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HomeMy WebLinkAbout1000-113.-7-1.1 STANDARD SUBDIVISION FOR THE PROPERTY OF BENNETT BROKAW SI T CIA TED A T BERGEN AVENUE RD S M A T T I T U C K �MATT►Tl TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK PREMISES S.C. TAX No. 1000- 1 13-07�- 1 . 1 SU84CT SCALE 1 "=40' SEPTEMBER 3, 1999 DECEMBER 7, 2005 ADDED PROPOSED BARN JANUARY 3, 2006 FOUNDATION LOCATION MAY 3, 2006 MINOR SUBDIVISION MAP JUNE 14. 2006 REVISED MEDAY AVENUE JUNE 21, 2006 ADDED BUILDING ENVELOPES DECEMBER 15, 2006 ADDED ADDITIONAL NOTES EC - KEY MAP D I TOTAL AREA — 217,664.77 sq. ft. 4.997 oc. SCALE 1 "=600' JAN - 9 2007 �. s `OWNER & APPLICANT: BENNETT BROKAW P.O. BOX 334 VACANT I I'IS1'r'. ;w7t WESTHAMPTON BEACH, NEW YORK 11978 BERGEN AVENUE .41.44 .. . �• 4. . i . + ` ovliw aaF04 .t 20.01 nor+• a 304.01 N T.ss.�. M. /EXISTIN '. y ————— LEACHING POOL b N3;g,b , w N?0�,•�2�1 s S Q3'S4'31" W 1,298.54' 04 W 'EXIST. SEPTIC STEPS - :L" 00 I (11 i TANK ooNc 21.2' co O STEPSQ' I CESSPOOL � ROOF avER PORCHFL 41,44 � rr1 .0- EXISTING I t> 1 STORY FRAMiE— ---—-—-—-— - 71 -- --AOUS_4c GARAGE I I �Y / I R HOUSE No. 4300 is as • ;7 BUILDING ENVELOPE r. i*1 I 4. EXISTING I 215, m i I a.e r 52.4E FL. 43.38 WELL —— x r 44 I y CONC.STOOP i rn I ; O I LAI " I N :; ♦wEu �'; I N — ,,,• , FARM FIELD 25' I � ;�, I 4 w CONC.PAD A'AFL 48 62 / PROPOSED LOT AREA = 80,000.00 sq. ft, I I I I '�K� % 1 .837 ac. I �+ I I tDl�eu2nlNo> I I O i I L---—-—- I I GRASS AREA �� I r vA I I gZ I � a rn l� I I io / 307.48' ^' j A S 54.35'1,6" W TYPICAL PLOT PLAN I I 16•DIA OAX I (NOT TO SCALE) PROPERTY UNE 14•DIA BEEG, I m to I WELL V � I o ti 0 "� b ----- - ------------- Or BUILDING ENVELOPE / .-79-s——— 7•Dui OW t' I it Dw OW I HOUSE c l i toRr eutnRP» � I � I I, I ,e•Ov.oAx i I 165' � I I SEPTIC TANK l \\ I I M I LEACHING I m PROPOSED LOT POOL MIN. SOX POOLEXPMISION I 3s TOTAL AREA = 137,8f�4.77 sq. ft. 25' i / \ 3.160 ac. I i _ I FLAG AREA = 5,200 sq,_f4__ I � i 0.119 ac. Ltq tit ——— J _ �,-o s ROAD 20 I E � � I W TEST HOLE DATA g €8 I (TEST HOLE DUG BY McDONALD GEOSCIENCE ON FEBRUARY 10, 2006) — gRo FARM FIELD-- f EL 41.0' 0, I �O BROWN LOAM OL I \\ I 35 y I PALE BROWN RNE TO COARSE SAND SW I I I : i— I I I A s; � �f,` � `r.--k B 30 I Jo rn I — _ I — — I F DATEJi -25 w I t. m Ln WOODEDIin Q1 f �14 Du oAz AREA I W ❑ E Ln r o I ,*Du.MAPLE /PosT 1.s•N. FOuAU— .`\ r7�'--1s•oN, MAPLE I (2) ,e•DtA. oAlcs� V )0 II '.s'N.off. No — It*DIA.SUCH 14•D" "AP`E I Town of Southold CONC. MON. S 5 4-0 0'51 " W 101„91 ' �S 59°19'519' -W 25 14 0� �� '"' °�°�" _8 il I———-—————— Covenants&Restrict Restrictions JO �— IIBER,j�_PAGE",_ ,S CI,.MAPLE G G-14•D BEECH 231 92' N/0/F I j��r7...�) PINDAR ASSOCIATES I 17-DML aAz-- e--"1e"DIk OAz N10/FoZIR spy — VINEYARD I ✓AMES CEBBIA r CIP F df� FLO)MNCE CEBBL'A 4 1 Oi1j, sfp� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ZOr S 4`�h' SCR HAUPPAUGE, N.Y. WELL 4 CESSPOOL OVER 150' O R► I LINGwF4 w I ooz z4lvC nY NOV 1�?'z6 O�FR Date I HEREBY CERTIFY THAT THiS MAP WAS MADE I fso BY US FROM ACTUAL SURVEY COMPLETED MARCH 22, 2006 AND THAT ALL CONCRETE j BUILDING ZONE DISTRICT: AGRICULTURE CONSERVATION "AC" MONUMENTS SHOWN THUS: HEREON ACTUALLY EXIST AND TH IR OSITIONS ARE SCHOOL DISTRICT: MATTITUCK — CUTCHOGUE This ' to certify h t the roposeQ�Realty Subdivision or Development y�, ,g Q CORRECTLY SHOWN AND DIMENSIONAL-s: "' f r 13 Grltfy Ib r`a KO vti _ ,n the AND GEODETIC DETAILS CORRECT. • --- � �-- - - FIRE DISTRICT: MATTiTUCK' o with a total of lot wo• .: . approved'on the'above dote. Water Supplies and Sewage Disposal �s.,n �� y�„��, �e , ��^��<,. �a€�r�,'' � r ,, .mac• � � ^, '� � r° �r � � .,.�' Faoillit(ss must oontorm to construction standards in effect at the time NOTES: of construction and are subject to separate permits pursuant to those standards. This approval shall be valid only If the realty subdivision/ development map is duly filed with the County Clerk within one year 1. ELEVATIONS ARE REFERENCED TO TOPOGRAPHICAL MAP OF FIVE EASTERN TOWNS. of this date. Consent is hereby given for the filing of this map on which this endorsement appears in the Office of the County Clerk in EXISTING CONTOUR LINES ARE SHOWN THUS: - - -50 accordance with the provisions of the Public Health Low and the EXISTING ELEVATIONS ARE SHOWN THUS: so.o Suffolk County Sanitary Code. THIS IS TO CERTIFY THE SU DIVISION PLAN HAS BEEN APPROVED FFL - FIRST FLOOR BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD BY RESOLUTION G.FL - GARAGE FLOOR OF APPROVAL DATED 2. U.S.D.A. SOIL CONSERVATION SERVICE SOIL TYPE CLASSIFICATION: HaA - HAVEN LOAM, 0 TO 2 PERCENT SLOPES HOB - HAVEN LOAM, 2 TO 6 PERCENT SLOPES Vito A. Minei, P.E. BY 3. THE SUBDIVISION HAS BEEN ADOPTED PURSUANT TO THE TERMS OF THE AMENDED Director. Division of Environmental Ouauty CHAPTER 240, SUBDIVISION OF LAND, OF THE SOUTHOLD TOWN CODE. CHAIRMAN PLANNING BOARD SUBJECT TO COVENANTS& RESTRICTIONS LIBER q 8 3�' 4. A DECLARATION OF COVENANTS AND RESTRICTIONS HAS BEEN FILED WITH THE --. SUFFOLK COUNTY CLERK'S OFFICE AND THAT SAID COVENANTS AND RESTRICTIONS PAGE_ AFFECT THE SUBDIVISION AND PROPERTIES WITHIN IT. TYPICAL SEWAGE DISPOSAL SYSTEM HOUSE TOP BURIED (NOT TO SCALE) 4' DEEP max. ..- FINISHED GRADE PRECAST REINFORCED CONCRETE COVER- FINISH GRADE THIS SUBDIVISION WILL APPEAR IN CAST . LOCKING, WATERTIGHT k INSECT PROOF DISTRICT 1000 SECTION 113 BLOCK 07 BURIED 1' DEEP min. 2' DEEP max. CAST IRON COVER TO GRADE MIN. 4" dia. APPROVED PIPE 20"min O"min. MIN. 4" dia. THE EXISTENCE OF RIGHT OF WAYS APPROVED PIPE nrNty 0� 6� AND/OR EASEMENTS OF RECORD, IF PITCHED t 4' t' r — - + ' PITCHED 1/8'/1' Ir )� ANY, NOT SHOWN ARE NOT GUARANTEED. N INVERT d' °R NVERT -FLOW ! cv' BAFFLE AST y - BOTTOM I �1 Yid SEPTIC TANK (1) q 1 b "a Y.S. Lic. NO. 49668 1. MINIMUM SEPTIC TANK CAPACITIES FOR A i TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 8'-7' DEEP 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 pal AT 28 DAYS. 3. WALL THICKNESS SHALL BE A MINIMUM OF 3', A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4'. 3'min• ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST' AN APPUEO FORCE. OF 300 pef. 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. Joseph Inglegno 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX TOLERANCE OF t i/4") ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. ^�°0��� 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. Land Surveyor . Eul MA,oaAl To K GROUND WATER I hereby certify that the wrater supply(s) and/or sewage disposal system(s) for this project MLAM SAND AN Gl,,�a were designed by me or under my direction. Based upon a careful and thorough study o1 the soil, site and r conditions, all lots, as proposed, conform to the Suffolk County ��—,'� Department of nc p traction standards in effect as of this date.CO � —� ��,C T�Cy LEACHING POOL Title Surveys — Subdivisions — Site Plans — Construction Layout 0 Q�4 c, F! fit? 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SiDEWALI. AREA. C 7 (✓ i1 i POOL; 12' DEEP, 8' dia. 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE: (OR EQUAL) PHONE (631)727-2090 Fax (631)727-1727 �"'' gi * -, > 3. AL "COVERS STRUCTURES, SOLID PRECAST RENFFORCEDDOR CONCRETE (OR EOUAL). 00 4; 4. A 10'-min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAINTAINED, OFFICES LOCATED AT MAILING ADDRESS o Q 6. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINFD• 322 ROANOKE AVENUE P.O., Box 1931 rn RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ---,"""'_____J F OF INE 4 MAILING ADDRESS: PLANNING BOARD MEMBERS *pf SO(/T P.O. Box 1179 JERILYN B.WOODHOUSE ��V o'd Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS N Town Hall Annex MARTIN H.SIDOR G Q 54375 State Route 25 GEORGE D.SOLOMON 'Q� (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND `ou � Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 13, 2007 Mr. Bennett Brokaw P.O. Box 334 Westhampton Beach, NY 11978 Re: Standard Subdivision of Bennett Brokaw The property is located on the s/s/o Bergen Avenue, approximately 1299' w/o Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 Zoning Districts: A-C Dear Mr. Brokaw: The Southold Town Planning Board, at a meeting held on Monday, February 12, 2007, adopted the following resolutions: WHEREAS, this proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip; and WHEREAS, on June 12, 2006, the Southold Town Planning Board granted conditional sketch approval upon map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on May 3, 2006; and WHEREAS, on August 13, 2006, the Southold Town Planning Board granted a Negative Declaration for the proposed action pursuant to SEQRA; and WHEREAS, on November 13, 2006, the Southold Town Planning Board granted Preliminary Plat Approval on the map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on June 21, 2006; and WHEREAS, on January 9, 2007, the applicant submitted the application for final plat approval, including eight (8) paper prints and five (5) mylars of the final map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on December 15, 2006, each containing the Health Department stamp of approval; and WHEREAS, on January 16, 2007, the applicant submitted one (1) copy of the recorded Declaration of Covenants and Restrictions; be it therefore Mr. Bennett Brokaw Page Two February 13, 20007 RESOLVED, that the Southold Town Planning Board find that the project is consistent with the policies of the Local Waterfront Revitalization Program; and be it further RESOLVED, that because the final map is in substantial agreement with the approved preliminary map and there was no public opposition to the project at the preliminary hearing, the Southold Town Planning Board hereby waive the final public hearing for this project; and be it further RESOLVED, that the Southold Town Planning Board find that all of the conditions of preliminary plat approval have been satisfied and that the requirements for subdivision approval pursuant to Chapter 240 of the Town Code have been fulfilled by the applicant; and be it further RESOLVED, that the Southold Town Planning Board hereby grant Final Plat Approval on the map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on December 15, 2006, and authorizes the Chairperson to endorse the maps. Upon endorsement by the Chairperson, the mylar maps must be picked up at this office and filed in the Office of the Suffolk County Clerk. Any plat not so filed or recorded within sixty-two (62) days of the date of final approval shall become null and void. If you have any questions regarding the above, please contact this office. Very truly yours, Jerilyn B. Woodhouse Chairperson Enc. cc: Building Department (with map) Tax Assessors (with map) r r � ' • IIIIIII IIII IIIII IIIII IIIII IIIII 111111111111111 IN IN 111111111111111111111 IN SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Recorded: 01/12/2007 Number of Pages: 5 At: 02 :49 :26 PM Receipt Number : 07-0003844 LIBER: D00012487 PAGE : 224 District: Section: Block: Lot: 1000 113 .00 07 . 00 001. 001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 00 NO Handling $5. 00 NO COE $5 . 00 NO NYS SRCHG $15. 00 NO TP-584 $0 .00 NO Notation $0 . 00 NO Cert.Copies $5 .00 NO RPT $30 . 00 NO SCTM $0 .00 NO Fees Paid $75 .00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County J 1 2 R E 0 0 R D.r-P., Number of pages 'U07 Jan '42::' 02.RD�26 R-1 TORRENS Judith A. Pascale CI-ER1." OF Serial# SILI:FFOU'."' CO'L!Wl Y Certificate# P 224 Prior Ctf.# Deed . Mortgage Instrument Deed Mortgage Tax Stamp Recording Filing Stamps 3-F— - FEES Page/Filing Fee Mortgage Arnt. 1. Basic Tax Handling 5. 00 2.Additional Tax TP-584 Sub Total Spec. /Assit. Notation or EA-5217 (County) Sub Total Spec. /Add. TOT. MTG. TAX EA-5217 (State) Dual Town Dual County Held for Appointment R.P.T.S.A. Transfer Tax Comm. of Ed. 5. 00 Mansion Tax property covered by this Affidavit The propel age is mot-?D or will be improved by a one or two Certified Copy family dwelling only. YES or NO Reg. Copy Sub Total If NO, see appropriate tax clause on Other Grand Total 7 page#� of this instrument. 4 1 District 10001 Section 1131 Block 71 Lot 1.1 5 Community Preservation Fund Real 1000 11300 0700 001001 Consideration Amount Property p T S CPF Tax Due $ Tax Service R SMI A Agency 12-JAN-07 Improved Verification i Vacant Land Satisfaction/Discharges/R.elease List Property Owners Mailing Address TD RECORD &RETURN TO: RANDALL C.WEICHBRODT,ESQ. TD PO BOX 3042 TD EAST QUOGUE,NY 11942 7T— Title Company Information Co. Name Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached -COVENANTS AND RESTRICTIONS made by: (SPECIFY TYPE OF INSTRUMENT) BENNETT BROKAW The premisis herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the Township of SOUTHOLD In the VILLAGE or HAMLET of MATTITUCK BOXES 6 THROUGH 8.MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) DECLARATION OF COVENANTS AND RESTRICTIONS THIS DECLARATION is,made this day of January, 2007, by Bennett Brokaw, presently residing at 31 Woodland Avenue, Westhampton Beach, New York 11978, hereinafter referred to as the DECLARANT. WITNESSETH: WHEREAS, the DECLARANT is the owner of certain real property situate on the south side of Bergen Avenue, approximately 1299 feet west of Cox Neck Road in Mattituck, Town of Southold, County of Suffolk, State of New York, more specifically described in Schedule "A" annexed hereto (hereinafter referred to as the Property); and WHEREAS, the DECLARANT has made an application for and has received conditional approval from the Planning Board of the Town of Southold to subdivide said real property into two (2) building lots as shown on the Subdivision Map entitled "SUBDIVISION MAP OF BENNETT BROKAW" (hereinafter Map), prepared by Joseph A. Ingegno, Land Surveyor, last dated June 21, 2006, which map will be filed herewith in the Office of the Suffolk County Clerk; and WHEREAS, for and in consideration of the granting of said approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town�of Southold and the owners and prospective owners of said lots that the within Covenants and Restrictions be imposed on said lots 1 and 2, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office; and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of said lots, NOW THEREFORE THIS DECLARATION WITNESSETH: That the DECLARANT for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the lots within said subdivision map shall hereafter be subject to the covenants and restrictions as herein cited, which shall run with the land and shall be binding upon all purchasers and holders of said lots, their heirs, executors, legal representatives, distributees, successors and assigns,to wit: 1. There shall be no further subdivision, resulting in additional building lots, to any of the two lots, as shown on the aforesaid subdivision map. No lot lines shall be changed unless authorized by the Town Planning Board. 1 2. Access to Lot 2 shall be from a private driveway within the 20' —wide flag strip shown on the approved subdivision map. 3. Future residents of the lots on the approved subdivision map are advised that the lots are subject to the noise, dust and odors normally associated with agricultural activities pursuant to Article XXII,Farmland Bill of Rights, of the Southold Town Code. 4. All stormwater runoff resulting from the development of any or all of the lots on the subdivision map shall be retained on site and shall be the responsibility of each property owner. 5. Prior to any construction activity on Lot 2, the project will require a General Permit for the storm water runoff from construction activity (GP-02-01) administered by the New York State Department of Environmental Conservation under Phase 1I State Pollutant Discharge Elimination System. The within Declarations shall run with the land and shall be binding upon the DECLARANT successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed,modified,terminated,revoked or amended by subsequent owners of the premises unless and until approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor, following a public hearing. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction,be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal,unlawful, invalid, or unconstitutional. The aforementioned Restrictive Covenants are intended for the benefit of and shall be enforceable by the Town of Southold, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of the Town of Southold or any of its agencies to enforce same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the Town of Southold or any officer or employee thereof. The within Declaration is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and made a part hereof, as though fully set forth. That the within Declarations shall run with the land and shall be binding upon the DECLARANT successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified, terminated, revoked or amended by subsequent owners of the premises unless and until 2 approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor, following a public hearing. IN WITNESS WHEREOF, the DECLARANT above named has executed the foregoing Declaration the day and year first above written. DECLARANT: By: "C;P Bennett Brokaw State of New York) County of Suffolk ) On the il I day of January in the year 2007 before me, the undersigned, a Notary Public in and for said State, personally appeared BENNETT BROKAW, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within •--a---1rnnw1edrfed to me that he/she/they executed the same in his/her/their capacity(ies) and -------- '--�----���� �,-the person upon behalf of which COUNTY CLERK'S OFFICE - --- _ STATE OF NEW YORK COUNTY OF SUFFOLK SS.: I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereo , do hereby certify that I have compared the annexed wit t original ..�.. Q p�-j , he finder L R CORDED i my office on ... 1 ��PAGE .o�a. .....and, that the same / COPY thereof, aof the whole me is a t of such original. rue In Testimony Whereof, I have,l}ereunto s m said County and Court on this .. )`1( y hand and affixed the seal of .day of. ....... 20. .E CLERII � " 3 a s SCHEDULE A ALL that certain piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a concrete monument along the southerly side of Bergen Avenue, said point being the following two courses and distances from the intersection of the southerly side of Bergen Avenue and the westerly side of'Cox Neck Road; 1. South 63 degrees 54 minutes 31 seconds West 1298.54 feet to a point; 2. South 55 degrees 12 minutes 21 seconds West 20.87 feet to a concrete monument and the point and place of beginning; THENCE South 36 degrees 10 minutes 4 seconds East 673.51 feet to a concrete monument and Lot 1 Minor Subdivision for Arthur Foster; THENCE along the said land and land of James and Florence Bebbia South 59 degrees 19 minutes 51 seconds West 231.92 feet to a pipe and the land of Pindar Associates; THENCE along said land the following two courses and distances: 1. South 54 degrees 00 minutes 51 seconds West 101.91 feet to a concrete monument; 2. North 35 degrees 24 minutes 44 seconds East 658.65 feet to a concrete monument and the southerly side of Bergen Avenue; THENCE along the southerly side of Bergen Avenue North 55 degrees 10 minutes 53 seconds East 324.02 feet to a concrete monument and the point or place of BEGINNING. Submission Without a Cover Letter Sender: � � `^%G/5/�. /I :^r..A bm n.•Ye:r,r q erP*n m, 11.Y ffA'1!'A�lEf6kY�.lt&'uRrc�'�orss.cr >t i' cc R . � �/� s l5 l5 Sub'ect• �- � JAN 17 2007 A: Southold Town / Plsnni Board Date: Comments: Submission Without a Cover Letter -Ir Sender: J2 A-0111 Sub'ect: J ,, ZA-4:1/e SCTM#: .1000 - Date: ..Comments: :x ,} m ,,•. ,,..:. ,. J AN - 9 2007 i Application for Final Plat Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for FINAL PLAT APPROVAL for the subdivision described herein. 1. Name of Subdivision BOMB// 96 2. Suffolk County Tax Map# v P 3. Hamlet T V 4. Street Location G ��) �� , i •Q oQ 5. Zoning District 6. Date of Submission 7. Sketch Plan Approval Date 8. Preliminary Approval Date ;A 9. Number of Lots Proposed 10. Acreage of Open Space/Reserved AreaJAN - 9 2007 "` 11. Affordable Housing Units Proposed 12. Percentage of Affordable Housing , 13. If providing less than 25%Moderate Income Family Dwelling Units(MIFDU),please ,,a . ..• i indicate how the property owner intends on satisfying the affordUTAiisig•requirement pursuant to Section A106-11 (B) of the Town Code. — o 14. Does the Final Plat conform substantially to the approved Preliminary Plat? If not,please explain the differences. 15. Application prepared by owner agent [] other Signature of Preparer Date 1 _ MAILING ADDRESS: PLANNING BOARD MEMBI�tS �F so(��y P.O. Box 1179 JERILYN B.WOODHOUSE �OV� Old Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS A Town Hall Annex MARTIN H.SIDOR 51, @ 54375 State Route 25 GEORGE D.SOLOMON � `�� (cor.Main Rd. &Youngs Ave.) Cow JOSEPH L.TOWNSEND , Southold, NY 'Y j 1 Telephone: 631 765-1938 Fax: 631 765-3136 November 14, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Bennett Brokaw P.O. Box 334 Westhampton Beach, NY 11978 Re: Standard Subdivision of Bennett Brokaw The property is located on the s/s/o Bergen Avenue, approximately 1299' w/o Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 Zoning Districts: A-C Dear Mr. Brokaw: The Southold Town Planning Board, at a meeting held on Monday, November 13, 2006, adopted the following resolution: The public hearing was closed. WHEREAS, this proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip; and WHEREAS, on June 12, 2006, the Southold Town Planning Board granted conditional sketch approval upon map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on May 3, 2006; and WHEREAS, on July 18, 2006, the applicant submitted an application and fee for Preliminary Plat Approval, a copy of the draft Declaration of Covenants and Restrictions and the revised subdivision map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on June 21, 2006; and WHEREAS, the Southold Town Planning Board reviewed the preliminary submission at their work session on August 7, 2006; and WHEREAS, on August 13, 2006, the Southold Town Planning Board granted a Negative Declaration for the proposed action pursuant to SEQRA; be it therefore RESOLVED, that the Southold Town Planning Board hereby grant Preliminary Plat Approval on the map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on June 21, 2006, subject to the following conditions: Mr. Bennett Brokaw Page Two November 14, 2006 1) Submission of the application and fee for Final Plat Approval. 2) Submission of five (5) mylars and eight (8) paper prints of the final map, each containing the Health Department stamp of approval. The final map shall be revised as follows: a. The line that delineates the grass area on Lot 1 should be of a different type as to distinguish it from a property line. b. Add a note which states that "The subdivision has been adopted pursuant to the terms of the amended Chapter 240, Subdivision of Land, of the Southold Town Code." c. Add a note which states that "A Declaration of Covenants and Restrictions has been filed with the County Clerk's Office and that said covenants and restrictions affect the subdivision and properties within in." 3) Submission of one (1) copy of the final draft Declaration of Covenants and Restrictions. Additional clauses may be required based upon comments received from the LWRP Coordinator. Once approved, the Declaration of Covenants and Restrictions shall be filed in the Office of the County Clerk and a copy of same to be submitted to the Planning Department. 4) Submission of the park and playground fee in the amount of$7,000. This approval is valid for six (6) months from the date of the resolution unless an extension of time is requested by the applicant and approved by the Planning Board. Very truly yours, Jerilyn B. Woodhouse Chairperson i AFFIDAVIT OF POSTING This is to serve notice that I personally posted the propert kn n as s��� s , �6/0 � " W by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has rem ai ed in place for seven days prior to the date of the public hearing on 6LJQWjQc ZVD6' 1 have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of recgrd of every property which abuts and every property which is across on ! d1 &I A W-7H Lc,QhA tv Your Na a (print) /� Signature Eo 3�? lllq7eF Address D to Notary Public MELANIE DOROSKr NOTARY PUBLIC,State of New York No.01D04634870 ' Qualified in Suffolk County Commission Expires September 30,E b PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: 12:00 noon, Thurs., 11/9/06 Re: Proposed Standard Subdivision of Bennett Brokaw SCTM#: 1000-113-7-1.1 Date of Hearing: Monday, November 13, 2006, 6:00 p.m. Submission Without a Cover Letter Sender: / //Ci : J V Subject: /46 ,;�e SCTM#: .1000 - Date: ✓/�/� `� ..�� j `j ��` Comments: Postal l it � CERTIFIED MAILT. RECEIPT in (Domestic Mail On o -1y;No Insurance Coverage Pro vided) - ICO q ru Postage r- g ��i 0978 0 Certified Fee �C $? '+ 1:3 Return Receipt Fee Postmark i (Endorsement Required) r Here ru Restricted Delivery Fee (Endorsement Required) y r� Total Postage&Fees $ r 11i41/ 006 Sweet,AWi Ado.;- ------ - --- or PO Box No. p Ci ---t IP+4�,_�bl :�--ltlLUf�1---- Or-14 �s� PLANNING BOARD MAIL LOG Friday, September 8, 2006 � s Sender Document Pat Moore Sandy Ground lot line change map 3-4-3 (AT) Updated map re Ghassemi 31-1-1.2 (AT) C. Cuddy Posting affidavit & return receipts re Flower Hill (AT) 9/7 Itr & checks re Flower Hill 69-3-10.1,(ATE, L j`.. I. Stulsky Posting affidavit & return receipts re Pawluczyk'-A--T G. Strang Posting affidavit & return receipts re Romanelli�SP 13`> R. Principi Health Dept. submission re Cutchogue Business Ctr. i M.Hand/M.Schwartz revised map re ELI Kampground 40-3-5c� r Inter-Office: B. Semon 9/7 memo re Cingular/MGH SP 15-9-8 (MT) Town Clerk 8/15 Riverhead TB Resolutions Mrt 8/22 Southampton TB Resolutions NI T� Building Dept. 9/7 SPUD re Sherwood House 100-4-5.4 9/7 Notice of Disapproval re 122-3-7 FOIL Requests: P. Caminiti 38-9-1.2 Subdiv. file �-�— Ruth Love Tidy Car 55-5-2.2 �. J. Condon Blue Water Seafood 122-3-6 CUB... Requests for Information: none I! iSECTION � . . . 1 1 A. Sin re ❑Agent M I ■ Complete-items 1,2,and 3.Also complete l RI . ■ " item 4 if Restricted Delivery is desired. XC �� ❑Addressee I rU D• e ■ Print your name and address on the reverse Ir ° so that we can return the card to you. B. Rec ived by(Pri to ame) C. Date of Delivery. I ■ Attach this card to the back of the mailpiece, J t`t� J o�tUtS� ( O ° T; ° p ° I or-,on_the front if space permits. f� °"'t I tF ' { r � L R I-. D. Is delivery address different from item 1? ❑Yes ni❑No 1 1. Article Addressed to: L ' If YE t address below: Postage $ /!/?A �G �vr✓✓t/ s6 C3 Certified Fee 12,40 O Return Receipt Fee Postmark O (Endorsement Required) 11 R9 Here A/yyy ,�� � Restricted livery Fee ll�J 3 Type I Restricted Delivery Required) 1 00 ( ❑ Express Mail I '"� V L/ Total Postage&Fees ❑Reg ❑Return Receipt for Merchandise I i 4 j j;' ❑ Insured Mail ❑C.O.D. I I o To Se _ 4. Restricted Delivery?(Extra Fee) ❑Yes r �" �/� ,___-� ��6 or PO Sox 0. / - - , . 2. Article Number' i 2708 9231 II 4 ----------2 007 ,(Transfer.from service label) .. 102595-02-M-154A !t : I 'PS Form 3811;(=eb�uary' 2004' Domestic Return Receipt :o ajgr a ® e �OMPLETE THIS SECTION ON• rt1 ° _ ■ Complete items 1,2,and 3.Also complete A. Signature ° item 4 if Restricted Delivery is desired. y', ❑Agent cp I ■ Print your name and address on the revers X U. ❑Addressee a so that we can return the card to yo N 'm p i - �� ) A ■ Attach this card to the back of the mail leC�, B. Received by(Printed Name) C. Date of Deli Postage $ $0°39 t�`.t78 1 or on the front if space permits. p 1. Article Addressed to: ry address different fro item 1? ❑Yes E3 Certified Fee p f'°4C1 !! „l`�,��� If e ter delivery address below: No GPI! ❑ Postmark i p ( Return Receq t Fe; Here 'I Cp Endorsement Required) ti C � Restricted Delivery Fee ICO ,rO (Endorsement Required) °CIO rl r$7 Total Postage&Feesrik•��, �i jt�l�L�O� Lrl �� �{� Type I Senr Certified Mail ❑Express Mail O ❑Registered ❑Return Receipt for Merchandise or Street A is N.7 '/ /� ❑ Insured Mail ❑C.O.D. --PO Box No. �y City to iP+ --�-Wo"U -----"/ 4. Restricted Deliveo114ry?(Extra Fee) 2. Article Number - — —— —— - -- —-- _ ❑Yes A! (rransfer from ser 7005 1820 0007 2708 9217 �l Ps Fob 3811 t eb�t ary' 2004 ; Domestic Return Receipt 1, 1 1 102595-02-M-1540?' SENDER I COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY atureg i ■ Complete items 1,2,and 3.Also complete A. ❑Agent item 4 if Restricted Delivery is desired. X ❑Addressee j ■ Print your name and address on the reverse co Ilk so that we can return the card to you. B. Received b (Printed Name) C. Da a of elivery I is { (t r; � ' ■ Attach this card to the back of the mailpiece, ���b I Nwpm r� ftAE EERSQLL 1-'AST t+ NY t t I or on the front if space permits. I ru _f '?i1 . Is delivery address different fro item 1? 0 Yes Postage $ 1. le addressed to: If YES,enter delivery,addr s below: ❑No I O ? t�ltr Certified Fee i lam/! C3 t C3 Return Receipt Fee Postmark I (Endorsement Required) Here /21 O 31 '= ro Restricted Delivery Fee �J (Endorsement Required) j a 1 3. Service Type I Total Postage&Fees i� ��✓ u � � ��11�Y �!, ) Ln ❑Certified Mail ❑Express"Mail I I O $ v ❑Registered [I Return Receipt for Merchandise I 0 Se 1 N❑Insured Mail El C.O.D. I� Street,Apt ivEo.; ______________�_ or PO Box No.� .�e7 i 4. Restricted Delivery?(Extra Fee) ❑Yes __ -�' 2. Article Number :' fate,Z/P+4 I (transfer from service lab 7 0 0 5 '18 2 0 :0 0 0 7? 2 7 0 8 `9 2 4:8 I `s , . PS Form;3811,.FebruarY2004 Domestic Return Receipt 102595-02-M-1540 fU 4tR: C.OMPLETt,THIS SECTION RI °° ® j ■ Complete items 1,2;and 3.Also complete;- A. Signature ru - item 4 if Restricted Delivery is desired. ❑A ent j y._ � , ' n I ■ Print your name and address on the reverse X Q Addres r f `3-f11Tf31}: 7 �t �3 r I I so that we can return the card to you. [t I y B. Received by(Printed Name) C.'Dgte 9f Del-y ru ■ Attach this card to the back of the mailpiece, lr `L 0(o Postage $ �(i,?�} e1 tii3 or on the front if space permits. 17- I D. Is delivery address different from item 1? ❑Yes Q Certified Fee I 1. Article Addressed to: 12-40 11 k If YES,enter delivery address below: o 1 0 Postmark �. l p ReturnReceipt,Fee Here (Endorsement Requued) e= r-3 Restricted Delivery Fee fu (Endorsement Required) cto,nF J / CT � I r9 E Total Postage&Fees $ ;4 11 j 01/2006". �✓ -r N 3. Service Type <'' O tTa/-. w/ �� I �/ /{ ❑Certified Mail ❑Express Mail I, ������ i°°Y_4.42t �� �"l/� '�� � � C El Registered ❑Return Receipt for Merchandise Street, p.No.; � ❑Insured Mail ❑C.O.D. or PO Bon No. --------------------- -----�---- -- --- City State,ztP 4 - ) 4. Restricted Delivery?(Extra Fee) El Yes 2. Article Number I J ; 7005 1820 0007 2708 9224 --——— — (transfer from service I PS Fo�m3811 February';'2004 Domestic Retu'rri Receipt ? 102595-02-M-1540 I I I pPOMPLETE THIS • '60kPLETE THIS SECTIONON DEUV ERY I ■ Complete items 1,2,and 3.Also complete Ary Siture item 4 if Restricted Delivery is desired. ❑Agent i fu ° a ■ Print your name and address on the reverse so that we can return the card to you. ❑Addressee ; I�0 ■ Attach this card to the back of the mailpiece, B. ed by(Printed Name) C. Date of Delivery I rr or on the front if space permits. co 1. Article Addressed to: ery address different from item 1? ❑Yes I O ° ! I` cry I 1� ) � /) enter delivery address below: ❑No I r- JAI)',SIIJ'N HEIM i g 7, 7 � � - '1 � ��'��.�1 f�iL`� ✓SrT/�� I flJ Postage $ i3 7 0978 `� i i C3 Certified Fee �l /� p Retum Receipt Fee + f P Here (Endorsement Required) 1c 3. Service Type Restricted Dery Fee A 1/(� ❑Certified Mail ❑Express Mail I i� (Endorsementeliv Required) ❑Registered ❑Return Receipt for Merchandise I Total Postage&Fees $ j[ lijtjl!L1:16 ❑ Insured Mail ❑C.O.D. ,u) O 4. Restricted Delivery?(Extra Feel ❑Yes Sent To i 2. Article Number f3 ____-�(___!__��._!!5_E.ff r^ ,___ `7 d __ I (Transfer from service lab 7 0 0 5 1820 0007 2708 9262 Street,Apt.NorPOBcxNoo. ;. . PS Foam 3811,Feb''rtia' 2004 i i cry sia"re;zip+4`s- �'� ryDOfT12StIC RetUrn•Recelpt ' 102595-02-M-1540 I DV�o e/(a ���v�- ^' - �e e - 4 Q , _ I ® ° I Ln ■ Complete items 1,2,and 3.Also complefe A. Signature n, ® I item 4 if Restricted Delivery is desired. nt Er' 1:12 ° i ■ Print your name and address on the reverse A dre s so that we can return the ca'd to you. `a ° ° I I Attach this card to the back of the rtaailpiece, a Recei d (Printed Name) C. D�t� Ales p `TU �,,t€ems,- t L /` �ifituI i'I_ ?i J< 1 I or on the front if space permits. ru D. Is delivery address different from item 1? ❑Yes Postage $ t);78 1. Article Addressed to: Z. p Certified Fee If YES,enter delivery address below: o C3 40 1 1 Postmark p Return Receipt Fee Here /��Gld✓ ���/ (Endorsement Required) $1.87 E:3 Restricted Delivery Fee X fu (Endorsement Required) 1-00 � I I � � ro $ 3. Service Type Total Postage&Fees 14 (' �i/01/2{0ij ❑Certified Mail El Express Mail Lr) ❑Registered ❑Return Receipt for Merchandise j E3 S v �e 66'1,4 ❑Insured Mail ❑C.O.D. '� 555111 ---- -Street,Apt fVo.;-------------------------------------- -- ----- 'i ---- -------------- ---- r ,/,/ 4. Restricted Delivery?(Extra Fee) or PO Box No. �4 ___ 1� a1� AV -------- i ❑Yes - ----- - i 2. Article Number City, late, 1P+ ) im - i (Transfer from servi 7005 1820 0007 2708 9255 PS Form 3811 Februa ry 2004 )Domestic' 6turn Receip t '' 102595 02-M-1540 H. . State of New York. Suffolk County Tax Map Number 1000-113-7-1.1. 6:05 p.m. Proposed standard subdivi- sion for Old Orchard at Cutchogue,lo- i sated on the:n/w corner of New Suffolk Road and Cedars Road in Cutchogue,l Town of Southold, County of Suffolk,; State of New York. Suffolk County Tax I Map Number 1000-109-6-9.1. 6:10 p.m.Proposed amended site plan for North Fork Custom Audio Video,lo- cated on the n/s/o New York State Road 25 approximately 4,755' e/o 'Aldrich Lane;in Mattituck;Town of Southold, County of Suffolk,-State of New York.l ISuffolk County Tax Map Number 1000-1 125-1-19.7: 6.15 p.m. Proposed lot line change] for Richard&Susan Ward,located on the s/s/o Old North Road,approximately 11380 feet w/o North,Road in Southold, Town of Southold, County of Suffolk,' State of'New York.'Suffolk County Tax; Map Numbers 1000-55-2-5.2,&5.3. 6:20 p.m. Proposed standard subdi vision'for Southview Preserve, located; on the s/s/o Main Bayview Road, ap- < proximately 906' e/o Cedar Drive in I Southold, Town of Southold, County, of Suffolk,State of New York. Suffolk County Tax Map Numbers 87-5-21.4,87- :5-21.7-21.10. 6:25 p.m.Proposed conservation sub- division for Orchard Street Farm,located i on the n/w corner of King Street and Old! _ Farm Road and the s/s/o Orchard Street: LEGAL NOTICE in Orient, Town of Southold, County, i Notice of Public Hearing of Suffolk,.State of New York. Suffolk! NOTICE IS HEREBY GIVEN that, County Tax Map Number 25.4-11.8. i pursuant to Section 276 of the Town 630 p.m. Proposed amended site! Law and Article XXV of the Code of the plan for Cutchogue/New Suffolk Free Town of Southold,a public hearing will Library,located on the s/e corner of New; be held by the Southold Town Planning York State Route 25 and Case's Lane in Board, at the Town Hall;.Main Road, Cutchogue,Town of Southold, County' Southold,New York on the 13th day of of Suffolk,State of New York. Suffolk: lNovember,2006 on the question of the County Tax Map Number 109-6-2.2. . following: Dated: 10/31/06 6-00 p.m. Proposed standard subdi- BY ORDER OF THE SOiTTHOL'D vision for Bennett-Brokaw,located on TOWN PLANNING BOARD the s/s/o Bergen Avenue approximately Jerilyn B.Woodhouse 1,299'w/o Cox Neck Road in Mattituck, Chairperson: Town of Southold, County of Suffolk, 80894T 11/2 MAILING ADDRESS: PLANNING BOARD MEMBERS �F SQ(��y P.O. Box 1179 JERILYN B.WOODHOUSE �OV� Old Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR G Q 54375 State Route 25 GEORGE D.SOLOMON 'r�l (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND yCOUffN I� Southold, NY Telephone: 631 765-193 S Fax: 631 765-3136 October 17, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Bennett Brokaw P.O. Box 334 Westhampton Beach, NY 11978 Re: Standard Subdivision of Bennett Brokaw The property is located on the s/s/o Bergen Avenue, approximately 1299' w/o Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 Zoning Districts: A-C Dear Mr. Brokaw: The Southold Town Planning Board, at a meeting held on Monday, October 16, 2006, adopted the following resolution: WHEREAS, this proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip; and WHEREAS, on June 12, 2006, the Southold Town Planning Board granted conditional sketch approval upon map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on May 3, 2006; and WHEREAS, on July 18,2006, the applicant submitted an application and fee for Preliminary Plat Approval, a copy of the draft Declaration of Covenants and Restrictions and the revised subdivision map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on June 21, 2006; and WHEREAS, on August 13, 2006, the Southold Town Planning Board granted a Negative Declaration for the proposed action; be it therefore RESOLVED, that the Southold Town Planning Board set Monday, November 13, 2006 at 6:00 p.m. for a preliminary public hearing on the maps prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on June 21, 2006. r; Bennett Brokaw Page Two October 17, 2006 Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Annex. Please return the enclosed Affidavit of Posting along with the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on Friday, November 10th. The sign and the post need to be returned to the Planning Board Office after the public-hearing. If you have any questions regarding the above, please contact this office. Very truly yours, Je�IBIIWIoodhdous/e Chairperson Encs. r Revisions 06-25-96 OD-26-96 12-10-96 Dim 19-97 �-' SEE SEC,N0.106 PLAYGROUND SEE SEC,NO.106 ' 06-19-9 MATCH LINE REC N zas 2Do'" FOR PCL.NO. MATCH LINE HARGE A 10-20-97 � SEE SEC.N0. + —Z� BASIN O9-29-9 FOR PCL.N0 105-01-003.1 6 •' I I-I9-9B . 09-91-9 I SEE SEC.NO. 12-IS-99 105-01-006.3 O9-17-0 j I Izrl f� 130� ry (�? 02-06-01 A'°Op;A 2Plc, asa ,,yS 02-27-01 09-19-01 a,R• tib 91lc1 Ob-II-01 oe-o2-o1 ,va 05-20-0 NOi-05-0 p06-20-02 06-05-03 ^ 1.3A1d-30-02 03-26-03 10-16-03 9-22-01 + 10�r' les a 1111 1 I 1-01-09 z[y Is P �O 6 n '• 4 1A � •$ ' �,lc� NI ls1z, of '�: 6ti'lP 13 n t .° O .•° 6 f 10$ A. O ,w � PEE 26 O5P s 3�bp 45 Ys bs' 09P NI FOR PCL.NO. ° n F 1.1 .1 ' S.OA s•° ,. `:,4.J �V/)�`.L,l VI 19.25 5.7A 1 , as $ 6 19 1-1 2.4A(c)))) PIGHTSI 19.17 2.3A(c) 25 24 S.OA 22 ..�. _ __... .. 23 21 S.OA - S.SA Sp' LINE D-ill U1, —R—— U DRAWIJ OTHERWISE ALL air 2 f re p cl Lir^ —F—— Retusa p'str ct Llna _q__ d RE RE WITHIN THE FULLOWIIJC pistrl[f SCROOL 9 SYwER ....... N ricvl Olctrlcl Ilne NSi-. ... _— tlont Dlafrl:f — IRE Jp R GRAIIT_ ....:...:�...:...........::................ Un. _L—_ [m4Nmra pl_rricf __ LIGNI 06 wtTER_ ........ ..... 71YEEUSC_ �9t r vsf<.vf cr pafrlcl fv,e —ee—_ 1MpULeHCE .STE+niEF Southold Town Planning Board Notice to Adjacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a standard subdivision; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-113-7-1.1; 3. That the property which is the subject of this application is located in the A-C Zone; 4. That this proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip. The property is located on the south side of Bergen Avenue, approximately 1,299 feet west of Cox Neck Road in Mattituck; 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. (2"d FI., North Fork Bank) Or, if you have any questions, you can call the Planning Board Office at (631) 765-1938; 6. That a public hearing will be held on the matter by the Planning Board on Monday, November 13, 2006 at 6:00 p.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner Name: Bennett Brokaw Date: 10/23/06 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on I have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Thurs., 11/9/06 **************************************************************************************************** Re: Proposed Standard Subdivision of Bennett Brokaw SCTM#: 1000-113-7-1.1 Date of Hearing: Monday, November 13, 2006, 6:00 p.m. BENNETT BROKAW BENNETT BROKAW STANDARD SUBDIVISION 1 000 -1 13 -7 -1 . 1 Proposal to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and Lot 2 equals 137,665 square feet. MONDAY, NOV. 13, 2006 - 6 : 00 P . M . 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner,whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently,there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: El Part 1 ®✓ Part 2 17 Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information,and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ■ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Standard Subdivision of Bennett Brokaw Name of Action Southold Town Planning Board Name of Lead Agency Jerilyn B.Woodhouse Chairperson Print or Type Name of Responsible Officer in Lead Agency ;gnatu 4er Officer Signat of Responsible Officer in Lead Agency r(If di Brent from responsible officer) 08/14/2006 Date Page 1 of 21 PART 2 -PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) I In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. I The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But,for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response,thus requiring evaluation in Part 3. I The impacts of each project,on each site,in each locality,will vary. Therefore,the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. The number of examples per question does not indicate the importance of each question. I In identifying impacts,consider long term,short term and cumulative effects. Instructions (Read carefully) a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. C. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact. If impact threshold equals or exceeds any example provided,check column 2. If impact will occur but threshold is lower than example,check column 1. d. Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact,also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change Impact on Land 1. Will the Proposed Action result in a physical change to the project site? NO YES Examples that would apply to column 2 • Any construction on slopes of 15%or greater,(15 foot El Yes No rise per 100 foot of length),or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table 0 Yes No is less than 3 feet. • Construction of paved parking area for 1,000 or more El rl n Yes No vehicles. • Construction on land where bedrock is exposed orEl El Yes No generally within 3 feet of existing ground surface. • Construction that will continue for more than 1 year or 0 Yes [:]No involve more than one phase or stage. • Excavation for mining purposes that would remove LJ Yes No more than 1,000 tons of natural material(i.e.,rock or soil)per year. Page 11 of 21 i 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill. M OYes 17No • Construction in a designated floodway. E]Yes r7No • Other impacts: Yes ®No Small to moderate impact. The impact will be small as only one new additional lot is being created. There is an existing residence on one of the lots. 2. Will there bean effect to any unique or unusual land forms found on the site?(i.e.,cliffs,dunes,geological formations,etc.) NO Li YES • Specific land forms: Yes No The project site does not contain any unique or unusual land forms. Impact on Water 3. Will Proposed Action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) NO El YES Examples that would apply to column 2 • Developable area of site contains a protected water body. Yes No • Dredging more than 100 cubic yards of material from channel of Yes E]No a protected stream. • Extension of utility distribution facilities through a protected water Yes •®No body. • Construction in a designated freshwater or tidal wetland. Yes No • Other impacts: El0 DYes 0 No Small to moderate impact.The project site is located across the street from a large wetlands and will require a permit or letter of non jurisdiction from the Town Trustees and the NYSDEC. 4. Will Proposed Action affect any non-protected existing or new body of water? NO ®YES Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body ofEl 13 Yes 11 No water or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface ri El OYes No area. • Other impacts: Yes No Page 12 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 5. Will Proposed Action affect surface or groundwater quality or quantity? ❑NO YES Examples that would apply to column 2 • Proposed Action will require a discharge permit. El ❑ Yes ❑No • Proposed Action requires use of a source of water that does not ❑ ❑ ❑Yes ❑No have approval to serve proposed(project)action. • Proposed Action requires water supply from wells with greater ❑ ❑ ❑Yes ❑No than 45 gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which ❑ []Yes ❑No presently do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons ❑ ❑Yes ❑No per day. • Proposed Action will likely cause siltation or other discharge intoEl ❑ Yes ❑No an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or ❑ ❑ ❑Yes ❑No chemical products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without ❑ 1:1Yes ❑No water and/or sewer services. • Proposed Action locates commercial and/or industrial uses ❑ ❑ ❑Yes ❑No which may require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No Small to moderate impact.Project requires approval from the Suffolk County Department of Health Services for both the subdivision and development of each of the lot. Page 13 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 6. Will Proposed Action alter drainage flow or patterns,or surface water runoff? ®NO M. YES Examples that would apply to column 2 • Proposed Action would change flood water flows 0 Yes No • Proposed Action may cause substantial erosion. Yes No • Proposed Action is incompatible with existing drainage patterns. El Yes DNo • Proposed Action will allow development in a designated D Yes DNo floodway. • Other impacts: El D Yes No Small to moderate. The Planning Board will require that all storm water runoff be contained on site. IMPACT ON AIR 7. Will Proposed Action affect air quality? E]NO DYES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any LJ Yes No given hour. • Proposed Action will result in the incineration of more than 1 ton El El Yes [:1No of refuse per hour. • Emission rate of total contaminants will exceed 5 lbs.per hour Yes 1:1No or a heat source producing more than 10 million BTU's per hour. • Proposed Action will allow an increase in the amount of land F1 El Yes1:1 No committed to industrial use. • Proposed Action will allow an increase in the density of Yes No industrial development within existing industrial areas. • Other impacts: El Yes DNo IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? ElNO DYES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or D Yes DNo Federal list,using the site,over or near the site,or found on the site. Page 14 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Removal of any portion of a critical or significant wildlife habitat. El r"I Yes No • Application of pesticide or herbicide more than twice a year, Yes No other than for agricultural purposes. • Other impacts: El 13 Yes LJ No None have been identified. 9. Will Proposed Action substantially affect non-threatened or non- endangered species? NO YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident ©Yes E]No or migratory fish,shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres of Yes nNo mature forest(over 100 years of age)or other locally important vegetation. • Other impacts: Li E]Yes 0No The property is largely cleared and has been cultivated in the past. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will Proposed Action affect agricultural land resources? E]NO YES Examples that would apply to column 2 • The Proposed Action would sever,cross or limit access to Yes No agricultural land(includes cropland,hayfields,pasture,vineyard, orchard,etc.) • Construction activity would excavate or compact the soil profile of El Yes 0 No agricultural land. • The Proposed Action would irreversibly convert more than 10 Yes []No acres of agricultural land or,if located in an Agricultural District, more than 2.5 acres of agricultural land. Page 15 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • The Proposed Action would disrupt or prevent installation of El n Yes11 No agricultural land management systems(e.g.,subsurface drain lines,outlet ditches,strip cropping);or create a need for such measures(e.g.cause a farm field to drain poorly due to increased runoff). • Other impacts: El El 11 Yes No IMPACT ON AESTHETIC RESOURCES 11. Will Proposed Action affect aesthetic resources?(If necessary,use the Visual EAF Addendum in Section 617.20,Appendix B.) [ NO D YES Examples that would apply to column 2 • Proposed land uses,or project components obviously different Yes DNo from or in sharp contrast to current surrounding land use patterns,whether man-made or natural. • Proposed land uses,or project components visible to users of El El Yes El No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or 11 Yes 0 No significant screening of scenic views known to be important to the area. • Other impacts: D Yes 0 No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance? NO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or Yes 0 No substantially contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within 0 Yes El No the project site. • Proposed Action will occur in an area designated as sensitive Yes ® No for archaeological sites on the NYS Site Inventory. Page 16 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Other impacts: Yes E]No IMPACT ON OPEN SPACE AND RECREATION 13. Will proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? E NO ®YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity. Yes ONo • A major reduction of an open space important to the community. Yes No • Other impacts: Yes D No IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will Proposed Action impact the exceptional or unique characteristics of a critical environmental area(CEA)established pursuant to subdivision 6NYCRR 617.14(g)? .®NO 17YES List the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2 • Proposed Action to locate within the CEA? rl ®Yes FINo • Proposed Action will result in a reduction in the quantity of the 0 Yes DNo resource? • Proposed Action will result in a reduction in the quality of the Yes LJNo resource? • Proposed Action will impact the use,function or enjoyment of the rl Yes D No resource? • Other impacts: OYes ONo Page 17 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation systems? ®. NO ®YES Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or Yes No goods. • Proposed Action will result in major traffic problems. Yes E]No • Other impacts: 1:1Yes El No IMPACT ON ENERGY 16. Will Proposed Action affect the community's sources of fuel or energy supply? ®. NO YES Examples that would apply to column 2 • Proposed Action will cause a greater than 5%increase in the El Li El Yes El No use of any form of energy in the municipality. • Proposed Action will require the creation or extension of an Yes No energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: []Yes No NOISE AND ODOR IMPACT 17. Will there be objectionable odors, noise,or vibration as a result of the Proposed Action? NO nYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive ElYes ONo facility. • Odors will occur routinely(more than one hour per day). Yes 0 No • Proposed Action will produce operating noise exceeding the U ED DYes ONo local ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a []Yes ONo noise screen. • Other impacts: El El Yes El No Page 18 of 21 l 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety? El NO YES • Proposed Action may cause a risk of explosion or release of 13 El E]Yes 1:1 No hazardous substances(i.e.oil,pesticides,chemicals,radiation, etc.)in the event of accident or upset conditions,or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of"hazardous wastes" 13 D Yes DNo in any form(i.e.toxic,poisonous,highly reactive,radioactive, irritating,infectious,etc.) • Storage facilities for one million or more gallons of liquefied 13 El Oyes DNo natural gas or other flammable liquids. • Proposed Action may result in the excavation or other El Yes DNo disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste. • Other impacts: 1:1 El Yes DNo IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will Proposed Action affect the character of the existing community? H]NO DYES Examples that would apply to column 2 • The permanent population of the city,town or village in which the 0 Yes ONo project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating 0 13 Yes ONo services will increase by more than 5%per year as a result of this project. • Proposed Action will conflict with officially adopted plans or 13 0 0Yes rINo goals. • Proposed Action will cause a change in the density of land use. ® Yes EINo • Proposed Action will replace or eliminate existing facilities, 0 D Yes DNo structures or areas of historic importance to the community. • Development will create a demand for additional community El r-q 0 LJYes DNo services(e.g.schools,police and fire,etc.) Page 19 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Proposed Action will set an important precedent for future U Yes E]No projects. • Proposed Action will create or eliminate employment. Yes E]No • Other impacts: El El El Yes []No The proposed development is consistent with the existing development adjacent to or near the subject property. 20. Is there,or is there likely to be,public controversy related to potential adverse environment impacts? ■ NO YES LJ If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21 MAILING ADDRESS: PLANNING BOARD MEMBE' _- P.O. Box 1179 JERILYN B.WOODHOUSE w`�OF SO(/ryo Southold, NY 11971 Chair �0 l0 OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR cn 54375 State Route 25 GEORGE D.SOLOMON �p� (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND Oly Southold,NY OOUNTI,N Telephone: 631 765-1938 Fax: 631 765-3136 August 15, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Bennett Brokaw PO Box 334 Westhampton Beach, NY 11978 Re: Standard Subdivision of Bennett Brokaw The property is located on the s/s/o Bergen Avenue, approximately 1299' w/o Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 Zoning Districts: A-C Dear Mr. Brokaw: The Southold Town Planning Board, at a meeting held on Monday, August 14, 2006, adopted the following resolution: WHEREAS, this proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip; and WHEREAS, the Southold Town Planning Board initiated the SEQRA Coordination for this application on June 12, 2006; and WHEREAS, on June 12, 2006, the Southold Town Planning Board granted conditional sketch approval upon map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised on May 3, 2006; be it therefore RESOLVED, that the Southold Town Planning Board, acting under the State Environmental Quality Review Act pursuant to 6 NYCRR Part 617, Section 617.7, establishes itself as lead agency for the unlisted action and, as lead agency, grants a Negative Declaration for the proposed action. Enclosed is a copy of the Negative Declaration for your records. If you have any questions regarding the above, please contact this office. Very truly yours, jerilzyn B. Woodhouse Chairperson cc: Elizabeth Neville, Town Clerk Suffolk County Department of Health Services MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE �O_w��OF SO Southold,Southold,NY 11971 Chair V� O OFFICE LOCATION.. KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR N 54375 State Route 25 GEORGE D.SOLOMON �pQ (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND 0� �DUNTY,y Southold NY�� Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant August 14, 2006 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: Standard Subdivision of Bennett Brokaw SCTM#: 1000-113-7-1.1 Location: The property is located on the south side of Bergen Avenue, approximately 1299 feet west of Cox Neck Road in Mattituck. SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: This proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. The determination was based upon the following: Brokaw Negative Decla______)n August 14, 2006 Page Two No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels, no substantial increase in solid waste production, potential of erosion, flooding, leaching or drainage problems will occur as a result of this action. This subdivision will result in only one (1) additional building lot being created. No significant removal or destruction of large quantities of vegetation or fauna, no substantial interference with the movement of any resident or migratory fish or wildlife species, no significant impacts on a significant habitat area, no substantial adverse impacts on a threatened or endangered species of animal or plant or the habitat of such a species, and no other significant adverse impacts to natural resources will occur. The proposed action is not in a material conflict with a community's current plans or goals as officially approved or adopted. The proposed action will not impair the character or quality of important historical, archaeological, architectural, or aesthetic resources or of existing community or neighborhood character. No major change in the use of either the quantity or type of energy will occur. No creation of a hazard to human health will occur. The proposed action will not cause a substantial change in the use, or intensity of use, of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: , Contact Person: Anthony Trezza, Senior Planner Address: Southold Town Planning Board Telephone Number: (631) 765-1938 cc: Elizabeth Neville, Town Clerk Suffolk County Department of Health Services July 14,2006 Town of Southold Planning Board PO Box 1179 Southold,NY 11971 Dear Sirs, Please find the following enclosed: 1. Preliminary Plat Application and fee 2. 6 Subdivision maps 3. Draft of Covenants and Restrictions Yoe , 'u. �; » >�: ���`•� k �; .,. 4ettw 1 J U L 18 2006 ! (f 1 r2'iV 31 WOooLANo AVENUE, P.Q.Box 334, WE6THAMPTom BEACH, NY 1 1 978 631-288-2841 07/18/2006 11:36 6317656640 LAND PP,ES PAGE 61 July 14,2 Town of Soot heed 1'lamaing 13oard PO Box 1179 Souftld.NY 11971 Dear Sizz, 060 Pleme find the fonDwing enci ; 0 1. ?L*eUWI=y Plat Application and fee C,, r 2. 6 Subdivision maps I lkaft of Covenants an.Restaictiams f. gt�.:• YNp fye• y.. Y ett 63 7-QB6_2B�4 7 1 , DECLARATION OF COVENANTS AND RESTRICTIONS THIS DECLARATION is made this day of July, 2006, by Bennett Brokaw, presently residing at 31 Woodland Avenue, Westhampton Beach, New York 11978, hereinafter referred to as the DECLARANT. WITNESSETH: WHEREAS, the DECLARANT is the owner of certain real property situate on the south side of Bergen Avenue, approximately 1299 feet west of Cox Neck Road in Mattituck, Town of Southold, County of Suffolk, State of New York, more specifically described in Schedule "A" annexed hereto (hereinafter referred to as the Property); and WHEREAS, the DECLARANT has made an application for and has received conditional approval from the Planning Board of the Town of Southold to subdivide said real property into two (2) building lots as shown on the Subdivision Map entitled "SUBDIVISION MAP OF BENNETT BROKAW" (hereinafter Map), prepared by Joseph A. Ingegno, Land Surveyor, last dated June 21, 2006, which map will be filed herewith in the Office of the Suffolk County Clerk; and WHEREAS, for and in consideration of the granting of said approval, the Planning Board of the Town of Southold has deemed it to be in the best interests of the Town of Southold and the owners and prospective owners of said lots that the within Covenants and Restrictions be imposed on said lots 1 and 2, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office; and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of said lots, NOW THEREFORE THIS DECLARATION WITNESSETH: That the DECLARANT for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the lots within said subdivision map shall hereafter be subject to the covenants and restrictions as herein cited, which shall run with the land and shall be binding upon all purchasers and holders of said lots, their heirs, executors, legal representatives, distributees, successors and assigns,to wit: 1. There shall be no further subdivision, resulting in additional building lots, to any of the two lots,as shown on the aforesaid subdivision map. No lot lines shall be changed unless authorized by the Town Planning Board. 1 2. Access to Lot 2 shall be from a private driveway within the 20'—wide flag strip shown on the approved subdivision map. 3. Future residents of the lots on the approved subdivision map are advised that the lots are subject to the noise, dust and odors normally associated with agricultural activities pursuant to Article XXII,Farmland Bill of Rights, of the Southold Town Code. 4. All stormwater runoff resulting from the development of any or all of the lots on the subdivision map shall be retained on site and shall be the responsibility of each property owner. 5. Prior to any construction activity on Lot 2, the project will require a General Permit for the storm water runoff from construction activity (GP-02-01) administered by the New York State Department of Environmental Conservation under Phase 11 State Pollutant Discharge Elimination System. The within Declarations shall run with the land and shall be binding upon the DECLARANT successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified,terminated,revoked or amended by subsequent owners of the premises unless and until approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor,following a public hearing. If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. The aforementioned Restrictive Covenants are intended for the benefit of and shall be enforceable by the Town of Southold, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of the Town of Southold or any of its agencies to enforce same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the Town of Southold or any officer or employee thereof. The within Declaration is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and made a part hereof, as though fully set forth. That the within Declarations shall run with the land and shall be binding upon the DECLARANT successors and assigns, and upon all persons or entities claiming under them, and may not be annulled, waived, changed, modified, terminated, revoked or amended by subsequent owners of the premises unless and until 2 approved by a majority plus one vote of the Planning Board of the Town of Southold or its successor, following a public hearing. IN WITNESS WHEREOF, the DECLARANT above named has executed the foregoing Declaration the day and year first above written. DECLARANT: I By: Bt'e-n'nett Brokaw State of New York) County of Suffolk ) On the day of July in the year 2006 before me, the undersigned, a Notary Public in and for said State, personally appeared BENNETT BROKAW, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies) and that by his/her/their signature(s) on the instrument, the individual(s) or the person upon behalf of which the individual(s)acted, executed the instrument. (Signature and Office of individual taking Acknowledgment) 3 SCHEDULE A ALL that certain piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a concrete monument along the southerly side of Bergen Avenue, said point being the following two courses and distances from the intersection of the southerly side of Bergen Avenue and the westerly side of Cox Neck Road; 1. South 63 degrees 54 minutes 31 seconds West 1298.54 feet to a point; 2. South 55 degrees 12 minutes 21 seconds West 20.87 feet to a concrete monument and the point and place of beginning; THENCE South 36 degrees 10 minutes 4 seconds East 673.51 feet to a concrete monument and Lot 1 Minor Subdivision for Arthur Foster; THENCE along the said land and land of James and Florence Bebbia South 59 degrees 19 minutes 51 seconds West 231.92 feet to a pipe and the land of Pindar Associates; THENCE along said land the following two courses and distances: 1. South 54 degrees 00 minutes 51 seconds West 101.91 feet to a concrete monument; 2. North 35 degrees 24 minutes 44 seconds East 658.65 feet to a concrete monument and the southerly side of Bergen Avenue; THENCE along the southerly side of Bergen Avenue. North 55 degrees 10 minutes 53 seconds East 324.02 feet to a concrete monument and the point or place of BEGINNING. SUFFOLK COUNTY WATER AUTHORITY Timothy J. Hopkins Administrative Offices:4060 Sunrise Highway,Oakdale, NY 11769-0901 General Counsel (631)563-0236 Fax(631)563-0370 June 26, 2006 '�"° r .:�. Ms. Jerilyn B. Woodhouse, Chairperson Planning Board Office Town of Southold J U N 2 7 2006 P.O. Box 1179 Southold,NY 11971 Pian;iµ'. Re: SEQRA - Subdivision Bennett Brokaw, SCTM# 1 OQQ-. .1 �7-.1 fa��• o,_ �`�"� "�"'"� Dear Ms. Woodhouse: Your notification for SEQR Coordination was received and reviewed by our agency. Please be advised that our agency,the Suffolk County Water Authority,has no obj ection to the Planning Board for the Town of Southold assuming Lead Agency status for the prof ect captioned above. In the SCWA review of this project as submitted,our agency found no appreciable impacts on groundwater quality that would affect our operations.Nevertheless the Authority reserves the right to comment on this proposed action in the future and would appreciate copies of all DEIS's and FEIS's,etc. Additionally in keeping with the SCWA's mission of protecting and conserving the Town of Southold's water supply and to reiterate the findings of the environmental review for the SCWA's Water Supply Plan, the SCWA encourages the proposed project to incorporate the following conditions: 1. Permitting the irrigation of only 15%of the area of any single lot. 2. Requiring the use of low flow plumbing fixtures in accordance with the latest codes. 3. Adopting methods to reduce the potential of degraded water from recharging to the aquifer. This could include limits on the amount of fertilizer dependent vegetation maintained on a lot. Page Two June 26, 2006 Furthermore,consistent with its Findings Statement,the SCWA encourages the Town to impose appropriate conditions on the proj ect to reduce the potential impact this proj ect will have on the water resources of the Town of Southold. These conditions could be memorialized in the form of Covenants and Restrictions on the project that are recorded with the Suffolk County Clerk. Please forward all documents on this proposal and future SEQR applications under consideration by the Town to my attention. Thank you. Very truly yours, �cs1�Ce c � � Q -C�.i mberly Kennedy Y Assistant to General Counsel vim AATTITUCKTIRE DISTRI(A' PO BOX 666, PIKE STREET r MATTITUCK, NEW YORK 11952-0666 Commissioners Norman A.Reilly,Jr.,Chairman Secretary,John C.Harrison James D.Roache,Vice Chairman Treasurer,Barbara A.Dickerson Martin L Griffin,Sr. Jerome Zuhoskl David F.Haas June 14,2006 Mr.Anthony Trezza Senior Planner Southold Town Planning Board P 0 Box 1179 s Southold, NY 11971-0959 RE:SCTM#1000-113.71.1 >' Dear Mr.Trezza, At the Regular meeting of the Board:of Fire Commissioners,they and reviewed:the sub-division for Bennett Brokaw(SCTM#1000 113:711),at your requesf;. That as SCWA Hydrants are located..along the SCWA main running along.Cox NeckRoad that no additional water supply is required, we they recommend that all drives and roads.meet the Southold TowwRequirement for clearance of roads and right of ways gyp` Thank you in advance for your cooperation in this matter -J Sincerely, D 1 6 2oc� o n C. Harrison - Secretary/Fire District Manager- �"c cc: Board of Fire Commissioners _.f Chief Office(631) 298-8837 Facsimile (631) 298-8841 MAILING ADDRESS: PLANNING BOARD MEMBER' P.O.Box 1179 JERILYN BC.WOODHOUSE O-``�OF S�UljyO Southold,NY 11971 l OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR us 54375 State Route 25 GEORGE D.SOLOMON apQ (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND 011' COUNT`I Southold,NY ,N Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 13, 2006 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 that you believe should be evaluated. Enclosed is a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: Proposed Standard Subdivision of Bennett Brokaw The property is located on the south side of Bergen Avenue, approximately 1299 feet west of Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 Zoning District: A-C Requested Action:This proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 square foot flag strip... SEQRA Classification: ( ) Type I ( X ) Unlisted Contact Person: Anthony P. Trezza, Sr. Planner (631) 765-1938 x 5022 v Bennett Brokaw Page Two June 13, 2006 Lead Agency Coordination Request The lead agency will determine the need for any supplemental information 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. In addition, please provide any information that should be considered during this review. Planning Board Position: (X ) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Please feel free to contact this office for further information. Very truly yours, Jerilyn B. Woodhouse Chairperson Enc. cc: Town of Southold Building Department Office of the Town Engineer Highway Superintendent Town of Southold Land Preservation Department Suffolk County Department of Health Services NYSDEC - Stony Brook, Sheri Aicher Suffolk County Water Authority, John Milazzo, Esq. Suffolk County Planning Commission • '' g�FFO��- PLANNING BOARD MEMERS MAILING ADDRESS: B h Gy P.O. Box 1179 JERILYN B.WOODHOUSE Southold, NY 11971 Chair ti v► OFFICE LOCATION: RICHARD CAGGIANO G O �� Town Hall Annex WILLIAM J.CREMERS y�f0 �aO 54375 State Route 25 MARTIN H.SIDOR g KE T L.EDWARDS '� (cor.Main Rd. &Youngs Ave.) GEORGE D. SOLOMON Southold,NY .Fax:"631 765�:371� PLANNING BOARD OFFI E tz r� 2 TOWN OF SOUTHOLD E 15 MAY 18 2006 Southold Town � Planning Beard Application for Sketch Approval rt._. APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. 1. Name of Subdivision 2. Suffolk County Tax Map # (000-113-- 0--7 - 1. r 3. Type of Subdivision Standard ;C] Conservation [ ] 4. Hamlet 5. Street Address/ Project Location 6. Acreage of Site ,Q�"T 7. Proposed Yield o� 8. Number of Lots Proposed o� 9. Zoning District A C 10. Date of Submission It. Please provide the names, addresses and phone numbers for the following people: Applicant: L'Ylvle j f o kouo ^,0 I 3 Y veSt6 tv--�, '`-�eax-L, /J y /I Z c� (��I- ast- a 9'4 Agent: Property Owner(s): �n�-t} +'1AJ4t1q7F K4 [ Surveyor: TSB h A= no 6 ft 1 31 %V-eA1%eA.k_ t[g01 Engineer: to Above- Attorney: $ 12. Has an application for subdivision ever been filed for this property? If so,please indicate when and whether or not approval was granted by the Planning Board. ND 13. Has a pre-submission conference been held with the Planning Board? If so, provide date. ` D(o 14. Has the owner/applicant met with Land Preservation? If so,provide date. ►jp 15. Is any part of the property in agricultural use? �p 16. Is there an existing or proposed sale of development rights on the property? /V / W 17. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. tJ�� 18. Are there any building permits currently pending on this property? If yes, please provide permit number(s). 19.The site will be serviced by the following special districts or utility companies: Fire District Post Office School District Water �� 20. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please provide proof that service will be provided. &jtt 21. Please indicate the type of open space proposed and how it will be managed? 22. Are there any existing structures on the property? If so,please indicate the type of structure and its use(s). Will these structures remain, be removed or altered? �. 23. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 25%of the yield,please indicate how you intend on satisfying the requirement. 24. Application completed by owner [ ] agent [ ] other Signature of Preparer Date - A •0(o Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: ?(^D kAIV f 761f1,4 b last name,first name,middle initial unless you are applying in the name of someone else or other entity, such as a company. Ifso, indicate the other person's or company's name. Nature of Application: (Check all that apply) Tax grievance Building Variance Trustee Special Exception Coastal Erosion Change of zone Mooring Subdivision Plat �C_ Planning Site Plan Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child) have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No� If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse,sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C. an officer,director,partner or employee of the applicant; or D. the actual applicant Description of Relationship: Submitted this day of 2004 Signature Print Name Please Complete Each Question=-Indicate N.A. If not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas, 1. Present Land Use:E]Urban ®Industrial ®Commercial Ei Residential (suburban) ®Rural (non-farm) ®Forest ID Agriculture ®Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or•Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,26 of ECL) acres acres Water Surface Area acres acres / Unvegetated (.Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained 10% of site ®Moderately well drained % of site. Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ® Yes No a. What is depth to bedrock (in feet) 6. Approximate percentage of proposed project site with slopes: E]10- 16% % E] 16% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? Yes ® No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? Yes Eallo 8. What is the depth of the water table? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? Yes � No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? 0 Yes NNo ` Page 3 of 21 d 11. Does project'site contain any species of plant or animal life that is Identified as threatened or endangered? ®Yes ONo According to: Identify each species: 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? OYes No Describe: 13. Is the project site presently used by tiie community or neighborhood as an open space or recreation area? Dyes WNo If as, explain: 14. Does the present site iryclude scenic views known to be important to the community? ®Yes No F- 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which It is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: b. Size (in acres): Page 4 of 21 - � I c - 17. Is the site served by existing public utilities? m Yes No a. If YES, does sufficient capacity exist to allow connection? Yes D No b. If YES, will improvements be necessary to allow connection? ®Yes Ro 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ®Yes IM No 19. Is the site located in or substantiall contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ®Yes �No B. Project Description I i 1. Physical dimensions and scale of project(fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: 48 acres. b. Project acreage to be developed: acres initially; acres ultimately. c. Project acreage to remain undeveloped: acres. d. Length of project, in miles: (if appropriate) j e. If the project is an expansion, indicate percent of expansion proposed. % r • i f. Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour: (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure: height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? a,�.Ot. 2. .How much natural material (i.e. rock, earth, etc.) will be removed from the site? .tons/cubic yards. 3. Will disturbed areas be reclaimed []Yes No L^jN/A a.. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Yes ® Nol c. Will upper subsoil be stockpiled for reclamation? I..�_. Yes No 4. Now many acres of vegetation (trees, shrubs, ground covers) will be removed from site? acres. I Page 5 of 21 6. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? Cl Yes O No 6. If single phase project: Anticipated period of construction: months, (including demolition) 7. If multi-phased: a. Total number of phases anticipated (number) b. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ® Yes 0 No 8. Will blasting occur during construction? ®Yes E]No 9. Number of jobs generated: during construction ; after project is complete 10. Number.of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? ®Yes ®No If yes, explain: 1 12. Is surface liquid waste disposal involved? ®Yes EI No a. If yes,indicate type of waste (sewage, industrial, etc) and amount l b. Name of water body into which effluent will be discharged 13: Is subsurface liquid waste disposal involved? El Yes 1:1 No Type 14. Will surface area of an existing water body increase or decrease by proposal? El Yes El No If yes, explain: 16, Is project or any portion of project located in a 100 year flood plain? Yes E]No 16. Will the project generate solid waste? Yes 11 No a. If yes,what is the amount per month? tons b, If yes, will an existing solid waste facility be used? ®Yes 11 No c. If yes, give name ' location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ®Yes E] No Page 6 of 21 , e. If yes, explain: 17. Will the project involve the disposal of solid waste? ®Yes ®No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 1 B. Will project use herbicides or pesticides? ®Yes ®No 19. Will project routinely produce odors (more than one hour per day)? ®Yes E]No 20. Will project produce operating noise exceeding the local ambient noise levels? ®Yes ONo 21.-Will project result in an increase in energy use? E]Yes El No %If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity. gallons/minute. 23, Total*anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? M Yes E] No If yes, explain: Page 7 of 21 25. Approvals Required: ' Type Submittal Date City, Town, Village Board ®Yes No City, Town, Village Planning Board MYes ®. No City, Town Zoning Board ElYes. 0 No City, County Health Department 12 Yes ® No Other Local Agencies E Yes No Other Regional Agencies E]Yes No State Agencies E]Yes No Federal Agencies Yes MNo C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? 10Yes 0 No If Yes, indicate decision required: Zoning amendment Zoning variance EI Newlrevision of master plan •Subdivision Site plan ® Special use permit ®Resource management plan ® Other Page 8 of 21 �1 • a I 2. What Is the zoning classification(s) of the site? AC 3. What is the maximum potential development of the site if developed as permitted by the present zoning? I fTf 4. What is the proposed zoning of the site? 6. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? MYes ®No i 7. What are the predominant land use(s) and zoning classifications within a %, mile radius Oyproposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses with a '/+ mile? Yes ®No 9. If the proposed action is the subdivision of land, how many lots are proposed? / a•. What is the minimum lot size proposed? QQ Page 9 of 21 Y L � 10. Will proposed action require any authorizations) for the formation of sewer or water districts? Oyes [A No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? ®Yes No a. If yes, is existing capacity sufficient to handle projected demand? ©Yes ® No 12. Will the proposed action result in the generation of traffic significantly above present levels? ®Yesq No a, If yes, is the existing road network adequate to handle the additional traffic. IDYes EI No D. Informational Details Attach any additional information as may be eeded to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the Measures which you propose to mitigate or avoid them. E. Verification / I certify that the information provided above is true to the best of my knowledge, Applicant/Sponsor Nam h Date {"a'i Signature Title if the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 MAILING ADDRESS: J PLANNINGI B.O_ODMOEMBER *pF SO�Iy P.O. Box 1179 Ol0 Southold,NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR N 54375 State Route 25 GEORGE D.SOLOMON �O (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND Oly�OUNTY Southold,NY ,� Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 13, 2006 Mr. Bennett Brokaw P.O. Box 334 Westhampton Beach, NY 11978 Re: Proposed Standard Subdivision of Bennett Brokaw The property is located on the south side of Bergen Avenue, approximately 1299 feet west of Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 Zoning District: A-C Dear Mr. Brokaw: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, June 12, 2006: WHEREAS, this proposal is to subdivide a 4.997-acre parcel into two lots where Lot 1 equals 80,000 square feet and is currently improved with a single-family residence and metal garage, and Lot 2 equals 137,665 square feet, inclusive of the 5,200 sq.ft. flag strip; and WHEREAS, an application and fee for sketch approval was submitted on May 18, 2006; and WHEREAS, the Southold Town Planning Board reviewed the proposal at their work session on May 30, 2006; be it therefore RESOLVED, that the Southold Town Planning Board start the SEQRA lead agency coordination process for this unlisted action; and be it further RESOLVED, that Southold Town Planning Board finds that the survey prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised May 3, 2006 satisfies the yield map requirement pursuant to Section A106-11(B) of the Southold Town Code; and be it further RESOLVED, that the Southold Town Planning Board finds that the information shown on the survey satisfies the Existing Resources and Site Analysis Plan (ERSAP) requirement pursuant to Section A106-11(A) of the Southold Town Code; and be it further RESOLVED, that the Southold Town Planning Board finds that the proposal for two (2) lots is not subject to the affordable housing provisions pursuant to Section A106-11(B)(1)(c) of the Southold Town Code; and be it further RESOLVED, that the Southold Town Planning Board hereby grant Sketch Approval upon the map prepared by Joseph A. Ingegno, L.S. dated September 3, 1999 and last revised May 3, 2006, subject to the following conditions: Mr. Bennett Brokaw Page Two June 13, 2006 1. Submission of the application and fee for Preliminary Plat Approval. 2. Submission of the preliminary map, containing the following revisions: a. The title of the map shall read "Standard Subdivision for the Property of Bennett Brokaw." b. The building envelopes must be shown for each lot based on the bulk schedule requirements for the A-C Zoning District. c. The line that delineates the grass area on Lot 1 should be of a different type as to distinguish it from a property line. d. Show the water main in Bergen Avenue. 3. Submission of draft Covenants and Restrictions containing the following clauses: a. Access to Lot 2 shall be from a private driveway within the 20'-wide flag strip shown on the approved subdivision map. b. Future residents of the lots on the approved subdivision map are advised that the lots are subject to the noise, dust and odors normally associated with agricultural activities pursuant to Article XXII, Farmland Bill of Rights, of the Southold Town Code. c. No further subdivision of any of the lots on the approved subdivision map in perpetuity. d. No changes to any of the lot lines without Planning Board approval. e. All stormwater runoff resulting from the development of any or all of the lots on the subdivision map shall be retained on site and shall be the responsibility of each property owner. f. Prior to any construction activity on Lot 2 , the project will require a General Permit for the storm water runoff from construction activity (GP-02-01) administered by the New York State Department of Environmental Conservation under Phase II State Pollutant Discharge Elimination System. 4. Submission of a letter of water availability from the Suffolk County Water Authority. 5. LWRP Review by the Town of Southold. 6. Submission of the Park and Playground Fee in the amount of$7,000. Please be advised that additional restrictive covenants and/or map changes may be required based on comments received from other regulatory agencies or Town Departments. Sketch plan approval is conditioned upon the submission of the preliminary maps within six months of the date of sketch plan approval, unless an extension of time is requested by the applicant and granted by the Planning Board. Upon submission of a completed preliminary application, the Planning Board will set the preliminary public hearing for the project. If you have any questions regarding the above, please contact this office. Very truly yours, �erilyn�BoodZ!-"����� Chairperson MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE o��OF SOol Southold, NY 11971 Chair O OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR 54375 State Route 25 GEORGE D.SOLOMON �� (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND ��y��UN1Y,� Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 31, 2006 Bennett Brokaw P.O. Box 334 Westhampton Beach, NY 11978 Re: Standard Subdivision Bennett Brokaw 1000-113-7-1.1 Dear Mr. Bennett: The Planning Board is in receipt of your subdivision application for the above-referenced property and reviewed the map at their work session on May 30, 2006. The Board accepted the proposed layout and agreed to initiate the review process for this project. The Board will be initiating the environmental review coordination as well as issuing sketch approval at their next pubic meeting on June 12, 2006. The sketch approval will outline all of the necessary submission requirements, legal documents and/or map changes that will be required. If you have any questions or need additional information, please feel free to contact this office. A4nthonezz Senior Planner MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE V�*oE SOUry� Southold, NY 11971 Chair 1 �Q OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR ci+ ,r 54375 State Route 25 GEORGE D.SOLOMON �O (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND Ir4UNTY Southold,NY ,� Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 31, 2006 John C. Harrison Mattituck Fire District PO Box 666 Mattituck, NY 11952 Dear Mr. Harrison: Enclosed please find one (1) subdivision plan, dated September 3, 1999 and last revised on May 3, 2006 for the Subdivision Bennett Brokaw, located on the south side of Bergen Avenue, approximately 1299 feet west of Cox Neck Road in Mattituck. SCTM#1000-113-7-1.1 O The enclosed site plan is being referred to you for fire access review and for your recommendations as to whether any fire- wells are needed. Please specify whether firewells are shallow or electric. The enclosed subdivision is being referred to you for your recommendation at to whether any firewells are needed. Please specify whether firewells are shallow or electric. Thank you for your cooperation. W u s, Anthony P. rezz Senior Planner enc. A . l��Jn p Jfl��ol��I�n in IJDa��c, 37� �,-�45 Wo,-te. ICY Itq�I �5k-e-" Plar) Apph�atL�n E C E �1 ErLn 'bec� 111ct ,,.� MAY 18 20a6 f - t Cl Southold Town Plnni ®S � e-a-Se Board f7�L9r op + Lot 6Z Project Status Report for Standard Subdivisions; Project Name and Location Project Description(taken from rPlannib' Tracking) z � ZBq Decision, Sketch Application Dates / Pre-Submission Conference f�I D ��� SEQRA Determination S_ vt� Sketch Application Received lliaUbb SC Planning Commission Referral Application Fees Paid � /S SC Planning Commission Comments ERSAP Submitted ������ Fire Department Referral G Yield Plan Submitted m)\ n ��e� Fire Department Comments 10 Concept Design Determined �l Engineer Conference Fire Department Comments r Sketch Plan Submission SEQRA Coordination 'o Conditional Sketch Approval D(� Landscape Plan Sketch Approval Soil Conservation Plan Preliminary Plat Application Dates(6 months after Sketch Plan Approval) Preliminary Application Received I��� DEIS Submission Application Fees Paid � 1666 I G Referral of Legal Documents to Town Attorney Referral of Road and Drainage.Plans / Comments from Legal Department Received Engineer Conference / FEIS Submission Comments from Town Engineer i Preliminary Hearing Set Draft Performance Estimate / Preliminary Hearing Held 13-a Draft Covenants and Restrictions tX/o Preliminary Hearing Closed Draft Homeowner's Association Agreement Conditional Preliminary Approval Draft Road Maintenance Agreement Preliminary Approval Scoping Session Final Plat Application Dates(6 months after Preliminary Plat Approval) Final Application Received Affordable Housing Fee Paid Application Fees Paid Administrative Fee Paid Wars Received(5) NYSDEC Wetlands Permit Received Paper Prints Received(8) NYSDOT/DPW Permit Received Final Road and Drainage Plans Trustee Permit Received Performance Guarantee Received Final Hearing Set Performance Guarantee to Town Board Final Hearing Held/Closed Final Covenants and Restrictions Filed Legal Documents Final Homeowner's Agreement Conditional Final Approval Final Road Maintenance Agreement Final Approval Park and Playground Fee Paid Map Endorsed by Chair Conservation Agreement LWRP Consistency Review Final Map Routing: Tax Assessors Building Department Land Preservation Highway Department Additional Notes: MAILING ADDRESS: PLANNING BOARD MEMBERS ��0 �Gy P.O. Box 1179 JERILYN B.WOODHOUSE O= Southold,NY 11971 Chair y OFFICE LOCATION: O � • `F Town Hall Annex WILLIAM J.CREMERS y�f01 �aO� 54375 State Route 25 KENNETH L.EDWARDS (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR Southold,NY GEORGE D. SOLOMON Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Application for Preliminary Plat Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for PRELIMINARY PLAT APPROVAL for the subdivision described herein. 1. Name of Subdivision Pi�& P.e.0 4 0=F 8-n n Q* b Xlk-Au-) 2. Suffolk County Tax Map# l d Q;'' 13 " ©7 — i . 3. Hamlet 4. Street Address/ 36 0 a,�'IL!?A A A y b Project Location 5. Zoning District A C 6. Date of Submission 7. Sketch Plan Approval Date U ,6 Z� h -zoo pS 8. Acreage of Site 797 9. Parcel Yield C) 10. Number of Lots Proposed 6 a. Number of Affordable Lots Required: b. Number of Affordable Lots Proposed: c. Alternative Method/Payment Proposed to Satisfy Affordable Housing Requirement: 11. Acreage of Open Space 1 12. Percentage of Open Space 13. Range of Lot Sizes o2 A C/A L �0 3 flGA`Q 14. Average Lot Size o7 - S A GILD, 15. Private or Public Streets 16. Length of Road(s) 17. Acreage of Road(s) 18. Does the Preliminary Plat differ from the Sketch Plan previously approved by the Planning Board? Explain. 19. In addition to the application to the Town of Southold Planning Board, what other approvals are you seeking for this subdivision from state or other agencies? Please list other applications which are currently pending involving this project. If possible, please provide application reference numbers. 20. Application completed by owner [ ] agent [ ] other Signature of Preparer Dam " '� �� '7 d�� FFO(/(e� MAILING ADDRESS: PLANNING BOARD MEMBERS ��� Gy P.O. Box 1179 JERILYN B.WOODHOUSE G Southold, NY 11971 Chair y OFFICE LOCATION: RICHARD CAGGIANO O Town Hall Annex WILLI H L EDWARDS �J. CREMERS �0� �a�� 54375 State Route 25 KENN (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR Southold,NY GEORGE D. SOLOMON Fax:r631 165" PLANNING BOARD OFFI EFMAY ; TOWN OF SOUTHOLD 8 2006 ' Southold Town Application for Sketch Approval Planning Board r APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. 1. Name of Subdivision IJrD K��.�3 �t i 06 VI' 2. Suffolk County Tax Map # (000-I(3 0-7 - 1_ 1 3. Type of Subdivision Standard DC] Conservation [ ] 4. Hamlet M0-4j nLe IG 5. Street Address/ a5pebe�-ga." /A , Project Location 6. Acreage of Site .QR 7. Proposed Yield o� 8. Number of Lots Proposed o� 9. Zoning District C- 10. Date of Submission 11. Please provide the names, addresses and phone numbers for the following people: t\ Applicant: et1�e ' f Q ® I 3 Agent: Property Owner(s): Ze,)ne,� J�. _(_bFt)kAtJ Roecwlk t 7 Surveyor: w�n11 tt�01 Engineer: 5o9m.e CZA P&OVe Attorney: -8- 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and whether or not approval was granted by the Planning Board. No 13. Has a pre-submission conference been held with the Planning Board? If so, provide date. `k6 1-icy-0(0 14. Has the owner/applicant met with Land Preservation? If so,provide date. ►Jo 15. Is any part of the property in agricultural use? NO 16. Is there an existing or proposed sale of development rights on the property? (V 0 q 1 17. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. �l7 18. Are there any building permits currently pending on this property? If yes, please provide permit number(s). 19.The site will be serviced by the following special districts or utility companies: Fire District Post Office School District Water Lk)8.[I tAm'.c-LA -- WO 20. Has LIPA or Keyspan been notified of the proposed subdivision? If so, please provide proof that service will be provided. hio 21. Please indicate the type of open space proposed and how it will be managed? 22. Are there any existing structures on the property? If so,please indicate the type of structure and its use(s). Will these structures remain, be removed or altered? QS t nay' barn -Gr e,64-i 23. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 25% of the yield, please indicate how you intend on satisfying the requirement. 24. Application completed by owner [ ] agent [ ] other Signature of Preparer Date - A .D(o 0 i Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: " (q 6tto , _j�,-yirte.4 b - last name,first name,middle initial unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Tax grievance Building Variance Trustee Special Exception Coastal Erosion Change of zone Mooring Subdivision Plat Planning Site Plan Other(Please name other activity) Do you personally(or through your company,spouse, sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No� If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the appropriate line A through D and/or describe in the space provided. The town officer or employee or his or her souse,sibling,parent or child is(check all that apply): A.the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C. an officer,director,partner or employee of the applicant; or D.the actual applicant Description of Relationship: Submitted this day of 2004 Signature Print Name Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# �D( 0® - l� 3 _- t�'7 l• 1 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board® Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): NA (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: 1 Y Location of action: '�d J�a BCC rAan Aw Site acreage: �- Present land use: ,R,e5 tc�evt+l Present zoning classification: . 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: BAaJ (b) Mailing address: -Po (c) Telephone number: Area Code( )(a3 f -d �2 S 41 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No® If yes,which state or federal agency? C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No M Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No IAI Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No '�Rjl Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ NoN Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No X Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ❑ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of,.coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No V\1 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No N Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No X Not Applicable Created on 5125105 11:20 AM WC Standard N.Y.B.T.U. Form 8007 -gain and Sale Deed with Covenants against - itor's Acts-Uniform Acknowledgment 14P1..fth CONSULT YOUR LAWYER BEFORE SIGNING THIS DOCUMENT-THIS INSTRUMENT SHvuLL)BE USED BY LAWYERS ONLY THIS INDENTURE, made this al day of /vd v , in the year 2005 BETWEEN C (OPY JOAN C. WASKEWICZ, as surviving Co-Trustee of the William Chudiak Living Trust dated April 28, 1999, residing at 5258 Route 25A, Calverton, New York 11933 and BARBARA CHUDIAK, as surviving Co-Trustee of the William Chudiak Living Trust dated April 28, 1999, residing at 1431 Briarhill Lane NE, Atlanta, Georgia 30324 party of the first part, and Bennett Brokaw, residing at 31 Woodland Avenue, Westhampton Beach, New York 11978 party of the second part, WITNESSETH, that the party of the first part, in consideration of Eight Hundred Thousand Dollars and No Cents ($800,000.00) paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, all his right title and interest in: ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk, and State of New York more particularly bounded and described on the annexed Schedule "A". Being and intended to be the same premises conveyed to the party of the first part by deed dated October 19, 1999 and recorded in the Suffolk County Clerk's Office on October 19, 1999 in liber 11995 cp 615. D-ee.6i mAA b`t Will,'4M ehuaQi/F�C �NoLiViGt;Lc%}/1c� ANC �4S Su/ui1.'i�vST-e,v/+tiT �7yT7�e E.vTi,—eT� OF W,lli.41A 0 h"dt-iR K 4A,& /4,UNC- C ku CUA K ,TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads butting the above described premises to the center line thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; O HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. ND the.party of the first part covenants that the party of the first part has not done or suffered anything whereby the aid premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first art will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust and to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the ayment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party' shall be construed as if to read"parties"whenever the sense of this indenture so requires. N WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. N PRESENCE OF n n C.Waskewicz, Surviving Co-Trus ara Chudiak, Surviving Co-Trustee ; l httt NO.05 74.04-62606-SUFF SCHEDULE A-1 (Description) ALL that certain piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a concrete monument along the southerly side of Bergen Avenue, said point being the following two courses and distances from the intersection of the southerly side of Bergen Avenue and the westerly side of Cox Neck Road; 1. South 63 degrees 54 minutes 31 seconds West 1298.54 feet to a point; 2. South 55 degrees 12 minutes 21 seconds West 20.87 feet to a concrete monument and the point and place of beginning; THENCE South 36 degrees 10 minutes 4 seconds East 673.51 feet to a concrete monument and Lot 1 Minor Subdivision for Arthur Foster; THENCE along the said land and land of James and Florence Bebbia South 59 degrees 19 minutes 51 seconds West 231.92 feet to a pipe and the land of Pindar Associates; THENCE along said land the following two courses and distances: 1. South 54 degrees 00 minutes 51 seconds West 101.91 feet to a concrete monument; 2. North 35 degrees 24 minutes 44 seconds East 658.65 feet to a concrete monument and the southerly side of Bergen Avenue; THENCE along the southerly side of Bergen Avenue North 55 degrees 10 minutes 53 seconds East 324.02 feet to a concrete monument and the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY.- Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULEA-1 (Description) 9� ,y r E i State of Georgia On the�-)-/�-'day off ��rj►aZ in the year 2005 before me,the undersigned, personally appeared Barbara Chudiak personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies)and that by his/her/their signature(s)on the instrument,the individual(s)or person upon behalf of which the individual(s)acted, executed the instrument, and that such individual made such appearance before the undersign d in the 71ti- in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) �! ADELLA S.GRANT LCCSEA1L��� Notary Public STATE OF GEORGIA P l My Commission Exp.8/14/06 (signature and office of individual taking acknowledgment) State of New York, County of Suffolk ss.: sr vL/ in the 9 Y appeared On the,�_day of /U year 2005 before me,the undersigned, personal) a eared Joan C. Waskewicz personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument, the individual(s)or the person upon behalf of which the individual(s)acted, executed the instrument. Notary Public ROBERT DEFRESE Notary public State of New York No.01 DE5035117 Qualified in Suffolk County Commission Expires October24,, BARGAIN AND SALE DEED WITH COVENANTS AGAINST SECTION 113 GRANTOR'S ACTS BLOCK 7 LOT 1.001 COUNTY OR TOWN Southold Title No. 05-7404-62606-SUFF STREET ADDRESS 4250 Bergen Avenue Joan C.Waskewicz and Barbara Chudiak, Mattituck, New York as surviving co-trustees of the William Chudiak Living Trust Dated April 28, 1999 TO Bennett Brokaw RETURN BY MAIL TO: Randall C.Welchbrodt, Esq. 132-3 Main Street SAFE HARBOR TITLE AGENCY Westhampton Beach, New York 11978 1529 Main Street Port Jefferson, NY 11777 (Reserve this space for recording office) . .y 61 Z20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine,in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently,there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet,flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large,then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ®Part 1 ®Part 2 Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate),and any other supporting information,and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ®A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment,therefore a negative declaration will be prepared. ®B. Although the project could have a significant effect on the environment,there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* ®C. The project may result in one or more large and important impacts that may have a significant impact on the environment,therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) wabsite Date Page 1 of 21 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form,Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you bell eve will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not Involve new studies, research or investigation. If information requiring such additional work Is unavailable,so indicate and specify each instance. Name of Action Location of Action(include Street Address,Municipality and County) . Name of Applicant/Sponsor Address City/PO State Zip Code Business Telephone Name of Owner(if different) /f Address City/PO State Zip Code ; Business Telephone Description of Action: Page 2 of 21 Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. 1. Present Land Use:E]Urban ®Industrial ®Commercial D Residential (suburban) ®Rural (non-farm) ®Forest El Agriculture ®Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained 10% of site E]Moderately well drained % of site. E]Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ® Yes E] No a.. What is depth to bedrock (in feet) 6. Approximate percentage of proposed project site with slopes: IRZA 0-10% % F-110- 16% % 150 or greater % 6. Is project substantial) contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? El Yes ® No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? E]Yes �No 8. What is the depth of the water table? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ElYes R No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? 11 Yes Z No Page 3 of 21 1 1. Does project'site contain any species of plant or animal life that is identified as threatened or endangered? ®Yes EINo According to: Identify each species: 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? OYes tgNo Describe: 13. Is the project site presently used by tiie community or neighborhood as an open space or recreation area? El Yes fm No If yes, explain: 14. Does the present site 176lude scenic views known to be important to the community? ElYes No 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: r b. Size (in acres): Page 4 of 21 ' 17. Is the site served by existing public utilities? Zd Yes No a. If YES, does sufficient capacity exist to allow connection? I2�1Yes �No b. If YES, will improvements be necessary to allow connection? ®Yes MNo 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ®Yes "No 19. Is the site located in or substantially contiguous to a Critical Environmental.Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ®Yes No B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate). !' a. Total contiguous acreage owned or controlled by project sponsor: acres. b. Project acreage to be developed: acres initially; acres ultimately. c. Project acreage to remain undeveloped: acres. d. Length of project, in miles: (if appropriate) j e. If the project is an expansion, indicate percent of expansion proposed. % r f_ Number of off-street parking spaces existing proposed / g. Maximum vehicular trips generated per hour: (upon/completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially i Ultimately L Dimensions (in feet) of largest proposed structure: height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? o2it. 2. .How much natural material (i.e. rock, earth, etc.) will be removed from the site? .tons/cubic yards. 3. Will disturbed areas be reclaimed ElYes 0No �N/A a.. If yes,for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? Yes ® No c. Will upper subsoil be stockpiled for reclamation? E]Yes 11 No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? acres. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ® Yes , No 6. If single phase project: Anticipated period of construction: months, (including demolition) 7. If multi-phased: a. Total number of phases anticipated (number) b. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ® Yes 13 No 8. Will blasting occur during construction? ®Yes E]No 9. Number of jobs generated: during construction ; after project is complete 10. Number.of jobs eliminated by this project 11. Will project require relocation of any projects or facilities? ®Yes El No If yes, explain: 12. Is surface liquid waste disposal involved? E]Yes E No a. If yes,indicate type of waste (sewage, industrial, etc) and amount l b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ®Yes E]No Type 14. Will surface area of an existing water body increase or decrease by proposal? E]Yes 1:1 No If yes, explain: 16. Is project or any portion of project located in a 100 year flood plain? ®Yes ONo 16. Will the project generate solid waste? 11 Yes M No a. If yes, what is the amount per month? tons b. If yes, will an existing solid waste facility be used? E]Yes 11 No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? E]Yes EI No Page 6 of 21 e. If yes, explain: 17. Will the project involve the disposal of solid waste? 0Yes ®No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 1 B. Will project use herbicides or pesticides? MYes ®No 19. Will project routinely produce odors (more than one hour per day)? ElYes 0No 20. Will project produce operating noise exceeding the local ambient noise levels? Oyes EINo 21.-Will project result in an increase in energy use? E]Yes 11 No jIf yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity. gallons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? E]Yes E] No If yes, explain: Page 7 of 21 t 25. Approvals Required: Type Submittal Date City, Town, Village Board ®Yes No City, Town, Village Planning Board Oyes El No City, Town Zoning Board E]Yes. 0 No City, County Health Department 12 Yes El No Other Local Agencies E]Yes IR No Other Regional Agencies Yes No State Agencies Yes No Federal Agencies Yes ,No C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? ®Yes E] No If Yes, indicate decision required: E] Zoning amendment Zoning variance New/revision of master plan Subdivision E] Site plan ® Special use permit ®Resource management plan ® Other Page 8 of 21 2. What is the.zoning classification(s) of the site? JAv 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? LAYes ®No 7. What are the predominant land use(s) and zoning classifications within a A mile radius ?( proposed action? R C RaAJ, co -Yh Ae6(Cu 8. Is the proposed action compatible with adjoining/surrounding land uses with a '% mile? )9Yes El No 9. If the proposed action is the subdivision of land, how many lots are proposed? o / a, What is the minimum lot size proposed? Page 9 of 21 I� Y ` ' 10. Will proposed action require any authorizations) for the formation of sewer or water districts? ® Yes M"No 11 Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? ®Yes ,� No a. If yes, is existing capacity sufficient to handle projected demand? . Yes No 12. Will the proposed action result in the generation of traffic significantly above present levels? ®Yes No a. If yes, is the existing road network adequate to handle the additional traffic. E]Yes E]No D. Informational Details J Attach any additional information as may be4eded to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss Such impacts and the measures which you propose to mitigate or avoid them. E. Verification / I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Nam 01 Date Signature , Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 Town Of Southold P.O Box 1179 Southold, NY 11971 RECEIPT * * * Date: 08/22/06 Receipt#: 1638 Transaction(s): Reference Subtotal 1 1 Application Fees 113-7-1.1 $1,000.00 Check#: 1638 Total Paid: $1,000.00 U-A 2 2006 Name: Brokaw, Bennett P 0 Box 334 Westhampton Beach, NY 11978 Clerk ID: LINDAC Internal ID: 13-7-1.1 MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B.WOODHOUSE O�*OF SO Southold,Southold,NY 11971 Chair � O OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR N 54375 State Route 25 GEORGE D.SOLOMON G �pQ (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND OCOUNTi Southold,NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk From: Planning Department Date: August 22, 2006 Re: Checks Enclosed herewith are three checks listed below. Please return a receipt(s) to us. Thank you. Project Name & Type Tax Map # Amount Date of Check Zimmer Set-off P&P fee 13-2-7.8 $5,000 8/1/06 Savits Subdiv. A' fee 68-4-16.1 $100 7/19/06 Brokaw Subdiv. App fee 113-7-1.1 $1,000 7/8/06 LR encs. MAILING ADDRESS: PLANNING BOARD MEMBERS *QF SO(/jy P.O. Box 1179 JERILYN B.WOODHOUSE �OV� Old Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR G 54375 State Route 25 ;� GEORGE D.SOLOMON (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND �y'0OUNTY,�c Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Neville, Town Clerk From: Planning Department Date: January 24, 2007 Re: Checks Enclosed herewith are the checks listed. Please return a receipt to us. Thank you. Project Name & Type Tax Map # Amount Date of Check Parker/Shillo Subdiv. 6-5-7& 12.4 $500 app fee 11/30/06 Brokaw, Bennett Subdiv. 113-7-1.1 $7,000 P&P 1/8/07 Brokaw, Bennett Subdiv. 113-7-1.1 $500 app fee 1/8/07 Grigonis Conserv. Sub. 55-1-5.1 & 55- $1,550 sketch 1/11/07 2-8.5 fee LR enc. Town Of Southold P.O Box 1179 Southold,,NY 11971 * * * RECEIPT * * * Date: 01/25/07 Receipt#: 1673 Transaction(s): Reference Subtotal 1 1 Park& Playground 113-7-1. $7,000.00 Check#: 1673 Total Paid: $7,000.00 �.iMIikiI1YNC'ksaU�•`c.avt59'xcaKrr,•R v.amxEmswa en<sxevs•a+.+ tvr_.,.,3b` 6 E — --, J Aft 2 6 2007 L �. ._. _ -• _...._� 1 .r tr. Name: Quantuck, Realty Corp Attn: Bennett Brokaw P O Box 334 Westhampton Bch, NY 11978 Clerk ID: LINDAC Internal ID: 113-7-1.1 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/25/07 Receipt#: 1672 Transaction(s): Reference Subtotal 1 1 Application Fees 113-7-1. $500.00 Check#: 1672 Total Paid: $500.00 Name: Quantuck, Realty Corp Attn: Bennett Brokaw P O Box 334 Westhampton Bch, NY 11978 Clerk ID: LINDAC Internal ID: 113-7-1.1 Town Of Southold P.O Box 1179 Southold, NY 11971 RECEIPT Date: 05/25/06 Receipt#: 1610 Transaction(s): Reference Subtotal 1 1 Application Fees 113-7-1. $1,750.00 Check#: 1610 Total Paid: $1,750.00 Name: Brokaw, Bennett P 0 Box 334 Westhampton Beach, NY 11978 Clerk ID: LINDAC Internal ID: 113-7-1.1 MAILING ADDRESS: PLANNING BOARD MEMBP__.- P.O. Box 1179 JERILYN B.WOODHOUSE Ow`�QF S��ryOl Southold, NY 11971 Chair h Q OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR N 54375 State Route 25 GEORGE D.SOLOMON (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND �OIyC�UN�,� Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM RECENCED To: Elizabeth Neville, Town Clerk MAY 2 5 2006 From: Planning Department S®UA01'e'TGV R clerk Date: May 24, 2006 Re: Check(s) Enclosed herewith is/are the check(s) listed below. Please return a receipt to us. Thank you. Project Name Project Type SCTM # Amount Check# Brokaw, Bennett Stand. Sub. 113-7-1.1 $1,750.00 1610 Sketch Appl. Fee enc(s). J � �;, .44�, ,d`.. � � .. �. .. T 1 a Z r'„ F i �� ¢�� �M`�� - � :� ��1 E i � r Y`t ♦� t'� � �;� � J 4� ,� , � .J F y- �t l ! y: .(.,. � i � �� �--.. �'� � a�4 Revisions 06-25-9 ° 6-26-9 ,a ' 14.6 11-10-9 PLAYGROUND MATCH 14.2 t4.1 1,4A1c7 f 1 f 9 SEE SEC.NO.106 SEE SEC.NO.106 1.OA(U 1.5A(c) 6-11-9 RECHARGE LINE a Y; SEE SEC.ND.SOT Y N zes zoo W MATCH LIE FOR PCL.NO. MATCH z LNE y gASN 4 •• 1'A7� 3 \ plL\ 10-20-9 MATCH 1.0E N zes 00 -Z SEE SEC.NO, $ 1.4 FOR PCL.NO. f-2f-9 105-01-003.1 T•5 1.44(0 I 0-31-9 I-15-9 FOR PCL.NO.SEE SEC.N0. ,' 45 SEE SEC N0. a. 's w ,5 6 c 305-01-006.7 .y ' 12-IS- . o2-1I-00 o A, nu .{ M1,tL\ 5 7.3 x5 7 1.2100 16 / FOR PCL.NO. T!V06-01 ,ty s� '06,m) -o. w 15 P 02-27-01 .L6 \ b a TR °2 O T ' 6 a+.Nxt° a 40t`yy; Y tL\ SEE SEC.1.2 Of-10-01 p°+R 9ptL n 1,TAlcJ �y.A o: 2 n s S.TAICIJ , 6p 114-02-001.2 r. � lb n 16-02-01 .y 6• au $ O A la ,a, nP ns, m - r w9 1g 'S1 12 16,5•ptl '� 'j0 I I-21-01 g 'a. uv 1 Qp ♦'A 1O�L\ �Y - '�• '�Qys,. ♦ 5 5 S 3wPARK$, g x=y © �• L w / 1- -0 OS-20TO-O uu ,g tlp �• b Sn 2 O J ' ,° �LAHOB1Gn 5-30-0 6-20-0 6 c s V 3-2D-0 '^ $ 4•` 7.1 1 - z r� s z - 7 B 9z 10_ 4 n n w 06-05-0 9 �1 IN 1.7A1d 'o m x s4 10'16-06 � y a, ,As rg DA I u' ypREUNE CiK �S- _N D9-22.0 O ti°: 1 �i49ps x NpT(ff U t lg � 1,'L\ s s, t `op BRgyCH OF _ 10'to 1. 2• �; PM' 1 m Y.rn •� snY.\ \ \\a` ,s\� ae. q�tL\ $' 6�' '4 17- 9y'\ , ''•1 y t �}. 1 1 \ \ \� \ \� 1,0 v .� ♦ to °° y 7� 5 td ay 1/ w l I 1 = \\ \ \ \\ \r6 �\ O 7 -1 w • $ '°w 9 a ,1 g 4ep ta �1 Il l+ti X 1I�1%.Mp l li°'I ♦\ \`\\ \or\\��' 0 ^ p Ap tG J p g-YD s dql i IlA1 _6=m \a" a�s\\ .516P 2 9p T 10�• 1 ep �,., I I 1 "' *i 5 *s �\5��\• \, `A tit 19.3 1g. e• � �• ,ea �l .m I��I A,- I ° 11= \dp\ 2'A\\\ tivb a, f 19.4 FOR PCL-ND. �� 'Ida I m "ply, I d Ida\\ \,5\\ \,. ° r•T PARKI 7A° ' - a o L7AIc1 fyl,'' SEE SEC.N0. I I •0 �' � '�' 112-Ol-D2o ;`ly a I �1 I I I I a`I' it +�• III \A \ L?p 1 s e 8 a I '� IPARK 1.1 °1919 ' � �1? w � � I I I Ila dP �e� opl I I'o �l �• tiA + °, 5.OA y x ' 9•) w w 11 :^ I I I l l 5' ,. I I I �9• ' ° $ •• 19.25 m A I '°I I 11 F titi 5.7A $ .° s "' 1 • . 15 p y tta y Il o' ` l„ ,a111 II 11 1w e ' b 'so; ti� n I l +A I 'r' 11ep 19.11 16`s „yA I"a I I I l 1'W' A 1�pL\ i 19.15 1° re+ �' 1.T1c1 In I S �151 I LU "•'! y 11• w1° o ., a ' 2.4AIU *° s I I I ES1v`t► a $ g og19.19 161 ' ♦ `'' a y 19.26 O '!.• "J'fi 19.1gt.° 1}p ,aA g tL\ - np 30.0A ° }p •° ' S i 19.24 i 1 2.OA $ S 's `tea o 49ptL\ �t 4Y $ TOWN OF$OUTNOLD IDEVELOPMENT RGHTSI 19.1T A y 29pW\ COUNTY OF SUFFOLK 2.3A1d PARKS DEPARTMENT $ i`' l p► a zs 5 d .1p ,w y Zap © I g FOR PCL.ND. S.OA 19.23 °p SEE SEC.NO. „ 7.OA ;y 1 112-01-002 •, $ °♦ 10p d N 1w 24 ♦1• ° 22 0� 5 S.OA 6AA $ 3 a •.,,,$ ti2�p m 3T SA m y 9 $ 101 •b, � "s �1p a '4 2jp • x U i +• a y �°1p a+' J 2 1 23 21 •,9 '•• la' 14 FOR PCL.NO. S.OA 5 5.5A SEE SEC.N0. ' 'P •• 1 120-OS-ODS " N zet.o0 •'" lra.rla,N „za MATCH -� --_ LINE gyp, MATCH --� LNE ; tip a $ $ 2,6ASc1 LHp{1TH SEE SEC.NO.121 12 w •` A SEE SEC.NO.121 $ 10.4 11 O• C,ly•48 p9° N1.1 W w lw M�D�E R L Prw.rtY ar aE L. y�°v0y,t°,,h U, &K,,l;m„ - _ SrA° Oby l Lkf --SCH- KYO-°M OWl,"LYe --N-- MESS DRAW„ OTIIERYISE• ALL PPO TRICTS NOTICE COUNTY OF SUFFOLK © TDFN DF SECTION NO ARE WITHIN THE FOLLOWING DISTRKTS: R 105 106 l01 SOUTHOLD E ONar°.c°Nwo Darr SiDtlrNlm ekchYelaO.N°. (21) Fir.gehkr U- --F-- KWI-NE,rkr LM° --R-- - C - _ Q g,KK„.,. O - IN 9 SEWER nD MAINTENANCE,ALTERATION,SALE OR Real Property Tax Service Agency Y 11, Lndvvkn lot lire Owtl O,nnvim Yater garrM lIn -t-- Wro-kdWtrkr Lln -HST FPE JO HYDRANT DISTRIBUTION OF ANY Ppt7KM1 DF THE 112 113 ��� 113 N Sxe°./vorr ^� - Sctlan W,s„I°n ax. Onn,r lw -- LW-1,1 un --L-- Mgtrcf 01-1 Lin--- -A-- PARKT 46 TA WATER SUFFOLK COUNTY TAX MAP IS PPOHIBITED Canty Center Riverhead,N Y 11901 WITHOUT WRITTEN PERMISWN OF THE SCALE N FEET: z9 �^ O d e° 12.1 Afnl or Iz.lA ,°' ••» --- M mr.k.Lire --P-- °.te°>d° kr l e .-- AMM;AH f YASTEWATER O P REAL RR(1RERTY TA%SERVICE A(;ENCY. 120 121 D6TWT NO 1000 PROPERTY MAP CONYEN-DATE, OK.Y,afff 1 <` `..,',ri''_...- {- .s k �• a.`�aa".�"�+'"";,fin. `x:?az-cs<rn,;,Q. .:a;+,�rSA,-.�., r�+.c� .:'2?7p?'9P'•w+®x-•"'-!s'-#"' 'r^�?r'°'„'7 "'•+;:"�:'•'s.-,`..-'. 77 s"` ,:�„-s-•+,- - t ,vynram,r...,y.,K.,,, .r - ' . .. ... ,t - ♦ .. v. -•,., .:.. '.. ." x 4 -•}; ,lit '�` 'r' �S i9 e T•x' q F 'a. r. i4 '4 x CkA. F• I - 4 , .j. k' Y t I .MINOR{ SUBDIVISION .• M AY .18 -2006 PREPA RED FOR SOuthoid Town fr -BENNETT .'BROKOW f I Planni Board SITUATED ._A T BEROEN AVENUE MATTITUCK t CREEI( - TOWN OF SOUTHOLD :::. ..:.:.:...::.: SYeTc�l S U F F 0 LK COUNTY, NEW YO R K SUBJECT j2©V/9L S.C. TAX No 1000- 1 13-07- 1 . 1 PREMISES :: ::::;;:•;::.;• SCALE 1 -40 SEPTEMBER 3, 1999 DECEMBER 7, 2005 ADDED PROPOSED 'SARN JANUARY 3, 2006 FOUNDATION LOCATION MAY 3, 2006 MINOR SUBDIVISION MAP MEDAY AVENUE KEY ! I� MAP TOTAL AREA = 217,664.77 sq. ft. SCALE 1 "=600' ' 4.997 ac.: OWNER & APPLICANT. BENNETT BROKOW P.O. BOX 334 VACANT WESTHAMPTON BEACH, NEW YORK 11978 PUBLIC WATER IN STREET BERGEN AVENUE •• �• r•• ,. • �' •� •� EDGEaF PA• .M. .�.,, - �' •'4. �; l0.$Q Ie _ "au N55-10'53 0 avER NEAD wRE - - - - � - - - - -�- ° A wa+. FOUND J. 2 0.01 CONC. MON. 304.01 FENCE �,;�1� CA N / S a GPI N 8�. ?? w S 63.54'31" 298.54' 00 coNc 1 a 0 s1Epi ;FL4LI s,.s' N " I ROOF OVER CONC. rn »,- -•---- _1-..STORY FRAME-- . _�.. _ � � ., _ �v,:r,. -- -i ..... • I 31 HOUSE do GARAGE HOUSE No. 4300 8 PUP GA FTl M KS 449 _ ez 4F FL 4138 4 CELLAR - -- aRoor .` ENTRANC CONC. 1 rn wF3� I I la •��, ,' . / . ' FARM FIELD CONC.APRON , :.54Nr.t• ; �\--- ' , •` _ I V I P 10.e' CONC PAD + r 40.3'• 11 PROPOSED LOT 1 , I I AREA = 80,000.00 sq. ft. I METK&RACE // 1.837 cc. I1 0 I 10.• I� y0e \\ I I h'o GRASS AREA 1 \ I 1 I / I I I /' I( 307.48' 4o S 54.35'1/6" W ' TYPICAL PLOT PLAN / I 1e•DMA OAK i (NOT TO SCALE) PROPERTY LINE 14-Oth.SEWN I � o ' I 165 I rn b I rl I 32 E y // FFLa1.58 u 10.5- ---- --�- -- - T Du.OW vi I FTIdN o I I i (FOR BARI4) L it DMA.OAK I HOUSE I 1 3.Ir r aA aAK I TEST HOLE SEPTIC \ I TANK I I LEACHING z m PROPOSED\LOT 2 I I 10,Pool 50% EXPANSION m MIN. MIN. POOL TOTAL AREA = 137,6f�4.77 sq. ft. I j 3.160 cc. I I � \ 1 FLAG_AREA 5,200 ,sq.-ft., I �•r�- I \\ 0.119 ac. °p � g k I RaAD -� ! I W I ° I a o I TEST HOLE DATA I I g •h I (TEST HOLE DUG BY McDONALD GEOSCIENCE ON FEBRUARY 10, 2006) ` El- 49.e' _o. I FARM FIELD I .30 - I_ I BROWN LOAM OL I _ I \\ i \35 -t I I PALE BROWN FINE TO COARSE SAND SW `--.------- t7 I I �-, I . - ------------- I I 1 \\3p I �______---------- - 30__ N- J���I - 1 00 --- - I I En E Ili I \\ 14•dA DAK WOOOED AREA i W A I I \ � 14�MA,MAPLE � - I �fc rnrn IS-DAL I (sl 1e•aA.aAKs POST o o e e" ae e o POST \\ I C7 3.5'N 0 51Y. FOUND IPE cow-MOH. \ �19•OK BEECH \ 14.OIA.MAKE S 5 4-00'51 " W 101.91 '' S 5 9'19'51 "`W zs ,4•oI�eE>cN aA t�ca1 Tl_ W o I L--------- 1 3p (� " KECH 231 9 2' 15.ON. MAPLE �I4'dA.BEECH cl� PINDAR ASSOCIATES I oU osc_ �" 1e•DW OW s'T k VINEYARD I N/0/F Oy�f qq��',,•,,�'f0* I ✓AMES CEBBI.A ��u `sUBp FLORENCE CEBBtA a 'arF A'O I DWELLING taro> Abu O,Q SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES j °wf�Nc �qG c� HAUPPAUGE, N.Y. ( I Date I HEREBY CERTIFY THAT THIS MAP WAS MADE BY US FROM ACTUAL SURVEYS COMPLETED I MARCH 22, 2006 AND THAT ALL CONCRETE MONUMENTS SHOWN THUS: ■ HEREON ACTUALLY EXIST AND THEIR POSITIONS ARE BUILDING ZONE DISTRICT: AGRICULTURE CONSERVATION "AC" This is to certify that the proposed Realty Subdivision or Development CORRECTLY SHOWN AND ALL DIMENSIONAL for in the " AND GEODETIC DETAILS ARE CORRECT. „. SCHOOL-,(pISTRICT: MATTITUCK - CUTCHOGUE , - with a total of lot was approved on the above date. Water Supplies and Sewage Disposal FIRE DISTRICT• MATTITUCK Focillities must conform to construction standards in effect at the time of construction and are subject to separate permits pursuant to those standards. This approval shall be valid only if the realty subdivision/ development map is duty filed with the County Clerk within one year of this date. Consent is hereby given for the filing of this map on which this endorsement appears in the Office of the County Clerk in accordance with the provisions of the Public Health Low and the NOTES; Suffolk County Sanitary Code. THIS IS TO CERTIFY THE SUBDIVISION PLAN HAS BEEN APPROVED 1. ELEVATIONS ARE REFERENCED TO TOPOGRAPHICAL MAP OF FIVE EASTERN TOWNS. BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD BY RESOLUTION EXISTING CONTOUR LINES ARE SHOWN THUS: ----- --50 -------OF APPROVAL DATED EXISTING ELEVATIONS ARE SHOWN THUS: Q-o F FL - FIRST FLOOR Vito A. Minei, P.E. G FL - GARAGE FLC)OR Director, Division of Environmental Quality BY 2. U.S.D.A. SOIL CONISERVATION SERVICE SOIL TYPE CLASSIFICATION: HaA - HAVEN LOAM, 0 TO 2 PERCENT SLOPES CHAIRMAN PLANNING BOARD HaB - HAVEN LOAM, 2 TO 6 PERCENT SLOPES TYPICAL SEWAGE DISPOSAL SYSTEM HOUSE TOP BURIED (NOT TO SCALE) 4' DEEP max. FINISHED GRADE PRECAST REINFORCED CONCRETE COVER FINISH GRADE THIS SUBDIVISION WILL APPEAR IN 24"dia. LOCKING, WATERTIGHT & INSECT PROOF BURIED 1' DEEP min. 2' DEEP max. CAST IRON COVER TO GRADE DISTRICT 1000 SECTION 113 BLOCK 07 MIN. 4' dta. APPROVED PIPE 20"min 0"min. MIN. 4" dia. a THE EXISTENCE OF RIGHT OF WAYS PITCHED 1 4' 1' APPROVED PIPE E �wEv AND/OR EASEMENTS OF RECORD, IF w o PITCHED 1/8•/V moo _ ANY, NOT SHOWN ARE NOT GUARANTEED. Q1' J INVERT ;i ao INVERT FLOW {{ rnIULJ BAFFLE BOTTOM 99 t r� r;y 0 I e � 1? ' •y _SEPTIC TANK (1) SIDE WALL AREA ,�n Y 300 LEACHING POOL N.Y.S. Lic. No. 49668 1. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7' DEEP 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 3, WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6 AND A BOTTOM THICKNESS OF 4". 3' In ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPUED FORCE OF 300 pelf. COLLAR 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. s-0• 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF t1/4-) o s e p h A Ingegno ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL FcAsr 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. IN MIA VIM PENETRATION L, en0 A VMtGIN STRATA Land Surveyor �SAND �` I hereby certify that the water supply(s)I s and/or sewage disposal s stems for this project RACK FILL MATERIAL ro BE 3, GROUND WATER Y Y PP YO � 9 P Y O P j CLEAN SAND AND GRAVEL. 5 were designed by ma or under my direction. Based upon a careful and thorough study of the soil, site and ground) water conditions, all lots, as proposed, conform to the Suffolk County Department of Health Services construction standards in effect as of this date. LEACHING POOL Title Surveys - Subdivisions - Site Plans - Construction Layout 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 1 POOL; 12' DEEP, 8' dia. 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) PHONE (631)727-2090 Fax (631)727-1727 LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS, 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAUNTAINED. OFFICES LOCATED AT MAILING ADDRESS 6. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. 322 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 1 1 901-0965 Elias S. Kologeras, P.E. 25-449B t STANDARD SUBDIVISION FOR THE PROPERTY OF, tr BENNETT BROKAW SITUATED A T �S BERGEN AVENUE, MATT p D ITUCK 0 p�S BRANpf I ccR TOWN OF SOUTHOLD ---___ . n . w: ... ., £ SUFFOLK COUNTY, NEW YORK SUBJECT PREMISES nG-° S.C. TAX No. 1000- 1 .13-07- 1 . 1 '::;;%?•.�`• - ".•�• ' CI SCALE 1 "=40' , i.� •--�._� SEPTEMBER 3, 1999 3 I DECEMBER 7, 2005 ADDED PROPOSED BARN a JUL 1 8 2006 JANUARY 3, 2006 FOUNDATION LOCATION MAY 3, 2006 MINOR SUBDIVISION MAP JUNE 14, 2006 REVISED MEDAY AVENUE �; "" . -�! `'' JUNE 21, 2006 ADDED BUILDING ENVELOPES t KEY MAP s � ' ��.� ._�,. � �� r TOTAL AREA = 217,664.77 sq. ft. SCALE 1 "=600' 4.997 ac. OWNER & APPLICANT: BENNETT BROKAW VACANT P.O. BOX 334 WESTHAAMPTON BEACH, NEW YORK 11978 BERGEN AVENUE ' x.,1.: .•�.�'..:�; ',''. ,�., .I'.'•1 �.� .:� .ti 41 44 A... `'•.'. •t ,r' . EVCH OF PA� .• ;•4 •.4Q 8B ' , /%�J"�/ FOUND 20.01' CONIC.woN. 4q 3 0 4.0 1 ' FENCE LA 7.e's,3.0w w'' /EXISTING {. ..r: ?a SS. . .� LEACfVING POOL .. ;b CrJ N B�• ??� S 63.54'31" W1,2 Ot f 98.54' O �\ eoNc.wax GJ <. 16ST. SEPTIC srErs I I tt d•. j,f+j`. (n TANK O : EXISTING N gTEpS G.FL. 41.44 I „. I CESSPOOL I a A t ��Y I _ 1 STORY FRAME - - ,� ---�------ >` -SOUSE do GARAGE HOUSE No. 4300 5° LP cAs BUILDING ENVELOPE EX3ST,NC 215' F FL. 43.39 lit x5 �: ,_._...v_,•.._.:.1.,.._...._ - - eoNc STOOP �.•.- ?,; ,� I - �.. I ., .'<. - , / LAI M•y} �Ny wEu Il i O + I I I N� 20' �.� + � FARM FIELD � 25' `. I I ,a.e• :�r- CONC. PAD IAFL. 48 62 PROPOSED LOT 1 i AREA = 80,000.00 sq. ft. I l I 'METAL OARAOE /1 1 .837 cc.(DRr a"NO) j \ O I I ti0 4B �� I I I q I I I ' I L- ----------IL---- ------- --- ------ \ Frn I rn GRASS AREA � n N m I \ y vc I I \ g0 I I , o< . m I I I '16 W" 307.48 S 54'35 / TYPICAL PL 0 T PLAN Qo � I ,e•DP.OAK I (NOT TO SCALE) I I PROPERLY LINE -le DA 9EECN I I � // i � WELL i � I I < ---- _ 165' s Ir'c y - ----'------ -- I I 1F �� F BUILDING ENVELOPE 0 0'� / I C S / F.FL. 41,55 t" ----- -- 7•Du.OW CONCRETE v' i iR (� )) b I i HOUSE ,e'Dw aAx 3.0. e•DA.OAK I I � I OLE 1 I s I = o I 165' \ ( I SEPTIC I I \ I I I TANK PROPOSED,LOT 2 �' ' 01 LEACHING ? I I i POOL 50% EXPANSION TOTAL AREA = 137,K4.77 sq. ft. MIN. POOL I I 25' 3.160 ac. FLAG AREA = 5,200 sq `ft.,, _ -_r ---. i - _., . -_ _- 4_�- - - o n ._ ._..-.. I - - ono - -- G I ___ C� -- _- -- Du`MAPt[ b� k_ R 20' I I I E I Un I I q o I TEST HOLE DATA I I W =g I 3 a i (TEST HOLE DUG BY -McDONALD GEOSCIENCE ON FEBRUARY 10, 2006) i I FARM FIELD' EL 49.8' o' I •Ip `- _� � I ��\ �y I BROWN LOAM OL � I � ( I PALE BROWN FINE TO COARSE SAND SW I i �� I I I - :'• _------- I I 17' I I I --------------_ I I I L-_--------- _ L --- \\�30 I_ I 30__ rn _ ,-I - A I I Ln I F I OD Lln \\ ,.•ou OAK Ln WOODED ARE,q I ^ W ,n I I \ \\ o0 I , DU.MAPLE I -; 0 I r tfr wx�n� DA MAPLE I (2) IV DLl OAKS` m 0 0 o d� VT e o /,�T PIPE ` I `�,� 7D 3.5'N.0.5V. PIPE L"11I I FOUND „/-1a'DIA,aFECH 14.OK MAPLE I CONIC. MON. � f (`-,�J � rOUPID I S 5 4'00'51 " W 101�91 S 5 9'19'51'_W ?s ,4 ow �ECN 9-' Du K. sTAxe zs� L--------- I `3p fir. 15'M MAPLE 1°.O �19'DA NEECN 23 1 929 I------- --------------'-'i 14•DIASEECN ---------- N/0/F I clb PINDAR ASSOCIATES I Cr DA..---G -,e•DMA.OAK Ike VINEYARD JA.IIES 0/FCEB 7o a" oT�U.`rU I FLORENCE GEBIBL4 a�Ay I COAsl4r T�iR011 �0� SUFFOLK COUNTY HDAEUARTMEN N.Y. HEALTH SERVICES I DWELLING kfZ( 1 4tu� WELL & CESSPOOL OVER ISO, 4 Dip, °94F c I cfSsAO Ho I aVF Date I HEREBY CERTIFY THAT THIS MAP WAS MA I R ISO. S DE .. BY US FROM ACTUAL SURVEYS COMPLETED MARCH 22, 2006 AND THAT ALL CONCRETE MONUMENTS SHOWN THUS: ■ HEREON ACTUALLY EXIST AND THEIR POSITIONS ARE BUILDING ZONE DISTRICT: AGRICULTURE CONSERVATION "AC" This is to certify that the proposed Realty Subdivision or Development CORRECTLY SHOWN AND ALL DIMENSIONAL for in the 'I AND GEODETIC DETAILS ARE CORRECT. SCHOOL DISTRICT: MATTITUCK - CUTCHOGUE with o total of lot was approved on the above date. Water Supplies end Sewage Disposal FIRE DISTRICT: MATTITUCK Facillitles must conform to construction standards in effect at the time of construction and are subject to separate permits pursuant to those I standards. This approval shall be valid only if the realty subdivision/ development map is duly filed with the County Clerk within one year of of this map on whichisthiste.endorsementConsent lappearsyinithe Officen for eof the County Clerk in NOTES: accordance with the provisions of the Public Health Law and the Suffolk County Sanitary Code. THIS IS TO CERTIFY THE SUBDIVISION PLAN HAS BEEN APPROVED 1. ELEVATIONS ARE REFERENCED TO TOPOGRAPHICAL MAP OF FIVE EASTERN TOWNS. BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD BY RESOLUTION EXISTING CONTOUIR LINES ARE SHOWN THUS: -------50 ------- OF APPROVAL DATED EXISTING ELEVATIOONS ARE SHOWN THUS:M.0 I F.FL. - FIRST FLOOR G FL. - GARAGE FLOOR Vito A. Minel, P.E. BY 2. U.S.D.A. SOIL CONSEIRVATION SERVICE SOIL TYPE CLASSIFICATION: Director, Division of Environmental Quality H CIA - HAVEN LOAM, 0 T01 2 PERCENT SLOPES CHAIRMAN PLANNING BOARD HaB - HAVEN LOAM, 2 TOI 8 PERCENT SLOPES TYPICAL SEWAGE DISPOSAL SYSTEM HOUSE TOP BURIED (NOT TO SCALE) 4' DEEP max. FINISHED GRADE PRECAST REINFORCED CONCRETE COVER FINISH GRADE THIS SUBDIVISION WILL APPEAR 1N 24'dia. LOCKING, WATERTIGHT & INSECT PROOF BURIED 1' DEEP min. 2' DEEP max. CAST IRON COVER TO GRADE DISTRICT 1000 SECTION 113 BLOCK 07 MIN. 4' dia. APPROVED PIPE 20'min 0"min. MIN. 4' dia. b g THE EXISTENCE OF RIGHT OF WAYS PITCHED 1 4' 1' APPROVED PIPE �, € anMNEf AND/OR EASEMENTS OF RECORD, IF a o PITCHED 1/8'/1' ANY, NOT SHOWN ARE NOT GUARANTEED. OF f '� INVERT � ;o� 0D INVERT iv FLOW p+ ' BAFFLE BOTTOM am Ll Ifi SEPTIC TANK (1) - 910�/Ml1 REA , N.Y.S. Lic. No. 49668 1. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. ENO POOL 1 TANK; 8' LONG, 4'-3' WIDE, 6'-7' DEEP 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 OAYS. 3. WALL THICKNESS SHALL BE A MINIMUM OF 3', A TOP THICKNESS OF 6' AND A BOTTOM THICKNESS OF 4'. 3'reY,. ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf. COLLAR 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT, s,-0• Joseph A■ Ingegno 5. THE SEPTIC TANK SHALL 8E INSTALLED AT LEVEL IN ALL ERECTIONS (WITH A MAX. TOLERANCE OF t1/47 ON A MINIMUM 3' THICK BED OF COMPACTED SAND OR PEA GRAVEL. PRECAST coNc- 8. A to' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. e'MN•MUM PESMTAION u oF"aOaAND A�Nrorn�Avii Land Surveyor I hereby certify that the water supply(s) and/or sewage disposal system(s) for this project �LMoT� GROUND WATER were designed by me or under my direction. Based upon a careful and thorough study of the soil, site and ground wafter conditions, all lots, as proposed, conform to the Suffolk County Department of Health Services construction standards in effect as of this date. � D► CL, LEACHING POOL Title Surveys - Subdivisions - Site Plans - Construction Layout JNr yj 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. �� J 1 POOL: 12' DEEP, 8' dia. Q 5 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) PHONE (631\727-2090 Fax ((631 727-1727 G ,` LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. l / l � .�` 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). 1 Q 4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. 7� F' 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAINTAINED. OFFICES LOCATED AT MAILING ADDRESS 6. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. 322 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 O. 0236� F OF NEVI 2 -449D