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ARC HITE VISUALIZATION �
OtILY FOR INTERNAL REVIEW -
9
or ��
Nathan Taft Corwin III Land Surveyor, P.C.
Successor to Stanley J. Isaksen, Jr. PLS & Joseph A. Ingegno, PLS
E-Mail: ncorwin3@aol.com
Tel: (631)727-2090 Offices located at
Fax: (631)727-1727 1586 Main Road
Mail: P.O. Box 16 Jamesport, NY 11947
Jamesport, NY 11947
Alan Cardinale Jr.
P.O.Box 77
Mattituck,New York 11952
RE: 9025 Main Road, Mattituck,New York
Dear Alan,
The computed lot area for 225 Hobson Drive,Mattituck,New York, Suffolk County Tax
Lot No. 1000-122-06-28 is 189,960 sq. ft. or 4.361 ac.
Yours truly,
x) iC u
Nathan T. Corwin III LS
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STATE µ
PRODUCED RYAN AUIDDESKEDUCATIONAl PRODUCT
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SUBJECT
PREMISES
3 SEP 0 4 2020
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KEY MAP
SCALE 1 "= 600'
40 0 40 80 120
Scale 1 " = 40 '
/ SITE PLAN FOR
9025 MAIN ROAD , LLC
SI T UA TE
MATTITUCK
000e `/// TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000- 122-06-22. 1
SCALE 1 "=40'
o /
SEPTEMBER 25, 2018
/ O.A pip/per AUGUST 14, 2020 SITE PLAN
AREA = 325,273 sq. ft.
/ �•�y p\`�� Q\G�• 7.467 ac.
5�
O ��JSti 0 WNER:
9025 MAIN ROAD, LLC
10095 MAIN ROAD, UNIT 4
MATTITUCK, NEW YORK 11952
�O / NOTES:
1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:
RST FLOOR
GARAGE FLOOR
OP OF CURB
BOTTOM OF
TOP OF WALLURB
BOTTOM OF WALL
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EXISTING USE NITROGEN LOAD 0 o
COMPARISON TO PROPOSED USE RESERVE DISPOSAL SYSTEM
0
Restaurant Seats 200 s o
gpd/seat 30 VOL O : SAO• ` /,/
Restaurant Flow(gpd) 6,000 xxx o
off. V
Retai l (ftZ) 70,000
x �� ,.
�• ..
zy g/0
gpd/ft' 0.10 d1z
Retail Flow(gpd) 7,000a o Q\S'�%\6to A �
Total Wastewater Flow (gpd) 13,000
a o o "S�
Conventional Sepitc System '4G/JS
60
o
Effluent Total Nitrogen(mg/L) /
Attenuation in Drainfield 25%
Total Nitrogen Load to Peconic o
Watershed (Ib/year) 1782 0 0 _
Proposed System Reduction in N/p/F N :.:';,•�; : ' O O /
Nitrogen Load to Peconic Bay 73% 9025 MAIN ROAD LLC N /
/
by
10095 MAIN ROAD UNIT 4 RIMARY DISPOSAL SYSTEM
Watershed MATTITUCK, NY 11952 0.
O
O o
PROPOSED USE NITROGEN LOAD /
Restaurant Seats 300 N/0/F /
MARK A. FARINA
gpd/seat 30 355 HOB
MATTITUCK,
DRIVE O�
d 9 000
Restaurant Flow MATTITUCK, NY 11952 N O
(gpd) o O /
Catering Seats 300
gpd/seat 8 � •_' `:; �:. o . . .x,-. ,
Catering Flow(gpd) 2,250
Suites w/kitchenette and laundry 4
gpd/suite 225 00 �0�, '
Suites Flow(gpd) 900
�� .. - • .. `� � � ��� �QPM
Hote l Rooms 121
gpd/room 150
Hotel Room Flow(gpd) 18,150 o ,
Office Space (ft`) 840
gpd/ftZ 0.06
Office Space Flow(gpd) SO
Spa (ft2) 1,500
gpd/ftZ 0.10
Spa Flow(gpd) 150 Leaching Pool Design Crites ValUe
Retail (ft`) 2,500 Design Flow (gpd) 31,000 S
gpd/ft2 0.10 Hydraulic Loading Rate (gpd/ft) 6.0 / f
Retail Flow(gpd) 250 Min. Sidewall Area Required ye) 6,200 45 '
Pool '
Total Wastewater Flow (gpd) 30,750 Leaching Diameter(ft) 10 1
.O`1.0� ,
Nitrex System Effluent Total Leaching Pool Effective Depth (ft) 10
Nitrogen(mg/L) 5 ##of Leaching Pools Proposed 20 � O S
Total Nitrogen Load to Peconic Total Sidewall Area Prop. (ftp) 6,2133
Watershed (lb/year) 468 Sidewall Area Prop -%or Req. 101.30% SGCo /
r
of QP U•'/�• y
TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEOSCIENCE ON JULY 30, 2020)
DRAINAGE SYSTF,M CALCULATIONS: EL 2 ' 0'
e
PAVEMENT AREA: 94,300 sq. ft. �QyT
94,300 sq. ft. X 0.17 = 16,030 cu. ft.
16,030 cu. ft. / 42.2 = 380 vertical ft. of 8' dia. leaching pool required BROWN SILTY SAND SM J
PROVIDE (38) 8' dia. X 10' high STORM DRAIN POOLS
BUILDING ROOF AREA: 78,800 sq. ft.
78,800 sq. ft. X 0.17 = 13,396 cu. ft. /V
13,396 cu. ft. / 42.2 = 318 vertical ft. of 8' dia. leaching pool required PAIS BROWN FINE SAND SP ,
PROVIDE (32) 8' dia. X 10' high STORM DRAIN POOLS
EL.5.4' los' ,
PROPOSED STORM DRAIN POOLS ARE SHOWN THUS: TEST WELL No. USES 4�_so72�OROS 1 w�1 STO /
EL 3.5' 25' `` QUr�OGf
TEST HOLE GROUNDWATER WATER IN G '
PALE BROWN FINE SAND SP /
28'
,
/
NOTE: I
1 . MAP MADE FROM OFFICE RECORDS AND FIELD OBSERVATION. , PREPARED IN ACCORDANCE WITH THE MINIMUM
2. SANITARY SYSTEM AS PER LAYOUT BY LOMBARDO ASSOCIATES, Inc. I BY�THERL .I.A.L.S. AND APPRDS FOR TITLE OVED SURVEYS AND ADOPTEDAS '
3. SITE PLAN BASED ON PLANS BY GREGORY SHARP ARCHITECT, P.C. FOR SUCH USE BY THE NEW YORK STATE LAND
�Yv
TITLE Assocwno�N� O '
3. PERVIOUS/IMPERVIOUS COVERAGE CALCULATION:
PERVIOUS LOT AREA = 116,580 sq. ft. (35.8%)
IMPERVIOUS LOT AREA = 208,696 sq. ft. (64.2%) o -
4. PARKING CALCULATION: o
125 HOTEL ROOMS AT 1 SPACE PER ROOM 125 SPACES 4 • t-I
RESTAURANT & CATERING HALL FLOOR AREA 17,557 sq. ft. 176 SPACES
AT 1 SPACE PER 100 sq. ft. FLOOR AREA
RESTAURANT & CATERING HALL FLOOR AREA 17,557 sq. ft. 176 SPACES I 1
HANDICAP (FOR 301 — 400 SPACES) 8 SPACES
TOTAL SPACES REQUIRED 309 SPACES k ,/N.Y.S. Lic. No. 50467
TOTAL SPACES PROVIDED 313 SPACES '
I
UNAUTHORIZED ALTERATION ADDITION t h n Taft Corwin
®� i n Ill TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW. Lary Surveyor
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
7 i TO BE A VALID TRUE COPY.
QZUzCERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S.
® tl� f ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S.
IS PREPARED, AND ON HIS BEHALF TO THE
? TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
LENDING INSTITUTION LISTED HEREON, AND
_• TO THE ASSIGNEES OF THE LENDING INSTI- PHONE 631)727-2090 FOX (631)727-1727
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF
THE EXISTENCE RIGHT WAYS 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
NITREX TREATMENT SYSTEM
The Site Plan compares existing system Nitrogen Load to Propose System Nitrogen Load,with a reduction
of 73%.
Below is a Process Flow Diagram and a narrative describing the Nitrex system which can be cut and pasted
into whatever documents you are submitting. Please let me know if you need this in a different format or if
you need any additional information.
Nitrex Treatment System
NitrexTm
Nitrex
Building Septic Recirculating Denite Leaching
Sewer Tanks Media Filter Filter Pools
Building wastewater discharges to septic tanks in which solids settle and clarified effluent flows to the
Nitrex System for treatment prior to discharge to leaching pools. The Nitrex System consists of
Recirculating Media Filters (RMF) and Nitrex Denitrification Filters. The RMF utilizes a foam material onto
which wastewater is sprayed and nitrogen removing bacteria convert ammonia to nitrates with partial
nitrate removal. Wastewater is recirculated between 3 and 5 times(operator adjusted) prior to being
discharged through the wood based media within the Nitrex Filters,which provides the needed carbon for
denitrifying bacteria to remove nitrates prior to final discharge. The system achieves an overall nitrogen
removal of 94+/-/a with an typical effluent Total Nitrogen of 3+/-mg/L.
H
EXISTING BUILDINGMcDonald Geoscience
y> • �s �, Box 1000 Soothold.NY 11971 631.7135.3677
O �X6 mrdgen eg4,,mnJl.rom
PROPOSED BUILDING OUT NE
.hrO �� O Tilt Helc Data .Shcct
E T T �`�� �°���°
(PORTION CLOS cry 200-ft Building Name: Cardinale 9025 Main
TREATMENT SYSTE ONLY) , �, � ��° Setback to WWTF
Surveyor: NC
Location: Mattituck
,5���°O��tij • �' Tax Map Number: 1000-122-6-22.1
.� Project Description: Site plan
Date: 713012020
RSP
Asphalt
—— ---- 0.2'
RSP Brown silty sand SM
2.
RESERVE OAR
w •
C
TREATMENT AREA
Fro
9,300-sq. ft. ���s
• wN°•vr�oR'"
2 a v�rr a Pale brown fine sand SP
�oJJ
0000
5� P
y 0 • OcP
. Z. • ce
• �P
E° OoP -------- 25'
e+� Water in pale brown fine sand SP
�Ne Seo cr
TA '�. VOI 28'
`Z.
T, �, �,Y�t� Comments: Water encountered 25'below surface
PRIMARY TREATMENT 1 i
�' � �, r' °2 � � EXISTING USE NITROGEN LOAD
AREA - 9,3U0-Sq. ft. ° COMPARISON TO PROPOSED USE
.°P
c •`� , GNc^ Nitrogen Load Reduction to Peconic Bay Watershed
9 •oQ �i
Restaurant Seats 200
�H • • • ' �, gpd/seat 30
C, GA
Restaurant Flow(gpd) 6,000
9 m �
• � � Retail(ft) 70,000
gpd/ftZ 0.10
i 6ti5 Retail Flow(gpd) 7,000
C,. 5�°�' �g Total Wastewater Flow (gpd) 13,000
A of Conventional Sepitc System Effluent
No. Total Nitrogen(mg/L) 60
• �� . Attenuation in Drainfield 25%
Existing System Total Nitrogen Load to 1,782
•
Peconic Watershed(lb/year)
'A"A Proposed System Total Nitrogen Load to
a5,0 ►''� �� ccwR °1° Peconic Watershed(lb/year) 480
Total Reduction in Nitrogen Load 1,302
(ib/year)
Proposed System Reduction in Nitrogen o
Load to Peconic Bay Watershed 73.1/
o SEP 0 420E0 PROPOSED USE NITROGEN LOAD
° _ Restaurant Seats 300
o ° �. - -' pd/seat 30
PRIMARY DI O SAL ° ,.o'� Restaurant Flow(gpd) 9,000
AREA - 6 70 -s ft ° Catering Seats 300
' q. • gpd/seat 8
N 0/F
Catering Flow(gpd) 2,250
9025 MAIN ROAD LLC p ° °
%CP Suites w/kitchenette and laundry 4
00,
°oJ V�A ° o pd/suite 225
°
T% dao ' Suites Flow(gpd) 900
Hotel Rooms 121
N 0 F 2 ° • gpd/room 150
MARK A.FARINA '`°
No. c • Hotel Room Flow(gpd) 18,150
N� %c ° ° . • o ° t�� 150-ft Buildable Office Space (ftZ) 840
N� d ,'S° Lot Propertpd/ftz 0.06
° ° ° ��O Office Space Flow(gpd) 50
° ���� Line Setback to WWTF Spa (ft) . 0
O gpd/ftZ 0 0.110
200-ft Building
0 Leaching Pool Design Criteria Value Spa Flow(gpd) 150
Setback to WWTF
�� �� Design Flow (gpd) 31,000 Retail (ftZ) 2,500
y pd/ft 0.10
�'9 p Hydraulic Loading Rate (gpd/ftZ) 5.0 z
041 ;� Min. Sidewall Area Required (ftZ) 6,200 Retail Flow
(gpd) 250
� . RESERVE DISPOSAL Leaching Pool Diameter(e 10 Dotal Wastewater Flow_(gpd) 30,750
Leaching Pool Effective Depth (ft) 10 Nitirex System Effluent Total 5
AREA - 6,700-Sq. ft. #of Leaching Pools Proposed 20
Total Sidewall Area Prop. (ft) 6,283 N itiroge n(mg/L)Total Nitrogen Load to Peconic
Sidewall Area Prop -%or Req. 101.3% Watershed(Ib/year) 468
REVISIONS CONFIDENTIAL: PROPERTY NOTE: LOMBARDO ASSOCIATES , INC.
OF LOMBARDO ASSOCIATES, Under penalty of law, it is illegal for any person, Environmental Engineers/Consultants
unless acting under the direction of a LICENSED 188 Church StE-mail: pio�Lombardoassociates.com PRELIMINARY LAYOUT - 31 ,000-GPI)
INC. Newton, Massachusetts 02467 WWeb Site:
Professional Engineer, to alter any item on this (617) 964-2924 Fax: (617) 332-5477 www.Lombardoassociates.com
NOT TO BE DISTRIBUTED material in anyway. If any item is so altered, the N ITREX SYSTEM
Professional Engineer who so alters or who directs CO# SCTM# DATE:
OR COPIED WITHOUT another to so alter, shall affix to the items his seal XX_XX_XXXX xxx—xxx—xxx AUGUST 4, 2020
WRITTEN PERMISSION FROM and the notation "altered by" followed by his PROJECT: SCALE: PROJECT NO.:
signature, the date of alteration and a specific 9025 MAIN ROAD — NITREX WWTF AS NOTED 6690
LOMBARDO ASSOCIATES, - PREPARED FOR:
INC. description of the alteration. DESIGNED BY: DRAWN BY: APPROVED BY: SHEET OF
9025 MAIN ROAD, LLC, MATTITUCK, NY
NO. DATE DESCRIPTION BY APPR. GAR MFC PSL
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ANEW HOTEL DEVELOPED BY:
000
Capital Management, LLC building B ..............
WARD CAPITAL MANAGEMENT, LLC HQ .
81 MAIN STREET � 1
D01313s FERRY , NY 10522
Direct 914-729- 1052
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POOL AREA I
O ABOVE I
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PATIO
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9025 MAIN ROAD , MATTITUCK , NY 11952.
aa �e
GREGORY SHARP ARCHITECT PC
C3G _ 68 COLONIAL AVENUE
";' q,� DOBBS FERRY, NEW YORK 10522
917.597. 1982
O /per Building A 8 / 27 / 2020 INFO@LASEOEVELOPMENT.[OM
0
6�°� ROOM TABLE - FLOOR I FLOOR 2 TOTALS
G ROUfVD FLOOR PL AfV BUILDING A - 0 RMS 0 RMS 0 RMS
SCALE: NTS c BUILDING B - 58 RMS 59 RMS 117 RMS
I - - BUILDING C - 4 RMS ' 4 RMS 8 RMS
0 5' 20' 50' TOTAL 62 RMS 63 RMS 125 RMS
\6 ROOMS 39 RMS 39 RMS 78 RMS
SUITE W . KIT 4 RMS 4 RMS 8 RMS
�� ' SUITE W/ 0 KIT . 19 RMS 20 RMS 39 RMS
A NEW HOTEL DEVELOPED BY:
in C40 O
Capital nment, LLC
(U)
WARD CAPITAL MANAGEMENT, LLC HQ .
5V
81 MAINTSTREE y
D01313s FERRY , NY 10522
0 �
Direct 914-729- 1052 , , t o 393SF
oOwn w Abm
411
0 O SF
004 1000�—
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B u i I di n B
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563SF
296SF
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R
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building b
563S i
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3p�s
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® ® ® o ® 68 COLONIAL AVENUE
VIA A.
�� �� ®®® ®®® ®®® �� ® y C�® DOBBS FERRY, NEW YORK 10522
ibuildiny
917. 597. 1982
INFO@CASEDEVELOPMENT. COM
8 / 27 / 2020
o i
i i ROOM TABLE - FLOOR I FLOOR 2 TOTALS
Flpmu�kST FLOOR PLAION" i i BUILDING A - 0 RMS 0 RMS 0 RMS
2
SCALE : NTS i BUILDING B - 58 RMS 59 RMS 117 RMS
BUILDING C - 4 RMS 4 RMS 8 RMS
-- TOTAL 62 RMS 63 RMS 125 RMS
0 5 201 50
ROOMS 39 RMS 39 RMS 78 RMS
SUITE W . KIT 4 RMS 4 RMS 8 RMS
`�` SUITE W/ O KIT . 19 RMS 20 RMS 39 RM
S
A NEW HOTEL DEVELOPED BY:
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WARD CAPITAL MANAGEMENT, LLC HQ .
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9025 MAIN ROAD ,, MATTITUCK , NY 11952 .
GREGORY SHARP ARCHITECT,PC
o 68 COLONIAL AVENUE
uild '110%lyov DOBBS FERRY, NEW YORK 10522
' 917. X597 . 1982
INFOOCASEDEVELOPM ENT. COM
- 8 / 27 / 2020
0
0
ROOM TABLE - FLOOR I FLOOR 2 TOTALS
U'k FLOOR PL/-Pk' N 3 ECON `
BUILDING A - 0 RMS 0 RMS 0 RMS
SCALE: NTS BUILDING B - 58 RMS 59 RMS 117 RMS
BUILDING C - 4 RMS 4 RMS 8 RMS
0 5 201 50
TOTAL 62 RMS 63 RMS 125 RMS
\A
ROOMS 39 RMS 39 RMS 78 RMS
-5- `' 1
SUITE W . KIT 4 RMS 4 RMS 8 RMS
SUITE W / O KIT . 19 RMS 20 RMS 39 RMS
%J C�- L-2 ',
" Full Environmental Assessment Form
Part I -Project and Setting
RECEIVED
Instructions for Completing Part 1
;would
EP Q 4 2020
Part 1 is to be completed by the applicant or project sponsor. Responses become part of thion for approval or ding,
are subject to public review,and may be subject to further verification. Board of
Appears
Complete Part 1 based on information currently available. If additional research or investigatioe needed to y re and to
any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist,
or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that
must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the
answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any
additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information
contained in Part lis accurate and complete.
A.Project and Applicant/Sponsor Information
Name of Action or Project:
9025 Main Road,LLC
Project Location(describe,and attach a general location map):
9025 Main Road, Mattituck,New York 11952
Brief Description of Proposed Action(include purpose or need):
Redevelop property with the following amenities:300 seat restaurant,300 seat catering facility,125 total transient holtel rooms,(8)junior suites with
kitchenettes and laundry facilities,(39)suites,and 78 standard rooms,840 sf office,1,500 sf spa,and 2,500 sf of retail space and associated amenities
including an outdoor pool(with retractable cover)and children's recreation area.The properties that make up this application include Suffolk County Tax
Map#1000-122-6-22.001 (7.467 ac.)&Suffolk County Tax Map#1000-122-6-28(4.361 ac.).The redevelopment will occur on Suffolk County Tax Map#
1000-122-6-22.001 (7.467 ac.)and Suffolk County Tax Map#1000-122-6-28(4.361 ac.)will remain in its current state.
Name of Applicant/Sponsor: Telephone:631-298-8494
9025 Main Road,LLC E-Mail:
alanjr@cardinalemanagement.com
Address:10095 Main Road, Unit 4
City/PO:Mattituck State:NY Zip Code:11952
Project Contact(if not same as sponsor;give name and title/role): Telephone:631-484-9332
Jeffrey Patanjo E-Mail:••
ppatanjo@gmail.com
Address:
PO Box 582
City/PO: State: Zip Code:
Bohemia NY 11716
Property Owner (if not same as sponsor): Telephone: 631-445-4432
E-Mail: alanjr@cardinalemanagement.com
Address:
10095 Main Road
City/PO: Mattituck State: NY Zip Code:11952
Page 1 of 13
B.Government Approvals
B.lGovernment Approvals,Funding,or Sponsorshid. ("Funding"includes grants,loans,tax relief,and any other forms of financial
assistance.)
Government Entity If Yes: Identify Agency and Approval(s) Application Date
Required (Actual or projected)
a.City Counsel,Town Board, ❑Yes®No
or Village Board of Trustees
b.City,Town or Village ®Yes❑No Village Planning Board Site Plan Review March 1,2019
Planning Board or Commission
c.City,Town or ®Yes❑No Zoning Board of Appeals Special Use Permit March 1,2019
Village Zoning Board of Appeals
d.Other local agencies ❑Yes®No
e.County agencies ®Yes❑No Suffolk County Department of Health Services September 1,2019
f.Regional agencies ❑Yes®No
g. State agencies ®Yes❑No NYS DEC and NYS DOT September,2020
h.Federal agencies ❑Yes®No
i.'Coastal Resources.
i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ®Yes❑No
ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ®Yes❑No
iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes®No
C.Planning and Zoning
C.I.planning ana zoning ac ions
Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the ®Yes❑No
only approval(s)which must be granted to enable the proposed action to proceed?
• If Yes,complete sections C,F and G.
• If No,proceed to question C.2 and complete all remaining sections and questions in Part 1
C.2.[Adopted Ian use fans
a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ®Yes❑No
where the proposed action would be located?
If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ®Yes❑No
would be located?
b.Is the site of the proposed action within any local or regional special planning district(for example:Greenway; ®Yes❑No
Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan;
or other?)
If Yes,identify the plan(s):
NYS Heritage Areas:Ll North Shore Heritage Area,Town's LWRP,Central Suffolk Groundwater Protection Area(SGPA(North)Critical Environmental Area
c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes®No
or an adopted municipal farmland protection plan?
If Yes,identify the plan(s):
Page 2 of 13
C.3. Zoning
a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. ®Yes❑No
If Yes,what is the zoning classification(s)including any applicable overlay district?
General Business(B)
b. Is the use permitted or allowed by a special or conditional use permit? ®Yes❑No
c.Is a zoning change requested as part of the proposed action? ❑Yes®No
If Yes,
L What is the proposed new zoning for the site?
CA. xisting community services
a.In what school district is the project site located?Mattituck Cutchogue
b.What police or other public protection forces serve the project site?
Southold Town
c.Which fire protection and emergency medical services serve the project site?
Mattituck Fire Department
d.What parks serve the project site?
Veterans Park,Bay Avenue,Mattituck
D.Project Details
D.I.Proposed and Potential Developmen
a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all
components)? Hotel,)catering, restaurant and amenities
b.a.Total acreage of the site of the proposed action? 7.467 acres
b.Total acreage to be physically disturbed? 7.467 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 11.828 acres
c.Is the proposed action an expansion of an existing project or use? ❑Yes®No
L If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units,
square feet)? % Units:
d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes Olo
If Yes,
L Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types)
ii. Is a cluster/conservation layout proposed? ❑Yes[]No
iii.Number of lots proposed?
iv. Minimum and maximum proposed lot sizes? Minimum Maximum
e.Will the proposed action be constructed in multiple phases? ❑Yes®No
L If No,anticipated period of construction: 15 months
ii. If Yes:
• Total number of phases anticipated
• Anticipated commencement date of phase 1 (including demolition) month year
• Anticipated completion date of final phase month year
• Generally describe connections or relationships among phases,including any contingencies where progress of one phase may
determine timing or duration of future phases:
Page 3 of 13
f.Does'the project include new residential uses? ❑Yes®No
If Yes,show numbers of units proposed.
One Family Two Family Three Family Multiple Familyf�or more
Initial Phase
At completion
of all phases
g.Does the proposed action include new non-residential construction(including expansions)? ®Yes❑No
If Yes,
i.Total number of structures
ii. Dimensions(in feet)of largest proposed structure: height; width; and length
iii. Approximate extent of building space to be heated or cooled: square feet
h.Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yes®No
liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage?
If Yes,
i. Purpose of the impoundment:
ii. If a water impoundment,the principal source of the water: ❑Ground water❑Surface water streams ❑Other specify:
iii. If other than water,identify the type of impounded/contained liquids and their source.
iv. Approximate size of the proposed impoundment. Volume: million gallons;surface area: acres
v. Dimensions of the proposed dam or impounding structure: height; length
vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete):
D.2. JProject Operations
a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑YesRJNo
(Not including general site preparation,grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i.What is the purpose of the excavation or dredging?
U. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site?
• Volume(specify tons or cubic yards):
• Over what duration of time?
iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them.
iv. Will there be onsite dewatering or processing of excavated materials? ❑Yes❑No
If yes,describe.
v. What is the total area to be dredged or excavated? acres
vi. What is the maximum area to be worked at any one time? acres
vii. What would be the maximum depth of excavation or dredging? feet
viii. Will the excavation require blasting? ❑Yes❑No
ix. Summarize site reclamation goals and plan:
b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment ❑YesRJNo
into any existing wetland,waterbody,shoreline,beach or adjacent area?
If Yes:
L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic
description):
Page 4 of 13
H. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or
alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres:
iii.Will the proposed action cause or result in disturbance to bottom sediments? ❑Yes❑No
If Yes,describe:
iv. Will the proposed action cause or result in the destruction or removal of aquatic vegetation? ❑Yes❑No
If Yes:
• acres of aquatic vegetation proposed to be removed:
• expected acreage of aquatic vegetation remaining after project completion:
• purpose of proposed removal(e.g.beach clearing,invasive species control,boat access):
• proposed method of plant removal:
• if chemical/herbicide treatment will be used,specify product(s):
v. Describe any proposed reclamation/mitigation following disturbance:
c.Will the proposed action use,or create a new demand for water? ®Yes❑No
If Yes:
L Total anticipated water usage/demand per day: 31.500 gallons/day
H. Will the proposed action obtain water from an existing public water supply? ®Yes❑No
If Yes:
• Name of district or service area:
• Does the existing public water supply have capacity to serve the proposal? ®Yes❑No
• Is the project site in the existing district? ®Yes❑No
• Is expansion of the district needed? ❑Yes®No
• Do existing lines serve the project site? ®Yes❑No
iii. Will line extension within an existing district be necessary to supply the project? ❑Yes Oto
If Yes:
• Describe extensions or capacity expansions proposed to serve this project:
• Source(s)of supply for the district:
iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑Yes❑No
If,Yes:
• Applicant/sponsor for new district:
• Date application submitted or anticipated:
• Proposed source(s)of supply for new district:
V. If a public water supply will not be used,describe plans to provide water supply for the project:
vi.If water supply will be from wells(public or private),what is the maximum pumping capacity: gallons/minute.
d.Will the proposed action generate liquid wastes? ®Yes❑No
If Yes:
i. Total anticipated liquid waste generation per day: 30,750 gallons/day
H. Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and
approximate volumes or proportions of each):
Sanitary Waste Water,Kitchen waste, Pool waste
iii. Will the proposed action use any existing public wastewater treatment facilities? ❑Yes®No
If Yes:
• Name of wastewater treatment plant to be used:
• Name of district:
• Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No
• Is the project site in the existing district? ❑Yes❑No
• Is expansion of the district needed? ❑Yes❑No
Page 5 of 13
•' ' Do existing sewer lines serve the project site? ❑Yes❑No
• Will a line extension within an existing district be necessary to serve the project? ❑Yes❑No
If Yes:
• Describe extensions or capacity expansions proposed to serve this project:
iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes®No
If Yes:
• Applicant/sponsor for new district:
• Date application submitted or anticipated:
• What is the receiving water for the wastewater discharge?
V. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed
receiving water(name and classification if surface discharge or describe subsurface disposal plans):
vi. Describe any plans or designs to capture,recycle or reuse liquid waste:
e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ®Yes❑No
sources(i.e. ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point
source(i.e.sheet flow)during construction or post construction?
If Yes:
i. How much impervious surface will the project create in relation to total size of project parcel?
208,696 Square feet or 4.791 acres(impervious surface)
325,273 Square feet or 7.467 acres(parcel size)
ii. Describe types of new point sources. All water run-off and wastewater to be handled by leaching structures directing water back into the ground.
iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties,
groundwater,on-site surface water or off-site surface waters)?
On Slte
• If to surface waters,identify receiving water bodies or wetlands:
• Will stormwater runoff flow to adjacent properties? ❑Yes®No
iv. Does the proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑Yes®No
f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel ❑Yes®No
combustion,waste incineration,or other processes or operations?
If Yes,identify:
L Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles)
ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers)
iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation)
g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑Yes®No
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No
ambient air quality standards for all or some parts of the year)
ii. In addition to emissions as calculated in the application,the project will generate:
• Tons/year(short tons)of Carbon Dioxide(CO2)
• Tons/year(short tons)of Nitrous Oxide(N20)
• Tons/year(short tons)of Perfluorocarbons(PFCs)
• Tons/year(short tons)of Sulfur Hexafluoride(SF6)
• Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs)
• Tons/year(short tons)of Hazardous Air Pollutants(HAPS)
Page 6 of 13
'h.Will fhe proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ®Yes❑No
landfills,composting facilities)?
If Yes:
L Estimate methane generation in tons/year(metric):
ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or
electricity,flaring):
i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑YesONo
quarry or landfill operations?
If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust):
j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial EYes❑No
new demand for transportation facilities or services?
If Yes:
i. When is the peak traffic expected(Check all that apply): ®Morning ®Evening ®Weekend
❑Randomly between hours of to
ii. For commercial activities only,projected number of truck trips/day and type(e.g.,semi trailers and dump trucks):
iii. Parking spaces: Existing 363 Proposed 313 Net increase/decrease
iv. Does the proposed action include any shared use parking? ❑Yes❑✓No
v If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe:
vi. Are public/private transportation service(s)or facilities available within'h mile of the proposed site? ❑Yes❑No
vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑Yes❑No
or other alternative fueled vehicles?
viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes❑No
pedestrian or bicycle routes?
k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand OYes❑No
for energy?
If Yes:
L Estimate annual electricity demand during operation of the proposed action:
Pending final design
ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or
other):
gridAocal utility
iii. Will the proposed action require a new,or an upgrade,to an existing substation? ❑Yes®No
1.Hours of operation. Answer all items which apply.
L During Construction: ii. During Operations:
• Monday-Friday: 8:00 am-6:00 pm • Monday-Friday: 24 hours per day
• Saturday: 8:00 am-6:00 pm • Saturday: 24 hours per day
• Sunday: None • Sunday: 24 hours per day
• Holidays: None • Holidays: 24 hours per day
1
Page 7 of 13
'm.W ill'the proposed action produce noise that will exceed existing ambient noise levels during construction, 0 Yes[]No
operation,or both?
If yes:
i. Provide details including sources,time of day and duration:
During construction. Monday through Saturday.8:00 am-6:00 pm
ii. Will the proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes 0No
Describe:
n.Will the proposed action have outdoor lighting? ®Yes❑No
If yes:
i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures:
H. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes 0No
Describe:
o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes 0No
If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest
occupied structures:
p. Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes 0No
or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes:
i. Product(s)to be stored
ii. Volume(s) per unit time (e.g.,month,year)
iii. Generally,describe the proposed storage facilities:
q. Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ®Yes []No
insecticides)during construction or operation?
If Yes:
L Describe proposed treatment(s):
ii. Will the proposed action use Integrated Pest Management Practices? 0 Yes []No
r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal 0 Yes ❑No
of solid waste(excluding hazardous materials)?
If Yes:
L Describe any solid waste(s)to be generated during construction or operation of the facility:
• Construction: 4,500 tons per 2 months (unit of time)
•. Operation: 300 tons per month (unit of time)
ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste:
• Construction:concrete and masonry demolition can be recycled.Asphalt demolition can be recycled and used in asphalt products,Metals
can be recycled.
• Operation: Non recylables delivered to appropriate solid waste facilities
iii. Proposed disposal methods/facilities for solid waste generated on-site:
• Construction: Materials separated and recycled.Non recylables delivered to appropriate solid waste facilities
• Operation: Non recylables delivered to appropriate solid waste facilities
Page 8 of 13
's.Does the proposed action include construction or modification of a solid waste management facility? ❑ Yes 0 No
If Yes:
i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or
other disposal activities):
H. Anticipated rate of disposal/processing:
• Tons/month,if transfer or other non-combustion/thermal treatment,or
• Tons/hour,if combustion or thermal treatment
N. If landfill,anticipated site life: years
t.Will the proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous❑Yes®No
waste?
If Yes:
i. Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility:
ii. Generally describe processes or activities involving hazardous wastes or constituents:
iii. Specify amount to be handled or generated tons/month
iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents:
v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes No
If Yes:provide name and location of facility:
If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:
E.Site and Setting of Proposed Action
E.1.Land uses on and surrounding the project site
a.Existing land uses.
i. Check all uses that occur on,adjoining and near the project site.
❑ Urban ❑ Industrial ❑ Commercial 0 Residential(suburban) ❑ Rural(non-farm)
❑ Forest ® Agriculture ❑ Aquatic ® Other(specify):Railroad,Water Authority,open space
ii. If mix of uses,generally describe:
b.Land uses and covertypes on the project site.
Land use or Current Acreage After Change
Covertype Acreage Project Completion (Acres+/-)
• Roads,buildings,and other paved or impervious
surfaces 4.791 4.791 0
• Forested 0 0 0
• Meadows,grasslands or brushlands(non- 0 0 0
agricultural,including abandoned agricultural)
• Agricultural 0 0 0
(includes active orchards,field,greenhouse etc.)
• Surface water features
(lakes,ponds,streams,rivers,etc.) 0 0 0
• Wetlands(freshwater or tidal) 0 0 0
• Non-vegetated(bare rock,earth or fill) 0 0 0
• Other
Describe:Landscaped areas 2.676 2.676
SCTM 1000-122-6-28 No change 4.361 4.361
Page 9 of 13
c.Is the project site presently used by members of the community for public recreation? ❑YesE]No
i. If Yes:explain:
d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑YesONo
day care centers,or group homes)within 1500 feet of the project site?
If Yes,
i. Identify Facilities:
e.Does the project site contain an existing dam? ❑YesONo
If Yes:
i. Dimensions of the dam and impoundment:
• Dam height: feet
• Dam length: feet
• Surface area: acres
• Volume impounded: gallons OR acre-feet
ii. Dam's existing hazard classification:
W. Provide date and summarize results of last inspection:
f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑YesONo
or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility?
If Yes:
i. Has the facility been formally closed? ❑Yes❑ No
• If yes,cite sources/documentation:
ii. Describe the location of the project site relative to the boundaries of the solid waste management facility:
W. Describe any development constraints due to the prior solid waste activities:
g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑YesONo
property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste?
If Yes:
i. Describe waste(s)handled and waste management activities,including approximate time when activities occurred:
h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes® No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i. Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes❑No
Remediation database? Check all that apply:
❑ Yes—Spills Incidents database Provide DEC ID number(s):
❑ Yes—Environmental Site Remediation database Provide DEC ID number(s):
❑ Neither database
ii. If site has been subject of RCRA corrective activities,describe control measures:
iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑YesONo
If yes,provide DEC ID number(s):
iv. If yes to(i),(ii)or(iii)above,describe current status of site(s):
Page 10 of 13
v. Is thb project site subject to an institutional control limiting property uses? ❑Yes®No
• If yes,DEC site ID number:
• Describe the type of institutional control(e.g.,deed restriction or easement):
• Describe any use limitations:
• Describe any engineering controls:
• Will the project affect the institutional or engineering controls in place? ❑Yes❑No
• Explain:
E.2.INatural Resources On or Near Project Sit
a. What is the average depth to bedrock on the project site? boo feet
b.Are there bedrock outcroppings on the project site? ❑Yes®No
If Yes,what proportion of the site is comprised of bedrock outcroppings? %
c.Predominant soil type(s)present on project site: Plymouth Loam Sand 95 %
Cut/Fill 5 %
d.What is the average depth to the water table on the project site? Average: 30 feet
e.Drainage status of project site soils:® Well Drained: 100%of site
❑ Moderately Well Drained: %of site
❑ Poorly Drained %of site
f.Approximate proportion of proposed action site with slopes: ❑ 0-10%: %of site
❑ 10-15%: %of site
❑ 15%or greater: %of site
g.Are there any unique geologic features on the project site? ❑Yes®No
If Yes,describe:
h. Surface water features.
i. Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes®No
ponds or lakes)?
ii. Do any wetlands or other waterbodies adjoin the project site? ®Yes❑No
If Yes to either i or ii,continue. If No,skip to E.2.i.
iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ®Yes❑No
state or local agency?
iv. For each identified regulated wetland and waterbody on the project site,provide the following information:
• Streams: Name Classification
• Lakes or Ponds: Name Classification
• Wetlands: Name Approximate Size
• Wetland No. (if regulated by DEC)
v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes Olo
waterbodies?
If yes,name of impaired water body/bodies and basis for listing as impaired:
i.Is the project site in a designated Floodway? ❑Yes RlNo
j.Is the project site in the 100-year Floodplain? ❑YesRJNo
k.Is the project site in the 500-year Floodplain? ❑YesR]No
1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ®Yes❑No
If Yes:
i.Name of aquifer:Sole Source Aquifer Names:Nassau-Suffolk SSA
Page 11 of 13
in. Identify the predominant wildlife species that occupy or use the project site: None
n.Does the project site contain a designated significant natural community? ❑YesR]No
If Yes:
i. Describe the habitat/community(composition,function,and basis for designation):
ii. Source(s)of description or evaluation:
W. Extent of community/habitat:
• Currently: acres
• Following completion of project as proposed: acres
• Gain or loss(indicate+or-): acres
o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑Yes®No
endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species?
If Yes:
i. Species and listing(endangered or threatened):
p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ®Yes❑No
special concern?
If Yes:
i. Species and listing:
Southern Sprite
q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes®No
If yes,give a brief description of how the proposed action may affect that use:
E.3. IDesignated Public esources On or earro ect it
a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑YesR]No
Agriculture and Markets Law,Article 25-AA, Section 303 and 304?
If Yes, provide county plus district name/number:
b.Are agricultural lands consisting of highly productive soils present? ❑YesRJNo
i. If Yes:acreage(s)on project site?
ii. Source(s)of soil rating(s):
c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑YesRJNo
Natural Landmark?
If Yes:
i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature
H. Provide brief description of landmark,including values behind designation and approximate size/extent:
d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ®Yes❑No
If Yes:
i. CEA name: SGPA,Central Suffolk Pine Barrens
fl. Basis for designation: Protect groundwater,Benefit to human health&protect drinking water
iii. Designating agency and date: Agency:Long Island Regional Planning,Agency:Suffolk County, Date:3-19-93, Date:2-10-88
Page 12 of 13
e.D6es the project site contain,or is it substantially contiguous to,a building,archaeological site,or district ❑Yes2 No
which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS
Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places?
If Yes:
i.Nature of historic/archaeological resource: El Archaeological Site ❑Historic Building or District
ii. Name:
iii. Brief description of attributes on which listing is based:
f.Is the project site,or'any portion of it,located in or adjacent to an area designated as sensitive for ❑YesONo
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑YesONo
If Yes:
i.Describe possible resource(s):
U. Basis for identification:
h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ❑YesONo
scenic or aesthetic resource?
If Yes:
i. Identify resource:
fl.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway,
etc.):
iii. Distance between project and resource: miles.
i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes®No
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation:
ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑YesE]No
F.Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any
measures which you propose to avoid or minimize them.
G. e—R&ation
I certify that the information provided is true to the best of my knowledge.
Applicant/Sponsor Name Date August 31,2020
Signature Title 9025 Main Road,LLC,Member
PRINT FORM Page 13 of 13
` EAF Mapper Summary Report Sunday, July 26, 2020 3:22 PM
Disclaimer: The EAF Mapper is a screening tool intended to assist
- _ - �+` ;:-` :;" `'• project sponsors and reviewing agencies in preparing an environmental
-' assessment form(EAF).Not all questions asked in the EAF are
answered by the EAF Mapper.Additional information on any EAF
question can be obtained by consulting the EAF Workbooks. Although
the EAF Mapper provides the most up-to-date digital data available to
DEC,you may also need to contact local or other data sources in order
to obtain data not provided by the Mapper.Digital data is not a
fi substitute for agency determinations.
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Korea,Esri Miailanc(i, NGCC;(ti(jpeliSt:eetl,,lap Contiiblito's, anclthe GIS User Communihj s(erlt jtietiStieti�lap coiitiib 17r}�12 GIS User Cdinm unity
B.ii [Coastal or Waterfront Area]_ tYes
B.i.ii [Local Waterfront Revitalization Area] IYes� _
C.2.b. [Special Planning District] liYes- Digital mapping data are not available for all Special Planning Districts.
Refer to EAF Workbook.
C.2.b [Special Planning District- Name] NYS Heritage Areas:Ll North Shore Heritage Area
E.1.h [DEC Spills or Remediation Site- Digital mapping data are not available or are incomplete. Refer to EAF I
Potential Contamination History] Workbook.
I
IE.1.h.i [DEC Spills or Remediation Site- _—I Digital mapping data are not available or are incomplete. Refer to EAF w
Listed] lWorkbook.
E.1.h.i [DEC Spills or Remediation Site- Digital mapping data are not available or are incomplete. Refer to EAF '
Environmental Site Remediation Database] Workbook.
E.1.h.iii [Within 2,000' of DEC Remediation !No
Site] 1 ;
E.2.g [Unique Geologic Features] JNo
E.2.h.i [Surface Water Features] No
E.2.h.ii [Surface Water Features] Yes
E.2.h.iii [Surface Water Features] Yes- Digital mapping information on local and federal wetlands and
waterbodies is known to be incomplete. Refer to EAF Workbook. !
E.2.h.v[Impaired Water Bodies] No
E.2.i. [Floodway] No
E.2.j. [100 Year Floodplain] No I
E.2.k. [500 Year Floodplain] lNo
E.2.1. [Aquifers] Yes
E.2.1. [Aquifer Names] Sole Source Aquifer Names:Nassau-S uffol k SSA
E.2.n. [Natural Communities] 1 No
Full Environmental Assessment Form - EAF Mapper Summary Report j
j"I iuuI iyci cu vi I III 6G1Lc1 icu I•v I
E.2.p. [Rare Plants or Animals] Yes
E.2.p. [Rare Plants or Animals- Name] Southern Sprite
E.3.a. [Agricultural District] No
E.3.c. [National Natural Landmark] � No�
E.3.d [Critical Environmental Area] Yes
E.3.d [Critical Environmental Area- Name] SGPA, Central Suffolk Pine Barrens
E.3.d.ii [Critical Environmental-Area- —w Protect groundwater, Benefit to human health & protect drinking water
Reason] _
E.3.d.iii [Critical Environmental Area— Date Agency:Long Island Regional Planning, Agency:Suffolk County, Date:3-19-93,
and Agency] _ Date:2-10-88
E.3.e. [National or State Register of Historic Digital mapping data are not available or are incomplete. Refer to EAF
Places or State Eligible Sites] Workbook.
E.3.f. [Archeological Sites] No
E.3.i. [Designated River Corridor] No
Full Environmental Assessment Form - EAF Mapper Summary Report 2
BOARD MEMBERSO� SOU Southold Town Hall
Leslie Kanes Weisman,Chairperson �� TiyO 53095 Main Road•P.O.Box 1179
h0 �p Southold,NY 11971-0959
Patricia Acampora Office Location:
Eric Dantes Town Annex/First Floor,
Robert Lehnert,Jr. • �� 5437.5 Main Road(at Youngs Avenue)
Nicholas PlanamentoCOU Southold,NY 11971
http://southoldtownny.gov rEtC,'
ZONING BOARD OF APPEALS ` f�
TOWN OF SOUTHOLD '`� 'Tel.(631)765-1809•Fax(631)765-9064L020�
SOUt!';OIO TOVJiI
September 10,2020 Planning Board
Carrie O'Farrell,AICP
Nelson, Pope&Voorhis,LLC
70 Maxess Road
Melville,NY 11747
Re: . SEQR,Review—Special Exception and Area Variances
for Proposed 125 Unit.Hotel
Cardinale,.9025 Main Road,LLC,Mattituck .
..SCTM No: 1000=122-6-22.1
:. Dear Ms,.O'Farrell;
Pursuant to your memo of March 20,.2020.requesting corrections and additional information from the above
referenced applicant for the completion of the SEQR review of the proposed Special Exception Application;
please see the attached submission dated September 4,2020.
Please don't hesitate to contact me at 631-765=1809 or email meat kimt2southoldtownny. og_v if you have any
questions:
Sincer ly,
Ki E. Fuentes
Board Assistant
cc: Mark Terry '
Encls: Architectural Plans,Gregory Sharp Architect, dated 8/27/2020;Pages 1, 2,3
Site Plan prepared by Nathan Taft Corwin III,revision August 14,-2020
Part 1, Full EAF;date stamped 9/04/2020
Preliminary Layout—Lombardi Associates, Inc. dated August 4, 2020.
WILLIAM C. GOGGINS -- -
Attorney at Law '
13235 Main Road, P.O. Box 65 SEP 0 4 ZOZO
Mattituck, New York 11952 j
Phone: (631) 298-4818 '
Fax: (631) 298-4214
Email: gogginslaw@gmail.com
September 4, 2020
Southold Town Zoning Board
53095 Main Road
Southold, New York 11971
Attn: Kim E. Fuentes
Re: 9025 Main Road, LLC
Premises: 9025 Main Road, Mattituck, New York 11952
SCTM No.: 1000-122.00-06.00-022.001
Dear Ms. Fuentes:
In response to your letter of June 17, 2020, enclosed please nine (9) sets of
our response to the information and items requested: -
1. The properties, SCTM NOS. 1000-122.00-06.00-022.001 and 028.00
are contiguous. See, Tax Map Section 122 attached.
2. See, updated Site Plan attached.
3. See, updated Site Plan and Room Charts.
4. All noise levels will be in compliance with local laws. Most activities
will be inside, other than activities in the pool area, which location has
been designed to minimize noise levels.
5. In compliance with STC Section 280-35 see, Plans, Charts and
Amended Long Environmental Assessment Form (LEAF).
6. Respectfully disagree with the interpretation of the Town Code. The
plans call for a subterranean parking area with a floor to ceiling height
of seven (7) feet, which does not create a three (3) story structure.
The height of the overall building will be in compliance with the
maximin height permissible by the Southold Town Code.
The site plan has been reconfigured consisting of three separate
buildings: Building A containing a single story catering hall, retail
area, and restaurant; Building B contains 78 guest rooms, and 39
suites, with parking spaces under the building; and Building C
containing 8 Junior Suites.
7. The lobby area has been reduced to 2,500 sq, ft. See, new Plans
attached.
8. See, updated plans, Amended LEAF, and Site Plan reducing the
number of rooms to the 125 rooms permitted by the code with the
merger of the contiguous properties as stated above.
9. All requested information is set forth in the submission attached.
10. The new Site Plan contains parking calculations with the plan
meeting all parking requirements of the Southold Town Code.
11. Hobson Drive is a private Right of Way set forth in the deed. The
applicant has no knowledge of any restrictions, except as may be set
forth in the deed.
12. See, Radius maps previously submitted, and the updated Site Plan
attached.
13. See, updated Site Plan reflecting drainage plan and surface water
drainage calculations.
14. The new design adds more green areas, more open vista from the
Main Road, solar panels located on Building B.
15. See, revised Nitrex Plans.
16. See, revised Nitrex Plans.
17. See, revised Nitrex Plans.
18. Applicant seeks full compliance with suggestion regarding plantings
on site.
19. Items 19 through 43 are addressed in the amended LEAF.
Thank you.
Very, truly your ,
William C. Goggins
WCG\dmp
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