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OFFICE LOCATION: MAILING ADDRESS:
Town Hall Annex i P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY Telephone: 631 765-1938
www.southoldtownny.gov
UT;p�a .
PLANNING BOARD OFFICE
November 8, 2023 TOWN OF SOUTHOLD
Heather Rogers
183 Smithtown Boulevard
Nesconset, NY 11767
Re: SEAR Classification & Waive Hearing — Handy Pantry Wall Removal
12250 NYS Route 25, Mattituck
SCTM#1000-114.-12-3.1
Dear Ms. Rogers:
The following resolutions were adopted at a meeting of the Southold Town Planning
Board on Monday, November 6, 2023:
WHEREAS, this amended site plan is for the removal of an existing concrete wall (non-
retaining) where there exists a +/- 9,600 sq. ft. multi-use building on a 2.11 acre parcel in
the Hamlet Business Zoning District, Mattituck; and
WHEREAS, the Southold Town Planning Board, pursuant to State Environmental
Quality Review Act (SEQRA) 6 NYCRR, Part 617.5 (c), determined that the proposed
action is a Type II Action as it falls within the following description for 6 NYCRR, Part
617.5(c)(1) "maintenance or repair involving no substantial changes in an existing
structure or facility"; be it therefore
RESOLVED, that the Southold Town Planning Board has determined that this proposed
action is a Type II Action under SEQRA as described above; and be it further
RESOLVED, that the Southold Town Planning Board waives the public hearing for this
application.
If you have any questions regarding the information contained in this resolution, please
contact the Planning Board Office.
esp telly, "�
Donald J. Wilcenski
Chairman
Southold Town Planning Board Work Session — November 6 2023 — Page 3
Prosect Name: East End Tick & Mosquito Pest Control SCTM#: 1 1000-97-3-2
..
Location: 1 36570 Route 25, ±420' s/w/o of Skunk Lane & Main Road, Cutchogue
Description: This site plan is for the proposed conversion of an existing building to a single-
family dwelling with an attached business office with six (6) parking stalls on
B
0.25 acres m (LB) Zoning District the Limited Business
Status . Approved
Action: ! Review Final I11 n 11 specti11 on&Approv11 al Extension
v
Attachments: I Staff Report
m
Location: i_12250 NYS Route 25, Mattituck
Description: This amended siteremoval
SCTM#. 1 1000-114 12-13.1
Pro ect Name: Hand Pant Amended°
tt
tiIan is for the remo .........
p w _ p val of an existing concrete (non-retaining).
wall where there exists a +/- 9,600sq. ft. retail and office building on a 2.11 acre
parcel in the Hamlet Business Zoning District
® .... ..
Status: New Application
Action: 1 Review for Completeness
... .
Attachments: Staff Report
Discussion:
Planning Board October Monthly Report
❖ Extension Period for Subdivision Approvals
❖ Request for Comments
o US Department of Homeland Security
Undersea Utility Cable, PIADC, Plum Island NY
Southold Planning Department Staff Report
Site Plan Application Work Session — Completeness
Date November 6, 2023
Prepared By: Brian Cummings
I. Application Information
Project Title: Handy Pantry
Applicant:
Tax Map Number: 114.-12-3.1
Project Location: 12250 NYS Route 25
Hamlet: Mattituck
Zoning District: Hamlet Business (HB)
II. Description of Project
Type of Site Plan: Commercial
Acreage of Project Site: ±2.11 acres
Building size 9,600 sq. ft.
III: Completeness Review
See attached checklist for Site Plan Requirements.
This amended site plan is for the removal of an existing concrete (non-retaining) wall
where there exists a +/- 9,600sq. ft. multi-use building on a 2.11 acre parcel in the
Hamlet Business zoning district, Mattituck.
A. Proposed action:
a. Remove existing concrete wall (non-retaining) that runs ±180' along the
southern side yard property line. This area on the approved site plan is
labeled as the loading and fire access zone on site.
b. SEQRA Type II action pursuant to 617.5 c 1 "maintenance or repair
involving no substantial changes in an existing structure or facility;"
B. Staff Analysis:
a. An Existing conditions survey has been provided for review.
b. The Applicant should clarify what exterior light fixtures exist and are
proposed to remain.
c. Consideration during application review:
1
Cross access: the 1997 Approved Site Plan shows a "proposed 20' access" along the
south property line (±125' from the front property line) in the area at the end of the wall.
It appears this access was not constructed and could be considered as a potential
location for cross access to the business parcel to the south in order to limit vehicle trips
on NYS Route 25.
V: Planning Board items to consider:
1) Accept the above referenced amended site plan application as complete for review
to begin the site plan review process, including:
a) Distribute referrals;
b) Classify the action as a Type II action under SEQRA;
c) Public Hearing:
i) Consider the request of the applicant for the public hearing to be waived "due
to the fact that this is a de-minimus action."
ii) If the above is not agreed to and a Public Hearing is required, set the hearing
for December 4t"2023 at tonight's public meeting.
2
Southold Planning Department
Checklist for Site Plan Application Completeness - Section 280-133
Project Name: Handy Pantry Amended Site Plan
Completed by: Brian Cummings
Date: November 6, 2023
Received Comment
A. Submission of a complete site plan application shall consist
of:
(1) A completed site plan application form.
(2) The site plan review fee, as specified in Subsection B Amended
below. Editor's Note: See now § 280-138, Fee schedule for �l
site plan applications.
(3) A completed environmental assessment form. Short
(4) Nine copies of the site plan. �l
(5) Four copies of a property survey, certified by a licensed
land surveyor.
B. Standards. Site plan design shall include the following items:
(1) Technical data:
(a) The lot, block and section number of the property, taken
from the latest tax records. �I
(b) The name and address of the landowner on record: �1
[1] The names and addresses of adjoining landowners.
[2] The name and address of the applicant, if not the
same as the landowner.
(c) The name and address of the person, firm or
organization preparing the map, sealed with the �l
applicable New York State license seal and signature.
(d) Date, graphic scale and North point, whether true or
magnetic; if magnetic, show the date of reading. �l
(e) A survey prepared by a licensed surveyor or civil
engineer. The site plan may reference a land surveyor's
map or base reference map. All distances shall be in �l
feet and hundredths of a foot. All angles shall be given
to the nearest 10 seconds or closer. The error of closure
shall not exceed one in 10,000.
(f) The locations, names and widths of all rights-of-way Waive: use GIS,
within 500 feet of property lines. If none exist within 500 aerials, site visit
feet of the subject property, indicate the distance to the X
nearest intersection with a public street.
(g) A separate key map showing location and owners of all Waive: use GIS,
adjoining lands within 500 feet, as shown on the latest X aerials, site visit
tax records, at a scale of one inch equals 100 feet.
(h) The location, width and purpose of all existing and
proposed easements, setbacks, reservations and areas �l
dedicated to public use within or adjoining the property.
(i) A complete outline of other existing easements, deed �I
1
Checklist for Site Plan Application Completeness
Southold Planning Department
restrictions or covenants applying to the property.
Q) Existing zoning, including zone lines and dimensions.
(k) Site plans drawn at the scale of one inch equals 20 feet.
If all required information cannot be shown clearly on �l
one plan, the information should be separated as
follows:
[1] Alignment and schedule plan.
[2] Grading and drainage.
[3] Landscaping.
[4] Other, e.g., site utilities.
(2) Natural features: Received Comment
(a) Existing contours with intervals of two feet or less,
referred to mean sea level as per United States
Geological Survey datum.
(b) Boundaries of any areas subject to flooding or
stormwater overflows, tidal bays, saltwater marshes,
beaches and all freshwater bodies, including wetlands N/A
and intermittent streams, perimeter boundaries of
shoreline bluffs, dunes and beaches.
(c) The location of existing natural features, including but
not limited to natural drainage swales, watercourses,
wooded areas and wetlands, as defined by the New
York State Department of Environmental Conservation N/A
and the Board of Trustees of Southold Town, marshes,
ponds, dunes, bluffs, beaches, kettleholes,
escarpments, wildlife habitats, flood hazard areas,
erosion-prone areas and trees of six inches in diameter
at a point three feet above the trunk base.
(d) The location of any existing cultural and historical
features within 500 feet of the property boundaries. N/A
(3) Existing building structures and utilities:
(a) The locations, dimensions and outlines of all buildings,
as defined in § 280-4 of this chapter, and all uses of the �l
site.
(b) Paved areas, including parking areas, sidewalks and
vehicular access between the site and public streets. �l
(c) The locations, dimensions, grades and flow directions of
any existing culverts, waterlines or sewage disposal
systems, as well as other underground and �l
aboveground utility poles and utility lines within and
adjacent to the property.
(d) The location and use of all buildings and structures, Waive: use GIS,
including curbcuts, within 200 feet of the boundary of the X aerials, site visit
subject property.
2
Checklist for Site Plan Application Completeness
Southold Planning Department
(4) Proposed construction: Received Comment
(a) The location of proposed buildings or structural
improvements, indicating setbacks from all property N/A
lines and horizontal distances from existing structures.
(b) The location and design of all uses not requiring
structures, such as off-street parking and loading areas N/A
and pedestrian circulation.
(c) The location, direction, power level and time of use for Exterior lighting
any proposed outdoor lighting or public address X information should
systems. be provided
(d) The location and plans for any outdoor signs must be in
accordance with applicable sign regulations. N/A
(e) The location and details of aprons, curbs, sidewalks,
fencing (type and location), and grading, including
existing and proposed topography with two-foot N/A
contours (on site and 200 feet beyond the property line)
and spot elevations for buildings and all structures,
drainage calculations, details of drainage structures and
watershed areas, where applicable.
(f) Grading and drainage plans shall be based upon site
stormwater retention, in conformance with Chapter 161, N/A
Highway Specifications.
(g) The location and listing of landscaping, buffering and
street tree plans, including type, material, size, quantity N/A
and location.
(h) The location of water and sewer mains, electrical
service, cablevision and telephone installations, ground N/A
transformers, fire wells and fire hydrants and/or any
alternate means of water supply and sewage disposal
and treatment.
(i) Building elevations for all facades and floor plans
showing the proposed use of floor area. N/A
Notes:
Site Plan Application elements waivers:
§ 280-133
C. Notwithstanding the foregoing, the Planning Board shall have the discretion to waive any or all of
the requirements of this § 280-133 by resolution at a duly noticed public meeting, for those
applications involving modifications to existing structures with no substantial change to the
existing footprint, where the Planning Board determines that such modifications or any change in
use will not require significant changes to existing major site design features, as well as
applications involving uses strictly related to agriculture (but excepting retail winery operations), if
it determines such requirements are not necessary to protect and maintain the public health,
safety, or welfare and to further the objectives set forth in § 280-129.
3
Checklist for Site Plan Application Completeness
....._....__......�.....__-..................,............
.
SOUTHOLD PLANNING BOARD SEP 2 5 2023
SITE PLAN APPLICATION FO
Soutfio1'd'T&wn
.....
Planning Board
Site Plan Name and Location
Site Plan Name: Handy Pantry Mattituck Application Date: / '2 2/ 'z 02
Suffolk County Tax Map#1000-_114 - 12 _ 3.1 Other SCTM#s
Street Address: 12250 Main Road Hamlet: Mattituck
Distance to nearest intersection: Corner of Main Road and New Suffolk Ave.
Type of Site Plan: x New Amended_Residential Zoning District HB (Hamlet Business)
Qwners/A ent C2ntact 1nf rtna ioa
Please list name, nzallh?g address, and lone number or the people below:
Property Owner
Street V�0"� t OWA hw
City on State �— Zip 7 6 7
Home Telephone �j `3�? Other
Applicant -of h G
Street- + \ii
City_N CS t A S e-' State Zip—All 6 7
Home Telephone w 4 L Other
Applicant's Agent or Representative:
9
Contact Person(s)* RVqecs
fl
Street MIv
City /V Q�CS.�1f� State_ 1 _ Zip
Office 1`eleplaone �� 1) ,...._..,.,Other
*Unless otherwise requested, correspondence will be sent only to the contact person noted here.
Site Plan Application Form 2118/2010
Site Data
Proposed construction type: New x Modification of Existing Structure Agricultural
Change of use
Property total acreage or square footage: 2.02 ac./sq. ft.
Site Plan build-out acreage or square footage: ac./sq. ft.
Is there an existing or proposed Sale of Development Rights on the property? Yes No x
If yes, explain:
Does the parcel(s) meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y_N_
If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.)
Building Department Notice of Disapproval Date: na I /
Is an application to the Southold Town Zoning Board of Appeals required? Yes No x
If yes, have you submitted an application to the ZBA? Yes No
If yes, attach a copy of the application packet.
Show all uses proposed and existing. Indicate which building will have which use. If more then one use is
proposed per building, indicate square footage of floor area per use.
List all existing property uses: Commercial (Convenience Store,Laundromat,Barber shop)
List all proposed property uses: Commercial(Convenience Store,Laundromat,Barber shop)
Other accessory uses:
Existing lot coverage: 11.54 % Proposed lot coverage: 11.54 %
Gross floor area of existing structure(s): 10,164 sq. ft. Gross floor area of proposed structure(s): 0
Parking Space Data: #of existing spaces: 55 #of proposed spaces: 55 Loading Berth: Yes x No
Landscaping Details: Existing landscape coverage: 5'` % Proposed landscape coverage:96 4`` 'ai
Wetlands: Is this property within 500' of a wend area? Yes No X Maybe.
I,the undersigned, certify that ak theabov inforr ation is true.
y
Signature of Preparers Date;
2 � 2
Site Plan Application Form �yx(ja
§ 280-9 Lot recognition:.
added 11-28-1995 by L.L. No. 23-1995; amended 7-22-1997 by L.L. No. 22-19971
A. A lot created by deed or Town approval shall be recognized by the Town if any one of the following standards
apply and if the lots have not merged:
(1) The identical lot was created by deed recorded in the Suffolk County Clerk's office on or before June 30,
1983, and the lot conformed to the minimum lot requirement(s) set forth in Bulk Schedule AAM as of the
date of lot creation.
[11 Editor's Note:Bulk Schedule AA is located a the end of this chapter.
(2) The lot(s) in question is/are approved by the Southold Town Planning Board.
(3) The lot(s) in question is/are shown on a subdivision map approved by the Southold Town Board prior to
June 30, 1983.
(4) The lot(s) in question is/are approved and/or recognized by formal action of the Board of Appeals prior to
June 30, 1983.
B. All lots which are not recognized by the Town pursuant to the above section shall not receive any building
permits or other development entitlements.
C. All lots are subject to the merger provisions of§ 280-10.
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SEP 2 5 2023
Planning Board
Ill. — 12 - 3 • �
Short Environmental Assessment Form
Part 1 -Project Information
Instructions for Completing
Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the
application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on
information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as
thoroughly as possible based on current information.
Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the
lead agency; attach additional pages as necessary to supplement any item.
Part 1-Project and Sponsor Information
Name of Action or Project:
Handy Pantry Mattituck
Project Location(describe,and attach a location map):
12550 Main Road,Mattituck,Comer of Main Road and Suffolk Ave.
Brief Description of Proposed Action:
Removal of non retaining block wall on south side of site
Name of Applicant or Sponsor: Telephone: 631- 3S2 - 90-7 3
�O erg E-Mail: ham �r 61 •Co
Address:
City/PO: State: Zip Code:
1. 6eW-SCons' e, 1
s the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES
If Yes,list agency(s)name and permit or approval: ❑
3. a.Total acreage of the site of the proposed action? •01 acres
b.Total acreage to be physically disturbed? .01 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 2.02 acres
4. Check all land uses that occur on,are adjoining or near the proposed action:
❑Urban ❑ Rural(non-agriculture) ❑ Industrial ® Commercial m Residential(suburban)
❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
❑Parkland
Pale I of 3 SERF 2019
5. Is the proposed action, NO YES N/A
a. A permitted use under the zoning regulations? El 7
1:3—
b. Consistent with the adopted comprehensive plan? ❑ Z El
NO YES
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? p�
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify: 7 M
NO YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑
b. Are public transportation services available at or near the site of the proposed action? Ell!!J
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed
action? J�
9. Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
❑ Z
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water:
No plumbing work proposed for existing site,site work only for retaining wall
11. Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment:
No sanitary work proposed for existing site,site work only for retaining wall D
12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES
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?
b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? E
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? IT
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: � � r "7
1
......................«.....,,._....,.,_.,......_...... .....�....,.... ... �%�� PI DVS n/..
fp lr(i,
Page 2 of 3
14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply:
❑Shoreline ❑ Forest ❑Agriculturakgrasslands ❑Early mid-successional
❑Wetland ❑ Urban m Suburban
15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES
Federal government as threatened or endangered?
Z
16. Is the project site located in the 100-year flood plan? NO YES
❑✓ ❑
17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes,
a. Will storm water discharges flow to adjacent properties? ❑
b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? 0 El
If Yes,briefly describe:
i r
�N
18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES
or other liquids(e.g.,retention pond,waste lagoon,dam)?
If Yes,explain the purpose and size of the impoundment:
a�
19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES
management facility?
If Yes,describe:
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
KcApplicant/sp n me: Date: 9,
Signature: Title: LOL (Mcte.�
6
PRINT FORM� Aage 3 of 3
APJPLI+CANT'S AFFIDAVIT
APPLICANT'S AFFIDAVIT
STATE OF NEW YORK
COUNTY OF SUFFOLK
being duly swom, deposes and says that he
resides at `ry^►1 in the
State of New York, and that he is the owner of property located at
t
C SCTM# 9 0� 3• ! , or that he is the
("1"itle) (Specify whether Partnership or Corp.)
and said Corporation is the owner of the above property, which is hereby making a Site Plan
application; that there'are not existing structures or improvements on the land which are not
shown on the Site Plan; that the title to the entire parcel, including all rights-of-way,has been
clearly established and is shown on said Plan; that no part of the Plan infringes upon any duly
filed plan which has not been abandoned both as to lots and as to roads;that he has examined all
rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply
with same; that the plans submitted, as approved, will not be alter or changed in any manner
without the approval of the Planning Board; and that the actual physical improvements will be
installed in °trict accordance with the plan as approved by the Planning Board.
Signed
Owner
Signed______
(Partner or Corporate Officer and Title)
Sworn to me this
!�' day of"J
Notary Public
LUCIA RMQZO
Notary Public-State of New York
No.01816146951
Qualified in Suffolk County
My Commisslon Exp.05/30/2026
Southold Planning Department
Applicant
Transactional Disclosure Form
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers
and employees. The purpose of this form is to provide information which can alert the town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
Your Name: qji ,W V ' `
F�it,First,middle initial
unless you are applying in the name of someone else or other entity,such as a company. If so,
indicate the other person's or company's name.
Nature of Application: (Check all that apply)
Subdivision or Re-subdivision Site Plan
Other(Please name other activity)
Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or
employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
Yes No ✓
If you answered"Yes"complete the balance of this form and date and sign where indicated.
Name of the person employed by the Town of Southold
Title or position of that person........w__
Describe the relationship between yourself(the applicant)and the town officer or employee. Either check the
appropriate line A through D and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent or child is(check all that apply):
A.the owner of greater than 5%of the shares of the corporate stock of the applicant(when the
applicant is a corporation);
B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not
a corporation);
C.an officer,director,partner or employee of the applicant;or
D.the actual applicant
Description of Relationship:
Submitted this day ofJ)L 20
Signature
Print Name
DisclosureForm
Town of Southold �rwv
LW
^. CQNS N 1 A Et$ M N EPRM
A. INSTRUCTIONS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including BuAhng Permits
and other ministerial permits not located within the Coastal Erosion Heard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A propog-jed actign will _lg itswligaffiggig
beneficial and adverse effects u n the c a til area urhich includes all 'Southold Town .
3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus each answer must be explained in detaih listing both julgRorting and n2n-
sul2p2rting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's website
(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local
libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 114 _ 12 _ 3.1
PROJECT NAME Handy Pantry Mattituck
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board 0 Building Dept. ❑ Board of Trustees ❑
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g. capital
construction, planning activity,agency regulation, land transaction)
(b) Financial assistance(e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
Removal of non retaining block wall on south side of site
Location of action: 12550 Main Road,Mattituck
Site acreage: 2.02 acres
Present land use: Commercial
Present zoning classification.,
HB (Hamlet Business)
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant:
(b) Mailing address:
(c) Telephone number: Area Code( )
(d) Application number, if any.-
Will
ny:Will the action be directly undertaken,require funding, or approval by a state or federal agency?
Yes 1:1p
No If yes,which state or federal agency?
C. Evaluate the project to the following policies by analyzing how the project will further support or not
support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVE L PED CCIAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation
criteria.
Yes No Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP
Section III—PoliciesPages3 through 6 for evaluation criteria
Yes No L J Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III-Policies Pages 6 through 7 for evaluation criteria
Yes 1:1 No L,:_J Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages 8 through 16 for evaluation criteria
Yes El No El Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
Yes El No K Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
0 Yes 7 No x Not Applicable
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
Yes 7 No[j] Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
Yes 1:1No K Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria. p-� �
Yes El No In Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria.
Yes F� No L Not Applicable
_..........
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary
and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
Yes 7 No E Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62
through 65 for evaluation criteria.
6— D Yes ❑ No Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III—Policies; Pages 65 through 68 for evaluation criteria.
Yes F1 No 0 Not Applicable
PREPARED BY'..-�Rzn TITLE_OCOJOC(4 C1 IAKTE 2
Amended on 811105
OFFICE LOCATION: �'� ��P� r %p MAILING ADDRESS
Town Hall AnnexP.O. Box 1179
54375 State Route 25 Southold,NY 11971
Telephone: 631-765-1938
(cor. Main Rd.&Youngs Ave.) � '� � �dna Tele p
Southold,NY � ����' ;�' , �'°� www.southoldtownny.gov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Accounting
From: Planning Department
Date: September 25, 2023
Re: Check
Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site
Plan Application not yet accepted by the Planning Board.
_........
.._...........
_ . . . .. ... __.... .... .._.�..... _......._ .. ....... _ ..... ................v__._..ww
Applicant/Project Name & Type Tax Map # Amount Check Date/No.
Handy Pantry Parking Lot Expansion 114.-12-3.1 $250.00 _...... #/22/23 49 _.......
.a....... . _ .. ............... .. . . _W._ __... _...._..... ... .... ... __... __ ........
CW
Handy Pantry Stores Inc. M&T Bank 00069949
183 Smithtown Boulevard 301 NY-25A
Nesconset,N.Y.11767 Miller Place,NY 11764
Operating Account 104/220
9/22/2023
Town of Southold **250.00
PAY �. ._ ...._. - _. _... �. .... .. . __._.. _ ._ $
Two Hundred Fifty and
wwH_w�,.�.............. _.......�..._ww, �._�.._�w DOLLARS
TO THE Town of Southold
ORDER PO Box 1179
OF Southold, NY 11971
Amended Site Plan Appl
11'00069949110 1:0 2 20000461: