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Koch Holding Corp
OFFICE LOCATION: t„ MAILING ADDRESS: Town Hall Annexe P.O. Box 1179 Southold NY 11971 54375 State Route 25 ��,��""'t�" out � , (cor. Main Rd. &Youngs Ave.) Southold, NY � ��r Telephone: 631 765-1938 www.southoldt ownny.gov ..a. r*a. PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Scott Russell, Supervisor Members of the Town Board From: Donald Wilcenski, Chairman IQ\t� Members of the Planning Board Date: November 29, 2021 Re: Request for Comments for Change of Zone Koch Holding Company SCTM#1000-122.-6-9 At the request of the Town Board, the Planning Board has reviewed the proposal for a Change of Zone of a split zoned .44 acre parcel in the hamlet of Mattituck from General Business (B) and Residential 40 (R-40)to General Business (B) (Figure 1). The property is located west of Factory Avenue and north of New York State Route 25 in the hamlet of Mattituck. i lid , p� r i � �� if � ✓ �i� 9 % '„'�,,�� If� ��� ��' ,�// ,M; l�� '� ,,f„ Figure 1. Subject parcel (red outline) showing Zoning Districts. Southold Town Planning Board Page 12 November 29, 2021 The majority of the Planning Board supports the proposed change of zone for the following reasons: 1. Submitted documents indicate that the historic uses of the property have been commercial since 1940s including a trucking company, power washing company and auto body shop. The current use is a landscape contractor. 2. The current nonconforming use would become conforming in the B Zoning District. The purpose for General Business (B) zoned property is as follows and would support the continuation of the use. General Business: The purpose of the General Business (B) District is to provide for retail and wholesale commercial development and limited office and industrial development outside of the hamlet central business areas, generally along major highways. It is designed to accommodate uses that benefit from large numbers of motorists, that need fairly large parcels of land and that may involve characteristics such as heavy trucking and noise. 3. Bulk schedule requirements in the B zone require a minimum lot area of 30,000 square feet. The parcel is 19,166 square feet and would not meet the minimum lot area of the B Zoning District. However, this smaller size would regulate the intensity of build out of the parcel depending upon the use. Potential Build Out Bulk Requirements Required in B Zoning District Subject Parcel ___e - Minimum Lot Size 30,000 sq. ft. m mm� 19,166 sq ft Side Yards 25' (Total 50') 50' is possible Rear Yard 35' 35' ossible Front Yard Variable Align withMagic Fountain? Lot Coverage... .. 30% 5,749 sq. ft footprint possible Building Height 35' 35' possible Landscape Area 30% 30%possible The lot size is 64 percent of that required in the B Zoning District and with the required setbacks limits the build out. A zone change to the B Zoning District would retain a non- conforming lot in the zone. 4. The area is defined as commercial in character (Figure 2). The B Zoning District occurs on three sides of the subject parcel. To the east is Factory Avenue and across the street are two B zoned parcels; the first improved with large commercial retail shopping center and the second improved with a retail commercial business (Convenience Store). To the west is an B zoned parcel upon which boats are stored, serviced and sold. This property was recently bought by Strong's Marine. In the past, the Zoning Board of Appeals Southold Town Planning Board Page 13 November 29, 2021 granted a variance on this parcel to allow the off-street parking of boats on the R-40 portion of the property and found that the parking of boats and boat trailers is characteristic of this neighborhood. 5. To the north are two parcels improved with residential structures in the R-40 zone (SCTM# 1000-122-6-7 and 1000-122-6-8), To the south are two B zoned, improved properties. The property at the intersection of Factory Avenue and New York State Route 25 is a popular ice cream business. 6. A 25' wide transition buffer between a residential use and business LISe is regUired in the B Zoning District pursuant to § 280-94. Transition buffer. The purpose of the buffer is to protect the quality of life of residents from commercial operations. The buffer would be required on the north property boundary equal to the 25' side yard setback as required by the Bulk Schedule. P � 9 Y a F rs 9,f ; i G K Figure 2. Subject parcel 2021 (white arrow). The parcel is located within the HALO zone of Mattituck. The Town of Southold Comprehensive Plan (2020) does not address this specific parcel. Goals and objectives as outlined in the Comprehensive Plan Land Use Chapter include specific recommendations for business corridors outside of the hamlet centers. They include: Objective 3.4. Evaluate and update commercial Zoning District uses and locations in each hamlet to ensure downtowns remain vibrant and uses are consistent with the community character of individual hamlets. Southold Town Planning Board Page 14 November 29, 2021 The Town seeks to maintain existing hamlet centers and has taken many initiatives toward strengthening the hamlets by defining these areas and their associated HALO zones through the 2005 Hamlet Study, which involved significant stakeholder input. A review of hamlet areas found that there may be potential for retail sprawl, which is counterproductive to this objective. In Mattituck, it was noted that B business zoning on the western New York State Route 25 approach to the hamlet center allowed general business use, which would potentially detract from the hamlet. A I Consider expanding the types of commercial and industrial Zoning Districts (and/or allowable or special permit uses), to more specifically tailor the types of businesses to particular areas of the Town, within and outside of the hamlets. In Mattituck, it was noted that retail and restaurants may not be appropriate for the B business zone. Furthermore, it was noted that a modified B zone for neighborhood- type uses may be appropriate to apply to certain areas where retail and service uses are appropriate, but a residential character is more in keeping with surrounding areas. This would take the form of the RO zone, but with more allowable uses. Finally, it was determined that certain industries would benefit from the ability to sell products manufactured on site, either by allowing this through zoning or special permit. These types of Zoning Districts should be considered on a Town wide basis in order to provide a wider range of commercial/industrial districts to fit the needs of certain areas of the Town. The Economic Development chapter supports the concentration of new residential and commercial development in the Town's hamlet centers and HALO zones, and encourages infill development, historic preservation, renovation, and adaptive reuse, where possible (Objective 3.1). Through the careful placement of new residential and commercial development, the Town will assist in curbing sprawl while increasing the liveliness of their downtown centers and preserving the rural character of the Town(Southold Comprehensive Plan 2020). Thank you for this opportunity to review the action, and please feel free to call this office with any questions. Cc: William Duffy, Town Attorney Norklun, Stacey From: Neville, Elizabeth Sent: Wednesday, September 29, 2021 3:12 PM To: Burke, John; Duffy, Bill; Hagan, Damon; Mirabelli, Melissa; Lanza, Heather; Michaelis, Jessica; Terry, Mark Cc: Norklun, Stacey Subject: Emailing: Referral Koch Change of_20210929151536 Attachments: Referral Koch Change of_20210929151536.pdf FYI Elizabeth A. Neville Southold Town Clerk, Registrar of Vital Statistics Records Management Officer; FOIL Officer Marriage Officer PO Box 1179 Southold, NY 11971 Tel. 631 765-1800, Ext. 228 Fax 631 765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Referral Koch Change of_20210929151536 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 7 � ELIZABETH A. NEVILLE, MMC Town Hall, 53095 Main Road TOWN CLERK Q a�, P.O.Box 1179 Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS w �� ��; Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765 1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER , mrx+ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: William M. Duffy,Town Attorney Heather Lanza, Planning Director From: Elizabeth A. Neville,Town Clerk Re: Change of Zone of Koch Holdings Corporation Date: September 29, 2021 Please be advised that Mr. Walter Koch has notified the town that he would like to have his Change of Zone application which he submitted in December of 2016 considered by the Town Board. It was initially put on hold until such time as the "Land Use Plan" was completed. I did notify him that he would need to send out new "Notice to Adjacent Property Owners" to the current surrounding property owners. Please review this application and advise what other additional items he may need to re-submit. You should have an original copy of his application in your files which he submitted in 2016. The application in its entirety may be viewed on Laserfiche as follows: Town Clerk; Change of Zone; Pending; Koch Holding Corporation Neville, Elizabeth From: Neville, Elizabeth Sent: Monday,April 10, 2017 12:51 PM To: Dinizio,James; Doherty,Jill; Evans, Louisa; Ghosio, Bob; Ruland,'William; Russell, Scott Subject: Emailing - Koch Change of Zone Apl_20161215161923.pdf Mr. Koch's telephone number is 631445-4845 Koch Change of Zone Apl 20161... Transmitted, please find new change of zone application of Koch Properties LLC. This was transmitted to everyone on December 15;2016. Elizabeth A.Neville, MMC Southold Town Clerk&FOIL Officer PO Box 1179 Southold,NY 11971 Tel.631 765-1800,Ext.228 Fax 631 765-6145 Cell 631 466-6064 1 Neville, Elizabeth - From: Neville, Elizabeth Sent: Monday, December 19, 201612:48 PM To: Doherty,Jill; Doroski, Bonnie; Duffy, Bill; Ghosio, Bob; Hagan, Damon;James Dinizio; Lauren Standish; Louisa Evans; Neville, Elizabeth; Noncarrow, Denis; Rudder, Lynda (lynda.rudder@town.southold.ny.us); Russell, Scott; Silleck, Mary;Tomaszewski, Michelle; William Ruland; Donald J.Wilcenski;James H. Rich,III; Lanza, Heather; Martin H. Sidor; Pierce Rafferty;William J.Cremers Subject: Emailing: Koch Change of Zone Apl_20161215161923 Attachments: Koch Change of Zone Apl_20161215161923.pdf FYI Elizabeth A. Neville, MMC Southold Town Clerk&FOIL Officer PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Koch Change of Zone Apl_20161215161923 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Neville, Elizabeth From: Neville, Elizabeth Sent: Monday,April 10, 2017 12:03 PM To: Dinizio,James; Doherty,Jill; Evans, Louisa;Ghosio, Bob; Ruland,William; Russell, Scott Cc: Lanza, Heather, Duffy, Bill Subject: FW: Koch Holdings C of Z Please advise if the Town Board will elect to consider this change of zone application. On December 15, 2016 1 transmitted this change of zone application of Koch Holdings to the Town Board, Planning Board and Town Attorney for review and recommendations. Mr. Koch has returned from Florida and stopped in today to check on his application. He is waiting for me to call him back on this. Please advise. Thank you. Betty Neville From: Lanza, Heather Sent: Monday, April 10, 2017 11:55 AM To: Neville, Elizabeth; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: RE: Koch Holdings C of Z I'll be able to check on the status when I get back to my office tomorrow. Did the Town Board elect to consider this application? If they haven't done that yet, perhaps the first step is to ask the Town Board if they will elect to consider it before we or they spend any more time on it. Heather Sent from Mail for Windows 10 From: Neville, Elizabeth Sent: Monday,April 10, 2017 11:49 AM To: Lanza, Heather; Duffy, Bill; Hagan, Damon;Silleck, Mary Subject: Koch Holdings C of Z Good Morning Heather& Bill, On December 15, 2016 1 transmitted this change of zone application of Koch Holdings to you for your review Mr. Koch has returned from Florida and stopped in today to check on his application.To date, I have not heard anything back from you on it. Mr. Koch is waiting for me to call him back. Please advise. Thank you. Betty Elizabeth A.Neville, MMC Southold Town Clerk&FOIL Officer PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631 765-6145 Cell 631 466-6064 - - i o�UFFO[,�C ELIZABETH A.NEVILLE MMC Off' OG Town Hall,53095 Main Road TOWN CLERK ® ' �� P.O.Box 1179 W . Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®� ►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: William Duffy,Town Attorney Heather Lanza,'Planning Direc From: Elizabeth Neville,Town Cle k Re: Change of Zone Application of Koch Holding Corporation Date: December 15,2016 The enclosed change of zone application of Koch Holding Corporation was received in my office today from the applicant. Please review it and send me your recommendation as to whether or not this application meets the criteria for acceptance for filing by the Town. Thank you. cc:Supervisor&Town Board Members NAME OF APPLICATION: DATE: - ❑ Check means item is complete ❑ Circle means item not complete CHECKLIST FOR REZONING PETITION TC TA PB 2/ ❑ ❑ Four(4)complete copies of petition with Town Clerk with original signatures. Each set MUST be ordered as follows: f� ❑ ❑ Fee of$1,000.00($500.00 for AHD) ❑ ❑ Written notice to all property owners within 200' of property;mailed within 5 days preceding filing of petition - ❑ ❑ File proof of mailing of notices to adjacent property owners in a sworn statement-with Clerk's office and submit all original certified mail postal receipts NOTICE MUST CONTAIN: • Statement Of Proposal(as presented in zoning petition) • Description Of Property • Present Zone And Propos Zone • Petition Will Be Filed Within 5 Days • Petition Can Be Reviewed l�Clerk's Office • Public Hearing Must Be Held • Adjacent Owners Right To Be Heard @ Hearing • 10 Days Before Hearing Notice Published vr/' ❑ ❑ Meet all requirements for submitting zoning action pursuant to section 239 L&M of General,, / Municipal Law attached hereto 0f ❑ ❑ If applicable,file waiver of notice from property owner w/the clerk's office ❑ ❑ ❑ Six(6)maps drawn at the 1"= 100' scale in accordance with attached information sheet. ❑ ❑ ❑ Six(6) sketch plan maps at the 1"= 100' scale or the 1"=20' scale in accordance with attached information sheet. The procedural requirements appear to have been met by this a plication: Town Clerk Date a )-r 14 Signature Town Attorney Date Signature Planning Board Date Signature i I SURVEY&MAP CHECKLIST The following information must be shown on the survey d map submitted with a change of zone petition: 1. Town Boundary line 2. Village Boundary line 3. State Park 4. County Park 5. State Road 6. State Parkway or Expressway 7. County Road 8. County Parkway 9. County Drainage Channel 10. State Public Building 11. County Public Building must submit the following: Survey Showing: A. Accurate description of the property b3 metes and bounds. B. Surveyors Seal. Man Showing A. All property owners within 500 feet of the boundary of the parcel which is subject to the zoning action shall be shown. B. All existing buildings within 200 feet off the boundary of the parcel which is subject to the zoning action and their current use(s)in cluding the name of the business. C. All street names within 500 feet of the boundary. D. The hamlet location of the subject prop rty, and the Suffolk County Tax Map(SCTM) Number. E. Zoning classification of the subject parcel and the surrounding area. (A copy of the zoning map can be substituted.) F. Name and address of person making map. G. Scale 1"= 100' or 1"=200' H. The name of applicant and his address. I. Where applicable, a line indicating the boundary of the jurisdiction of the Suffolk County Planning Commission shall be shown(this line shall be 500 feet when measured at right angles to and parallel with parcel to which zoning action has been considered). I A suitable title for purposes of identifying the application. K. North Point shall be indicated by an arrow. (Note if magnetic or tone) e-mail: mail@dickersonmarine.com cell phone: 631 445-4845 KOCH IDOL INGS CORP RECEIVED PO B X 221 DEC 1 5 2016 Laurel, NewYork 11948 Southold Town Clerk Southold Town Board November 1, 2016 Zoning Board of Appeals P O Box 1173 Southold,NY 11972 RE: District 1000, Section 122, Block 06, Lot 09 Walter and Ruth Koch are the principals of Koch Holdinigs Corp., the owners of the property located at 95 Factory Avenue, Mattituck,NY, I I952.This property is leased to Dickerson's Marine. Through no action or fault of our own, this property was zoned both business lbn the south side and residential on the north side, cutting through the existing building. The property and building have always been used for commercial purposes since the 1940's. H. E. Sweezy& Sons ran a tfucking company there during the 1940's, 1950's, and 1960's. Mike Sheppish had a power washing company �I n the property through to the 1980's. It was used as an auto body shop during the 1990's. The current business,)Dickerson's Marine, has a boat storage and repair business there. The split zoning is an impediment to the future use and sale of this property. We have spoken with Supervisor Russell, who said that his area is subject to review, based on the town's completion of the Land Use Chapter of the Comprehensi e Master Plan. Each year, Mr. Russell has said the rezoning is still a proposal, but we need the rezoning as oon as possible. Mr. Russell suggested that we apply to the Town Board for help in having our property rezon d to Commercial only. We had a new survey done recently, copy attached, for consideration in this matter. We are filing the required forms, completed to the best of our ability. We have no �lans to build or change anything on this property, so we are not sure which forms are necessary. We will notify our neighbors of our application as required. We are enclosing the required check for $1000.00. We ould like to request this zoning change be considered on your own motion to minimize the financial burden on us to correct this situation. Thank you for your consideration in the matter. WALTER B. KOCH Rur E. KOCH I I *0 SO�Urti ELIZABETH A.NEVILLE �1-* O1 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �lyc� southoldtown.northfork.net OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD DEC 1 2016 REQUEST FOR AMENDMENT AND/OR CHANGE OF ZONE Southold Town Clerk APPLICATION NAME: f�vc h t�yc ��iv[�S COR IP (Name under which application shall be known) SUFFOLK COUNTY TAX MAP NO.: 1000 -—/ Z Z. - _ - 6 District Block Parcel A. SUBMISSION INFORMATION: Application is hereby made to the Southold Town Board for amendment to Chapter 280 {Zoning) of the Town Code and/or a change in the zoning classification of the Zoning Map in accordance with the Section 280 - 6 of the Zoning Law of the Town of Southold and Section 265, Town Law. Further, the following are submitted herewith (check those appropriate, write N/A where not applicable) e1 1. Four(4 ) sets of the completed application form and petition. Each set shall contain one (1) complete set of cover letter forms, affidavits, project description, surveys, plans, and EAF and any supplemental information as maybe be needed or requested. 2. Fee in the amount of$1,000.00 ($500.00 for AHD). Applicant is also responsible for any fees incurred in the Environmental Review Process. V 3. Survey map, accurately drawn to appropriate scale, showing the proposed zone district boundary changes, property lines, the calculated areas affected, in acres or square feet, the Suffolk County Tax Map designations, the street rights-of-way in the immediate vicinity and lands, land uses and names of owners immediately adjacent to and extending within five hundred (500) feet of all boundaries of the property to be amended. 4. Metes and bounds description of the proposed amendment. 10/1/2008 1 IV I(-]- 5. Appropriate Environm ental Assessment Form (EAF). All Unlisted and Type I Actions require either a Short or Full EAF to be prepared. See Chapter 130 of Town Code and Part 617 NYCRR(SEQR), or check with the Town Attorney and/or the Planning Department. 6. Other information deemed necessary for review by the Town Board,the Town Planning Board and/or the Suffolk County Planning Commission (i.e. site plans, subdivision maps). Please note items submitted: B. GENERAL INFORMATION: 1, Name Of Applicant(s): 1'S oc. e o-f Address: 95 Fac7o 6✓5 zr7 7'j -7 v c!c `3 2 Telephone No. S/a o If the applicant does not own the property, is a contract vendee, or if the owner is a Corporation or a Partnership, prepare endorsement at the end of this form establishing owner's authorization of the applicant's request. 2. If the applicant is contract vendee, give name. If the applicant is a corporation (or partnership), give the name and title of the responsible officer: Name: OpL--Z:-�2.. 1-<�o C h Title: Piz C S Address:(if different) SV n Ill o a r-L, t2 o x o o a R o n 1 i Telephone No.: (0 3/ 9 g 3. Landowner(s): Kn o- 14 oc.b 1(0 cs o?P Title: Address: P Q e,.,- a-1S' L v?L-4- JU i 1 � Telephone No.: iv31— Z,99�1 4/772 ve-L 4. Name of licensed architect, landscape architect, civil engineer and/or surveyor who prepared the plan: Name: Title: Name of Firm: Address: Telephone No.: 5. Name of Attorney, or Agent authorized to represent the property owner and/or applicant: Name: Title: Name of Firm: Address: Telephone No.: 10/1/2008 2 6. All communications with regard to this application shall be addressed to the following person until further notice: Name: LT,62 K0 c Title: P?J S Address: gq(g A) OFjKwa©7 RvR -rLfrua L !jY 1 ( 9(/Sg Telephone No.: C. SITE/PROJECT DATA: 1. Location of Property WG 5 i side corner of (north/south/east/west) (street) I gc7v�� ITV ,�' feet /lpaTrJ- or ro d) (north/south/east/west) of h/(fi1)Q R017-D RT a5 14 ITT1i uCIc (nearest intersecting street) " (hamlet) 2. Existing zoning district(s) S i Za IV po I_n,0 d pw s: `�! a n� p✓Sew t5 Special Overlay District(s), if applicable 3. Requested zoning districts) r' 4. Lot area: sq. ft or acres 5. a. The latest deed(s) describing this parcel(s) is(are)recorded in the County Clerk's Office as follows: DATE LIBER PAGE i"5= �001 Z_ 00 7�� b. A copy of the(se) should be attached to the application. 6. There are no encumbrances or liens against this land other than mortgages? ✓ YES NO 7. All buildings and structures are shown on the survey? k,-- YES NO (The Town Board reserves the right to request a complete survey showing all existing structures.) 8. Existing: Building Area a 000 sq. ft. Lot coverage 9. Please attach a detailed typewritten description of the project, the proposed use and operation thereof, including a detailed explanation of the design concept,the reason for the particular design,objective of the developer or project sponsor and how or why the project is (or is not) in compliance with the Town Code and the Master Plan. Explain what benefits will accrue to the community by the proposed rezoning. Document reasons 10/1/2008 3 why proposed project can not be built under current zoning regulations and pursuant to the current zoning map. D. AGENCY COORDINATION AND SEQRA (See Part 617,NYCRR and Chapter 130 of Town Code) 1. Does the site Front on a own, ounty of State Road? (circle one) Name and number of the ro (i.e. County Road 48, State Road 25) rig e-r o r,-y n v C 2. Is the site within any other areas of review of the Suffolk County Planning Commission? YES ✓' NO. If yes, the referral requirements of the Suffolk County Planning Commission should be examined to assure a complete application. 3. Is the site in a designated critical environmental area as per the New York State Environmental Quality Review Act (SEQRA) and Chapter 130 of the Town Code? YES ✓ NO. If yes, what area? 4. Type 1, Type II or Unlisted Action (circle one) An environmental Assessment form must be completed for Unlisted and Type I actions. 5. Has an Environmental Assessment Form or Draft Environmental Impact Statement been prepared? YES NO. If yes, copies should be submitted with the application. E. I hereby depose and certify that all of the above statements of information, and all statements And information contained in the supporting documents and drawings attached hereto are true and correct. "e APPLICA 'S SIGNATURE Sworn fore me his day o NOTARY PUBLIC %I ATE o,,e�•''a. .,,..».., lkborelt QrlOwski NOTARY Notary Public.State of New York *1 sj*"e No.01OR6280392 v r' QUWifW in Suff lk Cou* / "''•.' w"ro '�.•`'` Conuniuion EViM OS/131j� •huma�` 10/1/2008 4 F. OWNER'S ENDORSEMENT (To be signed if applicant is not the owner or if the owner is a corporation or partnership) State of New York County of Suffolk i teAr being duly sworn, deposes and says that he/she resides at 040 0 r tw+h d KluxamA k ar,L L .� �r A in the County of ��t�fD � and the State of Py16 QW �4,Tr� and that he/Shz is (the owner or the officer of the corporation or partnership which is the owner in fee (circle)) of the premises described in the foregoing application and that he/shl-has authorized to make the foregoing application for amendment and/or change of zone as described here in. 1� C,t i-W �. 6 ,6 N SIGNATURE If a corporation, name of corporation and Officer's title Sworn efore me this Cr Day , 20_(�i NOTARY PUBLIC at�tE vc DCbotah Orlowski Notary Public,State of New York No.01OR6290392 Qualified in Suffolk County Cmnmissionapiresoil13/2Q„L7 10/1/2008 5 G. DISCLOSURE AFFIDAVIT State of New York County of Suffolk being by me duly sworn, deposes and says: 1. I am an applicant for a project or an owner of the land which is the subject of a pending application before the Southold Town Board for amendment and/or change of zone. 2. The project name is: e1e Z,o wtN& 3. I reside at SRO iU OAK WOOD ?qOnD L putz L �t7y 71`35�� 4. The Officers of the applicant corporation or owner corporation are as follows: NAME TITLE }G o 4 Pf?S L` Tti o C'� 5. 1 make and complete this affidavit under the penalty of perjury and swear to the truth herein. 6. 1 am aware that this affidavit is required by General Municipal Law 809 and that I shall be guilty of a misdemeanor as provided by General Municipal Law 809 should I knowingly or intentionally fail to make all disclosures herein. 7. During the 12 months before the filing of this application, have any of the following individuals made campaign contributions exceeding $100 in total, in cash or in kind, to members of the Town Board or political committees designated to accept donations behalf: Yes Now 1. Owner 2. Applicant �- 3. Agent for owner or applicant �- 4. Attorney 5. Other 1 0i1 i2008 6 If the answer to Question 7 is yes, Town Code Chapter 26 require that the information be provided below: Name Title (Owner, A14ent, Attorney, other) Amount For the purpose of this disclosure, an official or employee or either the Town of Southold or the County of Suffolk, shall be deemed to have an interest in the applicant and or owner when that official or employee, their spouse, brothers, sisters, parents, children, grand children or the spouse of any of them: a. Is the applicant or owner b. Is an officer, director, partner, or employee of the applicant or owner c. Legally or beneficially owns or controls stock of a corporate applicant or owner, or is a member of a partnership or association applicant or owner, or d. Is a party to an agreement with the applicant or owner, express or implied, whereby said official or employee may receive any payment or other benefit— whether or not for services rendered, dependent or contingent upon the favorable approval of such application. Ownership of less than five percent of the stock of a corporation whose stock is listed on the New York Stock or American Stock Exchanges shall not constitute an interest for the purposes of this disclosure YOU MUST ANSWER THE FOLLOWING QUESTION YES OR NO Do any of the following individuals have an interest in the applicant or owner, as defined above? YES I/ NO 1. Any official New York State YES V' NO 2. Any official or employee of Southold Town or Suffolk County? YES NO If the answer above is yes, to any of the questions, General Municipal Law Section 809 requires that you disclose the name and residence and the nature and extent of the Interest of said individual (s) in the applicant or owner. NAME RESIDENCE NATURE OF INTEREST 10/1/2008 7 O� SIG TURE Sworn before me this A Day of , 20 4 --?, NOTARY PUBLIC �ytATEp,�a� Ddomh 0dovajj WOTAnrNOW Public,State ofNew York °* *= No.01OR62SD392 ' ,... ,r Qualified in Suffolk County �•.,,tly"riiP Commission Expiry 05/13/20 L 1 10/1/2008 8 * * * RECEIPT * * * Date: 12/15/16 Receipt#: 214871 Quantity Transactions Reference Subtotal 1 Petition 1215.16 $1,000.00 Total Paid: $1,000.00 Notes: Payment Type Amount Paid By CK#1025 $1,000.00 Koch, Holding Corp Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Koch, Holding Corp P O Box 225 Laurel, NY 11948 Clerk ID: BONNIED Internal ID• 12.15.16 Neville, Elizabeth From: Neville, Elizabeth Sent: Thursday, December 13, 2018 11:15 AM To: Rudder, Lynda Subject: BAS Lynnie, Please check BAS to see if a $1,000.00 Check was ever receipted from Walter/Ruth KOCH Holdings Corp. in November of 2016 or any time thereafter. Elizabeth A.Neville, MMC Southold Town Clerk,Registrar of Vital Statistics Records Management Officer;FOIL Officer Marriage Officer PO Box 1179 Southold,NY 11971 Tel.631 765-1800,Ext.228 Fax 631 765-6145 Cell 631 466-6064 1 KOCH HOLDINGS CORP PO BOX 225 Laurel, New York 11948 November 1, 2016 Southold Town Board Zoning Board of Appeals P O Box 1173 Southold, NY 11972 RE: District 1000, Section 122, Block 06, Lot 09 This letter is to act as a notice that Koch Holdings Corporation (Dickerson's Marine) has applied for a change of zoning for its property at 95 Factory Avenue, Mattituck. The change of zoning is to correct a situation that left said property with a partial residential and partial commercial zoning. There is no intent or plans to change the existing structure or property in anyway. This property has always been used commercially and should be fully zoned commercial as intended from the start. Respectfully, Walter Koch, Pres. TOWN BOARD TOWN OF SOUTHOLD In the Matter of the Petition of NOTICE TO ADJACENT to the Town Board of the Town of Southold.: PROPERTY OWNERS TO: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to petition the Town Board of the Town of Southold to request a cy h " S4r7r'��lT S !3: i3rs . 2�,vrs� `C6,V1sY1%2�ir?L 53r�D pf);'—d'L3°` V -';�LJrJC- d)?.. 2.That the property which is the subject of the Petition is located adjacent to your property and-is described as follows: Suffolk County Tax Map# 1000- 12 2— b — - Property Address: 96- Fac-rDaX OvE wJr Mft"f7iTUCi� ?� 1 9 Z 3.That the property which is the subject of such Petition is located in the following zoning district: JF-'ter% ��I�c. ,�1/:;:'--f� OJ:T�r:.J i��5177�^�✓!/i'C_ �v�'� d7:>�T J 4.That by such Petition,the undersigned will request that the above-described property be placed in the following zone district classification: i�L_t;�� vJy+� Css 5.That within five days from the date hereof,a written Petition requesting the relief specified above will be filed in the Southold Town Clerk's Office at Main Road, Southold,New York and you may then and there examine the same during regular office hours. 6.That before the relief sought may be granted,a public hearing must be held on the matter by the Town Board; that a notice of such hearing must be published at least ten days prior to the date of such hearing in the Suffolk Times newspaper published in the Town of Southold and designated for the publication of such notices;that you or your representative have the right to appear and be heard at such hearing. YX �/'17 3 1 G � XV& 7 Dated: 20 Petitioner Mailing Address: PO /3 oX S-7 .TTTi K AA7 01 52. PROOF OF MAILING NOTICE NAME ADDRESS ffi—Okl0Z ftkrO,0 64-10 C&I >N��� �v�cc` PO ®X -s,fir? Io1�Q_Thrs �� � l0e, c9.)0 rX0 asT PotJO Rl> ap �� ,�lozcc' l w-r-rl-rvcx PL4arg z P® 00>4 77 M19-TT/T(?GK STATE OF NEW YORK SS COUNTY OF SUFFOLK residing at 9V0 /U off KGO60D Pn 44 C/Ri L P 11 Q y f' ,being duly sworn, deposes and says that on the_�- day of N 0 , 201 b , deponent mailed a true copy of the Notice set forth on the reverse side hereof, directed to each of the above-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ZAViZ L N (19 that said Notices were mailed to each of the said persons by certified, registered receipt mail. o� Signature Sworn before me this day Of �6 UP�►l , 20 /(o Notary Public BARBARA H. TANDY Notary Public, State Of New York No. 01 TA6086001 Oualified In Suffolk County Commission Expires 01/13/20 T�0/0, +/ Magic Fountain 1000-122-06-10 Tony's Complete Auto Repair 1000-122-06-11 J.KREH,Family Trust Anthony Antongeorgi 1500 Challenger Avenue 3175 Route 48 Davenport,FL 33897 Mattituck,NY 11952 North Shore Yacht Sales 1000-122-06-12 Residence 1000-122-06-8 Capt Red's Marine Service Herman Hubbard PO Box 528 195 Factory Avenue Mattituck,NY 11952 Mattituck,NY 11952 'Residence 1000-122-06-7 ✓Main Road Residence 1000-122-06-13 Mary Mills Michael&Therese Hughes 1000-122-06-14 ATTN:John Boudreau, POA 605 Bay Shore Road 265 Factory Avenue Greenport,NY 11944 p/7-Eleven 1000-142-01-27 Shopping Plaza 1000-142-01-26 GAMA Properties Deer Inc Mattituck Plaza LLC 320 Front Pond Road PO Box 77 Old Brookville,NY 11545 Mattituck,NY 11952 r Residence 1000-122-06-6 ✓ CVS 1000-143-02-30.2 Mary Ray SCP 2005-C21-0512C PO Box 507 c/o CVS CORP. Mattituck,NY 11952 ATTN: Prop TX Dept Store 3105 One CVS Drive, Woonsocket,RI 02895 Residence 1000-122-06-15 ✓ Residence 1000-122-06-16 Michael Hughes Teresa Hughes 605 Bayshore Road 605 Bayshore Road Greenport,NY 11944 Greenport,NY 11944 ��° O ��,y''v�.'1r' '1-'W,� �� k<•Ala I _ _ _ _ _ - ® •© v141U ®'f • 0 • � - - '� - a' r''�'Y.e^ --,("s i w ■ Complete items 1,2,and 3.Also complete A S not r � � ° .- - ° ° ° i item 4 if Restricted Delivery is desired. _ MAC' T91CK{x`-AY'1 9 {I i7 i ® Print your name and address on the reverseUl t so that we can return the card to you. B" w ° ° Certified Matt Fee $ •30 pg52 ■ Attach tris card to the back of the mailpiece, Re eh, y(Printed Name)(QH/' C Da MOIWTIK , P�10. �p� r'16�JC� '✓ rl if C) iy 51 $ 07 or on the front if space permits. Certified Mail Fee r�� D Extra Services&Fees(eheckbox,add teens p r�J�6 ❑Return Receipt(hardcopy) $ t•at+ ����� 1. Article Addressed to: D. Is delivery address different from item 1? U $ $3°30 rt•'' giS+{jg rq ❑Return ReceiptLrlExtra-services&Fees(check box,add f ate eelectronic) $ Postrri l4 { If YES,enter delivery address below: I 9 I ( � ❑Return Receipt(hardcoPY) $ � .gp.,=,f3 C3 ❑Certified Mall a Required Delivery $$ C\ � 0 i - /J a ❑Return Receipt(electronic) $ I QG p0$tritark 0 ❑Adult Signature Required /J�/ $ Here' - ❑Adult Signature ResMcted Delivery$ • �� c'9 1 1 � ❑Cert�ed Mail Restricted Delivery a Postage 1 F j []Adult Signature Required �' $ $0.47 ..;t '` ,<y `� I ❑Adult Signature Restricted Delivery �Oj �j N Total Postage and Fees i i/i� 2�1 O Postage t Y r`- `rm ; '"` act � ''7 _ s� 4 6� 4. Cu ! J �- $ $0.47 0- o $ $b.47 C" j 3. Service Type i Total Postage and Fees 1/30/2 Sent ❑Certified Mail® p Priority Mail Expres $ $f.47 �sa - C�` ❑Registered ❑Return Receipt for err se o s eer rid r.No Poe o. �'"" „^ ❑Insured Mail ❑Collect on Delivery Ln r- �----- -------------- _ ° !� - ------------------------------- J O reety/r�Apt or PO Box N7-7 .,crry rate,ztP+ ® 4. Restricted Delivery?(Extra Fee) [N / 2. Article Number -� ----7- ------- ------------ ' r State,ZIP+ (Transfer from service label L� sue .-1 I t/ V 'Y_-D// / /��U / \ / � 00 1 re o11•, C _ - -- ----- -- --��,, --- --- --- -- - k `_ , °, PS Form 3811,July 2013 Domestic- Retu�- bb eeeYYY�� y%s°✓ ° :'`eye - ; n Receipt D 0 • • • 3L vfie .�., r O � e � '��. I - L ,;,; 7.' � �- �Z. w > A x _'` k rt -T, _fii') c=iu r + C` ® D . I.•im.z D� l`y `!S� �, I _ -S -, •rc �. - -�.:yl'77 x"��% �"�" �`',t��l,`��.r i I r� _ � �k dl � NYa +.sr '��• I ■•'Com lete items 1 � 2 and 3. 3 aat LEEe • ■'Print your name and address on the reverse X '` 'y j•t{if� G o - ,i ■ ;_ • • • rLn u LLLvvv „w .• . ` so that we can return the card to you. ° ° ° ° ° ° + Col'rtplete items 1,2,and 3.Also complete A Signa re o-• ° p• B ceived by(Printed Name) C. Dat1 MAT DTI�i t Y i 5 L U y item 4 if Restricted Delivery is desired. MAT T11 K tf tY(�1 � L 0 t ■ Attach this card to the back of the mail piece, � � I] certified Mall Fee 0g52 ■ Print your name and address on the rever 5 certified mail Fee or on the front if space permits, �/�-11_ni #3.30 e 2627 I ; so that we can return the card to you. r�'3� ' o q3 70 pa2-26- rg52 !I 1. Article Addressed to: D. Is delivery address different from item 1? C"0' $ ��� 07 { ■ Attach this card to the back of the mall le'ce e Y(Printed e) C. D� un $ 8� 07 If YES,enter delivery address below [r9 Ex[ra Services&Fees(check box add lee ate). ?� -f/• pp r ,� Extra Services&Fees(check box,add fe te),•''� l� ❑Return Receipt(hardcopy) $ , ( or on the front if space permits. / �. ?: ©�� I ❑Return Receipt(hardcopy) $ (3� Return Receipt(electronic) $ Post ar)� .. / f�•' (� I ❑Return Receipt(electronic) $ \ Certified Mail Restnded Delivery t�/ �, f .' re ,� 1. Article Addressed to: �.s1tl�t t � �ry ❑ '� l ' ❑ •"`.` W M i t ue ens di Brent from item 1? C3 arse C3 [I Adult Signature Required c_,_,r..1-p�-(2 �j ' I a Certified Mail Restricted Delivery S'�" •+' iw a' i M ented livery address below• ry . ,. ere -A Ul ❑Adult Signature Requicte t a 1 O ❑Adult Signature Restricted Delivery � i I � DEC 2016 • �,'•iis' Postage �j ..0 ❑Adult Signature Restricted Delivery � �d 1 $0.47 O Postage x'' O /y1 Ln $ ' ��fiJs 01 � i �N �y� $ $0.47 $ ,, ��, �+ e� �//�� [ti Total Postage and Fees G/ �� aD C3 Total Postage and Fees i s 1 /30y1�uGFb 3. Service Type ❑Priority Mai M $�•47 +� CY t�3 ❑Adult Signature ❑Registered Sent I � `S� 3. ype u1 Se o ��•47 �� I I IIIII IIII III I III I III I III II I II II I III I I ❑Adult Signature Restricted Delivery ❑Registered .-0 s ❑Certified MaT9) Delivery I reef andA �� � I �Z ertified Mail® ❑Priori Mail Ex re C3 �`--�-�W a a Q- --- --------- ------ ------ - o �Box tY P Str t ndA o,or PO Box No "-"""----- ❑Certified Mail Restricted Delivery ❑Return Reci p ' I �� P 9590 9402 2454 6249 2940 94 MerchaRe g ❑Collect on Delivery r`- __� _____ ❑Re istered ❑Return Receipt for �` ---------------- c/�1r�' ❑Signature Ctty,St te, IP+4® I / �� ❑In P+® - 2. Article Number-(Transfer from service label) , t , ❑Collect on,Delivery•Restricted Delivery sured Mail ❑Collect on Deliver ❑Insured INad ❑Signature C t fate Z _ _ _ /_ ❑Insured Mail Restricted Delivery' Restricted[ 4. Restricted Delivery?(Extra Fee) - 2016 /.S'v QED sty (over$500)  h, i y.t -"* 2. Article Number - r - • RlAA41"P"'t',t ! t I 1 i '� I' PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Rett ° o r' ;`-;(i; h� �' t' i (Transfer from servicelabel)`�(��I Mkw:�+?�? PS Form 3811,July 2013 Domestic Return Receipt p o a ' ■ Complete items 1 2 and 3. A Signature Y pO ,T ANY 1�t'94• ' • °r ° 1 �rt � x x- � • GRE1 ( T>, Y�144� ° 1 ■ Complete items 1,2,and 3.Also Complete A. Si nature ' ■ Print your name and address on the reverse �� ❑Agent ail Fee " ,� � <°9� p so that we can return the card to you. X ❑Addressee i I P g 0 Certified Mail Fee $3 30 � #t3 30 .`� � iteri;4 if Restricted Delivery is desired, $ 0952 ' I B. Recei a by,( toted Name) C. Date of Delive Ices&Fees check box,add fe A a� 3\ ■ Point Your ne me and address on the reverse ° Extra Services&Fees(check box,add fee ` m 2827�' 07 ■ Attach this card to the back of the mailpiece, ry ( ``~ El Return Receipt(hardcopy)_ $ or on the front if space permits. T �Receipt(hardcopy) $ , erg` an return the card to ou. ,Postmark Postm Receipt(electronic) $ �l�'o ■ Attach this card to the back of the mall piece, Div by(Pr/ C. D Q El Return Receipt(electronic) $ 1. Articl Addressed to: D. Is delivery a dress different from item 1? ❑,Yes ad Mail Restricted Delivery $ >' �'1° Here N p • �/ Certified Mail Restricted Delive $ or o the front if space permits. o ❑ ry ?e W If YES,enter del6iv� address below: ❑No ?Ignature Required QO-- A i ;9 p ❑Adult Signature Required $ ignature Restricted Delivery Q� 4rV '� �i 1. Articl Addressed to: D. Is deliv ❑AdulYSignature Restricted Delivery �5 9 70 . � 6 h 1 die s d{ ent from it p Postage If YE ter delivery addres el w: $0 47 �` l i/30/20 trig j ' l� ra $ rage $b 47 ems° - •` '�/p ��// �^j i ��`t`'`� ' 3� J o g 3C� tl ® Total Poste a and Fees > 4. i a - %�' � p DEC 2016 Senr o r �D.�' - ----------------------- _ dA t or PO ox �J// /"-� � try r etandA?.No___POBoxN- ��r�' 3. ce Type c3�1 ❑P Mad Express® r P A/ 3. Servi II I IIIIII IIII III I III I I I I IIII II I II II I II II I I III ❑A gnature ��� Bred MaiITTM --- ❑Ad nature Restricte�pellvery ❑FE9gi tered Mail Restricted pre, tP+4® Q1�- �/ �/9 c� a /f're.,,' Ctry ate,ZIP 4® ❑cert ailO I ery 1 j / /� ❑ el ail® �Priority 9590 9402 2454 6249 2940 87 ❑Certi i d Restricted Delivery urn Receipt for ' '' "''" ►' ' ❑Registe❑Collect PI ery fD erchandise ... _ ay r o o r r•, p ❑Collect on estrtcted Deli a•, Signature Confinnation�^ ❑Insured Mai 2. Article Number(Transfer from service label) �� � g t tin Delivery ❑Insured Mad �Z 77, ❑Si nature Confirmation / 4. Restricted Delivery?(Extra Fee 20i,6 D ; a60 �(p.�� ❑Insured Mail Restricted Delivery Restricted Delivery j 1I2. Article Number ) ❑Yes (over$500) i (Transfer from service labeQ /5 `PS Form`3811`,July 2015 PSN'7580-02 l000-f9053 Domestic Return Receipt I I PS Forrri,`3$11,July 2013, i , • ©Q0 S_/ I - Q ;'Domedtic Return Receipt C A. Sign re -- �` • ® e • , r .�-=—��,fir; ',-' ■ Complete items 1,2,and 3. ❑Agent . ■ Print your name and address on the reverse �( E Complete items 1,2,and 3.Also complete m Signature _ Addre z rr=x> _- 0 �+= item 4 if Restricted Delivery is desired. so that we can return the card to you. :' 6 ■ Print our name and address on the reverse ° 02895 ,41° ■ Attach this card to the back of the mailpiece, B. ived by(Printe a e) ' C. ate of Dell = O'� r+i-: I y )( 1a'Agent r % rZ so that we can return the card to you. �� ❑Addressee ��Tg � �����' l ❑Yes s �o -G I ® Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of DeliveryFee 3.30 0/ k, g� or on the front if space permits. ' 1. Article Addressed o: D. Is delivery address different from item 1. v� J Or on the front if space permits. if YES,enter delivery address below: ❑No - �°"''r ® 's&Fees(check box,add tee IateJ ` 1.-Art! le Addressed to: D. Is delivery address di rent from item 1? ❑Yes I ipc(nardceavi $ P t !t n / G �Zr�L et• =: 6i N --_ i� ej� - I OS ��— �� If YES,enter delivery address below: O No `Pt(electronic) $ Q�� CA (((/////(/ //••�� //YI / %%AA���� gg i 4-4- $0.47 ail Restncted Delivery 7Required $ Q/6�V ature Restricted Delivery$ q ,m 1'Yf 'z a �� � e11/3G/20 3. Service Type j ❑Priority Mall Express ® —t ' o - �;0 I�a _ /D y me and Fees ❑Adult Signature I ❑Registered MailT"' ® , a a 9 v • ■ ; l✓+J 3. SerViCe Type l 6•47 �9�� c? �+•��� I _ II IIIIII 1111111111111111 IIII II I II II II II II I III ❑Adult Signature Restricted Delivery ❑Delivery Mall Res, a o • m Q q '� m Q ��� �✓ ❑Certified MailBCertified Mail® ❑Priority Mail Express ❑Certified Mall Restricted Delivery I ❑Return Receipt for a m 31 a + 1 Al 0 Registered ❑Return Receipt for Merchandise 'vf•No Or BOX D 9590 9402 2454 6249 2940 49 ❑Collect on Delivery I Merchandise o,' __' ry ,� m_ m N r d �e 1Gi Q /tl 'c`i i El on Delivery Restricted Delivery g ° `- - - 0' ---------- ----------=-- ---- - --""-""""""" ❑Signature Confirmat= ❑Insured Mail ❑Collect on Delivery � x s 2. Article Number(transfer from service label) ❑Signature Confirmat - : a®:u I ❑Insured Mail © > z= e m �' �' " 4. Restricted Delivery? IP+ y ❑Insured Mail Restricted Dehve Restricted Delivery i- m r - o a i° m " (Extra Fee) ❑Yes o � 1 /®� ��J ®®o/ .7 �� ( ) ry ® �? r m a: 0 a ¢ y �in` ) 2. Article Number over$500 m ❑❑❑❑❑ o o (transfer from service label) 3811;July 201;5i PSN 7530 02-000-9053 ( Domestic Return R = '_ ; .» a .n� a»rn PS Form, 2 205 9 2 LIT `I 0 D 0 0 5 L 0 9'I O L r,rorm.iti l l July,2013 I Domestic Return Recel t ■ Complete iterns1,2,and 3. A. Sig ature LEA ��!� ® ° ❑Agen m zii �t�` ` • ¢ j ■ Complete items 1,2,and 3.Also complete A. Si not re � � ■ Pririt your name and address on the reverse X ❑Addr ' • _ � ,-r, I ite6n 4 if Restricted Delivery is desired. so that we can return the card to you. �- i i ® Print your name and address on the revers e X<% ❑Agent B. ec ' by mte ame) C. Date of Dej .-� o c4 ' ■ Attach this card to the back of the mailpiece, *•+ so that we can return the card to you. ❑Addressee or on the front if space permits. ■ Atta h this card to the back of the mail fece ce'v d by(nnted Name H ) -p ° 1454 ° 1. Arti a Addressed to: D. Is delivery address different from item 19 ❑Yes Q - ; Or-o the front if space permits. p ) C. Date of Delivery ' it ii I � ,� d If YES,enter delivery address below: El NodFeeQe3ri �itje2 dressed to: D No _ . Articl Ad . Is delive �i�r I k4 Item 1? ❑Yes t�h !. _- • r� • �� - I I If Y Cr deliv Fes&Fees(checkbox,add fee @pprppp�teJ g addres�p w: ❑No lecelpt(hardocpy) $ r It n!'11 ���yy77 `/�' �� �CJ a T 1.('a ��' I c�Ft, 6ceipt(electronic) $ at�l-t�t� Postmark df 7s G` I ® �a1 1 Mail Restricted Delivery $ $0,rip Here `�,�►M1 1 JCS�`f 11952 gnature Required $ � e �....:.z �, � d � �. ` i� 2� i 1 � �/ � �r � Ignature Restricted Delivery$ 3. Service Type ❑Priority Mail Expre © o �Tp ❑Adult Signature ❑Registered MadTM " c 2 m LL I + ��3Ga y 3. NICe Typed I e7 II I IIIIII IIII III I III I III I IIII II I II II i IIII I i III ❑Adult Signature Restricted Delivery ❑Registered Mad Re ' ®a i Gg r-� (g► g 11/�LI/?I t1 h ❑Certified Mad® Delivery m a s :2 to a and Fees m a o rtified Mail w fl1 Priority Mai/i°Press- ^ ? 9590 9402 2454 6249 2940 32 ❑Certified Mail Restricted Delivery ❑Return Receipt for -o tr ,� ;o - I j stered Merchandise ° S- m" in 4R eturnR�@6 ' t for Merchandise T ❑Collect on Delivery = $ m & m 2. Article Number(Transfer;from service label) ❑Collect on Delivery Restricted Delivery Signal z e m m- N H ureConfirms e ¢ I ❑I r all ❑Coll i , f I ;t ❑Insured Mad ; E i i Signature Confirmat' Q m m�W i elivery _ I ! I I i i a es is a tv - - 2 bet �j ❑Insured Mail Restricted Delivery R tr led D I ery c ® f ¢ ¢ ¢ a y + Article Num tricte e) { / �n �� �� (over$500) m ~❑❑❑❑❑ o ❑Yes te, P+4 d, a �,a ,n°� I (transfer from service/abeq �® v - Domestic Return Ret PS Form 3811,July 2015 PSN 7530 02-000-9053 6 E 0 S 9 2 6 T T D D D 0 5 L 0 9 T 0 L --- �I_r I • - _ y t Domestic Return Receipt ature & } ■ Complete items 1,2,and 3. ❑Agen �o�®° ■ Print'your name and address on the reverse X _ m `4 a ❑Addr e °� , So that we can return the card to you. o ■ At ch this card to the back of the mailpiece, B. Re by(Pre ame) IC. pat of e1 a N I or In the front if space permits. D' �� - 1 1. A icle Addressed to: D. Is delivery address different from item 1? Y If YES,enter delivery address below: ❑No - I 2N 3. Service Type ❑Priority Mad Expr II I IIIIII IIII III I III!III I IIII II I II II I II I II I III ❑Adult Signature El Registered o e Registered MailT r w a dCL ❑Adult Signature Restricted Delivery Registered Mail M °' 2` m 9 _ ,p- m•,p ❑Certified MadO Delivery m 2 m Q a�► o ❑Certified Mad Restricted Delivery ❑Return Receipt f m d ¢ a '0 9590 9402 2454 6249 2940 25 ❑Collect on Delivery Merchandise o LL ❑Collect on Delivery Restricted Delivery ❑Signature Conti ® Q + u 2. Article Number(Transfer from service label) Cl Insured Mad ❑Signature Confer z ¢ m �, �, ;m I ^31V,11 © 7/ ❑Insured Mad Restricted Delivery Restricted Dehv a B 10 0 r = m o 7R(�; ���® `/ l�f� (over$500) o E ro y N 1 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return - ci �,w❑1111 ❑❑ti �� � ° ,y� ' 9+ID5 926'C 'CD00 05L0 9`IDL �/0,20?? CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY t 1K THIS INDENTURE, mad he � day of December 2000 13ETVVEEN HENRY W. DRUM, residing; at 2615 East Mill Road, Mattituck, New "York 11952, AND GRACE L. SCHANZ, residing at 59 Shell Street, Atlantic Reach, Florida 32233, party of the first part, and KOCH HOLDING CORPORATION, a. New York Corporation having its principal office at 840 North Oakwood Drive, Laurel, New York 11948 ✓' party of the second party WITNESSETH,that the party of the first part,,in consideration of TEN AND 001100-------------------- doilars p by a 3dfty of t e secong part,does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of Sand, with the buildings and improvements thereon erected, situate, lying and being3aMN at Mattituck, town of Southold, County of Suffolk, and State District of New York, 'bounded and described as follows: 1000 BEGINNING at a point on-the westerly side of Factory Avenue distant 95.52 feet northerly'from 'a monument set on the corner formed by the intersection of the Section westerly side of Factory Avenue with the northerly side of Main Road,- (New York State Route 25); 122 Running thence South 70 degrees 43 minutes 00 seconds 'West, and partly along land formerly of William Albertson & Co. , later of Yvonne, Cl.Ark, and partly along land -Block -formerly of'Flamilt:on and Comiskey, latex Tidewater Realty Co. Inc., .181.88 feet to a b monument and land formerly of William H. Tuthill., hater Robert L. Bergen; Thence north 18 degrees 10 minutes 00 seconds West along said last mentioned Land Lot 100 feet to land formerly of Leroy S. Reeve, Later B.M. Mills; Thence: North 70 degrees 43 minutes 40 seconds East, partly along said last mentioned 9 land and partly along land now or formerly of H. Hubbard 182.99 feet to the westerly side of Factory Avenue; Thence South 17 degrees 32 minutes 00 s+eeonds East along the westerly side of Factory Avenue 100 feet: to ,the point or place of BEGINNING. TOGETHER with all right, title and Interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part In and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lion Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the coast of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party' shall be construed as if it read"parties" when ever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duty executed this deed the day and year first above written. Y IN PRESENCE OF: HENRY W. DR GItA L. SCHANZ R Standard N.Y.B.T.U.Form 6002-Bargain and Sale Cued,with Covenant against Grantor's Acts—Uniforrn Acknowtadgment Form 3290 2] Number of pages inn 2r01 'an 3f) j)3:32:10 pi°I TORRENS Edward P-Poriaine �11_EI��t r3F Serial# SUFFC)LK COUNTY i.. IJtaC�r11���3u Certificate# P ;'?4 I)Tt# �:0-24939 off--L1, �r Prior Ctf.# Deed/Mortgage Instrument Deed I Mortgage Tax Stamp Recording I Filing Stamps FEES Page/Filing Fee Mortgage Amt. Handling 1.Basic Tax TP-584 2.Additional Tax Notation Sub Total EA-5217(County) "d Sub Total Spec,lAssit. EA-5217(State) w. Or Spec./Add. R.P.T.S.A. �` '����*�, , TC)T.IvITG,TAB Comm.of Ed. 5 p_3O �,�' � Dual Town Dual County . , Held for Apportionni nt r Affidavit +- 4 Transfer Tax Certified Copy W Mansion Tax The property covered by this mortgage is or Reg.Copy will be improved by a one or two family Sub Total dwelling only. Other _ YES or NO GRAND TOTAL � If NO,see appropriate tax clause on page f# of this instrument. $ Real Property Tax Service ley Verificat n 6 Community Preservation Fund Dist. Section Bloch Lot Consideration Amount CP'F 'rax Due-P i I --- Date 1 Itnp ved _��...__. Initials Vacant Land 7 Satisfactions/Discharges/Releases List Property Owners Mailing Adores TD RECORD&RETURN TO: TD 8 Z"itle Company Information Co. Name �vrst .�zr-� .� sv �'-L� 'title# A,N�' �'��s�, 9 Suffolk Cpunty Recording Endorsement Paore This page fom)s 1yart of the attached } .- S ,b made by: (SPECIFY TYPE OF INSTRUNI T) Y LJtI. �"yt ,��► The prJe�tn�iises�fh�Teir�e,�i`n is�sittu�a�t)e'(dJyi�n�V —_ "�..7�'7-Lf`r' d+✓♦ �N, t7Ut.�1"1dLt1.COUNTY,d 1'NEW 1 t3.1111.. ` To In the Tovvmslup of ' . -st�,,cj dL 6r,� ,�'Po.e arr ,�✓ In the"VILLAGE or HAMLET of BOXES 5 I' TRU 9 MUST BE TYPED YPEO OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (DV1;R) Y Y 1 I III 11111111111111 IN SUsg'FDIK COUNTY CLERK RECORDS OFFICE RECORDING PAGE „ Type of Instrument: DEEDS/DDD Recorded: 01/30/2001 ; Number of Pages: 3 At: 03:32:10 PM TPJMSPER TAX NUMBER: 00-24939 1�BER: D00012099 PAGE:: 794 District: Section: Block: Lot: 1.000 122.00 06.00 009.000 ZXAbMTW AND CHARGED AS FOLLOWS Deed Amount: $165,000.00 Received the Following Fees For Above Instrument Exempt Exe®pt Page/Filing $9.00 NO Handling $5.00 NO COE $5.00 NO ZA-CTY $5.00 NO Eli.-STATE $25.00 NO TP-584 $5.00 NO Cent.Copies $0.00 Nb RPT $1S.00 NO SCTM $0.00 NO Transfer tax $660.00 NO Cc=.Prea $300.00 NO Fees Paid $1,029.00 TRANSFER TAX NUMER: 00-24939 THIS PAGE; IS A PART OF THE INSTRUMENT Edgard P.Romaine County Clerk, Suffolk County i .<PLI NPR:tJR PRESS 1FIRMLY WHEJ YUfilTftdOJMOtM,^ INSTAUCTIONS: http;/J wwmorps.state.nyau6 of PHONE-(5181-473-7222• PEAL.PROPERTY TRANSFER I PORT vt ,�tdrs"�Wit! � i•-' "•ri�'1� �.1, _/f« . STATE OF NEW YORK t sitti.t t�ltt t , ' t STATE BOARD OF REAL PROPERTY SERVICES z 4 ar'£ DAY -AP " 5217 iGi;Btsok, t :r ro�� � ; � 1;iS'i.'i►�S�� ��',yr�J� —'-�---' - RP.5E17 nev 3M PROPEMY INFOAW710N 1.Property qIt I Fr C.toryy Avenue Location STREETNUMBER STREET NAME olitrtold Matt it:uck 1�57 CITY OR TOWN VI(IAGF ,TIP COL) •,f 2.Buyer I Koch Holding Corpuratioa Name LAST NAME I COMPA`V r FIRST NAME I .rr'1 LAST NAMF I COMPAW FIRST•NAME 3.Tax indicate where future Tax Bills are to be sent Billing if other than buyer eadress fat bottom of form) Address LAST NAW t COMPANY t NAST NAME -I 5SRfFT NUM73ER�SrO�rfiEET NAMECITY OR TOW4 STATE t-J ,ZIP CODE Y' 4,indicate the nuarberW Assessment r (Only if Part of a Parceil Check-As they < Roil parcels transferred on the deed t #of Parcels on Part of a Parcel dA planning Board with Subdivision Authority&ts ❑ i i S.Dead 4B.Subdivision Approval was Requirsd for Tract ❑ Property a I k I Oft I a • I aC.Parcel Approved for Subdivl n with Map Provided ❑ Sae fflt?NT FEET DEPTH ACRES 4. 0.Seller $ Drum I Henry f M ilAST NAME,'COMPANY FIRST NAVE Name Schanz L Grac6 i AST NAME,COMPANY FIRS1 NAVE 7.Check the box below which most accurately describes the use of the property at the,time C sale: Check the boxes below as they apply S.Ownership Type is Condominium ❑ A One Family Residential L Agricultural l Community Service 9.New Construction on Vacant Land ❑ 2 tlr 3 Family Residential i~ Commercial J Industrial 10A Property Located within an Agricuhural District ❑ C Residential Vacant Land G Apartmerd K Public Service 108.Buyer received a disclosure notice indicating ❑ L3 Non Residential Vacant Land H Entertainment t Amusement L Forest that the property is in an Agrs`cuitural District $per j Rt�lp 18.Check one or mote of these conditions as applicable to transfer. 11.Sale Contract Date 11 / 09 1 20001 A Sate Between Relatives or Former Relatives Month Day Year l3 Sale Between Related Companies or Partners in Business 1 r ? G One of the Buyers is also a Setter 12.Date of Sale I Transfer tJ / j / I i} Buyer or Seller is Government Agency or Lending Institution Monih " Uay Year peed Type not Warranty or Bargain and Sale(Specify Below) r Sale of Fractional or less than Fee interest ISpacify Below) G Significant Change in Property Between Taxable Status and Sale Dates 13.Full Sale Price �T 1 6 , 5 ! d , 0 t 01 a , 0 H Sat f Business is included to Sale Price s i (Full Sale Prica is the total amount paid for the property including personal propurty. l r Unusual Factors Affecting Sale Price(Specify Below) This itaayattnT>t,may be in the form of cacti:other,propatyor,floods,or the asearntttton of i None mortgages or ether obligations) ease'rvUnH to the nebrost whvtd doll twunt. t 14.indicate the,value of personal r pwpsrty inctudad In the sale I ` i L" ' 0, i 7s" T -0612 i hot( tolloct the lL t'Fin#AIsrassrttertt Roll-and-Tax Bel 16.Year of Assassnient(loll from 199,00 17.Total Assessed Value(of all parcels in traasfar)i 2 which information taken 1 18.Property gars ( 9 I�� 19,School District Name 112 1 20,Tax Map Identtitsrtel i RnB idantifier(s)(it more than four,attach shoat with additional idahtmeris)) 1000-122--6-9 I f f i I I certify that all of the Item of infomtsatfon entered on this forin are true and correct{to the best of my knowledge oral belK utxl I muferstmd flint the snaking of any willful false statement of material Putt hemetri will subject me to the prot;•istorA,of the penal law relative to the making and filing of false instruments. ' y ISM BUYER'S ATTORNEY •1 BY: ofo8int3 IWilliam Wa.f.$ej_LLeY %0'31RTl' President "DATE LAST NAME FIRST NAM � 71. 63L 298-•42000 STREET NUMBER STREET NAME WIM SALE) AREA CODE TELEPHONE NUMBER OR TOWN 1 STATE ZIP WOE t ✓LLER C.t'�'YNOWN ASSESSOR 2_ f l.t COP'' Henry W.%Drutc. Dante r' ' Koch Zone Change Request. Current Zoning l 11=4 _ " MD Is LP IF 7 10 ISO i P . ...- 1 a � 'a 'tom► M � . . � ' Southold Town CBer i 0 50 100 Feet Koch Zone Change Request. Current Zoning ,w �} aw '10 vJ '.ss .w 70 1l } r� -- e+ 0 09 J r R Koch j , ►� 122-6-9 y g9► 0.4 ac. ! r k� s TA � F t y rar aa3'i� r � - imp _ y E �t - w , ■ ` V0 J C d i t4 0 50 100 Feet Koch Zone Change Request. Current Zoning rt I r +� �► {. '< ter , 11=4 ,? �� •.yam s� � ' '�y � . ., tY gr i y 'J L J i Koch ` 122-6-9 0.4 ac. VI fiv p c O]" r, vto►" a a 1 i R=80 J C L CC� G 0 50 100 Feet Koch Zone Change Request. Current Zoning 0 it Y s !?fir Koch qJ a .m ,. 122-6-9 -No- 0.4 ac. i B ► 3it WNW t y � $' A :r MEMEL - - I R=80 • L CCU C Feet .N Koch Zone Change Request. Current Zoning 'W J IN. - & r Y 11=4 ~ r -r .a1► air, Ap .0 its s ' # Koch r w 122-6-9 t, �r 0.4 ac. V3 AA ys' HF , F try LL J Q1 ca 0 50 100 Feet Koch Zone Change Request. Current Zoning ' ` {'... „ y A 11=4i ALL", r s Awe — � MFY 1) i!V a G w , LL 9Koch s a► 122-6-9 y �► 0.4 ac. B VAN 4 , 1 RO All 1 � 1r ••" r r9 r Rm80 J C i 0 50 100 Feet rah- F Koch Zone Change Request. Current Zoning „ s j � n 11=4 . lowj - 3, lp ti r ,r• ,A* a lam i LL Koch ►} 122-6-9 3 0.4 ac. F7 BA. x+ 7 All J � u • - R=80 C ---- J C d L V r 0 -50 00 Feet Koch Zone Change Request. Current Zoningbw } low so el ter . 4 _ �r �0 1. ss y sip ? _ - LOW LL Koch xv 11 •. 0.4 ac. � -: r It, !T 1 OFCe .t a 1 -•+' r le R=80 L C� C 0 50 100= Feet Koch Zone Change Request. Current Zoning ,x nj!� J' � ?� 11=4 �r s • .�"s aiV Koch a� f. 122-6-9 y 0.4 ac. Br> W , N - R=80 J C i r 0 -50 100 Fe t Koch Zone Change Request. Current Zoning11=4 :,e;. ,,,, ..• err y a i '✓ r 'SS 00 � y ► Koch ► 122-6-9 ]► 0.4 ac. o 1 d , °* r w 14 a A I I I s. ago M r f y �1 - • eye- _��JY - Yv� Y".:'i.'l4 s `$s. •_ J C� C 0 50 100 t - = RECEIVED ; JAN 3 2017 SQutho,ld-Town Clerk d 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently,there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data,it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: Part 1 Part 2 Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate),and any other supporting information,and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ®A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ®B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* EIC. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) website Date Page 1 of 21 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. Name of Action Location of Action(include Street Address,Municipality and County) Name of Applicant/Sponsor Address City/PO State Zip Code Business Telephone Name of Owner(if different) Address City/PO State Zip Code Business Telephone Description of Action: Page 2 of 21 Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. 1. Present Land Use:®Urban r Industrial El Commercial n Residential (suburban) E]Rural (non-farm) ®Forest F Agriculture F Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) acres acres Forested acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other(Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: ®Well drained %of site ®Moderately well drained %of site. ®Poorly drained %of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres(see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ® Yes ® No a. What is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: ®0-10% % 010- 15% % El l5%or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? ®Yes ® No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ®Yes MNo B. What is the depth of the water table? (in feet) g. Is site located over a primary, principal, or sole source aquifer? ®Yes ® No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Yes ®No Page 3 of 21 'i 11.'Does project site contain any species of plant or animal life that is identified as threatened or endangered? ®Yes No According to: Identify each species: I ,1 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations? I Yes ®No Describe: i 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? F1 Yes ®No If yes, explain: I -- 14. Does the present site include scenic views known to be important to the community? ®Yes No El ,f 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: b. Size (in acres): - - Page 4 of 21 I i i 17. Is the site;served by existing public utilities? Yes No a. If YES; does sufficient capacity exist to allow connection? E]Yes F]No i b. If YES, will improvements be necessary to allow connection? r]Yes FIND 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? i F]Yes ®No :i 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes ®No .I 20. Has the site ever been used for the disposal of solid or hazardous wastes? ®Yes No B. Project Description 1. Physical dimensions and scale of project(fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: acres. b. Project acreage to be developed: acres initially: acres ultimately. c. Project acreage to remain undeveloped: acres. I d. Length of project, in miles: (if appropriate) e. If theiproject is an expansion, indicate percent of expansion proposed. % i f. Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour: (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions(in feet) of largest proposed structure: height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? • 2. How much natural material (i.e. rock, earth, etc.)will be removed from the site? tons/cubic yards. 3. Will disturbed areas be reclaimed ®Yes 0No N/A a.a. If yes,for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? F—]Yes ®No c. Williupper subsoil be stockpiled for reclamation? ®Yes ® No 4. How many acres of vegetation (trees, shrubs, ground covers)will be removed from site? acres. Page 5 of 21 i �I 1 1 5. Will any mature forest (over 100 years old)or other locally-important vegetation be removed by this project? .I Yes No 1 6. If single phase project: Anticipated period of construction: months, (including demolition) 7. If multi-phased: �I a. Total''number of phases anticipated (number) I b. Anticipated date of commencement phase 1: month year, (including demolition) i c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? F _I Yes No 8. Will blasting occur during construction? 17 Yes F7 No 9. Number ofijobs generated: during construction ;after project is complete 10. Number ofijobs eliminated by this project 11. Will project require relocation of any projects or facilities?F—1 Yes ®No i If yes, explain: i 1 12. Is surface liquid waste disposal involved? El Yes No a. If yes,'indicate type of waste (sewage, industrial, etc) and amount b. Name;of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? E]Yes El No Type - 14. Will surface area of an existing water body increase or decrease by proposal? Yes®No If yes, explain: 15. Is project or any portion of project located in a 100 year flood plain? ®Yes M No 16. Will the project generate solid waste? F] Yes ®No a. If yes; what is the amount per month? tons b. If yes, will an existing solid waste facility be used? M Yes No c. If yes, give name ; location Fl d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? Yes No i Page 6 of 21 'i I e. If yes, explain: i 17. Will the project involve the disposal of solid waste? Eyes ®No a. If yes;what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? FYes ®No 19. Will project routinely produce odors(more than one hour per day)? Yes No 20. Will project produce operating noise exceeding the local ambient noise levels? Yes No 21. Will project result in an increase in energy use? ®Yes No If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? ®Yes ® No If yes, explain: Page 7 of 21 25. Approvals Required: Type Submittal Date City, Town, Village Board F1 Yes D No City, Town, Village Planning Board E]Yes El No i1 City, Town Zoning Board Yes No City, County Health Department Yes No Other Local Agencies M Yes ® No Other Regional Agencies Yes No State Agencies M Yes ® No Federal Agencies M Yes ®No C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? ElYes ® No If Yes, indicate decision required: Zoning amendment E] Zoning variance New/revision of master plan Subdivision Site plan ri Special use permit EI Resource management plan Other Page 8 of 21 2. What is the zoning classification(s) of the site? -- - - --- -------- - ----- --- - - -- -- -- -- --- - - - - -- - - ----- --------- - ------- -- 3. What is the maximum potential development of the site if developed as permitted by the present zoning? i 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? �Yes 0 No 7. What are the predominant land use(s) and zoning classifications within a 'A mile radius of proposed action? i i 8. Is the proposed action compatible with adjoining/surrounding land uses with a A mile? Yes No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? Page 9 of 21 10. Will proposled action require any authorization(s) for the formation of sewer or water districts? F-1 Yes El No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? Yes E] No a. If yes, is existing capacity sufficient to handle projected demand? Yes No 12. Will the proposed action result in the generation of traffic significantly above present levels? Yes No a. If yes,its the existing road network adequate to handle the additional traffic. ®Yes ®No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name Date Signature Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 PART 2 -PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) ! In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. ! The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of . magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But,for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response,thus requiring evaluation in Part 3. ! The impacts of each project,on each site,in each locality,will vary. Therefore,the examples are illustrative and have been offered as guidance They do not constitute an exhaustive list of impacts and thresholds to answer each question. ! The number of examples per question does not indicate the importance of each question ! In identifying impacts,consider long term,short term and cumulative effects. Instructions(Read carefully) a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers C. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact.If impact threshold equals or exceeds any example provided,check column 2. If impact will occur but threshold is lower than example,check column 1. d. Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. e_ If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact',also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change Impact on Land 1. Will the Proposed Action result in a physical change to the project site? NO YES Examples that would apply to column 2 • Any construction on slopes of 15%or greater,(15 foot � Yes ®No rise per 100 foot of length),or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table 17 ® F] Yes [D No is less than 3 feet. • Construction of paved parking area for 1,000 or more ® ® ® Yes MNo vehicles. • Construction on land where bedrock is exposed or rl Yes M No generally within 3 feet of existing ground surface. • Construction that will continue for more than 1 year or ® ® ® Yes []No involve more than one phase or stage. • Excavation for mining purposes that would remove ® ® Yes ®No more than 1,000 tons of natural material(i.e.,rock or soil)per year. Page 11 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Construction or expansion of a santary landfill. ®Yes O No • Construction in a designated floodway_ 0 0 OYes ONo • Other impacts: 0 ®Yes 0 No 2_ Will there bean effect to any unique or unusual land forms found on the site?(i.e.,cliffs,dunes,geological formations,etc.) ONO ®YES • Specific land forms. 0 0 ®Yes O No Impact on Water 3. Will Proposed Action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) 0 NO,. 0 YES Examples that would apply to column 2 • Developable area of site contains a protected water body. ® ® Yes 0 No • Dredging more than 100 cubic yards of material from channel of ® Yes No a protected stream. • 0 Extension of utility distribution facilities through a protected water Yes No ® © body. • Construction in a designated freshwater or tidal wetland. 0 0 Yes 0 No • Other impacts: Yes ®No 4. Will Proposed Action affect any non-protected existing or new body of water? ONO OYES i Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body of 0 0 Yes 0 No water or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface ® 0 Yes 0 No area. • Other impacts: ® Yes 0 No t , Page 12 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 5. Will Proposed Action affect surface or groundwater quality or quantity? RNO ®YES Examples that would apply to column 2• Proposed Action will require a discharge permit. ® ® ®Yes ®No • Proposed Action requires use of a source of water that does not ® ® ®Yes ®No have:approval to serve proposed(project)action. • Proposed Action requires water supply from wells with greater R F Yes No than 45 gallons per minute pumping capacity. • Construction or operation causing any contamination of a water F1 ® - n Yes ®No supply system. • Proposed Action will adversely affect groundwater. n Yes n No • Liquid effluent will be conveyed off the site to facilities which R n ®Yes R No presently do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons ® ®Yes No per day. • Proposed Action will likely cause siltation or other discharge into ® ® ®Yes ©No an existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or R n Yes ED No chemical products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without El ®Yes ®No water and/or sewer services. • Proposed Action locates commercial and/or industrial uses D E]Yes F]No which may require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: © E]Yes E]No Page 13 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change 6. Will Proposed Action alter drainage flow or patterns,or surface water runoff? ® 'NO ®YES Examples that would apply to column 2 • Proposed Action would change flood water flows F ®Yes ®No • Proposed Action may cause substantial erosion. nYes FI No • Proposed Action is incompatible with existing drainage patterns. ® ® []Yes ®No • Proposed Action will allow development in a designated F] Fl Yes n No floodway. • Other impacts: EJYes E]No IMPACT ON AIR 7. Will Proposed Action affect air quality? ®NO ®YES Examples that would apply to column 2 • Proposed Action will induce 1,000 or more vehicle trips in any 0 E]Yes F-1No given hour. • Proposed Action will result in the incineration of more than 1 ton ® F7 F]Yes ®No of refuse per hour_ • Emission rate of total contaminants will exceed 5 lbs.per hour ® Yes ®No or a heat source producing more than 10 million BTU's per hour • Proposed Action will allow an increase in the amount of land ® ®Yes ®No committed to industrial use. • Proposed Action will allow an increase in the density of E]Yes n No industrial development within existing industrial areas. • Other impacts: ® ® ®Yes M No IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangered species? nNO 171YES Examples that would apply to column 2 • Reduction of one or more species listed on the New York or ® ® ®Yes ©No Federal list,using the site,over or near the site,or found on the site. Page 14 of 21 i 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Removal of any portion,of a critical or significant wildlife habitat ® EJ Yes n__No • Application of pesticide or herbicide more than twice a year, ® ® ®Yes n No other than for agricultural purposes. • Other;impacts: ® El ®Yes E]No 9. Will Proposed Action substantially affect non-threatened or non- endangered species? n NO ®YES Examples bat would apply to column 2 • Proposed Action would substantially interfere with any resident ® ®Yes ®No or migratory fish,shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres of ® F] ®Yes n No mature forest(over 100 years of age)or other locally important vegetation. • Other impacts: ® ® ®Yes ®No IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will Proposed Action affect agricultural land resources? ®NO DYES Examples that would apply to column 2 • The Proposed Action would sever,cross or limit access to Yes F_J No agricultural land(includes cropland, hayfields,pasture,vineyard, orchard,etc.) • Construction activity would excavate or compact the soil profile of n F- -]Yes n No agricultural land. • The Proposed Action would irreversibly convert more than 10 ® ri F]Yes ®No acres of agricultural land or,if located in an Agricultural District, more than 2.5 acres of agricultural land. Page 15 of 21 i 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • The Proposed Action would disrupt or prevent installation of ® Yes ®No agricultural land management systems(e.g.,subsurface drain lines,i utlet ditches,strip cropping);or create a need for such measures(e.g.cause a farm field to drain poorly due to increased runoff) • Otherlimpacts. D E]Yes 1:1 No IMPACT ON AESTHETIC RESOURCES 11. Will Proposed Action affect aesthetic resources?(If necessary, use the Visual;EAF Addendum in Section 617.20,Appendix B.) �NO ®YES Examples that would apply to column 2 • Proposed land uses,or project components obviously different ® ® ®Yes ®No from o�in sharp contrast to current surrounding land use patterns,whether man-made or natural. • Proposed land uses,or project components visible to users of ® ©Yes ®No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or ® ® ®Yes ®No significant screening of scenic views known to be important to the area. • Other impacts: ® ® ®Yes ®No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposeid Action impact any site or structure of historic, prehistoric or paleontological importance? n NO, F]YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or El ® ®Yes El No substantially contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within ® ri Yes rl No the project site. • Proposed Action will occur in an area designated as sensitive F ® rl Yes ® No for archaeological sites on the NYS Site Inventory. Page 16 of 21 i 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Other impacts: El El E]Yes ®No IMPACT ON OPEN SPACE AND RECREATION I 13. Will proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? NO ®YES Examples that would apply to column 2 FI • The permanent foreclosure of a future recreational opportunity. 0 ®Yes No • A major reduction of an open space important to the community. D F-� ®Yes F-I No • Other impacts: ® ® ®Yes ®No - - - - - - - - - - - -- --- - —---- - ----- - - -- - - — - -- - IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will Proposed Action impact the exceptional or unique characteristics of a critical environmental area(CEA)established pursuant to subdivision 6NYCRR 617.14(g)? ®NO ®YES List the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2 • Proposed Action to locate within the CEA? M M RYes nNo • Proposed Action will result in a reduction in the quantity of the n ® M Yes M No resource? • Proposed Action will result in a reduction in the quality of the M r-J Yes FINo resource? • Proposed Action will impact the use,function or enjoyment of the F] [I E]Yes M No resource? • Other impacts* ® ® E]Yes No Page 17 of 21 I 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON TRANSPORTATION 15. Will there tie an effect to existing transportation systems? ®N O ©YES I Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or U n rlYes r-J- No goods. • Proposed Action will result in major traffic problems. r]Yes []No • Other impacts: El ®Yes ED No ' I IMPACT ON ENERGY 16. Will Proposed Action affect the community's sources of fuel or energy supply? ®NO ®YES I Examples that would apply to column 2 • Proposed Action will cause a greater than 5%increase in the n El Yes n No use of any form of energy in the municipality. • Proposed Action will require the creation or extension of an r Yes r-1 No energy transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industrial use. • Other impacts: []Yes [7- No I NOISE AND ODOR IMPACT 17. Will there be objectionable odors,noise,or vibration as a result of the Proposed Action? rlNO n-YES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive ® n Yes r-I No facility. • Odors will occur routinely(more than one hour per day). © Yes n No • Proposed Action will produce operating noise exceeding the r] ®Yes ®No local ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a n Yes F No noise screen. • Other impacts: ® El DYes 0 No Page 18 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety? riNO nYES i • Proposed Action may cause a risk of explosion or release of rYes E]No hazardous substances(i.e_oil,pesticides,chemicals,radiation, etc.)in;the event of accident or upset conditions,or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of"hazardous wastes" El r1Yes 0 No in any form(i.e.toxic,poisonous,highly reactive,radioactive, irritating,infectious,etc.) • Storage facilities for one million or more gallons of liquefied EJ OYes n No naturaligas or other flammable liquids. • Proposed Action may result in the excavation or other ® nYes ®No disturbance within 2,000 feet of a site used for the disposal of solid or,hazardous waste. • Other impacts: DYes 0 No IMPACT ON GROWTH AND CHARACTER OF COMMUNITY OR NEIGHBORHOOD 19. Will Proposed Action affect the character of the existing community? ©NO : nYES Examples that would apply to column 2 • The permanent population of the city,town or village in which the n ® ®Yes r1No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating 0 ® 17Yes D No services will increase by more than 5%per year as a result of this project. • Proposed Action will conflict with officially adopted plans or ® ®Yes ®No goals. • Proposed Action will cause a change in the density of land use. ® ® nYes 17 No • Proposed Action will replace or eliminate existing facilities, ®Yes ®No structure's or areas of historic importance to the community. • Development will create a demand for additional community EJYes n No services(e.g.schools,police and fire,etc.) Page 19 of 21 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change • Proposed Action will set an important precedent for future M Yes No projects. • Propos i ed Action will create or eliminate employment. El Yes No • Other;impacts: El El ®Yes ©No 20. Is there,or is there likely to be,public controversy related to potential adverse environment impacts? N O YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 Page 20 of 21 l i 1 � Pars:3 - EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s)is considered to be potentially large,even if the impact(s)may be mitigated Instructions(If you need more space,attach additional sheets) Discuss the following for each impact identified in Column 2 of Part 2: 1.' Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s) 3. Based on the information available,decide if it is reasonable to conclude that this impact is important. To answer the question of importance,consider. ! The probability of the impact occurring ! The duration of the impact ! Its irreversibility,including permanently lost resources of value ! Whether the impact can or will be controlled ! The regional consequence of the impact ! Its potential divergence from local needs and goals ! Whether known objections to the project relate to this impact. I i i I ; I I f 1 Page 21 of 21 � "' (t)UNAUTHORIZED ALTERATION OR ADDITION TD THIS SURVEY 6 A YIOI.ATION OF SECTION 7209 OF THE NEW PORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY ONES TO E Me STRUCTURES ARE FOR A SPECIFIC PURPOSE AN IOT TO BE USED TO ESTABLISH PROPERTY IINES OR FOR ERECTION OF FENCES LAND(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL R ASSIGNEES UN ONLY TO THE PERSON FOR VMOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOV"ENTAL AGENCY AND(ENDING INSTITUTION U51ED HEREON,AND TD THE AS OF THE ANC INSDI ;EFMncA7I0NS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue,Riverhead,New York 11901 W tel.651.772 T.2505 tax.651.121.0144 Nadmtrl®youngengineering.l:om Howard W.Young,Land Surveyor Thomas C.Wolport,Professional Engineer Douglas E.Adams,Professional Engineer O f >0'r b of d Robert C.Tast,Architect \` rOy" r N• NOf �vdy 517E DATA a Of M ` a AREA = 18,237 SQ. FT. O X\\y \ y 11 g \ ��A fy�' \ �2 a y� \ 0 O Oil AO s \ N10 b�� �' SURVEYOR'S CERTIFICATION N \ 9 O 0 WE HEREBY CERTIFY TO DICKERS0NIS MARINE THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF g� �, PRACTICE FOR LAND SURVEY5 ADOPTED BY THE G STATE Qo r s Q ASSOCIATION OF PRDF_�IONAL LAND 5uR Z u / t HOWARD W.YOUN6,N.YS. \ Z 9 o I of y Of f N SURVEY FOR OvA OS �s O t�LTT �arov\ D I CKERSON'S MARINE o ., at Mottltvck, Town of Southold 0�3,00"V, finef\yofg\ `\ s 5vffolk Covntg, New York 10 �o u� pY, Of CERTIFIED SURVEY County Tax Map Di-m-t 1000 s-tin 122 81—06 Lot 09 FIELD SURVEY COMPLETED MAY 06,2016 MAP PREPARED MAY 09,2016 Record of Revisions RECORD OF REVISIONS DATE e \\ O 0 0 15 50 60 Scale: 1" = 50' a JOB NO. 046 I or-1 PINS.2016-00416_0046_cs L]= Moms,-m T SET ■=MONUMENT FOUND = STAKE SET A=STAKE FOUND (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A IAOLA70N 07 SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO SE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIRCATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTION$M SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W'),SEPTIC TANKS(SE)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York IIQOI N / tel. 631.12-7.2303 fax. 631.127.0144 admin@youngengineering.com -40 W Howard W. Young, Land Surveyor Thomas C.� < ineer Goy ' 0'\A2-0\�2g• '/ �< ,• Douglas E. Adams, ms, Professional Ent, Professional gineer R-40 \pp / e S /i / w � E Robert C. Tost, Architect R-SO T AHD SITE DATA R ° {y�� AREA = 18,257 50. FT. e ° ZONING USE / / " APPLICANT = KOCH HOLDING CORP. e \ i 540 N. OAKWOOD DRIVE B ` s R-40 AHD = AFFORDABLE HOUSING D15TRICT , /' // \ LAUREL, NEW YORK II145 5 = GENERAL BU51NE55 R1-40 LI&T I D AL T LIAILOW DENSITY(I ACRE) /// \22'06'2\ \\\\ T DE ES=R-80 RESIDENTIAL LOW DENSITY(2 ACRE) Y / \O 0 \ I � 0 i R-SO i RO = RESIDENTIAL OFFICE O� KEY MAP SCALE: I"=600' / /� �� `\ \\ //// \ppp-\22' / \\ 4 \ / \ P\ \ppp 0� // /' \ \ \ '- / \000- \ppp-\ \ \ OWNERS 22' 1000-122-06-2.1 1000-122-6-22.1 UNITY BAPTIST CHURCH Q025 MAIN ROAD LLG 56 FACTORY AVENUE lOOg5 MAIN ROAD, UNIT 4 MATTITUGK, NEW YORK II1-T52 MATTITUGK, NEW YORK IIg52 (RELIGIOUS) (BANK COMPLEX) 1000-122-06-5 1000-142-01-25.1 / \ \ \ / \ \ UNITY BAPTIST CHURCH BETHANY CEMETERY ASSOCIATION 56 FACTORY AVENUE I-TOO PARK AVENUE / \ \ \ \000, \ MATTITUGK, NEW YORK II0152 MATTITUGK, NEW YORK II15.2 \ (RELIGIOUS) (CEMETERY) 1000-122-06-4 1000-142-0I-26 / \\ l \\ \` \ \ / JOSEPH SIDNEY MATTITUGK PLAZA LLG PO BOX 443 PO BOX •7-7 MATTITUGK, NEW YORK IIg52 MATTITUGK, NEW YORK IIg52 (I FAMILY RES) (5HOPPIN6 CENTER) , \ \\ \\ \ 'p6 1 �00 1000-122-06-05 1000-142-01-2-7 If \ \ \ \\ \\ \p00'\22 NANCY LEE MOORE LAMA PROPERTIES-DEER INC. 504 FACTORY AVENUE: 520 FRONT POND ROAD MATTITUGK, NEW YORK IIg52 OLD BROCKVILLE, NEW YORK 11545 (I FAMILY RES) (RETAIL SERVICE`.) ` I \ \ \ `\/ �\ \ p(j-� 1000-122-06-4 1000-145-01-I \ \ \ ' \ppp- \ MARY RAY MAY 4 TONEY INC. \ I ` \ \0 0 -\6 PO BOX 50'7 1 WE5T MAIN STREET \ I \ \ \ \ qq1 0 MATTITUGK, NEW YORK IIa52 HAMPTON BAYS, NEW YORK 11�146 \ \ ' \ \ \ \82' N \4F '0\(I FAMILY RES) (RESTAURANT) \ � I \\ a 31� 1000-122-06-7 1000-145-01-2 \ I \ I \ N.,p k m O \ '\0 3 O 33 A MARY E. MILLS GGB ENTERPRISES LLG \ y��rA � \ O ATTN: JOHN BOURDREAU POA g700 MAIN ROAD 265 FACTORY AVENUE MATTITUGK, NEW YORK IIg52 MATTITUGK, NEW YORK 1ig82 (DEALER-PROD) \ I \ \ \ (I FAMILY RES) I ` \ \ ` \ 1000-145-0I-4.1 I \ \ O 1000-122-06-8 MAR6ARET NOONE \ ' \ �� \� 0 HERMAN H, HUBBARID 4 JUDY AYTULIN 21C 51655EE ROAD \ 115 FACTORY AVENUE MATTITUGK, NEW YORK IIg52 \ I \\ 1 \ \ MATTITUGK, NEW YORK IIg52 (I FAMILY RES) \\ \ \\ ppp'\22-0 (I FAMILY RES) \ G l000-143-02-05 \\ \ 1 \22" p p.\22' o oog1 0 / II\ 1000-122-06-10 NORTH FORK HORIZONS LLG O 6\ \000 'o \ 5\0 O6-\3 \ O 11 p,q�j \22- p-\A I \ JAMES J. KREH FAMILI' TRUST 105 HUDSON STREET \ t\ `\ \00� \O 6, \00013 f 1500 CHALLENGER AVENUE NEW YORK, NEW YORK 10015 ;\\ \ \\ \ DAVENPORT, FLORIDA 335g� (I FAMILY RES) (SNACK BAR) 2D0 ` 1000-143-02-6 \ \\ \ \ ,- `� op'\22,06-\\ \ / \ 5URVEYOR'S CERTIFICATION I000-122-06-11 DAVID F. HAAS 4 SUSAN M. HAAS ANTHONY J. ANTON6EOR6 W 1 2'15 SI65BEE ROAD o\ \ \\ \ \ \O \ 31"15 ROUTE 45 MATTITUGK, NE YORK IIg O52 \ 6'\ \ MATTITUGK, NEW YORK IIg52 (I FAMILY RES) 00-\22' \ \ 2 p(0'\1 (GAS STATION) \ \O \00 0'\2 ' 7 N 1000-143-02- \ \ \\ \ 0 \22- 1000-122-06-12 JEAN HIE6LER \ \ \ \ \0 CAPT. REDS MARINE SALES 180 HORTON AVENUE \pp \ \ o PO BOX 525 VALLEY STREAM, NEW PORK 1158,0 p(O'\� of MATTITUGK, NEW YORK IIg52 (SEASONAL RES) \ \ \ 00-\22' \ \ \ \ \ \'� v /' / N (OTHER STORAGE) \ \ \0 /0AA3- 1000-143-02-25 1000-122-06-13 L15ELOTTE H. URIST / \ ..� / \p O3 MIGHAEL HUGHE5 4 THERESE HUGHE5 PO BOX 1436 \ 605 BAY5HORE ROAD MATTITUGK, NEW YORK IIg52 s GREENPORT, NEW YORK 11144 (1 FAMILY RES) (I FAMILY RES) 22� \ \T \ \ t 1. N 1000-143-02-26 06' \\ 1000-122-06-14 LISELOTTE H. URIST 0 MIGHAEL HUGHE5 4 THERESE HUGHE5 PO BOX 1436 \0 605 BAYSHORE ROAD MATTITUGK, NEW YORK IIg52 3 6REENPORT, NEW YORK IIg44 (VACANT) \ \ ` HOWARD W. Y'OUN6, S. L.S. NO. 455g3 � ND (I FAMILY RES) \0p0'\ \ \ \'2 1000-145-02-50.2 \\ \\ ` 1000-122-06-15 5CP 2005-G21-051 LG `\ \ \ ` p\-2 / MIGHAEL HUGHE5 C/o GVS CORPORATION 605 BAYSHORE ROAD ATTN. PROP TX DEFT STORE 5105 0 \000 \ \q2 \ \ \ 6REENPORT, NE E:W YORK IIg44 ONE GVS DRIVE \\ \22' 6' 0\-\ / \!k3' / MAP PREPARED FOR (I FAMILY RES) WOONSOCKET, RHODE ISLAND 025g5 \ \ \pp \ \ \0 -2 1000-122-06-16 (LARGE RETAIL) \ \ ` 02 // D I C Ep GO}� S MARINE THERESE HUGHE5 1000-145-05-I \\\ l� Imo✓ I�l 605 BAYSHORE ROAD NOFO PARTNERS LLG \ Q \ \ ` �' at Mattituck, TOWn of Southold 6REENFORT, NEW YORi: IIg44 332 BLEEGKER STREET F48 12 (VACANT) NEW YORK, NEW YORK 10014 (I USE SM BLD6) \ \ \ / \po 2 /\ // \pp 2 2 Suffolk County, New York 1000-122-06-1 Av KEIL FAMR5 LLG 1000-145-05-51 \ / °0 50 EAST&ATE DRIVE, WILLIAM T. COLLINS 4 KATHLEEN R. \ \ \ \ D U5 MAP \ \ 'HUN71NTON, NEW YORK: 11-143 COLLINS \ \p0 0' r7 A\ O 0 (1 FAMILY RES) 52 NEW HIGHWAY \ \ \ 0\' \00 (0 / County Tax Map District 1000 Section 122 Block 06 Lot 01 o COMMACK, NEW YORK I1.725Ile 0 1000-122-06-15 (I FAMILY RES) \ \MARIUSZ JAGHMOWIGZ .O�\ 'q / MAP PREPARED OCT. 06, 2016 a \ / g315 ROUTE 25 1000-143-03-33.4 \ \00p-\22 MATTITUGK, NEW YORK IIg52 UNEXCELLED LLG \ \\ \ /i \ Record of Revisions (2 FAMILY RES) C/o ROY 50HOENHAAR \ \ 550 EA5TWOOD DRIVE \ \ REVISION DATE 1000-122-06-Ig.l CUTCH06UE, NEW YORK II135 / DOROTHY SAUNDERS (BANK/OFFICE) ATTN: MURIEL AIL50N / \ PO BOX 642 MATTITUGK, NEW YORK 11,152 (VACANT) / \ i 1000-122-6-Ig.2 o g255 MAIN RD LLG \ 60 0 30 60 120 150 PO BOX 645 m MATTITUGK, NEW YORK IIg52 \ \ (I FAMILY RES) \ Scale: I" = 60' a JOB NO. 2016-0046 E = MONUMENT 5ET ®= MONUMENT FOUND = STAKE 5ET ®= STAKE FOUND DWG. 2016_0046_rodius I OF I