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1000-45.-4-3.2
'tiwwl�,7 11MIN �71, T" t4 , 4:> APPROVED BY LL� PLANNING I DO A R.D I _T t, [D,`Z A i �Jz� �:,j E� in�,L, LJ TOWN .OF SWTHOU.... r!:,r r 0, .... .. .. Z D 17 AzTE-2 APR -ZO5 �N,r2 e_ r--Ile�rz-I t>e__Te�j 4- 6 rz C, CQUUIY S c�'1 tm� L__0 SUFFOU APPROVED FOR G Uij,�ijhut�IION UNLT o �-J H.S. REF. NO. -_-0�0 FLOW �J It- 105) rz:-- L, TYPE �Ojjst,uc,jon of the sanitary This approva �s grNI' d -Mor L rzLj t-J c2 r--I:,-- to Articles VB and /_1 rz It-41-11. rt:�>L_Lj I-- dispo-al 7 oll t.he Su'4` ,� t�cdpy the nor 'S '10 �2)YEARS A 1`2 e__1 rZ,2 c:::) 1* 1�0 07tAW!t.) tie, an expressed v, iv� St.r L I (s) w 4-1, �-j DATE SICNATURE r--J '___7 vie:w ?,Ioard OcA z-\,r*?_,.,�_ n n da':,d M 4 - T, rz= I F�- j E:_ 401 ' --T r7 PA r,-�_le.I �_J ff 1, f-T J t�- 95,��45> 40- U F- - elp e-;, 1�:)I 1��>-L (41 r�>P r::� e- r:�,T r-::�rz,�> zs ij-T I Q ji c--- 1-4 4�,->r�l i J \-.)61 er'?- i �J rZE�C>t�14-)�_4 r�:>r ,o,)�-j CC� I 1:1� T, ��_ZZ5 V, -4- L e,ez;�,..el_ I&I F- 6� YZ r- C:) T U Z� -4- oe:�;) 44 F>C_.;� -T 4, 7 j 61 P C:> 4� T41 L 164, ajF:>r_> j A��L_ 41 T J Uj 4- 4 L10 6:� r-`�, -a-cz- - cp:>t�� e 1 \40 LO C_4-,> rz- (c, 771��—1 44--1 ............ 71IN L f I - I _4� L LZ�. 4 2:7_ APR - 6 41 r>1 L 0 0 P-, 0 1 A i I - 11 N, It iOLD TOWN PLANN ING BOARD < 1�4 '�2 J -4, -2 Zz�r�, f4tt.-J4��-j L; 4 0 4 IV,) zi, J A. M J,1 A' ! $Ti 141 A" -T A A Building 144 t er with Pri Orr :> , ,11 F� F �0. A FrtAn the Nearest VI Part Of Cella Cellar Lines Lines Pools j)rains lit: 4, rl No 1prop. Svc. L'ewh Stotm e A "Sr 1400 cams CAST MOM fAA,�W Aft9k 03vtA TO GAAQC IMIM A A _V11",�Nw i": tar" s 51 100, jo 6616?014ur"on 043tAIVAP04"*,-/7 4pt 10 11q/ �fk " - 201 17 �14�:_`�XK'�,-� �11 1 1� "-I- M(a CAAM 7" -T MAX WCA W 414hpow6w F�l 81 20, 200*4 150, 0 E�e�, rZ_ iA i J,�<�j r'�;�, ::�L� .1 4�w4lttic COVIA ust* 14 VAX W"40 r"t 010ft tow(A a --------- I r , 04r wtau4nr To When local conditions prevent placement of-'the water I ine n above the sewer line, the following additional condit ' Idift Or 06A. Jons 4*GA A. "t,44 1,d%mvAL"T 04 MLET a _j pply: mm"t a Vir, a) a vertical separation,of at least eighteen L VIJI, j I"U�"A and 11"N the sewer line and the top of the water line; "Ji -T inches shall be provided between the bottom of _��>LJ V b waterline jointsshall be at least ten feet from the point of crossing; and SPOICTIVt P rz 1:-,>r__ C11-1) 14�.. x C ) sewer lines shall be constructed of materials J_rlr'�7> I and Joints that are equivalent to water main �Ll_ , co standards ofconstruction and shall be pressure tested to assure watertightness prior to 4 t M101 - backf il,ling. 09'MAJL WIVe- fwrjc�,O� r.::�,j z> LN a%iftetir*t swi Qr4 Signature 001) ',F't`�ft L lood-few inme.tl use of drawinq e;n c Acense W &AWY4.4. MSMAAL YO 09 C"*A '�-_hanqes, �a!*raffoijs or r*,qfSj*n3 Profax It "44*4" $NAVC&. Of f ice Of L f'e-OSP of 4 '13. 11 LwMoot Er� i ion 4i I A VNO"%rhatA Ahlers, P. k, lirt*er Appr�Woi *oW Soot eac ie�1k)t 9. Subdivisiop SA"'ANO CAAV I M,4 <) 06 E'duicallon Lavi C�,L_� 4"t-�;� I k ;41 1 � I 1_>T1�_A 41- Pt_Z�-tj T:> "101) J LE-E. 6� ENGINEER NOT RETAINED FOR CONSTRUCTION1, SIUPERVISION,,OR INSPECTION �>q w:�, DAIE (A S CA L E be� t.4o-r c-1 DRAWN BY REVISION 2_t;;� �IK �2 C,�,Z7 -4N71 FT /Y.4� DFAWING NO. 2 _j kSSAU SUFFOLK SLUEPRMING v SITE � ; Zov�O B-/-• a " t .QO/7A M.4iN l~ .eEY MAf3 /vo T TO scocE- r /vo rEs: /• /VO l+✓A TE.2 O.E' SEs t%gGE /n/ NE/'!/ 0 8 U/LO//VC. N Z• -X/ST/N,::, O!/TL>OO,e S/G/V _ ��� 3.No OUrGoO.0 G/G/�/ri�vG EXCEPT Fp,� S 6X/T G/GNTS .47' E",4C/•/ vo0.2 W4y �c�o O AS /NaiCATEO O/V A/14E.t✓S aATEo /0-8 � OA TUM� ASS UMEG qq 1 a �V a ti • q8, Lr 1 NE+W RA2EC►!t P eo Gf%5 C D Td Coo f:Op—� W t7`H X i�,Tl tVt' F'Q ' AEG iae0 —O� Gs �l lb �tikk- o a\ ' A � iO3• t.Q f�:toc. Ir �P 1 ,,, OLD oL so To ...- — J � 7vf � Av 4 h ?t°k0't� 3 9q • k o � 0 - 9B.SS Ei' 9B.G� lB3G EP �� l so• X APR 9 1� 8 ^q qq so• 9 r$ 8 x0° ,iq � 1 0 9 E f so xa '• ,4 B/T PYMT a q e q b 1V,,, 4IN �,DA,O MAP OF LAND LOCATED AT �o,er TOWN OF.SOUTHOLD COUNTY OF SUFFOLK 'ty SURVEYED FOR DATE: �:..,. LEE,L�TZ UNAUYNOR!ZEO ALTERATION-0R ADDITION 10 THlI SURVEY t$ A VIOLATION OF$fOEtOM 7?O9 OF X UC LICENSED LAND SURVEYOR SCALE: THE NEW YDRK STATE EDUCATION LAW - 125 ROUTE 25A COPIES OF THIS SURVEY A YAUD TRUE l ID TR THE LAND SURVEYOR'S IflkFO$ERl OR EM®O$SED SEAL ���� 4S 4 -'�''z SHALEROCKY POINT.'N.Y. 11778 MAP No. NOT!E CONSIDERED TO TO BE A UE COPY D I ST. SECT BLK LOT �ty,��,E'0 _ •�/r 8 516-744-2055 PLANNING BOARD MEMBERS CO2 33` ' a SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman O ." "i` �`� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE T i elephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 April 7, 1992 ' Michael Domino P.O. Box 151 Shoreham, New York 11786 RE: Site Plan for Crackerbarrel Antiques Main Road, Greenport SCTM*1000-45-4-3 . 2 Dear Mr. Domino: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, April 6, 1992. WHEREAS, Michael and Joy Domino are the owners of the property known and designated as Crackerbarrel Antiques SCTM*1000-45-4-3 . 2, located at 74365 Main Road, Greenport; and WHEREAS, a formal application for the approval of this site plan was submitted on January 24, 1991; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on May 13, 1991; and WHEREAS, this site plan was certified by Victor Lessard, Principal Building Inspector on April 6, 1992; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; and Be It Therefore RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final survey dated August 26, 1991, subject to a one year review from date of building permit. r. Page 2 Crackerbarrel Antiques Enclosed please find a copy of the map that was endorsed by the Chairman. Please contact this office if you have any further questions. Very truly yours, Bennett Orlowski, r. ma's Chairman Encl. cc: Victor Lessard, Principal Building Inspector Scott Russell, Town Assessors Office P )NI r� O''A D T(C'PiA SO iht .rLD S t kE 'L G Y Southold, N.Y. 11971 (516) 765-1938 May 21, 1986 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The following action was taken by the Southold Town Planning Board, Monday, May 20 , 1986. RESOLVED that the Southold Town Planning Board approve the site plan of Michael and Joy Domino to be known as "Crackerbarrel Antiques" located at Greenport for construction of .a building to be used for storage and additional retail use incidential to the existing principal use of the premises. Plan dated as amended March 31, 1986. This site plan received certification from the Building Department. When the Chairman has endorsed the surveys, we will forward one to you. Please contact this office if you have any questions. Very truly yours, BENNETT ORLOWSKI, JR. .,. CHAIRMA_ N SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department SITE PLAN Presubmission conference (within 30 days of written request) Complete application received (within 4 months of presub. conference) Application reviewed at work session _ Iro.` (within 10 days of receipt) _IMin. a Applicant advised of necessary revisions z (within 30 days of review) D Revised submission received .3 -� ,M.`' oK W: oK Zead Agency Coordina ti J�q r SEQRA determination i REFERRED TO: 0 o U _ r Zoning Board of Appeals se vsr o N (written comments within 60 days of request) Q w Board of-Trustees(b--, S' ,M�• OK V o uilding Department (certification) oK a w.� Suffolk County Department Mgfarnpnt#n'r� Igo.` oK c&R ' Department of Transportation -State I .PzF` OK o Department of Transportation - County I�.` ox ✓Suffolk County Dept. of Health 167L oK ,/Fire Commissioners Sent: x Receiv dZL RECEIVED: Draft Covenants and Restrictions I .` oK Filed Covenants and Restrictions, Landscape plan ,ro` oK Lighting plan M7 oK IMFb. a Curb Cut approval ,6 oK v/Health approval s% ,Lox ' Drainage plan I-7 ox Reviewed by Engineer "L0 Inro. OK Approval of site plan ' -with conditions Endorsement of site plan %f �, Certificate of Occupancy inspection IgoT oK One year.review i1°0` [OK SCOTT L. HARRIS PLANNING BOARD MEMBERS ds- ; t d ` � f 4°� Bennett Orlowski, Jr., Chairman Supervisor���'� �� George Ritchie Latham, Jr. Richard G. Ward ! = �✓ Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 9, 1991 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road, Greenport SCTM *1000-45-4-3 .2 Dear Mr. Domino: The Planning Board has not received a response to its letter to you of May 24, 1991 (copy enclosed) indicating that a per. = Health Department approval or exemption will be required before the Board can continue with its review. If you have received any of these permits, please contact this office. The Board will then proceed with its review. Very truly yours,� Bennett Orlowski, Jr. Chairman Encl. cc: Victor Lessard, Principal Building Inspector Ta4 D� PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald ' J' P.O. Box 1179 `"-�-'' Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 May 24, 1991 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road, Greenport SCTM #1000-45-4-3 . 2 Dear Mr. Domino: The Planning Board has received notice from the New York State Department of Environmental Conservation that they will require a freshwater wetland permit in connection with your building expansion (copy enclosed) . Please contact the DEC to obtain the necessary approval. In addition to the wetland permit, a permit may be required from the Southold Town Board of Trustees. Please contact the Trustees at. 765-1892 to determine if a permit is required. The final maps cannot be approved without the Health Department stamp, DEC permit, and possibly a permit from the Town Trustees. If you have any questions, or require further assistance please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman s Encl. cc: John Bredemeyer III , President, Town trustees Victor Lessard, Principal Building Inspector New York State Department of Environmental Conservation Building 40—SUNY, Stony Brook, New York 11790-2356 able M, T. Oo nmcwo Cn zy -7,q 3657 in' IeQ' Thomas.C. Jorling Commissioner �cee n Po�fj OU •Y 1I q�q scra=r�� ad(�-6'n N, side oT Mo,i.n _��S�©f f?Up Ssle Me 5 Owed lev c,.�e- 25 In if�seC,60^ , SCT14# 1000-L 37- 3 Z Q LA-)�'� n u m- o`m y6t , oT e role n 4o'/N 4o a q , ma. ed 64-,.e�-Ia nc Me e r er�rce V Cu o-� does nod- ,( w 1'h �u� tsd lCl7o� f(3 m itvc t tt ® c.� ev& �2 /o f" ., i j � � be, subdLc-� 4o )gc-1;cle J F1 ' d�•r 1 ©r;cLw QS�z o�5 �� ""-� Q (,(. &oe C�cLI�'� Mrf(-T I07P /3 k �kc o� +t%&- BUAP-&,V, cf 'F,U L V16n mww ero � vT . S 1 n Cere, per-- , ..t2 TAU, r-oyl Q, f JUN 2 6 199t l �y��aYs 3 U[1 �' r "d; f PLANNING BOARD MEMBERS k SCO17 L. HARRIS y t Bennett Orlowski, Jr., Chairman c^ Supervisor George Ritchie Latham, Jr. Richard G. Ward • - f� Town Hall, 53095 Main Road Mark S. McDonald Y.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OpFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 19 Jerry Urban, Chief Greenport Fire District 3rd Street Greenport, New York 11944 Dear Mr. Urban: Enclosed please find (2 u eys for Please no ify this office a hether any firewells are needed. Please specify whether shall w wells or electric wells all will be needed. Please reply by 1991 . Thank you for your cooperation. y truly urs, Bennett Orlowski, Jr. Chairman enc. hp r 00 Gyc Z PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman VO 0� Supervisor George Ritchie Latham, Jr. 1D Richard G. Ward l Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OpFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 ✓� � � 197` Frederick R. Weber, Secretary Southold Fire District Main Road Southold, New York 11971 Dear Mr. Weber: Enclosed p ase fin 22) surveys for • A Please notify this offi e a X whether any firewells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by 1991 . Thank you for your cooperation. Ve y truly rs Bennett Orlowski, Jr. Chairman enc. — 7,4 s� i��� St{[�Pi LE o QG a v . TRUSTEES John M.Bredemeyer,III,President c SUPERVISOR Henry P. Smith,Vice President o �? SCOTT L.HARRIS Albert J.Krupski,Jr. �,j, • �� John L.Bednoski,Jr. ?1Q1 �a0 Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)7654823 TOWN OF SOUTHOLD TO:, Bennett Orlowski, Jr. Chairman Planning Board FROM: John M. Bredemeyer, III President, Board of Trustees DATE: May 30, 1991 RE: Site Plan for Michael & Joy Domino SCTM #1000-45-4-3. 2 . As per field inspection bf this date the Board of Trustees find that the above referenced application is not in the jurisdiction of the Board of Trustees. Please note, as per phone conversation with Diane Goetke of the D.E.C. a letter is forthcoming from their office stating due to a mapping era the D.E.C. no longer finds this project in their jurisdiction. JMB:jmt iT MAY ,3 1 1991 1, f $1 . PLANNING BOARD MEMBERS t ti SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman " u'�� �� ', Supervisor George Ritchie Latham, Jr. Richard G. Ward -' Town Hall, 53095 Main Road Mark S. McDonald '- �' P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 May 24, 1991 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road, Greenport SCTM #1000-45-4-3 . 2 Dear Mr. Domino: The Planning Board has received notice from the New York State Department of Environmental Conservation that they will require a freshwater wetland permit in connection with your building expansion (copy enclosed) . Please contact the DEC to obtain the necessary approval. In addition to the wetland permit, a permit may be required from the Southold Town Board of Trustees. Please contact the Trustees at 765-1892 to determine if a permit is required. The final maps cannot be approved without the Health Department stamp, DEC permit, and possibly a permit from the Town Trustees. If you have any questions, or require further assistance please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman S Encl. cc: John Bredemeyer III , President, Town trustees Victor Lessard, Principal' Building Inspector 1 � New York State Department of Environmental Conservation �5_ //3 q �� ✓� U Su Re.: LEAD/ AGENCY COORDIINATION RESPONSE Dear (. kas6ne (- W l M. /G ULl - yJ- This letter responds to your communication c f regarding lead agency coordination for the above-noted project, under Article 8 (State Environmental Quality Review SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617. The Department has the following interest in this project: DEC Permits (if any) : e DEC Contact Person: r ci 'J SEQR Classification: [ ] Type I [ ] Unlisted DEC Position: Based on the information provided: �] DEC has no objection to your agency assuming lead agency status for this action. [ ] DEC wishes to assume lead agency status-for this action. [ ] DEC`needs additional information. in order to respond (see comments) . [ ] DEC cannot be lead agency because it has no jurisdiction in this action. Comments: _see attached [ ] none If you do not concur with the DEC position indicated above, please, 'contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or discussion. Singerely, cc: (attach distribution list) NEW YORK STATE DEPARTMENT OF ENVIRONME Q17:il TI0N M E M O R A . N ,D U MAY 0 6 1��' TO: D V 6vQ- is ,DRA �• FROM: DATE: RE: UPA# - - / SF ►°. D�►'a� ory�-t.�.2s SCTM'- �p - — 3. U- Applicant In response to your request, a field inspection was made of the above referenced project proposal . The freshwater wetland boundary has been flagged with plastic. flagging tape and/or plastid flags . Please have applicant hire a surveyor to plot these flags on the site plan. . The boundary should be denoted on the site plan as follows : _ . NYS DEC Freshwater Wetland Boundary as delineated by Q on The freshwater wetland boundary, as flagged by has - been confirmed for the purposes of this application. Please have applicant hire a surveyor to plot these flags on the site plan. The boundary should.be denoted on the site plan as follows : Freshwater Wetland Boundary as flagged by and approved for the purposes of Application ## (UPA##-above) / by NYSDEC on Other l -S ILAri5duAdn L i •re s 4p `L�A S egIC-4 ql-'L 5 ck V-t-ey. 'T1U . � ��1� cc�,�- �Y� c�oy�uG-}—•Yt1.e. dJ.M iw4. or . .. _..__ _�.._.. .._.._.... : . . vj: -ky- s inn r c4rs4. . .�,_.. .. .. .. ... ...._ .:r.►:. _. .__.... ...... .... .. ,•s!..e�^..•�L'. SY'S Y":'R�.n./.. :w..::i:l'.::Tra�.?�:.��'di:rj:•c:};::_ a `�"'3•r.s r, »n^:'i� rA e. •� 5 kti'.'s ;� •n �.� ,ss ��{{+ tiwt �4-.� FT ,� _`` r�. r- `• �1,^„'� u :�{ s�4 �'�. ai t"' ` •yu^.k gyp.- t 1 �� � v"_ '�k in. I'I'� 'tf �'Y.,�y' � �. Ti ul �9N I .ETAIL -.Lb(! •,\ —.-_� /�0 Lit lot Q S' •� ..yrunl' W V01,7 V s 5 14 a Y " \ J uwti r,-J� o s� o • V1 J o I' � � �✓�GPL� 1= 20 �, �,oo QO:� (►J , ► Arr r ....MXS5Ml SUFFOLK'a—vv, a . \ ,ul.jr,. �a .moo• -_ �' I' - i o . r N N � 121; 11 / \ � I1oo�7 F CL toC 13 it LL ul LL 1p 1ly it ) ®P 2 :.emu iY i 4, oo' jol.7 t 1 . ., . :M PLANNING BOARD MEMBERS w' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. e Richard G. Ward . Town Hall, 53095 Main Road Mark S. McDonald ��'`' `Y~ P.O. Box 1179 Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 TO: John Bredemeyer III, President, Town Trustees FROM: Bennett Orlowski, Jr. ; Chairman --7- DATE: May 21, 1991 J RE: Site Plan for Michael & Joy Domino SCTM 1000-45-4-3. 2 On April 2, 1991 ,a lead agency coordination letter was sent out. However, it was not sent to the Trustees. The Board did not receive any responses to its coordination letter within -the required time frame. Consequently, it declared a negative declaration on May 13, 1991� On May 20, 1991, the attached response was received from the Department of Environmental Conservation. A fresh water wetland permit is required, due to the close proximity of the fresh water wooded wetland to the proposed addition and parking area. Attached for your review and comment, is the DEC letter and a copy of the site plan. Please direct your comments to Bob Kassner of my staff who is handling this matter. Encl. F New York State Department of Environmental Conservation Aim P< Re: LEAD AGENCY COORDINATION RESPONSE C icze r. f Toy any ,,� Dear �. kassne 50. This letter responds to your communication of regarding lead agency coordination for the above-noted project, under Article 8 (State . Environmental Quality Review - SEQR) of the Environmental Conservation .Law and 6 NYCRR Part 617. The Department has the following interest in this project: DEC Permits (if any) : /��' /��E'✓ ��.5�f1 fJ(/(,L]'""�.r' Gtl� � t cL /2f/dam DEC Contact Person: `J SEQR Classification: [ ] Type I [ ] Unlisted DEC Position: Based on the information .provided: �] DEC has no objection to your agency assuming lead agency status. for / this action. [ ] DEC wishes to assume lead agency status -for this .action. [ ] DEC needs additional information in order to respond -(see comments) . [ ] DEC cannot be lead agency because it has no jurisdiction in this action. Comments: (>F--1_see attached [ ] none If you do not concur with the DEC' position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or "discussion. Sinc,,erely,, cc: (attach distribution-list)" NEW YORK STATE DEPARTMENT OF ENVIRO SRVAT ON 7�r� M E M O RA N D U MAY 0 6 1 _J TO: IR oqzv Vj a, ,DRA # FROM: . Ext. 7 DATE: RE: UPA# - - SF qk CDD►' oY� SCTM# ►i ODD _ l r U Applicant In response to your request, a field inspection was made of the above referenced project proposal . The freshwater wetland boundary has been flagged with plastic flagging tape and/or plastid flags . Please have applicant hire a surveyor to plot these flags on the site plan. . The boundary should be denoted on the site plan as follows : 'NYS DEC. Freshwater Wetland Boundary as delineated by 2 on The freshwater wetland boundary, as flagged by has - been confirmed for the purposes of this application. . Please have applicant hire a surveyor to plot these flags op the site plan. The boundary should be denoted on the site plan as follows : Freshwater Wetland Boundary as flagged by and approved for .the purposes of Application # (UPA#-above) by NYSDEC on Other: l I bL�V ItViSalr do I uIP_ J L i M4M pin vey. 7�LQ- r�a•.�,�t rr:�y�� �g yy�/pp�yy k'1 .^""�.•, i'v1;.F+iV1a71 O LANpS OF THE V/LLAC�E OF za n�a o � � A Ih .� /,j•;'�"/dam.. i �-+ � � a G � _r-t d• +-s fn 3 �° N ��• � �LJ��TeaiJ E: � r S � � � f i o � Oho Ja' So.• E ( � Zgg.Z3i •�S m �c .r i iJ - r�prLiGI -1 —P20r? r'l�r-iTitJ -] fn2KI�J r::r.'.n....'I.J -.(i*ii;jl]R�T1�itW:t�v.:j 4Y11t1'i v:l!:i r•fjT 4fiRnith'ti]�J7�'J7 .'p 1M AI ;• `" +1F't f���'.,..,• t' r� 1'I�a-s:Y•,.:�t i. .. Ipl . Y 2 loo o L 4Nos of T-/F. VILL4c,E of _ A/O l' iEL,laY 40' in tz 61 O t � '' ;'. •. ��I ��, _..� ---� ':� �1^, jam.�--.:, ,�:��'::, �^ �� I c.:�c::� c> PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. ,: � , 1 .>� �:r;✓ Richard G. Ward _ a "✓ Town Hall, 53095 Main Road Mark S. McDonald `� Y.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 Frederick R. Weber, Secretary Southold Fire District Main Road Southold, New York 11971 Dear Mr. Weber: Enclosed p ase fin "( 2) .surveys for Please notify this offi e a to whether any firewells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by 1991 . Thank you for your cooperation. gV ,y truly rsnett Orlowski, Jr. �• Chairman enc. New York State Department of Environmental Conservation Q6 0-5 5-�� S l ��Cam• v� v� jo c 04�C_e �u BFic Re: LEAD AGENCY COORDINATION RESPONSE Mr. kassneC _5 Y Dear � / � /C� ()(� This letter responds to your communication of regarding lead agency coordination for the above-noted project, under Article 8 (State Environmental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part"617. The Department has the following interest in this project: DEC Permits (if any) : �e L/!�E'S ��S 6vW/ /, rih DEC Contact Person: f� eA .�(da,*T 6 SEQR Classification: [ ] Type I [ ] Unlisted DEC Position: Based on the information provided: DEC has no objection to your agency assuming lead agency status for this action. [ ] DEC wishes to assume lead agency status for this action. [ ] DEC needs additional information in order to respond (see comments) . [ ] DEC .cannot be lead agency because it has no jurisdiction in this action. Comments: see attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or discussion. Si rely, 01cp1 cc: (attach distribution list) 1 i f' l 9, ' tl G 1 j i ! NEW YORK STATE DEPARTMENT OF ENVIRO ON M E 'M O R A N D U ' MAY 06. DRA ;�• FROM: •' P�,•:. .•EXt. 37 4� t DATE: 3 RE: UPA# - - - J S�q�. CDO►' "� SCTM# ►D - dl Applicant �� / fern ixa f In response to your re/quest,, a field inspection was made of i ,I. the above referenced project proposal. The freshwater wetland .boundary has been flagged with plastic flagging tape and/or. pIastid flags . Please have applicant hire a surveyor .,to plot these flags on ,the site plan.- . The boundary should be denoted on the site plan as follows �i NYS DEC Freshwater Wetland Boundary as delineated by . . (� e on The freshwater wetland boundary, as •flagged ,by has • been .confirmed �.: for. the purposes of this application. Please have applicant hire a surveyor to plot these flags op the site plan. . The boundary should be denoted on the site 'plari as: follows : Freshwater Wetland Boundary• as flagged by and approved for the purposes of Application # (UPA#-above) by NYSDEC on otnh-eJr l t QU V LAV1 Gt l an PiAl I L i rP. �h; s VAAJ i� r rx ry L �l . . � •<<.Ccv,�' �.11� �oY�a.D}— YY�.Q- r" '�' flkv+l4�::.l�t�v`..or • II �` �'�'' I, -�;.,�.I�t. .. _ ;'i�ir'5: .'�c� ,. ... �1. :.,:3�`:�.�'.';i''., r ' ' .,- ?•'•t v �'.�'"s' �"' , -^`i ��t ^3' i L uer flit NN;N PLANNING BOARD MEMBERS SCOTT L. HARRIS Supervisor Bennett Orlowski, Jr., Chairman e,+ '= "'George Ritchie Latham, Jr. Richard G. Ward _ `_° °° Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 . May 14, 1991 Michael Domino . P.O. Box 151 Shoreham, New York 11786 RE: Proposed site plan for Michael & Joy Domino SCTM*1000-45-4-3 . 2 Dear Mr. Domino: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, May 13 , 1991. Be it RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a determination of non-significance, and grant a Negative Declaration. Enclosed please find a copy of the Negative Declaration. for your records. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. Y!1 .ram PLANNING BOARD MEMBERS sa x" ` ''` �, SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ` g „�, Supervisor George Ritchie Latham, Jr. �'°+ Richard G. Ward -.s Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New.York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance May 13, 1991 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead -agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed site plan' for Michael and Joy Domino SCTM# : 1000-45-4-3 . 2 Location: North side of Route 25, 1,105 feet west of intersection of Moore' s Lane and Route 25 SEQR Status: Type I f ) Unlisted ( X) Conditioned Negative Declaration: Yes ( ) No (X ) Description of Action: Proposed 2,400 square foot storage addition to existing building. Page 2 Michael and Joy Domino SEQR Negative Declaration Con' t. Reasons Supporting This Determination: An Environmental assessment has been submitted, reviewed and it has determined that no significant adverse effects to .the environment were likely to occur should the project be implemented as planned. Because there has been no correspondence received from the Department of Health Services in the allotted time, it is assumed that there are no comments or objections from that agency. Because there has been no correspondence received from the New York State Department of Environmental Conservation in the allotted time, it is assumed that there are no comments or objections from that .agency. Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: ( 516) 765-193.8 cc: Suffolk County Department of Health Services David Morrell, DEC Commissioner Judith Terry, Town Clerk Building Department Board of Appeals Board of Trustees Applicant FO[��o RAYMOND L. JACOBS v T JAMES A. RICiiTER SUPERINTENDENT OF 0 �. ENGINEERING HIGHWAYS 'y.�/O1 ��� INSPECTOR 765-3140 734-5211 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD M E M O R A N D U M TO: Bennett Orlowski., Jr. Chairman, Planning Board FROM: James A. Richter SUBJECT: Short Environmental Assessment Forms Michael and-Joy Domino DATE: April 9•, 1991 As per' your request, enclosed please find the short environmental assessment forms for the above referenced- projects. Please be advised that Part III of this form still requires your signature and related information. If you -have any questions please do not hesitate to call. enc. APR 1 0 1991 t 14.16-4(2/87)—Text 12 . PROJECT I.D. NUMBER 617.21 SEAR Appendix C , State Environmental Quality Review •:i •" !r SHORT ENVIRONMENTAL ASSESSMENT FORM 'i For UNLISTED ACTIONS Only PART [—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SP/ONSOR n 2. PROJECT NAME PI �J ,L r,C_1I q C / j L D n7 /N U C►'a GIG C!^�(1jY✓G� /Tn// GtI S 3. PROJECT LOCATION: 'n Munlctpallty -] 3 ti / •1 ' !H pr Y County 4. PRECISE LOCATION(Street address and road intersections,pro ment landmarks,etc.,or provide map) N 7 rF 36 S /�1 +4%� R�Q �IV,yS. Rye 2g') 'e/eoe., a--4-4,ve (/%oS/.-) M Lra s f jktzrsez-� of Mc,pace f 6,91vE a,( /V.Y, s • Rte t,s-, 5. IS PROPOSED ACTION- ❑New Expanslon ❑Modlfication/alteration 6. DESCRIBE PROJECT BRIEFLY: / �XTtN�S%d N Of C X;3f7•n.Cj /C4�el/ 5 r e 7. AMOUNT OF LAND AFFECTED: ^' Initially • O acres Ultimately _ (/r o acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? p7`o Yes ❑No If No,describe briefly C9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? , ❑Residential ❑Industrial Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Jfp_44;1 Sires r 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAQ? ❑Yes C%o If yes, list agency(s)and permit/approvals 11. DOES ANY ASPE T OF THE ACT:CN HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yee o If yes,list agency name and permit/approval 12. AS A RESULT OF OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ZI No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: I/ 1.r'4QG Jr,JJ J�0 /y/�Na Date: Signature: If the action is in the Coastal Area, and you are a state agency; complete the Coastal Assessment Form before proceeding with this assessment OVER .APR 1 p 1991 L .>. '..' 2:"' jii' <r��,�_�.x:.. �- ,t+q•t'c4i' `p.sK' :`�v.".i ..st',54r.•...�.,....._..,e -- PART II—ENVIRONMEh.�—'. ASSESCW,ENT (To be Completed by Age , A. DOES ACTION AIL EXCEED A y)NY TYPE I THR S OLD IN 6 NYCRR, PART 617.12? If es,coordina ❑ Y e review process Yes El No and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. nX Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten.If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: NO C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly.- NO C3. Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: NO C4. A community's existing plans or goals'as officially adopted,or a change In use or Intensity of use of land or other natural resources?Explain briefly NO Cs. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. NO C6. Long term,short term,cumulative,or other effects not Identified in C1-Cs? Explain briefly. NO C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. NO D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. duration; irreversibility; (e)geographic scope;and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensu re that (d) explanations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. ❑ Check this box if you have identified one or,more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ® Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name oI Lead Agency Pnnt or type Narnr of Responsible UI icer m Lead Agency • M. Resons le OfficerSignature or Responsible Officer in lead Agency 5 4j:njtu5e oS gnaiure or i, reparer(it di, Brent Irom responsible orricerl E Date 2 ._ -......3-?;RC.....::.:�,........:t..�._i::'.w.. ..._._-...45,-.9.x`•.�^�...._�':;:��:....,,-...:... ._ ......._�. �r.•i"r...:�'':5:.4'•Ct..o+.,v��,�5:`iX:3a�Y�i-'�2,'r,�:r�xt,2Yc'�!'�„}5����-a:..;3ti,-:ir'�,�.: arJ�'Ja �tP� Fr I 'r 0 _ D SL Southold, N.Y. 11971 (516) 765-1938 o APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec' d New Use Change of Use Re-Use Extension of Existing Use Revision of an Approved Site Plan (Date of Approval ) Other Specify Name of Business or Site C 'A G41 r� .4 1,1-e /A/-57,kcr Location of Site 71/3GS hI.4:N Rd ree�,e,,✓� Address of Site, if available Name of Applicant /')`)�"�� .�G/ J1 1)0.,r :r�a . .Toy C- . Address of Applicant_,- s,,� folk doMN S'.io-re_ !Lair% Ali y, Telephone ,�- 3 7KV- 00JJ Person to be responsible for Construction M '_4a e/ ,T-• d m i.v o , lKe-"g'&j 4'Si ra b sf rre- Telephone S<77 0�3.7y -moo l Applicant' s interest in site-check one: Owner of Land Under contract to purchase Owner of- Fee Title to Land T. fi JZ yE• AO 1",,,u a Address Telephone Site Plans Prepared by G .-,(, License No. 2_q.r2_ Address j774No,_ 44. 7,imeS,gd,e T Telephone 72Z.- 3 y 2-/ Total Land Area of Site .3�, G o2 5' Sq.Ft. Zone District Q Existing Use of Site �3vs ass, f}NTiQ�G�Proposed Use of Site �$✓1 %tiEsr�Q�-T,p,r� Gross Floor Area of Existing Structure( s) 25,33. Y sqft. sgft. Gross Floor Area of Proposed Structure( s) A *j o sgft. sgft. Percent of Lot Coverage by Building( s) 13-15, o Percent of Lot for Parking (where applicable) 26.E o % Percent of Lot for Landscaping(where applicable) 6-,7, 7 0 , o Datum(Specify)U.S.G.S. 55'U/n,-_0 Other Has applicant been granted a variance and/or special exception by Board of Appeals A/o Case Number Name of Applicant _ Date of Decision Expiration Date Will any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the site? 4/0 If so, have proper permits been obtained? AJo Number and Date of permit issued NO 'VeG NO ACTION (EXCAVATION OR CONSTRUCTION) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. .a.:,fsvka�e:A.�.se.>> .. v ..r ''" `' a .. . .. ,q. eaw,�!-. -',�+!nw,stt*,�Y,::ki:,d'�'�jfw:s.a�w-w'a. ,.•+`.�`:.7`.�' . A New York State Department of Environmental Conservation /c 0bef 6 . r(k55nL'� c o�►� o Re: LEAD AGENCY COORDINATION RESPONSE Dear �v . /(as3i-eA S C /(70(7 — l(.5' —y-3. Z This letter responds to your communication of regarding lead agency coordination for the above-noted project, under Article 8 (State Environmental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617. The Department has the following interest in this project: DEC Permits (if any) : DEC Contact Person: � � � SEQR Classification: [ ] Type I 11991 Yp [ ] Unlisted . APR DEC Position: _ Based on the information provided: DEC has.no objection to your agency assuming lead agency status for this action. [ ] DEC wishes to assume lead agency status for this action. DEC needs additional information in order to respond (see comments) .* [/ ]_ DEC cannot be lead agency because it has no jurisdiction in this action. Comments: [ ] see attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or discussion. Si rely, cc: (attach distribution list). d t C ry rug`'` ree e k2 )cvn1 �C�Cz SSA �� a'�. � 'rW i evi � .Al'1 e y e v Zi a " PLANNING BOARD MEMBERS SCOTT L. HARRIS �° '"' Supervisor Bennett Orlowski, Jr., Chairman . �� P George Ritchie Latham, Jr. d X Richard G. Ward � ` Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 TO: James Richter, Road Inspector FROM: Bennett Orlowski, Jr. , Chairman . RE: Review and completion of parts II and III of the Short Environmental Assessment Form Proposed Site Plan for Michael and Joy Domino SCTM# 1000-45-4-3 .2 DATE: April 4, 1991 Please review the enclosed Short Environmental Form and complete parts II and III . Application form, questionnaire, and map are enclosed for your use. If you could respond within a week, it would be appreciated. If you have any questions, please contact Robert Kassner of this office. Enc. cc: Raymond Jacobs, Highway Superintendent 1 PART ll—ENVIRONME� ' ASSESSMENT (To be completed by Ag(- A. DOES ACTION EXCEED ANY :I THRESHOLD IN 6 NYCRR, PART 617.12? If —coordinate the review process and use J e the FULL tAF. El Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly. C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals'as officially adopted,or a change In use or Intensity of use of land or other natural resources?Explain briefly C5. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,or other effects not Identified in C1-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)?Explain briefly. f D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope;and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined',.based'on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Prmt or type Name of Responsible Of ice,in Lead Agency fit a of Responsible Officer Signature of Responsible Officer m Lead Agency Signature of Preparer(if deferent from responsible onccer) Date f _..r_ 14.16.4(2/87)—Text 12 . PROJECT I.D. NUMBER 617.21 SEAR Appendix C State Environmental Quality Review'-, SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME PI f,CActr- / T V , M /No Ct-��IC��-ti�re� �r e ws 3. PROJECT LOCATION: Municipality 7 County S'-.7C �k 4. PRECISE LOCATION(Street address and road intersections,.pro ment landmarks,etc.,or provide map)3 6 ) Nor f S /►19 i�, R .5. IQ-!�e 2S� e/e OP,ti !�w-.4,u..,Q a--4�i've �er,�(//osly t,►ast a/ fkfzrse� o f NJopxe'r C0wF 4.4 5 ?A/V. e (f Y� 5. IS PROPOSED ACTION: ❑New Expanslon ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Of e Xl J 7 /6,7a ll s�r'e 7. AMOUNT OF LAND AFFECTED: 1 �j� Initially S acres Ultimately a, d acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑No If No;describe briefly C9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: QeL_W 10. DOES ACTION INVOLVE A PER APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)?d ❑Yes N:M' If yes, list agency(s)and permit/approvals 11. DOES ANY ASPESiT OF THE ACT:0N HAVE A CURRENTLY VALID PERMIT OR APPROVAL? . ❑Yes LAO If yes,list agency name and permit/approval 12. AS A RESULT OF OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes No y CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ►/ r/�C44&f 7, 406 Al. ova Dale: Z3 �79 Signature: 711the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER �'n6'+titbii o A -r ..u,Gcay,,...n�.�..,.....a-..,uL..r_:...,.,.,......� •,u:.cJ.:..�uv:.�n.�,.,.tSLnLui&.r..r_i:Iva.�,4.,n.4...i!"..,._,.,u.�..:. sceJ:.:.rw-7'M1.aC',I"d,...d F .o.....� :c,.�.-, .��iv`.,...�'^�'• .��. ►, C 'r 0 D Southold, N.Y. 11971 (516) 765-1938 o APPLICATION' FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec' d New Use Change of Use Re-Use Extension of Existing Use • Revision of an Approved Site Plan (Date of Approval ) Other Specify Name of Business or Site Location of Site 75�3GS' �'�I g;N R�/� ree-7d„�•t Address of Site, if available Name of Applicant M'c,4 ,%G/ J Da," %,v o ,To y C .0 o Miwa Address of Applicant_-- 5,,jE4-off -5,4ove A_a-, Av, y, Telephone .•,!�, 3 7 - 0 0 3 Person to be responsible for Construction g�re n s�f l'G Telephone �477 p t,03 ,7y fF coo•� Applicant' s interest in site-check one: =Owner of Land v,*- _ Under contract to purchase Owner of- Fee Title to Land tT9,-e_11 q e/ T, - -- -Tyy C- • Qo Mi,u a Address Telephone Site Plans Prepared by G ,.,(,. License No. Z.qS-�. Address rn4Noc L A. X i mes-eog 7- Telephone Total Land Area of Site .3G, G A? Sq.Ft. Zone District Existing Use of Site 80.5&ss ,qM -s Proposed Use of Site i$✓f %ti�sr.&-r4« Gross Floor Area of Existing Structure( s) 2533. 1' sqft. sgft. Gross Floor Area of Proposed Structure(s) a *j o sgft. sgft. Percent of Lot Coverage by Building( s) / , o Percent of Lot for Parking (where applicable) 26- o _o Percent of Lot for Landscaping(where applicable) 5-% 7 o d o Datum(Specify)U.S.G.S. 4sSulnea Other Has applicant been granted a variance and/or special exception by Board of Appeals No Case Number Name of Applicant Date of Decision Expiration Date Will any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the site? d/o If so, have proper permits been obtained? A/o Number and Date of permit - issued /✓Oye- NO ACTION (EXCAVATION OR CONSTRUCTION) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY. THE PLANNING BOARD. a k �. a >'" ,M+,. �a Yw.•f,,«,,,.y ,.r.uYca �a��nd taa s ,.a..�,ceaa. a� s�-ks"' a PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman cam ,r, ': Supervisor George Ritchie Latham, Jr. Richard G. Ward 5=: r.°., ' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 . September 11, 1990 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road Greenport SCTM #1000-45-4-3 . 2 Dear Mr. Domino: The Planning Board has reveiwed your letter received on August 28, 1990, requesting information about what procedure to follow in expanding your existing storage building. The expansion of this building will require the submission of an amended site plan. A copy of the site plan application is enclosed for your use. If you have additional questions or require futher assistance please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman enc: PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett_Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward — Town Hall, 53095 Main Road i`, Mark S. McDonald '==y'` P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OpFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 199:1 RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; ! 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: PRO Po S,6 D Sirg pj-,*// FaQ o s st r�-E e= fabo Af R J. g_ Requested Action: /9 DD/776il oL �20 4.0o 55?4r& ,e F<,ap- (3 0/4DlnVd, SEQRA Classification: ( ) Type I Unlisted Contact Person: (516) -765-1 38 97. 1 The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty ( 30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (�() This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency . status for this action. ( ) Other. ( See comments below) . Comments: Please feel free to contact this office for further information. Sincerely, 41 .J Bennett Orlowski, Jr. Chairman cc: BQrd of -* Building' Department ✓ Southold Town Board etc Suffolk County Dept. of Health Services NYSDEC - Stony Brook Ptr - 1 C C 1 J N.Y.S. Dept. of Transportation * Maps are enclosed for your- review Coordinating agencies PART II—ENVIRONMEI\r ,ASSESSMENT (To be completed by Agl � A. DOES ACTION EXCEED A ✓✓✓ YPE I THRESHOLD IN 6❑ NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL LAF.Yes ❑No , 8. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration, may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten. If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological, historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change In use or Intensity of ust,of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term,short term,cumulative,or other effects not identified in CI-CS? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: 'For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (C) duration; (d) irreversibility; (e)geographic scope; and (f) magnitiude. If necessary, add attachments or reference supporting materials. Ensure that explanations.contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly..to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and an supporting documentation, that the proposed action WILL NOT result in any significant adverse-environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name er Lead Agency Pnnt or type Name of Responsible Ui �cer in Lead Agency title of Responsibly U (icer Signature or Responsible Officer m Lead Agrncy Signature or Preparer(lt dir Brent from responsible o ejcerl Date 2 •,P_..Y .}- Y6v,7 i Ya7t � 1 ..r .r ,1`� wSt. 7Y Y+ 3y , v -, 14.16.4(2/87)—Text 12 ti •, PROJECT I.D.NUMBER 617.21 SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: ��f Municipality 7�3G 1 & r�H prt County 4. PRECISE LOCATION(Street address and road intersections, pro ment landmarks,etc.,or provide map) N0 1101 36 S' M 4iN R �/U•�(,S. fte 2s� e%Ue., /i .Gu.P ak.o�ive fer f (//oS�Lr� �'kfarse o f AlDoLe N.Y. 5. IS PROPOSED ACTION: ❑New Expanslon ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: &VL4 S i d Iv Of 2 X i 3 f7 ti.0 /Pi !/ S-A Y'e 7. AMOUNT OF LAND AFFECTED: Initially • O acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑industrial Commercial ❑Agriculture ❑ParkWForest/Open space ❑Other Describe:. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL}(?(��� ❑Yes If yes, list agency(s)and permit/approvals 11. DOES ANY ASPE T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes to If yes,list agency name and permit/approval 12. AS A RESULT OF OPOSED ACTION WILL EXISTING PER&JIT/APPROVAL REQUIRE MODIFICATION? El Yes No CERTIFY THAT THE INFO-RR-MATION PROVIDED ABOVE IS TRUE TO.THE BEST OF MY KNOWLEDGE Applicant/sponsor name: t�/'CA'tei/ �! I/ O ry/'Na Date- Signature: Elf the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1, cart'........... ... - .... ti. ... ,_....._ ...,..._....,_.,. _..e .. ,... .... .:.,,;-.. .... ,..r..L•r.v`s...ts. -»...K�'.•r. �:a::T 4�fii`.Or':t'"?.:� PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman '. `^ "�_ Supervisor George Ritchie Latham, Jr. Richard G. Ward Y� Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 April 2, 1991 Michael Domino P.O. Box 151 Shoreham, New York 11786 RE: Site Plan for Michael & Joy Domino SCTM*1000-45-4-3 . 2 Dear Mr. Domino: The following resolution was duly adopted by the Southold Town Planning Board at a meeting held on Monday, April 1, 1991. BE IT RESOLVED that the Southold Town Planning Board start the coordination process on this unlisted action. The board makes an initial determination of non-significance. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. s Chairman • ..i>":.S..rw3 ."... h......sr.._.sv .... .,.. . .. __..... ..�..-..c., n.i.:.-.n......{ ......-...-.e1<:i.i.... ._...vi..3-...Y_-a....-nn s.t:.....-...u.. .�".-"-iu'-L a1:n:':Zs_....taS.:v^:L.av+..........v✓...«....»�.o...d...�..11:3�u."'...lti< "'4�1.. S2l/3�/GC SUBMISSION WITHOUT COVER LETTER 1' SENDER: SUBJECT: SCTM# : COMMENTS: MAR - 7 1991 . .. .. ..-V�w !..'. . .:d•.12�Wn.Ni•e�r1.L awV+a { PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �� - � Supervisor � P George Ritchie Latham, Jr. ,,. Richard G. Ward J Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 February 6, 1991 Michael Domino P.O. Box 151 Shoreham NY 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road Greenport SCTM# 1000-45-4-3 . 2 Dear Mr. Domino: The Planning Board has received your application for the above named site plan. The following changes must be made before the Planning Board can proceed: 1. Drainage calculations must be shown for the existing, and proposed addition to the retail antique shop. 2. All proposed lighting must be shielded to the premises. If you have any questions or require further assistance, please contact this office. Very truly yours, s Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector s '78 ��- 3I h I ss ' AUG 2 8 1990 &4a4 yyll 1 i,Q 07�.+7'tJ uu ` 41-4 Aaze Peo�^,O� - -7 0 F-//3 &a:4 � \ v SR AUG 2 8 1990 �l'IVVI S t E►e_E-,Vo TO d 11 GC Fof✓M VV!'rH a: i' o � a i1h, o ' ►° ^ 4 0 o IF, l i n zu .1 Ica ; o a s / q •�vGi-�o'3—`�'--_-o.i iy O.="SLr� Q •lB.SS Eo 9B.G, TIE, EP ��, Jo• o0 qt ! q4 r so' �OX�L q8%00 a� °* s,,� a ju •B i r Pv�•s r PI 'j' O LSE t L D S -- Y Southold, N.Y. 11971 (516) 765-1938 April 15, 1986 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 Re: Site. Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The following action was taken by the Southold Town Planning Board Monday, April 14, 1986. RESOLVED that the Southold Town Planning Board refer the site plan of Michael and Joy Domino to be known as "Crackerbarrel Antiques" to the Building Department for certification. This proposal is for construction of an addition on an existing building to be used for storage and retail use. Premises is located at Main Road, Greenport. Survey dated as amended March 31, 1986. If you have any questions, please don' t hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN . SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department R.. T4 �� TO OItSOhU HGO' D UP %A& s� Southold, N.Y. 11971 (516) 765-1938 November 12, 1985 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 ° Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The Planning Board has reviewed the above mentioned site plan. The Board requests that all the. site plan elements not included on the site plan be included. Enclosed is a check list indicating those items omitted. In order to determine the side yard setbacks, the Board also requests that you indicate the existing building which you are adding on to. When you have revised the site plan, would you please forward six (6) prints to the Planning Board Office. If you have any questions, please don' t hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHA RMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary enc. rn r ss " h� (owe-n crick- SITE PLAN ELEMENTS §100-134 Town Code ( ) Lot, block, and section number, . if any, or the property taken from tax records ( ) Name and address of the owner of record ( ) Name and address of the person preparing the map ( ) Date, North arrow and written and graphic scale ( ) Sufficient description or information to precisely define the boundaries of the property. All distances shall be in feet and tenths of a foot. All angles shall be given to the nearest ten seconds or closer. The error of 'closure shall not exceed one in ten thousand. ( ) The locations, name, and existing width of adjacent streets and curblines ( ) The location and owners of all adjoining lands, as shown on the latest XX tax records ( V ) Location, width and purpose of all existing and proposed easements, setback reservations, and areas dedicated to public use withinor adjoining property ( ) A complete outline of existing deed restrictions or covenants applying to theproperty ( ) Existing zoning VP �_( ) Existing contours at intervals of five or less, referred to a datum satisfactory to the Board ( ) Approximate boundaries of any areas subject to flooding or stormwater overf ( ) Location of existing watercourses, marshes, wooded areas, rock outcrops isolated trees with a diameter of eight inches or measured three feet above the base of the trunk and other significant existing features. ( ) Location of uses and outlines of structures, drawn to scale on and within one hundred (100) feet of the lots. ( ) Paved areas, sidewalks, and Vehicular access between the site and public streets ( ) Locations, dimensions, grades and flow direction of existing sewers, culver and waterlines as well as other underground and above ground utilities within and adjacent to the property. ( ) -Other existing development, including fences, landscaping and screening ( ) The location of proposed buildings'or structural improvement ( ) The location and design of all uses not requiring structures such as off street parking and loading areas. ( The location, direction, power. and time of use of any proposed outdoor lighting or public address systems. ( )) The location of, and plans for, any outdoor signs ( ✓ ) The location and arrangement ofproposed means of access ,.and egress, including sidewalks, driveways or 'other paved areas; profiles indicating raE ding and cross sections showing width of roadway, location ana width of sidewalks and lcoation and size of water and sewer lines. OVER. . . Site plan elements coat. (§100-134) ( ✓) Any proposed grading, screening and other landscaping includin g types and locations of proposed street trees. The location of all proposed waterlines, valves and hydrants and of all sewer lines or alternate means of water supply and sewage disposal and treatment. ( ) An outline of any proposed deed retractions and/or covenants. ( ) Any contemplted public improvements on or adjoining the property. ( ) If the site development plan indictes only a first stage, a supplementary plan shall indicate ultimate develoment. ( ) Any other information deemed by the Planning Board necessary to determine conformity of the site plan with the intent and regulations of this chapter. I!4G_LPr_Q(A I �F FOLk gK z SLc 1 1 Ckl TO Ln D SL Southold,.N.Y. 11971 (516) 765-1938 APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec' d New Use Change of Use Re-Use Extension of Existing Use Revision of an Approved Site Plan (Date of Approval ) Other Specify Name of Business or Site 4IAGkr4.[,1r&11 Location of Site Rdeyi-eetwrt711 Address of Site, if available Name of Applicant Me"G4 a / T ,Darn �'+�a Toy C- ,0OM%w0 Address of Applicant ,� f',,� �fp/,(� d o+.•N S'L,®-re- kaa,, ae, y. Telephone ..p 3 7 - 003 Person to be responsible for Construction /'j');.piae/ ,�• a,"i �( Telephone S477 ,o t,03 .7y�-coo 3 I Applicant' s interest in site-check one: Owner of Land i/ Under contract to purchase Owner of- Fee Title to Land T. � --ry E• t", .0 a Address Telephone Site Plans Prepared by Cr rote. License No. .Z0/ �- Address— fn4Noj_ 4.4. Telephone Total Land Area of Site .3G Go2F Sq.Ft. Zone District / Existing Use of Site 605 i.;6SS, ,qN7-1Qe0sProposed Use of Site ;4v1 i Gross Floor Area of Existing Structure( s) ..5.33, Y sqft. sgft. Gross Floor Area of Proposed Structure(s) g *j o sgft. sgft. Percent of Lot Coverage by Building( s) / . Percent of Lot for Parking (where applicable) 26.E o 0 Percent of Lot for Landscaping(where applicable) ,nq. 70o % Datum(Specify)U.S.G.S. gSSulneV Other Has applicant been granted a variance and/or special exception by Board of Appeals Ajo Case Number Name of Applicant Date of Decision Expiration Date Will any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the site. 4/o If so, have proper permits been obtained? AJo Number and Date of permit issued NO NG, NO ACTION (EXCAVATION OR CONSTRUCTION) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. APPLICANT' S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK 99-1 C g-�oe—j - -rev o being duly sworn, deposes and says that he resides at ,5" .S"u ��•/k Po rrn .S1?a r,e Li ao&. Al. y in the State of New York, and that he is the ,owne/r� of the above property, or that he is the p W y„a�v- of the (..'�-a ck&'-Aa .�i - t'r-- (Title) ( Specify whether Partner hip which is hereby making application; that the or Corporation) owner or his heirs, successors or assigns will, at his own expense, install the required site improvements in accordance with Article XIII of the Code of the Town of Southold for the area stated herein and that there are no- existing structures or improvements on the land which are not shown on the Site Plan; that title to the entire parcel, including all . rights-of-way, have been clearly established and are shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be altered or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will be installed in strict accordance with the plans submitted. Signed (Owner) Sworn to before me this cedar of J, 19 (Notary Public) CLAIRE L.GLEW tjmry Public.State of New York Signed No.4879505 (Partner or Corporate Officer and Title) Qualified in Suffolk CounW Commission Expires December 8, .BAN 2 PART II—ENVIRONMER ASSESSMENT (To be completed by A '# A. DOES ACTION EXCEED IIIIIIIIIIIIIIIIIF Arv,,TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL tAF.❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration, may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals'as officially adopted,or a change In use or Intensity of use of land or other natural resources?Explain briefly C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)?Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain brefly PART III—DETERMINATION OF SIGNIFICANCE (robe completed.by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting,:(i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility;(e)geographic scope;and (f) magni�ude. If necessary", add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or,m'ore potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL;EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT-result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or type Name of Responsible Officer in Lead Agency title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature or Preparer f from responsible otncerl Date 2 14.16.4(2/87)—Text 12 401 . PROJECT I.D.NUMBER 617.21 SEAR Appendix C State Environmental Quality Revie N 2 4 1991 SHORT ENVIRONMENTAL ASSESS NT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Yrl "C-Ac e / T �o n� in•o Co-u a�G�Fd r�� �,+T/ a.s 3. PROJECT LOCATION: Municipality 7 3 10 County 4. PRECISE LOCATION(Street address and road intersections, prorrfinent landmarks,etc.,or provide map) 43& s /n4im RW CAt.ys. R-7e zs) elete % A a,.�,a�, fewC/0o 'hf-e.ysed of NJodn.e s bv"r 4*t4 /U►�/. s Rte 2�, 5. IS PROPOSED ACTION: ❑New Expanslon ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: I,• t�..,� & i vw of a x1 s t/xj r/e, / ;l 5714 re 7. AMOUNT OF LAND AFFECTED: Initially O ■ g acres Ultimately �e D acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? rVI Yes ❑No If No,describe briefly C9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential /❑Industrial Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ❑Yes C&No If yes, list agency(s)and permit/approvals 11. DOES ANY ASPE�-T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes o If yes,list agency name and permit/approval 12. AS A RESULT OF OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: �D /yj/ Date: �/G'`Q!.•f �! , Na Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 ' 1�8 b - ,�? o• ��x ice/ YYUt Aq-e- Del 4�24&-, ,a.rWn. -� 2�5 .� ,,��i-row- •,�, � � � Q ' '� ► /l 00 78 00 CS d7!IF O6 vo� 1f `/�p I l 4 �1�•'J t .0 ,y rl AN on'y Ate, Dcp Of • (� �rU �l a4 \��� ti o � c ; o 'i ! U r�. /�, f rf• 01 qJ • : J G ! d � 7 o5�FF0Ur�o 0 C T ' Town Hall, 53095 Main Road ® P.O. Box 728 O � Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 10, 1985• Michael and. Joy Domino Cracker Barrel Antiques 73095 Main Road Greenport, New York 11944 Dear Mr. and Mrs. Domino: Enclosed herewith is a certified resolution of the Southold Town Board granting you a waiver of the provisions of Local Law -No. 14 - 1985.. - Very truly yours, Judith T. Terry Southold Town Clerk Enclosure / cc: Planning Board✓ Town Hall 53095 Main Road �.� P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801_ REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED. BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON. OCTOBER 8, 1985:' WHEREAS, Michael and. Joy Domino have requested that this Board waive the provisions of Local Law No. 14 - 1985 'with respect to their application presently pending before the Southold Town Planning Board for site plan approval, and WHEREAS, 'Joy Domino appeared before this Board and explained the nature of the uses for ,which they propose to use the premises in question, and WHEREAS, this. Board finds that the applicants propose to construct a retail build- ing, and . WHEREAS, this 'Board deems such use consistent with the uses in B-1 General Business District as proposed by Raymond, Parish, Pine, & Weiner, Inc.!s .Master Plan Update Zoning Code revisions, NOW,.. THEREFORE, . BE .IT RESOLVED that the. applicants be arid-hereby are granted a waiver of the provisions of Local. Law No. 14 - 1985 'to--the extent of permitting such uses on said premises as set forth in their application presently-pending before the Southold Town Planning Board for site plan approval, .subject, however, to the applicants obtaining any and all permits and approvals .required by all Town and other governmental agencies having jurisdiction thereof. L.�4 Judith T. Terry Southold Town Clerk '-qa•'s TOWN OF SOUTHOLD ENVIRONMENTAL ASSESSMENT — PART I • — PROJECT INFORMATION .0T:CE: iris doc•.:n'znt is desiened to assist in determining whet`er : e .action proposed -nay have a s','anificant affect on the environment. Please comaleta tie entire 7a_3 Sheet. Answers :o :.esa questions sill be consiaered as part of :he aooiication for aporoval and may be subjx: to further verification and public review. Provide any additional in you believe will be needed PARTS 2 and 3. : :: is axbec:ed tnat cn=l etion of the EAF will be dependent on information currently available and will not Involve new stuaies, researca or investigation. I` infora-ion recuiring such aaditional -aark i;_unava';able, so indicate and soecify each instance. - RAVE -IF PaOJEC'' _ vA:ME AND ACCR=_SS OF OWNER �(f Oi f?e•ant) A. f Q lGvi !7 ;lame) - AOORESS _tt0 ;IXT OF APP!tCANT: Sireer) �YL•(UQI It Dom 11v0 A. Stacej. - _. ..: 3US!NESS PHONE: CLEO 77 Ls Ca Ca) 9E5_3l?'T.C" OF ?POJEC—. : (Briefly descrfbe type of project or action) (PL .ySF_ COMPLETc EACH GUEST10.14 - Indicate M.A. if not acoliclole.) . _ . . •tip-` ' - A. Sr": 'iESC.•�.IPT� IO*l � I; •t•ri;'�r iy�'. - a � � , (Physical settng of overall project, both develocer and undevetcoed areas•) 1. General character of the land: Generally unifar^ siabe S2neraily t:neven and roiling ,7r__irregular 2. ?resent '.and '1se: Urban Industrial Commercial Suburban Rural Forest - . :; ': " l�r.I H•:• Agriculture Other Tat3l 3Crt .-t _.<... 3. __Qe c: 7roJe-- area: I+:S acres. _.-_._.._.......• Approximate acr?age• ,Presently After Comaletian ^ Presently After Ccmpletion Meadow or 3rushland acres acres '.later Sur-race ;r?a acres 3eres • rcreszed 0./ic-as r_s l;nvegetated ' ocx. earn or fill; =c'es acres Agricli turaI O acres a !Cre_ ;cads. 5uildings ' etlard ( --snwat_r or and ^=er ]avea rica*- '_s -er :r; :as sur-ic?s '.crls acres _. ....) f� acres 0 !ores "efr (:naica_3 :%7e1 acres acres A. ,:ha= is are^_cm-nano soil type(s) an •3ro;x: 14-2: V 7. a. Are :`:'? bedr:c:C :ut:'=Pings Jn 7r9jec: 34.3?— v'.s V •la b. what is loot- :o :edr.cx? _ DUD+ ;rn laic) _. .. 3/L/73 �� ' •- .. '-�ai �:� K: - _ate.�7 .. - I 6. . Approximate percentage of proposed project site with slopes: 0-lOt V t; 10-15- :; 15� or greater 7.. Is project contiguous o, or contain. a building or site listed on the National Register of'Historic Places? Yes No i 8. What is the death to the water table? _feet 9. Do hunting or fishing opportunities presently exist in the project area? Yes V ..no 10. Does.project site contain y species of plant or animal life that is identified as threatened or endancered - Yes "lo, according to - Identify each species 11. Are there any unique or un sual land farms on the project site? (i.e. cliffs, dunes, other geological formations - Yes No. (Describe 12. Is the project site presently used by the comnunity or neighborhood as an open space or recreation . area - Yes No. 13. Does the pres nt site offer or include scenic views or vistas known to be important to .the community? Yes No . a 14. Streams within or contiguous to project area: a. Name of stream and name of river to which it is tributary Alotile- IS. Lakes, Ponds, Wetland areas within or contiguous to project area: ..._........... .... _..:... :_.:........., ..,. ;_�. a. . Name /t/enl c b. Size (in acres) a ••16. What is the dominant land use and zoning classification within a 1/4 mile radius of the project (e.g*, single family residential, R-2) and the scale of development (e.g. 2 story). - 8. "PROJECT DESCRIPTION 1. Physical dimensions and scale of project (fill in dimensions as appropriate) - a. Total contiguous acreage owned by project sponsor ��� acres. b. Project acreage developed: j.17 acres initially; zs acres ultimately. • C. Project acreage to remain undeveloped 5� d. Length of project, in miles: if appropriate) _-- -_--. e. If.project is an expansion of existing, indicate percent .of expansion proposed: building square fcot- age ,�7- ; developed acreage bo f. Number of off-str--t parking.spaces existing 3 _ proposed g. Maximum vehicular trips generated per. hour _(upon completion of project) h. If residential: Number and type of housing units: One'Family Two Family Multiple Family Condominium Ini tial '- --- . Ultimate - i. If: Orientation Neighborhood-City-Regional Estimated Employment Commercial Industrial f. Total height of tallest proposed structure / feet. . �r ' • w . � ..2. How much natural material (i.e. rock, earth, etc.) will be removed from the site - ze/{o tons ` ZBI?Q cubic yards. + 3. How many acres of'vegetation (trees, shrubs, grouno covers) will be removed from site - Zg�&acres. 4, Will any mature forest ,�r�ver 100 years old) or other locally-important vegetation be removed by this project? Yes V Na / S. Are there any plans for re-vegetation to replace that removed during construction? V Yes No 6. If single phase project: Anticipated period of construction /0 months, (including demolition). -_ .7. I.f multi-phasgd project: a. Total number of phases anticipated No. - .. ✓ . b. Anticipated date of commencement phase 1 month Year (including • _ _ demolition) c. Approximate completion date final phase month ,year. d. Is phase 1 financially de endent an subsequent phases? Yes No 8. Will blasting occur during constriction? Yes T No - 9. Number of jobs generated: during construction (o after project is complete 2- 10. Number of jobs eliminated by this project 11. Wiil project require relocation of any projects or facilities? Yes V No. If yes, explain: 12. a. Is surface or subsurface Iiquid waste disposa71 involved? Yes No. b. If yes, indicate.type of waste (sewage, industrial, etc.) e. If surface disposal name of stream into which effluent will be discharged y 13. Will surface area of existing lakes, pa nds, streams, bays or other surface wa•ter�rays be increased or decreased by proposal? Yes ✓ No. 14. Is project or any portion of project located in the 100 year flood plain? Yes ,/No 15. a. Does project involve disposal of solid waste? Yes V No b. If yes, will an existing solid waste disposal facility be used? Yes No C. If yes, give name: location - d. Will any wastes not go into a sewage disposal system or.into a sanitary landfill? r Yes No 16. Will project use herbicides or pesticides? Yes V/No : 77. Will project routinely produce odors (more than one hour per day)? Yes No 18. Will project produce operating noise exceeding the local ambience noise levels? Yes IV No • 19. Will project result in an increase in energy use? Yes V No. If yes, indicate type(s) 20. If water supply is from wells indicate pumping capacity MA gals/minute. 21. Total anticipated water usage per day _Z 2l?o gals/day. 22. Zoning: a. 'What is dcminant 'zoning classification of site? / is a-y i✓EslJ b. Current specific zoning classification of Site e.- Is proposed use consistent with present zoning? 46'S d. If no, indicate desired zoning 4• 26. Approvals: a. Is any Federal permit required? Yes --,Z.1o. . ' b. Does project involve State or Federal funding or financing? Yes V' No c. Local and Regional approvals: . Approval. Required Submittal Approval (Yes, Tlo) (Type) (Date) (Date) City, Town, Village Board City, Town, Villace Planning Board City, Town, Zoning Board City, County Health Department Other local agencies Other regional agencies State Agencies Federal Agencies C. INFORMATIGMAL DETAILS Attach any additional information as Tray be needed to clarify your project. If there are or may be any adverse impacts associated with the'proposai, please discuss such impacts and the measures which can be taken to mitigate or avoid them. PREPARER'S SIGNATURE: .' TITLE: _........... _ REPF.ESMI'Mi G: � Q DATE: Ci %9f 5 4 OCT 1985 °C r 1985 .b� M P Ro POsf D cb -eulw�� ED ° S BLUC S?Cri •to T> T'ROPOSL" TO CONFoR �utIFt EKJS"f!rcG- ` - r D USA (REC OL MtKE !)OM IN 0 } 1 + � t 1 +• f� + � I ._"f Q'K �Or '7 3 ��.5 ►'`�A{N 'ROA'b ,�, • � j r l �(l rjTl m G- I -1'RNp -POCK g 2 Zo r l kX 1$T 0 t'0 E ' P�V 1 4._D 17-4 G- � •' 't'�+.tK� NouSF .. 0IK STOT,.E C S A L E S D F AM-rIAuCs _ kE t SC „ n TNFb FP O004.: SURvkY `( lcYt�lr, '+ a, COUNTY TAB• M hP 4-5 -R l•-cc K RUSE 73 0 °J 5 r 1 d GRkt;N�oR�• 1J.Y- Lt 'Fl-AT LEVEL � P y N PARc ct_ 7� ^ra•r ry + � '''3 MAIN TR0;�D : s ;�. 'r ,' � .bl��`•url 'E3y [9E.0�''f E �I f TVs+�.7 , I yr .i•; y.>'a.. ; � .y.:•...�.:-.c : .r _...:,.:C7"1Gf�Y"',' �F'v-:., v :..a.+.^n^^-..^-_^..r�-!.-�-.--n...-+T--`-•y--.............-�oY-Y••r i. r vt--. r a. � y 1 I� Planning Board Page 2 10/21/85 Site planfor Ed Pressler cont eventuallyhe would the pave parking area, however, it was not economically feasible at this time. The Chairman suggested that the Board review the plan for Mr. Thompson' s proposal to see how the road for interior- circulation would line up with Mr. Pressler' s property. Mr. Lessard questioned the locations of the cesspools for the 'two apartments. Mr. Pressler requested that the Board make a recommendation as quickly as possible as time was a problem to him. The Board stated that they would review the site and the plan and get back to him as quickly as possible. Frank and Diane Ammirati were present for a presubmission conference to discuss the site plan for their property at Love Lane Mattituck. This is known as "Ammirati ' s Cupboard. Mr. Ammirati explained that this proposal is for a retail gourmet food store, they will not be serving food. Mr. Ward questioned the parking calculations and Mr. Ammirati explained that they are required to have 7 spaces , however, they show 10 altogether. They would have 5 cars for the business and 2 personal cars. The actual proposal is for conversion of a three-family dwelling into' a take out food store with a dwelling use. The dwelling use would be for the Ammiratis . Mr. Ammirati also explained that there would be a service driveway which was omitted in error from the present survey which the Board was reviewing. Mr. Ammirati stated that he wanted to save the trees on the premises and would blacktop the parking area. Mr. Ammirati asked if the Board would be prepared to make a recommendation to the Board of appeals by the next meeting and the Chairman stated that the Board would make a field inspection and have comments by November 18 . Michael and Joy Domino were present for a presubmission conference to discuss the site .plan for Crackerbarrel Antiques located at Main Road Greehport. The proposal was to construct a storage building with sales area. .This site plan received a waiver from the business moratorium. Mr. Domino stated that the hurricane badly damaged the existing building, therefore, he proposed this new building which would be an expansion of that. Mr. Domino stated that there is an existing business Al on the property and the existing building is 8 ' X 17 ' the building will be expanded to 40 ' X 32 ' and used primarily for storage. Mr. Ward questioned how the parking was determined and the .-Board requested the breakdown of retail area and storage area so they can calculate the parking equired. It was` the consensus of the Board to conduct field inspection of th premises prior to any further r iew or recommendations. MAY 0 ® 1966 TEL. 765-1802 ���FFUCII�`�G TOWN OF SOUTHOI,D OFFICE OF BUILDING INSPECTOR a P.O. BOX 728 TOWN HALL `gyp O� SOUTHOLD, N.Y. 11971 May 7 , 1986 Planning Board Town of Southold Main Road Southold, N.Y. 11971 Subject: Crackerbarrel Antiques Greenport, N.Y. Site plan. dated 2/25/86 Gentlemen: The premises is zoned B-1 General Business District. The present. retail use is permitted under Art. VII, Sec. 100-70 A. (C) . This will certify the proposed building and use incidental to the principal use of premises in meeting zoning regulations. Yo trul , Edward Hindermann EH:hdv Building Inspector APR 2 5198 TEL. 765-1802 TOWN OF SOUTHOLD y� OFFICE OF BUILDING INSPECTOR a P.O. BOX 728 = TOWN HALL SOUTHOLD,N.Y. 11971 April 25 ,1986 Planning Board Town of Southold Main Road Southold, N.Y. 11971 Subject: Crackerbarrel.' Antiques„ 'Greenport, N.Y. Site plan dated 2/25/86 Gentlemen; This site plan can not be. reviewed properly based on the information submitted to this office. We will have to know present use of existing building and whether or not proposed use is part of the existing use or does it involve a separate business. Yours .trul , Edward Hindermann EH:dsm Building Inspector P ALY N Ir GAB 0'A' D T0.1 OF, SOUK HQtLD S k 0 L'I� O.UI Y Southold, N.Y. 11971 - (516) 765-1938 June 4, 1986 Mr. and Mrs. Michael Domino P.O. Box 151 Shoram, NY 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: Enclosed is a survey for the above mentioned approved . proposal which has been endorsed by the Chairman. Please contact this office if you have any questions. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary enc. I I CN- A-1 sr : 1 -b 'o A, LI.LE 1 nv - 0PgrC .. k' M SCHOOL p 1 sea ND04 ?'. .,. - DIz64 ol-ao. C; . uAre : 32. 1.25AIII 'R SEE,EEC�,N,0 040 N 3 A D F. 4 31 L.D. u su S xND q-'q 66 3-1147 b 3� /e y 5 A Ci Ell SEC 3110 046 5 3 1.4A(l) d 6�0 0, I 2.OAI I) 4 • A k I •A SDYHID M-5 A 13- S,D. 20 �slt ZE. d'L oi Or of 10 X fOR"'CEL To SEE ....44 0 .-COO, FI < ,� C, Z7,-.�,pin " �- L 3 2-0 IF SEE SEC NO 135 I.:A 3 .......... 4 FOR PA KEL NO. LOP 2-1c1 PARCELSEZ SEC. C,0530G 13 NONO'SEC SE �0 .6 —C.--Z MArCH LINE SEE SEC.WO 053 P. Lege,d KEY•IAP @ COUNTY OF SUFFOLK T".01 SWTH01 D SECTION.0. I— I, Cy IR, C-11.C.0. D Real Property Tax Service Agen VILUGE OF CHAEL BAKER. 4 -2 IF -- 1Q_%0— 045 ...... ....... A.... eweL P Ri—!I—d,L I N—York P-— 0........... D—.1 C-16— PROPERTY MAP A .boyM a ;: REQUIREMENTS FOR SITE PLAN. ELEMENTS & CERTIFICATION . SECTION—BLOCK—LOT TAX MAP NUMBERS 11NAME & ADDRESS OF OWNER OF RECORD � IIINAME & ADDRESS Or PERSON PREPARING MAP . :.DATE, NORTH POINT AND WRITTEN & GRAPHIC SCALE DESCRIPTION OF .PROPERTY & INFORMATION TO DEFINE BOUNDARIES 1 LOCATIONS, NAMES & EXISTING WIDTHS OF ADJACENT STREETS & CURBS 'ILOCATION & OWNERS OF ALL ADJOINING LANDS, AS SHOWN ON TAX RECORDS , I �- IILOCATION & PURPOSE OF ALL EXISTING AND PROPOSED EASEMENTS '• COMPLETE OUTLINE OF EXISTING DEED RESTRICTIONS APPLYING TO PROPERTY V EXISTING ZONING AREAS SUBJECT TO FLOODING OR STORM WATER OVERFLOWS s1I WATER COURSES, MARSHES, WOODED AREAS, TREES 8" IN DIAMETER OR MORE � 'ANY BUILDING WITHIN 100 ' OF PROPERTY - PAVED AREAS, SIDEWt'1LK8, VEHICULAR .ACCESS TO PUBLIC STREET x• I S 'Nl ,, EXISTING SEWERS, CULVERTS, WATERLINES WITHIN OR ADJACENT TO PROPERTY _ I FENCING LANDSCAPING AND SCREENING :! PROPOSED BUILDINGS OR STRUCTURAL IMPROVLMENT� << m :TOFF STREET PARKING AND LOADING AREAS \ AP — G 1992 OUTDOOR LIGHTING OR PUBLIC ADDRESS SYSTEMS ' OUTDOOR SIGNS PLANNING BOARD 1K SIDEWALKS LOCATIONS WIDTHS: SIZE OF WATER AND SEWER LINES . 239 y�. 3 M r tI �I � � � �/`�•v,� J jt�t r dty -72 i'Cj Wt. - ;I .wC IVY �VV '�I'Q'{I� i •/�V� `/` 6 '�+ _ �Cjt AJ LE lr i a� OCT q 1985 'Y Ile i �o tv LPG 5 i r ,FZ Porgy.: wI-r" Z7-b"bc'4, -£xlSY1►� � 1 , Pt i A TbVC.4') r:r-om 1 �lST+ LFx LUTZ Loa ¢/e d , o, g EG"i1C1t�1 ��y Putlrr A ',�j ��.f COraTUV t=.- FutT .•�-LF�ut_.L. Mir 4 W.T.S. / ,` 10 P - ( '► r� rz - r rz r� a I , ' -- --W G.4r� �'T 2 cam � t- � % C C c:_ . >,--} cam - .G ` rZ .G-� _ I ; 1� �.. rz-= o r7.�, t..J ,�+.�. c.., — , I F-7 I G I t"tJ G�r--- r2�...J rJ ;' r2 -- !�"w = • "� M IT :r V = n, r2- v - z 4 x _ P r-z ! I�-� GPI c; .L. I . I t>. 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Imo.- Fri, P Of Cellar Cellar Lip Lines I~ ls t��'a,.ns 1ic �,�ate f rasr eavexs east{Roh raaa`CiP+o ccs.err ry wAwt septic Cc�t`eks JQ' 5" 5 10, 8' 20' 175 1 Q � � '- �.,, 1✓� �.JL'�j G/1 -�......... t7Af fW1 Oss.l�v.� I�Ibs xoetii IC#�,►G[ t R v to rut on c r,cw rocti t SNWAL r�a[Cy+•� { ,�. �+ �,�•. .J �,••M .__,,,• f . (}� f.° ,�}P.9. mnra�x r4 .w. . kJ .iadc a .. Pools 1L' 1V8 1 l P ' 1 n ! : .- �. G� f.+E:.. rz G. ? ter. ,i ."� �"r t'' t,. �' i 3 6 M r �M�"l/ ht S IU 8 2p AGO 1Jt r v.r✓ t } .1 Ca••catrtrolf Coy(PDX* unto �. :s'wuc� _----.•_ ,, r , When local conditions NOT Mavrmr To GA" ,x►Er..,--� # to xM&o ro prevent placement C?9� t�tP" water 11Ci s ' �j1 :` 4<)j 2. ,` Mtn oOt... ' ourLtT n- c. s above the sewer line the following n additional rc:r—•^" 1 + M cc .ss z. Gs unc tern a`o+ .. �e ,. .....?" �3t r Q conditions test a$tiiakruwlxT yaw rs' i+ao►+rt GR uot,Cr apply: "j w all L_" t ,�� teufv�oKar IC . 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J6 From the Nec=est With No Prop. Svc. Leach Storm Pub- Pri rb A 7 C� Part Of CellarICelldr LinL-5 Unes Pools Ora." lic iliate �4 CAST M001 COYC" fAST 4*04 FAAA4 AhO CDVtA TO 01AUC 10 01%TA#4U4Q^OR Co:eAvArtoft Septic tanks 10, 5 1� 10, 81 20' 175' 100, 51 10, 20' 200'a 150, N 24 PACCATT *C�hfQA= L--� LeachiN Pools 10, 10, Ar L_ AT wh4ft n'4 0004 cavtx M _T r"X When local conditions prevent placement of- the water line (AAS"ani*Ood6l 0 1 above the sewer line!, the following additional 'conditions CL&"2400 AQW W4 Mik 4'O&AL 1 2400 "t 04t 5,- �2, 2��.i,-J our"T �_j CA 90�YALZXT Wr IhLEr apply P1TtftLQ 4/4,/c VW/1* AWL le 04A. Q1 EM 0�21 fe_�il a) a vertical, separation of at least eighteen '4 :� inches shaill be provided between the bottom of TT " 4 .3 LA, LD I 'N 1,:�,I the sewer line and the top of the water line; Fla RED= and j b water line. joints shall be at least ten feet F tJ 4,1 ee , from the point of crossing; and "Pro* z. C) sewer lines shall be constructed of materials and joints that are equivalent to water main _Y� �'D E-, standards of construction and shall be pressure , tested to assure watertightness prior to �-j j e 06: backfilling. 41 'Not 40^ MWV9 440vfto"ATA avinew*x awl ond Ilynature ont" r 40CX4 for initial use V, ( drawillp 04"ML MarMAL re sc C"44 �`Vcepf by CA "Censed Profw,, P :Son5es, alterati�ons or rpyissions J.f f Ice Of L * aift "fter"rtoss 4, r*-Use of drawings Wftouf Ell 1,zz�odrdcta , K. Ahlers, R, E, jineer Approvalil wAds &*t *nc ��ecfloiri 720' SuhdIvIslort 2.. Of $440&%0 CAAWFJL liqnMurt on Sama. <1 I i f - - Y ',�,fp Edluc I offon Laov, 401 V)L1L)_1>4;> .r> &4_ L ENGINEER NOT RETAINED FOR CONSTRUCTION, SUPERVISION, OR INSPECTION wt 2 DATE SCALE -T t-J rz .7 or DRAWN BY 5 of�_L#5 FN 6 1992 7�c REVISION F�- DRAWING NO. IAC�4f V. 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F— L 4-r-J !".1G .Mw`8 y.f !I 4a+# s.`ax 1Ni i 16 . «!` l:w"' , e-E- n ! x , ? , p� NEB ENGINEER NOT RETAINED FOR CONSTRUCTION, SUPERVISION, OR INSPECTION 1111 DATE 4 �� ��'�► SCALE ppv Lc:* I-tf DRAWN BY REVISION O lvo. DRAWING NO. NASSAU SUF=" cPRINTING +;: A-10-016 1 Q - V h s.rE- a r .20A0 �y,eiN i Dy q � A .eE'Y rA' 1=1 /Vo T TO SG'.4LE /Vo rEs: /. NO WATE.2 O.e SErvgGE /A/ NEI'1/ p BU/Go/NG 3.�/C Olir000� G/G/,!T/NQ EXCEf�T iCO.e • � S@ 4 EX/T LIGNTS AT E'AC// .[�oO.E� SAY. c"o O AS /NG�iG'ATE!O oN ,gU/Go//Vlat PG.�J/V. TG 4. -�G�OPO S Ea s/TE �Grq.�/ G.gYoCr7 <j1S'YEe �` Ci.O.enOiY AifGE�`' .a.4TEO /0-8-/983' �� �G' L7ATUM� ASSUMED . G� �, ov K qq P qLq ro•� � '�' f BGEsVG? 2J 3L' , TO 1h1r7'H fix'Ic-r)Ncc% tI Ty.� o 'o F�LGC. ii IL t vt, n•,•S V _� � 1 \ � „�} _� ADO !� •!� -. 99.SS E.� 96.G� �YB.3G EP • o 7 Aol so, gq xa so' go Xof -4,01 XO1 5-0' 40 MAR 2 1986 Bir v✓NRT 9 q /V,4/,y MAP OF LAND LOCATED AT f•�:.�eN�o�r TOWN OF.SOUTHOLD, COUNTY OF SUFFOLK SURVEYED FOR i`` -• DATE: Z-zS-&4; LEE LUTZ SCALE: IxgFrtNOMIFO AUfRAlION OR AODTTI^N i0 TNtS SURYfY K A fItOUTTON OF SECTION 72"O OF LICENSED LAND SURVEYOR THE NfW YORK STATE EOUCATJPN JAW / U -C INTY TAX 125 ROUTE 25A COIFS Of THIS SURVEY MAP "I TEARING THE UND SURVEYOR'S INKED SFAS OR EM"SSEO SEAT Quo S 4 -5�•Z 1 ROCKY POINT. N.Y. 11778 MAP NO_ea --„ram• SHAJL NOT It CONSIC.ERM TO Of A VAUD TRUE COPY. D I Si SECT. BLK LOT 516-744-2055 v • S/TE � .L�OAO Y.is. zs A war To sc.Tt�- /Vo TEs: A /VO WA TE•A2 0A-- 45EWAG6 /N NEW • O B U/GO/NG , N a Z• EX/ST//14 G7(/T000,2 S/G/V 0 3./✓o EXCEPT Fob S O EX/T L/C►N TS AT EACf✓ Ln,ooiE' W-4 Y �Zo O AS TG�I 998 �O\�_ !sO.eL>Qi✓,C. AHG.E'�3 .OArEL� /O-8-/9BS , OA TUM ASS UMEO ,T g qg � TrJt lNC� Z' f 44,wl --_ p0otkf:%rliEb TO Ga!v C'o Or•1 w r 7"H r-K I r,T!N Ch 0�� IT1 O/D'�'2�0'FA E'C/NG i Q 0 \X010 Nk io PR q �QR� q4sO' gexat 9Bz90 g8{19 �Bxe� �A4�go B/T pyMT MAP OF LAND LOCATED AT IV.4 IN c 0VYs. TOWN OF SOUTHOLD `; '_. COUNTY OF SUFFOLK SURVEYED FOR T DATE: 2-2S-�G .LEE LUTZ _ LICENSED LAND SURVEYOR UNAUTMOV7 D AtTERATION OR ADDITION TO THIS SUPVET IS A VIOLATION OE SFCTIOh T?D9 DE LIS C04JNTY TAX 125 ROUTE 25A THE NEW YORK STATE EDUCATION LAW. coo 4S- 4 y,2 ROCKY POINT. N.Y. 11778 MAP No./�3Zlo COPIES Of THIS SURVEY MAP NOT BEARING THE LAND SUPMOTS INKED SEAL OR EYPMSFD STAt /� ? 516-744-2055 " SHAtI Not AE CONSIDERED TO EI A YAt1O TRUE COPY D!ST SECT $LIC LUT /y ty,�tEp - Q, 3 •,r -8