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HomeMy WebLinkAbout7080 ' .'4 r air r• _ • , ,. ` 1 cap CA ms fa • , Ce- W wh w,R-+ ,, 4w ccs 61-a'v r , fes- XI �• � �; , ; P4 Office Location: hO��OF S0y®lO Mailing Address: 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 �ly100UNTY,�c� http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631)765-1809 Fax(631)765-9064 COVER SHEET WITH ZBA FILE QQ STATUS OF FILE ZBA# a'U® Name : Tat�G1y fb t LI-6, Tax Map #: S— Location : 4-G-7 7® Ce J+9 SDJLb [ ] Refund issued : CANNOT activate or reactivate file (Applicant has withdrawn application).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 NECESSARY: 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.) --------------------------------------------------�---------------------------------------------------- I l• PATRICIA C. MOORE FZOrnifng EIVE® Attorney at Law 202151020 Main RoadSouthold,New York 11971 rd of Appeals Tel: (631) 765-4330 - Fax: (631) 765-4643 Betsy Perkins Paralegal Julia Spanhurgh 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 Gas 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 CHECK BOXES AS COMPLETED ( ):'Tape this form to outside of file J `� ( )Pull ZBA copy of ND ( --- )-Check file boxes for priors y n i O Assign next number on list; CD C a outside of file folder •• y 0 3 r O Date stamp entire original, o •• f file number ( )-Hole punch entire ori rnal = 3 � o - (before sending to T.C.) " o o ' c) -0 0' m o o v' _° C) v ( }.Create new index card in n Print contact info & tape b ' o 00' "' z ( ) Prepare transmittal,to Torn o ( ) Send original application v! @ o `D to Town Clerk o O Note inside file folder w/p ' and tape to inside of f6ld6 ( )Copy County Tax Map; hig o neighbors and AG lots )Make 7-copies and put wil ='• ( ) Do mailing label co Cori Sl3'1 7f(6 .,q 3)1 + - �3 I 1 � W M+UZA-W� ,No .ter s � Y - ReCEIVtiC3 ZotgNG 00ARD OF APPEALS i 'Illy t f. Cal .- -� - -- �'-_-._.w-._ -. � -. ..... .... -_ - —. � ..�.ci_�.._,- _Fay. -•. ) • w�i+ -fir.- _-w�Vcv_-fcs�.-�__•-•_•. -. .-._.. 3a:...��'iL.r---�vs'�M.".bywFat7T-fa`li�=^+C9'n•���-�-Y9.+_.Y^•-1SNocFC�:_`:�^y�C�•+3 .. f`•-^'CAS,L.Y1.-.:_•�✓��A•GCl.'w"e.•_J�ii,✓w+!�.'.-iY�ivfn�+{ • ( t l RECEIVED 7 4 201 . APR ZONING BOARD OF APPEALS 1 Lmoi_ =�__. +__...-...-__. .__...__.•-__�_._� •_—_...--_-. _ ._... _ - - __ —� _ - - S — -_ - ��+�rr�.-- _ ...._/••wi"wR�..+'_.T_..n_.nvr..n•/K�M���•.L1vr!� �' .._rw».w�r_^w. + �.r.r' �•rr • utis..++..»•�-.rn - -f�=_•+_-r+vrK•�.V\1YV40w..w._Ia.wfT�.�O+./•�.L N�rn�.�� M"•V t• ( �' �is•�.:-_. 6", ( 741- T. tk - }j1 ' ••7�ff r (I i trl if •r�iiJ'� j •�'yT.iv:' . •_ _ 7, :l . ........................... 12MM� Yin �uvti�-�r�._.sx.�.t�:.�l`�-�'Aa�s�'ta..-..-�:C �:=.�,.o =..r.-,•ix�-rrc:•c�cw••-..��:.-.�...n�_ Cpr� - � -.-+sc s.�.�.a.�--.�.y�.�.� """y'�:c W.M���v �acc�r�..�.y�.r.�.cL.=_._ .. • . J� M�:_S'•4 -•Nr_LV CJGIYL�.C[Ni/CYSVY�'C71+.�Zf��.•w:?6�tin:�.y.'n.'•r••r_fl31Cy-rte�S�C�v/'�iW.SRP •� N z rw 1 __ va RECEIVED a APR 2 4 2097 r ZONING BOARD OF APPEALS I 4�0 4j for F42' I pt - - - --rn�Ov—+eocx-o�c�aeo��x-s�rrsnw� �"G=++�rrmrelor_.rrr^- -�-" '��ot.�'. e..-D•wss�+trmxc_.xr�'.xtr..K:cw.:+."3'•�ractr-/� �w� '>�j�+f RECEIVED APP 2 4 2017 � - 17 ZONING BOARD OF APPEALS F r ILA J.- ............ . )ON11 - . — wrac�x f+•�'++s._w:�.t r — —�ja,r�._•^C�sNrs.7ce�u-.e�c131' •:sc--✓��-'a••— _ 777 • t • - {�� tttt� RECEIVED t } 24 2017 _._.. _-_-._ � - �••�' V4 ®(NTNG BOARD Of APPEALS WE+ � —+. - �� w.aiaw.n++.war:vr�i+-.•�rx=��aa.-y–.v<ren+u!.xwa��-c-.sy,caa..w7•rr�--c.:x:.-..or-.may.^cv.:..ac..•.r.:.•n:<�� i � i i 3 (' � tjj` Pn"��tt}}��tyyryry�� t /�-�7,�+fv�� ♦ .' � i - � ,� i. j:i., _. . - - .-- f, 3 7c,{�V- I•�t��1 -gd Z, CQ 7lNE i = J --1� 5==.�� ...___--.__ f s '��.t =i hi���!2 s�%��.�•�,_ .. � � - .-�/�V�•i+„}•-t^-•f•--:--��ir�-S�'�� - - -"�' s t:! �y� '^�-.�..;,. .47� � "'_ a 1-t--�• i � � t i�r .�4^E p - - - - �t_ � ---- - --- - -- - - -- - - - - RECEIVED _ APR 2 4 2017 i ZONING BOARD OF APPE" E :. ,.tea.. _ -_ --.... —•� �,�....�..=�...:��.�.,�� it K ._.. - _ _. - .. - � .j :. - •is �� �. 0. ------ +i n' _ ______. __.._._._...._._.._..__. �.�....... _��....__.._._... _._ � . for • •.�..q—.rw..w �... -- -_`.eGbz�L�Mfa+-.�•+.•�'�•M•wri....tiwi•N�vcrY•lrs YJ�{ _ {- _ _(//.�.�.�'�•)^Yr�_f.w✓ .l:Z.✓.YJRL��f.Y�I pw�.tY�i • ; ^I /••� SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-55-05-9.1 SCALE.- 1'--40 JANUARY 13, 2015 FEBRUARY 6, 2017 MARCH 5, 2018 (ELEVA77ONS) MAY 29, 2019 (BLDG. REMOVED) O O �tiro/+' ryM EL /O� v p ,� g• p 4 E � 40'i()hh' N /0/F � Dip MEDTc A� 0 ���eo ► �t Z� 39 � � � �' SDUTH IN INS. W ARTS �1 ��t 39 8 E�g9•'� � `I 00. A 0 0� `1 = AXEG �1 ' LBUILDINOOF R E W Y ~ FOUNDATION D Z 11 IDE m 1 Pll�n 1 19.3 O o n � ► 50.2 I rn • I ��� 39° BUILDING , 1 N � ;, FF El-• 40.7 1 s 1 U1NN -< 50.2 30HN N . Q 25.0' coCONC. AIp {� NO SIDE 1 colic I3 7� & - - �N I TERESA E. QU1NN O 1 L35� � SLOPE — � — rn 9 A..5, I 71• 0 10w EL_36�s-a-'�- PIPE STOd<ADE fVCE 150.00 FND• UNK E. 01'E EL. 38.5 '16 50 Fn CHP1Ni�-"` BRKN• SS� W 35.5 0 - c iFND N/O/r 6� � C N �• s co LLC BOH � z 21rn D �NTERPR IE ROBERT BOHN c�v ELEVA77ONS ARE REFERENCED TO NA VD 88 = TEST HOLE • = PIPE OF NEIV ■ = MONUMENT B - ZONE o a AREA = 37,123 SQ. FT. n C. NO. 491 ANY,' %.RA77ON OR ADDI77ON TO THIS SURVEY IS A WOLA77ON OF ,, 9N 72090F THE NEW YORK STATE EDUCATION LAW. 'X- - EXCcri AS PER SEC77ON 7209-SUBDIVISION 2. ALL CERAFlCA77ONS (6 - rOFAX (831) 765-175 IJC-GC-AAI AOC IIAI IR CIAO TLIQ //Ao AAln f%n0/CQ 7MCOCAC' flAll V W n !1 nnv••nnn r SURVEY OF PROPERTY N A T SOUTH®LD TOWN OF SOUTH®LD SUFFOLK COUNTY MY 1000-55-05-91 RECEIVED SCALE: 1'=40* APR 2017 JANUARY 14 2015 ZONING BOARD OF APPEALS O � co O\b ol O p ® CP w 01 lo z ,ill '" I L ° L.LJ i N/o/ o < MEpiC AL Q SpUTHp INp. I �' li 1 ARTS SUILDING 7- I 4 1 Agin G R A E ) DRE � � Y 1 I ° � a I�� I 5.0• � _ L O 11 =Tr x—x- - - C•? --- � � ._. - ". x x 60.2 � 1 NI m m xPx xp�{�UNK X X x-x-x"x 1 �2 ST'(• `N 1 �D oEv - = SUILDING II 1 �'- N/0/F 60.2! ,9.s o �pHN J. QUINN 25.0 I 1 CONO• p 1 m o ,I °ON°. - _ J 1 A E QUINN 1 BUIUDING ENVEIOPE� �� N �1 TERES L FE. 1 0 1.5 IN 1.01\ _ — ®' fqPE sTOCKpDE MNCE FE. 1 5®.® �0. CNAWUNK FE 0.1E w Sol-i N/0�F CAROL BONN ROBERT SONN E - ZONE AREA = 37,123 SO. FT. ANY AL7ERA770M OR ADDITION TO THIS SURVEY IS A WOLA770M YS. LIC. NO. 49616 }� YS. P.C. OF SECTION 7209OF 7HE NEW YORK STATE EDUCATION LAW. _ EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77FlCA7l0NS (6 02 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 7HE SURVEYOR 1230 77?A VELER STREET WiOSE SIGNATURE APPEARS HEREON. SOU MOLD, N Y 11971 14-145 i r ✓ ';_* � ops., M td„r°vy'"? "x i 0. r' r ..' „�? `" yr Y�.,_.,:• '�° _ .tt'S � ;� 4110 i i /�C A At O EXISTING DRIVE Alb _ - - ' bra tea, ��4g. � n,k'a w � �`' � {^� 3%i' ,N,; �+`�' •.�y r, n (� W rux- ,y+ ' w � _ •>E•.� ` - -F ' 'a EXISTING UTILITY POLE TO BE [ �O = _ 3 4 tib' REMOVED t RELOCATED p. - - 6 �Q re 0\ _ ` m, w •� ,,:;:-:;:. " NEW SIGN - " �� u 24 sa.ft. 8'-0" ht. EXISTING DRI EWAYO - a .s' `'�,A°"-'- $.fir 4 ',� i ,,,� n `,,► +,u " g �' " - - :' ENTRANCE- EXI - _ NEW UTILITY - q\ VAC . `►.' POLE LOCATION AIR tu it dy & " l�.f MONUMENT P,t r= co FOUND \ # 1 1 (17 d or '' I 0'-O"Ox8'-O" DEEP DRAINAGE k « � EXI5TING CONCRETE "MY Bax ASPHALT PA ED POOLS, TYPICAL ALL; 5" PVC DRIVING SUR ACE PIPING BETWEEN EACH P ibo\ � _ PROPERTY LOCATION -r wN�°� 'r AREA OF BURIED FUEL TANK5- m a CONNECT TO "- O L==am — o ` _ - a ADJOINING TANKS TO SIT ON CONCRETE SLAB \ f �. a PARKING LOT 4 `' ( COVERED BY POURED CONCRETE SLAB o 1 Q =3 O N - N ® ASPHALT PAVED OUT4 OF EX15TING DRIVIN&5URFACE BUILDING* STRUCTURES `; PROPOSED PUMP I v o ' m TO BE 1 MOVED CANOPY w/ FIRE - w # 1 OSUPPRESSION; = 0 1 aD - > 1 1-1-_ - _ - / / W LLJ Iz� O 1 1 Q z SITE PLAN , O w J SCALE: -L' == I -O' U Z W W 5CTM: 1000-55-5-9.1 Q ® I Z Information taken from surveyprepared by > [L Peconic 5u,rveyor5, P.C. Southold, New York F2 dated January 13, 2015 0-- #8 —i '"17 41'-0' SITE DATA: DRAINAGE CALCULATIONS: J I Q Final Plot Size: 37,123 sq.ft. Based on 2" Rainfall Event Building Area: 1516.04 s ft 3.38% 2 _ O #7 O 8"P) PVC PIPING N \ Paving * Curbing: 'L I,801 .5.4 scl-ft• 57% Parking: 21801.96 sf X 12 - 3633 c.f. z I BETWEEN DRAINAGE o O Sidewalks: 740 sq.ft. 2% Sidewalk: 740 sf X 12 = 123 c.f. CD - POOLS a-2 1/2' Landscaping: 13055 scl.ft. 35% Roof: 1516.04 sf X12 = 252.67 c.f - 0-1• Landscape: 13055 sf X 2 = 435.16 c.f tl_t v _ - - N: z #G o ATIO Q - - ZONING INFORM - w - - - EXISTING BUILDING TO 5CTM # 1000-55-5-9. I 8'-0"B Leaching Pool = �r2 = 3.14 X 4foot2 = 50.3 cf/ft �O�' ct� -__ Q Street Address: 46770 Route 48, Southold Roof 25267/50.3 - 5.02 ft.deep- Use 81-0"mxG1-0■deep - � I / # 1 - o REMAIN; PROPOSED Zoning Distnct: B - General Business /' ALTERATIONS RFGr~VEn Front Yard Setback Required: Variable Parking, Sidewalk Landscaping Total = 4 19 I.16 c.f. #j a A B Front Yard Setback Proposed: 71 feet I O'-0*0 Leaching Pool _1Tr2 = 3.14 X 5foot2 = 78-5 cf/ft " I ® Q - _ �r � u� p Area 419 1.1 G/78.5 53.4 ft.deep - Use (7) 1 0-00x8-0deep _ C N OPS Side Yard 'Setback Required: 25/25 feet -_ = Side Yard:Setback Proposed: GG.5'/ I9.0(pre-existing) 'j cu 4'-0" POURED CONCRETEF APPEALS Rear Yard Setback Required: 35 feet GROUNDWATER.MANAGEMENT ZONE IV #4 ur m ZONING Rl7ARD 0 Rear Yard Setback Proposed: 52 feet Density: .03 GPD/5Q.FT. ASPHALT PAVED O SIDEWALK CONTINUOUS z Kitchen: _02GPD/5Q.FT. DRIVING SURFACE b. _ AROUND STRUCTURE I— PARKING ANALYSIS: Hydraulic: .05 GPD/5Q.FT. #3 #2 G FRIDGE F E D. I Total Building: 2,674.04 sq.ft. ;:<-• O acesResidential 2 uniis . 2 wired 2 Proposed S SANITARY DESIGN CALCULATIONS 5 _ - Z it 1 2 Proposed 5 aces - - Store: 8 Required Convenience DE51G'V F OW DE:LAN FLOIA DESIGN FLC'N TOTALFLOW Plus 2 Handicap Accessible AREA NAm-= AREA 51ZE ` MPLOYEE P tKI 4G Gas Station: 3 Per Que 3G Proposed Spaces SANITAQY GREY TOTAL t y SPAGE '�.� / O U Employee: I Per I Space provided corn'ernence 5 ae soo 5�. 0.03 o.oz _ O L Loading Berth: 19'-0"wide 14'-0" height X 45'-0" long I Proposed 24 GPD I G GPD 24 GPD RESIDENTIAL ! O �O .D�'� A artments 750 5a .each SPACES 2 l X. / R I (� } BUILDING INFO: 150 GPD each 300 GPD OUTLINE OF BUILDING ENVELOPE O 3 first Floor:: � � `' DUMPSTER w/ z oZ i' �. A - Convenience Store: G50 sq.ft. FENCE ENCLOSURE w s• s y B-Attendant: 150 sq.ft. 2 r- 0 C- Access to Second Floor Vestibule: 220 sq.ft. D - Mechanical Room: GG sq.ft. G"Q PVC PIPING E- Office: 30 sq.ft. N O Z TO ROOF DRYWELL F- Employee Restroom: 30 sq.ft. - to I Z G- Handicap Accessible Restroom: 104 sq.ft. N GRASS � PRIVACY AS PER o O Second Floor: 0 Residential Unit 1 : 525561.ft. N LANDSCAPE PLAN I z Residential Unit 2: 475 sq.ft. O O 0-0-0-0-0-0-0-0—0-0-0-0-0-0-0--r-10-0-0 IpY BRIacM°NUMENr, NEW PIPE Oo O 0-0-0 O O-0G- FOUND 581 15'50W 150.00' + `f EXISTING STOCKADE FENCE PAGE: S I UNA&WI09/ZED ALTERAT/ON OR AD,91RON TO TH/5 DRAW/NG AND RELATED DOCUMENTS/S A KOLAT/ON OFSEC. 7209 OF Mf N.Y.5.EDUCAT/ON LAW 0 z w U z T-G 112' T-G 112' — a�� Gt06 ILL �QP 1 EXISTIN( )RIV �Q O� EX15TING DRI V ;_5 W Q�'(\A Q P.� ENTRAN 0��� �Q P ENTRAN Lu_ . X0 EXISTING UTILITY POLE TO BE _ ~ c o �� REMOVED RELOCATED 60 ��' _,.. _ GI�5 \%\6 SZiz , � N :. T SIGN 5z 5 Off' 51GN Off 25 / �0 0 4,0 L �i U+ / a EXISTING DRI SWAY / °� O M EXISTING DRI EWAY r} ~ - oaz O ENTRANCE- ( z in °0 ENTRANCE- F- `9 NEW UTILITY o0 0 0 0° G� =-_ \ °oppp4po VAC D I. \ Ovac_ Q F- N POLE LOCATION - -y' O Q AIR � AIR O �� _ L � ® w # 12i � � tn Ln MONUMENT \� ( FOUND �1 \\ #1 I Sn cj\O P Fotw DIeGRA55 # I I (n EX15TING CONCRETE o , a 10'-O"0' -O" DEEP DRAINAGE InIUN BOX EXISTING CONCRETE °apo 4i AREA OF BURIED FUEL TAN KS- unurYBox ASPHALT PAVED POOLS, TYPICAL ALL; 8"0 PVC PAVEDTANKS TO SIT ON CONCRETE SLAB DRIVING SURFACE PIPING BETWEEN EACH POOL _ SUIRFACE VING "-. .d. .. I COVERED BY POURED CONCRETE SLAB CONNECT TO 1 PLANT SYMBOLS: CONNECT TO t O ADJOINING \ O in in ADJOINING .• � � - :.,: :.'�:_ : ' .= -. � °� � _ PARKING LOT PARKING LOT -- 0 - ORNAMENTAL CHERRY, 12- 2"CAL. Q °� Z In 0 t I o 67 - - 4 0 040 O 0O W O 0 0 0 p WFIITE OAK, 22" - 3" N N ASPHALT PAVED PROPOSED POST LAMPS DRIVING SURFACE o o° PROPOSED PUMP 00" X °0 0 0 FOR PARKING LIGHTING TO CANOPY w/ FIRE o I Z BE IN ACCORDANCE WITH Lu �o °� # I O DARK SKIES REGULATIONS SUPPRESSION; - Q I } ORNAMENTAL GRASS, 3'-4' ht. z z # I O EA � z CRETE SI n � Q IL 1, / ( > W c,�Ass Q a GROUND COVER JUNIPER, 18"-24" ht. } #9 v #9 I ~ Q z Q o z - LL_ GRAsS 1 s Lu ujEl j ® Z JAPANE5E BLACK PINE, 7'- 8' ht. Q- o = #8 - #8 #7 O I #7 8"0 PVC PIPING \ ° I ELAND CYPRESS, 6'- 7' ht., DOUBLE ROW BETWEEN DRAINAGE 1 z z ( O POOLS Q � > Q � "A a-- tu —1w 11.1 U U # - 6 - z - - Q - - w w - EX15TING BUILDING DING TO - EX ST NG U L EXI i ST NG B I U LDI NG TO o #I REMAIN; PROPOSED o / #I o REMAIN; PROPOSED -= ALTERATIONS - - ALTERATIONS 0 C 4'-0" POURED CONCRETE C 4'—O" POURED CONCRETE #4 #4 UP SIDEWALK CONTINUOUSASPHALT PAVED o SIDEWALK CONTINUOUS z a #2 FRIDGE1 H AROUND STRUCTURE DRIVING SURFACE �. b #2 FRIDGE AROUND STRUCTURE J 0 .r•.. ::w+^f'i.aw.a:ny..:2.. ...In — — _ _ _ v - - E G Fm PLOYEE VARKING _-TIVIPLOYEE "NG q) LOADING I = I 1 LOXIDIN.C� ( pp o RESIDENTI L '�. / RESIDENTIAL O SP I x• SPACES (2) �I �• � _ �• x�. O Z ONj`.,. OF APPEAL z oZ DUMPSTER w/ U w 0 0 (9 o FENCE ENCLOSURE z o GRA55 6"0 PVC PIPING O W TO ROOF DRYWELL o0 0 C) GRASS 4 o �° z O LANDSCAPING 0 0 I U -- o o 0 0 0 0 0-0-0— —0 0-0- 0 i. 0 r '� BRICK MONUMENT PIPE FOUND 13MCKMONUMENT NEW 0-0" TALL PRIVACY FENCE PIPE FOUND-0-0-0-0-0-0-0— ,;, '�:• c. FOUND 5451015'50W 150.00 FOUND 58101550"W 150.00' EX15TING 5TOCKADE FENCE ua SITE PLAN - QUEUING '� r SITE PLAN - LANDSCAPE ` " . PAGE: SCALE: 16'= I'-0, < SCALE: i6 UNAUMOR/ZED ALTFRATION OR ADD/T/ON TO TH/S DRAW/NG AND RELATED DOCUMENTS 15 A WOLAT/ON OFSEC. 7209 OF THE N.Y.S.EDUCAT/ON LAW i s i FV1 c I Lu W Q li, i w - _ Fi\ - k ..k li I 9 z W 0 U W Q LLI I �5 M. p 03740, FBF �r�J 'AmRCHITECTUREANTHONYOHTI LLO R .A. LEED AV PROJECT: � . r 1.5400 MAINR D 25' 36TH STREET, SUITE 256 JEM CAPSD, LLC 46770 ROUTE 48 MATTITUCKIN .Y. IVI 2 BROOKLYINN .Y. 1.1.232 SOUTHOLD, NY �. a LLC 0 : 516-214-0160 0 : 716-572-4743. DRAWING TITLE: TITLE PAGE PAGE: RECEIVED 1708D 1.00 JUN 112019 Zoning $`),J, a Of Appeals —�- DATE: 11/16/18 # OF 8 PDGF FOR JOB STICKEfille, HERE �®ass e EXISTING XVV� �� DRIVEWA 5�p �K (� EN GE 50TM: 1000-55-5-1.1 DRAINAGE CALCULATIONS Information taken from survey prepared by Based on 2" Rainfall Event p19 :;;=-<`` ;r a:'' I Peconic Surveyors, P.G. Southold, New Yor o :;�, ,.<:,, .+.'• dated January 13, 2015 Parking: 21801.16 sf X = 3633 c.f. EXISTING UTILITY POLE TO BE ��� -:: : "x y Sidewalk: 140 sf X f2 = 123 c.f. REMOVED RELOCATEDay / SITE DATA: Roof: 1516.04 sf X = 252.67 c.f W SIGN ��1.2 Final Plot Size: 37,123 sq.ft. -_ Canopy: 3520 sf X 12 58 .84 c.f. Building Area: 1,516.04 sq.ft 4.08 Landscape: 13055 sf X 435.16 c.f Paving $ Curbing: 21,801.86 sq.ft. 51 U 5ldewalks: 740 sq.ft. 296 8'-O"� Leachin Pool = 2 = 2 = LLI EXISTIN DRIVEWAY - fY 3.14 X 4foot 50.3 of/ft Roof 252.61 / 50.3 - 5.02 ft.deep Use 8-O (Pxb-O dee = / Landscaping: 13055 sq.ft. 35Ro - - p U ENTRANVEX D : " ` _ i'.'y5 s Canopy 587.84 x 7.5 4408 gal. Use (2) 8'-O"�x8'-O"deep U NEW UTILITY— ': °::' :'''yT:;'°" VAG .� ZONING INFORMATION: .: :w :::�::T , o POLE LOCATION " ` ` ' � �• SGTM # 1000-55-5-1.1 Parkin , Sidewalk 4 Landscapingg Total = 4181.16 c.f. Q °`°' `'� \ d AIR I w Street Address: 46770 Route 48, Southold Ar 0"� Leaching Pool = nrZ = 314 X 5foot2 = 78.5 cf/ft \ ® - Area 41x1.16 / 15.5 - 53.4 ft.deep - Use (1) 10-O 0x8-O deep O Zoning District: B - General Business <;. #12 r Front Yard Setback Required: Variable �k Front Yard Setback Proposed: 71 feet GROUNDWATER MANAGEMENT ZONE IV FOUNDMONUM #I I Side Yard Setback Required: 25 / 25 feet Density: .03 6PD/50.FT. ..4. �•\ �� Side Yard Setback Proposed: 66+5' l 11.6' (pre-existing) Kitchen: .02 6PD/50.FT. . Rear Yard Setback Required: 35 feet Hydraulic.: .05 GPD/5O.FT. , q y Rear Yard Setback Proposed: 52 feet '`'-� 10'-O"(Px8'-O" DEEP DRAINAGE EXISTING CONCRETE POOLS, TYPICAL ALL; 810 PVC AREA OF BURIED FUEL TANKS- PARKING ANALYSIS: UTILITY BOX PIPING BETWEEN EACH POOL TANKS TO 51T ON CONCRETE SLAB 4 Total Building: 1,516.04 sq.ft. sANITAI<YDGN cALcuLAror» ASPHALT PAVED ? `"` DESIGN FLOW DESIGN FLOW DESIGN FLOW TOTAL FLOW ..� .. COVERED BY POURED CONCRETE SLAB Residential (2 units): 2 Required 2 Proposed Spaces Ar>A NAME AREA�Ize 5ANWAIZY GREY TOTAL bar SPACE DRIVING SURFACE Convenience Store: 8 Required 12 Proposed Spaces - , :' _,J :•,: '" ,: `�'• Convenience9tme G505gJt, 0,03 0A t • : ;.: . . ` . ;,`.:•: q Plus 2 Handicap Accessible 24 GPD..... ....,I G GPD .. 24 cpa,, Gas Station: 3 Per Our, 36 Proposed Spaces Apartments 997 sq.ft. o CONNECT TO e V y { '..:: ; ''.: Employee: - �I I For " 1 Space provided tl t,t 150 GPD each 300 GPD .. ADJOINING � ':�:.t'.�r �'' Loading Berth: la O wide X 14 O height X 45 O long I Proposed PARKING LOT 44-0 : •� •:, Y. . ,:� ,.' # :� .::�• I BUILDING INFO: o • ' y .e: First Floor: A - Convenience Store: T7 sq.ft. {.,. •�' <' :�;: . �� B - Attendant: 141 sq.ft. O D G - Foyer: 187 sq.ft. - Mechanical Room: 45 sq.ft. E - Office: 44 sq.ft. o F - Employee Restroom: 1x.5 sq.ft. PROPOSED POST LAMPS G - Handicap Accessible Restroom: 45 sq.ft. p PROPOSED PUMP A PHALT PAVED H - Sprinkler Room: 30 sq.ft. m FOR PARKING LIGHTING TO D IVIN5 SURFACE 1 - Employee Lockers: 11.5 sq.ft. � CANOPY w/ FIRE o'-2�° q• �n BE IN ACCORDANCE WITH SUPPRESSION; N/O/F J - Tenant Lockers: 16 sq.ft. #10 DARK SKIES REGULATIONS o SOUTHOLD MEDICAL SER CANOPY ARTS BUILDING ING. Second Floor: Foyer: 74 sq.ft. +/- Residential Unit I: 445 sq.ft. +/- N/O/F Residential Unit 2: 506 sq.ft. +/- THOMAS J. MCCARTHY I ,� b Z Uj LLJ BUILDING AREAS: z #1 Total Square Footage: 2,401.0 s .ft. 8 tL mss Including First i€gSecond Floor Areas 5q .ft. AREA FOR RESIDENTIAL: 40Y OR 163 sq.ft. LU Q ® II PROP05ED RESIDENTIAL SPACES: 31.496 OR 151 s .ftt. o } I n ,N:: .,` c ."&..4 'i .i/` °:- ,.;.', _- tri .x n:` > :.- " y ,• `'.$R+. •t, r kr if } j � {;S's x. � ' W 61 0 s ikF: R. 8 � PVG PIPING : M X , " a ' ,;a •�#^ �' ? ,°s,., p:,'':e, ,, ', ,e'ny� :4ary"k:. <#t r ;Y"" J ,: ,�f:- ..sq. t .,e,•„ x�ira '� //-s5 p # EX15TINO BUILDING TO :. . $. 1f BETWEEN DRAINAGE ; tu: . REMAIN; PROPOSED � a. '��.:� �;'�;` a O ". o POOLS :��",s�" a < C� K. ALTERATIONS 1 M1 W m. # I II #r. 4 pry �tl` 2 u s li '4rfl9^dM .�.'¢ 4Y r� s a t r - P' y"s< �`-.7` °:$:� "v:� ~t,`:>,,• ;� ave s d .;�,.,�'y s, ✓", ` 4r' '' .t'" T "{,: t�<fx 'x,n �, < n§ I' " , :�" w. A+,':, ,p ,a" '.x,.-a,, a _ s "n ® `�,•' ,. ,q 03 ,, x. 0 �V e't , + n. L.r I II �s-. ,-0r. `ice' „�' .; ;.:�,. ��•:,. ,M1(:' ..-a'., 'ms's a 4 O POURED CONCRETE # G ' ' 4 LP l:z ` .» ?'' ><� %YI' Y a ��"•a. ag� 7=; SIDEWALK CONTINUOUS °a o ASPHALT PAVED O .. Q ar q; , x , ` AROUND STRUCTURE " PROJECT: DRIVING 5URFAGE '>M1'- : '• ,. R e Y : . 3 Q 1--7 I' of •a ✓n a 4 r' .r 4 ti• e. 4' }1j i �j �Y t g `Y f«r 3 , '. y 4�@- d .4: 5 JE M CAP EMPLOYEEP IN LLC � C 01 � I ., f!'. k, X, I I 'b � D ar O?� INC' L �s '3 RESIDENTIAL - 46770 ROUTE 48 '' SPACES (2) , O , :: it` jig$ _ rti/' SO � FENCE ENCLOSURE O 4 , _ <d . 6 PVG PIPING p �:. � �/ DRAWING TITLE: N/0/F To ROOF DRYWELL ` ..�• o _. a - g, ; ..Qµ Sao JOHN J. OUINN =� r '' � ° �`' SITE PLAN & ANALYSIS a ,•'t.v,. {ge.`wl p o TERESA E. GUINN .ia T '''�`� � �1 ''."R$ §A e•✓��✓ �`rd"'k;�.y y � $ `�'k��' i.f? s ��..� � ",A,�i ,b � , w 4 .'4 `I'i ?k,.r A`• t.era` '� �' ,+t•^,, ' `�;''k'✓✓,°`''$t' f A '•'q`�� '•a <"a�,r .+i# `�'-��" .�:w%;M-. ,�, u. ar - ui•, ,,�;'..': ,�� -�".�;..,�:_ `�;�,. ,v"vy ,fr 0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0---0-0 0 PAGE: ° ,�, e,"' Vr:;r,•' -,ty°�gi M ° �,,,, 'r✓, r y, t'.r ffs.:.�",r 4� �,' , BRICK MONUMENT — NEW 6 O TALL PRIVACY FENCE PIPE I-ouND W 150.00 FOUND 581 I5 O EXISTING STOCKADE 1 ENGE r: w Q. S-100 , N/O/F CAROL BOHN DATE: 11/16/18 2 OF 8 ROBERT BOHN PROPERTY LOCATION FREE I M I NAR`i' SITE FLAN FOR JOBB STIC�E 50ALE: 1/16" = 1'-0" p�0(0 EX15TING RIVEWAY EX15TING r,RIVEWAY ENTRANCE ENTRANCE °,g\D ^p•` •C1� \'® '� i <\ \'O '�1 v O� O� Ix EXISTING UTILITY POLE TO BE w :f,., �'�y,• F— �p xl� REMOVED a REtLOCATED (0p�� x: w Ik5 Gj 0� 516Nka /GRASS N ',;a <•>`' �o o i- dJ EX15TINO DRIVEY LANDSCAPING 6 EXISTING DRI SWAY „; ``"` - o / rNZ ENTRANCE- EXPAN ED / N ENTRANGE- E \ NEW UTILITY VAO o POLE LOCATION .,:',:-:.� +• \.\ opo 00 SAG Lu AIRuj ®CD I O #12 LK dJ ONUMENT MONUt7 #II #11 FOUND ° \ EXISTING CONCRETE—" PAVED EXISTING CONCRETE ao o�oo�d s 10'- x8'-O" DEEP DRAINAGE UTILITY BOX DRIVING UTILITY BOX ASPHALT VED POOLS, TYPIGAL ALL; &11(p PVC AREA OF BURIED FUEL TANK5- 5URFACE .° DRIVING SU FACE PIPING BETWEEN EACH POOL TANKS TO 51T ON CONCRETE SLAB $ COVERED BY POURED CONCRETE SLAB O CONNECT TO O CONNECT TO .�«,: . PLANT SYMBOLS: ._ : -ADJOINING ADJOINING PARKING LOT 44'-O" PARKING LOT 44'-O" a--• • s --------------- ORNAMENTAL CHERRY, 1�" - 2" GAL. •:a. p 00 ° o WHITE OAK, 2�" - 5" 0 ASPHALT ? 1 3PROPOSED POST LAMPS PAVED w o00 000 00 0 0° FOR PARKING L 1 GHTI NO TO PROPOSED PUMP DRIVING I V 0-2 CANOPY W FIRE SURFACE o'-2'" w BE IN ACCORDANCE WITH tL #10 - I #Io DARK SKIES REGULATIONS SUPPRESSION; I ORNAMENTAL GRA55, 5' - 4' ht. O z O 7 D p R CANOPY D p } Lu IEH Q a GROUND COVER JUNIPER, IS" -24" ht. 1Ll I- #qMASS w o o-o I < a > I Y JAPANESE BLACK PINE,7' - 5' ht. #5 #g p0 10 I LELAND CYPRESS, 6' - 7' ht., DOUBLE ROWS la'-6" # a_ Lu •:•,y.:.t {'Y::.r"t. .fir« M/ 'k.e:r:,:vl:.•. ..4:..a...a •. • v, i,YL�-ve � 6 n Q <;r:;}�„' EX15TINO BUILDING TO z ; `” r EXISTING BUILDING TO '9� 3740'' y0 #� " REMAIN; PROP05ED O REMAIN; � I o ALTERATIONS F pJ E`N I # A B :' ;� A . PROJECT: #4 G : ; 4'-0" POURED CONCRETE #4 G `` ; 4'-0" POURED CONCRETE 51DEWALK CONTINUOUS E _ I SIDEWALK CONTINUOUS AROUND STRUCTURE ' j ASPHALT PAVED AROUND STRUCTURE J E M CAP S D LLC b, #2 Y' DRIVING SURFACE bL #2 ~ I ' #g GHl I F 3 G [51-l" rrT( 46770 ROUTE 48 n` 4" V SM1 tY•. i• t^w `•Y.•• p•it . MPLOYEE P IN � SOUTHOLD NY - I LOADING I I LtOADIN6:� RE510 T, .x./ RE51DENTIAL SPACES (2) �• - � o '��' � �., DRAWING TITLE: DUMP5TER W/ FENCE ENCLOSURE ��`, � PQ�ea�s SITE PLAN - QUEUING SITE PLAN - LANDSCAPE 6"(P PVC PIPING D -� 61 Zp\oq TO ROOF DRYWELL 0 0 Oo � oo I i GRASS 8 I j O 0 o PAGE: LAND50APINO O -200 o 0 0 0- _—o o _ o 0-0-0— —0-0 0 0 _ 01 BRICK MONUMENT o ,I I PIPE FOUND BRICK MON)MENT NEW 6-0" TALL PRIVACY FENCEPIPE FOUND-0-0-0-0-0-0-0- FOUND 58 15 50 0.00 FOUND 581o 15 5O W 150.001 EXISTING STOCKADE FENCE DATE: 11/16/18 3 OF 8 i SITE PLAN - OUEU I NO S 1 TL ALAN - LANDSCAP I NO SCALE: I/16" = 1'-O" _ '.• Y FOR JOB 5GALE: 1/16" 1'-O" NICKER I'- RE 11 i � � � : � � I � � : � i - I _­ -7��, F �77777�_ ", ,;,,, ': I I I I `�,­---r,M#,,.W,_ ­�­­ I T- � Olef- 'j77,'�,7,7- :-1 -,, , , ,-, ,�7 "� ;_ I : -, , _,�� ;�: ;-N 14�ii - ,I I ir,7 , �r s7 ,�: ;, �': - , ,� - 1. 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I I I I . i� FROFERT"r LOCI TION - FROPERT)" LOGATION - = . 1 1000_55_500._�.10 NO Right!5 c� Noy v4ithin 550' 1 46110 C.,curty �01/ 4a o5 per Su��olk Gounty Map 11 - ARC , Zonine: E3- Oonorad E3us!no!5!5 . P 0- 0 i :-A z ,,,,- -%_� Gurront Land U5r,: Mli5ccllancous : I < 1* I ) r , ! * . �� . I � TABLE 1 C.,ornmorcial ,\- I -­. Surrounding Property Info Ac.rooge.: .6� . 1 00 "J,01 PCey SCTR4 #: Address Ovvner Info Zone Use Acreage . OF I 110 A 1000-55-200-20000 46455 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.71 - I - PROJECT: I B 1000-55-200-21000 46695 County Rd. 48 S Cartselos LLC B- General Business Retail / Strip development 0.5 1 C 1000-55-200-22000 47055 County Rd. 48 Richard Wheeler B- General Business Auto SeNce Station 0.5 JEM CAP SD, LLC_ D 1000-55-200-23000 47025 County Rd. 48 Madelieine Schalefer B- General Business Retail &53 46770 ROUTE 48 E 1000-55-500-12002 3125 Boisseau /be. Johnathan Hawkins RO- Residential Oflce Vacant Land 1.2 , NY _ F 1000-55-500-12001 285036sseau /te. Kenneth Norcross R-40 / R-80 Residential 0.94 1 G 1000-55-500-1300 2735 Boisseau Axe. John Quinn R-40 / R-80 Residential 1.0 DRAWING TITLE: - H 1000-55-500-1400 2685 Boisseau /tire. Robert Bohn R-80 / R-40 Residential 2.0 PROPER I E APS/ DATA -709D 1 10015510005001 2355 Bdsseau Axise. Barbara Martin R-40 Residential a96 - yj 1 1 TOM . i 2505 Bdsseau /tire. DaNel McGunnigle R-80 Reident0l 117 ,. I i 0: gal - . - I. . ­?­­t ,�� .",��� I I . I PAGE: '-"'""�' ___ K 1000-55-500-7000 46520 County Rd. 48 Thomas McCarthy B- General Business Retail / Strip development 1.98 1 .- I L 1000-55-500-10000 46850 County Rd. 48 Southold Medical Arts Building B- General Business Medical Arts / Commercial 0.5 S-300 Inc. - I [�M_ 1000-55-500-11000 46950 County Rd. 48 46950 CR 48 Southold LLC B- General Business Retail / Commercial 1 0.32 j DATE: 11/16/18 . 4OF8 I I I , "� I , i l ��_ &_ I I 91 I ''I I I nI I— I I 11- "I ` - 11 1,\� \ P1...I-ICE FOR JOB . STICKER I-VE-EREZ. - . I : � i I wui� U U J � I FRONT ELEVATION — PROPOSED LEFT (EAST) ELEVATION — FROPOSED SCALE: 1/4" = I'-O" SCALE: 1/4" = 1'-0" z Lu IT w O V Lu D : I ARC i ( ( Luao I t� � OF PROJECT: i ►� ' J EM CAP SD, LLC ! ILI46770 ROUTE 48 SOUTHOLD, NY DRAWING TITLE: fi 10HT (NEST) ELEVATION — FROFCSF_D tuft-DriUATioN „ REAR ELEVATION — FROFOSED _1 'E"o SCALE: I/4 I O -�,��o SCALE: 1/4" = 1'-0" A-1.00 DATE: 11/16/18 5 OF 8 PLACE w�4 fc .+P1 0" t 36'-O" ' �+` �✓ .,,. B V 1 i.i�L/' 1 1 l\.I• :.,awry till kr'��1 i+.r� i ,'O\./ F �tir/ , s 00 0 PANTRY EE BUILDING F007FRINT 1,516.04 S.F. N t- FOYERBA HROOM KITCHEN 0 0 O O - 4�5Q FT ' R FL 0 ' ?4 5Q. FT dJ � .ter' i 'OCR • 153 5Q.FT r�: . FLOOR ARrA5 EXCLUDE YVALL-THIGKNE55 a` Vii',;; y;'x';,�:.x.%Y•;�"': .�'�d;.;�`::.�^;��:-�'%?'F.:�.y;,,5r',.;r": Oo V , ° GLST GLST' GONYFNIENGE STORE "777.00 S.F. ` GLSTi GLST y„ is x; FUEL ATTENDANT SFAGE 141.00 S.F. u APT#I APT#2 445 SQ. Fr. 529 sa. Fr. �AGGESSIBLE RESTROOM 45.00 S.F. w ~ U SPRINKLER / RFZ ROOM 30.00 S.F. v d- LIVIN6 ROOM LIVING ROOM i � _ 220 50.FT 182 50. FT r QU, BEDROOM -t BEDROOM MEGHAN I GAL ROOM 45.00 S.F. 150 50. FT fn ` 130 SQ. FT TENANT LOCKERS X6.00 S.F. EMPLOYEE LOCKERS Iq.50 S.F. EMPLOYEE RESTROOM 1 .50 S.F. , ♦. „P,rd"'' ii% :� �.:6..' :.r.•, 'y ::�y.," ,.i`, ',!ad%'?;f.!s•. a,''✓d>✓.%�:;':..�J:+`. '' ✓�:•".�`'/��;':'s'ts" f3'd'`*`'•;��`�.:;-,"��';"..�,�.:�,„ i4'`X�',.",r%i'� Xf a .�'.,r�` ,d°, F �'�".. �``•, �i'?^�;r�`�`" �',•.. ;,y,,:::, ..;��:r vE.r9-- °' ?"°,?`;%-'°`' �- ' o o OFF I GE 44.00 S.F. °y KITCHEN BATHROOM 55 50. FT o TOTAL IST FLOOR AREA 1,384.00 S.F. 40 50. FT ME .. . -: .. �.. SECOND 0 R" LO FLOOR AREAS EXCLUDE:WALL=�THIGKNE55` 8'-l0" 20'-0" FOYER X4.00 S.F. AFT I - L I V I NC ROOM 220.00 S.F. AFT I - BEDROOM 130.00 S.F. SECOND FLOOR PLAN - FROFOSEED AFT I - BATHROOM 40.00 S.F. SCALE: I/4" = I'-O" ?SFT I - K 1 TGHEN 55.00 S.F. �4FT I - TOTAL FLOOR AREA 445.00 S.F. ! AFT 2 - L I V I NC ROOM 182.00 S.F. LLJ Z AFT 2 - BEDROOM 130.00 S.F. AFT 2 - BATHROOM 41.00 S.F. n',..� �r, •?':,6.:, x.� ,'i-� to a'r,.�;+f. :yd`� .'•.3�e- tq.�'x,'>u'": .. T ,� � -��,�. ,r;` i�..rr;.��:,."moi,. .e": :;�,�,� >✓ �. y'.�, •�-, ,•Y?`"� �� �;��'� ,t "-?� .i a �•"'�. �°� � .�,.:., - F AFT 2 - KITCHEN 153.00 S.F. COFFEE O BE RAGE GH SNI AL OM - LO EE EMPLOYEE STATION REFRI RATORS 45 5 .FT RESTR OM LOCKERS m - SPRINKLER/RPZ ACCESSIBLE 19.5 5Q. T 0 ROOM RESTROooT PPT 2 - TOTAL FLOOR AREA 506.00 S.F. b'-0" 8'-4" �p 30 5Q. FT ' TOTAL 2ND FLOOR AREA 1,025.00 S.F. D A�C'�/i cry o 55 FLOOR �ARFA' , OOR AREA5�EXGLUDF WALL-TfIGKNE55`= 4374 FOLD-UP k JX `, A UP - OFFICE ENTRY OF P1G`� 44 50. FT y S OST u ! u ! n u ; -3 1/2" 2-4 2 -o PROJECT: �011 1/2 FOYER � 18'1 SQ.FT. y JEM CAP SD LLC 4 m1 -.... REACH-IN , WALK-IN .K FUEL ` --o" cV p CONVENIENCE COOLER ATTENDANT STORE 46770 ROUTE 48 ' SOUTHOLD NY SPACE 7n 5Q.FT. N " 141 50.FT. Q - - 3'-3" lo N . . .. : . •. : � z � �RAMP o DRAWING TITLE: :.:. CHECK :.. w COUNTER FLOOR PLANSRECEIVED KTAL:'WALL''-':;_;; w 'FK4MiNG 70 �(j TENANT TENANT O LOCKER LOCKER 38 50.FT. 55 50.FT. O PAGE: 4'-lo" 4'-10" 11-o" 2q'-6" i 1 J NEWS-RACKS MAGAZINE RACKSA-200 7777199i K, i . .. , . : . . .. , .. '• - . �� �: . .. "_,'. ' , '. - ... : � � SATE: F I RST FLOOR PLAN - FROPOSED 11/16/18 6 OF s :.:. .." SCALE: I/4" = I'-O° :.... ...::. . .: :. I PLACEFOR JO k i WN LL U W F— U 1000, Q i I I I I I I I I I I i I El I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I z W I I I I I I 0 C) V I I I I I I a I I I I I I jL ARC l J P y�, U37ab5 �O SOF N PROJECT: GANOFY PLAN - PROPOSED JEM CAP SD, LLC Ez,oro ED 46770 ROUTE 48 � SOUTHOLD, NY 'c'Of Appeals DRAWING TITLE: CANOPY PLAN PAGE: i A-300 DATE: 11/16/18 7 OF 8 PLACE FOR .10913 TIC HERE Ltuninaire Schedule Tag Symb=ol Oty Label Arrangement Liam.Luineas LLF Description Ltmt Watts Arr.Watts Total Watts { 15 ALED-26Y 'SINGLE 1994 1.000 pale blofint ' 435 " . . 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ACCESSIBLE RESTROOM FOYER -' KITCHEN �� c I r APT M 1 APT 82 cn S i_ 484 sq ft 513 sq k 0 3 m Uo ,i u + _ LIVING ROOM LIVING ROOM F: b �. 5 BEDROOM § BEDROOM FOYER FUEL ATTENDANT COUNTRY 5TORE — SPACE 050 sq k — di _ —RAMP 1 a-0• 15'-G' 13'-0' {() Z �I Q DOWN ®® Z W l a-0• 91-01 29'-G• O K fL - 50'-2. 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Z O f PROPOSED SIGN z 24 sq It SCALE #•-V-01 O Cl Z O V 7 JUN 2 5 2UId Ll soa lmia Tmm PAGE Rarnnry An•d A-4 UNANIY,.WZLDAUtFAI/gYOpALti'YICNTO TMS PGvhtG AND RfUT(O LIC(iu.:fl56A NA'A110NP'3K]2p 0.'Mfr/r5 tLYX'IICNIFW 5065FAU ................. 0 n5TINI DRIV F-ZA N &' ENI LAN 5TE 12 Ab re 5-�-vc m,,ndw m-yo�. dates'--y 13,20155 EX STING UTILITY POLE TO BEE 'TF n lf"�CA�4w"KIlit DATA GO r-,'lo-5- 37 129 It 2."'k,ff-t Lu 51c'I flId- "t;- Fv NN"D., 1 31.33 Lxp OX -XY 520.rt9 4t'% i'o 2 bO G 11, 5?�L "'c"1 Y4.1- 741 2% G'01 252'-7 1 3�% C-." 3,5 20 ti X.k V57 Z- dcpc 305�'f ,: 41,14 6 fX,5TING DKIYEWAY AU011AD-E LOT 336 9 sq ft ENTRANCE-EXP' r e;Z0E-'5ED LOT I�I., P�l-lr2,3 1 1 Y*-tl 50 3 blt i \ VAV-` ,�:•°' Y Ir,:l'i J-j b ldlq-d�-Py5t,-,c'- 5036qfl -r 0)IN cl-.P,r,,37 8,1,7 5-11013,3, E(8!b ffirarMATION Q T' 51-�AJ4,1. 4G 7 70 RoLt�4b 5.h.�l rq 7b 5 VI P F­6 .1 1�4'Y 5 -f 25�'.7,�0 3 02 t 4�- U G'0',it.r bGTbl# 10`)0-55-5�5 I ra u-M L�Lqnx5�ds-- Zo,M DmnuA-, F-t Yal 1z"— W.."V. V. NEW UTILITY FOLI LOCATZN #12 Fro,-t Yard 3etbark Proposed 71 1-1, MkNA,_LMEIIT<ONE N 5etback21,1F-t CIFDC-cl F. :50c y"'d S�tl-k"'F—d CC V/25 19 r,(v- 03 3) 02 C7•'50 1 R;ar d 5, tbi k fee!55 ft rfrdrau is J9•OPCS F' R_� 5.tb.,:L Pr r--J S2 1-1 AREA OF BURIED FJfLTANKS- PAIMING ANAI-Yi15 TANKS TO 51T ON CONCRETE SLAB Totai B,Id.- -m 14;1 Sto,�' 8 R--j.r� 12 F,� A5PHALTPAVtb r7-' COVERED BY POURED CONCRETE HAD 2 R,�,,-M DRIVING SURFA�E\ Coll— L Flu�2 N3,5d�F,A--We C, P, 5 CONNECT TO lt-d�n4=h 19-U,nec x 14'.7 h-fit'X I FAJE-014C 114FO ADJOININ- PARK,'.G-OT C— 51-� 950�q It A�-d-t 1'0"'p U Q -A-.,,to 5--d Mo.11-t 210 ,1 it D C;� E ad- 30S'q I it F F-tro- IL G 104 a It < o i A !�--d Roo, U r" -c' /7 51�AL AIT. R-d tul Un,t 1 484 q k P P--d-t.1 Unit 2 S 13'q R C;z(WING T5, A", 2 k_PROPOSED PO-9T LANIP5 roK PARKING LIGhTING TO -'/PROPO5ED 6UMFp WILDING ARFA3 '7— Total 5,w,o Fcot.y. 2609 b'4 ft CANOPY w/FIRE F-1 t 5—Floo,A-. BE IN ACCOP DANCE WITH SUPPRESSION_, ALLOWADU ARFA MR RE7,DEI.Tl 40% 1 043 r sq It DARK SKIES K[G-JLATION5 5OUTHOLD MEDICAL RZ5tDFNTIAL:PA0�,AL36 2% 99/-It AKT5 BUILDING INC _0 \x L? I > z N/Cl/f D THOMAS J MCCAPTHY #9 < 141f UZ MWI 14- + 71 z "e ic A > IR 0 #7 —EXISTING BUILDING TO h P XR, REMAIN -PROPOSED Y" 'G ALTEPATICN5 0 I.4c - 'B IX 4'-C)"POURS-D CONC�ZZ-FE A'4 M SIDEWALK\CCNTINUOU5 . , F E D #3 -DA5PHAJ PAVED RIVING SURFACE AROUND 5'FUCTURE X1, Q !71 EMPLOYEE PA 0 61 LOAL z DUMP5TEK W/ Q -- FENCE ENCLOSURE -a r,0?--or rvC rip-S N10/1' D;Zlllvf-.L 'Al r7:- JOHN J QUINN ul ffRE5A E QUINN 0 X-ml0l,C,-rfTA[LMVACYFFNCE Ti N/0/fz PPO'ERrY LOCATION CAROL BOHN ROBERT BOHN 5- 1 {� 1 COUNTY Off+° SUFFOLK RECEIVED ' ' JUN 13 201 D1 ZONING BOARD OF APPEALS Steven Bellone SUFFOLK COUNTY EXECUTIVE Department of Economic Development and Planning Theresa Ward Division of Planning Deputy County Executive and Commissioner and Environment June 6, 2017 Town of Southold Zoning Board of Appeals 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 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 File Number Stachan, Stuart #7078 Jemcap SD1,LLC #7080 Lanos, George F. #7081 Very truly yours, Sarah Lansdale Director of Planning Theodore R. Klein Principal Planner TRK/cd H.LEE DENNISON BLDG ■ 100 VETERANS MEMORIAL HWY,11th 171 ■ P.O.BOX 6100 ■ HAUPPAUGE,NY 11788-0099■ (631)853-5191 �'• RECEYVED FORM NO. 3 `SPR 14 2097 TOWN OF SOUTHOLD BUILDING DEPARTMENT Z014MG BOARD OF APPEALS SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: February 2, 2017 RENEWAL:April 20, 2017 TO: Jemcap SD LLC 46770 Route 48 Southold,NY 11971 Please take notice that your application dated January 17, 2017 For permit to construct additions and alterations to covert an existingbuilding uildin to a,gas station with convenience store and apartments at Location of property: 46770 CR 48, Southold,NY County Tax Map No. 1000 - Section 55 Block 5 Lots 9.1 Is returned herewith and disapproved on the following grounds: The proposed construction in the Business LB)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 single side yard setback of 25 feet is required. The existing altered building notes a single side yard setback of 19.7 feet. Furthermore, the proposed project and use require special exception approval from the Southold Town Zoning Board of Appeals and site plan approval from the Southold Town Planning Board. ---------------------------------------- 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. 1 C� FORM NO. 3 f' (flt2 ? ` A TOWN OF SOUTHOLD C71 T BUILDING DEPARTMENT SOUTHOLD, N.Y. FEB Q 6 2017 NOTICE OF DISAPPROVAL DATE: February 2, 2016 TO: Jemcap SD LLC (3 p I SS PAu)— 46770 Route 48 _, ' ziuthaYd,NY-t197 tj 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 Location of property: 46770 CR 48, Southold,NY County Tax Map No. 1000 -Section 55 Block 5 Lots 9.1 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 single side yard setback of 25 feet is required. The existing altered building notes a single side yard setback of 19.7 feet. Furthermore the proposed project and use require s ecial exc ion a roval fro the Southold Town Zoning Board of Appeals and site-plan qroval from the Southold own Pla Board. 15 Autho Sig Cc:File, ZBA, Planning Note to Applicant: Any change or deviation to the above referenced application ay require further review by the Southold Town Building Department. — ! eaw Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. L1 J910 Street C-a 4 8 Hamlet 5OUTKOC-D APR 2 4 2017 SCTM 1000 Section 55- Block 5^ Lot(s) Lot Size 37 /?_3 Zone - Y.- I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED - a-I BASED ON SURVEY/SITE PLAN DATED i-1 7-1-7 Owner(s): LI-oM C, -P 12�� 1 i_L.C Mailing Address: _36,0 OA04,0>Q✓1 elle. , l°C D 2-, 1yY-1 L©O t 7- Telephone: Fax: Email: NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc.and name of person who agent represents: Name of Representative: �ZA'Q. cimoo `e for(01Owner( )Other: Address: 51020 kcal y t l�zOGkd 4 sou__�hotd Telephone: Fax: I/ Email: PCp pp-(e e- Ms (j kj5.COM Please check to specify who you wish rt pondence to be mailed to,front the above names: ( )Applicant/Owner(s), (authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED (- (-1-1"l and DENIED AN APPLICATION DATED f-1 7-1-7 FOR: ( Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( )Change of Use ( )Permit for As-Built Construction ( )Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: X I Section: 290- q 9 Subsection: Type of Appeal. An Appeal is made for: ( A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal( )has, (V)"has not been made at any time with respect to this property,UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our ofce for assistance) Name of Owner: I File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized). 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: RECEIVED —,-I n 916 v APR 2 4 2017 ZONING BOARD OF APPEqS 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: 3.The amount of relief requested is not substantial because: dwal - 4.The variance will NOT have an adverse effect or i ct on the physical or environmental conditions in the neighborhood or district because: 5.Has the alleged difficulty been self-created? { }Yes,or{ }No Why: Are there any Covenants or Restrictions concerning this land? { }No { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. Signature of Applicant or Authorized Agent 3 (Agent must submit written Authorization from Owner) Sw to be ore me this day 20_. C Notary Public BETSY A. PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Count Commission Expires July 18� RECEIVED re: Jemcap SD LLC j APR 2 4 2017-q)%X) 1000-55-5-9.1 ZONING BOARD OF APPEALS Pursuant to Town Law section 267b-3 the variance should be granted for the following reasons: 1. , Town Law Section 267-b(3) (b) (1)No undesirable change will be produced in the character of the neighborhood or a detriment to nearby properties, if the variance is granted. The property is located in Business (B)Zoning Use District and the existing building is proposed to remain. The existing setback of the structure is set back from the side yard at 19.7 when 25 is required. The location of the existing structure is sufficient to provide conforming buffers. The preservation of -the existing structure will maintain the character of the commercial district and the nearby adjoining farmland. The existing property will be greatly improved and additional existing buildings will be removed. 2. Town Law Section 267-b(3) (b) (2)The benefit sought by the applicant can not be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing building is structurally sound and would require limited alterations. The existing building could not be altered to conform to the side yard setback without great expense, such that the building would need to be demolished. Further the location of the building provides for greater parking and vehicle circulation. The east side of the existing building is proposed as the landscape buffer. 3. Town Law Section 267-b(3) (b) (3)The area variance is not substantial The application of the balancing test weighs in favor of the grant of the variance. ' The variance is not substantial and will preserve an existing building. Moreover, the proposed site plan has been reviewed by Planning staff, in pre- submission review, and the site plan is well designed. 4. Town Law Section 267-b(3) (b) (4)The variance will have no adverse effect or impact on the physical or environmental conditions in the neighborhood or district. The existing building and uses on the property have been continuous throughout the years. There is no adverse environmental condition or constraints ' which would cause adverse impacts on the neighborhood or district. Gas stations are heavily regulated and monitored by New York State and County. The use of the building as a general store/retail with bathrooms have less impacts then the multiple uses which have occurred on the property. 5. Town Law Section 267-b(3) (b) (5)The alleged difficulty was not self-created. The existing building was constructed with different zoning setback requirements and the building has a CO. The applicant proposes to preserve the building. 16. Town Law Section 267-b The variance requested is the minimum variance practicable given the personal benefits anticipated by the applicant. The non-conforming setbacks for the existing structure is the minimal variance practicable given the alternatives, the demolition of an existing functional building. We respectfully request that the appeal be granted,together with any further relief that is deemed necessary and reasonable. Sworn to before me this , day of April 2 17 ricia C. Moore Esq. , agent { BETSY A.PERKINS Notary Public,State of Naw York No.01 PE6130636 Qualified in Suffolk Cou ^ Commission Expires July 1� �1 J op RECEIVED APR 2 4 2097 APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) ZONING BOARD OF APPEALS Applicant: Jemcap SDI LLC Date Prepared: Aril 3 2017 I. For Demolition of Existing Building Areas Please describe areas being removed:NONE See attached Dlans 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 IGGI(�1gvbCG�1 Is-basementor-lowest-floor-area being-constricted?Ifyes,-please-provide-height-(above-ground) No measured from natural existing grade to first floor: III. Proposed Alterations or Interior Structural Changes without enlargementlextension (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): Existing square footage of buildings on your property: Total Existing: House and existing building 2,543 (6.85%) Proposed increase of building coverage: 0 (removal of a building) 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 441=3,520 sq.ft. (13% lot coverage) RECEIVED APR 2 4 2017 ZOt4IMG BOARD OF APPEALS 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 - RECEIVE® APR 2 4 2097 QUESTIONNAIRE SPECIAL EXCEPTION ONING BOAR®OF APPEALS FOR FILING WITH YOUR ZBA APPLICATION 1. Has a determination been made regarding Site Plan review? Y Yes N Ulm If no,please inquiry with the ZBA office and if site plan is required,you may appy t' 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? 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? 5. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? IVO 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? 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? /V If yes,please label the proximity of your lands on your survey. n 9. Please list present use or operations conducted at this parcel Q,t/ + r�l�C��C L9 5 1c tlrt?.4 and the proposed use ac, s!at OY) (ex:Visting single family,proposed same vnth garage,pool or other or vacant proposed office with apartmend above,etc) Au ed signature and Date 2oP RECEIVED APR 2 4 2097 AGRICULTURAL DATA STATEMENT ZONING 130ARD OF APPEAL 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 must be referred to the Suffolk County Department of Planning in accordance with Section 23/9m�, and 239n of the General Municipal Law. 6y 1. Name of Applicant: -5 0 f L-(—C 2. (- 2. Address of Applicant: 6�4, -7'7O t2A 3. Name of Land Owner(if other than Applicant): ct1N 2� 4. Address of Land Owner: 5. Description of Proposed Project: q&& -qcLf v k&& C® N I ce S eve Ad Awe 6. Location of Property:(road and Tax map number) Ll(o 7-70 CpZ V6. ., /000 7. Is the parcel within 500 feet of a f operation? {vrYes { }No 8. Is this parcel actively farmed? { Yes { }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. 5. 6. (Please use the back of this page if there are additional property owners) y i i_Z 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. PATRICIA C. MOORS Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 RECEIVED °Za Zoning Board of Appeals June 10, 2019 JUN 1 I 2019 Town of Southold P.O.Box 1179 Zoning Board OFA Southold, NY 11971 ppeals 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. ,Full Environmental Assessment For` , Part I -Project and Setting Instructions for Completing Part 1 Part I 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 I 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 I is 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.R 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: Address: 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 Agency and 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 OYesONo PLANNING BOARD 4/12/17&6/25/18 Planning Board or Commission c.City,Town or ®YesONo 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 g. State agencies ®Yes[— NYSDEC 5/1/19 h.Federal agencies E]Yes®No i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑Yes ONo ii; Is the project site located in a community with an approved Local Waterfront Revitalization Program? ®YesONo in. Is the project site within a Coastal Erosion Hazard Area? ❑Yes®No C.Planning and Zoning C.I.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 ®YesONo where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action E]YesE3No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example:Greenway; 0Yes[3No 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 ^ l 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, i. 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 c.Which fire protection and emergency medical services serve the project site? Southold d.What parks serve the project site? Southold D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g., e a industrial,co re 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? ®YesElNo 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? OYes ONo If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) ii. Is a cluster/conservation layout proposed? DYes[Z]No 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 L If No,anticipated period of construction: months H. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1 (including demolition) month year' • Anticipated completion date of final phase month wear. • 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 resides ises? ®Yes❑No If Yes,show numbers of units proposed. One Family Two Family .Three Family Multiple Family four or more Initial Phase removed At completion of all phases 2 apartments g.Does the proposed action include new non-residential construction(including expansions)? ®Yes❑No If Yes, L Total number of structures canopy&exi 5 ►��j S�vL}Y,reGe �xve►'�'�"� '�' e 4y/X 80/ ii.Dimensions(in feet)of largest proposed structure: 35 height; 30 width; and- 50 length 1 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: 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/contained liquids and their source. gasoline-underground storage tanks iv. Approximate size of the proposed impoundment. Volume: 30,000 ftillie*-gallons;surface area: 0 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? ❑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? U. 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? ❑Yes®No ix. Summarize site reclamation goals and plan: t b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment ❑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 action d affect that waterbody or wetland,e.g.excaN, fill,placement of structures,or alteration of channels,banks and sl ies. Indicate extent of activities,alterations and additions in square feet or acres: No impact jo iff.Will the proposed action cause or result in disturbance to bottom sediments? ❑YesONo If Yes,describe: iv. Will the proposed action cause or result in the destruction or removal of aquatic vegetation? ❑Yes[Z]No 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 ONo If Yes: L Total anticipated water usage/demand per day: no irrigation proposed.60 gallons/day lroir 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? ®YesONo • 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? ®YesONo iii. Will line extension within an existing district be necessary to supply the project? E]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? 0Yes ONo If Yes: L Total anticipated liquid waste generation per day: greywater.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 qpd 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 ONo • Is the project site in the existing district? ❑Yes[3No • Is expansion of the district needed? ❑Yes ONo Page 5 of 13 • Do existing sewer lines serve reject 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 new point ❑Yes®No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-p int source(i.e.sheet flow)during construction or post construction? ► '4'_a s+ez� If Yes: ' i.How much impervious surface will the project create in relation to total size of project parcel? %l 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-site surface waters)? o» 1>;YL dnq v.-AA s • 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? ®YesE]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: 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) X. 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 DYes❑No ambient air quality standards for all or some parts of the year) ii. 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(IIFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPS) Page 6 of 13 h.Will the proposed action generate o l methane(including,but not limited to,sewa;• atment plants, ❑Yes®No landfills,composting facilities)? If Yes: 41,0V 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): L 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 ®YesE]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 V1No 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 %mile of the proposed site? ®YesE]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: L 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 X. 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 9 Monday-Friday: 6am-10pm • Saturday: 8:30 am-5 pm • Saturday: 6 am-10pm • Sunday: 0 0 Sunday: Gam-f pm • Holidays: 0 • Holidays: 6am-1opm Page 7 of 13 m.Will the proposed action produce i that will exceed existing ambient noise level., ig construction, ®Yes❑No operation,or both? If yes: ^�<fo L Provide details including sources,time of day and duration: ` \ during construction-short periods between 8 am-6 pm ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes®No Describe: additional screening is proposed 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 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? El 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) ®Yes❑No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: L Product(s)to be stored gasoline ii. Volume(s) 1,0oo per unit time month (e.g.,month,year) -fii. 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): ii. Will the proposed action use Integrated Pest Management Practices? ❑ Yes ®No r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ 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) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: X. Proposed"disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8 of 13 s.Does the proposed action include cc ction or modification of a solid waste manage, facility? ❑Yes® No If Yes: L 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 Cutchoque transfer station&private carter ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or OICIT) • 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: in.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 building 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 @2000 sq.ft 3,633 sq.ft 1,633 sq.ft. surfaces • 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) Page 9 of 13 c.Is the project site presently used by fibers 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®No day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities: elementary school(a1,500 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 • Dam length: feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii.Dam's existing hazard classification: iii.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®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): El 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$ite subject to an insly 'nal control limiting property uses? Yes®No ❑ • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): az • 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? n/a feet b.Are there bedrock outcroppings on the project site? ❑Yes®No 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, ❑Yes®No ponds or lakes)? ii.Do any wetlands or other waterbodies adjoin the project site? ❑Yes®No If Yes to either i or ii,continue. If No,skip to E.2.1.- iii. Are any of the wetlands or waterbodies within,or adjoining the project site regulated by any federal, ❑YesONo , 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 ONO waterbodies? ,If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway? ❑Yes®No . j.Is the project site in the 100-year Floodplain? ❑Yes,]No k.Is the project site in,the 500-year Floodplain? ❑YesONo 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 Page 11 of 13 in. Identify the predominant wildlife ,s that occupy or use the project site: disturbed s� n.Does the project site contain a designated significant natural community? ❑Yes®No 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 ❑YesW]No 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 i. If Yes:acreage(s)on project site? H. 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: 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®No If Yes: i. CEA name: ii.Basis for designation: iii.Designating agency and date: Page 12 of 13 e.Does the project site contain,or is i_ ttantially contiguous to,a building,archaeolo .. ;ite,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: El 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 fl.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. L 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: 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 maybe 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 PRINT FORM Page 13 of 13 A SEQRA Long Form, (Part f-Additional Information) 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 setback 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 properly. 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. (7:c:ain�apysysterns USTIN PHAWK , neered building& ^�� since 1924 Building trust. ------------ S h� r a i GAS STATION CANOPY / GAS ISLAND CANOPY / CONVENIENCE STORE 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 TODAY! FEATURES • Architectural design to match local motif of buildings • Standing seam roof • EFIS fascia • Matching cash transaction building APPLICATIONS • Gas Station Canopy • Gas'Island Canopy • Convenience Store Canopy WHO WE WORKED WITH 07 -- — --- s —' - --=—� O'HARE KBR INTERNATIONAL AIRPORT :.Me ant r � ,,, A�JITIN MOHAWK engineered building& *AO canopy systoms since 1924 ; Building trust. is i •:. _Mwya 1 ' 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 f • Eye appealing facade - Fit 11 Environmental'Assessment Forin Part 1-Project and Setting RECEIVED Instructions for Completing Part Y A P R 2 4 2017 Part 1 is to be completed by the applicant or project sponsor. Responses become part of the ap� ationfopppf lo�7af6Pfit<fci , 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. A.Project and Sponsor Information: Name of Action or Project_ �l x'14Sb .—j LLC- Project Location(describe,and attach a general location map): Brief Description of Proposed Action(include purpose or need): _65ccl C`as 55"0111 0 ,nCA CcnVe-M 1C31CG 5 `� ae,ce-sc, yj . Name of Applicant/Sponsor: Telephone: (vii X4 33-0 ��M CrQ L.L�, E-Mail• �C ' G ��°Q s• C Address: L� 7 1O d) `1 S City/PO: State: Z'f i c . Project Contact(if not same as sponsor;give name and title/role): Telephone: ~7(OS- �__I 3-�p V CAJ DD t� E-Mail: C 001^P �'�(`� Ll 5•L�YY� Address:5-10-2-0 RPJ" 2C:aA City/PO: �r e^O r� State: (�J Zip Code: 1 �l Property Owner (if not same as sponsor): Telephone: E-Mail: Address: City/PO: State: Zip Code: Page 1 of 13 RECEIVED r-�APR 2 4 2097 1,010 ' B.Government Approvals ZONING BOARD OF APPEALS 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, E]Yes o or Village Board of Trustees b.City,Town or Village WesDNo � �o �( (�Y►�tivytq jc /' Planning Board or Commission 1 Z �� c.City Council,Town or YesDNo cJa G f g. �j y— 2-1 — ?7 Village Zoning Board of Appeals 1 d.Other local agencies E]YesMgo e.County agencies esE]No 'S L 'j—t b f.Regional agencies DYeso&o g.State agencies h.Federal agencies ElYes[ITo i. Coastal Resources: L Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑YesPgo fl. Is the project site located in a community with an approved Local Waterfront Revitalization Program? 2'fes13No iii. Is the project site within a Coastal Erosion Hazard Area? ❑YesBJI<o C.Planning and Zoning C.I.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the []YesE]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 esONo where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action 2fes[]No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway []YesMo 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, E]Yes o 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 esONo 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? APR Z 4 ZOV esONo c.Is a zoning change requested as part of the proposed action? ❑Yes o If Yes, ZONING BOARD OF APPEAL - L What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? SC--'%J -yt d b.What police or other public protection forces serve the project site? 5 cu.�-Gt n W c.Which fire protection and emergency medical services serve the project site? 661 D-6►61A d.What parks serve the project site? D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industria commeicia r ecreational if mixe 'include all components)? Cc',o'v►v1n�u,c<-� C,.6C S�-ltOt� � Ct��V'eY1�CJl'1C'r � Q�J�(/►ti C b.a.Total acreage of the site of the proposed action? 77,15' 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? ' Yes0 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)? %0w ��i .cQP�c c r tvrr Units: IJ(A d.Is the proposed action a subdivision,or does it include a subdivision? DYes Wo If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) H.Is a cluster/conservation layout proposed? DYesmiro id.Number of lots proposed? iv.Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? []YesPRo 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 _wear • 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 uses? ElYesEgfio If Yes,show numbers of units proposed.FaRECEIVEQ oso One_ mile Two Family Three Familv Multiple Family four or more 5` Initial Phase APR 2 4 2017 At completion of all phases ZONING BOARD OF APPEALS g.Does the proposed action include new non-residential construction(including expansions)? Yes[]No If Yes, i i.Total number of structures U. Dimensions(in feet)of largest proposed structure: 3J� height; width; and 5-6 length N.Approximate extent of building space to be heated or cooled: I square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any []YesiKo liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, L Purpose of the impoundment: fl.If a water impoundment,the principal source of the water: ❑Ground water❑Surface water streams[]Other specify: fff.If other than water,identify the type of impounded/ ontained liquids and their source. iv.Approximate size of the proposed impoundment.14/A Volu e: million gallons;surface area: acres v.Dimensions of the proposed dam or impounding structure: MM_height; length vi. Con cation method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? DYes o (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: f.What is the purpose of the excavation or dredging? ff.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? iff.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? []Yes[]No GC.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@Ro CI into any existing wetland,waterbody,shoreline,beach or adjacent area? Al If Yes: f.Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 1' f U.Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,1111,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: RECEIVED W. Will proposed action cause or result in disturbance to bottom sediments? ZONING BOARD OF APPEALS E]YesIgpo If Yes,describe: iv.Will proposed action cause or result in the destruction or removal of aquatic vegetation? E]YesBRo 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? DYes BRO If Yes: i. (lYIC lJl� CK dNchO� Total anticipated water usage/demand per day: � - gallons/day e fl. Will the proposed action obtain water from an existing public water supply? es❑No If Yes: • Name of district or service area: c�7�lrU • Does the existing public water supply have capacity to serve the proposal? aee:ENo • Is the project site in the existing district? [I No • Is expansion of the district needed? DYesEWo • Do existing lines serve the project site? [rYes[]No iii.Will line extension within an existing district be necessary to supply the project?(N1- . � DYes No If Yes: • Describe extensions or capacity expansions proposed to serve this project: W 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? D 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:—h�A_gallons/minute. d.Will the proposed action generate liquid wastes? C�ii�vcc If Yes: i. Total anticipated liquid waste generation per day: 2H &V-D gallons/day e�'+�vefllCcice 5{c j lSn bFD¢� r H.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and " I' approximate volumes or proportions of each): 1ActS iii.Will the proposed action use any existing public wastewater treatment facilities? A Dyes • 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? DYes❑No • Is the project site in the existing district? DYes[]No • Is expansion of the district needed? []Yes[]No Page 5 of 13 RFC' `,D • Do existing sewer lines serve the project site? APR 2 4 ❑Yes o • Will line extension within an existing district be necessary to serve the project? `�, ❑Yes No If Yes: gING BOARD OF APPEALS • Describe extensions or capacity expansions proposed to serve this p 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 No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point (,7.5 �) source(i.e.sheet flow)during construction or post construction? If Yes: i.How,much impervious surface will the project create in relation to total size ofproject parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) U.Describe types of new point sources. ifi.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)? �v to ��s 17►ro n o�2 - - • If to surface waters,identify receiving water bodies or wetlands: r r� • Will stormwater runoff flow to adjacent properties? []Yes[EKo iv.Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? []Yes[gi< f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel DYes 13M10 - 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) U.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, []Yes[EMO or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet []YesONo 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(NZO) • 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(HFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, []Yes ' No landfills,composting facilities)? If Yes: L 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 processatemoeb []YesONo quarry or landfill operations? I If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust):APR 2 4 2017 j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial []YesBRo 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 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? []YesONo 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 Y mile of the proposed site? s[]No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric esONo or other alternative fueled vehicles? vfff.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 []YCS[TNo for energy? If Yes: i.Estimate annual electricity demand during operation of the proposed action: U.Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): N.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. � fviwr�� L During Construction: ff. During Operations: • Monday-Friday: Monday-Friday: ("- i D W • Saturday: Saturday: (0 1 'M • Sunday: Sunday: — in Prn • Holidays: • Holidays: 6 aria - Lo nrn Page 7 of 13 I 1 m.Will the proposed action produce noise that will exceed existing ambient noise levels d V­ 1 ction, []Yes No operation,or both? If yes: APR 2 4 2017 L Provide details including sources,time of day and duration: ZONING ROARLZ-9F,4Fp ff. 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 DNo If yes: i.Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest ccupied structures: fi. Will proposed action remove existing natural barriers that could act as a light barrier or screen? D Yes o Describe: o.Does the proposed action have the potential to produce odors for more than one hour per day? []Yes[mo 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) KKes[]No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: L Product(s)to be stored CACI So(ti-u? H. Volume(s)hb O per uni time 111W) -1 (e.g.,month,year) iii. Generally describe proposed storage facilities: LAIR ru�wA cennA fP ikn:W tV1.F - • � � - q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, []Yes 02fqo insecticides)during construction or operation? If Yes: L 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) ff.Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: iii.-Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8 of 13 s.Does the proposed action include consta:.,�..an or modification of a solid waste managemev..i..c;1ity? ❑Yes fld No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station com o other disposal activities): g,landfill,or 1=CVf� fl. Anticipated rate of disposal/processing: �� • Tons/month,if transfer or other non-combustion/thermal treatment,or A P R � 4 201 • Tons/hour,if combustion or thermal treatment iii.If landfill,anticipated site life: years ZONING BOARD OF APPEARS t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous E]YesRrNo 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: ifi.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[QNo 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. f.Check all uses that occur op;adjoining and ne the project site. ❑Urban El Industrial ©✓"Commercial Residential(suburban) [I Rural(non-farm) ❑ Forest [Agriculture ❑ Aquatic ❑ Other(specify): ff. 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 VDO -f- surfaces ' • Forested O a • Meadows,grasslands or brushlands(non- 0 agricultural,including abandoned agricultural) G O • Agricultural 0 C3 (includes active orchards,field,greenhouse etc.) 0 • Surface water features (lakes,ponds,streams,rivers,etc.) • Wetlands(freshwater or tidal) Q C7 O • Non-vegetated(bare rock,earth or fill) O Q • Other Describe: Page 9 of 13 c.Is the project site presently used by members of the community for public recreation? ❑Yes T 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? RECEIVEGL1,3�}Z) If Yes, �} L Identify Facilities: APR 2 4 207 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 fl.Dam's existing hazard classification: iii.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, [IyesEafqo or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: i.Has the facility been formally closed? ❑Yes❑No • If yes,cite sources/documentation: M.Describe the location of the project site relative to the boundaries of the solid waste management facility: W.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 []YespKo 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 1]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 ❑YesONo 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 ff.If site has been subject of RCRA corrective activities,describe control measures: fff.Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? []YesWNo 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 institu .ramal control limiting property uses? -° ,,� ❑Yes[No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): _IVED • Describe any use limitations: • Describe any engineering controls: APR R 9, 4 2011 • Will the project affect the institutional or engineering controls in place? ❑Yes❑No • Explain: zomt4e enpD r)F APPEALS E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? .1.6 feet b.Are there bedrock outcroppings on the project site? []Yesfi2RO If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: 1-54? D y Z-1own GDO d.What is the average depth to the water table on the project site? Average: /0 t feet e.Drainage status of project site soils:Eff Well Drained: IB&-%of site ❑Moderately Well Drained: %of site ❑Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: 0-10%: Z00 %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? E]YesIgRo If Yes,describe: h.Surface water features. i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes[► No ponds or lakes)? ii.Do any wetlands or other waterbodies adjoin the project site? ❑YesONo If Yes to either i or u,continue. If No,skip to E.21 ��// iff. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes Elf o 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 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? []Yes ; j.Is the project site in the 100 year Floodplain? ❑Yes[j3lo k.Is the project site in the 500 year Floodplain? []Yeso 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? es❑No If Yes: i.Name of aquifer: &2011N0W P�T- �-A— IMA-t1W-- F'%tT Z-J1U1F.: f �J Page 11 of 13 in. Identify the predominant wildlife speciesinat occupy or use the project site: i-4- RECE VW— n.Does the project site contain a designated significant natural community? APR DYes o If Yes: L Describe the habitaticommunity(composition,function,and basis for designV*8 �B� HHRH OF APPEALS H.Source(s)of description or evaluation: W.Extent of communib4habitat: • 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 []YesENo endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? 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? Eiyesn6o 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[5o 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? []YesBgo 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 []YesE o 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? 0Yes o If Yes: i.CEA name: U.Basis for designation: iii.Designating agency and date: Page 12 of 13 e.Does the project site contain,or is it subs =.Fally contiguous to,a building,archaeological s�,,--"'r district ❑YesffNo 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? RECEIVEDepp If Yes: i.Nature of historic/archaeological resource: El Archaeological Site ❑Historic Building or District APR 2017 ii.Name: iii.Brief description of attributes on which listing is based: ZONING BOARD OF APPEALS f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for E]YesB&o archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 1-41 g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes® o 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: (Z0 A.j� ii.Nature of,or asis for,design ion(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): C-e�y�l c, W. Distance between project and reso rce: I I miles. i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes 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 5P / [C Date 9 Signature Title PRINT FORM Page 13 of 13 h, pp EI tl qp�y� RECE® APR 2 4: 209 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and emplovees.The purpose of this form is to provide infiinntttiolt,whiell can alert the town of nossihle conflicts of interest and allow it to take whatever action k necessary to avoid same. YOUR NAME : (.~. i" (t c_ Vr C,''i (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) Planning X Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with Any officer or employee of the Town of Southold? "Relationship"includes by blood, marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO -' If you answered"YES",complete the balance of this form and date and sign where indicated. Name of 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�*rjiitrvldn) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this yof �,20 � Signature Print Name C— r RECEIVE® qdo n APR 20'7 AGENT/REPRESENTATIVE ZONING BOARD OF APPEALS 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: U �� lot (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 X Trustee Permit Change of Zone Coastal Erosion t Approval of Plat �Mooring Other(activity) —seG 1 A C_J�en(°°''�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 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 da 20_j02, (/ Signature Print Name 1 L ( k C ut RECEIVED �f,0�.� Town of Southold APR 2 4 2017V� LWRP CONSISTENCY ASSESSMENT FORM ZONING BOARD OF APPEALS A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this 'form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" 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, listing both supportiny`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 of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME �'��YYI C p, " __ D i_ -LLC— The l —The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board[?r Building Dept. ❑ Board of Trustees ❑ 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: Z CP CS 0. C�(Yl Location of action-- 4 (. 70` `7 Cyt 4 S �S&,AA.4 o 1.d N-J RECEIVED APR 2 4 2017 Site acreage: 3 7 , 1-2- 3 Sir �- 2® ING BOARD OF APPEALS Present land use: i u C +�� - Present zoning classification- 2 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Z17j7_(1 C 4p (b) Mailing address- C-f- r �e� r- OAoc vie (c) Telephone number: Area Code( ) �2y( - -7 G L4 3 3 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No[!� If yes,which state or federal agency? C. 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. R/Yes ❑ No rNot Applicable -T�le e c nv:�-, ce- te, 5k-nfe s ®� Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable i RECENED JOJD APR 2 4 2017 ZONING BOARD OF APPEALN Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH—Policies Pages 6 through 7 for evaluation criteria EfYes ❑ No ❑ Not Applicable •�- t^1L1I Ina ve &-,Z�la rticV,c a. )i 1 (A,)ki C11 P i s �F . 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 IH—PoliciesPages 8 through 16 for evaluation criteria ❑ Yes 1:1 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 IH —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No [Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section HI—Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ No RNot Applicable Mr-r-DIED OR % a 20 ...,,.,A iNG BOARD OF APPEALS 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 1 VVl V0 vCyo OY ;s , OJAC1 r iP v 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 L-1 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES l Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ®Not Applicable ogo QPCEIVE APR ZONING BOARD OF APPEALS 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 MNot 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. N/Yes ❑ No❑ Not Applicable 7-0r( S/� OYl Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section M—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY TITLE DATE Amended on 811105 RECEIVED APR 2 4 2017 ZONING BOARD OF APPEALS Board of ZoninLy Anneals Application AUTHORIZATION (Where the Applicant is not the Owner) residing at (Print property owner's name) (Mailing Address) do hereby authorize (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. ; wner's Signature) (Print Owner's Name) FORM NiO. 4 y t TOWN OF SOUTHOLD `'1iugAb e BUILDING DEPARTMENT RECEIVE® TOWN CLERK'S OFFICE SOUTHOLD. N. Y. ✓ APR 2 4 2017 ZONING BOARD OFAPP CERTIFICATE OF OCCUPANCY No. Date . . .. . .. . . .. .... THIS CERTIFIES that the building Iocated at .P/9. ..914411e. .R044 .. .. . . ... Street Map No. XXX. . .... . Block No. ?q:K . . .... .Lot ... .. .. . conforms substantially to the Application for Building Permit heretofore filed int s ice dated . .. � 19W pursuant to which BuildingPermit No. . dated .. .. . .. . . ..Fiab... .1til: ..., 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 issued is . .B.usines.s.Building(off.iea)... . . . ... . . . . . . .. . . . . . . . . . . .. . . . . .. .... .. . . . The certificate is issued too ... . ..QvAcir.. . .... ... . . (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval 2-01. 1966 .bY. .R... .YJa1a.. . Building Inspector i l • t i • s FORM NO. 4 RECEIVED TOWN OF SOUTHOLD APR ��9� BUILDING DEPARTMENT Office of the Building Inspector Town Hall ZONING BOARD OF APPEALS Southold, N.Y. CERTIFICATE OF OCCUPANCY No 8-23295 Date OCTOBER 19, 1994 THIS CERTIFIES that the building ADDITION Location of Property 46770 COUNTY ROAD #48 SOUTHOLD, HER 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 DECEHM 7, 1993 _pursuant to which Building Permit No. 21849-5 dated DECEMBER 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 RAMP ADDITION TO EXISTING RETAIL BUSINESS BUILDING AS APPLIED FOR. The certificate is issued to PEH PROPERTIES (owners) of the aforesaid building. SUPPOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. 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Katy ard Dina IN Dkedions iix YOUR SHARE NE 1 Owl lid JEMCAP SD LLC � �o 46770 CR 48, Southold, � �� SCTM: 1000-55-5-9.1 P 0 0 Googley W M Inbox(18) -betsy.mooi x 46770 County Rd 48 is: www.google.com/maps/pla(x,146770+County+Rd+48,+Southold,+NY+11971/@41.0738488,-72.4267929,135a,35y,180h/data=!3m1!1e3!4ni5!3m4!1sOX89e89bd5447d6619:Ox384cc ed From IE Workspace Login 0 Sing Maps — FeclExt Tracking-S` Office Supplies,Offic 'O Southold,NY-Offici, [) Suffolk County GIS V i Home::High Point L ® Greenport Vill. cold U, X Dkoctkorm ,YOUR SHARE NE IA / 46770 Coou. Rdbd 48 t E JEMCAP SD LLC � p 46770 CR 48, Southold, NY Oi SCTM: 1000-55-5- 914G +� o Google Vigo A& Imagery C2017 G�I�e,Mapdala e2017 G03F,D ry Sri TOWN OF SOUTHOLD PROPERTY RECORD CARD � L W R '(� L,� STREET �� VILLAGE DIST. SUB. LOT a 40y) 0 FORMER OWNER t 60�✓JQ' �'� N E ff ACR. 5��-�tit,�!-c.. -RECEIVED 2t'9 {° S W TY E OF BUILDI G APR 2 42017 h zc fee- ° , ZONING BOARD OF APPEALS S SFAS VL. FARM CO CB. M[CS. Mkt. Value cn . 0 'LANA 1Mp�, TOTAL DATE REMARKS cn Ld N 1,2 D O U v d a , 0 3 ts-o R6$r r 4. d 0 /a/7.7 3/Cs rl ., / b tJ 7 _ KP. I��Y�, r-► Basi�O.�c' /. a0 -"8F . a E - ovj% . l4ang i a MWI 7. 00. �. . LD Ln AGE BUILDING CONDITION �--- `O NEW NORMAL BELOW ABOVE LO FARM Acre Value Per Value �JZC�?(� /�!/OSS/ {� 3jQ }Qn Acre /z/ � !� 3- �Ioor�f L Tillable FRONTA m _ FRONTAGE ON ROAD Woodland / d " ?-o''� .�/•�O -- - - --- m Meadowlond DEPTH �� — m 14 House Plot BULKHEAD G �� (7 fz�ZO ZJ� 0G'l°� Gf,, ' Toto �:" DOCK 601e Y- �ll�Q dol,- r(V.55 AIX cJ_ S--c'� TOWN OF SOUTHOLD PROPERTY RECORD CARD � ��0 ILLAGE DIST OWNER STREET V SUB. LOT :3e ca S 1 L- L-cl CIR Li ct ACR. 1-7% REZS fq — �12��Z lZt�' f���� �JGVnr 6TTYPE OF BLD. . PROP. CL SS CEI rAl?l Ln LAND IMP. TOTAL DATE cn ®MING BOARD OF APPEALS `o 3 1bU 5 � lC� rf z A O 2 H O Ul LO u7 m Lo Loti m lD Lo FRONTAGE ON WATER HOUSE/LOT 00 CD N CD N m BULKHEAD m TOTAL f 4 , ■iMEMO■i■.■�■MENEM �■. ., ■■■■i■i■■i■■■■■No ■■■.SSS IMMINIMMEN■■�.�..■. ■.■■om ■ ■■ ■■1 ■.■.■■■■■i■ ■.■■■mom .■�■i -- E w 5 Yy y , f - 5A f ■■■■■ice■■■■■■■O■■■■■� E •.ru x t ..•_} . '' '. : 2 •. y.> :.... , . :.. Ro i ■i■■■■ ■■.!■■moi■ ■�INS ■EN■■■ ■■ .► ■t�iiiiiii■■■■■■. ■ ■■a■■■■■■E�■i■■■■■ ■ ONE■o■■■■■��■■.■■■■.■� � S�■i■ .■■■■■■■!■■ ■aInterior Finis - • Rooms nd Moor Driyeway r' . . r ELIZABETH A.NEVILLE,MMC a� OD Gy Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS S ® Fax(631)765-6145 MARRIAGE OFFICER -A- -a®� 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: May 5, 2017 RE: Zoning Appeal No. 7080 Transmitted herewith is Zoning Appeals No.7080 for Jemeau SDI,LLC-The Application to the Southold Town Zoning Board of Appeals. Also enclosed is the Applicant's Project Description, Questionnaire, Agricultural Data Statement,Full 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 Maps, Property Record Card, Survey, Drawings, and Preliminary Site Plans. * * * RECEIPT * * * Date: 05/03/17 Receipt#: 219012 Ouantity Transactions Reference Subtotal 1 ZBA Application Fees 7080 $500.00 Total Paid: $500.00 Notes: Payment Type Amount Paid By CK#1093 $500.00 Jemcap, Sd1 Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Jemcap, Sdi Lic 360 Madison Ave Ste 1902 New York, NY 10017 Clerk ID: SABRINA Intemal ID:7080 BOARD MEMBERS ��0� SU(/Ty0Southold Town Hall Leslie Kanes Weisman,Chairperson ,`O 01 0 -YO095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. O� A�� 54375 Main Road(at Youngs Avenue) Nicholas Planamento yCou , Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD �op 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#7080 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\Zoning_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@southoldtownny.gov if you have any questions. Sincerely, Kim E. Fuentes Board Assistant cc: Mark Terry Encls: Special Exception#7079SE and Area Variance#7080 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 OFFICE LOCATION: ���� MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25g�'� � - _ c%° Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) 05 1 v Southold,NYS Telephone:631765-1938 " � :�`' _ www.southoldtownny.gov PLANNING WN OF O� OFFICE UTHO D May 31, 2019 Patricia C, Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Proposed Site Plan for JEIVICAP Gas Station & Convenience Store Located at 46770 County Route 46, ±407' s/w/o Eoisseau Avenue, Southold SCTM#1000-55-5-9.1 Dear Ms. Moore: 1 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 CK14 Planner BOARD MEMBERS SO Southold Town Hall Leslie Kanes Weisman,Chairperson Uriy 53095 Main Road•P.O.Box 1179 � Q !O Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes CA Town Annex/First Floor,Capital One Bank Gerard P.Goehringer ® �� 54375 Main Road(at Youngs Avenue) Nicholas Planamento ��CCUNT`I Southold,NY 11971 http://southoldtownny.gov _nn ZONING BOARD OF APPEALS rg[ MAY V TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 3 2017 Southold Town MEMO Planning Board TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: May 3, 2017 SUBJECT: Request for Comments ZBA# 7080 JEMCAP SD1, LLC The ZBA is reviewing the following application. Enclosed are copies of Building Department's Notice of Disapproval, ZBA application, current map on file. 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. APPLICANT TAX# ZBA# HEARING CODE DATE OF PREPARER ZONE DATE SECTION STAMPED OF SURVEY DIST SURVEY/SITE PLAN JEMCAP 1000- 7080 NOT ART X1 SEC JANUARY 13, JOHN SDI, LLC 55-5- SCHEDULED 280-49 2015 METZGER 9.1 AWAITING SEQRA Your comments are requested 1 week prior to hearing date. Thank you. Ends. BOARD MEMBERS OF S0 Southold Town Hall Leslie Kanes Weisman,Chairperson �� yp 53095 Main Road•P.O.Box 1179 !O Southold,NY 11971-0959 Patricia Acamporait Office Location: Eric Dantes N Town Annex/First Floor,Capital One Bank Gerard P.Goehringer �� 54375 Main Road(at Youngs Avenue) Nicholas Planamento ISOMNI�`cv Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 May 3, 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 # 7080 Owner/Applicant : Jemcap SD1, LLC Action Requested: Additions and alterations to convert an existing building to a gas station with 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 Ch erson By: Y Encls. r ZONING BOARD OF APPEALS — t Hall Annex, 54375 Route 25 P.O.Box 1179 Southold, New York 11971 Fax(631)765-9064 ' 4 Telephone (631) 765-1809 MEMO Date: May 4, 2021 To: Elizabeth Neville, Town Clerk From: Leslie Kanes Weisman, Chairperson ZBA Kim Fuentes, Board Assistant Subject: 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. gUFo, RESOLUTION (ID # 17018) s' 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 Southold Town Clerk Vendor No. Check No., .., , ; Town of Southold, New York - Payment Voucher - = Vendor Name Vendor Address Lnteied,by JEMCAP SD 1, LLC 360 Madison Avenue, Ste 1902 Audit Date Vendor Telephone Telephone Number New York, NY 10017-7158 ' Town Oak , Vendor Contact Invoice Invoice Invoice - Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services GeneeF41 Ledger Tund'andAcGOtU#Y Number $8,176.25 $8,176.25 Return unused consulting B.8010.4.504100 fees for SEQRA review of 8691; JEMCAP SD 1, LLC 8.21110.30 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. 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