopaz, Planning Director, Town of Southold Ms. Wendy Brodsky, Administrative Assistant, Long Island North Shore Heritage Area Planning Commission SAS:MW:DW SITE PLAN REQUIREMENTS CHECKLIST: X A. Location and dimensions of existing highway pavement, curb,sidewalk,median, median openings, guide rail,utilities,signs (including size and text),pavement markings, bus stops, overhead and underground traffic signal equipment, right-of-way lines, controlled access lines and property lines. X B. Existing and proposed buildings, appurtenances and drive-through windows. X C. Design features, referencing the latest edition of the NYS Standard Specifications, to be incorporated in proposed work: X 1. Driveway pavement type and dimensions. X 2. Radii of driveway returns and other points of curvature. X 3. Driveway grades or profiles,indicating low point on private property. X 4. Angle of driveways relative to roadway center line. X 5. Dimensions of roadside control islands and driveway medians. X 6. Dimensions of curb and sidewalk relative to pavement edge. X 7. Details of internal traffic circulation,including proposed signs,pavement markings and traffic signal equipment. X 8. North arrow and scale on each applicable sheet. X D. Size, type and grade of existing and proposed drainage features. Plastic pipe is not permitted within State right-of-way. X E. Distance from each existing and proposed driveway to each adjacent driveway and cross street, including adjacent property lines and streets and driveways opposite the site. X F. Maintenance and protection of traffic plans. A Maintenance and Protection of Traffic plan must be provided for work on Route 25. The plan must include the note "All lanes must be open to traffic before 9AM and after 3 PM. No lane closings are permitted on weekends or holidays. Nighttime lane closings will not be permitted without prior approval from the State Permit Inspector." X I. Beginning and ending reference markers. X J. In recent years,many states have employed access management as a major technique to address conflicts between through traffic and that generated by developments. The goals of access management are to limit the number of access points, separate conflict points and remove turning traffic from through movements. New York State is utilizing this technique to minimize impacts to State highways. We recommend, therefore, that cross access to this site be obtained from adjacent properties.If this is not presently possible, it should be shown on the plans for implementation as part of future redevelopment. X K. A note shall be added to the plans requiring the contractor to clean existing drainage basins along and immediately adjacent to the Route 25 site frontage at the completion of construction. X L. The plan must include the note "Repair existing shoulder, sidewalk and curbing as ordered by State Engineer." PLANNING BOARD MEMBERS JERILYN B.WOODHOUSE ®moo Cod/ P.O. Box 1179 Chair ® �� Town Hall, 53095 State Route 25 Southold, New York 11971-0959 RICHARD CAGGIANO ® Telephone (631) 765-1938 WILLIAM J. CREMERS O Fax (631) 765-3136 KENNETH L.EDWARDS MARTIN H.SIDOR ��l `1►a PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 10, 2004 Mr. Bruce Anderson c/o Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932-2003 Re: Proposed Set-Off of Amelia Mendoza Located n/o Main Road, 4&' east of Greenway East, in Orient SCTM#1000-15-2-15.1 Zone: R-80 Dear Mr. Anderson: The following took place at a meeting of the Southold Town Planning Board on Monday, February 9, 2004: The public hearing was closed. The following resolution was adopted: WHEREAS, Amelia Mendoza is the owner of the property known and designated as SCTM#1000-15-2-15.1, located n/o Main Road, Orient; and WHEREAS, this proposal is to set off a 7.04 acre parcel (Lot 1) from a 26.69 acre parcel (Lot 2) in Orient; and WHEREAS, on January 12, 2004, the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed an uncoordinated review of this Unlisted Action. The Planning Board established itself as lead agency, and as lead agency, made a determination of non-significance and granted a Negative Declaration; and WHEREAS, on January 12, 2004, the Southold Town Planning Board issued conditional sketch plan approval and all conditions have been met; and WHEREAS, the Suffolk County Planning Commission issued no comment upon the action as they feel it is a matter for local determination; therefore, be it Mendoza — Page Two — 2/10/04 RESOLVED, that the Southold Town Planning Board grant conditional final approval on the maps, dated as revised October 7, 2003, subject to the following conditions. These conditions must be met within six (6) months of the resolution: 1. The submission of the $5,000.00 Park & Playground Fee. 2. The submission of a right-of-way maintenance agreement and, upon approval by the Planning Board, the filing of the agreement with the Office of the Suffolk County Clerk. The Liber and page number must be recorded upon the map. 3. To satisfy the Orient Fire District's request for an electric fire well, the Planning Board is requiring that the applicant file a covenant and restriction mandating that, prior to the issuance of a building permit upon the residual 19.64 acre parcel, the specified fire well will be installed. The Planning Board is also requiring that following the installation of the fire well, that the operation is verified, in writing, by the Orient Fire District and submitted to this office. Following approval of the covenant and restriction by the Planning / Board, the document must be filed with the Office of the Suffolk County Clerk and, upon filing, the Liber and page number recorded upon the plat. 4. The filing of the offered covenant and restriction on Lot #1 with the Office of the Suffolk County Clerk and, upon filing, the Liber and page number recorded upon the plat. 5. Submission of 3 mylar and 7 paper plats with Suffolk County Department of Health approved stamp or waiver from Suffolk County Department of Health requirements. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson L DECLARATION OF COVENANT AND RESTRICTIONS THIS DECLARATION made this_day of , 2004,by MARK A. ANGELSON and MARILYN F. ANGELSON, his wife, residing at 876 Park Avenue, New York, New York 10021, hereinafter referred to as the"DECLARANTS"; WITNESSETH : WHEREAS, DECLARANTS, is the owner of a certain plot, piece and parcel of land situate at, North Road (Country Road 48), New York, in the Town of Southold County of Suffolk, and the State of New York, known and designated as SCTM No. 1000-73-06-01 and 1000-73-06-02, being more particularly bounded and described as set forth in Schedule "A", annexed hereto, and also shown on"Survey for Property for Mark A. Angelson and Marilyn P. Angelson", surveyed by John C. Ehlers, L.S., on June 9, 2003, last revised December 10, 2003, a reduced copy of which is annexed hereto as Schedule "B", both of which are incorporated for reference. ALL that certain piece or parcel of land situate, lying and being at Peconic,Town of Southold, County of Suffolk, State of New York, bounded and described as follows: BEGINNING at a point formed by the intersection of the northerly side of Middle Road (C.R. 48) and the easterly line of the lands formerly of Cutchogue Associates and the westerly line of the parcel about to be described being the true point or place of beginning; RUNNING from said Point of Beginning: North 44° 44'20"West, a distance of 5,073.24 feet along the lands formerly of Cutchogue Associates; to the Long Island Sound thence North 72°22190" East, a distance of 190.33 feet on a tie line along the ordinary high water of the Long Island Sound; thence North 66*01'40" East, a distance of 68.84 feet still on a tie line along the ordinary high water of the Long Island Sound to the Lands of Herodotus Damianos; thence the following five (5) courses and distances along the lands of Herodotus Damianos: 1. South 44°44'20" East, a distance of 343.89 feet; 2. North 67°27'10" East, a distance of 44.51 feet; 3. South 44°44'20" East, a distance of 877.95 feet; 4. South 45°15'40" West, a distance of 250.00 feet 5. South 44°44'20" East, a distance of 3,734.59 feet to the Northerly side of Middle Road (C.R.48) thence along the northerly side of Middle Road (C.R.48) South 69°17'48"West, a distance of 27.37 feet; to the Point or Place of Beginning. Containing 9.91 acres, more or less. WHEREAS, the property is subject to a pending application before the Planning Board of the Town of Southold; and is fy: WHEREAS, the owners have offered not to subdivide the property as a condition of the ' rt: action. y:. + NOW, the within DECLARANTS do hereby covenant for themselves, successors and assigns, to run with the land that the property will not be further subdivided. IN WITNESS WHEREOF, the owner has duly executed this instrument this day of , 2004. MARK A. ANGELSON MARILYN P. ANGELSON STATE OF NEW YORK) SS.: COUNTY OF SUFFOLK) On the day of , in the year 2004, before me, the undersigned, a Notary Public in and for said State, personally appeared MARK A. ANGELSON , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s),whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed this instrument. NOTARY PUBLIC STATE OF NEW YORK) SS.. COUNTY OF SUFFOLK) On the day of , in the year 2004, before me, the «` undersigned, a Notary Public in and for said State, personally appeared MARILYN P. . ANGELSON, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by : his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed this instrument. NOTARY PUBLIC �l`�i COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE THOMAS ISLES, AICP DEPARTMENT OF PLANNING DIRECTOR OF PLANNING January 30, 2004 Ms. Jerilyn B. Woodhouse, Chair Town of Southold Planning Bd. Main Road Southold,NY 11971 Plat Name: Mendoza,Amelia Tax Map No.: 1000-15-2-15.1 SCPD File No.: S-SD-04-01 Dear Ms. Woodhouse: Pursuant to the requirements of Section A14-24, Article XIV of the Suffolk County Administrative Code,the above captioned proposed final plat which has been referred to the Suffolk County Planning Commission is considered to be a matter for local determination: A decision of local determination should not be construed as either an approval or disapproval. The Department offers the following remark pursuant to Suffolk County Planning Commission Policy: ► Applicants name and address were not included with submittal. In the future similar matters will be returned as an incomplete application. Sincerely, ® Thomas Isles, AICP Director of Planning F E B 9 2004 ndrew P. Freleng, AICP Southold Town Principal Planner Planning Board APF:cc cc: Joseph A..Ingegno.. P.O. Box 1931 Riverhead,NY 11901 G:\CCHO RN'AS UBDIV1LD20041JAN1SD04.1.JAN LOCATION MAILING ADDRESS H. LEE DENNISON BLDG. -4TH FLOOR ■ P. 0. BOX 6 100 ■ (5 16) 853-5 190 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY 1 1 788-0099 TELECOPIER(5 1(5) 853-4044 FE2-OG-2004 11:13 sc PLF*it--i).NG DEPIT P.02 COUIN7Y, OF SUFFOLK S-,F_vE LE\rY 9UFFOLK COUqrY EXE01,MVE THOMAS AICP DIIRF=R OF PLkNN11140 DFPAATMEN'T 01r PLANNING January 30, 2004 'Nis. Jerilyn B, Woodhouse, Chair -1`ow.Ti of Southold Planning Bd Main Road southold,NY 11971 j z Zagl i Y,-,X Map ..To.: 1000-15-2-15.1 SCPD File No.: S-SD-04-01 Deal'MS.woodh011se: "Purs=it to the equirerraents cif Sect-or _'X the I-V of uff lkt County,County,A14-24, Article e S 0 kdmLTjistratjvc Code,ilw'above 0 j.11-2cj proposed fatal plat which has been referred to the Suffolk Courty Plaimin-i Co 'issioll 119 cj),,�Rjered to be a matter for local determination. A decisionon g =1� cif local determination sho4ld not.be consmed as either an approval or disapproval remark pctrsualll to Suffolk County Planning The Department; Off0ts fJ-,e following Coramission Policy: Applicants name a 4dacldr- Ss Were not included with submittal. In the futuTsin1flar matters grill be returned a� &,:,ricomplete application.. Sincerely, Thomas Isles, AICP Director of Planning, AndTeleng,AICP Principal Plannet ----------- D C E APF:1�r, Joseph A. agtAo p,(). Box 1931 FEB - 6 2004 Rlvarhead,_NY V 1901 Southold Town I Pinning Board MAILING PIDE'RIC S CE 10)e5315 I PC L�CATIMN P.0,r.ox 6 1 OCP TELEC:0PIER�5 i CS)L:k53-4044 'Eli LEE DF-1V4*,a--j L,;-OC�.- 417H PLOOR TOTAL P.02 0— M, i 1 � r DEP ? F.01 Akk s1 o County Thomas A.Isles,Mector rlie&+mot of Planning. RO.Box 6100 Hauppauge,Now Yerk 117884)099 (631)S53.5190 Few.(631)$10 4044 i To: From; g Subject: I Tort gages: -_ 01;icluding caYi7 she t). rl'you do swi receive a#pages in its entimy,please call(631)85.3-5191. i i 1bfPSSr3�c': , I I i i i D E C E WE I i F E 0 - 6 2004 Southold Town Planning Board Orient Fire District January 21, 2004 Mark Terry, Senior Environmental Planner �v Southold Town Planning Board PO Box 1179 Southold,NY 11971Q,� Sir: The Board of Fire Commissioners of the Orient Fire District reviewed the subdivision of Mendoza, at Orient, Town of Southold, Suffolk County,New York. This was referred to the Board of Fire Commissioners for their recommendations, as whether any fire wells are needed. The Board of Fire Commissioners recommends that fire well be installed. The fire well shall be, 8"piping, capable of producing 500 GPM, with gravel packed 20' screen, with standoff piping for connection to fire equipment. An electric fire well may be required to meet requirements stated. Location has been mark on the site plan/survey. It should be located 1500 feet from the edge of the Main Road and 10 feet to the left of the shoulder of the entrance road. Sincerely, �n KJAN Board of Fire Commissioners 2 9 2004 Orient Fire District Southold Town Edward G. Loper Planning Bo Secretary/Treasurer Orient Fire District 133gR Main Road Orient,NY 11957' '♦ (631) 323-2445 ♦ Fax(631) 323-9706 PLANNING BOARD MEMBERS t,S%jFFO(,�l' JERILYN B.WOODHOUSE �� ��/ P.O. Box 1179 Chair C y1 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 RICHARD CAGGIANO Telephone (631) 765-1938 WILLIAM J.CREMERS O Fax (631) 765-3136 KENMNARRTIN H.SIDORETH L. DS ��.E �a0 PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 13, 2004 Mr. Bruce Anderson c/o Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932-2003 j Re: Proposed Set-Off of Amelia Mendoza Located n/o Main Road, 450' east of Greenway East, in Orient SCTM#1000-15-2-15.1 Zone: R-80 Dear Mr. Anderson: The following took place at a meeting of the Southold Town Planning Board on Monday, January 12, 2004: The following resolutions were adopted: WHEREAS, Amelia Mendoza is the owner of the property known and designated as SCTM#1000-15-2-15.1, located n/o Main Road, Orient; and WHEREAS, this proposal is to.set off a 7.04 acre parcel (Lot 1) from a 26.69 acre parcel (Lot 2) in Orient; and WHEREAS, a freshwater wetland exists on site, however, no new construction is proposed and no significant adverse impacts are expected as a result of the proposed action; be it therefore RESOLVED, that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, do an uncoordinated review of this Unlisted Action. The Planning Board establishes itself as lead agency, and as lead agency, makes a determination of non-significance and grants a Negative Declaration; and be it further RESOLVED, that the Southold Town Planning Board hereby holds the public hearing for the Set-Off of Amelia Mendoza open pursuant to the fulfillment of the following condition: r Mendoza — Page Two — 1/13/04 1. A response from the Suffolk County Planning Commission, a jurisdictional reviewing entity of the action. The Planning Board has reviewed the property and has decided that it is inadequate for a reservation of land for park and playground use. Therefore, a cash payment in lieu of land reservation will be required. The amount to be deposited with the Town Board shall be $5,000 ($5,000 per vacant lot in the subdivision). Payment is required prior to the final endorsement,of the map. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson PLANNING BOARD MEMBERS �ogUFFO�,�►C' JERILYN B.WOODHOUSE �Q ��/ P.O. Box 1179 Chair Town Hall, 53095 State Route 25 CZ y Southold, New York 11971-0959 RICHARD CAGGIANO • Telephone (631) 765-1938 WILLIAM J.CREMERS KENNETH L.EDWARDS Fax (631) 765-3136 Q MARTIN H.SIDOR �� `1►a PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant January 12, 2004 This notice is issued pursuant to Part 617 of.the implementing regulations pertaining to Article 7 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as•,'ad 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 Set Off for Amelia Mendoza SCTM#: SCTM#1000-15-2-15.1 Location: Locatec; n/o Main Road, 450' east of Greenway East, in Orient SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This proposal is to set off a 7.04 acre parcel (Lot 1) from a 19.64 acre parcel (Lot 2) in Orient Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed. No sensitive features exist on site. The determination was based upon the following: Lot 1 is improved with a single family residence. Proposed Lot 2 is currently improved with a guest cottage. No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels; increase in solid waste J t s SEQR Negative Declaration - Page Two production; increase in potential for erosion, flooding, leaching or drainage problems are expected to occur if the proposed action is implemented as planned. Note, however, that the Department of Health approval has not issued a determination on the application, therefore, the feasibility of a septic system and associated impacts (if any) have not been fully evaluated. The parcel consists of cleared areas and a large area comprised of early successional pioneer vegetative communities in the south of the parcel. No removal or destruction of large quantities of vegetation or fauna is expected to occur as a result of this action. No substantial interference with the movement of any resident or migratory fish or wildlife species; impacts on a significant habitat area; substantial adverse impacts on a threatened or endangered species of animal or plant, or the habitat of such a species; or other significant adverse impacts to natural resources will occur. No Critical Environmental Area as designated pursuant to subdivision 617.14(g) is contiguous with the parcel. The proposed action is not in a significant material conflict with a community's current plans or goals as officially approved or adopted. The proposed action will not impair the character or quality of important historical, farchaeological, architectural, or aesthetic resources or of existing community or neighborhood character. No major change in the use of either the quantity or type of energy will occur. No creation of a hazard to human health is expected to occur. The proposed action will not cause a substantial change in the use, or intensity of use, of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: Contact Person: Mark Terry, Senior Environmental Planner Address: Planning Board Telephone Number: (631) 765-1938 cc: Sherry Aicher, DEC Stony Brook Walter Hilbert, Suffolk County Dept. of Health John Milazzo, Esq. Suffolk County Water Authority Suffolk County Planning Commission Elizabeth Neville, Town Clerk Applicant PLANNING BOARD MEML___ 3 ��gUFFO�,�co JERILYN B.WOODHOUSE ��� P.O. Box 1179 rjy Chair J.� Town Hall, 53095 State Route 25 cm C4 Southold, New York 11971-0959 RILLIAMCHARD J. CREM R Telephone (631) 765-1938 WILLLAM J.CREMERS G KENNETH L.EDWARDS Fax(631) 765-3136 MARTIN H.SIDOR ��.( `t►�O PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 13, 2004 Cynthia Caprise, Secretary Orient Fire District 23300 Main Road Orient, New York 11957 Dear Ms. Caprise: Enclosed please find one (1) site plan/survey, dated October 11, 2001, for the SitePlan/Subdivision for Mendoza, Main Road, Orient. SCTM# 1000-15-2-15.1 O The e�'iclos� ed site plan is being referred to you for fire access review and for your recommendations as to whether any fire- wells are needed. Please specify whether firewells are shallow or electric. O The enclosed subdivision is being referred to you for your recommendation at to whether any firewells are needed. Please specify whether firewells are shallow or electric. Thank you for your cooperation. Very truly y r , Mark Terry Senior Environmental Planner enc. R Submission Without a Cover Letter Sender: e � Subject: M D32JA-- SCTM#: 1000- Z S 2 s U �DateFtJAN :. / — // — o 3 1 2 2004tholdnComments: ning Board 7 &A-zk,-4� L f / �f��C'V . I Submission Without a Cover Letter Sender'__�ry CV' t Subject: SCTM#: rood /S-- JA N - 9 2004 Date:- J� southold Town Planning Boaro Comments: r r e AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as Mendoza property - SCTM# 1000-15-2-15. 1 by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on Decembet 22 , 2003 I have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on December 23 , 2003 Diane K. Wassick - Suffolk Environmental Consulting, Inc. Your Name (print) Signature Newman Village- Main Street, Bridgehampton, NY 11932 Address January 7 , 2004 Date Not ublic Matthew D. Ivans Notary Public of New York No. OlIV6053859 Qualified in Suffolk County Commission Expires January 22, 2007 PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: 12:00 noon, Fri., 1/9/04 Re: Proposed Set-Off for Amelia Mendoza SCTM#s: 1000-15-2-15.1 Date of Hearing: Monday, January 12, 2004, 6:10 p.m. PLANNING L BOARD O�Q NNETT O�W � OG p,0.Box 1179 Chairman _� 'j'� Town Hall, 53095 State Route 25 o - Southold,New York 11971-0959 RICHARD CAGGLANO W Telephone (631) 765-1938 WILLIAM J.CREMERS O �' Fax(631) 765-3136 KENNETH L.EDWARDS y �� MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 5, 2004 Suffolk County Planning Commission 220 Rabro Drive P.O. Box 6100 Hauppauge, NY 11788-0099 Attention: Andrew Freleng, Principal Planner Subdivision Review Division Gentlemen: /7 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: Set-Off of Amelia Mendoza Hamlet/Locality: Orient S.C.D.P.W. Topo No.: See plat Zoning: R-80 S.C. Tax Map No.: 1000- 15-2-15.1 Major Sub. Minor Sub. X Site Plan Cluster Lot Line Change MATERIAL SUBMITTED: Preliminary Plat (3 copies)_(X)_ Road Profiles (1) Drainage Plans (1) Topographical Map (1) Site Plan (1) Grading Plan (1) Other materials (specify and give number of copies) 1. One copy of Application Packet as submitted by applicant. Waiver of Subdivision Requirements - See attached sheet Page 2 Southold Town Planning Board Referral Referral Criteria: The property is located n/o Main Road 450' east of Greenway East, in Orient SEQRA STATUS: 1. The project is an ( X ) Unlisted Action ( ) Type I Action ( ) Type II Action 2. A ( ) Negative Declaration ( ) Positive Declaration ( ) Determination of Non-significance has been adopted by the Planning Board. NO SEAR DETERMINATION HAS BEEN ISSUED 3. E.I.S. statement enclosed. ( ) Yes ( X ) No 4. The proposed division has received approval from the Suffolk County Department of Health. ( )Yes (X )No Comments: The applicant proposes to set-off a 7.04 acre lot from an 26.69 acre parcel. Access to the lots is proposed from Main Road. Portions of the proposed lot are within the Coastal Erosion Hazard Area. The bluff is vegetated and exhibits slight to moderate erosion. A freshwater wetland exists on Lot 2. The presence or absence of archeological sites is unknown. We request acknowledgement of receipt of this referral (X ) Yes ( ) No Referral received 2003 by the Suffolk County Planning Commission and assigned File No. Sincerely, Oar Bennett Orlowski, Jr. Chairman i PLANNING BOARD MEMBERS O�QSUFf���CO P.O. Box 1179 BENNETT ORLOWSKI,JR.Chairman Town Hall, 53095 State Route 25 � Town co Southold,New York 11971-0959 RICHARD CAGGLANO • Telephone (631) 765-1938 WILLIAM J.CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS MARTIN H.SIDOR 1 '1► PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York in said Town on the 12th day of January, 2004 on the question of the following: 6:10 p.m. Public Hearing for the proposed set-off for Amelia Mendoza. The property is located n/o Main Road, 450' east of Greenway East, in Orient, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-15-2-15.1 Dated: 12/18/03 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Bennett Orlowski, Jr. Chairman PLEASE PRINT ONCE ON WEDNESDAY, DECEMBER 31, 2003 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Traveler/Watchman Z P.O. Box 1179 53095 Route 25 Southold, NY 11971 PlanninSouthold Phone: (631) 765-1938 Board Fax: (631) 765-3136 To: TravelerM/atchman From: Valerie Scopaz/Caro► Fax: 765-1756 Pages: 2 Phone: 765-3425 Date: 12/18/03 Re: Legal Ad for 12/31/03 Edition cc: Please print the following additional legal ad in the 12/31/03 edition. Thanks. 1/12/03 Regular Meeting: l / 6:10 p.m. Mendoza Set-Off Kindly acknowledge receipt by signing below. Received by: Date: L� PLANNING BOARD MEMBERS BENNETT ORLOWSKI,JR. P.O. Box 1179 o�Q Gyp - Chairman Town Hall, 53095 State Route 25 ti Southold, New York 11971 0959 RICHARD CAGGIANO v, • Telephone(631) 765-1938 WILLIAM J.CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS Q MARTIN H.SIDOR �0.( `1►� PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York in said Town on the 12th day of January, 2004 on the question of the following: 6:10 p.m. Public Hearing for the proposed set-off for Amelia Mendoza. The property is located n/o Main Road, 450' east of Greenway East, in Orient, Town of Southold, County of Suffolk, State of New York'Suffolk County Tax Map Number 1000-15-2-15.1 Dated: 12/18/03 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Bennett Orlowski, Jr. Chairman STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) CAROL KALIN, Secretary to the Planning Board of the Town of Southold, New York being duly sworn, says that on the 18th day of December, 2003 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, Southold Town Hall, 53095 Main Road, Southold, New York 1112/04 Regular Meeting: 6:10 p.m. Public Hearing for the proposed Set-Off of Amelia Mendoza SCTM#1000-15-2-15.1 Carol Kalin Secretary, Southold Town Planning Board Sworn to bef me this day of , 2003. Notary Public HARBARA ANN RUDDER Notary.Public,State of New York No.4855805 Qualified in Suffolk County � Commission Expires April 14,�� LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 2, COUNTY OF SUFFOLK the Town Law, a public hearing' STATE OF NEW YORK ss: will be held by the Southold Town Planning Board, at the Lise Marinace, being duly sworn, says Town Hall, Main Road, that she is the Legal Advertising Southold, New Yo k in said Coordinator, of the Traveler Watchman, Town on the 12t� day of January, 2004 on the question a public newspaper printed at Southold, of the following: in Suffolk Count and that the notice of 6:10 p.m. Public Hearing for y� the proposed set-off for Amelia which the annexed is a printed copy, has Mendoza. The property is locat- I been published in said Traveler ed n/o Main Road, 450' east of Greenway East, in Orient,Town Watchman once each week of Southold, County of Suffolk, for...../......week(sj- successively, State of New York. Suffolk County Tax Map Number 1000- co encmg on the....../..........day of 15-2-15.1-=-- — ........, 2004. Dated: l2/18/03 ---� BY ORDER OF THE SOUTHOLD PLANNING �� ....... .�. ��C BOARD Bennett Orlowski,Jr. orn to befo e me this...l....day of Chairman 1X 1/l/04(147) Notary Public Emily Hamill NOTARY PUBLIC,State of New York No.OIHA5059984 Qualified in Suffolk County Commission expires May 06,2006 RE: WAIVER REQUEST FOP MELIA MENDOZA - WITHDRAWN .12/19/03 5, � Suffolk Environmental Consulting, Inc. Newman Village, Main Street,P.O.Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S., President RECEIVED D EC 19 2003 December 17, 2003 Southold Town Clerk Southold'Town Board C/o Elizabeth A. Neville, Town Clerk D E C E O 19 t� l5 Town Hall t► l5 V P. O. Box 1179 Southold, New York 11971 DEC 19 2003 Re: Amelia Mendoza Situate: RTE. 25, Orient Southold Town Planning BaarA SCTM# 0900-15-2-15.1 Dear Members of the Board, On October 21,2003,we filed an application requesting an exemption from the Town's Subdivision Moratorium for the property referenced above. That request is now not needed as the Southold Planning Board resolved to treat the proposed action as a set-off during their work session of December 15,2003. A set-off of property is specifically exempted from the Town's Subdivision Moratorium. Therefore,kindly accept this correspondence withdrawing the October 21s`request for exemption from the Town's Subdivision Moratorium. Sincerely, Bruce A. r derson cc. N,Vendoza Southold Town Planning Board PLANNING BOARD MEMBERS �FFOt jt BENNETT ORLOWSKI,JR. _��� � P.O. Box 1179 Chairman Town Hall, 53095 State Route 25 CA Southold, New York 11971-0959 RICHARD CAGGIANO • Telephone (631) 765-1938 WILLIAM J.CREMERS Fax(631) 765-3136 KENNETH L. DS MARTIN H.SIDOR ��l �►aO PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 18, 2003 Mr. Bruce Anderson c/o Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 Re: Proposed Set-Off for Amelia Mendoza Located n/o Main Road, 450' east of Greenway East, in Orient SCTM#1000-15-2-15.1 Zone: R-80 Dear Mr. Anderson: The final public hi-6aring regarding the maps for the above-referenced set-off has been scheduled for Monday, January 12, 2004, at 6:10 p.m. at the Southold Town Hall. l Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Hall. Please return the enclosed Affidavit of Posting along with the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on Friday, January 9th. The sign and the post need to be returned to the Planning Board Office after the public hearing. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. t Southold Town Planning Board Notice to Adjacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a set-off; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-15-2-15.1; 3. That the property which is the subject of this application is located in the R-80 Zoning District; 4. That the application is to set off a 7.04 acre parcel (Lot 1) from a 19.64 acre parcel (Lot 2). The property is located No Main Road, 450' east of Greenway East, in Orient; 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8:00 a.m. and 4:00 p.m. Or, if you have any questions, you can call the Planning Board Office at (631)765-1938; 6. That a public hearing will be held on the matter by the Planning Board on Monday, January 12, 2004 at 6:10 p.ry% in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Traveler/Watchman, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner's Name(s): Amelia Mendoza Date: 12/18/03 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on I have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address l Date Notary Public PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Fri., 1/9/04 Re: Proposed Set-Off for Amelia Mendoza SCTM#s: 1000-15-2-15.1 Date of Hearing: Monday, January 12, 2004, 6:10 p.m. NOTICE OF PUBLIC HEARING § 58-1 Chapter 58 NOTICE OF PUBLIC HEARING § 58-1. Providing notice of public hearings.. ' [HISTORY: Adopted by the Town Board of the Town of Southold 12-27-1995 as L.L. No. 25-1995. Amendments noted where applicable.] §68-1. Providing notice of public hearings. Whenever the Code calls for a public Bearing, this section shall apply. Upon determining that an application is complete, the board or commission reviewing the same shall fix a time and place for a public hearing thereon.The board or commission reviewing an application shall provide for the giving of notice: A. .By•causing a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. 'By requiring the applicant to erect the sign provided by, the town, which shall be prominently displayed gn the premises facing each public or private street which the property involved in the application abuts,.glv3ng notice of the•application, the nature of the approval sought thereby and the time and place of the'public hearing thereon. The sign shall be set back not more than ten (10) feet from the' property line. The.sign shall be 'displayed for a period of not less'than seven (7) days immediately preceding the date .of the public hearing. The... pplicant or.his/her went shall file an aflidavit.that s/he has complied with this provision. C. By mquiring the applicant to send notice to the owners of record of every property which abuts and every property which is across from any public or private street. 5801 t- -ee § 58-1 SOUTHOLD CODE § 58-1 from the property included in the application. Such notice. shall be made by certified mail, return receipt requested, posted at least seven (7)days prior to the date of the initial public hearing on the application and addressed to the owners at the addresses listed for them on the local assessment roll. The applicant or agent shall file an affidavit that s/he has complied with this provision. 5802 L'• IMELIA MENDOZA r-IENDOZA SET-OFF 1000 = 15 =2 = 15ml Proposal to set-off a 7 .04 acre parcel ( Lot 1 ) from 19 .64 acre parcel ( Lot 2) . �ION . - JANm 12 , 2004 - 6 : 10 P . M . 9`�r3� rid Suffolk Environmental Consulting, Inc. A)Irr Newman Village,Main Street;P.O.Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S.,President December 17, 2003 Southold Town Planning Board C/o Mark Terry, Environmental Planner - Southold Town Hall D ECEIVE Y 53095 Route 25 Southold, NY 11971 DEC 18 2003 Re: Amelia Mendoza J Situate: Route 25, Orient Southold Town Planning Board Dear Planning Board Members, This is to confirm the resolution reached by you during the Planning Board work session of December 15, 2003 regarding the proposed set-off for the property referenced above. During that meeting, you resolved to process the application as a set-off not a minor subdivision and you have directed me to undertake the following: (1) . ...Withdraw my previous request to the Town Board for hardship exemption from the Town's moratorium on new subdivisions; and (2) Amend the previously proposed covenant at page 2 paragraph 2 to delete words"has demanded" and substitute language to the effect that the applicant"has offered". As stated during your work session of December 15t', the required public hearing is to take place on January 12, 2004 at 6:00 PM. Thank you for your cooperation in this matter. Sincerely, Bruce A. Anderson. Cc. N. Mendoza.. Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 ,�631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S., President December 17, 2003 k Southold Town Board C/o Elizabeth A. Neville, Town Clerk Town Hall P. O. Box 1179 Southold,New York 11971 D EC 1 8 2003 Re: Amelia Mendoza Situate: RTE. 25, Orient Southold Town SCTM# 0900-15-2-15.1 Planning Board Dear Members-of the Board, 2y On October 21,2003,we filed an application requesting an exemption from the Town's ; Subdivision Moratorium for the property referenced above. That request is now not needed as the Southold Planning Board resolved to treat the proposed action as a set-off during their work session of December 15,2003. A set-off of property is specifically exempted from the Town's Subdivision Moratorium. Therefore,kindly accept this correspondence withdrawing the October ; 215`request for exemption from the Town's Subdivision Moratorium. >, k� Sincerely, ; Bruce A. nderson E k P F 4- cc. 1*1. Mendoza Southold Town Planning Board r PLANNING BOARD MEMBERS �OSUFFO(�CO BENNETT ORLOWSKI,JR. P.O.Box 1179 Chairman y� Town Hall, 53095 State Route 25 C ti Southold,New York 11971-0959 RILLIAMCHARD J. CREM R • Telephone (631) 765-1938 KENNETH L.WILLIAM J.CREMERS � Fax(631) 765-3136 MARTIN H.SIDORDS . ��.� `1►aO December 16, 2003 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Bruce Anderson, M.S. Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. 2003 Bridgehampton,New York 11932-2003 Re: Set-off of Amelia Al( SCTM# 1000-15-221.5.1 Dear Mr. Anderson: The Planning Board at the December 15, 2003 worksession issued the following comments regarding the above application: 1. The Planning Board ruled that the proposed action can proceed as a set-off pending a voluntary agreement to extinguish development rights on Lot 1 is reached. 2. The Planning Board has reviewed the draft C&R'.s submitted on December 15, 2003. The following changes are recommended: a. Page 2, Paragraph 2; Omit the reference to the Planning Board and statement"has demanded". The covenant is being offered by the applicant. Please submit a revised Draft Covenant and Restrictions for review. If you have any questions please do not hesitate to contact me at 765-1938. Sincerely, ark T Senio Environmental Planner Cc: Planning Board Suffolk Environmental Consulting, Inc. Newman Village,Main Street,P.O. Box 2003, Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S., President Via Fed Ex December 5, 2003 Mark Terry, Environmental Planner Southold Town Hall E fry f� O 14 E 53095 Route 25 Og�o D 15 C l5 Southold, NY 11971 DEC - 8 2003 Re: Amelia Mendoza Il Situate: Route 25, Orient Southold Tows Planning BoarO Dear Mr. Terry, As discussed, enclosed herewith please find our application for set-off that you had previously returned to us. Application contents are as follows: (1) Subdivision Application Form; (2) Environmental Assessment Form, (3) Eight copies of the survey prepared by Joseph A. Ingegno last dated October 7, 2003; and (4) Check made payable to the Town of Southold in the amount of $250.00 covering the review fee. Please note that the enclosed surveys reflect the 50' access easement that was requested by your Board. All other survey items are as previously submitted. You already have an opinion for Ms. Finnerty, Assistant Town Attorney, that this application qualifies as a set-off thereby exempting.this action from the.Town's subdivision moratorium. You already have a copy of the covenant that bars further subdivision of Lot 1. As discussed, it is our position that the Board should move forward in scheduling a public hearing with the understanding that the applicant will provide the Board with certification from the Health Department that the set-off is not regulated by the Health Department. I look forward to discussing this matter with you and your Board on Monday, December 8, 2003 Sincerely, Bruce A. Anderson Cc. N. Mendoza Submission Without a Cover Letter c3 J Subject: SCTM#: Y 000- Date:- Comments: �/O �7 .A,4� t L�z-Je f l H —(-Z-(e-Ji'--- / au ti . —Z,fA E 6 V E D DEC - 5 2003 So plamm��d Board ? COVENANT NOT TO SUBDIVIDE i WHERE,hS, AMELIA MENDOZA. (hereinafter referred to as the "Owner.") is the owner 9 of certain .real, property lying, situate, and being in the Hamlet of Orient, Town of Southold, County of. Suffolk, and State of New York, more particular) bounded and. described as follow Y s (hereinafter referred to as the"Property"): All that certain piece or parcel of land with improvements thereon, situate, lying and being at Orient Point, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the northeast corner of. North Sea Drive where the same is intersected by the westerly line of the land now or formerly of Amelia Mendoza; THENCE along the westerly line of the land now or formerly of Amelia Mendoza, North 06 degrees 47 minutes 05 seconds West, 251.42 feet to a point and the high water mark of Long Island Sound; THENCE along the high water mark of Long is.l.and sound the following five (5) courses and distances: (1) North 65 degrees 52 minutes 55 seconds East, 172.46 feet to a point; (2) North 70 degrees 39 minutes 42 Feconds East, 105.12 feet to a point; (3) North 75 degrees 11 minutes 54 seconds East, 99.04 feet to a point; (4) North 64 degrees 51 minutes 39 seconds East, 58.34 feet to a point; (5) North 76 degrees 44 minute s•44 seconds East, 75.04 feet to a point and the land now or formerly of Martin J. Bancroft,Jr.; THENCE along said land the following two (2)courses and distances: (1) South 02 degrees 05 minutes 25 seconds East, 276.31 feet to a concrete monument; (2) North 87 degrees 54 minutes 34 seconds East, 100.00 feet to a concrete monument and the land now or formerly of Marion D. Fitzsimmons; THENCE along said land, South 02 degrees 05 minutes 25 seconds East, 360.00 to a point; THENCE South 85 degrees 35 minutes 16.seconds West, 543.29 feet to a point and the Map of Green Acres at Orient; THENCE along said map, North 06 degrees 47 minutes 05 seconds West, 253.59 feet to the point and place of.BEGINNING;and 1 WHEREAS, the Property is the subject of a pending application. before the Planning h Board of the Town of Southold; and WHEREAS, the Planning Board of the Town of Southold has demanded that as a condition of action upon the application, the owner must covenant not to further subdivide the property. NOW, THEREFORE, the Owner does hereby covenant for herself, her, heirs, successors, and assigns to run with the land, that the Property will not be further subdivided, AMELIA MENDOZA STATE Of NEW YORK) COUNTY OF On.the day of December, in the year 2003, before me, the undersigned, personally appeared Amelia Mendoza, personally known to be or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s)'is/are subscribed to the withirj instrument, and acknowledged to me that he/she/tbey executed the same in his/her/their capaci�-y(ie,%), and that by bis/her/their signature(s) on the instrument, the individual(s), or the person' upon behalf of which the individual(s)acted., executed the instrument. Notary Public V-) P"SG 2 To: Finnegan,Patricia; Scopaz,Valerie; Semon, Bruno Subject: Mendoza meeting and update For the file...to verify the decision of the meeting on Wendsday regarding the above application. Legal determined that if the applicant submitted a covenant and restriction permanently omitting the right to subdivide the 7 acre parcel the PB could classify the application as a set-off. If the PB agrees with this determination, then I will instruct the applicant to withdraw the request for waiver and resubmit the application to the PB. Pat, the applicant has submitted the draft OR (enclosed). Please review and comment. I am awaiting a ruling from DOH if the applicant is exempt. I expect to conduct SEQR and schedule the PH for Jan meeting if all is submitted in time. This may require a PB special meeting. 1 �g11FF0�,� ✓ /�r�d4ps � o ELIZABETH A.NEVILLE ��� GZ� Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 y Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS � � MARRIAGE OFFICER � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql �a� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Supervisor& Southold Town Board Members D E C E Q WE Town Attorney Gregory Yakaboski Town Planner Valerie Scopaz NOV - 5 2003 From: Town Clerk Elizabeth Neville Southold Town Re: Request for waiver on Moratorium Planning Board Date: October 24,2003 Transmitted,please find request of Amelia Mendoza for a waiver to the subdivision moratorium on property located at Route 25,Orient. SCTMff 1000-15-2-15 jPlease ---- review and�prepare a written report of your recommendations and f ndmgs.-Tfiank you.---- Suffolk Environmental Consulting, Inc. Newman Village, Main Street,P.O.Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631)537-5198 Bruce Anderson,M.S.,President -Hand Delivered October 21, 2003 Southold Town Council C/o Elizabeth A.Neville, Town Clerk AECEI-Vl © Southold Town Hall 53095 Main Road OCT 2 1 2003 Southold,NY 11971 Re: Amelia Mendoza Iflalhold TOVM dA Situate: RTE. 25,Orient SCTM# 1000-15-2-15.1 Dear Members of the Board, This Firm represents Amelia Mendoza,who owns the 27-acre parcel referenced above. Mrs. Mendoza proposes to set-off a 7.044 acre waterfront parcel from the 27-acre parcel. Application is hereby made pursuant to Section 6 of Local Law 13, "A Local Law in Relation to a Ninety-day Extension of the Temporary Moratorium on the Processing and Review of, and making Decisions on applications for Major Subdivisions, 1Vlinor Subdivisions Jand Special Exception Use Permits and Site Plans containing Dwelling Unit(s)in the Town of Southold" ("Subdivision Moratorium"). Background Application for set-off of a 7.044-acre parcel from.a 27-acre parcel was made to the Planning Board on September 18,2003. The application was made subsequent to a meeting with the Planning Board during which the Planning Board determined that such set-off was exempt from the Town's Subdivision Moratorium. Subsequently,the Planning Board determined that the proposed set-off was not exempt from the Subdivision Moratorium because a%acre parcel described as SCTM# 1000-15-2-16 was once part of the parcel but separated by deed sometime in the late 1960's or early 1970's. Thus,the Planning Board determined that our request to set-off 7.044 acres constituted a set-off from a previous a set-off that is not authorized in the Subdivision Moratorium. Subdivision Moratorium-Anneal Appeal is hereby requested for the proposed 7.044-acre set-off on the basis that the previous creation of%-acre parcel described as SCTM# 1000-15-2-16 has caused extraordinary hardship to the applicant and that the granting of the variance or waiver would not adversely effect the purpose of the local law,the health, safety or welfare of the Town of Southold or any comprehensive planning being undertaken in the Town. Specifically,the creation of the%-acre lot occurred decades prior to the adoption of the Subdivision Moratorium thereby causing extraordinary hardship to the applicant. In addition,the applicant has offered to covenant the 7.044-acre parcel set-off from the 27- acre parcel existing today against further subdivision. That is, because the 7.044 acre parcel could not be further subdivided,no adverse effect to the health, safety and welfare of the Town or its comprehensive planning being undertaken would occur as a result of this Board granting a variance or waiver from the Subdivision Moratorium. Application Contents Consistent with the requirements of the Subdivision Moratorium, I attached the following: (1) Copy of correspondence from Bennett Orlowsky, Jr., Chairman of the Southold Planning Board dated October 15,2003 to Bruce Anderson rejecting the filed set-off application. (2) Seven copies of the survey prepared by Joseph A. Ingegno last dated September 6, 2003 that shows the.overall parcel and the 7.044-acre parcel to be set-off. The 7.044 acre parcel is designated Lot 1 on the survey. Lot 1 could net'be further subdivided as per covenant. (3) Tax Map showing the overall properly and the 34 acre parcel (highlighted)that caused the hardship experienced by the applicant. (4) Check made payable to the Town of Southold in the amount of $250.00 covering the application fee for variance or waiver. By way of this correspondence, I request that the processing of this request for variance/waiver commence immediately and as per the processing requirements of Section 6 of the Subdivision Moratorium Law. Please do not hesitate to contact this office should your require additional materials or have any questions regarding this request. Thank you in advance for your understanding and cooperation. Sincerely, Bruce A.Anderson Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * Date: 10/22/03 Receipt#: 6220 Transaction(s): Subtotal 1 Moratorium Waiver $250.00 Check#: 6220 Total Paid: $250.00 Name: Suffolk, Environmental Consulting Bruce'Anderson PO Box 2003 Bridgehampton, NY 11932 Clerk ID: LYNDAB Intemal ID:82984 PLANNING BOARD MEMBERS O��SUFFO��-�oG p 0. Box 1179 BENNET hOfl�RmOWSHI,JR. Town Hall, 53095 State Route 25 o� y� y = Southold, New York 11971-0959 RICHARD CAGGIANO v, • Telephone(631) 765-1938 WILLIAM J.CREMERS 2 Fax(631) 765-3136 KENNETH L.MARTIN H.SIDORDS y�01 �aO� PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 15, 2003 Mr. Bruce Anderson Suffolk Environmental Consulting Inc. Main Street PO Box 2003 Bridgehampton,NY 11932-2003 Re: Mendoza Property set off SCTM# 1000-15-2-15.1 Main Road Orient,NY 11957 Dear Mr. Anderson; Due to the passage of Local Law number 13,no action can be taken on any application for major or minor subdivisions at this time. We are returning your check number 6170 in the amount of$250.00 along with a copy of the local law. Any questions please contact the Planning Board. Very truly yours, X�at-u� dg— Bennett Orlowski, Jr. Chairman Enc. CX GS p�SCosScp 'q- edaw-1� Sc.Ss/a�.l o'4 id�6�� Al, S z CONFIDENTAL STAFF NOTES WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD October 6, 2003 at 4:30 pm SITE PLANS Greenport Heights Main Road Greenport,NY SCTM: 1000-45-4-3.1 Zone: B RE: 1)This work session is a pre-submission conference for the concept proposed. This site plan application is for a new 2,400 square foot retail building on a 1.521 acres parcel in the B Zone(s) located in Greenport. Requires a revised site plan see letter attached.. NOTES: 1)MEET w/DOT IN FIELD 2)DRIVEWAY SHOULD NOT ALIGN WITH MILLS 3) LANDBANK PARKING FOR ALL FUTURE USES. aint Peters Church Main Road Greenport,NY SCTM: 1000-45-2-7.1 Zone: LB RE: 1)New revised site plan and letter from Warren Sambach, see the attached letter. NOTES: 1)FOR DRAINAGE OF SOIL NEED TO SEND ENGINEER FOR COMMENTS, 2) SEE LETTER—DRAINAGE PROBLEMS 3)MAY NEED ARC FOR LIGHTING. Amerata Hess Main Road Mattituck,NY SCTM: 1000-122-3-10 Zone: MI RE: 1)New plan and correspondence received from Eugene DeNicola. See attached information. NOTES: NEED TO HAVE THE PROPERTY ZONE VERIFIED ON THE EAST BEFORE COMMENTS CF Van Duzer CR 48 Southold, NY 11971 SCTM: 1000-55-2-24.4 Zone: B RE: 1)Resolution for public meeting on 10/13/03. (see attached) NOTES: OK WITH A ONE-YEAR EXTENSION FROM EXPIREATION DATE AND RESOLUTION ,Albertson Marine, Inc. 37645 Main Road Southold,N.Y. SCTM: 1000-56-3-15 Zone: MII RE: 1) October 1, 2003 request from the ZBA Chairwoman for comments on the site plan. ( See attached memo) This site plan is for a new 12,000 sq. ft. building with 6,500 sq. ft. of warehouse and 5,000 sq. ft. of showroom space on 1.089 acres parcel in the MII Zone(s) located at approximately 918' from Bay Home Road on the north side of Main Road in Southold. NOTE: 1)IN ZBA FOR NONCONFORMING A LOT SIZE UNDER 80k AND FRONT SETBACK-HAS TWO FRONT YARDS-REQUIRES RELIEF FOR ONE FRONT- CONCERNS ABOUT BUFFER IN FRONT AND ELEVATIONS OF PARKING. REP BY MC CARTHY WORK SESSION AGENDA Page two Orient Fire Department-Communication tower Main Road Orient,NY 11957 SCTM: 1000-18-5-13.8 Zone: R-40 RE: 1) October 1,,2003 request from the ZBA Chairwoman for comments on the site plan. ( See attached memo). Proposed 120' communication tower. NOTES: 1)BO, WC ARE OK WITH TOWER COMMUNICATIONS IS REQUIRED AND SHOULD BE ON PROPERTIES OF COMMUNITY TYPE. THIS WILL NEED A SPECIAL EXCEPTION FOR 300' WITHIN 300' OF HISTORICAL. THE SCTM ARE WRONG ON THE DISAPPROVAL, REP VINCENT CANNUZIO, ED BOYDE &BOB HICKS ------------------------------------------------------------------------------------------------------------ LOT LINE APPLICATION Petrolino & Graseck 435 North Bayville Road ext& 1580 Cedar Drive Southold,NY 11971 SCTM# 1000-78-8-16.2 & 17.2 Zone: R-40 Representative: Thomas McCarthy RE:1)Place on October 13, 2003 for sketch plan approval of survey revised 9/25/03 and set the public hearing date for November meeting. NOTES: PB OK TO PROCEED SET OFF APPLICATIONS y' d. Mr. Mendoza Main Road _ Orient,NY 11957 SCTM: 15-2-15.1 Zone: R-80 Representation: Mr. Bruce Andersen(Suffolk Environmental Consulting, Inc.) RE: 1) Setoff application may require a waiver from Moratorium. Total parcel 26.690 acres divided into Lot A 7.044 acres and Lot B 19.645 acres. Details a 25' ROW. NOTES: REP BRUCE ANDERSEN PB DECIDED IT WILL NEED A WAIVER FOR A MINOR SUBDIVISON FOR WORK, THIS IS NOT A SET OFF WILL BE A MINOR DUE TO OTHER SETOFF BY DEED ON PARCEL. Miscellaneous Church Lane Change of Zone bs 10/8/03 ) Suffolk Environmental Consulting, Inc. Newman Village, Main Street; P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson,M.S.,President September 16, 2003 Bennett Orlowski, Jr., Chairman Town of Southold Planning Board Town Hall 53095 State Route 25 ::? P.O. Box 1179 Southold,NY 11971-0959 Re: MENDOZA Lot Line Modification e - Situate: 38015 Middle Road (C.R. 48/North Road) Orient; Town of Southold, NY SCTM #: 1000-015-02-015.1 Dear Mr. Orlowski, This Firm represents Amelia Mendoza, owner of the above referenced property, who is seeking approval from your Department to modify/set-off the existing lot lines thereon. Accordingly, approval from your Board is required. Enclosed herewith please find: (1) Town of Southold Subdivision Application Form; (2) Owner's Endorsement; (3) Copy of the Deed; (4) Environmental Assessment Form—Part 1 (Long Form); (5) Set-Off Map concerning subject property, prepared by Joseph A. Ingegno, L.S, last dated September 8, 2003, indicating the proposed lot line modification(eight [8] copies); and (6) Check made payable to the Town of Southold in order to cover the requisite application fee. By way of this correspondence, and on behalf of Mrs. Mendoza, kindly commence the technical review of the attached application and schedule before the next available Town of Southold Planning Board meeting in order to provide permit issuance. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. r Sincerely, Matt D. Ivan attachment cc: A. Mendoza. PLANNING BOARD MEMBERS j P.O. Box 1179 BENNETT ORLOWSKI,JR. �`Z �fi Chairman o Town Hall, 53095 State Route 25 ti Z Southold,New York 11971-0959 RICHARD CAGGIANO Telephone(631) 765-1938 WILLIAM J.CREMERS Gy Fax(631) 765-3136 KENNETH L.EDWARDS MARTIN SIDOR; PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 30, 2003 Mr. Bruce Andersen Suffolk Environmental Consulting,Inc. Main Street PO Box 2003 Bridgehampton, NY 11932-2003 Re: Mendoza Property set off Main Road Orient,NY 11957 SCTM# 1000-015-02-015.1 Dear Mr. Andersen, The Planning Board has reviewed the above application at the work session held on June 25, 2003 and is requesting the following: The set off application will need to include the following to be processed: 1. Please provide the proper ROW as required per Town Code section A108-15. 2. Modify survey to detail all existing structures. 3. Consider restricting future development of the property in the setoff. 4. Submit an executed application and payment as required. 5. Give SCHD permit approval information on property. If there are any questions you can contact us at(631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. Res c lly yo s, Bru o emo Senior Site Plan Reviewer CC:file WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD June 25, 2003 at 4:30 pm MAJOR AND MINOR SUBDIVISIONS,LOT LINE CHANGES., SET OFF APPLICATIONS Mr. Mendoza Main Road Orient,NY 11957 SCTM: 15-2-15.1 Zone: R-80 Representation:'Mr. Matt Ivans (Suffolk Environmental Consulting,Inc.) RE: 1) Concept setoff. Total parcel 26.690 acres divided into Lot A 7.8 acres and Lot B 18.9 acres. Will require a ROW for access. bs 6/24/03 V �l��rsC�J'er -40 7• 7 c-'re rr—, / S�a,��. /"`r / fir sue,► e o � span , �� z� _� /,74 r , sv✓a�' Suffolk Environmental Consulting, Inc. Newman Village,Main Street,P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S.,President l� May 29, 2003 Mr. Mark Terry c/o Southold Planning Department Town Hall P.O.Box 1179 Southold,NY 11971 Re: MEADOZA Property Situate: Main Road; Orient; Town of Southold,NY SCTM#: 1000-015-02-015.1 Dear Mr. Terry, As you know,this Firm represents Mr. and Mrs. Mendoza, owners of the above referenced property, who are seeking to construct a guest cottage thereon. As per your conversations with Mr. Anderson of this office concerning this matter, in order to solve this situation a subdivision or "split-off'is to be proposed within this property. Accordingly, please find enclosed: (1) Copy of the survey of subject property, prepared by Joseph A. Ingegno, L.S., last dated December 4, 2002, indicating the proposal for two(2)split-off lots within said property: Lot A measuring 7.8 acres and Lot(B) measuring 18.9 acres(eight[8] copies). By way of this correspondence, and on behalf of Mr. and Mrs. Mendoza, kindly review the enclosed items and schedule this matter for the next available Town of Southold Planning Board work session. Should you have any immediate questions regarding this matter, please feel free to contact this office at any time. Thank you for your consideration. Sincerely, F Matt D. Ivans O enc. Southold taws Plannin Board cc: N. Mendoza MENDOZA Property Situate: 38015 Main Road; Orient, NY SCTM #: 1000-015-02-015.1 (Photo taken on October 6, 2004) IF / t w xs Photo indicating the installation of the fire cistern within the property referenced above, as per the requests of the Town of Southold Planning Board and the Orient Fire District. MENDOZA Property Situate: 38015 Main Road; Orient, NY SCTM #: 1000-015-02-015.1 (Photo taken on October 6, 2004) » 1, A Photo indicating the installed fire cistern within the property referenced above, as per the requests of the Town of Southold Planning Board and the Orient Fire District. MENDOZA Property Situate: 38015 Main Road; Orient, NY SCTM #: 1000-015-02-015.1 (Photo taken on October 6, 2004) El -tom Photo indicating the installed fire cistern within the property referenced above, as per the requests of the Town of Southold Planning Board and the Orient Fire District. MENDOZA Property Situate: 38015 Main Road; Orient, NY SCTM #: 1000-015-02-015.1 (Photo taken on October 6, 2004) ar. .01 Photo indicating the installed fire cistern within the property referenced above, as per the requests of the Town of Southold Planning Board and the Orient Fire District. MENDOZA Property Situate: 38015 Main Road; Orient, NY SCTM #: 1000-015-02-015.1 (Photo taken on October 6, 2004) Photo indicating the installed fire cistern within the property referenced above, as per the requests of the Town of Southold Planning Board and the Orient Fire District.