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HomeMy WebLinkAboutNF Community Club LLC 1 Rudder, Lynda From: Russell, Scott Sent: Tuesday, November 3, 2020 10:09 PM To: Kristina Russo; Neville, Elizabeth; Rudder, Lynda Cc: Evans, Louisa; Doherty,Jill; Dinizio,James; Ghosio, Bob; Nappa, Sarah;Tomaszewski, Michelle; Standish, Lauren Subject: RE:WRITTEN COMMENT RE:the application of 2050 Depot Lane, LLC f/k/a/ North Fork Community Club for transfer of Sanitary Flow Credits in order to allow for the construction of sixteen (16) affordable housing units at 2050 Depot Lane, Cutchogue, New York I acknowledge receipt of this email and want to assure you that the Town Clerk will include it as part of the record. RECENED Sent from my Verizon, Samsung Galaxy smartphone NOV 4 2020 -------- Original message -------- SOUthold Town Clerk From: Kristina Russo <ksrusso@optonline.net> Date: 11/3/20 9:39 PM (GMT-05:00) To: "Neville, Elizabeth" <E.Neville@town.southold.ny.us>, "Rudder, Lynda" <lynda.rudder@town.southold.ny.us> Cc: "Russell, Scott" <scottr@southoldtownny.gov>, 'Evans, Louisa" <louisae@southoldtownny.gov>, "Doherty, Jill" <j ill.doherty@town.southold.ny.us>, "Dinizio, James" <james.dinizio@town.southold.ny.us>, "Ghosio, Bob" <bob.ghosio@town.southold.ny.us>, "Nappa, Sarah" <sarahn@southoldtownny.gov>, "Tomaszewski, Michelle" <michellet@town.southold.ny.us>, "Standish, Lauren" <Lauren.Standish@town.southold.ny.us> Subject: WRITTEN COMMENT RE: the application of 2050 Depot Lane, LLC f/k/a/North Fork Community Club for transfer of Sanitary Flow Credits in order to allow for the construction of sixteen (16) affordable housing units at 2050 Depot Lane, Cutchogue,New York We respectfully request that the following statement of objection to the application of 2050 Depot Lane, LLC f/k/a/ North Fork Community Club for transfer of Sanitary Flow Credits be entered into the record for the public hearing scheduled for November 4, 2020. Please confirm receipt of this statement via reply email. Thank you. OBJECTION to the application of 2050 Depot Lane LLC f/k/a North Fork Community Club for transfer of Sanitary Flow Credits As residents of Depot Lane located just 3 parcels south of the former Knights of Columbus property who rely on well water for drinking cooking and bathing, we are extremely concerned about potential water impairment from rising nitrogen levels that would be driven by increased sewage at high density resulting from a nearby apartment complex. In addition, we are troubled by the undue economic hardship we would face if forced to switch to public water and/or upgrade our septic system if the area is reclassified to a higher priority nitrogen zone as a result of this development. The aforementioned concerns specific to our and neighboring properties 1 don't even begin to address the wider conceivable harmful environmental effects of such proposed high density sanitary flow on our surrounding farmlands and waterways. We call your attention to a 10/14/2020 Newsday article regarding the current state of Long Island water quality. https://www.newsdaycom/long-island/environment/long-island-water-quality-toxic-report-1.500375 5 8 We deem it irresponsible of the Town Board to consider this application BEFORE there is resolution on the matter of the proposed change in zoning designation for the property located at 2050 Depot Lane, Cutchogue, New York. Moreover, it would be equally irresponsible for there to be a ruling on the proposed zoning change in the absence of any definitive building plans/elevations from the developer. For all of the above reasons, we strongly OPPOSE, and urge the Southold Town Board to DENY, the application for transfer of Sanitary Flow Credits at 2050 Depot Lane, Cutchogue, New York. Thank you for your time and attention. Sincerely, Kristina& Stephen Russo 980 Depot Lane Cutchogue,NY z LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold will hold a public hearing on the application of 2050 Depot Lane, LLC f/k/a/North Fork Community Club for transfer of Sanitary Flow Credits at the Southold Town Hall, 53095 Main Road, Southold,New York, on the 4`" day of November, 2020, at 7:00 p.m., at which time all interested persons will be given an opportunity to be heard. The applicant has requested the transfer of Sanitary Flow Credits in order to allow for the construction of fourteen (16) affordable housing units at 2050 Depot Lane, Cutchogue, New York. Dated: October 6, 2020 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth Neville Town Clerk PLEASE PUBLISH ON OCTOBER 15,2020 AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE, TOWN CLERK, TOWN HALL, P.O. BOX 1179, SOUTHOLD,NY 11971. Copies to the following: The Suffolk Times Town Board Members Town Attorney Building Dept Planning Dept. Comptroller Town Clerk's Bulletin Bd Website S RECEIVED GOGGINS & ASSOCIATES OCT ® 9 2020 ATTORNEYS AT LAW Southold Town Clerk 13235 Main Road, P.O. Box 65 Mattituck, New York 11952 Phone(631) 298-4818 William C.Goggins,Esq. Fax (631) 298-4214 October 2, 2020 gogginslaw@gmail.com Donald Mates,Esq. Of Counsel Southold Town Clerk's Office Philip J.Branigan,Esq 53095 Main Road Of Counsel Southold, New York 11971 Re: 2050 Depot Lane, Cutchogue, New York; SCTM 1000-102.00-02.00-005.000; 2050 Depot Lane, LLC f/k/a North Fork Community Club, LLC Dear Sir/Madam: In accordance with the Transfer of Sanitary Credits Application, submitted on September 23, 2020, enclosed please find the original Green Certified Mailing Return Cards evidencing receipt of the Notices by the adjacent property owners. If you have any questions or require additional information, please contact the undersigned. Thank you. Very truly your , William C. 4oins WCG\ enclosures NOW rB.. ur® Complete items 1,2,and 3. Signats Print your name and address on the reverse r ❑Agent so that we can return the card to you. / ❑Addressee® Attach this card to the back of the mailpiece, Received by Pfinted Name) C. Da o`De ery I or on the front if space permits. f1. Article Addressed to: D. Is delivery address different from item 19 �(Yes 1411 p If YES,enter delivery address below: ❑ No &5IO / i 3 0". - 3 5-6 ® / Cc /u ,2 pe R) -J S 3.II Service Type ElPriority Mail Express@ I 1111111 Ile IIA I III IIII it III II l II I II ISI ❑Adult Signature o Registered MailTIM ElR Adult Signature Restricted Delivery ❑Registered Mail Restricted I ❑Certified Mail@ Delivery 9590 9402 4357 8190 4592 96 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2 Artirlp Numbpr(Transfor_from spmirp W-11 - ❑CollPat on nplivery Restricted Delivery El Signature ConflnnationTIM ' ❑Signature Confirmation i 7 018 2290 0000 7266 2321 iestricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt i ■ Complete items 1,2,and 3. 7A. ignatu1re� _ I ® Print your name and address on the reverse (/ w�` / U�O�' ❑Agent so that we can return the card to you. Addressee I ® Attach this card to the back of the mailpiece, B. eceived by(Prin�tyed Name) C. Dat 'of De very or on the front if space permits. U-O� / , I 1. Article Addressed to: D. Is delivery address different from item 17 D Yes C I l/) If YES,enter delivery address below: f1 No ekQ.� (. W f� [ne ry i P. Ila a 14-k/1-05 LLZ, I l l IIII Ill II I I I IN 111111111111111111111111 Service Type o Priority Mall Express@ 11 � ❑Adult Signature O Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Cert:fied Mail@ Delivery 9590 9402 4357 8190 4592 89 ❑Can fled Mad Restricted Delivery 13Return Receipt for ❑Collect on Delivery Merchandise 2, n,+,,.ie r h—her IT—ocfer frnm service lahell ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation— , D Signature Confirmation ?018 2290 0000 7266 2 314 Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt D • • OMPLETE THIS SIECTIWODELllitl�yi CAI ■ Complete items 1,2,and 3. A. Signature ® Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ® Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery l or on the front if space permits. I 1. Article Addressed to: / D. Is delivery address different from Item 17 ❑Yes 2A If YES,enter delivery address below: ❑ No / -T2 3. Service Type ❑Priority Mail Express@ II III ll IIII III I III III Il Illlil I I II III ❑Adult Signature o Registered MallT ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted y 9590 9402 4357 8190 4592 72 0 Certified Mail@ Delivery Il) ❑Cert died Mad Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article-Number(Transfer from service label) - _ D Collect on Delivery Restricted Delivery 0 Signature Confirmation*"' ` Aad ❑Signature Confirmation 7 018 2290 0000 7266 2345 AD)il Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt , i i SENbEM • q-6• • o • • IVERY IN Complete Items 1,2,and 3. A• ■ Print your name and address on the reverse X ❑Agent so that we can return the card,to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Re ` cFp� d me) C. Date of Delivery or on the front If space permits. 1A�. Article Addr�(ssed to. A FIs ehvery aG! ss r nt' '.s \10-rVO, l:. Ch�CSj Y1 S S ES,enter$- 13 a3-S PAaJ, �1 0 3o x 10.5 YYNA**,+Uc.k Qq I1S52_ II I IIIIII IIII I�I I III IIII IIII II II I I II I II II II III 3. Service Type ❑Priority Mad Express ❑Regist ❑Adult Signature Registered MaIIT"+ ❑Adult Signature Restricted Delivery ❑Registered Mad Resor-ted 9590 9402 5230 9122 2776 13 tbCertified Mail@) Delivery ❑Certified Mad Restricted Delivery ❑Ret _ ❑Collect an Delivery Mer "'s !Yc 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 11 Signature e " El Insured Mall ❑Signgure Co"+„nation —101c) I o(OO Opp i UO El(Insuoverred Ma$500)d Restricted Delivery Restrt Very PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold,New York being duly sworn, says that on the 91h day of October , 2020, a notice of which the annexed printed notice is a true copy was affixed, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County,New York, to wit: Town Clerk's Bulletin Board, 53095 Main Road, Southold,New York and the Southold Town website, www.southoldtownny.gov . North Fork Community Club Sanitary Flow Credit PH 11/4 7:00 pm t lizabeth A. Neville outhold Town Clerk Sworn before me this 9th day of October , 2020. Notary Public LYNDA M. RUDDER Notary Public, State of New York No.01 RU6020932 Qualified in Suffolk County commission Expires March 8,2013 Neville, Elizabeth From: Terry, Mark Sent: Friday, October 02, 2020 11:53 AM To: Neville, Elizabeth Cc: Duffy, Bill Subject: F Sanitary Flow Credit Application-of North Fork Community Club, LLC Betty, Please have Bill Goggins submit a LWRP Coastal-Consistency Form for this action: I did not see one in the file. Thanks Mark Terry, AICP Assistant Town Planning Director Southold Town Hall Annex 54375 State Route 25 P.O. Box 1179 Southold, New York 11971-0959 (631) -765-1938 1 #0002510650 STATE OF NEW YORK) )SS: COUNTY OF SUFFOLK) Lori Bazata of Mattituck,in said county,being duly sworn,says that she is Principal Clerk of THE SUFFOLK TIMES , a weekly newspaper,published at Mattituck, in the Town of Southold,County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 weeks(s),successfully commencing on 10/15/2020 Principal Clerk Sworn to before me this day of BARBARA H. TARlDY Notary No.101 TA6086001State Of ew York ®ualified in Suffolk County Commission Expires 01/13/20 �B TYPESET- Mon Oct 12 10.17 38 EDT 2020 LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold will hold a public hearing on the application of 2050 Depot Lane, LLC f/k/a/ North Fork Community Club for transfer of Sanitary Flow Credits at the Southold Town Hall, 53095 Main Road,Southold,New York,on the 4th day of November,2020,at 7.00 p.m., at which time all interested persons will be given an opportunity to be heard The appli- cant has requested the transfer of Sanitary Flow Credits in order to allow for the con- struction of fourteen(16)affordable housing units at 2050 Depot Lane,Cutchogue,New York Dated.October 6,2020 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth Neville Town Clerk 2510650 Southold Town Board - Letter Board Meeting of October 6, 2020 C-QJR"�)1111 RESOLUTION 2020-659 Item # 5.5 ADOPTED DOC ID: 16462 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-659 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 6, 2020: RESOLVED that the Town Board of the Town of Southold will hold a public hearing on the application of 2050 Depot Lane, LLC f/k/a/North Fork Community Club for transfer of Sanitary Flow Credits at the Southold Town Hall, 53095 Main Road, Southold, New York, on the 4t" day of November, 2020, at 7.00 mm., at which time all interested persons will be given an opportunity to be heard. The applicant has requested the transfer of Sanitary Flow Credits in order to allow for the construction of fourteen (16) affordable housing units at 2050 Depot Lane, Cutchogue, New York. 0�4�6?-z?� Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Robert Ghosio, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Generated October 6, 2020 Page 12 RECEIVED SEP 2 3 2020 GOGGINS & ASSOCIATES .lint•F.s�.s,.�.—.p.i►.�. ATTORNEYS AT LAW Southo d Town Cork 13235 Main Road, P.O. Box 65 Mattituck, New York 11952 Phone (631)298-4818 William C.Goggins,Esq. Fax(631) 298-4214 September 23, 2020 gogginslaw@gmail.com Donald Mates,Esq. Of Counsel Southold Town Board Philip J.Branigan,Esq. 53095 Main Road Of Counsel Southold, New York 11971 Re: 2050 Depot Lane, Cutchogue, New York; SCTM 1000-102.00-02.00-005.000; 2050 Depot Lane, LLC f/k/a North Fork Community Club, LLC Dear Sir/Madam: In accordance with the Transfer of Sanitary Credits Application, enclosed please find: 1. Application for Sanitary Flow Credits 2. Environmental Assessment Form; and 3. Affidavit of mailing including the list of adjacent property owners together with certified mailing receipts. The return cards will be submitted upon receipt. If you have any questions or require additional information, please contact the undersigned. Thank you. Very ruly yourp, N ---- William C. og ' s WCG\ enclosures i TOWN BOARD OF THE TOWN OF SOUTHOLD COUNTY OF SUFFOLK: STATE OF NEW YORK In the matter of the application of 2050 DEPOT LANE, LLC, AFFIDAVIT OF MAILINGS SCTM NO. 1000-102.00-02.00-055.000 STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK) DONNA M. PALMER, doing business at Mattituck, New York, being duly sworn deposes and says: On September 23, 2020, I personally mailed the PROJECT DESCRIPTION at the United States Post Office located at Love Lane, Mattituck, New York, by certified mail, return receipt requested, a true copy of the attached Notice in postage paid envelopes addressed to the current owners shown on the current assessment roll verified from the official records on file at the Southold Town Office of the Board of Assessors for every adjacent property owner of the applicants property, of which a copy of that list is attached hereto . A M. PALME Sworn to before me this k� d of September, 2020 Notary Public WILLIAM C.GOGGINS' NOTARY•PUBLIC,STATE OF NEW YORK Registration No.4963689 Suffolk County Commission Expires March 12, TOWN BOARD OF THE TOWN OF SOUTHOLD COUNTY OF SUFFOLK: STATE OF NEW YORK In the matter of the application of 2050 DEPOT LANE, LLC, PROPERTY OWNERS ADJACENT SCTM NO. 1000-102.00-02.00-055.000 1. Grattan Family2014 IRR Trust 1000-102.00-01.00-009.002 c/o Joseph S. Grattan, Jr. 427 Ostrander Avenue Riverhead, New York. 11901 2. Polar Tree Farm, LLC 1000-102.00-02.00016.003 9 W. 57th Street, Suite 4500 New York, New York 10019 3. Ali Yusbasioglu 1000-102.00-02.00-006.008 1356 Old Country Road Riverhead, New York. 11901 4. Gekee Y. Wickham 1000-102.00-02.00-004.000 PO Box 1122 Cutchogue, New York. 11935 Ln •• • ® © n I -I- �. 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Total Postage and Fees (19 ' tO Se�ntt�jo C3 Sr(eefar ApfN oiPO" o, rq S _ (3.�j IOcj Lir.. --------------------- -- -- - CO a. a m M ru . , L EF Certified Mail Fee .55 r u $ C195 oc .r2 Extra Services&Fees(check box,add fee as ffro �(e) [) []Return Receipt(hardcopy) $ ir!r. I 1 O ❑Return Receipt(electronic) $ $11.1111 Postmark 0 ❑Certified Mall Restricted Delivery $.. $l.} l Here O ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery p Postage rr Total Postage and Flies.95 Cl $ O , ru cO Sent-W rq fJ O Str, t - po----- --------------- 17- -- -0-S-ate.ZlP+4 ----------- ! ------ A-) ®b � 1 e e 111•I TO: Adjacent Property Owners 2050 Depot Lane, LLC SCTM No. 1000-102.00-02.00-005.000 PROJECT DESCRIPTION A. OBJECTIVE OF THE OWNER The Application is to obtain Transfer Sanitary Flow Credits from the Town of Southold to the Applicant to provide for as much affordable housing as the Suffolk County Board of Health will permit to the Applicant. This application is consistent with the pending application before the Southold Town Board to convert an existing two (2) acre parcel from an R-80 residential zone to an Affordable Housing District. This change of zone will provide at least sixteen (16) affordable housing rental units at the property. B. COMPLIANCE WITH TOWN CODE and MASTER PLAN The change will be in harmony with the Town Code, and the purpose of the Affordable Housing (AHD) District in providing the opportunity for the development of high-density housing for families of moderate income; and further, to do so with sensitivity to the historic and aesthetic character of the Town's existing neighborhoods. The application furthers the Town's goals of providing quality workforce housing. RECEIVED SEP 2 3 2020 " '4 Southold Town Clerk APPLICATION FOR TRANSFER OF SANITARY FL0W CREDITS APPLICATION NAME: 2050 Depot Lane, LLC f/n/a North Fork Community Club, LLC (Name under which application shall be known) SUFFOLK COUNTY TAX MAP NO.: 1000 -1 0 2 . 0 0 - 0 2 0 0- 0 0 , "'.0 0 0 District Block Lot A. SUBMISSION INFORMATION: Application is hereby made to the Southold Town Board for the transfer of a sanitary flow credit pursuant to Chapter 87 of the Town Code. B. GENERAL INFORMATION: 1. Name Of Applicant(s): 2050 Depot Lane, LLC Address: c/o William C. Goggins, P,n, Box 65, MattitUC.k, New York 11952 Telephone No. 631-298-4818 If the applicant does not own the property or is a contract vendee, prepare the endorsement at the end of this form establishing owner's authorization of the applicant's request. 2. Is the applicant a contract vendee? Yes No X 3. Is the applicant a corporation or partnership? Yes X No If yes, give the name and title of the responsible officer: Name: William C. Goggins Title: Member Address:(if different) same as above Telephone No.: 3. Landowner(s): same as above Title: Address: Telephone No.: 4. Name of Attorney, or Agent authorized to represent the property owner and/or applicant: Name: William C. Goggins Title: Name of Firm: Goggins & Associates Address: 13235 Main Road, P.O. Box 65, Mattituck, New York 11959 Telephone No.: (631) 298-4818 5. All communications with regard to this application shall be addressed to the following person until further notice: Name: William C. Goggins Title: Address: same as above Telephone No.: C. SITE/PROJECT DATA: 1. Location of Property 2050 Depot Lane, Cutchogue, New York 11935 2. Existing zoning district(s) R-80 Special Overlay District(s), if applicable 3. Lot area: 90,804 sq. ft or acres 2.08 acres 4. Existing: Building Area 3900 sq. ft. Lot coverage 5. Please attach a detailed typewritten description of the project,the proposed use and operation thereof, including a detailed explanation of the design concept,the reason for the particular design, objective of the developer or project sponsor,why the credit is needed. 6. Does property have an existing cesspool and/or septic tank? X Yes No 7. School District Mattituck—Cutchogue—Laurel 8. An appropriate Environmental Assessment Form(EAF)must be attached. All Unlisted and Type I Actions require either a Short or Full EAF to be prepared. D. I hereby depose and certify that all of the above statements of information,and all statements And information contained in the supporting documents and drawings attached hereto are true and correct. APPLICANT'S SIG URE Sworn before me this o23 day of __ ptember 20 20. NOTARY PUBLIC DONNA K�'AL1rE Noic�y�obiic,Saaieoe ZcuvY®y� No. 01PA5069978,Suriol�;uotn�e��� Commission Expires December 9. E. APPLICANT/AGENT/REPRESENTATIVE 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. YOURNAME: Goggins, William C. (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.) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or Planning official map Other g (If"Other", name the activity) Transfer of sanitary flow credits 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 X If you answered"YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold N/A Title or position of that person N/A Describe the relationship between yourself(the applicant/agent/representative)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 spouse, 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 non-corporate 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 / d y of Septe ber 2020 Signature Print Name WILLIAM C. GOGGINS AUTHORIZATION (where the Applicant is not the Owner) I, William C. Goggins w=idinat 13235 Main Road, Mattituck, New York 11952 do hereby authorize David J. Jannuzzi to apply for a transfer of sanitary flow credit on my behalf, if needed. Owner's Signature: PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE Tr,s document is designed to ass st in determining whetner the action proposed may have a significant effect on the env;-onrrent Please ccmp;ete tie entire fo,m Parts A tnrough E Answers to these questions wail be considered as part of the acp,;cat on for aJp,c,,a'and may be sub;ect to f.irner verilicat`on and publ,c review Provide any add,tionai infcrmat�on you be!e✓e w be needed to ce"ple,e Parts 2 and 3 f;;s expec-ed tna:completion of the full EAF w,il be cependent on information currently ava,lable and will not Involve neve studies research or invest aa',cn If inforrnator�requiring sucn additional work is unavailable so indicate and specify each instance Name of Acton Bushwood Manor Location of Acton(include Street Address Municipality and County) 2050 Depot Lane, Cutchogue, New York 11935 (Suffolk County) Name of Applicant/Sponsor 2050 Depot Lane LLC (formerly North Fork Community G111b T T C) Address 2050 Depot Lane aty r PC Cutchogue, State, NY Zip Code 11935 Bus;nessTelephone (631) 298-4818 Name of Owner(f different) Address_ City r PO State Zip Code Business Telephone Description of Action 1. Change of zone application to convert an existing two (2) acre parcel from R-80 residential district to an Affordable Housing District. The property is currently operating by special exception of the Zoning Board of Appeals as a fraternal use containing a 3,900 square foot structure and a paved parking lot containing 73 parking spaces. 2. Transfer of Sanitary Flow Credits Application as needed to meet the needs of the project. 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: ®Urban ®Industrial F Commercial ®Residential (suburban) ®Rural (non-farm) 0 Forest ®Agriculture ©Other 2. Total acreage of project area. 2.08 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 1 acres Other (Indicate type) grass/lawn 1 acres 1 acres 3. What is predominant sod type(s) on project site? a. Soil drainage. ®Well drained 100 % of site ®Moderately well drained % of site. F1Poorly 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 Systems 0.00 acres (see 1 NYCRR 370). 4 Are there bedrock outcroppings on project site? © Yes ® No a. - What is depth to bedrock (in feet) - 5 Approximate percentage of proposed project site with slopes � 0-10%100 % 710- 15% % ® 15% or greater % g, Is project substantially contiguous to, or contain a budding, site, or district, listed on the State or National Registers of Historic Places? Yes Ei No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ®Yes E]No 8 What is the depth of the water table? 28 (in feet) g Is site located over a primary, principal, or sole source aquifer? Yes ® No 10 Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ®No Page 3 of 21 I 1. Does project site contain any species of plant or animal life that is identified as threatened or endangered? E]Yes No Accordin to- entify each species: 12 Are there any unique or unusual land forms on the project site? (i e , cliffs, dunes, other geological formations? ®Yes F] No Describe. 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ®Yes RX No If yes, explain: 14 Does the present site include scenic views known to be important to the community? ®Yes Do 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 17 Is the site served by existing public utilities? XX Yes © No a. If YES, does sufficient capacity exist to allow connection? t-J Yes ®No b. If YES, will improvements be necessary to allow connection? PYes X]No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ©Yes ®No 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 61 7? ®Yes MNo 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, 2.08 acres b Project acreage to be developed. acres initially, acres ultimately. c Project acreage to remain undeveloped. acres. d Length of project, in miles. (if appropriate) e If the project is an expansion, indicate percent of expansion proposed % f Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour. (upon completion of project)? h If residential Number and type of housing units One Family Two Family Multiple Family Condominium Initially Ultimately 16 units i Dimensions (in feet) of largest proposed structure. height, width, length. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 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 FNo FIN/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? ®Yes ® 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 X_ No 6 If single phase project. Anticipated period of construction months, (including demolition) 7 If multi-phased. a. Total number of phases anticipated 1 (number) b. Anticipated date of commencement phase 1: 6 month 20 year, (including demolition) c. Approximate completion date of final phase. 6 month 21 year. d. Is phase 1 functionally dependent on subsequent phases? ® Yes ®X No 8 Will blasting occur during construction? F Yes F No 9. Number ofjobs generated, during construction 20 , after project is complete 10 Number ofjobs eliminated by this project 0 11 Will project require relocation of any projects or facilities? ®Yes ®No If yes, explain 12 Is surface liquid waste disposal involved? E Yes X�No a. If yes, indicate type of waste (sewage, industrial, etc) and amount b Name of water body into which effluent will be discharged 13 Is subsurface liquid waste disposal involved? XX Yes ®No Type ('Pcennnl 14 Will surface area of an existing water body increase or decrease by proposal? ®Yes 1 No If yes, explain. 15. Is project or any portion of project located in a 100 year flood plain? ®Yes El No 16. Will the project generate solid waste? M Yes ®No a. If yes, what is the amount per month?36 tons b. If yes, will an existing solid waste facility be used? ®Yes FX No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ®Yes ® No Page 6 of 21 e If yes, explain. 17. Will the project involve the disposal of solid waste? FYes No a If yes, what is the anticipated rate of disposal? tons/month. b If yes, what is the anticipated site life? years. 18 Will project use herbicides or pesticides? F]Yes F No 19. Will project routinely produce odors (more than one hour per day)? FYes JlNo 20 Will project produce operating noise exceeding the local ambient noise levels? F]YesXX No 21 Will project result in an increase in energy use? XX Yes F No If yes, indicate type(s) Electric 22. If water supply is from wells, indicate pumping capacity gallons/minute. N/A 23. Total anticipated water usage per day gallons/day 24. Does project involve Local, State or Federal funding? F]Yes ® No If yes, explain. Page 7 of 21 25. Approvals Required: Type Submittal Date Zone change 5-10-19 City, Town, Village Board �Yes F� No Transfer Sanitary Flow Credits 9-23-20 Site plan unknown City, Town, Village Planning Board FRI Yes n No unknown City, Town Zoning Board FT Yes ® No Septic system approval unknown City, County Health Department ®Yes F No Other Local Agencies F-1 Yes 0 No Other Regional Agencies E]Yes ® No State Agencies 1:1 Yes ® No Federal Agencies F Yes ®No C. Zoning and Planning Information 1 Does proposed action involve a planning or zoning decision? ®Yes ® No If Yes, indicate decision required. ®X Zoning amendment ® Zoning variance ® New/revision of master plan ® Subdivision Site plan ® Special use permit ®Resource management plan ® Other Page 8 of 21 2 What is the zoning classifications) of the site? R-80 Residential 3 What is the maximum potential development of the site if developed as permitted by the present zoning? One—two family residential 4 What is the proposed zoning of the site? Affordable housing district for residential apartments 5 What is the maximum potential development of the site if developed as permitted by the proposed zoning? Sixteen (16) affordable rental units 6 Is the proposed action consistent with the recommended uses in adopted local land use plans? ©Yes No 7 What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? Church Residential Farm Bed & Breakfast Restaurant g Is the proposed action compatible with adjoining/surrounding land uses with a %4 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? Page 9 of 21 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ® Yes 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 R1 No a If yes, is the existing road network adequate to handle the additional traffic. E]Yes R No D. Informational Details Attach any additional information as may be needed to clarify your project If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them E. Verification I certify that the information provided above is true to the best of my knowledge Applicant/Sponsor Name WILLIAM C. GOGGINS Date A Signature , Title Member 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 PART 2 - PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) In completing the form the reviewer should be guided by the question Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst 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 The impacts of each project,on each site, in each locality,will vary Therefore,the examples are illustrative and have been offered as guidance They do not constitute an exhaustive list of impacts and thresholds to answer each question ! The number of examples per question does not indicate the importance of each question ! In identifying impacts, consider long term,short term and 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 r-1 YES Examples that would apply to column 2 • Any construction on slopes of 15%or greater, (15 foot ® ® ® 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 ® ® ® Yes ®No is less than 3 feet • Construction of paved parking area for 1,000 or more ® ® ® Yes No vehicles • Construction on land where bedrock is exposed or ® ® ® Yes No generally within 3 feet of existing ground surface • Construction that will continue for more than 1 year or ® ® ® Yes No involve more than one phase or stage • Excavation for mining purposes that would remove ® ® ® Yes ®No more than 1,000 tons of natural material (i e , rock or soil)per year Page 11 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill ® 7 Yes E]No • Construction in a designated floodway RE] © ®Yes ®No • Other impacts ® ® ®Yes D No 2 Will there be an effect to any unique or unusual land forms found on the site?(i e , cliffs,dunes,geological formations,etc) R NO ©YES • Specific land forms ® © ®Yes E]No 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) 0 NO ©YES Examples that would apply to column 2 • Developable area of site contains a protected water body © © El Yes F No • Dredging more than 100 cubic yards of material from channel of ® ® ®Yes ®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 ® ® ®Yes ®No 4 Will Proposed Action affect any non-protected existing or new body of water? A I ®YES Examples that would apply to column 2 • A 10% increase or decrease in the surface area of any body of ® El ®Yes ®No water or more than a 10 acre increase or decrease • Construction of a body of water that exceeds 10 acres of surface ® ®Yes ®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? FX NO F1YES Examples that would apply to column 2 • Proposed Action will require a discharge permit ® ® ®Yes ®No • Proposed Action requires use of a source of water that does not Yes F 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 D ® E]Yes ®No supply system • Proposed Action will adversely affect groundwater © ®Yes F No • Liquid effluent will be conveyed off the site to facilities which El ® E]Yes F No presently do not exist or have inadequate capacity Proposed Action would use water in excess of 20,000 gallons F] F ®Yes ®No per day • Proposed Action will likely cause siltation or other discharge into ® ®Yes F 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 El ® ®Yes ®No chemical products greater than 1,100 gallons • Proposed Action will allow residential uses in areas without ® ® ®Yes 11 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 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 ©YES Examples that would apply to column 2 • Proposed Action would change flood water flows ® ®Yes ®No • Proposed Action may cause substantial erosion El El 0Yes F No Proposed Action is incompatible with existing drainage patterns E 0 E]Yes ®No • Proposed Action will allow development in a designated D E] ®Yes r No floodway • Other impacts © © E]Yes E]No IMPACT ON AIR 7 Will Proposed Action affect air quality? N 0 7 YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any ® ® ®Yes ®No given hour • Proposed Action will result in the incineration of more than 1 ton © ® ®Yes E]No of refuse per hour • Emission rate of total contaminants will exceed 5 lbs per hour ® ® ®Yes ®No or a heat source producing more than 10 million BTU's per hour • Proposed Action will allow an increase in the amount of land ® ® ®Yes ®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 ® ® ®Yes ®No IMPACT ON PLANTS AND ANIMALS 8 Will Proposed Action affect any threatened or endangered species? FN0 DYES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or ® ® ®Yes ®No 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 © ® ®Yes ®No • Application of pesticide or herbicide more than twice a year, © ® ®Yes ®No other than for agricultural purposes • Other impacts El ® DYes ®No g 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 ®No or migratory fish, shellfish or wildlife species • Proposed Action requires the removal of more than 10 acres of © ® ®Yes ®No mature forest(over 100 years of age)or other locally important vegetation • Other impacts ® ©Yes ®No IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will Proposed Action affect agricultural land resources? 1-71 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 ® ® ®Yes ®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 ® ® []Yes ®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 E]YeS 11 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 F YES Examples that would apply to column 2 • Proposed land uses, or project components obviously different Q ®Yes F No 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 © ® ®Yes ®No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or © © ®Yes 17 No significant screening of scenic views known to be important to the area • Other impacts ® E]Yes ®No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance? F NO ®YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or ® ® ® Yes ® 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 Yes ®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 ® E] ®Yes ®No IMPACT ON OPEN SPACE AND RECREATION 13 Will proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? R NO ®YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity M Yes ®No • A major reduction of an open space important to the community Yes M No • Other impacts ®Yes 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 ®YES 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? ® ® ®Yes ®No • Proposed Action will result in a reduction to the quantity of the ® ® ®Yes ®No resource? • Proposed Action will result in a reduction in the quality of the ® ® ®Yes ®No resource? • Proposed Action will impact the use, function or enjoyment of the ® ® ®Yes ®No resource? • Other impacts ® ® FlYes ®No 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 bean effect to existing transportation systems? 0 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 ®Yes 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 ® ®Yes ®No use of any form of energy in the municipality • Proposed Action will require the creation or extension of an ® © ©Yes n 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 YES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ® ® ®Yes ®No facility • Odors will occur routinely(more than one hour per day). ® ® ®Yes FJNo • Proposed Action will produce operating noise exceeding the ®Yes ®No local ambient noise levels for noise outside of structures • Proposed Action will remove natural barriers that would act as a ® ® ®Yes ®No noise screen • Other impacts ® ®Yes El No Page 18 of 21 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? FRI NO ®YES • Proposed Action may cause a risk of explosion or release of 0 F rYes M No hazardous substances(i a 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" El F FYes F No in any form (i a toxic, poisonous, highly reactive, radioactive, irritating, infectious,etc) • Storage facilities for one million or more gallons of liquefied El El E]YeS F No natural gas or other flammable liquids • Proposed Action may result in the excavation or other © ® ©Yes ®No disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste • Other impacts © ® ®Yes ®No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19 Will Proposed Action affect the character of the existing community? ®NO ©YES Examples that would apply to column 2 • The permanent population of the city,town or village in which the © ® ®Yes ®No project is located is likely to grow by more than 5% • The municipal budget for capital expenditures or operating ® ® ®Yes E]No services will increase by more than 5%per year as a result of this project • Proposed Action will conflict with officially adopted plans or ® ® ®Yes ®No goals • Proposed Action will cause a change in the density of land use ® ® ®Yes ®No • Proposed Action will replace or eliminate existing facilities, F El ®Yes ®No structures or areas of historic importance to the community • Development will create a demand for additional community ® ® MYes ®No 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 E]Yes M No projects • Proposed Action will create or eliminate employment ® ® ®Yes 1:1 No • Other impacts ® ® ®Yes ®No - — -- ---------- 20 Is there, or is there likely to be, public controversy related to potential adverse environment impacts? ®NO ®YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21 . v ea ELIZABETH A.NEVILLE,MMC �� �� Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 c Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER , Telephone��®@ Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 24, 2020 Re: Referral of Sanitary Flow Credit application of North Fork Community Club, LLC Donald Wilcenski, Chairman Southold Town Planning Board Southold Town Hall 53095 Main Road Post Office Box 1179 Southold, New York 11971 Dear Mr.Wilcenski: An application for"Sanitary Flow Credits" by North Fork Community Club LLC was received in the Town Clerk's Office on September 23, 2020. According to Chapter 117-9 D,the Town Board is instructing the Planning Board to prepare an official report regarding this proposed transfer, including Planning Board recommendations.The Planning Board shall consider the factors as set forth in Section 117-9 E in its report and recommendations. The application may be viewed in its entirety in Laserfiche as follows: Town Clerk;Sanitary Flow Credits; Pending; North Fork Community Club, LLC. The public hearing on their Change of Zone application was set by Town Board Resolution 2020-570 on September 8, 2020 scheduled to be held at 7:OOPM on October 20, 2020 and will be advertised in the October 1, 2020 edition of the newspaper. Planning Board comments and recommendations on this change of zone application have been received on March 6, 2020 and July 29, 2020. Very truly yours, Elizabe A. Neville Southold Town Clerk EAN/s/ cc:Town Board Town Attorney � RESOLUTION 2020-502 ADOP'T'ED DOC ID: 16347 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-502 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLID TOWN BOARD ON AUGUST 25,2020: WHEREAS,•there:has been presented to the Town Board of thelow-n of.Soittliold;SIA61k County,New York; on the 14th day of July, 2020, a Local Law entitled ltktocail-L,awv_in 'f6hition to`,Atiiendnitrits�to•Chabi6r,`117: DeVolon4wn't Rights 'Tr-arasfet-,ofi'ih,, ofinietiaii -,with-'Sanifary.-F!o%, Credits" and WHEREAS the Town Board of the Town of Southold held a public hearing on the aforesaid Local Law at which time all interested persons were given an opportunity to be heard, now therefore be it RESOLVED that the Town Board of the Town of Southold hereby ENACTS the proposed Local Law entitled, "A-.Local Law in relation to Amefidmenf§ to Chapter 117,Development 'Riglits„Transfer,of, in connection with,Sanitary Flow Credits" reads as follows:: LOCAL LAW NO. 2020 A Local Law entitled,"A Local Law in relation to Amendments,to Chapter;117, Develoasment-Rijfit,s Transfer..of, in connection-syith Sanitary Flow Credits". BE IT ENACTED by the Town Board of the Town of Southold as follows: 1. Purpose. The purpose of this local law is to improve the transfer of sanitary flow credits in support of affordable housing projects, as well as dealing with impacts to the public's health, safety and welfare that result therefrom. II. Chapter 117 of the Code of the Town of Southold is hereby amended to include the underlined words and removal of struck through portions as follows: § 117-3 Definitions. Unless otherwise expressly stated, the following terms shall, for the purpose of this chapter,have the meanings as herein defined. Any word or term not noted below shall be used with a meaning as defined in Webster's Third New International Dictionary of the English Language, Unabridged(or the latest edition). ELIGIBLE PROJECT 1`he fol1okvik,6,12r'oiect9 are eligible'tyo receive sanitary flow credjts- 1. Projects.located in a,receiving district that are permitted uses in the zonii distnkf in,which the subject property is located.- 2. .Projects iman Affordable Housinjj, oning District; r Resolution 2020-502 Board Meeting of August 25,2020 3. Town of Southold inunicipal buildings. SANITARY FLOW RIGHT-The.riallt to discharge to the groundwater 3.0.0 gallons of wastewater, or day pursuant to the-Suffolk County Sanitary Code. RECEIVING DISTRICT -An area of the Town that is-desirable to be developed more intensively than areas outside the district. RECEIVING PARCEL-Land within a receiving district to which sanitary flow generated from one or more sendinjQ•parcels are transferred. SANITARY FLOW CREDITS-A sanitary flow credit shall correspond to per twenty thousand(20,000)square feet of lot area which is the etjuivalent of,three-hundrod(300) gallons per day (GPD)flow (e g_• a one,'(1)acre lot in an R40 zone could send'two (2) density flow credits). TRANSFER OF SANITARY FLOW CREDITS -The process by which sanitary flow credits are transferred from one lot,parcel, or area of land in any seiidin disuiet to another lot parcel, or area of land in one or more receiving districts. Sanitary flow-shall be transferred from a lot parcel or area of land to another area of land in one or more receiving districts at rate of three hundred(300)ollons per day (gpd)-of Ile A sEpit"m !� all epffespM4 to per- san�8"uafe feet e-F1e1 afea ..hie .- ' 011ei§sper-d£Ly��41e�A-(Ca t�r>a-[3t2� 1�j c i.ar a niR4'z�}' m- ''Swuld'send Mo flow efedlk61,17 SENDING DISTRICT - An area of the Town that is desirable to be preserved as open.space. , SENDING PARCEL-Land fiorn which sanitan,flow-credits are transferred for use in one or more receiving districts in the Town of Southold. § 117-4 Applicability; general prohibitions. A. Applicability. Any and all sanitary flow credit-transfers within the Town of Southold shall be in accordance with this chapter. B. General prohibitions. (1) If not expressly permitted within this chapter, the transfer of sanitary flow credits is prohibited. (2) All transfers of sanitary flow credits from parcels located outside of the Town of Southold's boundaries are prohibited. (3) All transfers of sanitary flow credits from or to properties that are not recognized pursuant to § 280-9 of the Town Code or that do not contain sufficient buildable land area, as defined in § 280-4 of the Town Code, are prohibited. § 117-5 Sanitary flow credit bank. The Town hereby establishes a sanitary flow credit bank(SFC bank)in which sanitary flow Updated: 8/11/2020 1:59 PM by Lynda Rudder Page 2 Resolution 2020-502 Board Meeting of August 25, 2020 credits may be received,retained and sold by the Town Board in the best interests of the Town. All sanitary flow credits transferred into the bank must first be accepted by Town Board resolution in accordance with the terms of this chapter. All receipts and proceeds from sales of sanitary flow credits sold from the Town bank shall be deposited into a special municipal account known as the "Community Preservation Fund," to be used in a manner specified in Chapter 17 of the Town Code. A. The only development right that may be transferred into and out of the SFC bank is a sanitary flow credit. B. The lands from which sanitary flow credits are to be transferred into the bank we acqLiifed shall remain preserved in perpetuity by a permanent conservation easement or other instrument that similarly preserves community character as defined and set forth in the definition of"community preservation" in Chapter 17 of the Town Code. The easement or other document shall be in a form approved by the Town Attorney. § 117-6 Sanitary flow credit transfer. The sanitary flow credit transfer will allow the Town to bank sanitary flow credits from preserved land in the SFC bank and later sell those credits for use exclusively is-taxk on parcels within a receiving-district. The sale price of the credits shall be determined by resolution of the Town Board, and such factors as the appraised value of the sanitary flow credit and the public benefit provided to the community shall be considered. All transfers of sanitary flow credits within the Town of Southold must pass through the SFC bank. A. Designation of sending and receiving districts. ' (1) The sending district shall be any zoning district in the Town of Southold that is not defined as a receiving district. (2) The receiving district shall be any land designated as General Business(B) Hamlet Business (HB) or Residential Office (RO), or land designated as an Affordable Housing District(AHD) after March 1, 2005. 7-31 Sending,and'•receiying areas shall be in the same groundwater managgment zone; (4)_ Nothing herein shall prevent the transfer of sanitar' floW,credits from a lot-. parcel 6r'area of land,within,a receiving'district to another lot;-parcel' or area of land within the same receiving district B. Di�sighatien pf develop -1 A e*er-, sh4l-be4ln a !a a saiikffy+i ,d-W B. Project Criteria. 7l) In order to -ualih fofthe transfer'of sanitary flow. a prp)ect musthbe-an- "eli ijble prosect"as.defined in section&] 17_-3. (2) Fbr°any mixed,use-project thatincludes housing. at least half of the dwelling units proposed must be-proposed-as affordable-housing units-as- defned by section X2,80-30. (3) For any proiect that is strictly a•proposed miidential groiect, all of the dwelling units must be proposed as affordable dwelling-units as defined by . sectlbil §280-30. Updated: 8/11/2020 1:59 PM by Lynda Rudder Page 3 ' Resolution 2020-502 Board Meeting of August 25,2020 § 117-7 Determination of credits to be deposited; duties of Clerk. A. Upon receipt of a-c'ontract(executed by the seller)for the Town's acquisition of a parcel of property or the development rights thereon, and prior to the public hearing on the purchase, the Land Preservation Coordinator shall provide to the Town Board a calculation of the sanitary flow credits available, subject to survey, for transfer from the parcel of property upon the closing of the contract in accordance with its terms. B. Following the closing on the parcel,the sanitary flow credits from-the property shall be placed into the Town SFC bank by resolution of the Town Board, which resolution shall set forth the number of sanitary flow credits and the source of the credits. The Town Clerk shall maintain a log detailing the credits transferred into the bank, as provided by the Land Preservation Coordinator in a form approved by the Town Board. C. The Town Clerk shall forward the resolution to the Tax Assessor's office,the Land Preservation Department,the Special Projects Coordinator and the Planning Department for inclusion in the Town database and geographic information system(GIS). § 117-8 Irreversible transfer. No sanitary flow credits shall be transferred back to the sending parcel once the development rights have been transferred. No sanitary flow credits may be transferred out of a parcel which has previously had all of its development rights extinguished under the Town of Southold, Suffolk County, or New York State acquisition of development rights program or other easement,transfer, restrictive covenant or otherwise. § 117-9 Procedure for transfer from bank to receiving district. Upon application by the owner of an individual parcel in a receiving district,the Town Board may permit the transfer of a sanitary flow credit to such parcel by proceeding in the manner set forth below: A. Notice to adjacent property owners shall be given by the applicant in the same manner as set forth in § 280-159 relating to change-of-zone applications. B. The Town Board, before publishing notice for a public hearing, shall comply with all State Environmental Quality Review Act(SEQRA)requirements, and costs associated with review shall be paid by the applicant. C. The Town Board. before publishing notice for a public hearing, shall, in a written request, instruct the Town Planning Board and the Building Inspector to Xrepare an official re)ort regarding the proposed transferincludin ,.the Planning Board -recommendations.The Building Inspector report shall certify the use in'the zone -proposed and comment on the-propased project. The Planning Board'shall consider.the factors,set forth in-§ 117-713 below in its,report and, ,re commTn dations.. d D. The Town Board, by resolution addlfted at a stated meeting, shall fix the time and —Xlace of a public-hearing on the proposed transfer and,cause at least-l.0 days' Updated: 8/11/2020 1:59 PM by Lynda Rudder Page 4 Resolution 2020-502 Board Meeting of August 25, 2020 no ice fs�ucl hearinia to be published in the official newspaper. E; Before the transfer of sanitary flow credits may be authorized to any receiving district,the Town Board shall determine,after evaluating the effects of potential increased development ; i i e �-1' efdevd- ofis,-,-that result from the,ppo'sed transfer of'saniW. cridits.that the district contains adequate resources, environmental quality and public facilities, including adequate transportation, water supply,waste disposal and fire protection; that there will be no significant environmentally damaging consequences; and that such increased development is compatible with comprehensive planning and the development otherwise permitted by the Town and by the federal, state and county agencies having jurisdiction to approve permissible development within the district. 1~. °l'kae'<`Totii�ri Boarfl,i Fav condition.Ihe tr`ansferofsanitary flcii�r,eredlts-on the gL)plieant fzliiig_covenant andF`restrictions against the'receivingparcel'irnposing 'Condition,-,on the xeceiving parcel'that the T6wn Board deems appropriate and necessary to ensure that the criteria inpara rapla "E" of this section are met. In -proiects involing affordable housing, the applicant shall be required,t6 file covenants and restrictions.statifig that the,-affordable housing created shall remain -a6in pe'i'p tuit F-G. Sanitary flow credits shall not be transferred out of the school, special assessment or tax districts unless the Town Board determines that there is no other available lot within said districts to which a sanitary flow credit may reasonably be transferred and that the transfer does not unreasonably transfer the tax burden between the taxpayers of such districts. GH. Following the public hearing, the Town Board may, by resolution authorize the transfer of sanitary flow credits. The resolution shall state that the applicant shall receive a sanitary flow credit-certificate,which shall not be signed by the Supervisor and released by the Town Clerk to the applicant until the covenants and restrictions as set forth at § 117-11 have been filed and such filing has been approved by the Town Attorney. § 117-10 Sanitary flow credit certificate. A. An applicant must obtain and present a sanitary flow credit certificate to the Building Department prior to receiving a building permit. B. The sanitary flow credit certificate shall state the specific use for the transferred credit and may be used only for construction of the project listed on the certificate. C. The Town Clerk shall maintain a log detailing the sanitary flow credit certificates that have been issued by the Town Board, and such log shall contain the source and location of the transferred credit. D. The Town Clerk shall provide notice of the issuance of a sanitary flow credit certificate to the Town Attorney,the Tax Assessor's office, the Land Preservation Updated: 8/11/2020 1:59 PM by Lynda Rudder Page 5 Resolution 2020-502 Board Meeting of August 25,2020 Department, the Special Projects Coordinator and the Planning Department. § 117-11 Covenants and. restrictions. A. Following the Town Board resolution granting a transfer of a sanitary flow credit to a recipient pursuant to the procedures set forth in this chapter, the applicant shall file in the office of the Suffolk County Clerk any required covenants and restrictions in a form approved by the Town Attorney. The covenants and restrictions shall contain terms and conditions as the Town Board and the Planning Board deem necessary to ensure that 1)the criteria for,apuroving-the- tian;s er'ofsanitarneflow credits.contained,in,paragraph"E''of section TI M9 are zriet�2)than-airy affordable the dwelling unit created by the transferred credit remains affordable in perpetuity,and 31.•tha`t the-fforddble,dwefilinR,unit shall be leased or sold only to eligible individuals registered with the Town of Southold Housing Registry._and 4)'tharthe-Tl*sale and/or lease of the dwelling unit that has been constructed with the transferred credit shall be administered through the Town of Southold pursuant to the provisions of Chapter 34, Housing Fund, and §§ 280-24 through 280-33,Affordable Housing (AHD) District, and the sale and/or lease price shall be set by resolution of the Town Board. B. A copy of the filed covenants and restrictions must be filed with the Town Clerk within 30 days of the approving resolution. No sanitary flow credit certificate shall be issued until the covenants and restrictions have been filed and such filing has been approved by the Town Attorney. C. The Town Clerk shall forward the covenants and restrictions to the Town Attorney, the Tax Assessor's office,the Land Preservation Department,the Special Projects Coordinator and the Planning Department for inclusion in the Town database. § 117-12 Revocation. Failure to comply with any of the requirements set forth in this chapter may result in revocation of the transferred sanitary flow credit. A sanitary flow credit may be revoked by Town Board resolution following a public hearing after 10 days'written notice of the hearing,by personal service or certified mail, has been given to the property owner. § 117-13 Expiration. Any sanitary flow credit transferred to a recipient for construction of an affordable dwelling unit shall expire and be returned to the bank one year after transfer if the dwelling unit has not been issued a certificate of occupancy unless an extension of time has been requested by the property owner and granted by the Town Board. A request for an extension of time shall be made one month in advance of the expiration. A sanitary flow credit shall be returned to the bank by resolution of the Town Board, and notice thereof shall be given by the Town Clerk to those Town departments referenced in § 117-10ID. § 117-14 Return of credit to bank. In the B, HB or RO Zoning Districts, a property owner may apply to the Town Board to return the transferred sanitary flow credit-to the bank and extinguish the affordable housing covenants and restrictions applicable to the property. The Town Board shall hold a public hearing on the Updated: 8/11/2020 1:59 PM by Lynda Rudder Page 6 Resolution 2020-502 Board Meeting of August 25,2020 application, and notice shall be given in accordance with Chapter 55, Public Hearings,Notice of. A sanitary flow credit shall be returned to the bank by resolution of the Town Board,and notice thereof shall be given by the Town Clerk to those Town departments referenced in § 117-10D. III. SEVERABILITY. If any clause, sentence,paragraph, section, or part of this Local Law shall be adjudged by any court of competent jurisdiction to be invalid,the judgment shall not affect the validity of this law as a whole or any part thereof other than the part so decided to be unconstitutional or invalid. IV. EF'F'ECTIVE DATE. This chapter shall take effect immediately upon filing with the Secretary of State as provided by law. . a Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E. Nappa, Councilwoman SECONDER:James Dinizio Jr, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Updated: 8/11/2020 1:59 PM by Lynda Rudder Page 7 o�*pF SOUlyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA Southold,NY 11971-0959 � �yCOU NT1, RECEIVE® BUILDING DEPARTMENT SEP 3 0 2020 TOWN OF SOUTHOLD Southold Town Clerk MEMORANDUM TO: Town Board FROM: Michael J. Verity, Chief Building Inspector DATE: September 29, 2020 CERTIFICATION FOR TRANSFER OF SANITARY FLOW CREDITS Project: NF Community Club, LLC. Location: 2050 Depot Lane, Cutchogue SCTM# 1000—Section 102-Block 02—Lot 05 1. ALL BUILDINGS AND USES SHALL COMPLY WITH CHAPTERS 117, 144 AND 280 OF THE SOUTHOLD TOWN CODE. 2. TENANT-OCCUPIED MIFDUs ARE PERMITTED IN *AHD DISTRICTS. *Proposed zone Michael J. Veri Chief Building Inspector r_ ELIZABETH A.NEVILLE,MMC �� Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ®a( ��® Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 24, 2020 Re: Referral of"Sanitary flow Credit" application of North Fork Community Club, LLC Michael J.Verity Chief Building Inspector Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Dear Mr.Verity, An application for"Sanitary Flow Credits" by North Fork Community Club, LLC was received in the Town Clerk's Office on September 23, 2020.According to Chapter 117-9 D,the Town Board is instructing you to certify the use in the zone proposed and comment on the proposed project. The application in its entirety maybe viewed on Laserfiche as follows: Town Clerk; Sanitary Flow Credits; Pending;'North Fork Community Club, LLC Attached is Town Board Resolution 2020-502 adopted on August 25, 2020 amending Chapter 117 in relation to Sanitary Flow Credits. Very truly yours, Elizabe Neville Southold town Clerk EAN/s/ cc:Town Board Town Attorney Planning Board 4 Neville, Elizabeth From: Neville, Elizabeth Sent: Friday, September 25, 2020 3:31 PM To: Verity, Mike Cc: Burke,John; Dinizio,James; Doherty,Jill; Doroski, Bonnie; Duffy, Bill; Ghosio, Bob; Hagan, Damon; Standish, Lauren; Louisa Evans; Nappa, Sarah; Neville, Elizabeth; Noncarrow, Denis; Rudder, Lynda; Russell, Scott; Silleck, Mary;Tomaszewski, Michelle Subject: Emailing: Referral BldgInspector-S_20200925152207 Attachments: Reso 2020-502SanitaryFlo_20200925151307.pdf, Referral BldgInspector-S_ 20200925152207.pdf Attached, please find a letter of referral for"Sanitary Flow Credit" application of North Fork Community Club, LLC for your review determination and recommendation. Your message is ready to be sent with the following file or link attachments: Referral BldgInspector-S_20200925152207 Note:-To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. � 9 -Neville, Elizabeth From: Jill Doherty- Forward Sent: Friday, September 25, 2020 11:51 AM To: Russell, Scott; Neville, Elizabeth; Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Nappa, Sarah; Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary; Rudder, Lynda Cc: Noncarrow, Denis Subject: Re: NF Comm Club LLC Sanitary Flow Credit Application? That is all correct Scott but we had a discussion about this at worksession. The applicant can't move forward with applications to health Dept etc until he has a commitment from the town to sell them credits. So that's why we feel it makes sense to do at the same time. Sent from Yahoo Mail for iPhone On Friday, September 25, 2020, 11:45 AM,Russell, Scott<scottr@southoldtownny.gov>wrote: The sanitary flow credits do not have to be approved at the same time as the change-of-zone application. First, it presumes that the new zoning will be approved. Second, if it is approved, it would be subject to site plan, etc.The number of units could vary,the size of each apartment can change, either smaller or larger,etc. That would change the flow requirements. Essentially,we don't know how many credits the project will actually need and that would ultimately be calculated by the SCDOH, not the Town. We transfer during that review From:Neville,Elizabeth Sent: Friday,September 25,2020 11:33 AM To: Jill Doherty-Forward;Dinizio,James;Doherty,Jill;Evans,Louisa;Ghosio,Bob;Nappa, Sarah;Russell, Scott; Burke,John;Duffy,Bill;Hagan,Damon; Silleck,Mary;Rudder,Lynda Subject: RE:NF Comm Club LLC Sanitary Flow Credit Application? Importance: High Good Morning, The public hearing for the NF Comm Club LLC change of zone application is scheduled for October 20'h at 7:OOPM. If we set the date for the Sanitary Flow Credit public hearing on October 6`h it cannot get published in the newspaper until the 15`'. According to Chapter 117-9 D.,ten(10) days notice must be given. It would only be six(6) days notice. However, if we put a Resolution on the Special Meeting on October 5th, it could be published in the October 81h edition of the newspaper and would meet the 10 day notice requirement. Therefore, both the change of zone and the sanitary flow credit public hearings could be held on the same day, October 201h. Is this what you would like to do? Please advise. r . We normally do not have Allen Video come for the"Budget Presentation Special Meeting". However, if you will be adopting this resolution,Allen Video should be present. Please advise: 1. Shall I place the resolution setting the public hearing for this Sanitary Flow Credit on the October 5`'' Special Meeting? 2. Shall I notify Allen Video to be present? 3. Shall I notify Alan Belniak for the ZOOM access meeting information? Elizabeth A.Neville Southold Town Clerk,Registrar of Vital Statistics Records Management Officer;FOIL Officer Marriage Officer PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 From: Jill Doherty-Forward Sent: Wednesday, September 23,2020 1:54 PM To:Neville,Elizabeth;Dinizio,James;Doherty,Jill;Evans,Louisa; Ghosio,Bob;Nappa, Sarah;Russell, Scott; Burke,John;Duffy, Bill;Hagan,Damon; Silleck,Mary Subject: Re:NF Comm Club LLC Sanitary Flow Credit Application Thank you. After it's deemed complete can you put it on the next agenda to set the public hearing for October 20th so it's the same night as his change of zone hearing? Sent from Yahoo Mail for Whone On Wednesday, September 23, 2020, 1:44 PM,Neville, Elizabeth <E.Nevilleatown.southold.ny.us> wrote: 2 iC. r The attached Sanitary Flow Credit Application for North Fork Community Club, LLC was delivered to the Town Clerk's Office today. Elizabeth A. Neville Southold Town Clerk,Registrar of Vital Statistics Records Management Officer;FOIL Officer Marriage Officer PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631 765-6145 Cell 631466-6064 3 Neville, Elizabeth From: Neville, Elizabeth Sent: Friday, September 25, 2020 11:33 AM To: Jill Doherty- Forward; Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Nappa, Sarah; Russell, Scott; Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary; Rudder, Lynda Subject: RE: NF Comm Club LLC Sanitary Flow Credit Application? Importance: High Good Morning, The public hearing for the NF Comm Club LLC change of zone application is scheduled for October 20th at 7:OOPM. If we set the date for the Sanitary Flow Credit public hearing on October 6th it cannot get published in the newspaper until the 15th. According to Chapter 117-9 D.,ten (10) days notice must be given. It would only be six(6) days notice. However, if we put a Resolution on the Special Meeting on October 5th, it could be published in the October 8th edition of the newspaper and would meet the 10 day notice requirement. Therefore, both the change of zone and the sanitary flow credit public hearings could be held on the same day, October 201h. Is this what you would like to do? Please advise. We normally do not have Allen Video come for the "Budget Presentation Special Meeting". However, if you will be adopting this resolution,Allen Video should be present. Please advise: 1. Shall I place the resolution setting the public hearing for this Sanitary Flow Credit on the October 5th Special Meeting? 2. Shall I notify Allen Video to be present? 3. Shall I notify Alan Belniak for the ZOOM access meeting information? Elizabeth A.Neville Southold Town Clerk,Registrar of Vital Statistics Records Management Officer;FOIL Officer Marriage Officer PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 From: Jill Doherty - Forward Sent: Wednesday, September 23, 2020 1:54 PM To: Neville, Elizabeth; Dinizio, James; Doherty, Jill; Evans, Louisa; Ghosio, Bob; Nappa, Sarah; Russell, Scott; Burke, John; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: Re: NF Comm Club LLC Sanitary Flow Credit Application Thank you. After it's deemed complete can you put it on the next agenda to set the public hearing for October 20th so it's the same night as his change of zone hearing? Sent from Yahoo Mail for Whone On Wednesday, September 23, 2020, 1:4 4 PM,Neville,Elizabeth <E.Neville@town.southold.ny.us>wrote: 1 The attached Sanitary Flow Credit Application for North Fork Community Club, LLC was delivered to the Town Clerk's Office today. Elizabeth A. Neville Southold Town Clerk,Registrar of Vital Statistics Records Management Officer;FOIL Officer Marriage Officer PO Box 1179 Southold,NY 11971 Tel. 631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 2 Rudder, Lynda From: TR - Legals <legals@timesreview.com> Sent: Wednesday, September 23, 2020 2:10 PM To: Rudder, Lynda; Lisa Finn (lisaahfinn@gmail.com); Michaelis,Jessica; Reisenberg, Lloyd; Southold Local (denise@southoldlocal.com); Dinizio, James; Doherty, Jill; Doroski, Bonnie; Ghosio, Bob; Louisa Evans; Nappa, Sarah; Neville, Elizabeth; Noncarrow, Denis; Norklun, Stacey; Russell, Scott; Standish, Lauren;Tomaszewski, Michelle; Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: Re: NF Comm COZ for publication Attachments: Ad_Order_Form[3].pdf,Ad_Image_Preview[3].pdf Hello, This notice has been scheduled,the attached documents serve as your confirmation, invoice and proof. Please review for accuracy. Payment is due upon receipt. Affidavits are processed and mailed out a week after the final publication date of the notice. Thank you. Sincerely, Greg Messinger TAMES Oh EWSW MMIAGROUP Greg Messinger Sales Production Assistant 531.354.8013(direct) gmessinger@timesreview.com www.timesreview.com From: "Rudder, Lynda" <lynda.rudder@town.southold.ny.us> Date: Wednesday, September 23, 2020 at 1:51 PM To:TR- Legals <legals@timesreview.com>, "Lisa Finn (lisaahfinn@gmail.com)" <lisaahfinn@gmail.com>, "Michaelis, Jessica" <jessicam@southoldtownny.gov>, "Reisenberg, Lloyd" <Lloyd.Reisenberg@town.southold.ny.us>, "Southold Local (denise@southoldlocal.com)" <denise@southoldlocal.com>, "Dinizio,James" <james.dinizio@town.southold.ny.us>, "Doherty, Jill" <jill.doherty@town.southold.ny.us>, "Doroski, Bonnie" <Bonnie.Doroski@town.southold.ny.us>, "Ghosio, 1 Bob" <bob.ghosio@town.southold.ny.us>, Louisa Evans <Ipevans06390@gmail.com>, "Nappa, Sarah" <sarahn@southoldtownny.gov>, "Neville, Elizabeth" <E.Nevil le@town.southold.ny.us>, "Noncarrow, Denis" <denisn@southoldtownny.gov>, "Norklun, Stacey" <Stacey.Norklun@town.southold.ny.us>, "Rudder, Lynda" <lynda.rudder@town.southold.ny.us>, "Russell, Scott" <scottr@southoldtownny.gov>, "Standish, Lauren" <Lauren.Standish@town.southold.ny.us>, "Tomaszewski, Michelle" <michellet@town.southold.ny.us>, "Burke, John" <johnbu@southoldtownny.gov>, "Duffy, Bill" <billd@southoldtownny.gov>, "Hagan, Damon" <damonh@southoldtownny.gov>, "Silleck, Mary" <marys@town.southold.ny.us> Subject: NF Comm COZ for publication Please publish in the 10/1 edition of the Suffolk Times and the Town website,Thank you. 2 TYPESET- Wed Sep.23 14.07.50 EDT 2020 LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board'of the Town of Southold is con- sidering the change of zone to amend the Zoning Map of the Town'of•Southold'by changing the Zoning District designation of 8CTM#1000-102-2-5 from Residential Low- Density(R-80)to Affordable Housing Dis- trict(AHD),and NOTICE IS HEREBY FURTHER GIVEN that pursuant to the requirements of Section 265 of the New York State Town Law and the Code of the Town of Southold,Suf- folk County,New'York,the Town Board of the Town of Southold will hold a public hearing•on a proposed Local Law entitled "A Local Uaw to amend the Zoning Map of the Town of Southold by Changing the Zoning Designation_of_ SCTM- #1000-102-2-5 from Residential Low- Density(R-80)to Affordable Housing Dis- trict(AHD)"at Southold Town Hall,53095 Main Road,Southold,New York,on the 20th day of October,2020 at 7:00 pan..The purpose of this Local Law is to change the Zoning District Designation of SCTM #1000-102-2-5 from Residential Low- Density(R-80)to Affordable,Housing Dis- trict(AHD)`The petitioner for this request is North Fork Community Club LLC n/k/a 2050 Depot Lane,LLC The property is approx- imately,2 08 acres(90,804 sq ft)and is lo- cated at 2050 Depot Lane,Cutchogue,New York Due,to public health and,safety concerns related to COVID-19,the Public will not be given in-person access.In accordance with, the Governor's Executive Order 202.1, said public hearing of the Town-Board will be held via videoconferencing,and a tran- script will be provided at a later date.The public will have an-opportunity to see and hear the meeting live and provide com- ments virtually. The heating will be held virtually via ZOOM Webmar.Instructions and link to at- tend the meeting will be available on the Town's website or by calling the Town' Clerk's office at(631)765-1800 A telephone number will,also be provided to allow mem- bers of the public to attend via telephone. Written comments and/or questions,may also be submitted via email to the Town Clerk at elizabeth neville@town southold ny us Said comments and/or questions will be con- sid`ere'd at the public bearing provided that they are submitted no later,than 12 00 PM (Prevailing Time) on the day of the public bearing Pursuati to the requirements of the Execu- tive Order of the Governor of the State of New York;a transcript will be prepared of the pub-, lic bearing,and a copy shall be filed with the Town Clerkand placed upon the Town's web- site Please check the meeting Agenda posted on the Town's website (www southoldtownny.gov)for further instructions 'or forany changes to the mstructions to access the public hearing,and for updated informa- tion Dated: September 8,2020 BY ORDER'OF THE TOWN BOARD OF THE TOWN`OF SOUTHOLD Elizabeth Neville Town Clerk 2505540 Times Review Media Group P.O.Box 1 0 Mattituck Y 11952 Phone:(6'.31')298-3200 INVOICE/RECEIPT Ad/Order#:0002505540 09/23/2020 SOUTHOLD TOWN Salesperson:'LEGAL NOTICES T/R BOARD-LGL 178826 Description: PO BOX 1179 SOUTHOLD TOWN BOARD/LN, SOUTHOLD,NY 11971-0959 (631)765-4333 Phone:(631)7654333 LYNDA.RUDDER@TOWN.'SOUTHOLD.NY.US Promo Code: .Sb:e: l.02x_9.21 Color: Total Weeks:'1 Product Category Classification Insertions Period SUFFOLK TIMES CLASSIFIED LEGALCL L•EGALS 10/01/20 Pricing Information: Sub Total: 50.81 Total Due: 50.81' Ad Taker:LEGAL NOTICCES T/R PLEASE, NOTE CANCELLATION POLICY FOR LEGAL NOTICES: All ads are billed for entire run upon first publication date.Cancellations,for publication dates can be,made but there,will be no adjustment to cost and refund's will not be given. There are no exceptions-to this policy. Rudder, Lynda From: Rudder, Lynda Sent: Wednesday, September 23, 2020 1:51 PM To: legals@timesreview.com; Lisa Finn (lisaahfinn@gmail.com); Michaelis, Jessica; Reisenberg, Lloyd; Southold Local (den ise@southoldIocaLcom); Dinizio,James; Doherty, Jill; Doroski, Bonnie; Ghosio, Bob; Louisa Evans; Nappa, Sarah; Neville, Elizabeth; Noncarrow, Denis; Norklun, Stacey; Rudder, Lynda; Russell, Scott; Standish, Lauren; Tomaszewski, Michelle; Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: NF Comm COZ for publication Attachments: NF Comm COZ.docx Please publish in the 10/1 edition of the Suffolk Times and the Town website,Thank you. 1 LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold is considering the change of zone to amend the Zoning Map of the Town of Southold by changing the Zoning District designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District (AHD); and NOTICE IS HEREBY FURTHER GIVEN that pursuant to the requirements of Section 265 of the New York State Town Law and the Code of the Town of Southold, Suffolk County,New York,the Town Board of the Town of Southold will hold a public hearing on a proposed Local Law entitled "A Local Law to amend the Zoning Map of the Town of Southold by Changing the Zoning Designation of SCTM 41000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District (AHD)"-at Southold Town Hall, 53095 Main Road, Southold,New York, on the 20th day of October, 2020 at 7:00 p.m.. The purpose of this Local Law is to change the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District (AHD). The petitioner for this request is North Fork Community Club LLC n/k/a 2050 Depot Lane, LLC. The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. Due to public health and safety concerns related to COVID-19, the Public will not be given in-person access. In accordance with the Governor"s Executive Order 202.1, said public hearing of the Town Board will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments virtually. The hearing will be held virtually via ZOOM Webinar. Instructions and link to attend the meeting will be available on the Town's website or by calling the Town Clerk's office at (631)765-1800. A telephone number will also be provided to allow members of the public to attend via telephone. Written comments"and/or questions may also be submitted via email to the Town Clerk at elizabeth.neville@town.southold.ny.us. Said comments and/or questions will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. Pursuant to the requirements of the Executive Order of the Governor of the State of New York, a transcript will be prepared of the public hearing, and a copy shall be filed with the Town Clerk and placed upon the Town's website. Please check the meeting Agenda posted on the Town's website (www.southoldtownny.gov) for further instructions or for any changes to the instructions to access the public hearing, and for updated information. Dated: September 8, 2020 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth Neville Town Clerk PLEASE PUBLISH ON OCTOBER 1, 2020, AND FORWARD ONE(1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, SOUTHOLD,NY 11971. Copies to the following: The Suffolk Times Town Attorney Comptroller Town Board Members Town Clerk's Bulletin Board Website Property Owners Resolution 2020-570 Board Meeting of September 8, 2020 �aUFF�. RESOLUTION 2020-570 ADOPTED DOC ID: 16429 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-570 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 8,2020: WHEREAS, the Town Board has received an application to amend the Zoning Map of the Town of Southold by changing the Zoning District designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD); and WHEREAS, the Town Board of the Town of Southold referred said Application to the Planning Board for review and recommendations; and - WHEREAS,the Planning Board conducted a review of said Application and issued a Memorandum dated July 29, 2020, supporting this Application; and WHEREAS,the Local Law is entitled"A Local Law to Amend the Zoning Map of the Town of Southold by Changing the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD) NOW,THEREFORE,BE IT RESOLVED that the Town Board of the Town of Southold is considering the change of zone of said parcel known as SCTM'#1000-102-2-5; and it is further RESOLVED that the Town Board of the Town of Southold establishes itself as lead agency; and it is further RESOLVED that the Town Board of the Town of Southold requests that the Planning Board prepare a report and recommendations on the proposed rezoning, including SEQRA and LWRP report and recommendations; and it is further RESOLVED that the Town Clerk of the Town of Southold is directed to forward the matter to the Suffolk County Planning Commission for a report and recommendations; and it is further RESOLVED that pursuant to the requirements of Section 265 of the New York State Town Law and the Code of the Town of Southold, Suffolk County,New York, the Town Board of the Town of Southold will hold a public hearing on the aforesaid Local Law at Southold Town Hall, 53095 Main Road, Southold,New York, on the 201h day of October,2020 at 7:00 p.m. The purpose of this Local Law is to change the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density(R-80)to Affordable Housing District (AHD). The petitioner for this request is North Fork Community Club LLC n/k/a 2050 Depot Lane, LLC. The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. Updated: 9/9/2020 10:54 AM by Elizabeth A. Neville Page 2 Resolution 2020-570 Board Meeting of September 8, 2020 Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Robert Ghosio, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Updated: 9/9/2020 10:54 AM by Elizabeth A. Neville Page 3 LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold is considering the change of zone to amend the Zoning Map of the Town of Southold by changing the Zoning District designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD); and NOTICE IS HEREBY FURTHER GIVEN that pursuant to the requirements of Section'265 of the New York State Town Law and the Code of the Town of Southold, Suffolk County, New York, the Town Board of the Town of Southold will hold a public hearing on a proposed Local Law entitled "A Local Law to amend the Zoning Map of the Town of Southold by Changing the Zoning Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District(AHD)" at Southold Town Hall, 53095 Main Road, Southold,New York, on the 20t day of October,2020 at 7:00 p.m.. The purpose of this Local Law is to change the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD). The petitioner for this request is North Fork Community Club LLC n/k/a 2050 Depot Lane, LLC. The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. Due to public health and safety concerns related to COVID-19, the Public will not be given in-person access. In accordance with the Governor's Executive Order 202.1, said public hearing of the Town Board will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments virtually. The hearing will be held virtually via ZOOM Webinar. Instructions and link to attend the meeting will be available on the Town's website or by calling the Town Clerk's office at (631)765-1800. A telephone number will also be provided to allow members of the public to attend via telephone. Written comments and/or questions may also be submitted via email to the Town Clerk at elizabeth.neville@town.southold.ny.us. Said comments and/or questions will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. Pursuant to the requirements of the Executive Order of the Governor of the State of New York, a transcript will be prepared of the public hearing, and a copy shall be filed with the Town Clerk and placed upon the Town's website. Please check the meeting Agenda posted on the Town's website (www.southoldtownny.gov) for further instructions or for any changes to the instructions to access the public hearing, and for updated information. Dated: September 8, 2020 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth Neville, Southold Town Clerk Town Clerk PLEASE PUBLISH ON OCTOBER 1,2020, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, SOUTHOLD,NY 11971. Copies to the following: The Suffolk Times Town Attorney Comptroller Town Board Members Town Clerk's Bulletin Board Website Property Owners Neville, Elizabeth From: Neville, Elizabeth Sent: Thursday, September 24, 2020 10:30 AM To: 'Plannin.ugpi9cmyw7vg0oku@u.box.com' Cc: Norklun, Stacey; Burke,John; Dinizio,James; Doherty, Jill; Doroski, Bonnie; Duffy, Bill; Ghosio, Bob; Hagan, Damon; Standish, Lauren; Louisa Evans; Nappa, Sarah; Neville, Elizabeth; Noncarrow, Denis; Rudder, Lynda; Russell, Scott; Silleck, Mary;Tomaszewski, Michelle; Lanza, Heather;.Michaelis,Jessica;Terry, Mark Subject: Emailing:_Referral NFCommClub.LLC20200924092009 Attachments: Referral NFCommClub,LLC_20200924092009.pdf Good Morning Christine DeSalvo, Please confirm receipt.Thank you. Elizabeth A. Neville Southold Town Clerk, Registrar of Vital Statistics Records Management Officer; FOIL Officer Marriage Officer PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Referral NFCommClub,LLC_20200924092009 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Neville, Elizabeth From: Box <noreply@box.com> Sent: Thursday, September 24, 2020 10:31 AM To: Neville, Elizabeth Subject: Success! Your email attachment was uploaded to Box... Your email attachment, Referral NFCbmmC1ub,LLC. 20200924092009.pdf,'was successfully, uploaded Log in to your Box account to manage or add"collaborators,or to share a link to this file with others. q, e�, w,'U"�' •r' ,� if'l ,io'yaw' °.N arir =,:i�rb'ai s "? ",rvgl'd D 2020 i bout Box_ 'P`twacti�Pohm- Edit Notification Se-inz -900 Jeff.rson:{2`vpntie..�aJ�w�aUti't`�ey:�t�9,1063..US?� ;i,' �„ `" �� ,n,., � d 1 Appendix A-County Referral For e-mail form to: Plannin.ugpi9cmyw7vgOoku@u.box.com Appendix A—Suffolk County Planning Commission Guidebook Suffolk • • Commission Submission Cover Form For Planning and Zoning Referrals Municipality: Town of Southold Hamlet: Cutchogue Local Case Number: District: 1000 Section: 1-2 Block: 2 Lot: 5 . Local Meeting Date: 10/20/2020 Application/Action Name: North Fork Community Club.LLC Public Hearing: X Yes No Referring Agency Type of Referral: SEQRA Action: Draft EIS Positive Declaration Planning Board or Commission New EAF Final EIS Negative Declaration Zoning Board of Appeals Expansion X Lead Agency Findings X Town Board/Village Board of Modification Draft Scope Trustees Brief description of application or proposed action:Change of Zone District Designation from Residential Low-Density(R-80)to Affordable Housing District(AHD) Type of Action Please check appropriate box below/f action is located within the Suffolk County Pine Barrens Zone, within one mile of a nuclear power plant or airport or within 500 feet of., A municipal boundary, • The boundary of any existing or proposed county, state,or federal park or other recreation area, • The right-of-way of any existing or proposed county or state road; An exsting or proposed county drainage channel line, • The Atlantic Ocean, Long Island Sound,any bay in Suffolk County or estuary of any of the foregoing bodies of water, • The boundary of county, state,or federally owned land held or to be held for governmental use, • The boundary of a farm located in an agricultural district Comprehensive Plan (Adoption or Amendment) Subdivision X Zoning Ordinance or Map(Adoption or Amendment) Use Variance Code Amendment Area Variance Official Map Special Use Permit/Exception/Conditional Use Moratorium Site Plan Note.The above represents a summary of the required actions subject to referral to the Suffolk County Planning Commission The provisions of GML and Laws of Suffolk County must be used to verify which actions are subject to referral and the related procedural requirements Additional Application Information • Action Previously Referred to Suffolk County Planning Commission Yes No (If yes,Date • Adjacent Municipality Notified (see NYS GML 239 nn) Yes No N/A • Located Within Long Island Pine Barrens Zone Yes No • Workforce/Affordable Housing Yes No N/A • Energy Efficiency Yes No N/A • Zoning Board of Appeals Approval Yes No N/A • Suffolk County Department of Health Approval/Comments Yes No N/A • New York State Dept.of Environmental Conservation Approval/Comments Yes No N/A • New York State/Suffolk County Dept,of Public Works Approval/Comments Yes No N/A • Suffolk County Sanitary Code Article 6,Groundwater Management Zone- 1 II III IV V VI VII VIII Contact Information Municipality Contact Name DepartmentlAgency: Town Clerk's Office Elizabeth A.Neville&Lynda Rudder Phone Number: 631 765-1800 Email Address:Applicant:- e.neville0town.southold.nv.us &Ivnda.rudder(a)town.southold.ny.us Contact Name:Applicant Address: RESOLUTION 2020-570 ADOPTED DOC ID: 16429 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-570 WAS ADOPTED AT THE REGULAR MEETING OF THE'SOUTHOLD TOWN BOARD ON SEPTEMBER 8,2020: WHEREAS, the Town Board has received an application to amend the Zoning Map,of the Town of Southold by changing the Zoning District designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD); and WHEREAS, the Town Board of the Town of Southold referred said Application to the Planning Board for review and recommendations; and WHEREAS,the Planning Board conducted a review of said Application and issued a Memorandum dated July 29, 2020, supporting this Application; and WHEREAS, the Local Law is entitled"A Local Law to Amend the Zoning Map of the Town of Southold by Changing the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District (AHD) NOW, THEREFORE, BE IT RESOLVED that the Town Board of the Town of Southold is considering the change of zone of said parcel known as SCTM#1000-102-2-5; and it is further RESOLVED that the Town Board of the Town of Southold establishes itself as lead agency; and it is further RESOLVED that the Town Board of the Town of Southold requests that the Planning Board prepare a report and recommendations on the proposed rezoning, including SEQRA and LWRP report and recommendations; and it is further RESOLVED that the Town Clerk of the Town of Southold is directed to forward the matter to the Suffolk County Planning Commission for a report and recommendations; and it is further RESOLVED that pursuant to the requirements of Section 265 of the New York State Town Law and the Code of the Town of Southold, Suffolk County,New York, the Town Board of the Town of Southold will hold a public hearing on the aforesaid Local Law at Southold Town Hall, 53095 Main Road, Southold,New York, on the 20th day of October,2020 at 7:00 p.m. The purpose of this Local Law is to change the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District (AHD). The petitioner for this request is North Fork Community Club LL n/k/a 2050 Depot Lane, LLC. The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. Resolution 2020-570 Board Meeting of September 8, 2020 aja&*g�� Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Robert Ghosio, Councilman AYES: Nappa, Dinizio Jr,Doherty, Ghosio, Evans, Russell Updated: 9/9/2020 10:54 AM by Elizabeth A. Neville Page 2 r , LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold is considering the change of zone to amend the Zoning Map of the Town of Southold by changing-the Zoning' District designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD); and NOTICE IS HEREBYFURTHER GIVEN that p"ursuant to the requirements of Section-265-of the New York State Town Law and the Code of the Town of Southold, Suffolk County, New York,the Town Board of the Town of Southold will hold a public hearing on a proposed Local Law entitled "A Local Law to amend the Zoning Map of the Town of Southold by Changing the Zoning Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District (AHD)" at Southold Town Hall, 53095 Main Road, Southold,New York, on the 20 1h day of October,2020 at 7:00 p.m., The purpose of this Local Law is to change the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD). The petitioner for this request is North Fork Community Club LLC n/k/a 2050 Depot Lane, LLC., The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. Due to public health and safety concerns related to COVID-19, the Public will not be given in-person access. In accordance with the Governor's Executive Order 202.1, said public hearing of the Town Board will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments virtually. The hearing will be held virtually via ZOOM Webinar. Instructions and link to attend the meeting will be available on the Town's website or by calling the Town Clerk's office at (631)765-1800. A telephone number will also be provided to allow members of the public to attend via telephone. Written comments and/or questions may also be submitted via email to the Town Clerk at elizabeth.neville@town.southold.ny.us. Said comments and/or questions will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. Pursuant to the requirements of the Executive Order of the Governor of the State of New York, a transcript will be prepared of the public hearing, and a copy shall be filed with the Town Clerk and placed upon the Town's website. Please check the meeting Agenda posted on the Town's website (www.southoldtownny.gov) for further instructions or for any changes to the instructions to access the public hearing, and for updated information. Dated: September 8, 2020 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth Neville, Southold Town Clerk Town Clerk PLEASE PUBLISH ON OCTOBER 1, 2020, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, SOUTHOLD,NY 11971. Copies to the following: The Suffolk Times Town Attorney Comptroller Town Board Members Town Clerk's Bulletin Board Website Property Owners Neville, Elizabeth From: TR - Legals <legals@timesreview.com> Sent: Wednesday, September 23, 2020 2:10 PM To: Rudder, Lynda; Lisa Finn (lisaahfinn@gmail.com); Michaelis,Jessica; Reisenberg, Lloyd; Southold Local (denise@southoldlocal.com); Dinizio,James; Doherty,Jill; Doroski, Bonnie; Ghosio, Bob; Louisa Evans; Nappa, Sarah; Neville, Elizabeth; Noncarrow, Denis; Norklun, Stacey; Russell, Scott; Standish, Lauren;Tomaszewski, Michelle; Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: Re: NF Comm COZ for publication Attachments: Ad_Order_Form[3].pdf,Ad_Image_Preview[3].pdf Hello, This notice has been scheduled,the attached documents serve as your confirmation, invoice and proof. Please review for accuracy. Payment is due upon receipt. Affidavits are processed and mailed out a week after the final publication date of the notice. Thank you. Sincerely, Greg Messinger � FVIPW MEDIA GROUP Greg Messinger Sales Production Assistant 631.354.8013(direct) gmessinger@timesreview.com www.timesreview.com From: "Rudder, Lynda" <Iynda.rudder@town.southold.ny.us> Date: Wednesday, September 23, 2020 at 1:51 PM To:TR- Legals <legals@timesreview.com>, "Lisa Finn (lisaahfinn@gmaii.com)" <lisaahfinn@gmail.com>, "Michaelis,Jessica" <iessicam@southoldtownny.gov>, "Reisenberg, Lloyd" <Lloyd.Reisenberg@town.southold.ny.us>, "Southold Local (den ise@southoldlocal.com)" <denise@southoldlocal.com>, "Dinizio, James" <iames.dinizio@town.southold.ny.us>, "Doherty, Jill" <iill.doherty@town.southold.nv.us>, "Doroski, Bonnie" <Bonnie.Doroski@town.southold.ny.us>, "Ghosio, 1 N Bob" <bob.ghosio@town.southold.ny.us>, Louisa Evans <lpevans06390@gmail.com>, "Nappa, Sarah" <sarahn@southoldtownny.gov>, "Neville, Elizabeth" <E.Neville@town.southold.ny.us>, "Noncarrow, Denis" <denisn@southoldtownny.gov>, "Norklun, Stacey" <Stacey.Norklun@town.southold.ny.us>, "Rudder, Lynda" <Ivnda.rudder@town.southold.ny.us>, "Russell, Scott" <scottr@south oldtownny.gov>, "Standish, Lauren" <Lauren.Standish@town.southold.nv.us>, "Tomaszewski, Michelle" <michellet@town.southold.ny.us>, "Burke,John" <johnbu@southoldtownny.gov>, "Duffy, Bill" <billd@southoldtownny.gov>, "Hagan, Damon" <damonh@southoldtownny.gov>, "Silleck, Mary" <marys@town.southold.ny.us> Subject: NF Comm COZ for publication Please publish in the 10/1 edition of the Suffolk Times and the Town website,Thank you. 2 Norklun, Stacey From:Neville, Elizabeth Sent:Thursday, September 24, 2020 10:32 AM To:Norklun, Stacey Subject:FW: Success! Your email attachment was uploaded to Box... LF From: Box \[mailto:noreply@box.com\] Sent: Thursday, September 24, 2020 10:31 AM To: Neville, Elizabeth Subject: Success! Your email attachment was uploaded to Box... Your email attachment, Referral NFCommClub,LLC_20200924092009.pdf, was successfully uploaded Log in to your Box account to manage or add collaborators, or to share a link to this file with others. About Box • Privacy Policy • Edit Notification Settings • 900 Jefferson Avenue, Redwood City, CA 94063, USA © 2020 1 Appendix A - County Referral For e-mail for o: Planniti.uqpi9cmyw7vqOoku@u.box.co Appendix A-Suffolk County Planning Commission Guidebook Municipality: Hamlet: Cutchoaue Local Case Number: District: 1000 Section: 1-2 Block: 2 Lot: 5Local Meeting Date 10/20/2020 Application/Action Name: b1gl1b Fgrk CommunitvC Public Hearing: X Yes No Referrino AoenCy. Tyne of Referral: KQRA AC0011: Draft EIS Positive Declaration Planning Board or Commission New EAF Final EIS Negative Declaration Zoning Board of Appeals Expansion ead Agency Findings Modification Draft Scope X ta�vrrt-t�c�erd/Village Board of P Trustees Brief description of application or proposed action:Change of Zone District Designation from Residential Low-Density(R-80)to Affordable Housing District(AHD) ------ Type of Action Please check appropriate box below if action is located within the Suffolk County Pine Barrens Zone, within one mile of a nuclear power plant or airport or within 500 feet of: • A municipal boundary; • The boundary of any existing or proposed county, state,or federal park or other recreation area; • The right-of-way of any existing or proposed county or state road; • An existing or proposed county drainage channel line; • The Atlantic Ocean, Long Island Sound,any bay in Suffolk County or estuary of any of the foregoing bodies of water, • The boundary of county, state, or federally owned land held or to be held for governmental use; • The boundary of a farm located in an agricultural district Comprehensive Plan (Adoption or Amendment) Subdivision X Zonin Ordinance or Iota (Adoption x Amendmentl Use Variance Code Amendment Area Variance Official Map Special Use Permit/Exception/Conditional Use Moratorium Site Plan Note:The above represents a summary of the required actions subject to referral to the Suffolk County Planning Commission The provisions of GML and Laws of Suffolk County must be used to verify which actions are subject to referral and the related procedural requirements. Additional Application Information Action Previously Referred to Suffolk County Planning Commission Yes No (If yes, Date_ } Adjacent Municipality Notified (see NYS GML 239 nn) Yes No N/A • Located Within Long Island Pine Barrens Zone Yes No Workforce/Affordable Housing Yes No N/A Energy Efficiency Yes No N/A • Zoning Board of Appeals Approval Yes No N/A • Suffolk County Department of Health Approval/Comments Yes No N/A • New York State Dept.of Environmental Conservation Approval/Comments Yes No N/A New York State/Suffolk County Dept.of Public Works Approval/Comments Yes No N/A • Suffolk County Sanitary Code Article 6,Groundwater Management Zone- 1 11 III IV V VI VII VIII Contact Information Municipality Contact Name Department/Agency: Town Clerk's Office Elizabeth A.Neville&Lynda Rudder Phone Number: 631 765-1800 Email Address:Applicant:- ,nevjQlfe ttowrr.soi�tliold.riY.us &I mda.rud �cr'}t4 n.~sot thold.D us Contact Name:Applicant Address: ' RESOLUTION 2020-570 ADOPTED DOC ID: 16429 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-570 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 8, 2020: WHEREAS, the Town Board has received an application to amend the Zoning Map of the Town of Southold by changing the Zoning District designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD); and WHEREAS, the Town Board of the Town of Southold referred said Application to the Planning Board for review and recommendations; and WHEREAS, the Planning Board conducted a review of said Application and issued a Memorandum dated July 29, 2020, supporting this Application; and WHEREAS, the Local Law is entitled "A Local Law to Amend the Zoning Map of the Town of Southold by Changing the Zoning District Designation of SCTM #1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District (AHD) NOW, THEREFORE, BE IT RESOLVED that the Town Board of the Town of Southold is considering the change of zone of said parcel known as SCTM#1000-102-2-5; and it is further RESOLVED that the Town Board of the Town of Southold establishes itself as lead agency; and it is further RESOLVED that the Town Board of the Town of Southold requests that the Planning Board prepare a report and recommendations on the proposed rezoning, including SEQRA and LWRP report and recommendations; and it is further RESOLVED that the Town Clerk of the Town of Southold is directed to forward the matter to the Suffolk County Planning Commission for a report and recommendations; and it is further RESOLVED that pursuant to the requirements of Section 265 of the New York State Town Law and the Code of the Town of Southold, Suffolk County, New York, the Town Board of the Town of Southold vi,il.l hold a public,hearing on the aforesaid Local Law at Southold Tori„n Hall 53095 Main Road Southold Ne'w , `cork on the 201” day of October 2020 at 7:00 .m. The purpose of this Local Law is to change the Zoning District Designation of SCTM #1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District (AHD). The petitioner for this request is Forth ]:,ott Cojn!'n.ono CIU) l't, ,n/k/a 2050 Depot Lane, LLC. The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold is considering the change of zone to amend the Zoning Map of the Town of Southold by changing the Zoning District designation of SCTM 91000-102-2-5 from Residential Low-Density (R-80)to Affordable Housing District(AHD); and NOTICE IS HEREBY FURTHER GIVEN that pursuant to the requirements of Section 265 of the New York State Town Law and the Code of the Town of Southold, Suffolk County, New York, the Town Board of the Town of Southold will bold a public hearing on a .ro osed Local Law entitled "A Local Law to amend the Zoning Map of the Town. of Southold by Changing the Zoning Designation of SCTM#1.000-102-2-5 from Residential Low-Densi 1 .-80 to Affordable Housing District AHD)" at Southold Town Ijall 53095 Main Road Southold New York,on the 20`' day of October,2020 at 7:00 ,an.. The purpose of this Local Law is to change the Zoning District Designation of SCTM#1000-102-2-5 from Residential Low-Density (R-80) to Affordable Housing District(AHD). The petitioner for this request is North fork Community Club LLC n/lea 2050 Depot Lane LLC. The property is approximately 2.08 acres (90,804 sq. ft.) and is located at 2050 Depot Lane, Cutchogue,New York. Due to public health and safety concerns related to COVID-19, the Public will not be given in-person access. In accordance with the Governor's Executive Order 202.1, said public hearing of the Town Board will be held via videoconferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide comments virtually. The hearing will be held virtually via ZOOM Webinar. Instructions and link to attend the meeting will be available on the Town's website or by calling the Town Clerk's office at (631)765-1800. A telephone number will also be provided to allow members of the public to attend via telephone. Written comments and/or questions may also be submitted via email to the Town Clerk at elizabeth.neville@town.southold.ny.us. Said comments and/or questions will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing.. Pursuant to the requirements of the Executive Order of the Governor of the State of New York, a transcript will be prepared of the public hearing, and a copy shall be filed with the Town Clerk and placed upon the Town's website. Please check the meeting Agenda posted on the Town's website (www.southoldtownny.gov) for further instructions or for any changes to the instructions to access the public hearing, and for updated information. Dated: September 8, 2020 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth Neville, Southold Town Clerk 1 f � ELIZABETH A.NEVILLE,MMC Town Hall, 53095 Main Road TOWN CLERK `� �� '�'� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS +� � � Fax(631)765-6145 MARRIAGE OFFICER �� �I �" Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER , "'� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 23, 2020 To: William Duffy,Town Attorney Heather Lanza, Planning Director From: Elizabeth A. Neville,Town Clerk Re: Referral of Sanitary Flow Credit Application of North Fork Community Club, LLC Date: September 23, 2020 Application may be viewed in Laserfiche as follows: Town Clerk; Sanitary Flow Credits; Pending North Fork Community Club, LLC Norklun, Stacey From:Neville, Elizabeth Sent:Thursday, September 24, 2020 10:23 AM To:Burke, John; Dinizio, James; Doherty, Jill; Doroski, Bonnie; Duffy, Bill; Ghosio, Bob; Hagan, Damon; Standish, Lauren; Louisa Evans; Nappa, Sarah; Neville, Elizabeth; Noncarrow, Denis; Rudder, Lynda; Russell, Scott; Silleck, Mary; Tomaszewski, Michelle; Lanza, Heather; Michaelis, Jessica; Terry, Mark Cc:Norklun, Stacey Subject:Emailing: Referral-SanitaryFlowCre_20200924102606 Attachments:Referral-SanitaryFlowCre_20200924102606.pdf FYI Elizabeth A. Neville Southold Town Clerk, Registrar of Vital Statistics Records Management Officer; FOIL Officer Marriage Officer PO Box 1179 Southold, NY 11971 Tel. 631 765-1800, Ext. 228 Fax 631 765-6145 Cell 631 466-6064 Your message is ready to be sent with the following file or link attachments: Referral-SanitaryFlowCre_20200924102606 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 RECEIVED SEP 2 3 2720 GOGGINS & ASSOCIATES ATTORNEYS AT LAW SoutholdTo-wnClerk 13235 Main Road, P.O. Box 65 Mattituck, New York 11952 Phone (631) 298-4818 William C.Goggins,Esq. Fax (631) 298-4214 September 23, 2020 gogginslaw@gmail.com Donald Mates,Esq. Of Counsel Southold Town Board Philip J.Branigan,Esq. 53095 Main Road Of Counsel Southold, New York 11971 Re: 2050 Depot Lane, Cutchogue, New York; SCTM 1000-102.00-02.00-005.000; 2050 Depot Lane, LLC f/k/a North Fork Community Club, LLC Dear Sir/1V4adam: In accordance with the Transfer of Sanitary Credits Application, enclosed please find: L' Application for Sanitary Flow Credits 2. Environmental Assessment Form; and 3. Affidavit of mailing including the list of adjacent property owners together with certified mailing receipts. The return cards will be submitted upon receipt. If you have any questions or require additional information, please contact the undersigned. Thank you. Very truly yourp,_ William C. og ' s WCG\ - enclosures a TOWN BOARD OF THE TOWN OF SOUTHOLD COUNTY OF SUFFOLK: STATE OF NEW YORK In the matter of the application of 2050 DEPOT LANE, LLC, AFFIDAVIT OF MAILINGS SCTM NO. 1000-102.00-02.00-055.000 STATE OF NEW YORK ) )Ss: COUNTY OF SUFFOLK) DONNA M. PALMER, doing business at Mattituck, New York, being duly sworn deposes and says: On September 23, 2020, I personally mailed the PROJECT DESCRIPTION at the United States Post Office located at Love Lane, Mattituck, New York, by certified mail, return receipt requested, a true copy of the attached Notice in postage paid envelopes addressed to the current owners shown on the current assessment roll verified from the official records on file at the Southold Town Office of the Board of Assessors for every adjacent property owner of the applicants property, of which a copy of that list is attached hereto . A M. PALME worn to before me this d, of September, 2020 IIdl— Notary Public WILLIAM C.GOGGINS NOTARY PUBLIC,STATE OF NEW YORK Registration No 4963689 Suffolk County Commission Expires March 12, TOWN BOARD OF THE TOWN OF SOUTHOLD COUNTY OF SUFFOLK: STATE OF NEW YORK I In the matter of the application of 2050 DEPOT LANE, LLC, PROPERTY OWNERS ADJACENT SCTM NO. 1000-102.00-02.00-055.000 1. Grattan Family2014 IRR Trust 1000-102.00-01.00-009.002 c/o Joseph S. Grattan, Jr. 427 Ostrander Avenue Riverhead, New York. 11901 2. Polar Tree Farm, LLC 1000-102.00-02.00016.003 9 W. 57th Street, Suite 4500 New York, New York 10019 3. Ali Yusbasioglu 1000-102.00-02.00-006.008 1356 Old Country Road Riverhead, New York. 11901 4. Gekee Y. Wickham 1000-102.00-02.00-004.000 PO Box 1122 Cutchogue, New York. 1193 5 lig � ' TO: Adjacent Property, Owners 2050 Depot Lane, LLC SCTM No. 1000-102.00-02.00-005.000 PROJECT DESCRIPTION A. OBJECTIVE OF THE OWNER The Application is to obtain Transfer Sanitary Flow Credits from the Town of Southold to the Applicant to provide for as much affordable housing as the Suffolk County Board of Health will permit to the Applicant. This application is consistent with the pending application before the Southold Town Board to convert an existing two (2) acre parcel from an R-80 residential zone to an Affordable Housing District. This change of zone will provide at least sixteen (16) affordable housing rental units at the property. B. COMPLIANCE WITH TOWN CODE and MASTER PLAN The change will be in harmony with the Town Code, and the purpose of the Affordable Housing (AHD) District in providing the opportunity for the development of high-density housing for families of moderate income; and further, to do so with sensitivity to the historic and aesthetic character of the Town's existing neighborhoods. The application furthers the Town's goals of providing quality workforce housing: RECEIVED SEP 2 3 2020 Southold Town Clerk APPLICATION FOR TRANSFER OF SANITAR Y FL 0 W CREDITS APPLICATION NAME: 2050 Depot Lane, LLC f/n/a North Fork Community Club, LLC (Name under which application shall be known) SUFFOLK COUNTY TAX MAP NO.: 1000 -1 0 2 . 0 0 - 0 2 0 0- 0 0 �5 ; .0 0 0 District Block Lot A. SUBMISSION INFORMATION: Application is hereby made to the Southold Town Board for the transfer of a sanitary flow credit pursuant to Chapter 87 of the Town Code. B. GENERAL INFORMATION: 1. Name Of Applicant(s): -9n50 nQi of Lane, LLC Address: c/o William C_ rnggins, 'P.O. Rax 65, Mattituck, New York 11952 Telephone No. 631-298-4818 If the applicant does not own the property or is a contract vendee,prepare the endorsement at the end of this form establishing owner's authorization of the applicant's request. 2. Is the applicant a contract vendee? Yes No X 3. Is the applicant a corporation or partnership? Yes X No If yes, give the name and title of the responsible officer: Name: William C. Goggins Title: Member Address:(if different) same as above Telephone No.: 3. Landowner(s): same as above Title: Address: Telephone No.: 4. Name of Attorney, or Agent authorized to represent the property owner and/or applicant: Name: William C. Goggins Title: Name of Firm: Goggins & Associates Address: 13235 Main Road, P.O. Box 65, Mattituck, New York 11952 Telephone No.: (631) 298-4818 5. All communications with regard to this application shall be addressed to the following person until further notice: Name: William C. Goggins Title: Address: same as above Telephone No.: C. SITE/PROJECT DATA: 1. Location of Property 2050 Depot Lane, Cutchogue, New York 11935 2. Existing zoning district(s) R-80 Special Overlay District(s), if applicable 3. Lot area: 90,804 sq. ft or acres 2.08 acres 4. Existing: Building Area 3900 sq. ft. Lot coverage 5. Please attach a detailed typewritten description of the project,the proposed use and operation thereof, including a detailed explanation of the design concept,the reason for the particular design, objective of the developer or project sponsor,why the credit is needed. 6. Does property have an existing cesspool and/or septic tank? X Yes No 7. School District Mattituck-Cutchogue-Laurel 8. An appropriate Environmental Assessment Form(EAF)must be attached. All Unlisted and Type I Actions require either a Short or Full EAF to be prepared. D. I hereby depose and certify that all of the above statements of information,and all statements And information contained in the supporting documents and drawings attached hereto are true and correct. �� APPLICANT'S SIG URE Sworn before me this t9-3 day of'_. ptember 20 20. W NOTARY PUBLIC Notisry Public,StaZe oil New York No.01 PA5069978, Suf bii,^vcus�ile'7j� Commission Expires December 9. C�`�-C9 E. APPLICANT/AGENT/REPRESENTATIVE 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. YOURNAME: Goggins, William Co (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.) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or Planning official map Other g (If"Other",name the activity) Transfer of sanitary flow credits 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 g If you answered"YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold N/A Title or position of that person N/A Describe the relationship between yourself(the applicant/agent/representative) 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 spouse, 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 non-corporate 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 / d y of Septe ber 2020 Signature L:4�� Print Name WILLIAM C. GOGGINS AUTHORIZATION (where the Applicant is not the Owner) I, William C. Goggins wxxidiRgat 13235 Main Road, Mattituck, New York 11952 do hereby authorize David J. Jannuzzi to apply for a transfer of sanitary flow credit on my behalf; if needed. Owner's Signature: PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE Th,s cocurnent is designee to assist in determining whether the acuen preposee may have a significant effect on the environment Please compete tr)e entire form Paris A through E Answers to these questions will be considered as part of the a cat or) for acp,Oval and may be s-ib,ect to fJ er verlf cat,Cn anu .lbi•c rev ew a `• cp': r Y p Provide ny add t:onzl intorma on you be:e✓e v: be reeded to cc—p'e:e Pats 2 and 3 i;is expected tra:comp'e:cn of the fu'! EAF w,I1 be dependent on information currently ava,lab�e and v,!Ii not involve new studies research or investigation If itiormation requiring sucn additional work is unavailable so indicate and specify each instance Name of Acton Bushwood Manor Location of Action(include Street Address Municipality and County) 2050 Depot Lane, Cutchogue, New York 11935 (Suffolk County) Name of Appl:cant/Sponsor 2050 Depot Lane LLC (formerly North Fork Community Club T T C) Address 2050 Depot Lane C,ty i PO Cutchogue, Stats NY Zip Cods 11935 Business Telepnone (631) 298-4818 Name of Owner(f d,fferent Address City/PO S:ate Zip Code Business Telephone Description of Acton 1. Change of zone application to convert an existing two (2) acre parcel from R-80 residential district to an Affordable Housing District. The property is currently operating by special exception of the Zoning Board of Appeals as a fraternal use containing a 3,900 square foot structure and a paved parking lot containing 73 parking spaces. 2. Transfer of Sanitary Flow Credits Application as needed to meet the needs of the project. 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: ®Urban ©Industrial FT Commercial F Residential (suburban) ®Rural (non-farm) ©Forest ©Agriculture ®Other 2. Total acreage of project area. 2.08 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 1 acres Other (Indicate type) grnsq/1 awn 1 acres 1 acres 3 What is predominant soil type(s) on project site? a. Soil drainage. ®Well drained 100 % 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? 0.00 acres (see 1 NYCRR 370). 4 Are there bedrock outcroppings on project site? ® Yes ® No a. What is depth to bedrock - (in feet) - 5 Approximate percentage of proposed project site with slopes � 0-10%100 % 710- 15% % ® 15% or greater % 6. Is project substantiallv contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places Yes I X-1 No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ®Yes MNo B What is the depth of the water table? 28 (in feet) g Is site located over a primary, principal, or sole source aquifer? F]Yes No 1 o Do hunting, fishing or shell fishing opportunities presently exist in the project area? ®Yes ®No Page 3 of 21 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? F]Yes 11 No According to Identif each species: 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? ©Yes F-1 No Describe. 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? FYes F No If yes, explain 14 Does the present site include scenic views known to be important to the community? ©Yes ®X No 15. Streams within or contiguous to project area• E: 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 17 Is the site served by existing public utilities XX Yes ® No a. If YES, does sufficient capacity exist to allow connection? Yes ®No b. If YES, will improvements be necessary to allow connection? FYes RX No 18 Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ®Yes ®No 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: 2.08 acres b Project acreage to be developed. acres initially, acres ultimately C. Project acreage to remain undeveloped. acres d. Length of project, in miles. (if appropriate) e If the project is an expansion, indicate percent of expansion proposed % f Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour (upon completion of project)? h If residential Number and type of housing units- One Family Two Family Multiple Family Condominium Initially Ultimately 16 units i Dimensions (in feet) of largest proposed structure: height, width, length. Linear feet of frontage along a public thoroughfare project will occupy is? ft 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 RNo ®N/A a If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? FYes ® No c. Will upper subsoil be stockpiled for reclamation? ®Yes ® 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 X® No 6 If single phase project Anticipated period of construction. months, (including demolition) 7 If multi-phased. a Total number of phases anticipated 1 (number) b. Anticipated date of commencement phase 1. 6 month 20 year, (including demolition) c. Approximate completion date of final phase 6 month 21 year. d. Is phase 1 functionally dependent on subsequent phases? F� Yes Fx� No 8 Will blasting occur during construction? D Yes F No 9. Number of jobs generated. during construction 20 , after project is complete 10 Number of jobs eliminated by this project 0 11 Will project require relocation of any projects or facilities? ®Yes El No If yes, explain: 12 Is surface liquid waste disposal involved? 0 Yes T No a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13 Is subsurface liquid waste disposal involved? XM Yes ©No Type CPccrnnr.l c 14 Will surface area of an existing water body increase or decrease by proposal? FYes 1No If yes, explain. 15 Is project or any portion of project located in a 100 year flood plain? ®Yes JA l No 16. Will the project generate solid waste? M Yes ®No a If yes, what is the amount per month?36 tons b. If yes, will an existing solid waste facility be used? F Yes FRI No c If yes, give name , location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ®Yes ® No Page 6 of 21 e. If yes, explain. 17 Will the project involve the disposal of solid waste? FYes No a If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? FYes F No 19 Will project routinely produce odors (more than one hour per day)? FYes No 20 Will project produce operating noise exceeding the local ambient noise levels? YesXX No 21. Will project result in an increase in energy uses XX Yes F] No If yes, indicate type(s) Electric 22 If water supply is from wells, indicate pumping capacity gallons/minute. N/A 23 Total anticipated water usage per day gallons/day 24. Does project involve Local, State or Federal funding? ®Yes XX No If yes, explain: Page 7 of 21 25. Approvals Required: Type Submittal Date Zone change 5-10-19 City, Town, Village Board �Yes F� No Transfer Sanitary Flow Credits 9-23-20 Site plan unknown City, Town, Village Planning Board Fx—1 Yes n No unknown City, Town Zoning Board XX Yes D No Septic system approval unknown City, County Health Department ®Yes F� No Other Local Agencies 7 Yes ® No Other Regional Agencies F Yes FINo State Agencies ®Yes F] No Federal Agencies ®Yes ®No C Zoning and Planning Information 1 Does proposed action involve a planning or zoning decision? ®Yes ® No If Yes, indicate decision required. ®X Zoning amendment ® Zoning variance ® New/revision of master plan ® Subdivision Site plan ® Special use permit ®Resource management plan ® Other Page 8 of 21 2 What is the zoning classification(s) of the site? R-80 Residential 3 What is the maximum potential development of the site if developed as permitted by the present zoning? One—two family residential 4 What is the proposed zoning of the site? Affordable housing district for residential apartments 5 What is the maximum potential development of the site if developed as permitted by the proposed zoning? Sixteen (16) affordable rental units 6 Is the proposed action consistent wish the recommended uses in adopted local land use plans? ©Yes No 7 What are the predominant land use(s) and zoning classifications within a 1/4 mile radius of proposed action? Church Residential Farm Bed & Breakfast Restaurant 8, Is the proposed action compatible with adjoining/surrounding land uses with a '/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? Page 9 of 21 10 Will proposed action require any authorization(s) for the formation of sewer or water distracts? 0Yes No 11 Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? FYes ® 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 Fx]No a If yes, is the existing road network adequate to handle the additional traffic E]Yes ®No D Informational Details Attach any additional information as may be needed to clarify your project If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them E Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name WILLIAM C. GOGGINS Date Signature Title Member 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 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 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 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 ® O O Yes F]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 ® ® ® Yes O No is less than 3 feet • Construction of paved parking area for 1,000 or more ® ® O Yes O No vehicles • Construction on land where bedrock is exposed or ® O O Yes ONo generally within 3 feet of existing ground surface • Construction that will continue for more than 1 year or ® El ® Yes O No involve more than one phase or stage • Excavation for mining purposes that would remove 0 ® O Yes No more than 1,000 tons of natural material (i e , rock or soil)per year Page 11 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill ® QYes 7 No • Construction in a designated floodway © ©Yes ®No • Other impacts ® ® ©Yes ®No 2 Will there be an effect to any unique or unusual land forms found on the site?(i e , cliffs,dunes,geological formations,etc) FX NO ©YES • Specific land forms 0 0 ©Yes D No 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) 0 N 0 YES Examples that would apply to column 2 • Developable area of site contains a protected water body © ® 0 Yes ®No • Dredging more than 100 cubic yards of material from channel of © ® ®Yes ©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 ® ® ®Yes ®No 4 Will Proposed Action affect any non-protected existing or new body of water? NO ®YES Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body of ® ®Yes ®No water or more than a 10 acre increase or decrease • Construction of a body of water that exceeds 10 acres of surface ® ® O Yes ®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? FX NO EYES 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 � F 17 Yes 11 No have approval to serve proposed(project)action. • Proposed Action requires water supply from wells with greater El F F 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 F No • Liquid effluent will be conveyed off the site to facilities which F1 D Yes 0 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 into ® ® ®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 El ® E]Yes ®No chemical products greater than 1,100 gallons • Proposed Action will allow residential uses in areas without © ® ®Yes F 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 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? f N O ®YES Examples that would apply to column 2 • Proposed Action would change flood water flows ® ® ®Yes ®No • Proposed Action may cause substantial erosion El FYes 0 No Proposed Action is incompatible with existing drainage patterns F DYes F No • Proposed Action will allow development in a designated ® ®Yes F No floodway • Other impacts E © E]Yes O No IMPACT ON AIR 7 Will Proposed Action affect air quality? N 0 YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any ® ® ®Yes ®No given hour • Proposed Action will result in the incineration of more than 1 ton ® ®Yes ®No of refuse per hour • Emission rate of total contaminants will exceed 5 lbs per hour © © ®Yes ®No or a heat source producing more than 10 million BTU's per hour • Proposed Action will allow an increase in the amount of land ® ® ®Yes ®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 ® ® ®Yes ®No IMPACT ON PLANTS AND ANIMALS 8 Will Proposed Action affect any threatened or endangered species? nNO ®YES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or ® ® ®Yes ®No 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 ® © ®Yes ®No • Application of pesticide or herbicide more than twice a year, © ® O Yes ®No other than for agricultural purposes • Other impacts El El ®Yes ®No g Will Proposed Action substantially affect non-threatened or non- endangered species? IE NO F YES Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident © ® ©Yes ®No or migratory fish, shellfish or wildlife species • Proposed Action requires the removal of more than 10 acres of © © ®Yes ®No mature forest(over 100 years of age)or other locally important vegetation • Other impacts © D ®Yes ®No IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will Proposed Action affect agricultural land resources? M NO DYES 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 © ® ®Yes ®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 © ® ®Yes 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 E]Yes 11 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 ®YES Examples that would apply to column 2 • Proposed land uses, or project components obviously different El E] [:]Yes F No 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 © ® ©Yes ®No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource • Project components that will result in the elimination or ® ® ®Yes F No significant screening of scenic views known to be important to the area • Other impacts ® E]Yes ®No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12 Will Proposed Action impact any site or structure of historic, prehistoric or paleontological importance? A I ®YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or ® ® ® Yes ® 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 ® ® Yes ®No the project site • Proposed Action will occur in an area designated as sensitive 0 ® F 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 0 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? R N 0 ©YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity 0 ® ®Yes No • A major reduction of an open space important to the community M Dyes 0 No • Other impacts © El ®Yes 0 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 ®YES 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? ® ® ®Yes ®No • Proposed Action will result in a reduction in the quantity of the ® ® ®Yes ®No resource? • Proposed Action will result in a reduction in the quality of the ® ® ®Yes ®No resource? • Proposed Action will impact the use,function or enjoyment of the ® ® ®Yes ®No resource? • Other impacts ® ® Yes ®No 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 bean 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 F No • Other impacts El ®Yes 1:1 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 ® © ®Yes ®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 ©YES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive ® ® ®Yes ®No facility • Odors will occur routinely(more than one hour per day). ® ® ®Yes F]No • Proposed Action will produce operating noise exceeding the Yes ®No local ambient noise levels for noise outside of structures • Proposed Action will remove natural barriers that would act as a ® ® ®Yes ®No noise screen • Other impacts ® ®Yes E]No F - - -I Page 18 of 21 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? F NO ®YES • Proposed Action may cause a risk of explosion or release of El FYes F No hazardous substances(i a 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" F FYes ElNo in any form(i a toxic, poisonous, highly reactive, radioactive, irritating, infectious,etc) • Storage facilities for one million or more gallons of liquefied El F FYes D No natural gas or other flammable liquids • Proposed Action may result in the excavation or other © © ®Yes ®No disturbance within 2,000 feet of a site used for the disposal of solid or hazardous waste • Other impacts © © ®Yes ®No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19 Will Proposed Action affect the character of the existing community? ®NO M YES Examples that would apply to column 2 • The permanent population of the city,town or village in which the © ®Yes ®No project is located is likely to grow by more than 5% • The municipal budget for capital expenditures or operating ® ® ®Yes ®No services will increase by more than 5%per year as a result of this project • Proposed Action will conflict with officially adopted plans or ® ® ®Yes ®No goals • Proposed Action will cause a change in the density of land use. © ® ®Yes ®No • Proposed Action will replace or eliminate existing facilities, ®Yes ®No structures or areas of historic importance to the community • Development will create a demand for additional community ® ® ®Yes ®No 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 E:]Yes M No projects • Proposed Action will create or eliminate employment ® 1:1 ®Yes No • Other impacts ® ® ®Yes ©No --- -- --- --- - - - - ---- - ------ - -- - - - - - -- - --- ---------- - - - 20 Is there, or is there likely to be, public controversy related to potential adverse environment impacts? ©NO ®YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21