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1000-108.-3-12.5
LAND N/F OF I CONSTANCE M.CROSS ZONED AC iJ U.P. EL 12.7 N 59°51'30" E ii :iSW1MAAING' 170.17' EL 9.0 i i 1 ii:P00L;i;:'' FUELTA�K C o n G BOU ARY ''''`' 1E A W o' © SHED { ARBOR FIRE '7.15 0�8.45 [ i m M v LAND N/F OF 4.5'Wz CONSTANCE M.CROSS P� WALL ZONED R-80 M. "' _ _— BLQG• 10' �yVIRE E 4.2-E / r �, iii;?i1RRIGAIIQN::''iiiiiiii .•: \ M SSR \ 1 s i :iii• i 10 i KEY MAP MATT TUCK N.Y. I IV r tv IPA ;i�f » 1 =600r 0 p U.P. O \ 10/ CTl x�x LAND N/F OF JAMES E.CROSS TRUST LOT 1 TOWN OF SOUTHOLD THIS IS TO CERTIFY, BASED UPON AN EVALUATION AND VISUAL INSPECTION OF THE SEWAGE DISPOSAL N SYSTEMS AND WATER SUPPLY SERVING THE EXISTING BUILDING(S) THAT THEY APPEAR TO BE FUNCTIONING PROPERLY AND TO BE ADEQUATE TO SERVE THE X / EXISTING USE OF THE BUILDING(S) —t0 v i —— —— —— — ——— �VERHF,gp W/REs ——— ——— ————— — —— — N. MAllAFERRO. NYSPE UCJ LOT 2 "1 hereby certify that the proposed water supply(s) and/or sewage disposal system(,) for this project were designed by me or under my direction. Based upon a careful and thorough study of the soil, N site and groundwater conditions, all lots as LAND N/F OF z ZONED AC proposed of Health SeMceseSuffolk construction standards CONSTANCE CROSS ZONED R-EO G) in effect as of this date" M O C WELL Z N. MAllAFERRO. NYSPE LICA — —— w LAND N/F OF I CONSTANCE CROSS i O O MONK SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES i210.00' j Croat River, New York iS 590 1'30" W ---------------- -- INGROUND U.P. U.P. REBAR LP. GAS TANK WELL 00 This to to oerWy that theproposed Realty SubdMsbn or Development for DRY CROSS STANDARD SUBDIVISION - 0 WELL � Hamlet oI MATTITUICK in the town of SOUTHOLD with a tofu/ 10 j °RI/EMAY W W W 'W j �_bts was approved on Ebe above data.Hider Suppies and Sewage dbpwd :.•:•:;;: 113.2' Facillties must conform to construction standards In effect at the Hme of EGRESS ii p(ISTING i i`•:i '•':: i construction and are subject to separate permits pursuant to those 50' W�igw :i.2 STYiiiii'iii''iii t standards. This a ::: . : : i PP�vol shall los valid only If the realty LAND N/F OF q� ;i: WEWNG:::::�� 1 subd,Nalon/development map Is duly filed with the County Cleric within DAVID FOHRKOLB 7045 J ars year of this date. Consent is hereby given for the /i/ing o/this map MARY KATHLEEN on which this endorsement appears in the orrice of the County Clerk in FOHRKOLB 0 j accordance with provisions of the Public Health Low and the Suffolk County Sanitary co*. EXISTING O SEPTICDRY j P WALTER WWYENK, RE WELL P Dkeotor, VAI of Environmental OuaW P i .P P w0i TYPICAL LOT LAYOUT LOT 1 — — __ U.P. (N.Tps.) ix 172,538 S.F. LAND wFOF L 3.96 Acres y JAMES E.CROSS TRUST TOWN OF SOUTHOLD Ln / ON MIN. i EL 9.0 j \ 10 SIDEYARD 0) �\ Z SINGLE FAMILY 0 \ sr��n DWELLING � PROPOSED LOT LINE �° i 21 9 1 � S 63'40'40" W N 374.74 AY i/A OWTS cit o1� N SEPTIC 0 3 �, i - - -- -- - -- rt- - - - -- - ----- -� SYSTEM I' WELL _ -1 10'MIN d 1 j —75' ELEV. 9.0 t j 1 150 o OCG SEMS i U.P. OL MIXED LOAM i 0.5' 60q ( N io l SP FINE TO BROWN iv j MEDIUM i a LOT 2 i SAND 4' RECEIVED i 80,007 S.F. 1 I PALE \ JAN 0 8 2024 \\ 1 .84 Acres +' BROWN j SM SILTY SAND MEDIUM Southold Town LAND N/F OF i 1° �\ i SAND 6 Planning Board ELIZABETH THOMPSON 50' \ ( j / PALE 10 ( // SP BROWN FINE SAND 7' GROUND WATER i \ i WATER IN HIGHEST EXPECTED ELEv 2.0 CROSS STANDARD SUBDIVISION t' PALE L ------- -PRIMARY BLDG. ENVELOPE — —_.__ j SP BROWNFINE 0 10— i McDONALD GEOSCIENCE 13.0' t THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL 04231 / / 5 S 63 040'40" W \� LAND N/F OF 373.97' J AND ORNDASHOW AREDFRO MFlELD BSERVA77ONS OTH UJ 150 DEER RUN LLC titu w (VACANT-WOODED) AREA: 252,545 S.F. or 5.80 ACRES ELEVARON DATUM. NAVD88 oar O Z rel N ✓ y"' z d LOT 1 LOT UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STA 7E EDUCATION LAW. COPIES OF THIS SURVEY o Z O MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN Z Q SCTM#: 1000-108-3-12.5 SCTM#: 1000-108.3-12.5 T� E-. ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTI7URON 'A1 W g x OWNER: JESSICA KELLEHER JESSICA KELLEHER LISTED HEREON, AND 70 THE ASSIGNEES OF 774E LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. 1045 WAGON WHEEL LANE 1045 WAGON WHEEL LANE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPEanC PURPOSE AND USE THEREFORE THEY ARE Akv�y NOT INTENDED 727 MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDI77ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS 80,007 SOFT.or i.84ACRES AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 774E PREMISES AT THE TIME OF SURVEY �/y t LO16fiE6; .or . R-80 SURVEY OF: DESCRIBED PROPERTY CERTIFIED T0: JESSICA KELLEHER; f28j .44 MAP OF: FIRE DISTRICT No.29 FILED: y^ SCHOOL DISTRICT No.9 SITUATED AT: CUTCHOGUE �4 T APPLICANT: JESSICA KELLHER TOWN OF: SOLTHOLD [ KENNETH M WOYCHUK LAND SURVEYING, PLLC S �JO 50 0 25 50 100 200 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design ,25 14I� P.O. Bos 153 Aquebogue, New York 11931 r r FILE #222-131 SCALE: 1"=50' DATE: AUG 3, 2022 PHONE (831)298-1588 FAX (831) 298-1588 N.YS USC. NO. 050880 From: Terry, Mark s w Sent: Wednesday, June 26, 2024 1:44 PM PEIIL..� ...MT To: Westermann, Caitlin Subject: FW: Cross Subdivision RECEIVED .M.�"_ .._,......._....M_.._w. 6 JUN Planning Board From: Martin Finnegan <mfinnegan@northfork.law> �Da . _ Z, s Sent:Wednesday,June 26, 2024 12:55 PM To:Terry, Mark<mark.terry@town.southold.ny.us> Subject:Cross Subdivision Hey Mark, Is there any chance that the lot we create in this subdivision could take access off of"Road D"on the neighboring property to the east(109.-1-8.8)that my client owns?The development rights are sold but there is a 15 foot ROW. Regards, Martin MARTIN D. FINNEGAN,ESQ. FINNEGAN LAW P.C. 13250 Main Road P.O. Box 1452 Mattituck,New York 11952 T 631.315.6070 C 516.298.5384 www,northfork.law CONFIDENTIALITY NOTICE:The information contained in this e-mail and any attachments may be legally privileged and confidential.If you are not an intended recipient,you are hereby notified that any dissemination,distribution or copying of this e-mail is strictly prohibited.If you have received this e-mail in error,please notify the sender and permanently delete the e-mail and any attachments immediately.You should not retain, copy or use this e-mail or any attachment for any purpose,or disclose all or any part of the contents to any other person.Thank you. ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. OFFICE Hall Annex LOCATION: � �������� '" MAILING ADDRESS: Town P.O. Box 1179 �?� Southold NY 11971 54375 State Route 25 �„ (cor.Main Rd. &Youngs Ave.) � Southold, NY ��� Telephone: 631 765-1938 www.southoldtownny.gov N PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 5, 2024 Martin Finnegan, Esq. P.O. Box 1452 Mattituck, NY 11952 Re: Cross Standard Subdivision 770 Wagon Wheel Lane, Cutchogue, NY SCTM#1000-108.-3-12.5 Zoning District: R-80 Dear Mr. Finnegan, The Planning Board reviewed the Sketch Plan application and found it complete at their March 25, 2024, Work Session. During the review, the Planning Board identified the following that need to be corrected: 1. Please show a table of current parcel acreage and proposed lot areas with all encumbered land subtracted. The Right of Way must be shown as encumbered land and will not be attributed to meeting the minimum lot area required in the R-80 Zoning District. 2. The lot depth of the proposed Lot 2 does not conform to the R-80 Zoning District. Lot depth in this zone must be 250' the lot shows 213.72'. Please correct the plan. 3. Please provide proof that all landowners served by the current Right of Way agree to improve the road to meet Town Highway Specifications. It is recommended that you contact the Town Engineer to discuss what is expected. If you have any questions, please do not hesitate to contact this office at 631-765-1938. Respectfully, Mark Terry, AICP q44-� Assistant Town Planning Director Southold Town Plannin board VV1Aor Session March 25 2024 Pa e 3 1000-35-5-3 .......... !p9je me: acos Standard Subdivision _q�...a Location: 4260 Main RoadGreenoort Description: This proposal is for a Standard Subdivision of a 3.26-acre parcel into three lots, where Lot 1 is .93 acres and contains an existing house, Lot 2 is .95 acres and Lot 3 is 1.38 acres. Status: Pending ...... Actions oieliminary Plat Completeness Attachments: Staff Report SCTM#: 1000-108-8-6.3, 6.4, 6.5 N—FBG—Standard S-ubdivi 2462 e Description: This standard subdivision proposes to subdivide a 28.9 acres parcel into 3 lots; where lot 1 is equal to 5.08 acres and includes a 2.00-acre development area and 3.08 acres of open space and lot 2 is equal to 19.63 acres upon which development rights have been sold and lot 3 equals 4.17 acres and includes a 1.64 development area and 2.55 acres of op n space in the AC Zoning District. Fending Action Preliminary Plat Completeness Attachments: Staff Report 0 P" ............................ Pro Cross Standard Subdivision 1000-108.-3-1,2.5 ..................... ...... ——-------- ,.Location: ,77�O WagRn e IL utchoguq_ Description: This proposal is for the standard subdivision of a 5.80-acre parcel into two lots in the R-80 Zoning District. Lot I is proposed to be 3.96 acres and contain an existing single-family dwelling, and Lot 2 is proposed to be 1.84 acres. Status: New Application ction: '4f Completeness c6me.nts I Staff Report Project Name: WW Farms Open Developmerit Area SCTM#: 0_109._1_11 Conservation Subdivision Location: 24085 Main Road, ......... Description: This 80/60 Conservation Subdivision Open Development Area proposes to subdivide a 77-acre parcel, of which 65 acres have been preserved through the sale of Development Rights to Suffolk County and Southold Town. The 65-acre preserved lot will be attached to a 4.1-acre farm operation reserve area. The remaining 8.63-acre development area will be subdivided into 7 residential lots. The parcel is in the AC Zoning District. Status: New Application C,r Ion. qqMpLe�ness.... ............. Attachmeriis�___ Staff Report Southold Planning Department Staff Report Subdivision Application Work Session Review Date March 25, 2024 Prepared By: Mark Terry, AICP I. APPLICATION INFORMATION Project Title: Cross Standard Subdivision Applicant: 770 Wagon Wheel Lane, Cutchogue, NY 11935 Date of Submission: January 5, 2024 Tax Map Number: 1000-108.-3-12.5 II. LOCATION & DESCRIPTION OF PROJECT This proposal is for the standard subdivision of a 5.80-acre parcel into two lots in the R- 80 Zoning District. Lot 1 is proposed to be 3.96 acres and contain an existing single- family dwelling, and Lot 2 is proposed to be 1.84 acres. III: ACTION TO REVIEW New Application - completeness IV: HISTORY • A 280A variance was granted by the Zoning Board of Appeals in 1988 to provide access to the lots. • The existing parcel was created by a Set-Off of James Cross; approved in 1990. • The current access is unimproved to fire safety code standards and serves a total of five lots. Proposed Lot 1 would be the sixth lot it would serve. Southold Planning Department Staff Report V: ANALYSIS • The proposed lots require a minimum 80,000 square feet after unbuildable lands are subtracted. NOTE a 50-wide ROW exists on Lots 1 and 2. The ROW acreage was not subtracted from the lot totals. • The parcel is less than 7 acres and, therefore, is not large enough to meet the required clustering provision. • A private well is shown as lots' water supplies. • Does the road need to be improved to new standards? • Wetlands on the east side of Lot 2. • The parcel is in Cutchogue — not Mattituck The map submitted proposes the following dimensions: TO"IIW`N CODE REQUIREMENTS IN THE R-80 ZONING DISTRICT ...... .._ ..-.REQUIRED ....ro�.__ . Proposed Lot 1 Proposed Lot 2 Unbuildable Lands _.... ..........................__m._........_.___. .....�.__......_.................__......._ ._...�...........-.._.._......... .. . ............... LOT SIZE. 80,000 sq. ft. 172,538 sq. ft. 80,0007 sq. ft 0 Deducted LOTD ............... _.... ...._.__............. ...wwwwwww..._._................ ..._.. .w.................._._m_......... .................EPTH: 250' i _w_ww...._............_.._....... ......... w....�....................... _... w _................. __�. �..__ ........_m.......... LOT WIDTH: 175' 373.97' 374.74' Completeness Review • Refer to the Sketch Plan Application Completeness table on the following page for a checklist of items VI: Staff Recommendations 2 Southold Planning Department Staff Report .�....�.... . . SKETCH PLAN COMPLETENESS _— ....�.�..�..�.�.�.REQUIRED�.�.�.��,..�_.��.� .,—,.-�... ....-....SUBMITTED.����._ .. ....—.... ......�� NOTES wCo.V.e.r...L.ette.r...&..S........sion Sketch Ap.....i_.._.._......................................._....m_.-.._�,_...�.�............ -----w_ww.....�...... ... on Form Yes i .......................�...........�..... w_.w _..............................................__... � _.—.�.._..� __ wwwwwww_�.._............._............—..................................... Authorization Letter&Transaction Disclosure Form Yes Standard Subdivision Conservation Subdivision Yes, $1,750 Fees Fees • $1,000—flat fee • $500—flat fee « $750—per lot • $350—per lot Property Deed(s)W&Certificates of Occupancy(COs) Yes Deeds NO Co's _.... . _.w __www___w_ Copies of Easements, C&Rs, and decisions from other Yes ....................... .............. 50' Easement _.._.._.._. agencies with conditions restrictin ................. -__�...._..w_- -Yes Required�Cluster if 7 acres orµgreater ...........w....... ..... ....NSA """""..""_._.... wwww...._ww._.w_.._.._.....___..ww____._._._.__ LotRecognition.ww..............._._....._._........ —_ ....._Ye.s....—._......................_._.....m_........... —_._m_....---- ............. ._ .... __ _......w................ _ ............ ._................................................. ............... ERSAP (5 copies) N/A Not clustering Yield Plan (5Mmcopies)—STANDARD SUBDIVISION ONLY _ N/A wwwwwwwµ.... - Yield Plan checked for compliance with Town Code N/A — —MMMMp ......_......_ ........._._.. ....wwwww_.................... ............................ ............... _.. _ ...................................... . ......� 5 copies of the Primary and Secondary Conservation N/A Not clustering Area plan & Field Survey 5 copies of the Sketch Plan Yes ,.w.w..............w__—____ .................��.._._._._.__m..........._......_..®_._ ....—................................................wwwww_..... ................ _._.w.w.w...— LWRP Consistency Assessment Form Yes Table of buildable land area and open WW .... . space .............................__m_.m_ww w ._.�......._.......�...-........ —�. p ce areas as N/A Not clustering applicable .......w.. ....._.._.._........................................m_m__.. .,. .—....wwwww.wwww............._..........................ww._._.._._._....... ............. Lot conforms with depth and width requirements Yes Existing buildings conform with front, rear, and side WW "w_...._..............................._._._m-,.^..ppppppppp ...�wWW..w.........�......w yard requirements ROW, flags, cul-de-sac radii in conformance ......._..m _ .,N/A — 2015 deed includes 50'wide ROW to NYS Route 25. ................................... .Application..rr. .__-__ .............. -_._._._. meets ............... .m�� � _,._....�w�.� _�.�.�.w_............._ ._m. _ �_. .. ....ww. cluster design requirements N/A V. Planning Board Considerations 1. Consider finding the Sketch Plan application complete. 3 FINNEGAN LAW, P.C. 13250 MAIN KOAD P.O. BOX 1452 MA-1TITUCK, NEW YORK 11952 (631) 315-6070 MARTIN D. FINNEGAN, ESQ. MFINNEGANONOKTHFORK.LAW By Hand P'4 January 5, 2024 RECEIVED Town of Southold Planning Board Attn: Heather Lanza, Planning Director AN 0 8 2024 54375 Route 25 _�.� � . _ .._r„�._......m � �at1�o1 `i o�vn PO Box 1179 Planning Board Southold, NY 11971-0959 Re: Standard Subdivision Application Owner/Applicant: Jessica Kelleher Premises: 770 Wagon Wheel Lane, Cutchogue, NY 11935 SCTM #1000-108.00-03.00-012.005 Dear Heather: With respect to the above-referenced application, enclosed please find a check made payable to the Town of Southold in the amount of $1,750.00 representing the required filing fee along with an original and one (1) copy of the following documents for your review: 1. Subdivision Application Form - Sketch Approval. 2. Long Environmental Assessment Form. 3. Local Waterfront Revitalization Program (LWRP) Consistency Assessment Form. 4. Owner's Authorization. 5. Transactional Disclosure Forms for Owner and Agent. 6. Copy of existing deed. 7. Copy of Planning Board Resolution dated 4/9/ 1990 for Lot Recognition. 8. Twelve (12) original Sketch Plans dated 8/3/2022 and prepared by Kenneth M. Woychuk Land Surveying, PLLC. Kindly advise if you require any further documentation in order to place this matter on your next available agenda. Thank you for your consideration. Very truly yours, rt' VlCimi,egao MDF/as Enclosures Full Environmental Assessment Form Part I -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information; indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information contained in Part 1 is accurate and complete. A. Project and Applicant/Sponsor Information. 'Name of Action or Project: _._._._. CROSS STANDARD SUBDIVISION Project Locationdescribeµand attach a e_1.....W................................M.M.........w w.vwv.._.__...............................,www_w__.w�_,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.........._ -W... ....._.........._.._..�w ( g location map): 770 WAGON WHEEL LANE,CUTCHOGUE, NY 11935(SCTM 1000-108.00 03,00 012.005) Brief Description of Proposed Action(include purpose or need): STANDARD SUBDIVISION OF SUBJECT PARCEL INTO TWO(2)CONFORMING LOTS MEASURING 172,538SF AND 80,007SF RESPECTIVELY. Name of Applicant/Sponsor: Telephone:631-315-6070 MARTIN D. FINNEGAN, ESQ.(FINNEGAN LAW, P.C.) E-Mail: MFINNEGAN@NORTHFORK.LAW ,,,, _.. _ ..w.ww.....__.._.._.._........_ _...__......,....v _......w.....................�._..._....w..w-w........................................ _ . _. ...._ ..............._.._._. -_.. Address:PO BOX 1452, 13250 MAIN ROAD City/PO:MATTITUCK State:NY Zip Code:11952 .. .............. Project Contact(if not same as sponsor;give name title/role)._M.M.M.M.M.M.M,,,,�w�w�wv....._.__.. Telephone: ������� .�....�.�.�._.w�.�_.w�.�.�.� E-Mail: ..�.�.._.............................................................. _...........___ Address......_..,.........--w�. _._wwww_........................._...__.�..�........... __,,,,,.... ..-.�....www � .�_�.�.. �. ......... ......._..wv� ..............................................._- -.... .�.�........�.�...�_ .._.w ..... City/PO: ____.�_�_�_�_...................... ,.....w�_,__._� __............................._... ..,,,,w.- --_ State.. ..w ww....,m..........vw_ ...................._�.......Zip..C.o.de.:..... ._..................._ . ..Property Owner (if not same as... ....._..M.M_w w w._, ................................_...... ___..._.._.._......_..._._www....... .... . ........ ......... . sponsor): Telephone: JESSICA KELLEHER E-Mail: Address: PO BOX 88,770 WAGON WHEEL LANE _www„-.-..._.............. ............... .CUTCHOGUE NY _._. City/PO: State: Zip Code: 11935 ...,,,..,,,,,,,M..w- ____ , .._ww........___...._........__..M.M.m.,........__................................_ ...........W.............. ...._............�� W............. Page 1 of 13 B. Government Approvals B. Government Approvals,Funding,or Sponsorship. ("Funding"includes grants, loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes: Identify Agency and Approval(s) Application Date Required (Actual or projected) a. City Counsel,Town Board, ❑Yes®No or Village Board of Trustees b. City,Town or Village ®Yes❑No SOUTHOLD PLANNING BOARD-SUBDIVISION SEPTEMBER 2023 Planning Board or Commission APPROVAL c. City,Town or ❑Yes®No Village Zoning Board of Appeals d. Other local agencies ❑Yes®No e. County agencies ®Yes❑No SUFFOLK COUNTY DEPT. OF HEALTH SVCS- OCTOBER 2023 SUBDIVISION&SANITARY APPROVALS f. Regional agencies ❑Yes®No g. State agencies ❑Yes®No h. Federal agencies ❑Yes®No . .W .ww.� .,.. _.._ -_.ww............_..__.............................................._. ____...ww........_.._......�m.,._----- .� .................. ............----...._._................ _................................ Coastal ...Resources. .. ... i. 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? ❑YesmNo C. Planning and Zoning C.1.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan, local law,ordinance,rule or regulation be the ❑Yes®No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a. Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ®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:LI North Shore Heritage 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? R-80 ZONING mmDISTRICT 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. Existing community services. a. In what school district is the project site located. MATTITUC K CUTCHOGUE UFSD b. What police or other public protection forces serve the project site? SO T,I,-f LID P M C F'ART!AENT... � ...... ... c. Which fire protection and emergency medical services serve the project site? CUTCHOG(JE FIRE DISTRICT d. What parks serve the project site? CV[QtQG41R._I Pah NC C"TRN!�`T ... D. Project Details D.I. Proposed and Potential Development a. What is the general nature of the proposed action(e.g.,residential, industrial,commercial,recreational; if mixed, include all components)? RESIDENTIAL b. a. Total acreage of the site of the proposed action? _ 58 acres b. Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 5.8 acres c. Is the proposed action an expansion of an existing project or use? ❑Yes®No i. If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % ........ .......w— Units: d. Is the proposed action a subdivision,or does it include a subdivision? ®Yes❑No If Yes, i. Purpose or type of subdivision?(e.g.,residential,industrial,commercial; if mixed, specify types) RESIDENTIAL �i. is a..cl...... conservation layout proposed? _ .... .... ❑Yes®N........... .. _ _. _-.........._ o iii. Number of lots proposed? µµµµµ.2......w ... ............. iv. Minimum and maximum proposed lot sizes?. Minimum 1.84 ACRES Maximum 8;96 ACRES e. Will the proposed action be constructed in multiple phases? ❑Yes®No i. If No,anticipated period of construction: _w „ 12 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? OYes❑No If Yes,show numbers of units proposed. One Family Two Family Three Family ultimo Family four or more Initial Phase 1 0 0 0 At completion ..... v...... of all phases . ....... ...... ..... 0......... .... ............. ...._. 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: _..........._ - ,w....... square feet h. Does the proposed action include construction or other activities that will result in the impoundment of any ❑YesONo liquids,such as creation of a water supply,reservoir,pond, lake, waste lagoon or other storage? If Yes, ii. If a water impoundment,the principal source of t ❑ Ground water❑Surwater. .... .a .. ...... ....._..i i. Purpose of the im oun ment ... ' he water: face streams ❑Other specify: iii. If other than water, identify the type of impounded/contained liquids and their source. -w ' q iv. Approximate size of the proposed impoundment. ... ._....... million _.... Volume:_.... .. w 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): .......... ........._....... .._ .... ... .. ......... .... ......... ..__............. ............ .....�.._ www.. .. ... ....... ... ..., ........... .. ............ ...._._. .. .... ........ _......... D.2. Project Operations a. Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ®Yes[:]No (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging?Excavation for Foundation&potential Pool ii. How much material (including rock,earth, sediments,etc.) is proposed to be removed from the site? • (specify Y ) ttle..as.possibla ............. .... ..... ......_. Volumetons or cubic ars ,4s Ii • Over what duration of time? 12 months..._.. .... .... ,,,...._ ..w...... .... ...... W. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them, p that unusable.__ ..r regrading.. .......... ... site to an approved ... Any sand dug up during excavation of foundations or pools that is deemed for of the site will be trucked offs location. rv. Will there...be onsite dewaterin g_or......rocessin.. of...... .v"a't'e' ... .. er .............. __.. .......... .... .._ t g p g excavated materials? YesNo If yes,describe. .._v. What is the total area to be dredged or excavated? _ .Max 6, 00 s /q ft or.14 acres vi. What is the maximum area to be worked at any one time? _Ivtax.6'000_,sWftm.or_1_4_acres vii. What would be the maximum depth of excavation or dredging?,,,,,,,_,,,, _µ l„SI'.feet viii. Will the excavation require blasting? ❑Yes®No ix. Summarize site reclamation goals and plan: o... ill ca ed with sustainable v eta on and tants to aur r ~~~~~ After construction is complete the site will be lands p _ q p eianmm w b. Would the proposed action cause or result in alteration of, increase or decrease in size of,or encroachment Yes No into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description) Page 4 of 13 ii. 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 pro ........................ ... .. ......... .......................... .......... posed action cause or result in disturbance to bottom sediments? E]Yes[-]No If Yes,describe: iv, Will the proposed action cause or result in the destruction or removal of aquatic vegetation? E-1 YesF-lNo 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? [Z]Yes E]No If Yes: i. Total anticipated water usage/demand per day: .......... '60Q gallons/day ii. Will the proposed action obtain water from an existing public water supply? [Z]Yes E]No If Yes: • Name of district or service area: SUFFOLK COUNTY WATER AUTHORITY ........... • Does the existing public water supply have capacity to serve the proposal? 0 YesEl No • Is the project site in the existing district? 0 YesE]No • Is expansion of the district needed? El Yes®No • Do existing lines serve the project site? El Yes[Z]No iii. Will line extension within an existing district be necessary to supply the project? E]Yes ON o If Yes: • Describe extensions or capacity expansions proposed to serve this project: .. .........I...... .."I"'.................--- .....w.. _ ---1-111 -'-...... .... .......... • 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? El YesV1No 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? OYesE]No If Yes: i. Total anticipated liquid waste generation per day: 300 gallons/day ii. 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 ..................... ......... .. .......... ............................ ........ ............. E-1-Y"e s 0_w.. N—o iii. Will the proposed action use any existing public wastewater treatment facilities? 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? E]Yes[]No • Is the project site in the existing district? [-]Yes[]No • Is expansion of the district needed? [-]YesE]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: .......... ....... .... ..... ...._ .w............. .. ...... ........ ...._ .____........ ....... ...__ ......... ....... ....... ............. w.... ............ . ....... iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes®No If Yes: • Applicant/sponsor for new districts • 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) I/A OWTS efINNOVATIV ALTERNATIVE dNSITE A&51E A,TER TREATMENT SYSTEM _ µ... .. ...... . ... .. ......... ..m....... ..... Vi. Describe an lans or designs to capture,recycle or reus _ ~~~ ... ......�...... ........ .........� _ ........ e y p 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? 6000 Square feet or .13.,acres(impervious surface) ii. Describe es of new point source 172�2 Square feet or 3.96 acres(parcel size) types p -... .... w. possible .. ... ......� ..... .... ... .. dscapmg s,New Residential Structure(s)-possiblePool, Patios and miscellaneous ar iii. Where will the stormwater runoff be directed i.e. on-site stormwater mans ement facility/structures,/structures, d .... ....... .erti....a.w�._.~~ �� (' g ty adjacent properties, groundwater,on-site surface water or off-site surface waters)? Drywells where applicable .... If to surface waters, identify receiving water bodies .....�___.lan �...... ..w_ ..._ • ' fi' g s or wetlands: ---- NA- ........ A • ilstoratrnoffloo adjacent properties? Yes®N.....o iv. Does W proposedp minimize surfaces, use pervious materials or collect and re-use stormwater? ®Yes❑No.. w...,.. f. Does the proposed action include, or will it use on-site,one or more sources of air emissions, including fuel ❑Yes®No combustion,waste incineration,or other processes or operations? If Yes, identify: i. Mobile sources during project operations(e.g.,heavy equipment, fleet or delivery vehicles) ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,cruss ........ hers) ry. -d.. .....g. -p c"e'., m"is...i"o"_s" .. lers electric generation......... ... .... ....... . ... . ..._...... ...�.... ... ..... iii. Stations sources durin o erations(e.g.,process emissions, large boy Will an air emission sources named in D.2.f above require a NY State g, y (above), q Air Registration,Air Facility Permit, ❑Yes�j'l�Jo or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attaimnent 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: • w Tons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) Tons/year(short tons)of Perfluorocarbons(PFCs) • l'ons/year(short tons)of Sulfur Hexafluoride(SF6) ['ons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • f'ons/year(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 h. Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑Yes®No landfills,composting facilities)? If Yes: ii. Describe any methane capture,control or elimination measures.. ncl d i project... ........ sig (e.g.,c .... ..` ....... ....e t .-_ _.... i. Estimate methane generation in tons/ ear(metric): included in designcombustion to generate heat or electricity,flaring): ... i. Will theproposedaction result in the release of air pollutants from open-air........p.. 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 ❑Yes®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 ...w...... .. . . 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�. Proposed-_-, Net increase/decrease ... iv.Does the proposed action include any shared use parking? ❑Yes❑No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi Are public/private transportation service(s)or facilities available within %mile of the proposed site? ❑Yes❑N c. : o 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 ❑YesnNo for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action - I sources/suppliers Hers of electricity ., ,for the project(e.gon-site combustionon-site renewable t pp ,via grid/local utility ii. An ,or other): iii. Will the proposed action require a new,or an upgrade,to an existing _ 0.. ..N tin substation. Yes❑No 1.Hours of operation. Answer all items which apply. i. During Construction: ii. During Operations: • Monday-Friday: 8AM.-5.PM. .. .. • Monday-Friday: N/A • Saturdaya w 8AM 12PM • Saturday: N/A .... • Sunday: N/A • Sunday: N/A .._w • Holidays N/A Holidays: N/A Page 7 of 13 in. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes®No operation,or both? If yes: i. Provide details including sources,time of day and duration: p ction remove existin natural barriers that could act as a noise barrier or screen. ❑Yes ii. Will the proposed a � op g ❑No Describe: _.v..,..___ w .... .. ..... ........... .. . ....... _........ 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: ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes❑No Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes®No If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p. Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes®No or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i. Product(s)to be stored .. ii. Volumes er unit time e. 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: i. Describe proposed treatment(s): . ii. Will the proposed action use Integrated............ .... ................._.,.... _._.......... ..,, www ...... .. ... .... Pest Management Practices? ❑ Yes ❑No r. Will the proposed action(commercial or industrial projects only) involve or require the management or disposal ❑ Yes ❑No of solid waste(excluding hazardous materials)? If Yes: i. Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation : _. _ tons per........ (unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: ......... .... ............ ............. ....... ....... . ...... .w... _... . • Operation: iii. Proposed disposal methods/facilities for..s... ..... ...........g ....... ...... ... _.......... .... . ...................... i olid waste generated on site: • Construction: _ .._ ........._...... • Operation: . ..... _...... .. .. _...._..., Page8of13 s. Does the proposed action include construction or modification of a solid waste management facility? ❑ Yes® No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting, landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month, if transfer or other non-combustion/then-nal treatment,or Tons/hour, if combustion or thermal treatment iii. If landfill,anticipated site life: .. ___ ..... .. years t. Will the proposed action at the site involve the commercial generation,treatment, storage or disposal of hazardous E]YesoNo 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: iu. S...._ec� amount to be handled or enerated.. ._ tons. ..... ....w.._ ......... _._ .... .. __ww.. ..... Specify g /month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents. y V. Will an hazardous wastes be dis osed at an existin offsite hazardous waste facility? - YesNo y P g If Yes:provide name and location of facility:IT If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous wast ilii .... .._ ...... ......................... ......... .. e facility, E. Site and Setting of Proposed Action E.I. Land uses on and surrounding the project site a. Existing land uses....._........................._�............... �.w�_�_. _.....� ....................., ._..ww�...... w_..........................�..___.........-._.... ....._.. ........W..W............. i. Check all uses that occur on,adjoining and near the project site. ❑ Urban ❑ Industrial ❑ Commercial ® Residential(suburban) ❑ Rural(non-farm) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: _ b. Land uses and covert.,...es. ... onthe_ro..�.�....._.._...._�.... _ M....mm_��� __�....�..............M.M.M,,,,,,,...... _-_....._............w_.__.,......................................_ ..._.w_�.�.�.�.�_.....�.......-._._ � yp project site. Land use or www Current Acreage After Change Covertype Acreage _ Project Completion (Acres+/-) • Roads,buildings,and other paved or impervious .2 .2 0.0 surfaces •w_......._ Forested 1.8 1.3 .5 •WW M.-Meadows,grasslands or brushlands(non- MM- a ricultural, mcludin abandoned 0.0 0.0 0.0 agricultural) • Agricultural 0.0 0.0 0.0 (includes active orchards,field,greenhouse etc.) _.................. .....................w_ « Surface water features ( p rivers,etc.) 0 0.0 0.0 ...�..W.........lakes,_.onds,streams,..!........._..._m_._w................................._.... ......w__.. u...w wvw_._._._ � .__�..._...M......w w._. ................ __w�_.ww...__._.. � _.._. _.. ............... • Wetlands(freshwater or tidal) 0 0 0.0 Non-vegetated(bare rock.-earth or fill)- .w_�_�_�_�_ .__.......w.._.................. ...www_......... .......m........,.._ __.._�_w�_.._._.�....._.�ww._..........................�.w.w......�.�..._...._� _ ............ _ �..�..�.�.�.�.......�....ww . �._., .w�0 ——Other .�.w__�............................_..... �..�__._ww_._..._...._........�_.._�. Describe: Page 9 of 13 c. Is the project site resent) used b members of the community for public re.�.�.�.........�.��....�.� �����_..._.......................................... � _.......w........ww.........(--]_. m[ p j presently y creation? (--]Yes[Z]No No i. If Yes: explain: _... .. www .. .. – ,_.................. .. .. _.. .... .._... -............ . ........... _........... .... d.Are there any facilities serving children,the elderly,people Ywith disabilities(e.g.,mschools,hospitals, licensed~~~~~ ❑Yes®Nomm day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities: .......... .................. m.wwww_ w_www_...._._. ......................... ....... e. Does the project site contain an existing dam? ww_... ❑Yes®No 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 id. Provide date and summarize results of last inspection: ........... _.......... ..w..www..... ..... ..... _.... ...... ..a.......... ...._ -f. Has the project site ever been used as a municipal,commercial or industrial sol............_.M.M_.w�w__._. ��e�������facil������������������������������ sO p id waste management facility, ❑Yes®No or does the project site adjoin property which is now,or was at one time, used as a solid waste management facility? If Yes: i. Has the facility been fonnally closed? El Yes[–] No • If yes,cite sources/documentation: .....w_.... solid w .... ii. Describe the location of the project site relative to the boundaries of the �.....................-.w.,... waste management facility: W. Describe an development constraints due to the prior solid waste activities:Y P P ' .Mies: mg. Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes®No _...... property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: i. Describe waste(s)handled and waste management activities, including approximate time when activities occurred: _...... .......................................... ...... ,w._—............ ... .. ..... ... ... ............ .......m... ..... _... 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):w ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures:. W. Is the project within 2000 feet of an site in the NYSDEC Environmental .. y 'ronmental Site Remediation database? ❑Yes®No If yes,provide DEC ID number(s): iv. If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property uses?........._.._._...___M.M.M.M...........__ w _ ❑Yes❑No If yes,DEC site ID number: • Describe the type of institutional control(e.g,deed easement):or restriction ......_ ' t): • Describe any use limitations: • Describe any engineering controls „ • Will the project affect the institutional or engineering controls in place? ❑Yes❑No • Explain:m E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? +/5,.0.0 feet b.Are there bedrock outcroppings. ._. _ on the project site? .._._ � AE:]Yesg]No If Yes,what proportion of the site is comprised of bedrock outcroppings? c.Predomman...._.__..t'y—_e-("s._ _,_, ..................................._. .._..-.............._ t soil types)present on project site: Mixed Loam wwn 100 ...................... -._.,., w........ .. ............. .................... .......... _............ d. What is the average depth to the water table on the project site? Average; 7 feet .. .... ._._......www_........... _........ ..... e. Drainage status of project site soils:® Well Drained: 1.0.0..,%of site ❑ Moderately Well Drained: _......................%of site ❑ Poorly Drained I....,,,,%of site p .w ...mm...,. ,.,._..m_ —1--.1.1 .'......................................... £Approximate proportion of proposed action site with slopes: ® 0-10% ___5Q._.2of site .....................................wwww .M........_.,.. ® 10-15%: 50.....%of site ❑ 15%or greater: ,,%of site _._............... ................. �. g.Are there any unique geologic features on the project site? Yes®No If Yes,describe: . . ...... ...,.,... .. ...,. Mnh. 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: 0 Streams: Name Classification • Lakes or Ponds: Name ... Classification, • Wetlands: Name Federal Waters Federal Waters 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®No waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i. Is the project site in a designated Floodway? ❑Yes®No w ...................................... ............... .................._._ ...-_____--_w--........................ Is the site in the .._w_. j. p 00-year Floodplain? ❑YesONo k. Is the project site in the 500-year Floodplain? ®Yes❑No- 1. Is the ..................._ www._.. project site located over,or immediately adjoining,a primary,principal or sole source aquifer? 0Yes0No If Yes: i. Name of aquifer: Sole Source Aquifer NamesµNassau uffolSSA ........... ...... Page 11 of 13 m, Identify the predominant wildlife species that occupy or use the project site: n.Does the project site contain a designated significant natural community? ❑Yes®No If Yes: i. Describe the habitat/community(composition,function,and basis for designation):µ ..... ii. Sources of descri tion or evaluation: ........ .. .. ..._.... .... ( ) p ation: iii. Extent of community/habitat: • Currently: acres • Following completion of project as proposed. ... acres • Gain or loss(indicate+or-): acres MµM MMMm Fo. Does project site contain any species of plant or animal that is listed by the federal governmentor NYSas �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 lhreatened`;_.. . e contain an plant or animal p. Does the project site any of species p almmthat is listed by NYS as rare,or as a species of ....M.M..._.�w..�YesWINo special concern? If Yes: i. Species and listing: ........ ....,,,... .................. v_ _............ .... ....... ....... ... ... .,_....,............... ,......... ._..._w w __ q. Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes®No If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site _wwwwwwwwwwwww _wwwwwwwwww�.�_, a Is the project site,or any portion of it, located in a designated agricultural district certified pursuant to ®Yes❑No Agriculture and Markets Law,Article 25-AA, Section 303 and 304? If Yes, provide county plus district name/number:SUFF001 .�_ .e.....w....w . ......... .................M............ agricultural lands consisting of highly pr ductive ww.._ soils present? ❑Yes®No 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 ❑Yes®No� Natural Landmark? If Yes: i. Nature of the natural landmark: ❑ Biological Community ❑ Geological Feature ii. Provide brief description of landmark, including values behind designation and approximate size/extent: ........................ _a........... ... .................... d. Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes®No If Yes: i. CEA name: ii. Basis for designation: iii. Designating agency and date: Page 12 of 13 .e.....w.Does the project site contain w............... .. :_._. _._._......_ .......w _.._.._....... __ v _m_.w ..._.W...�._.............................................._._.. ww.- p or is it substantially contiguous to,a building,archaeological site,or district ❑Yes®No which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? If Yes: i. Nature of historic/archaeological resource: ❑Archaeological Site ❑Historic Building or District ii. Name: W. Brief hi of attributes on description w .. ...._ ... ...................._....__ ....... .... ........ . .__...... .._...__... .. ... ... ._.... ............ww�...ww...... p ch listing is based: f.Is the project site,or any portion of it, located in or adjacent to an area designated............................sensitive ������������..........�...........N_............... r �� ....__ ���������� ���� � .w._. es gnated as sensitive for ®Yes❑No archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g. Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes®No If Yes: i. Describe possible resource(s): ....... ii. Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ❑Yes®No scenic or aesthetic resource? If Yes: i. Identify resource: .......... ii. Nature of,or basis for,designation (e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): W. Distance between project and resource miles. rilf Isthero ect site located within a des_____�..,.M.M,.M.M.._........_..._ _www............ ..__............. ....._................... p j ignated river corridor under the Wild, Scenic and Recreational Rivers ❑Yes®No Program 6 NYCRR 666? Yes: i. Identify the name of the river and its designation: ii. Is the activity consistent with development restrictions contained a ..............w. ..... m 6NYCRR Part 666? ❑Yes❑No F. Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. APPlicant/SPonsorNan�eYARTI..N...... FIN ,.S..AN„..ESQ Date Signature'................... 'w w ..... _ .............. .. Title AGENT/ATTORNEY PRINT FORM Page 13 of 13 EAF Mapper Summary Report Friday, August 25, 2023 4:46 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 substitute for agency determinations,. twrA4 Southold Toronto o P Rochester J t �I� O '' �INMwbfwtp. r 9 Source,„„.Esr,HERE, Garmi,r USGS)tptef n,%.;wn 11I�C�A'Et l au tis r rEsri HERE Garmir USGS li �r,BRENIENT P, NRCan, Esri Japan, HETI, Esri its arf r4,�m laps�n �il i t Esri Chwagr rr t,)K<) (qtr � � ,r i ( R ura&&°tr:g Kong!( Esri Korea, Esn rpw �r, t iCS ppen5treetMap contnbut�r andtrii r�,`7 'ri !� c,t� rtktP°tgx� rlst JLIw , Mrd tl aaks y f/ tha GIS User Cornindnt5j B 50,1,e a'41th E n iERE tl q^dba, k r ""' NPS �Wb , B.i.i [Coastal or Waterfront Area] Yes B.i.ii [Local Waterfront Revitalization Area] Yes C.2.b. [Special Planning District] Yes- 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:LI North Shore Heritage Area E.1.h [DEC Spills or Remediation Site - Digital mapping data are not available or are incomplete. Refer to EAF Potential Contamination History] Workbook. E.1.h.i [DEC Spills or Remediation Site- Digital mapping data are not available or are incomplete. Refer to EAF Listed] Workbook. 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] E.2.g [Unique Geologic Features] No E.2.h.i [Surface Water Features] Yes 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.iv[Surface Water Features- Wetlands Federal Waters Name] E.2.h.v [Impaired Water Bodies] No E.2.i. [Floodway] No E.2.]. [100 Year Floodplain] No E.2.k. [500 Year Floodplain] Yes E.2.1. [Aquifers] Yes E.2.1. [Aquifer Names] Sole Source Aquifer Names:Nassau-Suffolk SSA Full Environmental Assessment Form - EAF Mapper Summary Report 1 E.2.n. [Natural Communities] NO V c E.2.p. [Rare Plants or Animals] INO E.3.a. [Agricultural District] Yes E.3.a. [Agricultural District] E.3.c. [NationaV Naturai Land[nark] qO E,,3,,d I.Crifical Envirorimental Area] 0 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] Yes E.3.i. [Designated River Corridor] No Full Environmental Assessment Form - EAF Mapper Summary Report 2 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions inchrding Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2, Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A p r�r d waction will beevaluato i_ l ww i t g.:1..ficant; beneficial ia:1 andµadverse e�ffects.Upqtjjtje A14qAl_awr ( ll elainc:hides,all of outhol To to 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained in detail listing both su Ivi-ting and non- supL)orting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall wwnot.. eundertaken. 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# 108.00 ---03.00 _ 012.005 PROJECT NAME CROSS STANDARD SUBDIVISION 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 El 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: PROPOSED SUBDIVISION OF EXISTING 5.9 ACRE PARCEL INTO TWO (2) CONFORMING PARCELS MEASURING 172,538SF AND 80,007SF. Location of action: 770 WAGON WHEEL LANE, CUTCHOGUE, NY 11935 Site acreage:-5.9 ACRES Present land use: RESIDENTIAL Present zoning classification: R-80 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 addressn (c) Telephone number: Area Code( ) ... (d) Application number, if any . ..__.... .._.�w.�w..................._M.M..,,,,,,,�w�w.v.vw_. ��_....................................................M,..,...,w..w_...................................... ww�� ..... Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No 0 If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. V Yes F] No Not Applicable PROPOSED,SUBDIVISION WILL CREATE rtONE ADDITIONAL BUILDABLE PARCEL ww ENTIRELY t l�1=CJ......GTO TIME ULI I-�EDU�E. Attach additional sheets if necessary_—_....ww............_.._.............._--.._w-w-w_. —--------------- _.ww...--- .................. .___._.--------- ._ —._..__----- --------------------------- _.M....-w-w-w-wwwww._............. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III— Policies Pages 3 through 6 for evaluation criteria Yes ❑ No V Not Applicable ..�w......w ........_..........._���m�w_�w _M.—...w�.�.._. __. ........................w_M..... wv_...........................................W.............. Attach additional sh�ets 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 FV—] Yes ❑ No ❑ Not Applicable 1 —$- 1 I .T..'REwI��. C ttT7 Cd...A EI ..I. BN A D �I .w � 1a6��1 QE........ T ON SCENIC RESOURCES. THE ADDITIONAL WILL HAVE IMPA.C............_......... ..M.m_mmmmmmm�www_ .....—.._ww....................._M.M.M.M............�..w_._. —.�_.....................................ww. Attachmadditional sheets ifnecessary .... ....w.w....._.._............................ ....w_............................................. _........... � _ .ww.www..___�..—..........wv .............................. ......._..........._ 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 1:1 Yes 1:1 No V Not Applicable — _ .................... M.M.M,,,,,,.mMw w a._.__-______ ry w_ww_—_ _..m.._..w wv... - -------------- __..........-w-.w_._._._._._._. ........... _.-w..__ .......- Attach additional sheets if necess 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 V Yes 1:1No 1:1 Not. A li alale I ANY FUTURE A TA- I E TH„E PROPOSEDLOTWILL BE REQUIRED TOHAVEAN....IT__ Attach additional sheets if necessary .... ....._....................................................... Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III— Policies; Pages 22 through 32 for evaluation criteria. Yes [:] No V Not Applicable _.................._ .. .. �.�. ._.�... �.ww�..�.�.�.�.. —._,—....._._._............................. .......__ ..�.�.�.�.�........._._._.._... M..mm��m�_�_w— �__..._.w........................ Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes [:] No V Not Applicable Attach additionalsheets if necessary �..."","..... ...ww....._..............�.�.�.�.�.�._.w�........... �_�—.wvwv--------------- ..................�.�...............w_.—.. ...www_--------------------- _ 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. V Yes 1:1 No ❑ Not Applicable ANY....FUTU E C J ST .0 :I ON-0-N-1_.!E_P'.RQP Q-S.E. ... O.T.. ... -BF. _ .. 1 .AVE_AI I/A SANITARY SYSTEM. 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. Flyes n No 0 Not Applicable SUBJECT PREMISES IS NOT A WATERFRONT PROPERTY NOR ADJACENT TO PUBLIC PROPERTY Attach additional sheets if necessary................_........w..ww.ww._._._............................ ................. .......ww................_._......... __.mwwwww.................... ...... ... .... _w...................................................._._ 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. E' Yes ❑ No 0 Not Applicable .__......r'...-......................................................................._-—...w�.._w....�.�.�.�.�.�.... .-.. -_.-...�.-.�w_.�w_........._. .............................._.�...____....w....wwww................--- ..----- �_�--- �_-�_.....__m�_ Attach additional sheets if neces.. sary 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 0 No V Not Applicable _............_...M..._�.,�i't.i'o"w_._-...................if'n"www._..nn...-_ ..............................w.............w �.__......... w..... _W................... �_.w�.�.�.�.�.�.�.�.�.�_�.....�......_............w_._._._._._._._._._.. Attach additional sheets if'n"'.. Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III- Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No V Not Applicable Attach additionalhe sets ifnecessary-.._._._..�.u...�...v..wvwvwv..�....._............................ ..._.....w.�.�.�.�..............�.�.....� _._._...._..�—...................................................— __ ...................ww............_.... . �w Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. V Yes ❑ No ❑ Not Applicable ,ANY FUTURE Q.0 a1 UCTI. Nw ALLQMP '... I T _. .L.Lw A ''N .I. E�E_ T, 1�_ I�IL� � I �rvt CiDME REQUIREMENTS. PREPARED BY MARTIN D. FINNEGAN, ESQ. TITLE AGENT DATE 0110S02-q Amended on 811105 SOUTHOLD PLANNING DEPARTMENT OWNER'S AUTHORIZATION I, Jessica Kelleher, the owner of the property known as 770 Wagon Wheel Ln, Cutchogue,New York, and identified as Suffolk County Tax Map number 1000-0108.00-03.00-012.005, hereby authorize Martin D. Finnegan and Finnegan Law, P.C. to apply for a subdivision on my property and hire any agents necessary to complete the work involved in the subdivision process with the Southold Planning Board. _www_.... _........ .ww.__...._.... Jessica er Sworn before me this day of_......ww...f1l .0 5�...._ 2023. Notary Public SC14WEITZER A NOTARY PUBLIC-STATE OF NEW YORK NO.01 SC6409457 UALIM IN SUFFOLK COUNTY ( EXPIRES 28,20 Z Southold, 'lan in 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: K.2 L�.e..�.1`ei1`...�...._�`��.J.�..�.. .'........._._._ Last,First,middle initial unless you are applying in the name ofsomeone else or other entity, such as a company. Ifso, 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 _. 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 souse, 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 Vkday of 2023 Signature Print Name_... .. S1..C..U`- ..�� Disclosure Form AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of F.'thics probitits conflicts of interest on the part of town officers and em)lo Vccs. he purwie 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 : MARTIN D.FINNEGAN (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance ........ Building Permit Variance Trustee Permit Change of Zone Coastal Erosion ....... Approval of Plat Mooring Other(activity) ...................— Planning 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 V If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person .............. ............... Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP -—–—––----------- ............... ................. Submitted this of20 Signature ............... Print Name MARTI FI GAN .................................................. 11111111 IIII VIII VIII VIII ILII VIII VIII II11I IIII IIII f 111111 Iflll 11111111 IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument•• DEED Recorded: 03/06/2015 Number of Pages: 4At: 03:34:21 PM Receipt Number : 15-0028953 TRANSFER TAX NUMBER: 14-19591 LIBER: D00012809 PAGE : 343 District: Section: Block: Lot: 1000 108.00 03.00 012.005 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00, NO EA-STATE $250 .00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $5.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $385.00 TRANSFER TAX NUMBER: 14-19591 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 E RECORDED 2015 hIar 06 03:34:21 PI9 Number of pages 4 JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00012809 record.Please remove all P 343 Social Security Numbers DTI# 14-19591 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee _ Mortgage Amt, 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 � Sub Total _.... Notation Spec./Assit. or EA-5217(County) Sub Total Spec./Add. EA-5217(State) ,,_.�..,, ,._,�,.. TOT.MTG.TAX Dual Town Dual County R.P.T,S,A. Held for Appointment Comm.of Ed. 5_. 00 Transfer Tax Affidavit " + Mansion Tax The property covered by this mortgage is Certified Copy(rt or will be improved by a one or two NYS Surcharg 15. 00family dwelling only. Sub Total YES or NO Other �_._.....M.�.....______. Grand Total. _ �S.,_.. ` If NO, see appropriate tax clause on page# of this instrument. U" -I 4 1 Dist. j Section 10</ RI^�� " , , ' 5 Community Preservation Fund Real Property 15005084 1000 10800 0300 012005 Consideration Amount$ V Tax Service Verification ((012PMAR-1 DN A CPF Tax Due $ Improved 6 Satisfactionsi __ _.._ "�r�iv}�e ry owners Maig6ri Actdrsx +RECORD&RETURN TO: V�aca� nd jr Kq (7. TD LC� Twomey,Latham,Shea,Kelley,Dubin&Quartararo LLP TD 33 West Second Street Riverhead NY 11901 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 co.Name www.suffolkcountyny.gov/clerk Title# s Suffolk County Recording & Endorsement Page This page forms part of the attached Deed _ made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. _..... _..TO_ .... In the TOWN of _.... ------- In the VILLAGE y _........_.. or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NO CONSIDERATION Quitclaim Deed This Indenture,made the 23rd day of February,Two Thousand and Fifteen, BETWEEN Constance M.Cross,residing at 2275 Main Road,P.O.Box 730,Cutchogue,New York 11935, party of the first part, and Jessica L. Kelleher, residing at 579 Warren Avenue, Thornwood, New York 10594, TAX MAP party of the second part, DESIGNATION Dist.: 1000 WITNESSETH, that the party of the first part, for no consideration and in accordance with the provisions of the Trust Agreement, does hereby grant and Sec.: los.00 release unto the party of the second part,the heirs or successors and assigns of the Blk.: 03.00 party of the second part forever,in Lot: 012.005 See Schedule"A"annexed hereto and made part hereof. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated February 6, 2015 and recorded in the Suffolk County Clerk's Office on February 19,2015 in Liber 12807 at Page 504. SAID PREMISES also known as(No#)Main Road,Cutchogue,New York. 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 parry 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 Lien 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 cost of 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"whenever the sense of this indenture so requires. In Witness Whereof,the party of the first part has duly executed this Deed the day and year first above written. IN PRESENCE OF: Constance M.Cross STATE OF NEW YORK) COUNTY OF SUFFOLK)ss.: On the day of in the year 2015 before me, the undersigned, personally appeared Constance M. Cross,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument, the individual,or the person upon behalf of which the individual acted, executed the instrument.. kn_ Notary Public KF-AAY F'LANAGAN Nvtery Public,State Of Nrrw YO'k Nod 01FL4812883 Clurttit6ed in Suffolk CountY Comma on Fxpires Deo.31,20� QUITCLAIM DEED DISTRICT: 1000 SECTION: 108.00 Constance M.Cross BLOCK: 03.00 TO LOT: 012.005 Jessica L.Kelleher COUNTY OR TOWN: Southold TAX BILLING ADDRESS: PO Box 730 Cutchogue NY 11935 RETURN BY MAIL TO: Anne Marie Goodale,Esq. Twomey,Latham,Shea,Kelley Dubin&Quartararo,LLP 33 West Second Street P.O.Box 9398 Riverhead,New York 11901 Page 2 of 2 Pages ALL that certain plot,piece or parcel of land, with the buildings and improvements thereon erected,situate, lying and being in the Town of Southold, County of Suffolk.State of New York, being More particularly bounded end described as follows: BEGINNING at a point On the Southwesterly side of sald premises hereinafter described distant the following three (3)courses and distances from a monument set in the Northerly side of Main State Road which said monument is 1281.60 feet E=of Elijah's Una: I. North 6 degrees, 10 minutes,50 seconds West 150.00 feet along lands now or formerly of Siepaoski; 2. North 21 degrees, 26 minutes, 50 secoads West 282.51 feet'along lands now or formerly of Bagensld; 3. North 26 degrees, 19 minutes, 20 seconds West 327.88 feet stili along lands now or formerly of Bagenskl to the point or place of beginning; RUNNING THENCE from said point or place of beginning and along lands of Bagenski North 26 degrees, 19 Dist minutes,20 seconds West 904.43 feet to laud now or formerly of Suter; Sec. RUNNING THENCE along lands now or formerly of Suter North 59 degrees, 51 minutes,30 seconds East 380.17 108.00 feet to land now or formerly of Cross; Block 03.00 RUNNING THENCE along land now or formerly of Crass.the following two (2)courses and distances: P!0 Lot 1. South 25 degrees,41 minutes, 10 seconds East 265.04 feet; 012.005 2. South 26 degrees,06 minutes,50 seconds East 664.74 feet to other lands of Bageoski; RUNNING THENCE still along other lands of Bageaski South 63 degrees,40 minutes,40 seconds West 373.97 feet to the point or place of beginning. TOGETHER WITH a right-of-way 50 feet In width for Ingress and egress from said aforementioned premises to Main-State Road, the Westerly stde of said right-of-way being described as follows: BEGINNING at a point on the Northerly side of Main-State Road at a monument located 1281.60 feet Fast of Elijah's 1=; RUNNING THENCE along lands now or formerly of Stepooski, North 6 degrees, 10 minutes, 50 seconds West 150.00 feet; RUNNING THENCE along land now or formerly of Bagenski, North 21 degrees, 26 minutes,50 seconds West 282.51-feet, , RUNNING THENCE stW along said land North 26 degrees, 19 minutes, 20 seconds West 327.88 feet to the point or place of beginning of the premises hereinabove described; EXCEPTING THEREFROM the followi described premises herein; BEGINNING at an interior point being at the Southwesterly line of the premises about to be described herein, said point or place of beginning also the following three(3)coarses and distances as measured along the Westerly line of the 50 foot rlght-of4ay from Its intersection with the Northerly line of Maio(State)Road: 1. North 6 degrees 10 minutes 50 seconds West 150.00 feet; 2. North 21 degrees 26 minutes 50 seconds West 282.51 feet; 3. North 26 degrees 19 minutes 20 seconds West 792,36 feet to the true point or place of beginning. THENCE along from said point or place of beginning along the Easterly line of land now or formerly of W. Adel Jr.North 26 degrees 19 minutes 20 seconds West 439.95; AND THENCE South 59 degrees 5l minutes 30 seconds West 210.00 feet; THENCE South 26 degrees 19 minutes 20 seconds East 439.95 feet; AND THENCE South 59 degrees 51 minutes 30 seconds West 210.00 feet to the poiut or place of BEGINMG. TOGETHER WITH AND SUBJECT TO all rights-of-way, easemcros, covenants,restrictions,and any and all documents of record. c �?[►� � Town Hall, 53095 Main Road w a ^ SCOTT L. HARRIS P.O. Box 1179 Supervisor Southold, New York `a Fax 516) 765-1823 11971 Telephone (516)765-1800 PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 10, 1990 Gary Flanner Olsen Main Road P.O. Box 706 Cutchogue, NY 11935 RE: Set-Off of James Cross SCTM# 1000-108-3-12.2 Dear Mr. Olsen: The following took place at the meeting of the Southold Town Planning Board on Monday, April 9, 1990. The final public hearing, which was held at 7:35 p.m. , was closed. WHEREAS, Ralph Tuthill and his wife are the owners of the property known and designated as SCTM# 1000-108-3-12. 2, and James E. Cross is the owner of SCTM# 1000-108-3-12.1, located off a 50 foot right-of-way on the north side of Main Road (S.R. 25) ; 1281.6 feet east of Elijah's Lane in Cutchogue; and WHEREAS, this set-off application, to be known as James E. Cross Set-Off, is to set off a 86,946 square foot parcel from a 7 .9140 acre parcel; and WHEREAS, a variance in accordance with the Town Law, Section 280A for approval of access was granted by the Zoning Board of Appeals on June 23, 1988; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on May 15, 1989; and Page 2 James Cross WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on April 9, 1990; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board approve and authorize the chairman to endorse the final survey dated June 9, 1989. Enclosed please find a copy of the map which was endorsed by the Chairman. Please contact this office if you have any questions regarding the above. Very truly yours, 80�1 (94"1 Bennett Orlowski, Jr. Chairman Encl. cc: Building Department Assessors Office - e--- s - i44f6 A1•(QN 66474 AP2ROVED BY p� § �s BOARD r APR 4fa.45 keve5 � A W d r i0 PARCEL 7b 732 Sra7 VFPp 86,946 _ S tSiYr a SasENsur RAELIN # MAR 231990 e1444,40 s.es rr�o E. aSRs RIGHT OF a –11Y s , 904 4 �_-s_2r s =V 'allo of Ave `--�"� ..�. QV ` .. ,Ffk'.MC K:.4` �1j t5>?3vSk.f /IF{l1n ?moi '✓Ff{ `"�' t k4 -- p-2 W ,y KM 6F IIE1�iH SERYICE4 ? SURVEyE➢ FOR E *° SCALE - aO,=. GDAAAK7GSTO¢tai U.S.UR TIT4E �} e 0=MONUMENT jNsUE.A.4C ctSA#Px. 3 5!7{il4Ty AT - 9 SUXV*V;£f-J N* 72.1972 i CUTCW GUE • AREA_= 7.9f4Q.ACR,,S VAN Y SOWN.OF StsLo F.4.Y. Poe OeT , — _ rwx PdR.G�i. �ac0-le - t - 3 . SOUTHOLD h PLANNING NG RQ IVED L AN 2024.� 6�� li1 T� n��.�DEPARTMENT ��� � �� anning Board Subdivision Application Form - Sketch Approval APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for SKETCH APPROVAL for the subdivision described herein. 1. Name of Subdivision CROSS STANDARD SUBDIVISION 2. Suffolk County Tax Map# 1000-108.00-03.00-012.005 3. Type of Subdivision Standard [✓] Conservation [ ] 4. Hamlet CUTCHOGUE 5, Street Address/ 770 WAGON WHEEL LANE, CUTCHOGUE, NY 11935 Project Location 6. Acreage of Site 5.8 ACRES--,,,,.,.,-............. 7. Proposed Yield TWO (2) CONFORMING LOTS MEASURING 172,538SF & 80,007SF 8. Number of Lots Proposed TWO (2) 9. Zoning District 10. Date of Submission �� zo _ 7anw. ww w... .. . _ .w._...................._w..._ 11. Please provide the names, addresses and phone numbers for the following people: Applicant: JESSICA KELLEHER 770 WAGON WHEEL LANE, PO BO X 88, CUTCHOGUE, NY 11935 617-821-4462 .......................................................................... ...........__ .._ JESSI[E[OU82b.wW...WW"°._._.........___...............__.mmmmmm.._.__ _.... .. @GMAIL.COM Agent., FINNEGAN LAW, P.C.-MARTIN D. FINNEGAN, ESQ. PO BOX 1452, 13250 MAIN ROAD, MATTITUCK, NY 11952 631-315-6070 MFINNEGAN@NORTHFOR '.LAW Sketch Plan Application Form Property Owner(s): JESSIC A 770 WAGON WHEEL LANE, PO BOX 88.................._._. CUTCHOGUE, NY 11935 ..617-821-4462 ......................__www_....u........w_..............ww .........._........._..... JESSIELOU825@G�MAIL.COM �� Surveyor.° CHUK LAND SURVEYING PLLC KENNETH M. WOY WW„_ PO .n PO BOX 153,AQUEBOGUE, NY 11931 ..631-298-1588 ..__www_._.M._._..w_..._...... ....�.............._._.._._.. _KMW250@YAHOO.COM Engineer. RA ZEN,DESIGN-ZACKERYmE. NICH L � ,W..ww... 1250 EVERGREEN DRIVE, CUTCHOGUE, IVY 11935 W631-513-6589 ...................._..._.M.mmmm_...w._._......-�W ..w_...._........ zenicholson.arch@gmail.com � ��� Attorney. FINNEGAN LAW, P.C. -MARTIN D. FINNEGAN, ESQ. PO BOX 1452, 13250 MAIN ROAD, MATTITUCK, NY 11952 ..631-315-6070_..�..............www..._M._.,.......w��..�.�__�.�.�.�.�.....__.�_. MFINNEGAN@NORTHFORK.LAW ...M....w.wv_............. 12. Has an application for subdivision ever been filed for this property? If so, please indicate when and whether or not approval was granted by the Planning Board. NO. 13. Has a pre-submission conference been held with the Planning Board? If so, provide date.DECEMBER 2022. 14. Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Yes V . No . If"yes", explain how. The existing parcel was created as a result of a set-off approved by the Planning Board on 4/9/1990. 15. Has the owner/applicant met with Land Preservation? If so, provide date.NO. 16. Is any part of the property in agricultural use? If so, how many acres?NO. 17. Is there an existing or proposed sale of development rights on the property? NO. 18. Does the owner own any adjacent properties? If so, please indicate the properties by SCTM#. NO. 19. Are there any building permits currently pending on this property? If yes, please provide permit number(s). 2 NO, 20. The site will be serviced by the following special districts or utility companies:. Fire District NO. 29 CUTCHOGUE FIRE DISTRICT Post OfficeCUTCHOGUE POST OFFICE School District MATTITUCK-CUTCHOGUE UFSD mON-SITE..........._....��.w.wv_._._._._� ....____. Water WELLS) 21. Has the relevant Electric Utility Company been notified of the proposed subdivision? If so, please provide proof that service will be provided. 22. Please indicate the type of open space proposed and how it will be managed? None proposed or required as this is not a clustered subdivision. 23. Are there any existing structures on the property? If so, please indicate the type of structure and its use(s). Will these structures remain, be removed or altered? Single-family residence will remain. .,E. oacb" .a ce,ssor.y. tr re: .on_Lot.-iw..tco lot.tc._ttie rS wilt.cea ia.. .saanL,t .E n. . .to. , r itied by Constance M. Cross. 24. Based on the parcel yield and the affordable housing requirement of the Town Code, how many Moderate Income Family Dwelling Units are proposed? If the number that will be built is less than 20% of the yield, please indicate how you intend on satisfying the requirement (see Town Code §240-10 B (2)(c) for options). 2-lot subdivision; exempt from affordable housing requirement. 25. Application completed _ ] owner agent [ ] other Signature of Preparer mate r , 3 m �« m z . OFFICE LOCATION: MAILING ADDRESS Town Hall Annex ,. l P.O. Box 1179 54375 State Route 25 � o Southold,NY 11971 (cor. Main Rd.&Youngs Ave.) Telephone: 631-765-1938 Southold,NY wwwsoutholdtownny.gov rrllllJiaairlr%r' a PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: January 8, 2024 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Subdivision Sketch Plan Application not yet accepted by the Planning Board. _......_................--........................_........................_ .......__._...w .. ......................................._......................................._........................Check Date/No..........,... Applicant/Project Name & Type Tax Map # Amount ......._..._...... ....... ...... ......... ...1..08.-3................................................ ........ ...._W...... ....1/5/24_..................._.._.......M .......... Cross Standard Subdivision $1,750.00 #1338 'ar,Wrdl,8k' ror'£D � rra, ';il,£�','# G£r�.mw+ui£;uiM4(£'67'!"—mmzX'dni'h„P4 rrv.,m�n�.> dk"wm£4,rA,mm,.,�ry�PBn �r ikvo��ran Y+ kuwE'f"w°,w:„�„ 1338 FINNEGAN LAW, P.C. P.O. BOX 1452 1,x� MATTITUCK,NY 11952 info@ northfork.law 1-2/210 DATE.......(./� � � ... C! PAY s ORDER OF . ..... �...,w._ .. ....... ........._ ....,..,,.. _ _ _,. Q �' ' V� a� TO THE � DOLLARS 8 �a....,., CHASE�I�; j f JPMorgan Chase Bank,N.A. 4�8 w .Chase.wm FOR . ...., . .. sIIS II 0 2 10000 2 i00 13 38 ” 1: �: ? ? 1 36 M.,�o ,,.�� ,,,, ,,,;„hw „',,,,�.,,.„,,,,, 7a�"::�✓ 8 hnCY' iaf�RWS b�Y£w." �,dR« £h£�" £"�dP��gym,,. .., s',,, .,�'' „is?�� £`r��"�C�m.,,,�5