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HomeMy WebLinkAbout7079 jo G•2 �1 )"W 5321 i i i i i PA'TRICA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631) 765=4330 Fax: (631) 765-4643 Betsy Perkins Paralegal Julia Spanburgh .Julia Schade May 3, 2021 Zoning Board of Appeals Town of Southold P.O.Box 1179 Southold, NY 11971 By email only RE: Special Exception JEMCAP Cas Station with accessory convenience store & Accessory Apartments and applicable Variances Dear Kim: With reference to the above, on behalf of the applicant please let this letter serve as a request to withdraw the above applications. The applicant has.decided not to continue with the applications at this time. Please refund any unused application fees and SEQRA review fees. Please have the refund made payable to Patricia C. Moore, as attorney. If you have any questions; please do not hesitate to call. Very truly yours, ricia C. Moore Pcm Office Location: so yolo Mailin2Address: Town Annex/First Floor,Capital One Bank 53095 Main Road 54375 Main Road(at Youngs Avenue) P.O. Box 1179 Southold,NY 11971 • �O Southold, NY 11971-0959 e0UN11,� http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax(631) 765-9064 COVER SHEET WITH ZBA FILE STATUS OF FILE ZBA# ������ Name : �EM C:" S LL-C— Tax Map #: Location : 4G7-70 02-Lf$ SC)L�"rl-�DL*o [ ] Refund issued : CANNOT activate or reactivate file (Applicant has withdrawn application). [ ] NO REFUND DUE, based on time spent for Town to process application and hearings. [ ] Obsolete & expired; CANNOT reactivate this file: NEW APPLICATION CES SARY: Extensive time has passed; Zoning Code changes are now in effect and this application expired. NOTE: Applicant may apply for a new application with Building Inspector for a new Notice of Disapproval and submit NEW application with all documents and current maps to ZBA, or modify plan to conform to the current code. This Town file based on applicant's previous year requests has expired. [ ] No forms to be scanned; FILE # VOID: APPLICATION RETURNED. (All forms were returned to applicant early in process, as requested by applicant.) ,; 7 I� r i• z,. t ♦ . .".. ♦ .r. 5•Yf._fit N;}c— C`Y'♦�4 , '1 s it T '6 ` 9 X' CHECK BOXES AS COMPLETED Tape this form to outside of file ),Pull ZBA copy of ND . ( ) Check file boxes for priors v 0 n a cQ o 0 CL CL 5 ( ) Assign next number on list; `D y outside of file folder �, `-"• o Date stamp entire original i ' file number M „ -o Cn cr -v W 4�1 3Xoo � co 0 cu G� ( ) Hole punch entire original h N O n n (before,sending to T.C.) o n 1 Create new index card 3 w a v n �' r - - Z 0 = ( ) Print contact info & tape to o 0 0 00 r ) Prepare transmittal to Towi Q rn n ( ) Send original application w/ 3 CO;•s , o ; to Town Clerk o�• th>'t CD i.. V CD ( ) Note inside file folder w/pri �, m and tape to inside of folder P v ( ) Copy County Tax Map; highl 0 neighbors and AG lots (D c ( ) Make 7 copies and put with ( .) Do mailing label co " 161 vLA-W 1 m W 1. Co /)o 7 SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD RECEIVED SUFFOLK COUNTY, N. Y. JUN 1000-55-05-9.1 __9 SCALE: V--40' Yam JANUARY 13, 2015 FEBRUARY 6, 2017 MARCH 5, 2018 (ELEVATIONS) MAY 29, 2019 (BLDG. REMOVED) ,y96 �V 0 0 `'fC� M Q firs o 00* to l 0 Ira �� L I 0.4!E r001 PT4F 4, N/C/F w L I o pip MEpICA rn SCp TH INC. �1 gUILDIN� 1 1 39 8 EL I � 0 Z 1 "•" 1 v o cO r' oa / ISE . = ..--`*'\—REMAINS\— °F G BUILDING I FOUNDATION D 39.21 5A' Z 11 IDE 1 NOOD 1 19.3 v C) z-c I1 �10 /2 o gE pS1TY. 1 I ,9.so1N/O/QF F 40.7 = JOHN ` .50.2! UINN N Zg.o' coN°� 1 COSC. 11 I . � SIDE 1 $C A\, L"-sTERESA E. QUINN 11 BUIL u NG ENVELOPE �$c� n 1 3 1.0\q E1_4 ar�a- PIPE STOCKADES 50.00' FND• HUNK�, pE,'E EL 38.5 „ eRKN. S81'16�50 W iY El 38'5 i FNo N/0/F CAROL BOHN I C N/0`sEs �NTERpR � ROBERT BORN Qu F9 ELEVA71ONS ARE REFERENCED TO NAVD 88 = TEST HOLE �eaf: NEPV • = PIPE � ME ■ = MONUMENT B — ZONE ` ' T AREA = 37,123 80. FT. u r" C. NO. 49618 ANY AL7ERA71ON OR ADD177ON TO THIS SURVEY IS A WOLA71ON pVEYO , P.C. OF SEC71ON 72O9OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 14-145 k S'. H �wN t 1..1. c W = J Q -77 "'vr .r F ILI 7777-77 i i C r I : r j 'k 9 77 1111111171,7777177= N LuH Z O U Lu Q 03745 y0 -f° t CHITECTUR A O - YPORTILLO , R .AA . , LEE ® AP PROJECT: `7-77-- q 7— -71710 1! ,.,....a....ar„a».=.y...�az.. . ,_... . ..Eh t mun . .� , ...... . . e �. . � ,.+ ..w , ...,. ., .>mv.,...�. <x . d» .�. . ! 15400JEM CAP SD LLC 254 256 { f k46770 ROUTE 48 MATTITUCK B 00 .Y. 1232 SOUTHOLD, NY F LLC 0 : 516-2 -0 60 0 : 716-572- 7 1 DRAWING TITLE: TITLE PAGE 70 PAGE: JUN r ; EX15TINO y' h 5r-,TM: 1000-55-5-01.1 DRAINAGE GALCULATION5: Information taken from survey prepared by Based on 2" Rainfall Event PeconiG Surveyors, P.G. Southold, New York dated January 13, 2015 Parking: 21801.x6 sf X = 3633 c.f. ., Sidewalk: 740 sf X � = 123 c.f. EXISTING UTILITY POLE TO BE � a�; �x�'tt•-= REMOVED RELOCATED ro0�� Y - -/ SITE DATA: _ r Roof: 1516.04 sf X - 252.67 c.f w �,\ ; ,. b` 516N f=inal Plot Size: 37,123 sR.ft. Canopy: 3520 sf X �2 = 587.54 c.f. Building Area: 1,516.04 sR.ft 4.05% Landscape: 13055 sf X = 435.16 c.f Paving & Curbing: 21,501.016 sR.ft. 51% 2 2 z w f 5ldewalks: 740 sR.ft. 2% V-O"(P Leachin Pool rlr = 3.14 X 4foot = 50.3 cf/ft EXI5TIN DRIVEWAY .: I?: ` ; ''ry N il�J g = _ - ,�,;;;,:h�.' .;�., ° � 6 � � Landscaping: 13055 sc[.ft. 353b Roof 252.67 / 50.3 - 5.02 ft.deep - Use 5'-O"cPxb'-O"deep = i. J ENTRANG - EXP D _ _ ` s= ZONING INFORMATION: Canopy 557.54 x 7.5 4405 gal. Use (2) 5'-O"iPx5'-O"dppp y` ® VAG e�yI - Parkin 5ide/wal k � Landsca m Total al _ 41C11.16 c.f..NEW UTILITY 5GTM # 1000-55-5-01.1 X5foot2 = 75.5 Cf/ft 10'-O" f LeachingPool = rIr314POLE LOCATION o AIR w Street Address: 46770 Route 45, Southold 78.5 53.4 ft.deep - Use (7) 10-O 4x5-O dArea 41011.16 eed Q Zoning District: B - 5eneral Business , wT•' a �. Front Yard Setback Required: Variable, � � #I2 Front Yard Setback Proposed: 71 feet GROUNDWATER MANAGEMENT ZONE IV MONUMENT ?° �.\ �c� # Side Yard Setback Re uired: 25 / 25 feet Density: .03 61`0/50.17T. #11 R FOUND \ �i Side Yard Setback Proposed: 6651 101.6 (pre-existing) Kitchen: .02 GPD/50.FT. Rear Yard 5etback Required: 35 feet Hydraulic: .05 GPD/SQ.FT. �' r? Rear Yard 5etback Proposed: 52 feet IO-OII(GxBI-OII DEEP DRAINAGE '\ EXISTING CONCRETE POOLS, TYPICAL ALL; 8"(P PVG AREA OF BURIED FUEL TANKS- PARKING ANALY515: UTILITY BOX PIPING BETWEEN EACH POOL TANKS TO 51T ON CONCRETE SLAB $ Total Building: 1,516.04 sR.ft. SANITARY DESIGN CALCULATIONS ASPHALT PAVED r" AREA NAM AkEA 5lZi DE51GN FLOW DE51GN FLOW DES1GN FLOW TOTAL FLOW ;..�. ..' COVERED BY POURED CONCRETE SLAB Residential (2 units): 2 Required 2 Proposed Spaces 5AWARY GREY TOTAL hySPACr DRIVING SURFACE r;� �:�.�:.'..:a:. . �? Convenience Store: 8 Required 12 Proposed Spaces - CMVC„,e1,r-&-Store 6505,.�. 0.03 0,02 Plus 2 Handicap Accessible 24 GPo...... ....__16 GPD. .. 24 GPD.. .. Gas Station: 3 Per Cue 36 Proposed 5 aces Apartments � 7 . . CONNECT TO Employee: I Per I 5 ace provided __ .... .. . ...... tip.-...... i roc; _. 1 '` •` " ' �' LoadingBerth: 101'-O"wide X 14'-O" height X p5'-0" Ion I Proposed ADJOINING 41-01, :,'' '. • g g p PARKING LOT BUILDING INFO: o ;.: .`f; `'. First Floor: A - Gonvenience Store: 777 sR.ft. B - Attendant: 141 sR.ft. O �,• ';. ,., G _ Foyer: 157 sq.ft. D Mechanical Room: 45 sR.ft. E - Office: 44 sR.ft. o F - Employee Restroom: 101.5 sR.ft. PROPOSED P05T LAMPS G - Handicap Accessible Restroom: 45 sR.ft. PROP05ED PUMP A PHALT PAVED H - 5prinkler Room: 30 sR.ft. FOR PARKING LIGHTING TO CANOPY w/ FIRE DRIVING SURFACE I - Employee Lockers: 101.5 sR.ft. '- BE IN ACCORDANCE WITH N/O/F J - Tenant Lockers: 76 sR.ft. SUPPRESSION; #10 DARK SKIES REGULATIONS o SOUTHOLD MEDICAL D 16-RE-TESER CANOPY 1 ARTS BUILDING INC. Second Floor: Foyer: 74 5R.ft. +/- Residential Unit I: 445 sR.ft. +/- N/O/F Residential Unit 2: 506 sR.ft. +/- THOMAS J. MGCARTHY w I BUILDING AREAS: Uj lz #q Total SRuare Footage: 2,4001.0 sR.ft. L &RAss Including First 4 Second Floor Areas ALLOWABLE AREA FOR RESIDENTIAL: 40% OR 0163 sq.ft. LU} I ® I PROP05ED RESIDENTIAL SPAGE5: 301.4% OR 0151 s .ft. N y iy��?�e,, �:z PrnSg`��dv,. •a ;i � Vr�r+.,'� a.� ,[� ��F�YI$,. ,s" Yr` eyr ~�rti,� ;,s "q4 ••- • Q-- #C/ ,,�, ':'*¢'a.. :4';,:.,,;,01', ,��` ��, ''�> _. a. :7�i,.' '��;:; ,,; •r� .< '.e:�., c».� «rte' s > - ''�''.3'.„n K ^• e °' ads ' .n;'•F c .` f .' W 36-Olot � - t v d.: 1p � PVG PIPING :t <�avh t EXISTING BUILDING TO E WEEN DRAINAGE E .W d•"�;,_u,�.,: 'wro�n.A ' 4 REMAIN; ED � 1.: 'S �,. ARC PROPOS ;. � E »a�` .,fit'' .'�..;.` •,�., v.'�-' `%5" •fi. »$� POOLS ' 4., v K.. d.. g -- A TERAT ON5 :'., 4_. '° x I I v. .� � q 6 � >rr�'' �;"-t � '� i*r.`'"y� #F' '+� �, °�u. >.B.� -y�, �� �t .t�• < A.;.�a��:� ,� P""ay�e. �i,�;��,`s '�` �ry�� � /� g r z 6 #I .� .� " '� � k, 4 rwn' Saq, `#k - m [' 4 , r K » j y 1. ' 'S, >:3 _ J, r+M1,,7{,, .,+'�:f,,�.•..ar• » :�^ �',A�x•.'. �q P���g" B 'a`•4• �4�,. § ';< � `.�:."r .k '.,( .^,r �, ys ¢� e'.adi zip 3 I II ;` ,�5' .`� -t:r o°r , �;/%, '. S'''� '" `'7fs,a^ ;r` ;t'" a• -' ". ',^r:, o {� 4 0 POURED CONCRETE ,,, FN LP „r i;�• c "�y 4 M •:�t'i a ,"a 'k' 4,..• ;SPS;" .4.. SIDEWALK CONTINUOUS . �v s.,;s 'nr °,. ASPHALT PAVEDAROUND STRUCTURE .h �:�='`` �' OJ ECT• �r n, o+q DRIVING SURFACE 4r' 4 , ....t.�.r. ,.•.r.c"i .^.....,.... ., ....., nv b� ,4:.: per. 'M <T r �l.r • f e , µ•i� JT rl >"As y MPLOYEE P .A J E M CAP SD, LLC >i 'A�n. ,f.>lF; ''F 9•k •'9• .�Fr.'�' ^S: :'401' y:R' ':E:.: 48 OI RESIDENTIAL LDING \ / y° �' ' ,,, ' ,. ,�:..: 46770 ROUTE . 5PAGE5 2 n �8,,�,, '� ,�. �• �.�:;,::�.,; ; ky Y SO UTHOL "+ D NY 4i• a yr net i'. �yk 8 DUMP5TER v41 rg' _ .,,. • Mir`'fi" ' „ FENCE ENCLOSURE S�` ` GRAS : 01 00 u y' 6 PVG PIPING is z t 4 •* . , DRAWING TITLE: TO ROOF DRYWELL JOHN J. GUINN SITE PLAN & ANALYSIS :, rt F'S., Y r'hF a ,g ,'i^"~� Y -.Jn"' b,^3��y, �.'>•[i � 9}� b��yS�,:y� -,, �.M,S. _ 1 C+,' �:8n,f. '4 rC > i'l>�i.('»iM1✓ , •f l� � � �+x, o I TERESA E. G2UINN : •, .. . � �� " ° �Y P I ► N O q `„ ,d'Ss z #[ fn k.j '�.'' �*° >�•' of t +� Oi>9. f % S v }>, :" d•Y + } &' :..t ''} otif`.Mhc � L - '^4- is .i,, ✓sYa r .5,5."'IN y,- /►/� fw, Ym,. K.. ffid� • i P .y'x 3, aum `y f+i1f+' Are�F:{�`4*wd`, 'y�"'� i -,:r }, i Ro-J'r 4 ¢ �\ 0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0 0 o O dk} IY� �)g, ys:'r j� '' PAGE: -O TALL PRIVACY FENCE PIPE FOUNDBRICK MONUMENTi�NEW 6 • , �Av581�15I50IIW 150.00I FOUND EXISTING STOCKADE FENCE S-100I 7cSC. r ,,� •, ':.3f< � ,& n, # ;.$,„` %fir •,Nf's' gar N/O/F UFAppeals CAROL BOHN DATE: 11/16/18 2 OF 8 ROBERT BOHN PROPERTY LOCATION R AY SITE PLAN PLACE FOR JOE ST''CNER HERE 50ALE: 1/16" = I'-O" f G�� g)(0 EXISTING RIVEWAY 5 \0 0 EXISTING RIVEWAY ENTRANCE �1� `v� ENTRANCE fes\ '� / �` p., •:> %�: ;�-`'`. `i uj ., EX15TINO UTILITY POLE TO BE �- \'� / REMOVED & RELOCATED w .\�p :�� .4 net,'' F- 51 5N ,�,232 I x.23 •��` '�° roe o�o0 / Rrhz:Kt OLl / /GRA55 N =_ EXISTING DRI SWAY "`' ` 0 6 _ EXISTING DRIVE Y 6u ` ' :"fit"."~~- z a, LAND5GAPING r- `�' o o ` w t':. ENTRANCE- EXPAN ED s '� N ENTRANCE- E o ,✓'» NEW UTILITY rti : 000 0� e z POLE LOCATION ':'" o O Yom. #12 r "` �° #12 I r K MONUMENT \ c0 .". :`' MONUT , \� ° # dJ g\OEW�� FOUND �\ �'� #11 5\� W .: ::' F 0 I I I I I EXISTING CONCRETE PAVED EXISTING GONCRETE v o 0 10'-O"�x8'-O" DEEP DRAINAGE Y B UTILITY BOX DRIVING UTILITOX ASPHALT VED POOLS, TYPICAL ALL; 8"(P PVC AREA OF BURIED FUEL TANK5- SURFACE v°' DRIVING 5U FACE PIPING BETWEEN EACH POOL I TANK5 TO 51T ON CONCRETE SLAB $ COVERED BY POURED CONCRETE SLAB O CONNECT TO 0 CONNECT TO '"• .••• !q'�',y. PLANT SYMBOLS: ' ADJOINING +-: ;• ,:::` : :. , _,. � ADJOINING � '� : :.,.<.; ..;,:..• ®,:.,,y"' . PARKING LDT —44'-0' I T PARKING LOT f— -441-011 -{ •f e 1 d d ';;_. •. ORNAMENTAL CHERRY, I " - 2" GAL. o0 0 000 o o WHITE OAK, 2�" - 5" I0 A5PHALT PROP05ED POST LAMPS PAVED w 0 000 0O 0 0° I PROPOSEDUM 7 FOR PARKING LIGHTING TO 0PUMP DRIVING I z o-2 -� r BE IN ACCORDANCE WITH CANOPY w/ FIRE 5URFAGE o'-2 " w ,n ;SUPPRESSION X10 _ dJ I #10 DARK SKIES REGULATIONS _ �- ORNAMENTAL 6RA55, 3' - 4' ht. $ o D o Z �R CANOPY D o z } \ W e GROUND COVER JUNIPER, IS" -24" ht. Lu z U � Q Q o > o JAPANESE BLACK PINE,7 - 8 ht. #8 �- #8 ,o o �R D ARC 0 ~ I ° LELAND CYPRE55, 6' - T ht., DOUBLE ROW Q - - _ p O E 0 V0- Lu ` i yf.. ,.gym M1.1 LJ-J f ; :.:,..'''..v�.i:m tG!•_:,r.i o EXISTING BUILDING TO z `` `''~ fi #6 w a #6 L «w EXISTING BUILDING TO T 3 4�y = .n I REMAIN; PROP05ED \ ( REMAIN; PROPOSED FOF NES #I J J ; :: �► #I ALTERATIONS J J a =Ott= �' ALTERATIONS �rp A A a PROJECT: 4'-0" POURED CONCRETE `¢ w G � G � #4 , G `_ 4'-0" POURED CONCRETE #4 E I SIDEWALK CONTINUOUS E «`:- AROUND STRUCTURE �' AROUND 5 RUGTUR OU5 J E M CAP SD LLC ASPHALT PAVED x y'.• #2 DRIVING 5URFAGE #2 I 7 #3 #3 I F Dpi T G H - G H I F D ,.,. 46770 R ::• ;:..: .4: OUTE 48 `t C_h; '•S •i• tit•: t rtt: 0 SOUTHOLD NY o o. EMPLOYEE PARKINGI ---EMPLOYEE QN LbADING� I - o R=T - RESIDENTIAL SPACES (2) o DRAWING TITLE: 1 1 1 DUMP5TER w/ a FENCE ENGLOSURE SITE PLAN - QUEUING SITE PLAN - LANDSCAPE 6",IP PVC PIPING D - O TO ROOF DRYWELL o o GRA55 LANDSCAPING RECEIVE I � p PAGE: '70 76 dCOO _ O I S-200 — - — - — - — — ___j - O zb BRICK MONUMENT PIPE FOUND BRICK MONUMENT NEW 6'-O" TALL PRIVAGY FENCE -o—O-o—o—d—d—O- Zoning B'��rd ofq o i " , o „ , PIPE FOUND EXISTING STOCKADE FENCE PR�c��S DATE: 11/16/18 3 OF 8 FOUND 581 15 50 W 150.00 FOUND 581 15 50 W 150.00 51 TE PLAN - QUEU I NO SITE PLAN - L.ANDSCAP I NO PLACEFOR j OB SCALE: 1/16" = I'-O" 50ALE: 1/16" = 1'-0" b I [A I F L R F,''D r I B",t I 1, EJ L F F,'D,C I2900 B 6 I D Fj L E, F hA I D E)L L E3 IM LU IIiIiL, I I",I LE f-�'.P IA L V V I I '4 B 0 1 Ll G OF, iK B 0 1 li X4_e RD H K II E/,A I J Z F, I t�C�F,7 II �'20 OISSEALI A' E�R D'FROF'ERT"r <E)-0' MAP 5CALE: NT5 FROFERT"r R15HT OF NA)00' MAP 50ALE: NTS PRO PROFERT"'r LOCATION - FERT'r LOCTION -NO Rieht!5 c� Noy Nithin 550 46770 C,aunty Rd, 4,5 a5 por Su��olk Gounty Map -D A&C Zorine: 5- 5onoral 5usinr,55 C PO Gurrent Larol Usc: Mi!5collancou5 �A TABLE I Surrounding Property Info E�cl Key SCTM #: Address Owner Info Zone Use Acreage 37 A 1000-55-200-20000 46455 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip de\A--Iopment 0.71 PROJECT: B 1000-55-200-21000 46695 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.5 C 1000-55-200-22000 47055 County Rd. 48 Richard Wheeler B- General Business Auto Service Station 0.5 JEM CAP SD, LLC D 1000-55-200-23000 47025 County Rd. 48 Madelieine Schalefer B- General Business Retail 0.53 46770 ROUTE 48 E 1000-55-500-12002 3125 Boisseau Ave. Johnathan Hawkins RO- Residential Ofice Vacant Land 1.2 SOUTHOLD, NY F 1000-55-500-12001 2855 Boisseau Ave. Kenneth Norcross R-40 / R-80 Residential 0.94 G 1000-55-500-1300 2735 Boisseau Ave. John Quinn R-40 / R-80 Residential 1.0 DRAWING TITLE: H 1000-55-500-1400 2685 Boisseau Ave. Robert Bohn R-80 / R-40 Residential 2.0 PROPERTY KEY MAPS/ DATA 1 1000-55-500-15001 2355 Boisseau Ave. Barbara Martin R-40 Residential 0.96 I i 1000-55-500-15002 2505 Boisseau Ave. Daniel McGunnigle R-80 Residential 1.47 PAGE:K 1000-55-500-7000 46520 County Rd. 48 Thomas McCarthy B- General Business Retail Strip development 1.98 PECEIVED Southold Medical Arts Building 7z)-7 0� L 1000-55-500-10000 46850 County Rd. 48 B- General Business Medical Arts / Commercial 0.5 S-300 Inc.M 1000-55-500-11000 46950 County Rd. 48 46950 CR 48 Southold LLC B- General Business Retail Commercial 0.32 ZOf7ing Of4l),Peajs DATE: ii/16/18 4 OF 8 PLAOE FOR JUR r i E U uj W = J Q w i FRONT ELEVATION - FRCFOSEI7 LEFT (EAST) ELEVATION - FROPOSED SCALE: 1/4" = 1'-0" SCALE: 1/4" = I'-O" i Luz w Lal L yv���J� 2'-0"xb"-0" 1IT 1 11 11 Ill I <O oo OFH 11 I I PROJECT: � o J EM CAP SD, LLC 46770 ROUTE 48 SOUTHOLD, NY DRAWING TITLE: RICHT (NEST) ELEVATION — FROFOSF—17) BUILDING ELEVATIONS SCALE: I/4" = I'-O" REAR ELEVATION — PROPOSED SCALE: 1/4" = I'-O" PAGE: RE�FIVFD -x.00 arnng ao gra orDATE: 11/16/18 5 OF 8 gpA� �s PLACE FOR, JO ry l"MR HERE 50'-211 BU ID I NO ,,Sc�U R T L^ A � X00 AC E r . ..N 1­,&,&,R:��. LL 000 POO ® BUILDING FOOTPRINT 1,516.04 S.F. DONN - . BA HROOM R FOYE KITCHEN FT TG E KI 'a '74 50. FT 153 SQ.FT 50. FT m R A X F C7C? A REA5 EXCLUDE: K L R GL �:WALL-TH G NE 5�r. a'c,"s.,',F,;;::'°-``+r,P.`` '•✓'.r;�.,fir' �O GLST CON\/ENIENGE STORE 7-17.00 S.F. .. CL5T GLST GLST W FUEL ATTENDANT SPACE 141.00 S.F. APT#I APT#2 445 50. FT. 52q S0. FT. A U � GCESSI BLE RESTROOM 45.00 S.F. U <t LIVING ROOM LIVING ROOM SPRINKLER / RPZ ROOM 30.00 S.F. v = 220 50.FT 182 50. FT Q ' BEDROOM ROOM 150D50 T MEGHAN I GAL ROOM 45.00 S.F. 130 50.FT fn TENANT LOCKERS 76.00 S.F. � r EMPLOYEE LOCKERS 1 x.50 S.F. 10' EMPLOYEE RESTROOM Iq.50 S.F. ,:, ,�:'✓a✓ - ;;:,g'' a'^. y',: •'.Yy'!:✓N,+:" i,� ,'*,.p°' y �.P'.✓ Y ,,F /v'1x/yy'.'i<.>° irk:?✓ `'°'*'�' ,�;, ., " 7' 44.00 S.F. OFF I GE O� KITCHEN ® ; BATHROOM 55 50. FT O O TOTAL IST FLOOR AREA 1,384.00 S.F. 40 50.FT 0 0 O : , , � o00 b D La�00 FLOOR'AREA5 EXCLUDE'NALL-=THIGKNE55 FOYER 74.00 S.F. APT I - L I V I NCC ROOM 220.00 S.F. APT I - BEDROOM 130.00 S.F. SEGOND FLOOR PLAN - r;'ROPOSED APT I - BATHROOM 40.00 S.F. SCALE: I/4" = I'-O" APT I - KITCHEN 55.00 S.F. APT I - TOTAL FLOOR AREA 445.00 S.F. APT 2 - L I V I NC ROOM 182.00 S.F. LLI Z APT 2 - BEDROOM 130.00 S.F. o APT 2 - BATHROOM 41.00 S.F. a r' ''•.✓,fJ•.:n: �:'..vo. „}! 'w,.' f', -��,�`"+'.•' •':.1� .�^;'.'r."' •r.yr:.° `^,/',::^`:v n.r :'?t1: ,,vr`, ,r✓;,•... ,ri�y 'fir aj 'e wd,'• :Y`+ra�h. .,.. ..',^.:i"'. COFFEE o BE RAGE APT 2 KITCHEN 153.00 S.F. GH NI OM - GMPL- EE EMPLOYEE STATION REFRI RATOR5 s' RESTR OM f� ACOE551BLE 45 FT LOCKERS - 5PRINKLER/RPZ RESTROOM ' It ` Ia 5 5o. Iq.5 5O. T � ROOM 45 5Q.FT APT 2 - TOTAL FLOOR AREA 506.00 S.F. 8'-O" 8'-4" 30 50. FT F-D ApC <-r TOTAL 2ND FLOOR AREA 1,025.00 S.F. o p � 15 " m 55 L '' DR A�2El� . 2,4 11 o FLOOR AREAS EXGLURE WALL-THICKNESS ... .'.• '> FOLD-UP UP - OFFICE ENTRY 44 50. FT F N E r°- � 4th • •; .:, _ s��ToO 3'-O" 4'-6" 4'-3 I/2" 2'-4" 2'-O" `' PROJECT: 1 FOYER 50.FT. m - JEM CAP SD, LLC REACH-IN WALK-IN FUEL N p CONVENIENCE o COOLER 46770 ROUTE 48 ATTENDANT 5TORE �" SOUTHOLD NY SPACE _ N - ;', 141 SOFT. ' RAMP 5 DRAWING TITLE: CHECK -per METAL.WALL'. ?; w COUNTER • 'FRAMING � FLOOR PLANS TENANT TENANT O F DOW LOCKER LOCKER ❑ O 55 50.FT. 38 50.FT. i I 11 I 11 1_ 11 U I_/11 PAGE: 4-10 4-10 q O 2a CC!! . NEWS RACKS MAGAZINE RACKS ;� �� •�� A-200 DATE: 11/16/18 6 OF 8 FIRST FLOOR PLAN - r`'ROPOSED -O" :`. :: . •..'.. .. . 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I�r ,fit A a sr ' if � Pt al'1 D5 d{711 ��86 __,, ._. __ --- w o; COUNTY OF SUFFOLK ` [ t / RECEIVE® MAY . 6 2097 ZONING BOARD OF APPEALS I Steven Bellone SUFFOLK COUNTY EXECUTIVE Department of �I Economic Development and Planning 4\9D�eputy Theresa Ward ._Division of Planning County Executive and Commissioner and Environment May 12,•2017 Town of Southold Zoning Board of Appeals 53095 Main Road P.O. Box 1179 Southold, NY 119' 1-0959 Attn: Leslie Weisman Dear Ms. Weisman: Pursuant to the requirements of Sections A14-14 thru A 14-25 of the Suffolk County Administrative Code, the following application submitted to the Suffolk County Planning Commission is to be a matter for local determination as there appears to be no significant county-wide or inter-community impacts. A decision of local determination should not be construed as either an approval or disapproval. Applicant Municipal He Number JEMCAP SD1, LLC #7079SE Serenity in Paradise,LLC #7077 Very truly yours, Sarah Lansdale Director of Planning Theodore R. Klein Principal Planner TRK/cd H.LEE DENNISON BLDG 100 VETERANS MEMORIAL HWY,11th FI ■ P.O.BOX 6100■ HAUPPAUGE,NY 11788-0099 (631)853-5191 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: February 2,2017 RENEWAL:Apri120, 2017 TO: Jemcap SD LLC 46770 Route 48 Southold,NY 11971 ^ S Please take notice that your application dated January 17, 2017 '!/ For permit to construct additions and alterations to covert an existing building to a gas station with convenience store and apartments at RECEIVED Location of property:46770 CR 48, Southold NY APR 2, 4 2017 County Tax Map No. 1000 -Section 55 Block 5 Lots 9.1 .CONING BOARD OF APPEALS Is returned herewith and disapproved on the following grounds: The proposed construction in the Business (B)District is not permitted pursuant to Article XI, Section 280-49., which states, "No building or premises shall be used and no building or part thereof shall be erected or altered in the B District unless the same conforms to the Bulk Schedule and Parking and Loading Schedules incorporated into this chapter by reference,with the same force and effect as if such regulations were set forth herein in full." According to Bulk Schedule, a minimum singleyard setback of 25 feet is required. The existing altered building notes a single side yard setback of 19.7 feet. Furthermore the pmposed project and use require special excqption approval from the Sou-IhQld Town Zoning Board of Appeals and site plan!qpproval from the Southold Town Plannin ---------------------------------------- Authorized Signature Cc:File,ZBA,Planning Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. J �7 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD,NEW YORK 4A Phone(631)765-1809 (631)765-9064 APPLICATION FOR SPECIAL EXCEPTION F �' Application No. Date Filed: TO THE ZONING BOARD OF APPEALS, SOUTHOLD,NEW YORK:® e� ®` Applicant(s), ✓v,,C cLtn Sib I , L LC„ of Parcel Location: House No.` Street IZ-} 148 Hamlet &Labo 1J Contact phone numbers: �/� En± Ma oie 63 " 7(PS- 9 7�-j 3?- 1 Z 3 SF- SCTM 1000 Section �5 Block Lot(s) Lot Size Zone District hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE,ARTICLE ,SECTION ,SUBSECTION for the following uses and purposes: GCL& S-6c�*Lby\ ) Hyl ve-Vl tP-Vice- 5kn-nl— ozvt4 Rco r q CeeG5r-'/'J Gz e,41M . as shown on the attached survey/site plan drawn to scale.Site Plan review[%/IS or[ ]IS NOT required. A. Statement of Ownership and Interest: J-e7M G4P c'3V i . L L t^ is(are)th owner of property known and referred to as 4(o-7 -7 b V--E- 48 �pl.(i'f ko IJ (House No.,Street,Hamlet) identified on the Suffolk County Tax Maps as District 1000,Section Block ,Lot �d ,and shown on the attached deed. �7 / The above-described property was acquired by the owner on g�d�ZI4/ B. The applicant alleges that the approval of this exception would be in harmony with the intent and purpose of said zoning ordinance and that the proposed use conforms to the standards prescribed therefore in said ordinance and would not be detrimental to property or persons in the neighborhood for the following reasons: C. The property which is subject of this application is zoned 48 and[J]is consistent with the use(s)described in the CO(attach copy),or [ ]is not consistent with the CO being furnished herewith for the following reason(s): [ ]is vacant land. COUNTY OF SUFFOLK) ss.: ST,AV OF NEW YORK) re) §6174 to before me this 2'day f r i ,20 tary Public) BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Coun Commission Expires July 18,� ZONING BOARD OF APPEALS ������ TOWN OF SOUTHOLD,NEW YORK Phone(631)765-1809 (631)765-9064 APPLICATION FOR SPECIAL EXCEPTION RECEIVED Application No Page 2 Date Filed: APR 2 4 2017 General Standards,please answer the following as it pertains to your p .ect: ZONING BOARD OF APPEALS A. The use will not prevent the orderly and reasonable use o adjacent properties or of properties in adjacent use districts BECAUSE: B. The use will not prevent the orderly and reasonabl se of permitted or legally established uses in the district wherein the requested use is 1 ated or of permitted or legally established uses in adjacent use districts BEC SE: C. The safety, the health, the welfare, t comfort, the conve i e or the order of the town will not be adversely affected by the roposed use and its to ion BECAUSE: D. The use will be in harmony ith and promote the general purposes and intent of Chapter 280-142 BECAUSE E. The use will be c mpatible with itsurroundings and with the character of the neighborhood and the community in general,particularly with regard to visibility, scale and overall appear nce BECAUSE: F. All propose structures, equipment, and material shall be readily accessible for fire and police pro ction BECAUSE: G. The proposal shall comply with the requirements of Chapter 236, Stormwater Management BECAUSE: RECEIVE® PROPERTY ZONED B APR 2 4 2017 SPECIAL EXCEPTION CRITERIA: ZONING BOARD OF APPEALS PRESUMPTIVELY VALID USE... ALLOWS OWNER TO PUT HIS PROPERTY TO A USE WHICH THE ORDINANCE EXPRESSLY PERMITS....THE USE IS CONTEMPLATED BY THE ORDINANCE SUBJECT TO REASONABLE CONDITIONS TO MINIMIZE THE IMPACT ON THE SURROUNDING AREA A. THE USE WILL NOT PREVENT THE ORDERLY AND REASONABLE USE OF ADJACENT PROPERTIES OR OF PROPERTIES IN ADJACENT USE DISTRICTS BECAUSE: The proposed gas station and convenience store is utilizing an existing structure. The parcel is 37,123 sq.ft. in size which is a generously sized parcel allowing for adequate traffic circulation for a gas station use. The proposed convenience store is an adaptive re-use of an existing building with an accessory residential apartment on the second floor. The residential use provides affordable rental and on site security. The properties to the east and west as well as north of CR 48 are commercial uses. The land to the south is agricultural. The proposed use will not prevent the orderly and reasonable use of the adjacent properties. B. THE USE WILL NOT PREVENT THE ORDERLY AND REASONABLE USE OF PERMITTED OR LEGALLY ESTABLISHED USES IN THE DISTRICT WHEREIN THE REQUESTED USE IS LOCATED OR OF PERMITTED OR LEGALLY ESTABLISHED USES IN ADJACENT USE DISTRICTS.BECAUSE: The zoning is B which allows for a wide variety of permitted retail and service uses. Cr 48 is a major throughway in the Town of Southold and the proposed gasoline station with a convenience store is appropriately located on the subject parcel. Convenience stores provide for refreshments and bathrooms, during off hours,to the traveling public. C. THE SAFETY,THE HEALTH, THE WELFARE, THE COMFORT,THE CONVENIENCE OR THE ORDER OF THE TOWN WILL NOT BE ADVERSELY AFFECTED BY THE PROPOSED USE AND ITS LOCATION BECAUSE: The proposed use is a permitted use, by special permit. The use is presumed to be an allowed use. The proposed site plan addresses the safety, health,welfare, comfort and convenience to the i RECEIVEDrf�7��� APR 2 4 2017 Town. ZONING BOARD OF APPEALS D. THAT THE USE WILL BE IN HARMONY WITH AND PROMOTE THE GENERAL PURPOSES AND INTENT OF CHAPTER 280-142 BECAUSE: § 280-143 Matters to be considered. In making such determination, consideration shall also be given, among other things, to: A. The character of the existing and probable development of uses in the district and the peculiar suitability of such district for the location of any of such permitted uses. The surrounding uses are consistent with B zoning. B. The conservation of property values and the encouragement of the most appropriate uses of land. The proposed gas station and convenience store is proposing a significant investment in the improvement of the property. 35% of the property is to be landscaped. This is a significant improvement to the existing conditions of the property. C. The effect that the location of the proposed use and the location that entrances and exits may have upon the creation or undue increase of vehicular traffic congestion on public streets, highways or sidewalks to assure the public safety. The proposed site plan has a well considered engineered design for entrance and exits from the property. D. The availability of adequate and proper public or private water supply and facilities for the treatment, removal or discharge of sewage, refuse or other effluent(whether liquid, solid, gaseous or otherwise) that may be caused or created by or as a result of the use. Public Water is available and will be provided to the property. The gas station use is heaviy regulated by New York State and the County of Suffolk. E.Whether the use or the materials incidental thereto or produced thereby may give off obnoxious gases, odors, smoke or soot. No odors are generally experienced at a gas station. Gas fumes are re-captured by current technology. F. Whether the use will cause disturbing emissions of electrical discharges, dust, light, vibration or noise. Not applicable issue G.Whether the operation in pursuance of the use will cause undue interference with the orderly enjoyment by the public of parking or of recreational facilities, if existing or if proposed by the Town or by other competent governmental agencies.Not applicable H. The necessity for bituminous-surfaced space for purposes of off-street parking of vehicles incidental to the use and whether such space is reasonably adequate and appropriate and can be furnished by the owner of the plot sought to be used within or adjacent to the plot wherein the use shall be located. Traffic circulation is well designed, the use of the gas station and convenience store will be generally simultaneously used. I.Whether a hazard to life, limb or property because of fire,flood, erosion or panic may be created by reason of or as a result of the use or by the structures to be used therefor or by the inaccessibility of the property or structures thereon for the convenient entry and operation of fire and other emergency apparatus or by the undue concentration or assemblage of persons upon such plot. Not applicable J.Whether the use or the structures to be used therefor will cause an overcrowding of land or undue concentration of population. The parcel is just under one acre in size and the existing building is only 3.38% lot coverage The canopy is not living space, the accessory apartment is proposed on the second floor of the existing building. No overcrowding of the land is proposed. K. Whether the plot area is sufficient, appropriate and adequate for the use and the reasonably anticipated operation and expansion thereof. The parcel is a large open parcel L. Whether the use to be operated is unreasonably near to a church, school, theater, recreational area or other place of public assembly. The use is in the center of commercial development on CR 48. M. Whether the site of the proposed use is particularly suitable for such use. The parcel is particularly suited for this use. N. Whether adequate buffer yards and screening can and will be provided to protect adjacent properties and land uses from possible detrimental impacts of the proposed use. Generous and code compliant 35% landscaping is proposed with all buffers, as required. O. Whether adequate provision can and will be made for the collection and disposal of stormwater runoff, sewage, refuse and other liquid, solid or gaseous waste which the proposed use will generate. Town Code 236 compliance is shown on the site plan. P. Whether the natural characteristics of the site are such that the proposed use may be introduced there without undue disturbance or disruption of important natural features, systems or processes and without risk of pollution to groundwater and surface waters on and off the site. The parcel is flat and poorly maintained. The proposed gas station and convenience store will enhance the view and use of the property. E. THE USE WILL BE COMPATIBLE WITH ITS SURROUNDINGS AND WITH THE CHARACTER OF THE NEIGHBORHOOD AND OF THE COMMUNITY IN GENERAL,PARTICULARLY WITH REGARD TO VISIBILITY, SCALE AND OVERALL APPEARANCE BECAUSE: The proposed convenience store will re-use an existing building. The architectural style is to appear as a "country store"with the modern conveniences. F. THAT ALL PROPOSED STRUCTURES,EQUIPMENT AND MATERIAL SHALL BE READILY ACCESSIBLE FOR FIRE AND POLICE PROTECTION BECAUSE: The proposed gas station will have the canopy for fire suppression. The accessory apartment will have direct access to the outside and meet building code standards. The accessory apartment will have the views to the south, agriculture. G. THE PROPOSAL SHALL COMPLY WITH THE REQUIREMENTS OF CHAPTER 236, STORMWATER MANAGEMENT BECAUSE: Town Code 236 storm water calculations are provided on the site plan. Thank you. RECEIvr:D Patricia C. Moore APR 2 4 2017 ZONING BOARD OF APPEALS APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: jemcap SDI LLC Date Prepared: Aril 3 2017 I. For Demolition of Existing Building Areas Please describe areas being removed: NONE See attached plans II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Interior alterations to existing building and exterior renovation Dimensions of new second floor: Accessory apartment added over existing building Dimensions of floor above second level: none Height(from finished ground to top of ridge): f�AIW d4j; ) Is basement or lowest floor area being constructed? If yes,please provide height(above ground) No measured from natural existing grade to first floor: III. Proposed Alterations or Interior Structural Changes without enlargement/extension (attach extra sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: existing one story retail building renovations: proposed alterations to existing building and second floor addition to existing buildin Number of Floors and Changes WITH Alterations: two story Continue: IV. Calculations of building areas and lot coverage (from surveyor):- urve or : �K7` Existing square footage of buildings on your property: RECEIVED Total Existing: House and existing building 2,5436.85%) APR 2 4 207 Proposed increase of building coverage: 0 (removal of a building) ZnNING BOARD OF APPEALS Square footage of your lot: 37,123 sq.ft. Percentage of coverage of your lot by building area: Building 1,516.04 (3.38%) canopy: 80' x 44'=3,520 sq.ft. (13% lot coverage) i V. Purpose of New Construction Requested: to construct new gas station and convenience store with an accessory apartments above. VI. Please describe the land contours (flat, slope %, etc.) as exist and how it relates to the difficulty in meeting the code requirement(s): flat Please submit seven(7)photos, labeled to show all yard areas of proposed construction after staking corners for new construction), or photos of existing building area to be altered(area of requested changes). 7/2002; 2/2005; 1/2006 �i RECEIVED APR 2 4 2017 ZONING BOARD OF APPEALS Aa6y3 ° , EXOTIN ORIV ENTRAN aW FX15TING UTRITY POLE TO BE �S � REMOVED d P,ELOCATEO �„ k m„ °.,` y32y°t, :ill,;...-'•NEW SIGN-� � - � 24-It 48'-O"ht iz LL EXISTING D SWAY _ - I a 0 rn NEW UTILITY ENTRANCE- v+. '' `> POLE LOCATION ^, p AIR #12 t� �Y 'L 1 O'-0'0%8'-0'DEEP DRAINAGE A5PHA'LT PA ED POOLS,TYPICAL ALL, 8'0 PVC DRIVING SU ACE PIPING BETWEEN EACH P T _ h0)N0 r" PROPERTY LOCATION 0 CONNECT TO O '= O o� AREA OF BURIED FUEL TANKS- ADJOWING `� I;. ":_x TANK5 TO 51T ON CONCRETE 5LAB C PARKING LOT 6_ COVERED BY POURED CONCRETE 5LA13 s 9 _ �I cy d 1 - ® ASPt1ALT PAVED ouauloPE%ISTSNG / DRIVING SURFACE w 6 t BUILDRIGa5TlcucrorL5. PROPOSE PUMP O N I t ro BernoveD s S'�/CANOPY w/FIRE 010 -/ /SUPPRESSION, O �, u -i1�11 A, CRETE 5 1// 1 1 r u > w O 0 SITE PIAN 5CIM 1000-55_59 I ^ )Ncmubon L,ten mom,�avey ppr va,<d q > "�/ o Pcrcnic 5unxyon P C 5outl,dd Ilcw Yoh SNE DATA ORA)NAGe CALCUTATIONS Pmol Pbt Sae 37,123 sq IL Based on FwNaP Evart I 8'0 PUC PIPING Bu'Id,,W Area 1.51604 sq k 3.305 PaArru3 2180,96x1%4-3633 e 1 #7 7 I BCMEEH GtAINAGE 1 - Pa,,,h T Cu,biny 21 B01 96 uq It 57"3 5rdcvall.. 740 sl %f{m 123 c f l0 f4 POOLS 5rdewa)b 740 KIR 2% IaMsrsPM 13055 s9 k 35% Rod 151604 sf Yn=252 67 c f Lar pe 1305561 1tj=435IG.1 z #6 „?,a EXISTING BUILDING TO ZONING INFORl now scrNt d i o00 5 1 e'o•ID tucwy Pro)-Fr'-3 14 X 4loota=50 3 cmt r REMAIN,PROPOSED s,,_Address 46M P.oute 48 5o ww 1.0252671 50 3=5A2 R dt�-Use a O'O.G Gdtev /� i/I O Z. Dutnct B-General Brnimss pazh,y Srdevalk 4 lardsu,y Tm a 4191 16 f #5 Y ' A B _ I ALTERATIONS Front Yard 5d),-*Regwed Vauble !O'-O' Leacb,ng Pod=0 �3 14 X Sloota-76 5.tk 1 Pratt Yard 34[back Proposcd 71 Icct Arca 4191 16178 5=53A IL ds -'I-(])10-(Y0d-(Ydeep C "�k O Yard Setback Requmd 25/251eet bWe Y-1 5rtba Props d 66 5'/19 6'(Fre­N #4 4'-O'POURED CONCRETE Rrar YaM SUback Rcq,nrc4 351cct GROUNOIYARRtrtANAGEMENi 20NEN ' �' SIDEWALK CONTINUOUS z Rearta'd sdban Proposrd 521e D.nz,ty, 03 ffl rI, ASPHALT PAVED o 1.reben 02G OFT SURFACE a #2 FRIDGE - I AROUND 5TRUCTURE PARKING ANALYSIS Hyd ami. 05 GPD=FT #9 G F E 1) _ N' fatal(Suld,ng 1,51604 sq I[ „ .. O ReNdtnbal(2 w,it.) 2 R.egwcd 2 ProP°xd 5 aces SzrttfArr t°°�.Ca.0 7Am,—,3""--_-_—_ _ _ �,���..r, ^... . ry t„F-='tee u ConvcnNnce 5twc 8 Regaved I2 Proposed _,i.;,.y ,� �'u• a Hva 2 Han pArensibk %�.'a,.4rn let.o:e c _ i[ >K!� I NIPLOYEE P U Gas 51ab.n 3 Per(Tac 36 FroFI_I Spaces Emploam I Per S� rond•L srn n5t r}n F.a.•o� "::✓:— .n 'IDENTIAL �I I I W lautmg Bertb 19 m,,.%14'-0'M1u3ht%45'-OPbng I Proposed » y % U% SPACES(2) Z E BURRING INFO - ;•.atoe.v - I-x:st'o - OI_IT IIEOPBoLDIN4m WPE i y\ ° DUMP5TER w/ - i 650 sq k , FENCE ENCL05URE u3 « A-Comen'ence Store O Z O s B•A.t giant 0 sq(I A­­ i C-Ato SCCo,N Floor VesbWl. 2 220 sq 1[ c• I - � D•tulcdramol Fmn 66 sq.ft 6"0 ptrC PIRNG 1 Z TO ROOF 0 MREL ` J o W t-ORire 30:,ft Z F-EmploK Restroom 30 gfL I Q G-HaMirap 4ceess6le Festroom loo 6q It .: GRASS*PRIVACY AS PER � Second floor R_2'bd U.1 750 sq Ic+/- _ LANDSCAPE PLAN n Z Rsvdenbal Urvt 2 750 sq It+/- r O —O—O—O—O lo—O—011, NEW G-0'TALL PRIVACYFENCE r..w,amo—o—o—o—o—°—o- rwt. 581"155015 15000' EM51ING 5TOCK PE PENCE PAGE 5p I awmPr�u•+az n+rr,+carrw>m<smug'uc.w+rrurmmvtru�s�n[xraFmNrr�:,z�c xure rw�mv<ar PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 June,10, 2019QV Zoning Board of Appeals f Town of Southold P.O.Box 1179 Southold, NY 11971 RE: Special Exception JEMCAP Gas Station with accessory convenience store & Accessory Apartments Dear Kim: With reference to the above, I am providing only those documents or conditions which have changed since our original submission on April 12, 2017: 1. Revised SEQRA Long Form together with Part F. The Planning Board and the ZBA recently prepared Findings for the Southold Gas Station on Young's Avenue & CR48 (1000-55-5-2.2). The scope and size of the subject JEMCAP gas station application is significantly smaller than the recently approved neighboring gas station application. The JEMCAP project is preserving an existing building (Adaptive re-use) for the proposed Convenience Store and is proposing two residential accessory apartment units on,the second floor of the existing building retaining the mixed use residential character of the property. 2. The existing house on the JEMCAP parcel was donated to Peconic Land Trust and recently relocated to Young's Avenue for affordable housing. 3. 9 prints of the updated survey showing the existing house was removed. 4. 9 sets of plans which were revised in accordance with the Planning Board's request. - 5. 2 alternative Canopy designs. If you have any questions, please do not hesitate to call. Very truly yours, Patricia C. Moore encls. RC) Full Environmental Assessment For z ` LZO)nit7g O� Part I -Project and Setting 19 JUN Instructions for Completing Part 1 urd Of Part 1 is to be completed by the applicant or project sponsor. Responses become part of the aptmfl , are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information contained in Part lis accurate and complete. A.Project and Applicant/Sponsor Information. Name of Action or Project: JEMCAP SD 1 LLC Project Location(describe,and attach a general location map): 46770 COUNTY ROUTE 48,SOUTHOLD BY 11971 Brief Description of Proposed Action(include purpose or need): PROPOSED GAS'STATION WITH FIRE SUPRESSION UNDER 14'X 80'CANOPY AND 777 SQ.FT.ACCESSORY CONVENIENCE STORE LOCATED WITHIN EXISTING STRUCTURE,TWO ACCESSORY RESIDENTIAL APARTMENTS ON SECOND FLOOR OF EXISTING STRUCTURE(UNIT 1 445 SQ.FT.&UNIT 2 506 SQ.FT.) ALL AS SHOWN ON SITE PLAN LAST DATED 11/16/18 Name of Applicant/Sponsor: Telephone:C/O ATTY 631-765-4330 JEMCAP SD 1 LLC E-Mail' PCMOORE@MOOREATTYS.COM Address:46770 ROUTE 48 City/PO:SOUTHOLD State:NY Zip Code:11971 Project Contact(if not same as sponsor;give name and title/role): Telephone:631-765-4330 PAT MOORE E-Mail:PCMOORE@MOOREATTYS.COM Address: 51020 MAIN ROAD City/PO: State: Zip Code: SOUTHOLD NY 11971 Property Owner (if not same as sponsor): Telephone: SAME _ E-Mail: Addiess: City/PO: State: Zip Code: Page 1 of 13 FEAF 2019 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agencyand Approval(s) Application Date Required (Actual or projected) a.City Counsel,Town Board, ❑Yes®No or Village Board of Trustees b.City,Town or Village ®Yes❑No PLANNING BOARD 4/12/17&6/25/18 Planning Board or Commission c.City,Town or ®Yes❑No ZONING BOARD 4/12/17;JUNE 2019(PER PLANNING) Village Zoning Board of Appeals d.Other local agencies Yes®No e.County agencies ®Yes❑No SCHD;SCDPW /1/19 f.Regional agencies ®Yes❑No SC PLANNING COMMISSION INTERNAL JUN g 2019 g.State agencies ®Yes❑No NYSDEC 5/1/19 20111 h.Federal agencies ❑Yes®No is i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? [--]Yes[Z]No ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ®YesElNo in. Is the project site within a Coastal Erosion Hazard Area? ❑Yes®No C.Planning and Zoning C.1.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ❑YesmNo only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)'include the site ®Yes❑No where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ❑Yes❑No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example:Greenway; ®Yes❑No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): parcel is in HALO and Hamlet Center c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes®No or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. ®YesONo If Yes,what is the zoning classification(s)including any applicable overlay district? B-Business Zoning-Gas Station Special Exception use b. Is the use permitted or allowed by a special or conditional use permit? ®YesE]No c.Is a zoning change requested as part of the proposed action? ❑Yes®No If Yes, L What is the proposed new zoning for the.site? CA.Existing community services. a.In what school district is the project site located? Southold b.What police or other public protection forces serve the project site? Southold 'ECEIVE® c.Which fire protection and emergency medical services serve the project site? JUN 5 Southold r d.What parks serve the project site? L�OningSouthold Board Q D.Project Details D.1.Proposed and Potential Development a.What is the general nature of the proposed action(e.g., ,es'den la industrial,eo err recreational;if mixed,include all components)?Commercial use-gas station with canopy and accessory convenience store;2 residential accessory apartments b.a.Total acreage of the site of the proposed action? .75 acres b.Total acreage to be physically disturbed? .5 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .75 acres c.Is the proposed action an expansion of an existing project or use? ®Yeses No L If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % 9 Units: 2 apartments d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes ONo If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) H. Is a cluster/conservation layout proposed? OYes V1No iii.Number of lots proposed? iv.Minimum and maximum proposed lot sizes? Minimum Maximum e.Will the proposed action be constructed in multiple phases? ❑Yes®No i. If No,anticipated period of construction: months ii. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1(including demolition) month year • Anticipated completion date of final phase month __year • Generally describe connections or relationships among phases,including any contingencies-where progress of one phase may determine timing or duration of future phases: Page 3 of 13 f 1 f.Does the project include new resic-___ l uses? — ®YesE]No If Yes,show numbers of units proposed. -- One Family Two Family Three Family Multiple Famil four or f& LVEDD Initial Phase removed �� I S At completion JUN 2019 of all phases 2 apartments g.Does the proposed action include new non-residential construction(including expansions)? Zt)ning$JCCI o If Yes, L Total number of structures canopy&exi s�►,c�S�vuc lzsrc �' Gir{cvZn� 51�re �'Ctna H.Dimensions(in feet)of largest proposed structure: 35 height; 30 width; and 50 length '~ 4q�X 80� iii. Approximate extent of building space to be heated or cooled: 1,500 square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes®No liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, L Purpose of the impoundment: H.If a water impoundment,the principal source of the water: ❑Ground water❑Surface water streams[]Other specify: iii. If other than water,identify the type of impounded/contained liquids and their source. gasoline-underground storage tanks iv. Approximate size of the proposed impoundment. Volume: n000 ierc-gallons;surface area: o acres v.Dimensions of the proposed dam or impounding structure: N/A height; N/A length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): underground D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? E]Yes®No (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. iv. Will there be onsite dewatering or processing of excavated materials? ❑Yes®No If yes,describe. v.What is the total area to be dredged or excavated? acres vi.What is the maximum area to be worked at any one time? acres vii.What would be the maximum depth of excavation or dredging? feet viii.Will the excavation require blasting? QYes®No ix. Summarize site reclamation goals and plan: b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment E]Yes®No into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 H. Describe how the proposed acti' Auld affect that waterbody or wetland,e.g.exc4....:�n,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: No impact iii.Will the proposed action cause or result in disturbance to bottom sediments? ❑Yes®No If Yes,describe: iv. Will the proposed action cause or result in the destruction or removal of aquatic vegetation? ❑YesmNo If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: REMED • purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): F7� , • proposed method of plant removal: • if chemical/herbicide treatment will be used,specify product(s): jull JL A 269 v.Describe any proposed reclamation/mitigation following disturbance: ZOning Board Of Appeal c.Will the proposed action use,or create a new demand for water? ®-Y-es-=o If Yes: L Total anticipated water usage/demand per day: no irrigation proposed.60 gallons/day !rov use - H. Will the proposed action obtain water from an existing public water supply? ®Yes❑No If Yes: • Name of district or service area: Suffolk County Water Authority • Does the existing public water supply have capacity to serve the proposal? ®Yes❑No • Is the project site in the existing district? ®Yes❑No • Is expansion of the district needed? ❑Yes®No • Do existing lines serve the project site? ®Yes❑No iii. Will line extension within an existing district be necessary to supply the project? ❑Yes®No If Yes: • Describe extensions or capacity expansions proposed to serve this project: No expansion required.Water usage will be reduced. Previous uses on property were single family home and commercial use— • Source(s)of supply for the district: aquifer iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes®No If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • Proposed source(s)of supply for new district: v. If a public water supply will not be used,describe plans to provide water supply for the project: vi.If water supply will be from wells(public or private),what is the maximum pumping capacity: NIA gallons/minute. d.Will the proposed action generate liquid wastes? ®Yes❑No If Yes: L Total anticipated liquid waste generation per day: greW@ter.02/16 gal gallons/day H.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): 24 gpd for convenience store;150gdp per apartment (300 gal);no irrigation proposed iii. Will the proposed action use any existing public wastewater treatment facilities? ❑Yes®No If Yes: • Name of wastewater treatment plant to be used: • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No ' • Is the project site in the existing district? ❑Yes❑No • Is expansion of the district needed? ❑Yes❑No Page 5 of 13 • Do existing sewer lines serrv�,IIID project site? ❑Yes®No • Will a line extension within an existing district be necessary to serve the project? ❑Yes®No If Yes: • Describe extensions or capacity expansions proposed to serve this project: iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes®No If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • What is the receiving water for the wastewater discharge? v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge or describe subsurface disposal plans): vi.Describe any plans or designs to capture,recycle or reuse liquid waste: e.Will the proposed action disturb more than one acre and create stormwater runoff,either from newoint ❑Yes®No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or no,, ppint R�C�IU�� source(i.e.sheet flow)during construction or post construction? Q��» hu.•-i -4—r, - If Yes: —1<D1Q S6 i.How much impervious surface will the project create in relation to total size of project parcel? JUN ���9 Square feet or acres(impervious surface) Square feet or acres(parcel size) H. Describe types of new point sources. Zonl iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-site surface waters)? O n 1>i8z dnqy.rc-A 5 • If to surface waters,identify receiving water bodies or wetlands: none • Will stormwater runoff flow to adjacent properties? ❑Yes®No iv.Does the proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ®Yes❑No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel ❑Yes®No combustion,waste incineration,or other processes or operations? If Yes,identify: L Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) W. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑Yes®No or Federal Clean Air Act Title IV or Title V Permit? If Yes: L Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air quality standards for all or some parts of the year) H. In addition to emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) • Tons/year(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(IFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 h.Will the proposed action generate.:.. _.nit methane(including,but not limited to,sew _ •eatment plants, ❑Yes®No landfills,composting facilities)? If Yes: i.Estimate methane generation in tons/year(metric): ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity,flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes®No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ®Yes❑No new demand for transportation facilities or services? If Yes: L When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ®Weekend ❑Randomly between hours of to ii.For commercial activities only,projected number of truck trips/day and type(e.g.,semi trailers and dump trucks): iii. Parking spaces: Existing 5 Proposed 12 Net increase/decrease 7 iv.Does the proposed action include any shared use parking? ❑Yes®No v- If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: no-Curb cut only vi. Are public/private transportation service(s)or facilities available within Y2 mile of the proposed site? ®Yes❑No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑Yes®No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes®No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ®Yes❑No for energy? If Yes: i.Estimate annual electricity demand during operation of the proposed action: convenience store(minimal demand) ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): Keyspan iii. Will the proposed action require a new,or an upgrade,to an existing substation? ❑Yes®No 1.Hours of operation. Answer all items which apply. L During Construction: ii. During Operations: • Monday-Friday: 8 am-5 pm • Monday,Friday: Gam-10pm • Saturday: 8:30 am-5 pm • Saturday: 6 am-10pm • Sunday: 0 0 Sunday: Gam-1 pm • Holidays: 0 • Holidays: 6am-10pm RECEIVE) JUN 11 2019 L g Board Of Appeals Page 7 of 13 m.Will the proposed action produce , „;that will exceed existing ambient noise level' dig construction, ®YesDNo operation,or both? If yes: _ L Provide details including sources,time of day and duration: during construction-short periods between 8 am-6 pm H. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen? D Yes®No Describe: additional screening is proposed n.Will the proposed action have outdoor lighting? ®YesDNo If yes: L Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: canopy will require dark-sky compliance H. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes®No Describe: additional screening to maintain privacy proposed o.Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes®No If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ®YesE]No or chemical products 185 gallons in above ground storage or any amount'in underground storage? If Yes: i.Product(s)to be stored gasoline H. Volume(s) 1.Ooo per unit time month (e.g.,month,year) M. Generally,describe the proposed storage facilities: registered and regulated fuel storage tanks q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, []Yes ®No insecticides)during construction or operation? If Yes: L Describe proposed treatment(s): R. Will the proposed action use Integrated Pest Management Practices? D Yes ®No r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal D Yes ®No of solid waste(excluding hazardous materials)? If Yes: L Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation: tons per (unit of time) H.Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: M. Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: RECEIVED :N1 JU1 20e9Page 8 of 13 Zoning rd Of Appeals s.Does the proposed action include _ruction or modification of a solid waste manage:..,Jt facility? ❑Yes® No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): recycling at Cutchogue transfer station&private carter H. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii.If landfill,anticipated site life: years t.Will the proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous❑Yes®No waste? If Yes: i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ii. Generally describe processes or activities involving hazardous wastes or constituents: iii.Specify amount to be handled or generated tons/month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? ❑Yes®No If Yes:provide name and location of facility: If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site a.Existing land uses. i. Check all uses that occur on,adjoining and near the project site. ❑ Urban ❑ Industrial ® Commercial ® Residential(suburban) ❑ Rural(non-farm) ❑ Forest ® Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: commercial gas station and accessory convenience store with 2 residential units on second floor,all in existing buildinq b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/-) • Roads,buildings,and other paved or impervious surfaces @2000 sq.ft 3,633 sq.ft 1,633 sq.ft. • Forested 0 • Meadows,grasslands or brushlands(non- 0 agricultural,including abandoned agricultural) • Agricultural 0 (includes active orchards,field,greenhouse etc.) • Surface water features 0 (lakes,ponds,streams,rivers,etc.) • Wetlands(freshwater or tidal) 0 • Non-vegetated(bare rock,earth or fill) 0 • Other Describe: previously improved with residence& 0 commercial building(to be re-used) 7o-77 S� Page 9 of 13 JUN 1 1 2019 Zoning Board Of Appeals c.Is the project site presently used b_ nbers of the community for public recreation? ❑YesPINo L If Yes:explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes®No day care centers,or group homes)within 1500 feet of the project site? If Yes, L Identify Facilities: elementary school 01,500 feet away e.Does the project site contain an existing dam? ❑Yes®No If Yes: L Dimensions of the dam and impoundment: • Dam height: feet RECEIVED • Dam length: feet �®�� S t� • Surface area: acres • Volume impounded: gallons OR acre-feet JUN 112019 ii. Dam's existing hazard classification: W.Provide date and summarize results of last inspection: Zoning Board Of Appeals f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes®No or does,the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation: ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: iii. Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes®No property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: L Describe waste(s)handled and waste management activities,including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes® No remedial actions been conducted at or adjacent to the proposed site? If Yes: L Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes®No Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures: W. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes®No If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 v.Is the project site subject to an it ional control limiting property uses? — ' ❑Yes®No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑YesmNo • Explain: E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? n/a feet b.Are there bedrock outcroppings on the project site? ❑YesmNo If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: sandy loam 100 % d.What is the average depth to the water table on the project site? Average: 10 feet e.Drainage status of project site soils:® Well Drained: 100%of site ❑ Moderately Well Drained: %of site ❑Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: ® 0-10%: 100 %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? ❑YesmNo If Yes,describe: h.Surface water features. i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑YesmNo ponds or lakes)? ii. Do any wetlands or other waterbodies adjoin the project site? ❑YesmNo If Yes to either i or ii,continue. If No,skip to E.2.i. iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes®No state or local agency? iv.For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification • Lakes or Ponds: Name Classification • Wetlands: Name Approximate Size • Wetland No.(if regulated by DEC) v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes mNo waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway? ❑YesmNo j.Is the project site in the 100-year Floodplain? ❑YesmNo k.Is the project site in the 500-year Floodplain? ❑YesmNo 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ®Yes❑No If Yes: i.Name of aquifer: groundwater management zone IV REeRVED Page 11 of 13 JUN 112019 Zoning Board Of Appeals I in. Identify the predominant wildlii_-_r_:ies that occupy or use the project site: disturbed n.Does the project site contain a designated significant natural community? ❑Yes®No If Yes: L Describe the habitat/community(composition,function,and basis for designation): ii. Source(s)of description or evaluation: W.Extent of community/habitat: • Currently: acres • Following completion of project as proposed: acres • Gain or loss(indicate+or-): acres o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑YesONo endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? If Yes: L Species and listing(endangered or threatened): p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑Yes®No special concern? If Yes: L Species and listing: q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes®No If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes®No Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? ❑Yes®No L If Yes:acreage(s)on project site? ii. Source(s)of soil rating(s): c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑Yes®No Natural Landmark? If Yes: L Nature of the natural landmark: ❑Biological Community ❑ Geological Feature H.Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes®No If Yes: i. CEA name: ii.Basis for designation: iii.Designating agency and date: RECEIVED 7D-T56 JUN 11 2019 Page 12 of 13 Zoning Board Of Appeals e.Does the project site contain,or i,-,, -,i ibstantially contiguous to,a building,archaeol t-- -'l site,or district ®Yes❑No which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? If Yes: L Nature of historic/archaeological resource: ❑Archaeological Site ®Historic Building or District ii.Name:House with SPLIA designation donated&moved by Peconic Land Trust to Horton Avenue,Southold iii. Brief description of attributes on which listing is based: House is no longer on property f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes®No archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes®No If Yes: i.Describe possible resource(s): ii.Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ®Yes❑No scenic or aesthetic resource? If Yes: L Identify resource: County Road 48 ii.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.):scenic byway iii. Distance between project and resource: 0 miles. i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes®No Program 6 NYCRR 666? If Yes: i.Identify the name of the river and its designation: ii.Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑Yes®No F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name Patricia C.Moore,as attorney Date 6-10-19 updated Signature Title RECEIVED --10"1� 56 PRINT FORM Page 13 of 13 JUN 11 2919 Zoning Board Of Appeals RECevco JUN 2019 SEQRA Long Form (Part f-Additional Information) Zoning Board Ofgppeals RE: Site Plan JEMCAP Gas Station & Accessory Apartments A few hundred feet of this property to the west the Planning Board and Zoning Board completed a thorough-SEQRA review of an application for a Gas Station and convenience store. Southold Gas Station Site Plan, on the corner of CR 48 and Young's Avenue, Southold (1000-55-5-2.2), has recently gone through a Full SEQRA Draft and Final Environmental Impact Statement. The subject application is a smaller project which is re-using an existing building. The project site contained both a 3 bedroom single family dwelling with SPLIA designation, which was donated and relocated to Horton's avenue for affordable housing, and an existing Tx 50' commercial building which will be adapted for the gas station convenience store. Since the Boards have recently reviewed the relevant environmental issues raised by the Town and neighbors applicable to the Southold Gas Station site plan, we are addressing these issues and how the subject project has mitigated the impacts: 1. Impact on Groundwater for storage of approximately 40.000 gallons of petroleum product above the Nassau- Suffolk sole source aquifer. The response included technical issues applicable to a 40,000 gallon petroleum fuel storage tanks. In conclusion, the Southold Gas Station was approved. The applicant is proposing a smaller capacity(30,000 gallons of petroleum). The tanks are strictly regulated by the County and New York State. The tank construction, periodic inspections and monitoring assure protection of the sole source aquifer. 2. Impact to Air- concern for generation of additional vehicle trips and idling may impact CO emissions. The subject project is smaller scale and providing a second gas station will mitigate the CO emissions since the same customer base would be anticipated. It is less likely that cars would sit idling for any extended period of time when there is a second station in close proximity without waiting. 3. Impact of Aesthetic Resources- the facility would be visible from a NY State Scenic Byway, publicly accessible vantage points and may diminish public enjoyment of the Long Island North Shore Heritage Area. This issue is mitigated with the subject application because the existing building will be adapted and re-used for the gas station and accessory apartments. The location of the building is set back on the property. The property will be enhanced with landscaping. The canopy, required for fire suppression and weather protection, is visible in profile. The canopy is also set back 62'from the front property line. The setback is conforming to the zoning. 4. Impact-to Transportation- a Traffic Impact Study is required to_assess safety, daily peak and seasonal peak traffic impacts and internal site layout with respect to onsite traffic flow. The location of the subject application is on CR 48, whereas,,the Southoold Gas Station is located on a corner and adjacent to residential development. The traffic study calculates the traffic expected to be generated by the gas station and traffic along CR 48. The traffic flow and safety issues for Southold Gas Station was left to be discussed with the NYSDOT. The Traffic counts on CR 48 can be extrapolated for this parcel. As was discussed previously, the customer base for both gas stations are the same. The number of cars for each site will most likely be split between the two gas stations. 5. Impact on Noise, Odor and Light- concern for noise generated by'vehicles, vacuum cleaners. HVAC equipment and concern for night time lighting and potential odors. Site Plan review mitigates these issues. The proposed site plan addresses the location of the amenities to be provided at the gas station. The operator of the gas station will have an obligation to maintain proper noise, odor and light for the tenants of the accessory apartments. The residential use of the apartments will maintain the residential character of the property. 6. Impact on Human Health-At the Southold Gas Station the SEQRA had to address concern for unearthing hazardous materials from a former gas/service station that - occupied the site and proposed plans for health and safety during construction. This is not applicable to our application. The prior uses of the subject property were residential and dry retail. 7. Consistency with Community plans- consistency with the Town of Southold Comprehensive Plan, Suffolk County' s Comprehensive Plan and the New York State North Shore Heritage Area Management Plan. The subject property is commercially zoned. Consistent with the Town's expressed goals, the owner wishes to adapt and re- use an existing building. In addition, an existing residence was relocated (house moved) to Young's Avenue for affordable housing. The subject gas station and residential use is intended to maintain the "mom &pop"feel to the property. 8. Consistency with Community Character- concerns for compatible architecture that is not in conflict with the community character during day light and night time hours of view. An existing building will be renovated and used for the gas station and accessory apartments. The architectural style is existing and the property will be enhanced by the renovation of the existing building and the site. We would ask for a "Conditional Negative Declaration". The proposed site plan incorporated in their design mitigation of the issues raised in the Southold Gas Station site plan application. We have benefitted from the Southold Gas Station Environmental Review because the subject GEMCAP is a smaller project, incorporating residential uses for affordable apartments, and good gas station design. RECEIVED -70-715L> JUN 2019 Zoning Board Of,gppeals =fin' AUSTIN ' 'RECEIVED KOHAWK "'1 oiq s c� engineered building& JUN 11 2019 canopy systems since 192{ Zoning Board Of Appeals Building trust. .f�",'..`oa5,v. Fi,g..F,2'-•7 ;`�' 4.. ".- ,°s`s i,'rr{ ,.7,i'-e^��qq..��P ^2t�y'"'�2.,5%' 'r'rL,.P3 •sr� '"' ^.� .� ...*a �'''p4Sk.'A`:.,`" .+�il C r1 ,S w:� i_ ,�t Lf. •Yri.``. 7': R`�i *im �, ;,:,!,.,?�* X:w'.=�j`5--:?c'9 ,t�..j4'' "¢ E;�� ;� �i;N '9_',•iwj:*'^ yir;c;-. "'" , r te �`2-f&-G.-;��� lY e`yy- 9..�5'•3� ��:rti.:%�. .Ar'' '4v:�`'^' ,Mh ::`,, ,e '.�\i•t;+k'`%';' t:,`.k-":cz�x �a Yyr'''f't."r�'Ys^`�.�„F.3-ria a3bc:. -•.-. �t ��,.�^.,��+„1•'z4 "�i,;.,,,,t.i i.�ywy r ..i,'h,�:�'x�'^�"� 'a "utix"< �r1;.a' !�.�• .>+:`�,t��'ix' ,�„'�°,.� t '34:s, y ��:` ixw�pM¢�jr"' .;�K�t%,,;;;ix'K ,�...'s.r���..U'"'� I���^�- »xr�E y1.r�;tY.�•7 S�'�x, # �. �"� ���,:,�� Ifi_�K���5',nib' ����,� 4jrr��3,` k'n;�,s; `^ �r%����.��� •,.��^�`. ien �$yer.ceF�. .r . A._.#i`^K1 - %'+nY ,aiz te `-s�: ~.w;-",kc ��'_`.'s$,��.,- r� ti,s •.:+^: '_,t�r-s;..�ii ^ig Yy�� Qvy�l 7'R�;;J, .4 N �:vaZp• �F�� r 7F wq E.� � ��`�'itf.s���� 'nF1-�_i�,•`,i+. �-r._.'. $.'` .- Y :,.e ,3,R� �!�a.z;u;a,.ya �N.A ` Y•°PPE aaa ha4 CCAS STATION CANOPY / GAS ISLAND CANOPY / CONVENIENCE STOKE CANOPY Model CAN-20120-H Style HAMPTON The Hampton is the perfect match with an architectural design that can be tailored to match the local motif of buildings. It includes a standing seam hip roof, EFIS fascia and matching cash transaction building. Our gas station canopies have a lot of drive-by appeal. Well built and durable these structures stand out in a road crowded with franchise operations. Contact us to discuss how we can meet your requirements. We guarantee durable, long lasting quality and typically the quickest turnaround time in the industry. This model is available pre-engineered and custom made to your specifications. Contact us to discuss how we can meet your requirements. GET A QUOTE TODAYI FEATURES _ • Architectural design to match local motif of buildings • Standing seam roof RECEIVED 70--7q s6 • EFIS fascia ,JUN 2019 • Matching cash transaction building Zoning Board Ofgppeals APPLICATIONS • Gas Station Canopy • Gas Island Canopy • Convenience Store Canopy WHO WE WORKED WITH O'HARE D7 i s r„ — INTERN/mONALAIRPORT ;�-- ant =nae AUSTIN RECEIVED 7 MOHAWK -7079S6, engineered building& 019 qn engineered building t -,a M S JUN 11 2019 since 1924 80 of4 E Building trust. Zoning Board Of,4PPeals 2 M, F x" N N� _- " ""j- " '02 m :n _ilp 4V mv *Ast al GAS STATION CANOPY CONVENIENCE STORE CANOPY Model CAN-24164-COL Style COLONIAL (2) Our Colonial Style Canopy makes a handsome addition to the neighborhood with an eye appealing faA§ade, soft white color, and custom crown molding. Our Gas Station Canopies have a lot of drive-by appeal. Well built and durable they stand out in a road crowded with franchise operations. Contact us to discuss how we can meet your requirements.We guarantee durable, long lasting quality, and typically the quickest turnaround time in the industry.This model is available prefabricated or custom made to your specifications. Contact us to discuss how we can meet your requirements. GET A QUOTE TODAY! FEATURES • Eye appealing facade • Soft white color ; • Decorative, custom crown moldings • Customizable to your specs RECEIVED � -tcj5� APPLICATIONS JU' � 1 2u19 • Gas Station Canopy Zoning Board® Appeals • Convenience Store Canopy WHO WE WORKED WITH Chevron EcnMoil -�u" Md Budget" l Cr17GO OFFICE LOCATION: "';u c -' mAn j N'G ADDRESS:' a Town Hall Annex ,�' � t,,S`. P.O,.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) ` Southold,NY j. ` � „,i ` = Telephone:63176.6-1938 t ,..g www.southoldtowuny.gov an i ON ,a RECEIVED PLANNING BOARD OFFICE ���� TOWN'OF SOUTHOLD JUN I 1 2 D i 9 _ Zoning Board Of Appeals May 31;2019 { Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11,971- .1 RO Proposed Site Plan for JEMCAP Gas Station &,Convenience Store Located at 46770 County Route 48, ±407' slw/o Boisseau Avenue, Southold 3 SCTM#1000-55-5-9.1 Dear Ms. Moore: The Planning Department has received the information you submitted on April 15, 2019 w regarding the above-referenced site plan application. Due to this proposal requiring Special Exception.,app,roval from the Zoning Board.of Appeals,(Z,BA), the Planning j Board has placed its review of the site plan application on hold until after the ZBA.has issued their determination. If'you have any questions regarding this site plan or its process, please do not hesitate h to call this office., =f _ z, )f Respectfully;. {C Brian Cummings Planner - 1 .�I _ , i� T� 7 7 `p n Su lo-� PATRICIA C. MOORE r Attorney at LawAE C 51020 Main Road _ 7ED Southold,New York 11971 ERAP6 j ?01Tel: (631)765-4330 Fax: (631)765-4643 Sothall Town` Planning Board April 10, 2019 Planning Board Town of Southold A P.O Box 1179 Southold, NY 11971 RE: Site Plan JEMCAP Gas Station &Accessory Apartments Dear Brian: With reference to the above, enclosed please find the revised SEQRA Long Form. On January 15, 2019 1 submitted 9 sets of plans which were revised in accordance with the Planning Board=s request, I was awaiting additional information from the design professionals to complete the Long EAF. The Zoning'Board is waiting for the SEQRA determination in order to proceed with the Special Exception application. As you know within a few hundred feet of this property the Board has completed a thorough SEQRA review of an application for a Gas Station and convenience store. Southold Gas Station Site Plan, on the corner of CR 48 and Young=s Avenue, Southold (1000-55-5-2.2), has recently gone through,a Full SEQRA Draft and Final Environmental Impact Statement The Final,EIS for the Southold Gas Station Site Plan application thoroughly addressed the following listed issues: 1. Impact on Groundwater for storage of approximately 40.000 gallons of petroleum, product above the Nassau- Suffolk sole source aquifer. The response included technical issues applicable to a 40,000 gallon petroleum fuel storage tanks. The applicant is proposing a smaller capacity(30,000 gallons of petroleum). 2. Impact to Air-concern for generation of additional vehicle trips and idling may impact CO emissions. The subject project is smaller scale and providing a second gas station will mitigate the CO emissions since the same customer base would be anticipated. 3. Impact of Aesthetic Resources-the facility would be visible from a NY State Scenic Byway, publicly accessible vantage points and may diminish public enjoyment of the Long Island North Shore Heritage Area. This issue is mitigated with the subject application because the existing building will be adapted and're-used for the,gas station and accessory apartments. The location of the building is set back on the property. The property will be enhanced with landscaping. 4. Impact to Transportation- a Traffic Impact Study is required to assess safety, daily peak and seasonal peak traffic impacts and internal site layout with respect to onsite traffic flow. The location of the subject application is on CR 48, whereas, the Southoold Gas Station is located on a corner and adjacent to residential development. The traffic study calculates the traffic expected to be generated by the gas station and traffic along CR 48. The traffic flow and safety issues for Southold Gas Station was left to be discussed with the NYSDOT. The Traffic counts on CR 48 can be extrapolated for this parcel. 5. Impact on Noise, Odor and Light- concern for noise generated by vehicles, vacuum cleaners. HVAC equipment and concern for night time lighting and potential odors. Site Plan review mitigates these issues. The proposed site plan addresses the location of the amenities to be provided at the gas station. The operator of the gas station will have an obligation to maintain proper noise, odor and light for the tenants of the accessory apartments 6. Impact on Human Health-At the Southold Gas Station the SEQRA had to address concern for unearthing hazardous materials from a former gas/service station that occupied the site and proposed plans for health and safety during construction. This is not applicable to our application. The prior uses of the subject property were residential and retail. 7. Consistency with Community plans- consistency with the Town of Southold Comprehensive Plan, Suffolk County's Comprehensive Plan and the New York State North Shore Heritage Area Management Plan. The subject property is commercially zoned. Consistent with'the 'Town=s expressed goals, the owner wishes to adapt and re-use an existing building. In addition, an existing residence was relocated (house moved) to Young=s Avenue for affordable housing. 8. Consistency with Community Character- concerns for compatible architecture that is not in conflict with the community character during day light and night time hours of view. An existing building will be renovated and used for the gas station and accessory apartments. The architectural style is existing and the property will be enhanced by the renovation of the existing building and the site., The Planning Board would review, to a limited extent, similar issues for the GEMCAP application. However, these issue have been thoroughly addressed by the comprehensive SEQRA review for Southold Gas Station. Therefore, we would ask for a AConditional Negative Declaration@. The proposed site plan incorporated in their design mitigation of the issues raised in the Southold Gas Station site plan application. We have benefitted from the Southold Gas Station Environmental Review because the subject GEMCAP is a smaller project, incorporating-residential uses for affordable apartments, and good gas station design. If you have any questions, please do not hesitate to call. Very truly yours, ( Patricia C. Moore by encls. OFFICE LOCATION: FiLMLI vG ADDRESS: Town Hall Annex ( Q�f�T P.O.Box 1179 54375 State Route 25 t Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold NY �_ � � Telephone:631765-1938 ' www.southoldtownny.gov '7 0-7?�� �� R�O1;I�11�C3 MAY I PLANNING POAI D OFFICE TOWN OF SOUTHOLD91VlN BOARD pFApp �LS May 31, 2019 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Site Plan for JEMCAP Gas Station & Convenience Store Located at 48770 County Route 48, ±407' s/w/o Boisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore: The Planning Department has received the information you submitted on April 15, 2019 regarding the above-referenced site plan application. Due to this proposal requiring Special Exception approval from the Zoning Board of Appeals (ZBA), the Planning Board has placed its review of the site plan application on hold until after the ZBA has issued their determination. If you have any questions regarding this site plan or its process, please do not hesitate to call this office. Respectfully, Brian Cummings Planner ^1 Inbox(18) -betsy.moot x V FT' 46770 County Rd 48-i x M"-V.c)oogle.com' )ps/place/46770+County+Rd+48,+Sou di;,(d,+NY+1197UQ41.073848E,. 7?.4267929,135c+ 35y,180h/clata=!3ml!le;. 3m4!1sOx89e89bd5447d6619:0x384cc ,d From IE Workspace Login Bing Maps F.► Fec)ExT' Tracking, -`_ © Office Supplies.Off, b Southold. NY-Offic Suffolk County GIS%- Home::High Point ®Greenport Vill. old - �tr . t .A 4 , r 1i�, V• v: q� 1•r�r� •`r JEMCAP SD LLC 46770 CR 48, Southold, NY SCTM: 1000-55-5-9.1 • • f!_'_� • s t SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM Site Plan Name and Location Site Plan Name: a�M CA$? �0 ( , Lla Application Date: Y ? Suffolk County Tax Map#1000-,5S- - S- - Other SCTM#s Street Address: Y (,:,-7-70 (2+ 48 Hamlet: 5EX o W r Distance to nearest intersection: 9 (�. S 3 O!SSPs� i c_ A'Ur _ Type of Site Plan: V New Amended_Residential Zoning District Owners/Agent Contact Information Please list name, mailing address, and hone number for the people below: Property Owner Street 3 GD Mad L S G n Aj-,-- - 5cukt, 1902- city 102_City " -"-/. State Zip 1 cin I Z - 3 l 5 8 Home Telephone Other Applicant c 4:f-- Azn%!EO--) Street City State Zip Home Telephone Other Applicant's Agent or Representative: Contact Person(s)* aw-kc-e-ci, - 1M oo lfc Street E-( d2-(') m a<�N Qocka City&a)t,;,4 0 t State Zip H ( 2-11 Office Telephone to�J �'�(r,S y�'50 Other �( (T- Its `Unless otherwise requested, correspondence will be sent only to the contact person noted here. Site Plan Application Form 2/18/2010 - Site Data V Proposed construction type: New V/ Modification of Existing Structure Agricultural Change of use Property total acreage or square footage: 3-4 YL3 ac./sq. ft. e 1/1/,ft�9;y�= Site Plan build-out acreage or square footage: ai ,sq. ft. Is there an existing or proposed Sale of Development Rights on the property? Yes No If yes, explain: Does the parcel(s) meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y/N_ If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.) `p:v s f �� d �rc��, UE cb S S✓c�izs�s d a�►d Govt'►v►�e r�lG� Q 656 • t �' 1i 7 �r2a, nut 1 Building Department Notice of Disapproval Date: 02 / bz- Is an application to the Southold Town Zoning Board of Appeals required? Yes ✓ No If yes, have you submitted an application to the ZBA? Yes ✓ No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. i'Yly l�-�)e Y�e•Szt�)� � cor�•Kac�t's�V�oY List all existing property uses: C 6 wi�Yt�ec� h c w(d(nG Cj\,VI,,u(tir 1i i OJ Ces 5 ,d-ca» IN if List all proposed property uses:_G6:,rL Vr—ntc�,n cae ,�� - n yj rocr_Pssc7f7 "a-✓l-m ' Other accessory uses: ,25-Lf2. 5 o G.g�. il�► ('9. aP� t3 Existing lot coverage: /o Propo)ed lot coverage: /o �-3�� a57g2, 5v I13��-oy Gross floor area of existing structure(s). ?" sq. ft. Gross floor area of proposed structure(s): ��'7l'j,�/�-rylP Y� a2. �S��cSS � Cotit�l�X1 c� 5fo-✓e i Z-��c ccs,' - - — � . Parking Space Data: #of existing spaces: #of proposed spaces: Loading Berth: Yes No Landscaping Details: Existing landscape coverage: 0 % Proposed landscape coverage: 35 % Wetlands: Is this property within 500' of a wetland area? Yes No :Maybe I,the undersigned, certify that all the above information is true. Signature of Preparer: - Date: —/7 2 Site Plan Application Form 2/18/2010 SURVEY OF PROPERTY N A T SO UT'HOLD TOWN OF SO UT'HOLD SUFFOLK COUNTY N. Y. 9 1 1000-55-05® SCALA: 1!—.-400! 40' JANUARY 1.3, 2015 . Q i cv tv O 0 �� 4 1' 06 v Lli 0� 0� Z _lGrOAT I L ' w > 01 THQLD ME��cAL o p A l I m 1= SO BvILD�lyG INC. I 1% I ARTS Sys I 0 o Q e 1 n - - W^ I1.1'E 5�'II GR DRIVEWAY 1 I o � 0 _ FE. x I NooD I 'o 0.5E O I PLAn � I x Xx n 1 X0.2 1 v m p CHWRUNK X x- X�x^X IX X BUIIAIN UINN � 1 X0.2' CO1 J - OH J. Q Z5 11 co C. NC• A 1 QUINN I gU1�DlNG ENVELOPE — N � TERESA 0 1.5'N _ � p�FE sTOCKpDE F% CE FE. 150-00! "o. CHA�N�i i 0.1 E �81'16'S0~W �0 N/0�F CAROL BORN ROBERT BORN B — ZONE APR 2017 .L n�}pr AREA 379123 80. Fr. BbARb pFAPPEALSr. Y YS, LIC. NO. 49618 ANY AL7ERA770N OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209OF 7HE NEW YORK STA 7E EDUCA770N LAW. L C"V-' ORS, P.C. EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER71RCA710NS (6 ) FAX (631) 765-1797 HEREON ARE VALID FOR 7HIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA VELER STREET WHOSE S1GNA7URE APPEARS HEREON. SOUTHOLD, N Y 11971 14-145 I , dY " k d sk',. Ado 3! is 3 r s k'� - ;~y\Q _ Q o. �O 1 EXISTIN DRIV c , v O „ . h X99 V Al 13, LLJ a �-- EXISTING UTILITY POLE TO BE O c (J•� \6 - REMOVED RELOCATED °.\ 9� 4.K - 5� NEW SIGN - - � s _ .wN ~ 24 5a.ft. 8'-0" ht. _ rr nn O Q a , y� y ,► 6 t . 4, EXISTING DRI EWAY IA Ar ENTRANCE- -X VV NEW UTILITY - = ° VAC AV POLE LOCATION • y �' r w 41� *" �' e. _ ^Q - ;• _ \ \�\ AIR ® W _ 7 9w— N ti /� CD TI p - '11 if) MCIJUMENTV� \ ° r , s '..`" s i ✓ tx 1 ' a, yr, '` BIW '- FOUND / \ \ # I I wC�\ \ -A (� ow — — I 1`n°•F^' a EXISTING CONCRETE I O' O"Q�xB' O° DEEP DRAINAGE " `'ra `i ._..a. ..1 .ns 7^' ,1" �'.. ..,: - ....n �,�a .. _ .._.... UTILITY POOLS, TYPICAL ALL; 5110 PVC - ASPHALT PA ED DRIVING SU ACE PIPING BETWEEN EACH P f50\�\NG PROPERTY LOCATION o Fa 1; wN�°� �'r. =f` "- AREA OF BURIED FUEL TANKS- CONNECT TO O •. o� _ t ii TANKS TO SIT ON CONCRETE SLAB a ADJOINING44 '' \ O U <� PARKING LOT \ . ' COVERED BY POURED CONCRETE SLAB4-1 J o 3 — _1" In �= LU 0 O N O — o N ® ASPHALT PAVED ourutaE OF ExiSITING DRIVING SURFACE I w O BUILDING f,STRUCTURES \; PROPOSED PUMP m TO BE (MOVED CANOPY w/ FIRE LU C?� ° SUPPRESSION; = - O ?- z PqNcRETE ano � o I _ i ryI -NOP J > iL w I— w (LJ QQ — `Z O i1- z SITE t LAN ii' 11- o I �_ SCAM6 : "= I'-O" U z J W W 5CTM: 1000-55-5-9.1 Information taken from survey prepared by _> 0 p- Peconic:Surveyors, P.C. Southold, New York 4/ #8 dated January 13, 2015 p 41'-0' 51TE DATA: DRAINAGE CALCULATIONS: I _ Q Final Plot Size: 37,123 sa.ft. Based on 2" Rainfall Event ~ 8"0 PVC PIPING N \ Budding Area: 1516.04 s ft 3.38% X = 3633 c.f. 2 BETiNEEN DRAINAGE O #7 O 1 Paving -Curbing: �I,801 .�G Parking: 2180196 sf sq.ft. 57% . 2 . , z j o p Sidewalks: 740 sq.ft. 2% Sidewalk: 740 sf X 22 = 123 c.f- — I POOLS -5(Y-2 12, Landscaping: 13055 sq.ft. 35% Roof: 151 G.04 sf X 12 2 = 252.67 c.f > < Landscape: 13055 sf X 12 2 = 435.1 G c.f W p U /: - -•,� - - ZONING INFORMATION: Z 6 Q w - - - EXISTING BUILDING TO 5CTM # 1000-55-5-9. 1 8'-0"0 Leaching Pool_ TIr2 = 3.14 X 4foot2 = 50.3 cf/ft I-'°'-0 - I Street Address: 46770 Route 48, Southold Roof 25267/50.3 - 5.02 ft.deep- Use 8'-0"0XG' 0"deepo / # 1 0 REMAIN; PROPOSED Zoning 'District: B- General 13U51nC55 - - ALTERATIONS Front Yard Setback Required: VariableParking, Sidewalk 4 Landscaping Total = 4191.!G c.f. ( #5 n- A B I I O'-O"O Leaching Pool = Ijr2 = 3.14 X 5foot2 = 78.5 cf/ft Front Yard Setback Proposed: 7 I feet Area 4191.1 G/78.5 = 53.4 ft.deep - Use(7) 1 O'-0"0x8'-0"deep ® 0 Side Yard Setback Required: 25/ 25 feet ` - C O Side Yard Setback Proposed: GG.5'/ 19.6'(pre-existing) _\ N 4i-0" POURED CONCRETE Rear Yard Setback Required: 35 feet GROUNDWATER MANAGEMENT ZONE IV #4 UP Rear Yard Setback Proposed: 52 feet Density: .03 GPD/SQ.FT. ASPHALT PAVED O SIDEWALK CONTINUOUS z Kitchen: 02 GPD/SQ.FT. DRIVING SURFACE \ b ##2FRIDGE ''= I AROUND STRUCTURE PARKING ANALY515: Hydraulic: .05 GPD/SQ.FT. #3 G IIIF E D. I ; Total Budding: 2,674.04 sq.ft. O to Residential 2 units): 2 aired 2 Pro osed S aces SANITARY DESIGN CALCULATIONS Convenience Store- 8 Required 12 Proposed 5 aces - _ - _ - _ _ - - - _ DE51GN FLOW DE..Iv^J FL04'J DE51GN FLOW TOTALFLCVa O Plus 2 Handicap Accessible AREA NAME Ar2EA slzE Imo• -+MPLOYEE P } Gas Station: 3 Per Que 3G Proposed Spaces SANITARY GREY TOTAL by SPACE _\ / 0 U Employee: I Per ! Space�rovlded Con.,enerce Stere 500 sq•.fc. 0.03 0.02 (} Y Loading Berth: 19'-0"wide X 14'-0" height X 45'-0long I Proposed 24 GPD I C GPD 24 GPD RESIDENTIAL O \O D�.� O 73 } 750 ea.ft.eac SPACES 2 x• oI 3 P ( ) BUILDING INFO: 150 GPD each 300 GPD OUTLINE OF BUILDING ENVELOPE O_ G DUMPSTER w/ U ,� First Floor: / \• LU A- Convenience Store: G50 5cl-ft• / [[-21.-s. FENCE ENCLOSURE 11-1 y B -Attendant: 150 sq.ft. ® - ® O Z_ C - Access to Second Floor Vestibule: 220 sq.ft. N C� D -Mechanical Room: GG sq.ft. G"O PVC PIPING - z E- Office: 30 sq.ft. TO ROOF DRYWELL N O W F- Employee Restroom: 30 sq.ft. - '" I Z G - Handicap Accessible Restroom: 104 sq.ft. O N m O Q Second Floor: N GRASS PRIVACY AS PEP, Residential Unit I : 5255q.ft- N LANDSCAPE PLAN z Residential Unit 2: 475 sq.ft. I O O O O O O O O O O O O O O O O O O O 1 BRICK MONUMENT NEW 6'-O" TALL PRIVACY FENCE I �Al 4Y M F' 'i PIPE FOUND O O—O—O O O—O FouND 58 I°!5'50"W 150.00' EX15TING STOCKADE FENCE I��CCBIOfFM BONING BOARD OF A. '� .:' PAGE: ' S � UNAUTHORIZED ALTERAT/ON OR ADDIT/ON TO TH/S DRAWING AND RELATED DOCUMENTS/S A V/OLAT/ON OF5EC. 7209 OF THE N-Y.S.EDUCATION LAW z w >L Q U z Q r_ J c \ r T� 12• Cj3 T-C 112' G,3 U AO PYO �QP EXISTIN DRIV 5`° �Q 1 EXISTIN DRIV i - '..5`°�' W c �'(� Q P 19 ENTRAN 0��� �Q P`� ENTKAN _ NQ O� N C3 G F�• ov, G �"�� ole"�°°�� ., EXISTING UTILITY POLE TO BE - — c � REMOVED t- RELOCATED o \T -_:' GPA55 \R \60 \12 \6 :. = SIGN A5"2 5 0\ 51GN 5z 25 O\ F= X232 = K23 IV` u 0 000 O O OEXISTING DRI EWAY Z u T. z _ ENTRANCE-- EX �, ENTRANCE - _ _ o z ` n NEW UTILITY \ o 0 0 °4o a °� GRAss vAC y`?�° OvAc_ POLE LOCATION ' \ a o0 O E- N AIR AIR uu # 12 MONU7 µ MENT MONUMENT 6 GP55 FOUND # I I d - # 1 I jO � �O 00 0 I Ex15TING CONCRETE EXI5TING CONCRETE O° U \ 1 0'-0"0x8'-0" DEEP DRAINAGE UTILITY BOX UTILITY BOX °oOoo4° AREA OF BURIED FUEL TANKS- PAVED ASPHALT PAVED POOLS, TYPICAL ALL; 8"0 PVC DRIVING °' DRIVING SURFACE PIPING BETWEEN EACH POOL TANKS TO SIT ON CONCRETE SLAB f- •:.: = COVERED BY POURED CONCRETE SLAB SURFACE _ i CONNECT TO CONNECT TO Q r. = PLANT SYMBOLS: ADJOINING = = O ADJOINING �t L PARKING LOT PARKING LOT-------------- O ORNAMENTAL CHERRY, 12"- 2"CALLn z 76 :~.• ' - -• (lam` 1? - •t ( l`LuO 0000 2 p O I o WHITE OAK, 22"-3" c\j LZ-Lo M-- N N N o 00 ASPHALT PAVED o I PROPOSED POST LAMPS DRIVING SURFACE PROPOSED PUMP w 0 o FOR PARKING LIGHTING TO I U BE IN ACCORDANCE WITH CANOPY w/ FIRE ._ Lu # I 0 o #I 0 DARK SKIES REGULATIONS SUPPRESSION; - O I ORNAMENTAL GRASS, 3'-4'ht. z 0 ' �ICRETE SL�B� Q n— / � I > LLJ - off-- GRa55 I GROUND COVER JUNIPER, 18" -24" ht. LLJ a/- #9 z Q) #9 Q o � / o z lu GRS t = I Q wLLJ z j (V/ ® JAPANESE BLACK PINE, 7 -8' ht. (L #8 #8 #7 c, O #7 z 8'O PVC PIPING \ LELAND CYPRESS, G' - 7' ht., DOUBLE ROW Z BETWEEN DRAINAGE O 1 POOLS QNw QN -w - +L w — W - - w - w Q#6 6 U • / -- - - - EXISTING N BUILDING TO REMAIN; PROPOSED REMAIN; PROPOSED TING BUI DNG TO B- #i o #1 o ALTERATIONS = _ - ALTERATIONS #5 A B ® #5 O - A B _ _ _ o C 4'-O" POURED CONCRETE + C 4'-0" POURED CONCRETE #4 UP #4 UP — U' SIDEWALK CONTINUOUS I ASPHALT PAVED SIDEWALK CONTINUOUS z _;?. o b #2 G FRIDGE F E D AROUND STRUCTURE DRIVING SURFACE �- #2 FRIDGE AROUND STRUCTURE #3 '' #3 G F E D I 0 - v _ O MPLOYEE` ARKIN •MPLOYEE`P` -N- \ LOADING = I 1 LOP\DINC�=' ( o 7RESIDEN I L �. / RESIDENTIAL l O / I VI SP I X SPACES (2) \� xS O z O z DUMPSTER w/ F v W = y 0 0 0°p FENCE ENCLOSURE z o ooo z -' GRA55 G"O PVC PIPING D Q W TO ROOF DRYWELLo 0 0 � Z GRASS zz LANDSCAPING O p I U 0 0 0 0 0 0 0 -0-0-0-0— —0 0 0 0 01 BRICK MONUMENT PIPE FOUND BRICKMONUMEM NEW 6'-O" TALL PRIVACY FENCE PIPE FOUND O-0-0-0-0-0-0- '7q FOUND 581 15'50"W 150.00' FOu� 581 15'50"W 150-00' EXISTING 5TOCKADE FENCE SITE PLAN - QUEUING0,17 SCALE: = I'O' r. SITE PLAN - LANDSCAPE PAGE: - w^ ix - APPEALS " 5CAIf: 6 BONING BOARDOF , „:r ` ' ;,,; //'• UNAUTMORIZED ALTFR4T/ON OR ADD/T/ON TO T"15 DRAW/NG AND RELATED DOCUMENT5 15A V/OLAT/ON OF5EC- 7209 OF THEN.Y.5.FDUCAT/ON LAW • i BE— • Ems-! �.--- -- �i ' � ' � ,- i V cpw�rn•�l�Ym.+.•a'iY-�•._.vciJrlcm•G:_3 r1�a••CAS`�'�1'_:...•"�r}..�:.s.'IS-I.-..'._ '=�R -{••' l yaRECEIVED APR 2 4 2097. i. ZONING BOARD OF APPEALS �] - # i HL v CZ f}: i .—... �•� r}� �1 � .lam ��.J� `� � 1^--�7 �`h'!^t� — S� t �.......1t.L..- k�� ,�� wr 1 iif Ti • %-- 5a ..eJl.3.y.c..-�+.aMw�•t...e wrt�cs-[+!l�ci..�1+V+__:arz.�x..iY'.z45ne71u•��.1�:r-w�PJ.a..-��.•"..-xGe N�AI.a•-�'v��.wT-'=�^�r-1c1�'�Lm+s.as+c���'-.+�--c•..-�1_ _- �, � .i.�.wltw_.,m..y�.. .+�v�'RILwtK�iP/iv _"""""" �+z�D.v�.:+'-ac���... '-fir.a L Pr . •s"ex`'n'.xF.:�-�:.s^n���c->_.=ir1,+•-sa�.'s'��."�v�s'•''r-:yt_ncc_�v.:.c�.r��-r..� i�-..;^acs+.sv:..:;-r�-r_.rvcrr_v'r�..C-•�•ccc-� ats�.�.•.i •_� e • Rrz'-C-rvFa APR 2 4 2097 ZONING BOARD OF APPEALS k } f-4L 4 f _ 1 1 Liu- ---------•- •-- --� ... .. _. - --- -—--'_ ,,;r•.e�erm�agra,.nmr_�exr-.sno�exF�:.rx..�ts•..e..m=..-x_•rs'�+�a.�--rrY:r.,n--+:rxsw.ro,%.,oxa-ce+z.�:�nr-�rcyx.:�...�....w.c::�.•_:..•.�-�rs��v.� Y„_ !f @ d,-asc . Vo jS% RECEIVED r` y...yt APR 2 4 2017 .. t# ZONING BOARD OF APPEALS i it - .��_r.-�.�.�:� :� ---- � -N�- -rte _.-... .:......... ._--------•----- - - -..___-----__•_j___.___•_ • – `-wucwrf�..-y+�...=��-�z-�.Cr_.st�l–`Cz�rNe.txa2aur.:t�`ed" - - 'P / APR 2 4 2017 C:� ZONING BOARD OF APPEALS c I it �_.J..ro.�......�.,-.... - _- _- ___ - _ - - --+...-,...•..� ....r -......»•.-._r�—•.�.eu•.4.ai•..v�=say...mrs•�y.ca-.:...aM.-•a-=.:a.�.=..--cr..—._=-.erre-_:�m•�r..+...�:.�_c ; i ^"""-T" •sraa.- .s++.uc. .a. , .....-..-...c_+..w-.....�-...w�.-.r-�.......r_,4..-..rte ._...w.•sv-.....arz�--•-•-- ' panillroz W-4-4- ( E i �— — TIM, �- V n ' ! - ° -Y A p. is -`•. _ - � J :�} � ' I�c a — _ E ...tea._ _ ( �• �� j RECEIVED APR 2 4 2017. j � '} ' > , r . 3: i . !TF 10 0 r • is _------,- — ----_ ._ _ - � � —� � --------- � ' . -- : - : _ � _ • - •- ! { 41 _ t - v CY ; 1100 [ , RECEIVED �prCs5, J i � �(� APR 2 4 2097 • —_ ---- - Mt ARD OF APPEAL •..�M-�t< .�...a.....Y..MV` YJr.t.na.+...•_J_- _ _ - __.....—f u.•��lr✓w•w�.�S.A:S+.!+ti.L-✓Y/f-C••e�a..+�r.•...r qe.M • - - � '� � e i '�.W QUESTIONNAIRE SPECIAL EXCEPTION FOR FILING WITH YOUR ZBA APPLICATION 1. Has a determination been made regarding Site Plan review? ✓Yes No If no,please inquiry with the ZBA office and if site plan is required,you may apply to the Planning Dept.at the same time so both applications can be reviewed concurrently. 2. Are there any/proposals to change or alter land contours? a. .✓ No Yes please explain on attached sheet. 3. Are there areas that contain sand or wetland grasses? /VO a. 2.)Are those areas shown on the survey submitted with this application? b. 3.)Is the property bulk headed between the wetlands area and the upland building area? c. 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the trustees: and if issued,please attach copies of permit with conditions and approved survey. 4. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? Alb 5. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? Please show area of the structures on a diagram if any exist or state none on the above line. 6. Do you have any construction taking place at this time concerning your premises? /�/o If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: 7. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to obtain copies of them. 8. Do you or any co-owner also own other land adjoining or close to this parcel? NO If yes,please label the proximity of your lands on your survey. 9. Pl ase list present use or operations conducted at this parcel a-Ite, FNr to tr,,d as and the proposed use qf5 (/ji]te,yLc,,e V107Y—4 0_,&eAAi �! �'-.(ex:existing single family,proposed:same with garage,pool or other or vacant proposed office with apartmen above,etc.) Authorized signature and Date RECEIVED APR % 4 2017 ZONING BOARD OF APPEALS AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit, site plan approval,use variance,area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement Hurst be referred to the Suffolk County Department of Planning in:accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: S C--;M A—R -5 j9 10 1—( C. 2. Address of Applicant: !�(p 7'70 tU-1/ 3. Name of Land Owner(if other than Applicant): S alm- 4. Address of Land Owner: 5. Description of Proposed Project: CGS :54CEftv k&& QAVeot Ce S 811 _ 00e 6. Location of Property:(road and Tax map number) y1A770 CO—' r}9. „ 1000 7. Is the parcel within 500 feet of af operation? ( 'Yes { )No 8. Is this parcel actively farmed? {gYes {}No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 07, L�o� 5 ---RECEIVED 6. (Please use the back of this page if there are additional property owners) APR 2 4 2017 ZONING BOARD OF APPEALS / /7 Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. ill Environmental Assessment Form - Part 1-Project and Setting Instructions for Completing Part I Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part lis accurate and complete. CEIVED A.Project and Sponsor Information. �Pj q APR 2 4 2017 Name of Action or Project: _ (_T&m Ca 5D a Luc— C BOARD OF APPEALS Project Location(describe,and attach a general location map): 4(,-r O 9A- 4 8 Brief Description of Proposed Action(include purpose or need): r,)Oe b SCCk GSA s SA�Uh Mn 0-,AcA C z h V" i(nn cc � z Name of Applicant/Sponsor: Telephonnne: / � --7( 33,0 -M L L C, Eail 1'C bOM `' ppr� sC Address: LI(0 17 D d) ..-. , ( e) City/PO: �b_. 6 1� State: t Zip Code: wl V\ ` c Project Contact(if not same as sponsor;give name and title/role): Telephone: .-7(oS 3 p -�C,_t Do ne E-Mail: VCM00M 0- KODRI-af 5' M Address: Z.D ��G�kV\ �va,� City/PO: �^0 r`JState: � Zip Code: I Vl _ -V Property Owner (if not same as sponsor): _ Telephone: E-Mail: Address: City/PO: State: Zip Code: Page 1 of 13 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑Yes o or Village Board of Trustees b.City,Town or Village es❑No Planning Board or Commission 17— —1 -7 c.City Council,Town or Yes❑No Village Zoning Board of Appeals �a V`4 I" y_ 2 — d.Other local agencies E]Yes2go e.County agencies es❑No 'S G H ID , J• f.Regional agencies ❑Yes2rNo g.State agencies L_.."es �o h.Federal agencies ❑Yes[<o i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑Yes 62TQo ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? les❑No iii. Is the project site within a Coastal Erosion Hazard Area? ❑YesM<oo C.Planning and Zoning C.1.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ❑Yes❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site es❑No where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action Les❑No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ❑Yes o Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, [-]Yeso or an adopted municipal farmland protection plan? 1-707Q 6^6- If Yes,identify the plan(s): %� / J RECEIVED APR 2 4 201 ZONING BOARD OF APPEALS Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. es❑No If Yes,what is the zoning classification(s)including any applicable overlay district? b. Is the use permitted or allowed by a special or conditional use permit? es❑No c.Is a zoning change requested as part of the proposed action? ❑Yes o If Yes, , i.What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? `5C>044101 b.What police or other public protection forces serve the project site? ` 510 c.Which fire protection and emergency medical services serve the project site? . PECEIVED �6 d.What parks serve the project site? 11 1 �SOL4, 40((� ZONING bUAKL)OF APPEALS D.Project Details D.1.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industria commercial ecreationalif mixe include all components)? y �� Q�r Oz� d �"� Ct�Y ve-4 tc v)cc -jt� QO b.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? s acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres c.Is the proposed action an expansion of an existing project or use? ' Yes❑No i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % 0 - RPS Units: �J 1A d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes CKo If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) ii. Is a cluster/conservation layout proposed? ❑Yes IEKO iii.Number of lots proposed? iv. Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? [--]Yes o L If No,anticipated period of construction: months ii. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1 (including demolition) month year • Anticipated completion date of final phase month _year • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: Page 3 of 13 f.Does the project include new residential' __-i? []Yeso If Yes,show numbers of units proposed. . One Family Two Family Three Family Multiple Family four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? Yes❑No If Yes, i.Total number of structures ii. Dimensions(in feet)of largest proposed structure: 3Jf height; 5 width; and 5-6 length iii. Approximate extent of building space to be heated or cooled: 115-50 square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any []YesRro liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i.Purpose of the impoundment: ii. If a water impoundment,the principal source of the water: ❑Ground water❑Surface water streams❑Other specify: iii If other than water,identify the type of impounded/ ontained liquids d their source. Q a5 E- .}-ton - �-��-V-'k s �u hc4�tr��4.M iv. Approximate size of the proposed impoundment.N JA Volu e: million gallons;surface area: acres v. Dimensions of the proposed dam or impounding structure: ►JJA_ height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): 14 I A D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑Yes o (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. iv.Will there be onsite dewatenng or processing of excavated materials? ❑Yes❑No If yes,describe. v. What is the total area to be dredged or excavated? acres vi. What is the maximum area to be worked at any one time? acres vii.What would be the maximum depth of excavation or dredging? feet viii.Will the excavation require blasting? ❑Yes❑No ix. Summarize site reclamation goals and plan: b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment ❑Yes v o into any existing wetland,waterbody,shoreline,beach or adjacent area? CATIA) If Yes: - i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic, description): DECEIVED APR 2 4 2017 Page 4 of 13 ZONING BOARD OF APPEARS H. Describe how the proposed action wdWaffect that waterbody or wetland,e.g.excavatidWill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: iii.Will proposed action cause or result in disturbance to bottom sediments? ❑Yes o If Yes,describe: iv.Will proposed action cause or result in the destruction or removal of aquatic vegetation? ❑Yes o If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: • purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): • proposed method of plant removal: • if chemical/herbicide treatment will be used,specify product(s): v.Describe any proposed reclamation/mitigation following disturbance: c.Will the proposed action use,or create a new demand for water? ❑Yes o If Yes: 15 � i. Total anticipated water usage/demand per day: � ` gallons/day ii. Will the proposed action obtain water from an existing public water supply? Yes❑No If Yes: • Name of district or service area: • Does the existing public water supply have capacity to serve the proposal? es[--]No • Is the project site in the existing district? �zes❑No • Is expansion of the district needed? ❑Yes�o • Do existing lines serve the project site? R(Yes❑No iii. Will line extension within an existing district be necessary to supply the project?(N6+ ) ❑YesO 10 If Yes: / • Describe extensions or capacity expansions proposed to serve this project: IV I A • Source(s)of supply for the district: iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes o If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • Proposed source(s)of supply for new district: v.If a public water supply will not be used,describe plans to provide water supply for the project: vi.If water supply will be from wells(public or private),maximum pumping capacity::gfA gallons/minute. d.Will the proposed action generate liquid wastes? — If Yes: L Total anticipated liquid waste generation per day: ,� 6rVD gallons/day Ce-AVCNuACe Sklf-e- IS-0 6FD H.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): 2g�y> y¢w WCR&Jr' iii.Will the proposed action use any existing public wastewater treatment facilities? NIA [-]Yesg<o If Yes: • Name of wastewater treatment plant to be used: • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? 7 ❑Yes❑No • Is the project site in the existing district? 1 � Yes❑No • Is expansion of the district needed? RECEIVECI ❑Yes❑No APR 2 4 2017 Page 5 of 13 ZONING SOAR®OF APPEALS • Do existing sewer lines serve the r-ayect site? ❑Yeso • Will line extension within an existing district be necessary to serve the project? ❑Yes No If Yes: • Describe extensions or capacity expansions proposed to serve this project: iv.Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes o If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • What is the receiving water for the wastewater discharge? v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): vi. Describe any plans or designs to capture,recycle or reuse liquid waste: e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ❑Yes o sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point l°T5 A,) source(i.e.sheet flow)during construction or post construction? If Yes: L How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) ii. Describe types of new point sources. iii.Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-si a surface waters)? 0 Re • If to surface waters,identify receiving water bodies or wetlands: h)r.4 • Will stormwater runoff flow to adjacent properties? ❑Yes o iv.Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑Yes[g,I�o f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel []Yes Nwolo combustion,waste incineration,or other processes or operations? If Yes,identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or'delivery vehicles) ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, E]YesBRo or Federal Clean Air-Act Title IV or Title V Permit? If Yes: L Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air quality standards for all or some parts of the year) U. In addition to emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) • Tons/year(short tons)of Perfluorocarbons(PFCs) �� C�7Y S' • Tons/year('short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) RECEIVED • Tons/year(short tons)of Hazardous Air Pollutants(HAPs) APR 2 4 2017 Page 6 of 13 ZONING BOARD OF APPEALS h.Will the proposed action generate or em _ thane(including,but not limited to,sewage trE�_Amt plants, [:]Yes No landfills,composting facilities)? If Yes: i. Estimate methane generation in tons/year(metric): U.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity,flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as []Yes o quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ElyesDRo new demand for transportation facilities or services? If Yes: i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend ❑Randomly between hours of to U.For commercial activities only,projected number of semi-trailer truck trips/day: iii. Parking spaces: Existing Proposed Net increase/decrease iv.Does the proposed action include any shared use parking? ❑Yes❑No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private transportation service(s)or facilities available within%mile of the proposed site? s❑No vii Will the proposed action include access to public,transportation or accommodations for use of hybrid,electric es❑No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing []Yes No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑Yes o for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action: ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): iii. Will the proposed action require a new,or an upgrade to,an existing substation? ❑Yes No 1.Hours of operation. Answer all items which apply. L During Construction: U. During Operations: "i"P,�2{riVv►u�tcc�Q • Monday-Friday: Monday-Friday: — to Fyn • Saturday: • Saturday: t f O'A'T • Sunday: • Sunday:_ (oAyn _ Layvn • Holidays: • Holidays: 6 cLm _ 10 am RECEIVED APR 2 4 2017 Page 7 of 13 ZONING BOARD OF APPEALS in.Will the proposed action produce nois'-- ,.s.will exceed existing ambient noise levels dura ___,instruction, ❑Yes ErNo operation,or both? If yes: i. Provide details including sources,time of day and duration: ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes❑No Describe: n..Will the proposed action have outdoor lighting? Yes❑No If yes: L Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest kccupied structures: GccM o n&j �c4 s -♦�yv�,k s . ��,v1� C�mID I iQn1 ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes Df4o Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes o If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) Pt❑No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i. Product(s)to be stored CA Q So ii. Volume(s)hboo per unit timegi (e.g.,month,year) iii. Generally describe proposed storage facilities: U�k6-ee&rC )y7A "l oirwrt—) o_mA I`eGi2tnJra 1 V1.c' -• � q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes 0,10 insecticides)during construction or operation? If Yes: i. Describe proposed treatment(s): U.Will the proposed action use Integrated Pest Management Practices? ❑ Yes ❑N r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes o of solid waste(excluding hazardous materials)? If Yes: L Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation: tons per (unit of time) d. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: in.Proposed disposal methods/facilities for solid waste generated on-site: • Construction: l7� � • Operation: RECEIVED APR 2 4 2017 ZONING BOARD OF APPEALS Page 8 of 13 s.Does the proposed action include const _ >n or modification of a solid waste managemei ility? ❑Yes No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life: years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous DYes o waste? If Yes: i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: H. Generally describe processes or activities involving hazardous wastes or constituents: iii. Specify amount to be handled or generated tons/month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents v.Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? ❑YesQNo If Yes:provide name and location of facility: If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.1.Land uses on and surrounding the project site a.Existing land uses. i Check all uses that occur op;adjoining and n90 the project site. ❑ Urban ❑ Industrial ❑,'Commercial Residential(suburban) El Rural(non-farm) E] Forest [Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/-) • Roads,buildings,and other paved or impervious oZ �� t 3+ surfaces • Forested Q O •, Meadows,grasslands or brushlands(non- C) agricultural,including abandoned agricultural) • Agricultural (includes active orchards,field,greenhouse etc.) • Surface water features O (lakes,ponds,streams,rivers,etc.) ® O • Wetlands(freshwater or tidal) © 0 � • Non-vegetated(bare rock,earth or fill) 0 • Other Describe: /M .S RECEIVEC) APR 2 4 2017 Page 9 of 13 ZONING BOARD OFAPPWAi,3 c.Is the project site presently used by me_ _ s of the community for public recreation? ❑Yes No L If Yes:explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes o day care centers,or group homes)within 1500 feet of the project site? If Yes, L_Identify Facilities: e.Does the project site contain an existing dam? ❑Yes No If Yes: L Dimensions of the dam and impoundment: • Dam height: feet • Dam length: feet • Surface area: acres • Volume impounded: gallons OR acre-feet U. Dam's existing hazard classification: W. Provide date and-summarize results of last inspection: f Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes' o or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation: ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: iii. Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes o property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: L Describe waste(s)handled and waste management activities,including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes No remedial actions been conducted at or adjacent to the proposed site? If Yes: i Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑YeseNo Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures: iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? E1YesUNo If yes,provide DEC ID number(s): iv.If yes to(i),(ii)or(iii)above,describe current status of site(s): RECEIVED APR 2 4 2017 Page 10 of 13 ZONING BOARD OFAPPA,L'S v. Is the project site subject to an institu ,__1 control limiting property uses? — ❑Yes No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑Yes❑No • Explain: E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? A feet b.Are there bedrock outcroppings on the project site? EJYesE3Ro If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: 151"Lo�( z_19d7 /©O % d.What is the average depth to the water table on the project site? Average: L0 feet e.Drainage status of project site soils:9 Well Drained: %of site ❑ Moderately Well Drained: %of site ❑ Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: 0-10%: ZQQ %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? E1YesE2T,4o If Yes,describe: h.Surface water features. i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, E]YesMl o ponds or lakes)? ii.Do any wetlands or other waterbodies adjoin the project site? ❑YesRNo If Yes to either i or ii,continue. If No,skip to E.2.i. iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑YesB<o state or local agency? iv.For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification v Lakes or Ponds: Name Classification • Wetlands: Name Approximate Size • Wetland No.(if regulated by DEC) v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes(Wo waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired:_ i.Is the project site in a designated Floodway? Dyes 19<0 j.Is the project site in the 100 year Floodplain? ❑YesPKO k.Is the project site in the 500 year Floodplain? ❑Yes o 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? es❑No If Yes: n i.Name of aquifer: &Q-0L)l� -TG�'--WNJm• BVT 00A_)1!57g� -27' REmliED APR � 420�� Page 11 of 13 ZONING BOARD OFARPE-AL 1 l I in. Identify the predominant wildlife spe G._-�hat occupy or use the project site: ;rG n.Does the project site contain a designated significant natural community? ❑Yes o If Yes: i.Describe the habitat/community(composition,function,and basis for designation): ii.,Source(s)of description or evaluation: iii. Extent of community/habitat: • Currently: acres • Following completion of project as proposed: acres • Gain or loss(indicate+or-): acres o.Does project site contain any.species of plant or animal that is listed by the federal government or NYS as ❑YesEf&O endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? i p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑Yes o special concern? q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? E]YesE3KO If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to E]YesB&o Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? ❑Yes o i. If Yes:acreage(s)on project site? ii. Source(s)of soil rating(s): c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑YesEKO Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature ii.Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes o If Yes: i. CEA name: H.Basis for designation: W.Designating agency and date: RECEIVED APR 2 4 2017 Page 12 of 13 ZONING BOARD OF APPEALS e.Does the project site contain,or is it suL._.An-lially contiguous to,a building,archaeologica' or district ❑Yes2'N-0 which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: L Nature of historic/archaeological resource: El Archaeological Site El Historic Building or District ii.Name: iii. Brief description of attributes on which listing is based: f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for E]YesNrNo archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? E]YesE3&0 If Yes: i.Describe possible resource(s): ii.Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local es❑No scenic or aesthetic resource? If Yes: i.Identify resource: 20 A-D 5 ii.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): yCnA&mA C-- a�1 yy&Y5 iii. Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑YesMo o Program,6 NYCRR 666? If Yes: L Identify the name of the river and its designation: ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑Yes❑No F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name 5�f t_`� Date L112" /17 Signature Title RECEIVED APR 2 4 2017 PRINT FORM Page 13 of 13 ZONING BOARD OF APPEALS APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: M C+f 50 1 , L(.-( (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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) !F4Sg2 jg n Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance If this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person 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 that 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 �® y o 3 920 1-7 Signature o � S67 Print Name G�R N_ ll h?_5 m R���y��� APR 2 4 2,617 ZONING BOARD OF APPEALS 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. YOUR NAME: pa-6_1 CC Gl �zVealc (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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance ✓ Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) —nom r �IP�J Planning Do you personally(mor 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 to w ich the town officer or employee owns more than 5%of the shares. YES NU 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 Title or position of that person 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 that 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 ay 920L Signatur RECEIVED Print Name cL c ADR 2017 ZONING BOARD OF APPEALS j Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Pernfits and other ministerial permits not located within the Coastal Erosion Hazcn d Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town. 3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, Iisting both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy ofthe LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department,all local libraries and the Town Clerk's office. {i RECEIVE B. DESCRIPTION OF SITE AND PROPOSED ACTION e APR 2 4 2017 SCTM# 66- - - 6, - l ZONING BOARD OF AMALS PROJECT NAME �Ta-- Y1 C 4q'P ;6b i L LC— The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board ErBuilding Dept. ❑ Board of Trustees ❑ 08-A X- 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan, subsidy) (c) Permit,approval, license, certification: ❑ Nature and extent of action:_ r�A L-y,—cc r.ib n,A- 6W (gas 5icLtbj:�) w din C�mm�v►ter�c� �,r� ►nn ��sfzri►co bcu.,lc��nc� �- "a 9 er a cec4hOOAJ &A ftmr- Location of action: 4L -1'70 Cat 148 sem d4 n A NJ Site acreage: 3 7 J-2-3 Present land use: M!�eA useyyt q-rcueYDS-d-e r� ) Present zoning classification: r 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Z�--'M e A-P c5D i (b) Mailing address: n c-Lc\ c Moor-e s t01,n, K a k vi 20e-AA , Sa u-I-1 o 8 " ( (CI-It (c) Telephone number:Area Code( ��v( � -7 GS-- L'-3 3 t2 (d),Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No Er If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers,will require that the form be returned for completion., DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. Yes ❑ No Not Applicable eL \ Cx Gig n V"2 ce c s t�.c ` ft he- Yds S. C � - S e d user✓{ S c CLnor) i e tyre Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria RECEIVED i ❑ Yes ❑ No [Not Applicable APR 2 4 2017 ZONING BOAR®OF APPEALS Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria PrYes ❑ No ❑ Not Applicable s cc 'ell i s4, moo- 0 im e� �cj _�w V&-��l - - Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section I[[—,Policies Pages 8 through 16 for evaluation criteria _ 1:1Yes ❑ No u Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑Yes ❑ No Not Applicable EgMdpe°ae9..ED APR 9 4 2097 7^PANG 130ARn OE APPFALS Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable 040 -re o p_uc PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No 19 loot Applicable Attach additional sheets if necessary (� P,ECEIVED WORKING COAST POLICIES APR 2 4 2017 ZONING BOARD OF APPEALS F Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No 0Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. . ❑Yes ❑ No FNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. IM/Yes ❑ No❑ Not Applicable Zai X rp ---cS OY1 Attach additional sheets if necessary Policy 13. Promote appropriate use and' development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No Not Applicable 4flo� s RECEIVED AP % 4 ZONING BOARD OF AP PREPARED BY TITLE DATE .4mended on 811105 Board of Zoning ADveals Anolication AUTHORIZATION (Where the Applicant is not the Owner) y\ residing at (Print property owner's name) (Mailing Address) do hereby authorize 1 P F'L < < I A (Agent) C, - to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. wner's Signature) PL (Print Owner's Name) 7 RECEIVED APR 2 4 2017 ZONING BOARD OF APPFAL _ FORM NCO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEEWS OFFICE SOUTHOLD. N. Y. ✓ CERTIFICA'T'E OF OCCUPANCY No. A .M5. .. . Date . . ... . . .. .. .... 900W . . 1960. . THIS CERTIFIES that the building located at h/9 . .141a41Q.RO$a..... . ... Street Map No. ?G. . . . .. . Block No. ?LXX. . . .... .Lot N&'C.rX ... $O11A914s. tY-?..... . . . conforms substantially to the Application for Building Permit heretofore filed int s ice dated . .. A4;kI!,�x W... . .� p IA. pursuant to which Building Permit No. . .. .. . . dated . . . . . .. . . . .Fab....j1+ ..., 19.66., was issued, and conforms to all of the require- ments of the -applicable provisions of the law. The occupancy for which this certificate is issuedis •... . . ... .... .. . . . . . . .. . . .. .. .. .. .. .... ... . . The certificate is issued to . ..K?n+l ......Di+REM. .. . ... .. .. .•. .... ........ . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval + 21. .Wt. 1966 .by .R•. .Villa. . • Building Inspector . C 9 RECEIIVED APR 2 4 2017 F ZONING BOARD OF APPEALS i FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 5-23295 Date OCTOBER 19, 1994 THIS CERTIFIES that the building ADDITION Location of Property 46770 COUNTY ROAD #48 SOUTHOLD, NXK YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 5 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DBCMQ= 7, 1993 __pursuant to which Building Permit No. 21849-8 dated DRCZMBZR 20, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is HANDICAP RJW ADDITION TO XXISTING RXTAn• BUSINESS BUILDING AS APPLIED FOR. The certificate is issued to PRB PROPERTIES (owners) RECEIVED of the aforesaid building. APR 2 4 2017 SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. 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'7 ��CT � � 1�1 � �: �� ��ff, y �s .. r t� 1't�gg � /r r S% �h.=. .'s�'R � :''I-. rri.��..-�1/� f �1. � S i ..II Ill S7rf•: rlrr,a: �f! r c ::47!x''%>,/' "+'•`""� .;,� .:.�-� •>I/�..�;I�1 ��1 t � ��1 ►,lyf;l�� Ipllll {I'I�t�1��I(�Ilil/t e'� it,, {(j��t r �1p, � �� �If► II,1! P��.} Ir/.l .}16��: ,�t,S r„ Y;fa�►t.. t- -_ - - .. _ - '- _ .:`C' �. ;:w rr.��+�� ,.-,` `vim-'G. r+ftf�_ �� •fir+. CTM: 1000-55-5-9 --,W�-D-7? SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM Site Plan Name and Location Site Plan Name: L-- fAl? ::570 ( , L Application Date: y / Y / 17 Suffolk County Tax Map#1000-c-6-6- - 5— - Other SCTM#s Street Address: („`7'7 0 Hamlet: 5n Distance to,nearest intersection: 9 6 6- S 3 At, ­6 o(5SPm u- AA rr . Type of Site Plan: ✓ New Amended_Residential Zoning District Owners/Agent Contact Information Please list ramie, mailing address, and hone number for the people below: Property Owner A P C Street 3 Go Mad c S G r1 f -i - cJ��- lin?— city I n2--City N -1/. State 'NY zip--1—c4,—Di-l' - 713 8 Home Telephone Other Applicant B- e Street City State Zip Home Telephone Other Applicant's Agent or Representative: Contact Person(s)* ?CUt C-C CL, C- -01�� Street \ 02 Q000 city 1/L`{'�O �d State Office Telephone (0 3 �'�(� N 0 Other PM 00 fT A K '� m "Unless otherwise requested, correspondence will be sent only to the contact person noted here. J;JECE1vED APR 2 4 ZOV Site Plan Application Forni 2/18/2010 ZONING BOARD OF APPEALS Site Data - Proposed construction type: New /Modification of Existing Structure Agricultural Change of use Property total acreage or square footage: 371 )z--3 ac./sq. ft. Site Plan build-out acreage or square footage: aw.,sq. ft. Is there an existing or proposed Sale of Development Rights on the property? Yes No If yes, explain: Does the parcel(s)meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y/N If"yes", explain(and attach any necessary documentation-title report, subdivision approval, etc.) Pe,0P!:!jM 1-� lr�vcol,-6 W-,A� Z5VCCftVV--1 (,A��OAACi 60;l4me-,'-w blco.,�, Building Department Notice of Disapproval Date: Is an application to the Southold Town Zoning Board of Appeals required? Yes ✓ No If yes,have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more'then one use is proposed per building, indicate square footage of floor area per use. my l►-r-�)e v�e`Szt�) V �sy cor��/gc rs&V�o11 u S� List all existing property uses: e u rAyxcwcc c.A h t,W d(riG (:x nA Gl uyil.11(yi List all proposed property uses:_f 4 ,-o?er_n car �ocr_Pssr'»y "a-vk-m Other accessory uses: Existing lot coverage: /o Propo ed lot coverage: % Gross floor area of existing structure(s).r 57qZS sq. ft. Gross floor area of proposed structure(s)� 5recSs ) Coi1J ok--nce-5f-ove- Parking Space Data: #of existing spaces: #of proposed spaces: Loading Berth: Yes✓No_ Landscaping Details: Existing landscape coverage: 0 % Proposed landscape coverage: 35, % Wetlands: Is this property within 500' of a wetland area? Yes_No Maybe I,the undersigned, certify that all the above information is true. RECEIVED Signature of Preparers Date: APR 2 4 2017 2 Site Plan Application Forin 2/18/2010 ZONING BOARD OF APRALS - -76 TOWN ®� SOUTHOLD •PROPERTY RECORD CARD 4_ 4. W R ('� g LL STREET G� 7� VILLAGE• DIST. SUB. LOT FORMER OWNER-,-�6 Q�!1✓Ill' N E ACR. REC K '" S W TYft OF BUILDI G / .1 Imc �Y y,,,_ OF APPEALS SEAS. VL. FARM CO CB. MICS. Mkt. Value N Y N LAND IMp�, TOTAL DATE REMARKS Ld -a !,2 D O U G o N a 3 ti io S�9�p *&A �In•�1 r / av z � ' r 14aYJ I ca �� .691 � �• oa• s m AGE BUILDING CONDITION W NEW NORMAL BELOW ABOVE �' :� ��L -7.32 2-1._P�� p,^�v LID FARM Acre Value Per Value / �L f z 6?(� l� ✓—M/ro 5k1 Acre � z//00 — r u Tillable FROINT;4 66 __ I (S) Woodlond FRONTAGE ON ROAD / � '2 A2.0 m MeadoMond DEPTH BULKHEAD House Plot m Totak . DOCK ds 1 -LIZ -7.25 p ��' S/tvGE.�O�s ��" � q&77o 0 A,/ v m SCTM # _ I 5- TOWN OF SOUTHOLD PROPERTY RECORD CARD D15T. SUB. LOT OWNER STREET ��� VILLAGE ACR. RE 170 jean !qm,o-oo- TYPE OF BLD. o � �� �0 r ,t PROP. CLSGS w c.� D con LANA IMP. TOTAL DATE w N 3oU 5 8l0 JZ4 A o �DEI�pE'0 0 0 l ING BOARp DF � ff Lo m Lo m Lo Lo FRONTAGE ON WATER HOUSE(LOT 0o m m N r BULKHEAD m cn TOTAL J -uM::' . Fy'iCs.t:J:. ":L '''.'.ii=-••:ic_`',.::;::y5 +^ ' t�No.t�� ONE MEMO 0 ONE MEN= 0 MEN • �i�■i1��1■EEi1 ■■■■■■■tom MENEMti■■■■tt■��■■1■� ■ ■ y ■i�■iME1■ ■1■as SWAN MOEN m ■ttlita�� �M1 mmRm�� -MEMOS Is mmmmmm WOMEN m • ■ONES!��31MINIV■■■11il11■iONE =MHUMEREWAR na IN' ON ■�'�Siilt�ti% •• MEMO FlAWNEM■■■UNUUM�L�t■ ■■1i MEN Now - NEO■�®ii ■i��■�t�MEN lililMEN Roorns 2nd t1i1 Interior Finish • Floor ELIZABETH A.NEVILLE,MMC �.t® ` ��, Town Hall,53095 Main Road TOWN CLERK RO.Box 1179 C Z Southold,New York`11971 REGISTRAR OF VITAL STATISTICS _ ® Fax(631)765-6145 MARRIAGE OFFICER �'� ®t' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A.Neville DATED: April 27, 2017 RE: Zoning Appeal No. 7079SE Transmitted herewith is Zoning Appeals No. 7079SE for-The Application for Special Exception to the Southold Town Zoning Board of Appeals. Also enclosed is the Applicant's Project Description, Questionnaire,Agricultural Data Statement, Short Environmental Assessment Form, Applicant/Owner Transactional Disclosure Form,Agent/Representative Transactional Disclosure Form, LWRP Consistency Assessment Form,Notice of Disapproval, Board of Zoning Appeals Application Authorization, Certificates of Occupancy, Photos, Google Map Photos, Southold Planning board Site plan Application Form, Property Record Card, Survey, Drawings, and Site Plans. I i / * * * RECEIPT * * * Date: 04/27/17 Receipt#: 218658 Quantity Transactions Reference Subtotal 1 ZBA Application Fees 7079SE $1,200.00 Total Paid: $1,200.00 Notes: Payment Type Amount Paid By CK#1092 $1,200.00 Jemcap, Sd1 Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Jemcap, Sd1 Llc 360 Madison Ave Ste 1902 New York, NY 10017 Clerk ID: SABRINA Internal 1'1):7079SE F- BOARD MEMBERS ®¢ Sly(/, Southold Town Hall Leslie Kanes Weisman,Chairperson �� yQl® 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer G Town Annex/First Floor,Capital One Bank George Horning r� © �® 54375 Main Road(at Youngs Avenue) Kenneth Schneider lyCOUNT`1,� Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631) 765-9 MEMO D � CE � � [ TO: Planning Board APR 2 tor 20 17 Southold Tot,n FROM: Leslie K. Weisman, ZBA Chairperson Planning Board DATE: August 6, 2014 SUBJECT: Request for Comments ZBA #7079SE —JEMCAP SD1, LLC The ZBA is reviewing the following application, and enclosed copies of, ZBA application, and latest map. The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning), and your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. NAME TAX#/ ZBA HEARING VARIANCE PLANS PREPARER ZONE DATE DATE STAMPED JEMCAP 55.-5- #7079SE TO BE 280-48B(12) 4124117 SDI, LLC. 9.1 DETERMINED B Zone Your comments are appreciated by one week prior to above hearing date. Thank you. Ends. BOARD MEMBERS OF SO�jT Southold Town Hall Leslie Kanes Weisman,Chairperson �o��' �'pl0 53095 Main Road• P.O.Box 1179 Eric Dantes Southold,NY 11971-0959 Office Location: Gerard P.Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning �O i� 54375 Main Road(at Youngs Avenue) Kenneth Schneider IyCQO ��v Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 April 26, 2017 Ms. Sarah Lansdale; Director Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Ms. Lansdale: Please find enclosed the following application with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: ZBA File #7079SE Owner/Applicant: JEMCAP SD1, LLC Action Requested: Special Exception — gas station w/convenience store and apartments Within 500 feet of: (X) State or County Road ( ) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. ( ) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie K. Weisman ZBA Chairperson By: Encls. i I i i 1 ZONING BOARD OF APPEALS , — i Hall Annex, 54375 Route 25 P.O.Box 1179 Southold, New York 11971 Fax(631) 765.9064 Telephone (631) 765-1809 fT7 Y " 60 MEMO Date: May 4, 2021 To: Elizabeth Neville, Town Clerk From: Leslie Kanes Weisman, Chairperson ZBA Kim Fuentes, Board Assistant Subj ect: Refund request Please see MinuteTraq entry Record No. 17018 completed by Kim F. on May 4, 2021 A refund is requested for the following: SEQRA—Environmental Consulting Fees —JEMCAP SD 1, LLC Refund recommended: $8,176.25 (remaining unused balance of deposit) Reason: Applicant Withdrew Please send the check to: JEMCAP SD 1, LLC 360 Madison Avenue, Ste 1902 New York, NY 10017-7158 Thank you. Encls. cc: Acct. Dept. RESOLUTION (ID # 17018) REVIEWED DOC ID: 17018 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 17018) WAS REVIEWED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 18,2021: RESOLVED, that the unused consulting fees paid to the Town in connection with the Environmental Consulting Review(SEQRA) for a Special Exception and Area Variance Applications of JEMCAP SD 1, LLC, located at 46770 Route 48, Southold,NY, SCTM No. 1000-55-5-9.1 totaling $8,176.25, be refunded to the applicant pursuant to withdrawal letter of May 3, 2021. Elizabeth A. Neville S� Southold Town Clerk �C Vendor No. Check No. Town of Southold, New York- Payment Voucher Vendor Name Vendor Address Enterdd by JEMCAP SD 1, LLC 360 Madison Avenue, Ste 1902 Audit Date " == Vendor Telephone Number New York, NY 10017-7158 Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number $8,176.25 $8,176.25 Return unused consulting 8.8010.4.500.100 fees for SEQRA review of B691 JEMCAP SD 1, LLC B.2110.30 Gas Station SCTM No.1000-55-5-9.1 $8,176.25 $8,176.25 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and yment i pproved Signature Title Signature C G� Company Name Date Title Z Date ��, I �4J Fuentes, Kim From: Fuentes, Kim Sent: Tuesday, April 27, 2021 1:27 PM To: Carrie O'Farrell (COFarrell@nelsonpope.com) Subject: FW:JEMCAP Gas Station - SEQRA Hi Carrie, I have been informed by the applicant's legal counsel that the owner is no longer pursuing a special exception, therefore, completion of SEQRA review is no longer required. I will be refunding their consulting budget. Please let me know of remaining balances. Thank you. Kim E.Fuentes Board Assistant Zoning Board of Appeals 631-765-1809 kim a2southoldtownn Location:54375 Main Road Mail:R O. Box 1179 Southold, IVY 11952 From: pcmoore@mooreattys.com <pcmoore@mooreattys.com> Sent:Wednesday,April 14, 20211:49 PM To: Fuentes, Kim <kimf@southoldtownny.gov>; betsy@mooreattys.com;julia schade<juliaschade@mooreattys.com> Cc:Sakarellos, Elizabeth <elizabeth.sakarellos@town.southold.ny.us>; Bradley Marsh<bradley@jemcap.net> Subject: RE:JEMCAP Gas Station-SEQRA Hi Kim: thank you for your email. I have been advised that the owner is not continuing with the gas station application. Pat PATRICIA C. MOORE physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 www.mooreattys.com -� Original Message -------- Su ject: RE: JEMCAP Gas Station - SEQRA From: <pcmoore(abmooreattys.com> Date: Tue, April 13, 2021 9:58 am To: "Fuentes, Kim" <kimf@southoldtownnyaov>, "betsv(cOmooreattys.com" <betsy(-&mooreattys.com>, "julia schade" <juliaschade@mooreattys.com> Cc: "Sakarellos, Elizabeth" <elizabeth.sakarellos(cbtown.southold.ny.us>, "Kristopher Pilles" <kris.pilles@northforkcommercial.com> thank you Kim. I will check with the clients and advise. Pat PATRICIA C. MOORE physical & mailing address 51020 Main Road Southold NY 11971 tel # 631.765.4330 fax # 631.765.4643 www.mooreattys.com -------- Original Message -------- Subject: JEMCAP Gas Station - SEQRA From: "Fuentes, Kim" <kimf(@southoldtownny.gov> Date: Tue, April 13, 2021 9:22 am To: "pcmoore mooreattys.com" <pcmoore mooreattys.com>, "'betsy(aDmooreattys.com"' <betsy0)mooreattys.com>, julia schade <juliaschade(a)mooreattys.com> Cc: "Sakarellos, Elizabeth" <elizabeth.sakarellosCcbtown.southold.ny.us> Hi Pat, My records show the last activity relating to the SEQRA review of JEMCAP was done on 11/14/2019. At that time, a Preliminary Review Memo by Nelson Pope Voorhis, dated November 11, 2019, was sent to you. Please let us know if you are still pursuing a special exception, and if so, when your design professionals will be submitting requested materials. Thank you. Kim E.Fuentes Board Assistant Zoning Board of Appeals 631-765-1809 kimpgoutholdtownny.gov Location:54375 Main Road Mail.A 0.Box 1179 Southold,NY 11952 2 Fuentes, Kim From: Fuentes, Kim Sent: Tuesday,April 13, 2021 9:22 AM To: 'pcmoore@mooreattys.com'; 'betsy@ moo reattys.co m'; Julia schade' Cc: Sakarellos, Elizabeth Subject: JEMCAP Gas Station - SEQRA Hi Pat, My records show the last activity relating to the SEQRA review of JEMCAP was done on 11/14/2019. At that time, a Preliminary Review Memo by Nelson Pope Voorhis, dated November 11, 2019, was sent to you. Please let us know if you are still pursuing a special exception, and if so, when your design professionals will be submitting requested materials. Thank you. Kim E. Fuentes Board Assistant Zoning Board of Appeals 631-765-1809 kim&jJ outholdtownny.Dov Location:54375 Main Road Mail:P.0. Box 1179 Southold, AY 11952 i Dated February 24, 2020 NP&V Calculations for JEMCAP Budget Invoice Invoice No. Deposit received Amount Amount from Enclaves NP&V Proposal Letter Dated August 13, 2019 P.O. 32909 8/3/2018 $13,800.00 (Deposit into Escrow) Task 1 Initial Application Review $2,000.00 $2,000.00 20729 $13,800.00 Task 2 SEQRA Classification, Coordination, Administration $1,000.00 $388.75 20729 Task 3 Prepare EAF Part 2 $800.00 $580.00 20729 NP&V Invoices Task 4 Technical Analysis & Recommendation $6,000.00 $2,655.00 20729 20729 2/27/2020- $5,623.75 Task 5 Meet with the Planning Board $2,000.00 EAF Part 3 and SEQRA Determination of Significance $2,000.00 Miscellaneous Totals: $13,800.00 $5,623.75 Remaining Balance $8,176.25 r. Vendor No. ---- --—- Check No. Town of Southold, New York - Payment Voucher 14161 Vendor Name Vendor Address Entered by Nelson Pope & Voorhis, LLC 572 Walt Whitman Road Audit Date Vendor telephone Number Melville, NY 11747 631-427-5665 Town Clerk Vendor Contact -------^- ------ ----- Carrie O'Farrell Invoice InvoiceInvoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number i 20729 1/27/20 5623.75 32909 SEQRA Review B8010.4,500.100 (� JEMCAP SD 1, LLC B691 Gas Station B.2110.30 Y Special Exception &Area Variance Payee Certification Department Certification I he undersigned(Claimant)(Acting on behalfof the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substttuu n,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the qu/�nudes thert Drhav been ven ed with the exceptions due and owing,and that taxes from which the Town is exempt are excluded jor ,ancies ed,and pa ment is a proved ✓ Senior Partner g Signature Tnle Si nat Company NamNelson, Pope &Voorhis, C 01/27/20 Title Date © � a3,7� �- 1 I7 1 a<_ I , I DBOar-d invoice, NELSON POPE VOORHIS environmental • land use - planning 572 Walt Whitman Road Melville, NY 11747(631)427-5665 January 27, 2020 Ms Kim Fuentes Project No. V19X254.001 000 Board of Appeals, Board Assistant Invoice No 20729 Town of Southold Project Manager Carrie O'Farrell Town Hall, 53095 State Rte 25 P O Box 1179 Southhold, NY 11971-0959 Project V19X254.001.000 JEMCAP: 46770 Route 48, Southold' Professional Services Phase SEQRA 8/13/19_Proposal- Spec Use Permit Review -------------------=----------------------------------------------------------------------- Task TASK 1 Initial Application Review Initial Application Review Fee 2,000.00 Total,this Task $2,000.00 r Task TASK 2 SEQRA Classification, Coord'. &Admin SEQRA Classification Cord,&Admin Professional Personnel Hours Rate -Amount NPV Senior Partner. O'Farrell, Carrie 11/14/2019 50 21500 107.50 Coordinate review with ZBA Clerk, conference call on next steps/SEQRA review O'Farrell, Carrie 11/26/2019 75 215.00 161 25 Call with ZBA Chair and Town Attorney to discuss classification of action, next steps Environmental Planner Robin, Scott 8/15/2019 1.00 1.20.00 120.00 SEQRA Classification/Coordination List Totals 2.25 388.75 Total Labor- 388.75 Billing Limits Current Prior ' To-Date Total Billings 38875 0.00 38875 Limit 1,000.00 Remaining 611.25 Total this Task $388.75 -------------------------------------------------------------------------------------------- Task TASK 3 Prepare EAF Part 2 EAF Part 2 �. Professional Personnel 1 I Environmental Planner Hours Rate Amount Robin, Scott 8/26/2019 1 00 145.00 14500 i I I All Invoices are due net 30 days A late charge of 1%per month will be added to any unpaid balance after 30 days. Project V19X254 001 000 JEN 46770 Route 48, Southold Invoice 20729 EAF Part 2 Robin, Scott 8/27/2019 250 14500 362.50 ' EAF Part 2 Robin, Scott 8/28/2019 .50 14500 72.50 EAF Part 2 Totals 4.00 580.00 Total Labor 580.00 Total this Task $580.00 Task TASK 4 Technical Analysis& Recommendations Technical Analysis& Recommendations Professional Personnel Hours Rate Amount Environmental Planner Robin, Scott 8/22/2019 4.50 12000 54000 Technical Analysis Robin, Scott 8/26/2019 200 120.00 240.00 Technical Analysis Robin, Scott 8/27/2019 2.00 120.00 24000 Technical Analysis Robin, Scott 8/28/2019 300 120.00 360.00 Technical Analysis Robin, Scott 9/4/2019 .50 12000 60.00 Preliminary Review Robin, Scott 9/5/2019 3.00 12000 360.00 Analysis Robin, Scott 9/9/2019 1 50 120.00 18000 Analysis Totals 16.50 1,98000 Total Labor 1,980.00 Consultants Nelson &Pope 12/19/2019 Nelson &Pope Technical Analysis& 675 00 Recommendations- Invoice 50125 Total Consultants 675.00 675.00 Billing Limits Current Prior To-Date Total Billings 2,65500 0.00 2,655.00 Limit 6,000.00 Remaining 3,345.00 Total this Task $2,655.00 Total this Phase $5,623.75 E Total this Invoice $5,623.75 f I i i i All invoices are due net 30 days A late charge of 1%per month will be added to any unpaid balance after 30 days Page 2 Invoice NELSON+ POPE engineers -architects - surveyors lJU 15 15 572 Walt Whitman Road Melville;NY 11747 (631)427-5665 ; December 1'9,2019 Ms.'Carrie OFarrell � � Nelson Pope&Voorhis Project No: N19X502.001.000 � Invoice No: 50125 572 Walt Whitman Road Project Manager' Osman Barrie Melville, NY 11747 Project - Nl9X502-001.0bo JEMCAP: 46770 Route 48, Southold Professional Services -------------------------------------------------------- . -----:----- -=-------- Phase :---_ SEQRA 8/•13/19 Proposal-Spec Use Permit Review --------------=------- ----------;------------ ' Task TASK 4 Technical-Analysis&'Recommendations 'Professional Personnel Hours -Rate Amount Sr.Project Manager Barrie, Osman 11/14/2019 . 3.50 150.00 525.00 ' traffic reveiw Barrie, Osman 11/15/2019 1.00 150.00 150.00 traffic reveiw Totals 4.50 675.00 Total Labor 675.00 Total this Task $675.00 Total'this Phase $675.00 Total this Invoice $675.00 PROJI_'C7 NAME pPdJECT A1U gER If In PAY NET 30 rASK C7 PAY APPROVED BY N PAID �SHE aArE &��g� All invoices are due net 30 days. A late charge of I%per month may be added to any unpaid balance after 30 days. JEMCAP GAS STATION No priors;No AG; Co PI and PB sent 4/26/17 May 31, 2019 - Letter from Planning Board to applicant that they placed their review on hold until the ZBA has issued a determination for the Special Exception. (ZBA has been directed to conduct SEQRA review with the expertise of their consultant,NP&V) 6/11/2019 - The ZBA received updated documents from applicant(Site Plan, Survey and Full EAF). 6/14/2019 -Mailed both applications to Carrie O'Farrell of NP&V and in letter dated 6/12/2019 requested review and estimation of cost of services. 8/14/2019 - Telephone conversation with Carrie today. She will have budget completed by end of day. This date, I sent her ZBA and Planning Dept. Weblink/Laserfiche files on Penney- Southold Gas Station. 8/16/2019 - Sent letter to Pat Moore with fee estimate=-budget for JEMCAP SEQRA review. Request initial deposit in the amount of$13,800. 8/27/2019 - Received $13,800 payment from JEMCAP, Sent to Accounting with Memo and P.O. 8/27/2019 - Sent letter, P.O. and Voucher, to Carrie O'Farrell directing NP&V to proceed with SEQRA Environmental review. 11/13/2019 - Received via Email Preliminary Review Memo of JEMCAP from Carrie O'Farrell of NP&V. 11/14/2019 - Forwarded the Preliminary Review Memo to Patricia Moore with Letter dated November 14, 2019 11/21/2019 - Conference Call scheduled for 1:00 PM with Carrie O'Farrell, Bill Duffy, Leslie and Kim was cancelled - Bill out sick 2/7/2020-Received invoice from NP&V $5623.75, voucher sent to Accounting Dept. 2/24/2020. BOARD MEMBERS *0 SOUjyO Southold Town Hall Leslie Kanes Weisman,Chairperson ,`4 l0 53095 Main Road -P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes 6 Q Town Annex/First Floor, Robert Lehnert,Jr. O! i 54375 Main Road(at Youngs Avenue) Nicholas Planamento roouff m Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD November 14, 2019 Tel.(631)765-1809-Fax(631)765-9064 Patricia Moore Attorney at Law 51020 Main Road Southold,NY 11971 RE: SEQRA Review Special Exception&Area Variance Applications JEMCAP SDI, LLC Gas Station, Convenient Store and Apartments SCTM No. 1000-55-5-9.1 �- Dear Mrs. Moore; Please see the attached memorandum from Carrie O'Farrell of Nelson, Pope, &Voorhis, LLC, our environmental services consultant retained by the Zoning Board to assist with conducting an environmental assessment of your proposed project, in accordance with the standards and procedures set forth by the State Environmental Quality Review Act(SEQRA). Our consultant has classified the subject project as an Unlisted Action and listed involved agencies with which to coordinate. Furthermore, the consultant has, in her memo, asked for verification of certain records, described and listed additional information and materials to be examined; and listed revisions to be made to Part 1 of Full Environmental Assessment Form. Once you have compiled all the requested items, please submit documents to our office so that we can forward same to our consultant. Please don't hesitate to contact me if'you have any questions or concerns. Sincerely, ,-i,, f,4,"t I I Kim E. Fuentes Board Assistant Encls. I ' 1 , Fuentes, Kim From: Fuentes, Kim Sent: J Thursday, November 14, 2019 9:17 AM To: Duffy, Bill; Eric Dantes; Weisman, Leslie; Planamento, Nicholas; Patricia Acampora; Rob Lehnert Cc: Lanza, Heather; Terry, Mark; Cummings, Brian A. Subject: FW: 2019_11 JEMCAP Preliminary Review Memo.pdf Attachments: 2019_11 JEMCAP 'Preliminary Review Memo.pdf Please see attached Preliminary Review Memo of JEMCAP by Carrie O'Farrell of NP&V. The memo will be forwarded to Pat Moore, as representative, with a letter asking for a compilation of requested items. Also see below Carrie's email summarizing the process, as well as some of her concerns: Kim E.Fuentes Secretary to the Zoning Board ofAppeals Town of Southold 54375 Main Road Southold, NY 11971 631-765-1809, Ex. 5011 E-mail:kimf@southoldtownnv.aov Mail to.P.O. Box 1179,Southold, NY 11971 From: Carrie OFarrell [ma ilto:COFarrell@nelson pope.com] Sent: Wednesday, November 13, 2019 10:03 PM To: Fuentes, Kim Subject: 2019_11 JEMCAP Preliminary Review Memo.pdf y Kim, Attached is our preliminary review of the JEMCAP application. It is our recommendation that the applicant update the EAF to correct the basic site information. Once revised, we can begin SEQRA coordination with agencies and assuming the ZBA will be the Lead Agency, discuss either additional investigations and information necessary, or a SEQRA determination of significance. There's traffic and circulation concerns that will certainly need to be addressed, along with a number of other concerns. Thanks, Carrie - Carrie O'Farrell,AICP Senior Partner ' 1 NELSON, POPE &VOORHIS, LLC ENVIRONMENTAL • PLANNING • CONSULTING Long Island Office: S72 Walt Whitman Road Melville,NY 11747 ph: (631)427-5665 ext.214 cofarrell@nelsonpopevoorhis.com Hudson Valley Office: J 156 Route 59,Suite C6 Suffern,NY 10901 ph: (845)368-1472 Visit our website: www.nelson pevoorhis.com Confident,ih:y Notice.The infoi matron contained to this email and any attochmonts maybe legally privileged and confidential, tf you are not en amended recipient,yet,should nol retain,Cop:Or use this e-mad or any attachments tot ony purpose,no,dv,dose all or any part of the Contents I any other parson. ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 2 �r NELSON, POPE 6 VOORHIS, LLC ENVIRONMENTAL PLANNING • CONSULTING www nelsonpopevoorhis.com F�ECIEFVED MEMORANDUM RO1� s6 To: Town of Southold Zoning Board of Appeals (ZBA) cc: JEMCAP SDI, LLC, c/o Patricia C. Moore, Esq., Applicant Zoning Board of Appals From: Carrie O'Farrell, AICP, Senior Partner,Nelson,Pope&Voorhis,LL Date: November 11, 2019 Re: Gas Station, Convenience Store & Apartments: Special Exception 1Jse Permit, Area Variance, Site Plan and Preliminary Environmental Review Nelson, Pope & Voorhis, LLC ("NP&V") has been retained by the Town of Southold Zoning Board of Appeals ("Board") to assist in the review of applications for the proposed "JEMCAP Convenience Store, Gas Station and Apartments Application" and to conduct an environmental assessment in accordance with the standards and procedures set forth by the State Environmental Quality Review Act ("SEQRA"). NP&V has reviewed the following materials submitted by the Applicant, JEMCAP SD 1, LLC: • Town of Southold,Building Department,Notice of Disapproval, dated February 2, 2017; • Special Exception Use Permit Application, dated April 3, 2017; • Town of Southold Local Waterfront Revitalization Program ("LWRP") Consistency Assessment Form submitted to the Planning Board and Zoning Board of Appeals for Special Exception and Area Variance, dated April 3, 2017; • Agricultural Data Statement, dated April 3, 2017; • Site Plan Application Form, dated April 4, 2017; • Site Plan, Sheets 1-8, prepared by AMP Architecture, PLLC, dated November 16, 2018; • Town of Southold Planning Board Letter, dated May 31, 2019, advising the applicant the Planning Board has placed its review of the site plan application on hold until after the ZBA has issued a determination [sic: SEQRA Determination]; • Full Environmental Assessment Form ("FEAF") Part 1, including Section F, Additional Information, dated revised June 10, 21019; and • Other required and supplemental application materials submitted in support of the proposed action. The subject project is classified as an "Unlisted" action pursuant to SEQRA, and therefore, requires environmental review prior to final decisions on the action. The purpose of the present review is to assist the Zoning Board of Appeals ("ZBA"), in its initial examination of submitted materials, and to provide preliminary input regarding the content, adequacy,, accuracy and suitability of these materials for commencing formal environmental review under SEQRA. JEMCAP SD 1 -Gas Station, Convenience Store&Apartments Special Exception Use Permit,Variance, Site Plan &Preliminary SEQRA Review Page 2 of 7 Coordinated review is optional for Unlisted actions. Agencies that are or may be classified as an "Involved Agency" for the subject action as defined by SEQRA are believed to include the following': Table 1 LIST OF INVOLVED AGENCIES MCI 01 kR 1-4 WrAlo-RAIM-0110H. Town of Southold Zoning Board of Appeals Zoning Variances and Special Exception Use Permit Town of Southold Planning Board Site Plan Approval Town of Southold Building Department Building Permit Suffolk County Department of Health Services Water Supply and On-site Sanitary System Approvals SCDHS Suffolk County Planning Commission(SCPC) 'General Municipal Law, Section 239-m (within 500 feet of an Agricultural District Suffolk County Department of Public Works SCDPW Highway Permit Approval Suffolk County Water Authority SCWA) Water Service Extension and Connection PSEG Long Island PSEG Electric PSEG requests coordination of newprojects) A copy of the FEAF, proposed plans and other essential materials should be referred to these agencies as part of Lead Agency coordination. Background Information Location The subject property is located at 46770 County Route 48 (a.k.a. North Road and Middle Road), approximately 406.53 feet west of the intersection of County Route (C.R.) 48' and Boisseau Avenue in Southold Hamlet, Town of Southold, Suffolk County, New York on land identified as Suffolk County Tax Map District 1000; Section 55; Block 5; Lot 9.1. The property is 37,123 SF (.852 acres) in area and is zoned "General Business" (`B"), along a major road, Route 48 and business corridor outside the Hamlet Center. Three(3) lots adjoining the subject site to the south, southeast and southwest (Lots 13, 14 &17) are zoned residential. The,property is within 500 feet of a designated Agricultural District pursuant to the New York State Agriculture and Markets Law. An Agricultural Data Statement has been submitted by the Applicant which must be forwarded to the Suffolk County Planning Commission for its consideration. The site is located within the coastal boundary of the Town's Local Waterfront Revitalization Program ("LWRP"), and an LWRP Consistency Assessment Form has been submitted. The property is near but outside of the boundaries of the Southold Special Groundwater Protection Area and is not within the boundaries of any other established Critical Environmental Areas. There are no State or National Register of I An involved agency is an agency that has jurisdiction by law to fund,approve or directly undertake an action. If an agency will ultimately make a discretionary decision to fund, approve or undertake an action,then it is an involved agency. CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD.MELVILLE,NY 1 1747-21 BB 156 (B45)3SB-1Route Sq, 1te 4726• FAX ERN, Y 101501 PHONE (631)427-5665 • FAX(631)427-5620 JEMCAP SD 1 -Gas Station, Convenience Store&Apartments Special Exception Use Permit, Variance, Site Plan &Preliminary SEQRA Review Page 3 of 7 Historic Places landmarks or archaeologically sensitive areas nearby; nor any locally established landmarks or districts in the area. Existing Conditions The property is currently occupied by a vacant 1 '/z story 50' x 30' building at the southeast corner of the site. According to the Town Property Records, the property is a result'of a merger of two (2)tax lots in June 1970,#'s 55-5-8&9. A Survey of the property,prepared by Peconic Surveyors, P.C., dated May 29, 2019 indicates the removal of 36' x 28' building at the northwest corner of the site. Nearby land uses along C.R. 48 include strip retail shopping centers, an office building, natural gas service and auto repair. Single family residential homes adjoin the property to the south and south east (two residences fronton Boisseau Avenue with additional homes further to the east in the immediate surrounding area). Land that abuts or is adjacent to the north, east, and west of the subject property is also zoned B. Land to the south, southeast and southwest is zoned residential. The property is generally flat and has been almost entirely disturbed from past development. Some landscaping exists including both deciduous and evergreen species. A water main is available within C.R. 48 right-of-way. The site contains a septic system and a utility box is present along the frontage of the subject property. According to New York State Department of Environmental Conservation (NYSDEC)'s Environmental Mapper, the project site is not located within an area that has been identified as being in the immediate vicinity of unique or significant environmental resources such as wetlands or endangered or threatened wildlife. There is a NYSDEC mapped wetland approximately 1,600 feet east of the subject property. Proposed Action The actions currently under review by the Board include: 1) a request for a Zoning Variance per the Southold Building Department's Notice of Disapproval, dated February 2, 2017, and having a renewal date of April 20,2017 and 2)a Special Exception Use Permit to allow for the construction of a gas station with convenience store and apartments. The Notice of Disapproval states the proposed construction is not permitted pursuant to Article XL, Section 280-49, which states: "No building or premises shall be used and no building or part thereof shall be erected or altered in the B District unless the same conforms to the Bulk Schedule and Parking and Loading Schedules incorporated into this chapter by reference with the same force and effect as if such regulations were set forth herein in full." ( According to the Bulk Schedule a minimum single side yard setback of 25 is required. The existing}altered building notes a single_side yard setback of 19.7 feet. Furthermore the proposed protect and use require special exception approval, from the Southold Town Zoning Board of Appeals and site plan approval from the Southold Town Planning Board. CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD,MELVILLE,NY 1 1747-21 BH 156 Route 59,Suite C6,SUFFERN,NY 10901 PHONE (631)427-5665 - FAX(631)427-5620, PHONE (e4S)366-1472 - FAX(845)366-1572 JEMCAP SD 1 -Gas Station, Convenience Store&Apartments Special Exception Use Permit,Variance, Site Plan &Preliminary SEQRA Review Page 4 of 7 The project proposes fifteen (15), minimum 19'x 9 ' parking spaces including two (2) Americans with Disabilities Act("ADA") accessible spaces,two residential spaces and an employee parking space. Both the employee parking and dumpster spaces are shown obstructed by a proposed loading space. The requested variance is required due to insufficient side yard building setback (minimum of 19.6 feet proposed where 25 feet is required) as per Section 280-49, Attachment 4 - Bulk Schedule for Business, Office and Industrial Districts of the Town Code. The Special Exception Use Permit is required to allow the gas station with convenience store and accessory apartments in an B zone pursuant to 280-48(B 13, C3 & C4). In addition, although not noted in the Notice of Disapproval, the proposed Transition Buffer Area at the southeast corner of the site is 2l'-3'Y2" from the residential property Now or Formerly owned by John J. Quinn &Teresa E. Quinn where a minimum of 25' is required in an B zone based on Section 280-94 of the Town Code. Other dimensional zoning requirements appear to be in compliance. The Proposed Action also requires Site Plan approval from the Town Planning Board after variance and Special Exception Permit review prior to issuance of a building permit. The principal building is proposed to be 50.2' by 30.2' or a total of 1,516 sq. ft footprint. The building will cover four percent of the site. The proposed structure will be 21.5 feet in height from finished grade to the ridge of its roof. Two access/egress points will be provided on/off North Road—one two-way drive near the northwest end of the property—and the other a right turn exit only drive near the northeast end of the lot. Cross access connections will also be provided between the existing strip shopping center, which is located adjacent to the west of the subject site. Landscaping is proposed around the perimeter of the site and along the front or street- facing side of the building. Outdoor lighting is proposed to be Dark Skies compliant and will consist of LED pole mounts (15 units), wall mount (1 unit) and recessed (8 units) not exceeding 3,000k. Lighting Design(Sheet 8 of 8)indicate that lighting will be contained on-site which would reduce unnecessary illumination and light trespass. Applicants have estimated total water demand for the proposed use to be 60 gpd and indicate that an existing 12" water main within North Road will be utilized to serve the new project. No irrigation is noted for the 13,055 sq. ft. of trees and grass landscaping. Landscaping, trees and plants are required by Section 280-92 of Town Code shall be maintained in a healthy growing condition.Any landscaping,trees and plants which are in a condition that does not fulfill the intent of these regulations shall be replaced by the property owner during the next planting season for the particular plant material. SCDHS approval will be required for an on-site septic system and utilities are proposed to be installed underground at the site. Applicants expect that future operations will take place Monday through Saturday between the hours of 6:00 AM and 10:00 PM and Sunday between the hours of 6:00 AM and 1:00 PM. CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD,MELVILLE,NY 1 1747-21 BB 156 Route 59,Suite C6,SUFFERN,NY 10901 PHONE (631)427-5665 - FAX (631)427-5620 PHONE(945)369-1472 - FAX(945)369-1572 JEMCAP SD 1 -Gas Station, Convenience Store&Apartments Special Exception Use Permit,Variance, Site Plan &Preliminary SEQRA Review Page 5 of 7 Supplemental Information and Analyses Necessary from Applicant Based on our initial review of the submitted application materials, it is our recommendation that the Board request correction of a the applicant's FEAF, which will then be circulated-to agencies as part of Lead Agency coordination and to assist the Board in making a determination of significance under SEQRA. Once the revised LEAF has been submitted and the content and accuracy of those materials are determined to be acceptable,the formal environmental assessment will proceed. 1. The following omissions/corrections/additions should be addressed on the applicant's FEAF, Part I in order to be considered complete pursuant to the State Environmental Quality Review Act(SEQRA) § 617.2(m): a) The directions on Page 1, Section A under"Brief Description of Proposed Action"requires that the "purpose and need" for the proposed action be provided but this information was not included. Please revise the EAF Part 1 to include this information. b) Questions B.a-B.h -The type of approvals required should be identified. c) Question C.2.a — The applicant checked the "Yes" box indicating that a municipally adopted comprehensive land use plan includes the site where the proposed action would be located. If checked"Yes", the second part of the question requires a response to whether or not the comprehensive plan includes specific recommendations for the site. A response shall be provided and a refence is requested. d) Question C.2.b—The applicant indicates the subject site is within the HALO and Hamlet Center boundaries. Review of the Town of Southold HALO Map (see attachment), show the site adjoins the HALO boundary`to its south and is completely outside the Hamlet Center. e) Question D.l.b.b. —The total acreage to be physically disturbed is indicated as 0.5 acres. Review of the applicant's site plan indicates almost the entire site is proposed to be disturbed for site improvements. The response should be updated to reflect the extent of the proposed area of work. f) Question D.l.g.ii —The height of the proposed convenience store is indicated as 35 feet. The applicant's Building Elevation Plan, Sheet 5 of 8 indicates 21.5 feet. g) Question D.l.g.iii—The total extent of building space to be heated or cooled is indicated as 1,500 square feet. Building Area provided on the Site Plan&Analysis Plan, Sheet 2 of 8 indicates 2,409 square feet and should be updated. What type of fuel will be used for heating/cooling of the building(fuel oil, natural gas, other)? h) Questions D.2.c.i - The total anticipated water use/demand per day is indicated to be 60 gallons/day with the notation that no irrigation is proposed. This conflicts with the applicant's response to Question D.2.d, where the total liquid waste generation is anticipated to be 340 gallons/day (apartments 300 gpd+convenience store 24 gpd+grey water 16 gpd). Water demand and wastewater generation numbers shall be reconciled The Sanitary Design Calculation Table provided on the Site Plan & Analysis, Sheet 2 of 8 includes 24 gpd of dry store and 16 gpd of grey water. However, the total design flow is CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD,MELVILLE.NY 1 1747-21 BE 15a R(oute B45) S,Suite 4726• OF ERN, Y 101501 PHONE(631)427-5665 • FAX (631)427-5620 JEMCAP SD 1 -Gas Station, Convenience Store&Apartments Special Exception Use Permit, Variance, Site Plan &Preliminary SEQRA Review Page 6 of 7 calculated at only 24 gpd. Grey water should be included in the total wastewater calculation. It is further noted that Suffolk County Department of Health Services Project Density Loading Rdtes&Design Sewage Flow Rates is based upon gross floor area unless noted otherwise. The applicant's Sanitary Design Calculations only accounts for 650 square feet for the first floor. Gross Floor Area is shown as 1,384 square feet. Consequently, the project may exceed Suffolk County Sanitary Code density (and hydraulic) loading standards for a 37,123 square foot parcel in Groundwater Management Zone IV. Further assessment and clarification should be provided. Water demand for maintaining healthy landscaping shall also be addressed. i) Questions D.2.c.vi -An answer to the question regarding the maximum pumping capacity of the existing public well that will supply water to the project should be provided. j) Question D.21. - If the proposed activity is one that generates or uses one or more sources of air emissions in either construction or post-construction phases of the proposed project, the applicant must answer 'yes' to question D.21 This includes minor sources of air emission from stationary construction sources (e.g. power generation) and delivery vehicles that use gas or diesel fuels. k) Question D.21—The applicant should work with their design professional or engineer to calculate the total annual electricity demand. This should include all interior and exterior energy needs such as lights, heating, and equipment, including office uses and appliances. Demand is calculated by multiplying the wattage consumed by each electrical use by the number of hours/day and by the total number of days it is to be used. As part of the description, include the square footage of the proposed building to be heated or cooled. 1) Question D.2.j.ii—This question, regarding projected number of truck trips/day and type requires a response if the proposed action will result in a substantial increase in traffic above present levels or generate substantial new demand for transportation facilities or services. Although a substantial increase in traffic is acknowledged, no information was provided regarding peak vehicle trip generation or truck deliveries. The applicant must provide the maximum weekday AM,weekday PM and Saturday mid-day peak hour vehicle trip generation using the Institute of Transportation Engineers (ITE) Trip Generation Manual or actual counts from a comparable facility, including both truck and automobile traffic from employees and the proposed use. Please clarify the type of delivery trucks that will be supplying the convenience store and utilizing the proposed loading zone shown between the back wall of the convenience store and the parking lot curb. m) Question D.2 j.iii — The total number of parking spaces proposed is 12. The Site Plan, Sheet 2 of 8 indicates one parking space per employee. One employee parking space is provided. A single employee is not consistent with the proposed floor plan, Sheet 6 of 8, where separate workstations are shown -- for a fuel attendant and a convenience store check-out clerk. What is the approximate number of employees that would be working at the site at any one time? n) Question D.2.m.i — Projects that involve the attraction of vehicles during operations involving the transportation of gas and convenience store products and materials may constitute a potential source of noise. Describe mitigation techniques or best management CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAO,MELVILLE.NY 1 1747-21 BB 156 Route 5B,Suite C6,SUFFERN,NY 10901 PHONE (631)427-5665 - FAX(631)427-5620 PHONE (B45)3BB-1472 - FAx(6457 368-1572 JEMCAP SD 1 -Gas Station, Convenience Store&Apartments Special Exception Use Permit,Variance, Site Plan &Preliminary SEQRA Review Page 7 of 7 practices that are included in the project such as, but not limited to limiting hours of delivery trucks and the specific screening proposed. o) Question D.2.r—It is indicated that no solid waste will be generated during construction or operations. The Site Plan states that there will be alterations to the existing building which will result in some solid waste disposal during construction. In addition, a dumpster is proposed for solid waste generated during operations.The applicant should work with their design professional or engineer to calculate the total solid waste to be generated during construction and operations. p) Question E.Lb—Current acreages provided for roads, buildings, and other paved surfaces is indicated as @2000 square feet.No other land use or cover types current or proposed are provided. Site Plan Data indicates'a Final Plot Size of 37,123 square feet. Current and proposed land uses and cover types on the project site shall be consistent with the Site Plan and photos of existing conditions submitted as part of the application. q) Question E.l.h— Correct the response to indicate that a spill occurred on the lot directly adjoining to the east at 46850 North Road on 6/21/2013,NYSDEC Spill Number: 1303066 and the case was closed on 12/13/2013. r) Question E.2.a—The average depth to bedrock on the project site is 750 feet. s) Questions E.2.c — The predominate soils type present on the project site is Haven loam (HaA) 58%within the northern half and Riverhead sandy loam(RdA)42%in the southern half. t) Question E.2.d — According to the U.S.G.S. Long Island Depth to Water Viewer, the average depth to the water table below land surface is 31-50 feet. Based on the applicant addressing the items above, it is our recommendation that the application may be circulated for initiating SEQRA coordination. The applicant should prepare or compile the above requested information and revised the LEAF accordingly and submit it to the Board and our office for review. We are happy to discuss any questions from the Applicant if the Board would like us to have direct communications with the Applicant and their professionals. Attachment: Town of Southold HALO Map CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD,MELVILLE,NY 1 1747-21 Be 156 Route 59,Suite C6,SUFFERN,NY 10901 PHONE (631)427-5665 • Fax(631)427-5620 PHONE.(645)369-1472 • Fax(645)368-1572 J, A SOuthoid-HALO Map Q�tbfftirfuh!W,Facillfies M;:Ffqt6dfdkt Land 'Hernletenter A9.M ot"oo Cb"HT7M?,COuniVcfSMIKMY. H N BOARD MEMBERS ��OF SVUjyo Southold Town Hall Leslie Kanes Weisman,Chairperson �O l0 53095 Main Road-P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Q Town Annex/First Floor, Robert Lehnert,Jr. O 54375 Main Road(at Youngs Avenue) Nicholas Planamento IyCOU ,� Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809-Fax(631)765-9064 August 27, 2019 Carrie O'Farrell, AICP Nelson, Pope &Voorhis, LLC 572 Walt Whitman Road Melville,NY 11747 Re: SEQR Review—Proposed Special Exception and Area Variance JEMCAP SD 1, LLC, Route 48, Southold SCTM No. 1000-55-5-9.1 Dear Ms. O'Farrell: Please use this letter as authorization to proceed with Environmental Review of the above subject proposed special exception. Enclosed, you will find a copy of a purchase order for the work described in your Proposal for Environmental Review dated August 13, 2019. Work beyond this amount may not proceed until after a new estimate is submitted and approved in writing by the Zoning Board of Appeals. You will find, also enclosed, a Town of Southold Payment Voucher. Please sign the voucher in the bottom left corner and return to us with an invoice for payment once the work is completed. Should you need any further assistance regarding this matter, please do not hesitate to contact me at 631-765-1809. Sincere , Kim E. Fuentes Board Assistant Encls: - Town of Southold Payment Voucher - Copy of the Town of Southod Purchase0 � „ ;, . f u O�OSUFF8Qt-o Tb3-�eA TOWN OF SOUTHOLD V— TOWN Purchase Order# 32909 Date 36:1 ) a=0 Account# �� y� �� ✓ F liver and send billing to: 7 Vendorepartment Z, N)4 3t afl D� 0 v e] 5D)j�D j— VD D Address S 4c,,-L / I , 1 V 6-7a W 4� � LmpdVIl1f, 1 ►�7 �`7 VENDOR **Return this'copy and Town of Southold voucher itemized and signed for payment** ITEM QUANTITY DESCRIPTION UNIT COST TOTAL 711 THIS PURCHASE ORDER IS NOT VALID WITHOUT THE SIGNATURES OF THE DEPT. HEAD AND THE SUPERVISOR I CERTIFY THAT THERE ARE SUFFICIENT FUNDS AVAILABLE IN TH AP RO RIATI CHARGED Dept. Head I CERTIFY THIS TO BE A JUST AND TRUE PURCHASE ORDER Super VENDOR TERMS AND I CONDITIONS,, p ' supplies or 1.The TOWN OF SOUTHOLD is not responsible for materials lu equipment delivered or-;. - services performed without authority of written order. Quantities specified,are not to be exceeded. 2. No changes may be made-in this order without written auti ority of the supervisor. 3. Inspection of deliverywill be made at delivery point unless otherwise specified. Materials must be properly packaged. Damaged material will not be acceptied. Include itemized packing lists with all shipments. Delivery ,indoors is'.,required unless 1other1wise specified.,All prices quoted _ must include shipping, handling; packing and crating charges and be F.O.B. delivered, unless otheraerms are agreed to. 4. Substitutions .of spervified.-items will not be acceptable. T e Town of Southold reserves the', right to reject and retu.-n,at shipper's expense, materials delivered which do not conform to description of item ordered. 5. If order cannot be filled in whole or in part in time specified, notify the town immediately. In case of delay in delivery, or in case of any default of the, vendor, the town may procure the goods or services from other sources and hold,the-vendor-responsible for any EXCESS-COST, EXPENSE OR DAMAGES occasioned thereby. 6. Upon acceptance of this order the vendor-a reel to,.comply with all Federal, State or local laws relative thereto: A. The vendor shall defend actions or claims brought ani' hold the Town of Southold, its agents and its employees harmless from-loss, `suits, costs, rights, patent or patent rights of any invention or any other cause. b. The vendor represents and warrants that the unit prices charged herein are not higher than any applicable legal maAmum,prices;permitted, and are not in,excess of those currently charged to other governmental, institutional or commercial users for similar items,;quantities and deliveries. c. Insofar as applicable, the Vendor shall comply with Sections 220, 220-a, 220;-b, -220-c, 220-d, 220-e and 222 of the Labor Law of the State of New York relating to maximum working hours and minimum wages of employees and prohibiting discrimination on the account of race, sex, color, ,creed or national origin in hiring employees within the State of-,New' York involved in the manufacture of materials, equipment, or supplies specified in this order. _ d. The vendor shall comply with Sections-103a and. 103b of the-,General -Municipal Law pertaining to disqualifications of contractor for failure to waive immunity before Grand Jury. 7. INVOICES RENDERED ON ENCLOSED CLAIM FORM MUST BE ITEMIZED IN DETAIL. Claims for partial deliveries- are not allowed-unless indicated]Claims.in-question will constitute a condition precedent to the right of the vendor or receive any payment and matters of dispute must be adjusted before final acceptance by the Town of Southold. 8. Billing shall allow for exemption from taxes under Federal Excise Tax-Exemption Certificate No. A-163554 held by the Town of Southold. 9. Cash discount terms must be indicated on claim voucher; discount period will be'computed from date of acceptance of delivery or receipt of a correct cl{im;voucher, whichever is later. 10. The provisions of the New York State Fair Trade Law(Feld-01 rawford Act) and the Federal Price Discrimination Law(Robinson-Patman Act)do not apply to purchases made by the Town of Southold.. 11. All P.O./Claims must be audited and approved by the Town,Board prior fo actual payment. BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora 411 Office Location: Az Eric Dantes I Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento S hold,NY 11971 RECEIVED http://southoldtowrmy.gov ZONING BOARD OF APPEALS AUG 2 7 2019 TOWN OF SMT ®LIQ ZOM ApMalg August 16, 2019 Tel.(631)765-1809®Fax(631)765-9064 f19 Board Of D 9 Patricia Moore Attorney at Law 51020 Main Road Southold,NY 11971 RE: Special Exception and Area Variance Applications JEMCAP Gas Station, Convenient Store, Two Apartments SCTM No, 1000-55-5-9.1 Dear Mrs. Moore; I am writing as a follow-up to the Work Session held on August 15, 2019, where the members of the Zoning Board discussed the above referenced application. Due to the scope and cumulative impact assessment required to review your client's project,the Zoning Board of Appeals has requested Nelson, Pope and Voorhis, LLC (NP&V)to provide assistance with the review of the project pursuant to the State Environmental Quality Review Act(SEQRA). In addition, the Zoning Board has accepted the attached proposal identifying the scope of services and fee estimates. Please submit a check in the amount of$13,800.00 as the initial deposit to fund environmental services provided by Nelson, Pope and Voorhis,LLC. The funds will be held in escrow by the Town and will be used to pay Nelson,Pope and Voorhis, LLC for services rendered. Also, keep in mind that more information from your applicant will likely be needed in order complete the SEQRA process. If you have any questions or concerns, please do not hesitate to contact me at 631-765-1809 or email kiiiiffii)sotitholdtowiiny.(_!:civ. Sincerely, Kim E. Fuentes Board Assistant Enclosure:NP&V Proposal for Environmental Review dated August 13, 2019. f' BOARD MEMBERS *rg SOUT�O Southold Town Hall Leslie Kanes Weisman,Chairperson �4� �j 53095 Main Road -P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes ,� �q� Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento � , S old NY 11971 L,27oning ENEDhttp://southoldtownny.gov ZONING BOARD OF APPEALS 7 2019TOWN OF SOUTHOLDTlel.(631)765-1809-Fax(631)765-9064 Of Appeals August 16, 2019 Patricia Moore Attorney at Law 51020 Main Road Southold,NY 11971 RE: Special Exception and Area Variance Applications JEMCAP Gas Station, Convenient Store, Two Apartments SCTM No. 1000-55-5-9.1 Dear Mrs. Moore; I am writing as a follow-up to the Work Session held on August 1,5,2019, where the members of the Zoning Board discussed the above referenced application. Due to the scope and cumulative impact assessment required to review your client's project,the Zoning Board of Appeals has requested Nelson, Pope and Voorhis, LLC (NP&V)to provide assistance with the review of the project pursuant to the State Environmental Quality Review Act(SEQRA). In addition,the Zoning Board has accepted the attached proposal identifying the scope of services and fee estimates. tlaA 0.0 6 Please submit a check in the amou of$13,800.00 as a initial deposit to fund environmental servicds provided by Nelson,Pope d Voorhi The funds will be held in escrow by the Town and will be used to pay Nelson, ope and Voorhis, LLC for services rendered. .Also, keep in mind that more information from your applicant will likely be needed in order complete the SEQRA process. If you have any questions or concerns, please do not hesitate to contact me at 631-765-1809 or email kimf@southoldtownrnv.gov. Sincerely, Kim E. Fuentes Board Assistant Enclosure:NP&V Proposal for Environmental Review dated August 13, 2019. !S t � NELSON, POPE 6 VOORHIS, LLC 'Ir ENVIRONMENTAL PLANNING CONSULTING Ivvww nelsonpopevoorF is com August 13, 2019 RECEIVE® 7-0-19 's Zoning Board of Appeals AUG 14 2019 c/o Ms. Kim E. Fuentes, Board Assistant Town of Southold Zoning Board ®PAppi:a)S 53095 Main Road, P.O. Box 1179 Southold, NY 11971-0959 RE: Proposal for Special Exception Use Permit, Variance & Environmental Review Gas Station, Convenience Store & Two Second Floor Apartments SCTM#1000-55-5-9.1 Dear Ms. Fuentes: Pursuant to your our on-call contract for State Environmental Quality Review Act (SEQRA) review of Special Exception and Variances Applications, Nelson, Pope & Voorhis, LLC (NP&V) is pleased to submit the accompanying scope of services and budget to the Town of Southold Zoning Board of Appeals for a proposed gas station,convenience store, and two second-floor apartments at 46770 Route 48,Southold. Based on our initial review of the materials provided by your office, NP&V has identified the following tasks and fee estimates for your consideration. Task 1: Initial Application Review To begin the SEQRA review, the NP&V team will review in detail, the proposed plans and application materials, Environmental Assessment Form (EAF) Part I, LWRP and Agricultural Forms, and other associated materials for accuracy and completeness. If the Part I EAF requires corrections,NP&V will alert the ZBA and applicant in writing as to the necessary changes. Fee: $2,000.00 Task 2: SEQRA Classification, Coordination &Administration NP&V will assist the Board in determining the SEQRA classification of the action and the need for coordinated review for the action and provide a list of involved agencies for coordination. We will also assist the Board in preparing necessary resolution(s), administrative notices and filings pursuant to 6 NYCRR Part 617 requirements. Fee: Time Rates Budget:$1,000.00 CORPORATE OFFICE HUDSON VALLEY OFFICE 572 WALT WHITMAN ROAD MELVILLE.NY 1 1747-21 BH 156 Route 59 Suite C6,SUFFERN NY 10901 PHONE (631)427-5665 • FAX (631)427-5620 PHONE (645)36B-1 472 • FAX (045)366-1572 JEMCAP SD LLC Gas Station,Convenience Store&Upstairs Apartments SEQRA Review of Special Exception Use Permit&Variance Applications Task 3: Prepare EAF Part 2 NP&V will perform a comprehensive technical assessment/substantive review of the applicant's proposed project to determine the potential areas of impact, and prepare a Part II EAF. Fee: $800.00 Task 4: Technical Analysis and Recommendations NP&V will coordinate with the Board,the ZBA attorney,Town technical staff, and other involved agencies with permitting authority to discuss the details of the proposed project, and discuss concerns and assist in identification of necessary analysis and mitigation options, as necessary. Based on the input received, and NP&V team's professional review of the project,we will conduct a Technical Environmental Planning and Zoning Analysis to review the overall project and provide information to be used in rendering a determination of significance. The Analysis will include an overview of environmental and planning issues with emphasis on those that are determined to be important based on the tasks above, and will include recommendations/finding on potential impacts that have been identified as moderate to large. If necessary, a comment letter and/or recommendations for requests for additional information from the applicant will be prepared in letter form. Based on the content of information resubmitted by the applicant, additional follow up may be necessary to address any open issues of the Board, involved agencies or professional staff. Fee: Time Rates Budget:$6,000.00 Task 5: Meeting with Planning Board NP&V anticipates that the Board may want to discuss the application and review comments with NP&V project manager and/or traffic engineer. If requested by the Town Zoning Board of Appeals,attend work sessions or public meetings as necessary/requested by the Board. Fee: Time Rates Budget:$2,000.00 Task 6: EAF Part 3 and SEQRA Determination of Significance Based on the SEQRA record established in the Tasks above, NP&V will prepare a Part 3 EAF outlining the findings of the SEQRA Review and a SEQRA Determination of Significance. The draft documents will be reviewed and discussed with the ZBA and ZBA attorney and revised as necessary for finalization. Fee: $2,000.00 If the ZBA determines that the Proposed Action may result in one or more significant adverse environmental impacts and that an Environmental Impact Statement ("EIS") is necessary, NP&V will submit an additional budget and scope of work necessary to assist with continued environmental review. E C WY I G' 'El SON PIPE 6 vOCl s ll.0 (-'Wu--kCr, NTA .RWlt� .c a T c Page 3 of 3 JEMCAP SD LLC Gas Station,Convenience Store&Upstairs Apartments SEQRA Review of Special Exception Use Permit&Variance Applications Based on the scope of services and budget identified herein, it is suggested that the Zoning Board of Appeals request for the applicant to submit a deposit of$13,800 to be held in escrow for the review of project and necessary meetings. We look forward to continuing work with the Board on the review of this application. If you have any questions or concerns regarding this proposal, please do not hesitate to contact me. Yours truly, NELSON,POPE&VOORHis,LLC 1 1 - Carrie L.O'Farrell,AICP Senior Partner/Division Manager J A P4E,,saH POPE s�mP.s"c Page 4 of 3 tmrv14orw h'ra..PLA"snG•cYa a_rs c Fuentes, Kim From: Fuentes, Kim Sent: Thursday, August 15, 2019 2:20 PM To: 'Eric Dantes'; Planamento, Nicholas; 'Patricia Acampora; 'Rob Lehnert'; Duffy, Bill Subject: FW: SEQRA - Estimate from NP&V review of JEMCAP Attachments: JEMCAP Application SEQRA Proposal.pdf, Ltr to Pat Moore - JEMCAP request consulting fees.docx H i, I've asked Leslie to add this onto today's agenda. It is a proposal from NP&V to review JEMCAP (Gas Station on corner of Boisseau Avenue and Rte 48 in Southold). After your consideration, I will request, by letter (draft attached), a fee amount of $13,800 from the applicant. Carrie informs us that the budget proposal only encompasses the Full EAF review and completion. If the proposed action results in one or more significant adverse environmental impacts requiring an Environmental Impact Statement, an additional budget and scope of work will be required to continue review. Kim E Fuentes Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road Southold, NY 11971 631-765-1809, Ex. 5011 E-mail.kimf@southoldtownnv aov Mail to:P.O. Box 1179,Southold,NY 11971 i Fuentes, Kim From: Fuentes, Kim Sent: Wednesday, August 14, 2019 11:21 AM To: 'Carrie O'Farrell (COFarrell@nelsonpope.com)' Subject: SCTM No. 1000-55.-5-2.2, Southold Gas Station & Convenience Store Attachments: 6839 SOUTHOLD GAS, PENNEY.pdf Hi Carrie, The attached is the special exception approval that we discussed for Southold Gas, located on the corner of Youngs Avenue and Route 48, Southold. Below, please find the link to the Planning Department records in Weblink/Laserfiche File—Application is Pending approval. Weblink/Laserfiche File: TownOfSouthold\Planning Department\Applications\Site Plans (SP)\Pending\l000- 55.-5-2.2 Southold Gas Station& Convenience Store llttp://24.3 8.28.228:2040/weblinl(/Browse.aspx?dbid=0 Kim E. Fuentes Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road Southold, NY 11971 631-765-1809, Ex. 5011 E-mail:kimf@southoldtownnygov Mail to:P.O. Box 1179,Southold, NY 11971 i Fuentes, Kim From: Carrie OFarrell <COFarrell@nelsonpope.com> Sent: Friday, June 21, 2019 11:18 AM To: Fuentes, Kim Subject: RE: ZBA - JEMCAP applications - Special Exception and Area Variance Yes, thank you! We have the package. I owe you scope letters with budgets for the review, correct? Carrie O'Farrell,AICP Senior Partner NELSON. POPE &VOORHIS, LLC ENVIRONMENTAL - PLANNING - CONSULTING Long Island Office: S72 Walt Whitman Road Melville,NY 11747 ph: (631)427-5665 ext.214 cofarrell@neisonpopevo-orhis.com Hudson Valley Office: 156 Route 59,Suite C6 Suffern,NY 10901 Ph: (845)368-1472 Visit our website: www.nelsoap.ope_v_oorhis.com Confidential-,Nfxice.The info=nation contained in this emal and any at�achmeni;ma,,,be leg,!y pnv;lcged and roniident al „you are not an in.ended reopiu,t,,ou should not ret?m,:op,or use this e czar or any attachments toi any purpose,nor disrlow oil ar 3ny pai;of the contents to any other pei son From: Fuentes, Kim <kimf@southoldtownnV.gov> Sent: Friday,June 21, 2019 9:12 AM To: Carrie OFarrell <COFarrell@nelsonpope.com> Subject:ZBA-JEMCAP applications-Special Exception and Area Variance Hi Carrie, I just want to make sure you have received the two applications from ZBA for your review. Thank you. Kim E. Fuentes Secretary to the Zoning Board ofAppeals Town of Southold 54375 Main Road Southold, NY 11971 631-765-1809, Ex. 5011 E-mail:kimf@southoldtownnv aov Mail to:P.O. Box 1179, Southold, NY 11971 1 BOARD MEMBERS ��Zf sorry® Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road •P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes G Robert Lehnert,Jr. �O � �� Town Annex/First Floor, l 54375 Main Road(at Youngs Avenue) Nicholas Planamento �cou Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD June 12, 2019 Tel.(631)765-1809•Fax(631)765-9064 Carrie O'Farrell, AICP Nelson,Pope &Voorhis,LLC 72 Walt Whitman Road Melville,NY 11747 Re: SEQR Review—Special Exception#7079SE, and Area Variances 47080 JEMCAP, SD 1,LLC, 46770 Route 48, Southold for Proposed Gas Station and Convenience Store, SCTM No. 1000-55-5-9.1 Dear Ms. O'Farrell; The Zoning Board of Appeals is seeking technical analysis for two applications submitted to the Zoning Board of Appeals. Please see the attached special exception and area variance applications, as well as the Environmental Assessment Forms from JEMCAP SD 1,LLC for your review. Pursuant to,the Professional Services Contract, please provide the Board with an estimated cost of your services to conduct a State Environmental Quality Review(SEQR)Analysis. Once payment is received from the applicant, based upon your estimate,we will contact you to ask that you proceed with your review. The special exception falls under the use category in the Town's Zoning Code(aka Special Use Permits), and the ZBA will seek to be the Lead Agency. The application and coordinating documentation can be also viewed on the Town's Weblink Laserfiche site at: TownOfSouthold\Zoninpz Board of Appeals (ZBA)\Board Actions\Pending\JEMCAP SD 1 LLC Please don't hesitate to contact me at 631-765-1809 or email me at kimf@southoldtowliny.gov if you have any questions. Sincerely, 1--4 Kim E. Fuentes Board Assistant cc: Mark Terry Encls: Special Exception#7079SE and Area Variance 47080 applications dated April 24, 2017 Full Environmental Assessment Form updated June 10, 2019 Site Plan prepared by Anthony Portillo,Architect dated November 16, 2018 Survey of property prepared by John T. Metzger, LS, last revised May 29, 2019 2019-546 . CATEGORY.• Contracts, Lease&Agreements DEPARTMENT.• Zoning Board of Appeals Extension of Environmental Consultant Agreement z WHEREAS, the Town of Southold and the Nelson, Pope &Voorhis, LLC entered into an Agreement for the purpose of conducting technical consulting to provide State Environmental Quality Review (SEQR) analyses for multiple applications for Special Exceptions to the Southold Zoning Board of Appeals ( ZBA), which by its term was set to expire on June 7, 2019, and WHEREAS, the Southold ZBA is still in need of SEQR consulting services in relation to new and pending applications, it is therefore RESOLVED, the Town Board of the Town of Southold hereby authorizes and directs Supervisor-Scott A. Russell to execute an Agreement between the Town of Southold and the Nelson, Pope &Voorhis,,LLC extending the terms of the Agreement to June 7, 2020. ✓Vote Record-'Resolgion' 1�SU�9=�4G ' •i ' "., ;.•ia� `?. .ay._'�r,. 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